DDW-2024-006831

R O C K Y M O U N T A I N | M I D W E S T | S O U T H W E S T | T E X A S
PO Box 520517, Salt Lake City, Utah 84152 | Office: 435 -879 -3338 | LREWATER.COM

March 26, 2024

Noreen Johnson – Mayor
Bicknell Town
P.O. Box 96
Bicknell, Utah 84715

RE: Well Seal Certification for Brinkerhoff Well (WS009)
Bicknell Town
Public Water System No. UTAH28001, File No. 13244
Wayne County, Utah

Dear Mayor Johnson,
On January 26, 2024, I witnessed the sealing procedure for the well referenced above as
authorized by R309-515-6(5)(b). This letter is to certify that the well sealing procedure
met the requirements of Utah Administrative Code (UAC), Rule R309-515-6(6)(i), Well
Sealing Techniques and Requirements, and Rule R655-4-11.4, Surface Seals and
Interval Seals.
The following tables and figures summarize information about the well, the Public Water
System (PWS), the well driller and the well sealing process.
Table 1 – Well Background
Table 2 – Well Location Information
Table 3 – Well Driller Information
Table 4 – Well Construction Information
Table 5 – Well Sealing Description
Figure 1 – Location Map
Figure 2 – As-Built Construction Diagram

This well seal certification is not a Plan Approval to construct a public drinking
water well or an Operating Permit to use the well as a public drinking water source.
Such approval may only be granted by the Director of the Division of Drinking Water. A
copy of this letter has been sent to the Director of the Division of Drinking Water.

Brinkerhoff Well – Grout Seal Certification
March 26, 2024
Page 2 of 2

If you have any questions regarding this certification, please contact me at (801) 541-
4426 (mobile) or [e-mail].
Sincerely,

Neil I. Burk, P.G.
Senior Project Manager
LRE Water

Enclosures: Table 1 – Well Background
Table 2 – Well Location Information
Table 3 – Well Driller Information
Table 4 – Well Construction Information
Table 5 – Well Sealing Description
Figure 1 – Location Map
Figure 2 – As-Built Construction Diagram

Attachment: Grout Witness Authorization Letter

Cc: Lance Wells, All Wells Drilling, [e-mail]
Michael Newberry, Division of Drinking Water, [e-mail]
John Chartier, DEQ Central District Office, [e-mail]
Jim Goddard, Division of Water Rights, [e-mail]
Eric Larsen, Central Utah Public Health Department, [e-mail]
Kelly Chappell, Ensign Engineering, [e-mail]
Deidre Beck, Division of Drinking Water, [e-mail]
Neil Burk, LRE Water, [e-mail]

1656ENS01
NB

Brinkerhoff Well – Grout Seal Certification

TABLES AND FIGURES

Brinkerhoff Well - Grout Seal Certification
Well Name:Brinkerhoff Well
Start Card Water Right Number:Non Production Well Application 2395001M00
Well Identification Number (WIN):448344
Well Owner:Bicknell Town
Well Type:Public Water System (PWS) Well
Public Water System (PWS)
Name:
Bicknell Town
PWS Number:UTAH28001
Water Source ID:WS009
DDW File Number 13244
Consultant:Neil I. Burk, P.G.
LRE Water
County:Wayne County
Nearest Town:Bicknell
Location Listed on Start Card:North 827 feet and West 1240 feet from the East
Quarter (E4) Corner of Section 3, Township 29
South, Range 3 East, Salt Lake Base and
Meridian (SLB&M)
Local Health Department:Central Utah Public Health Department
Street Address:Not applicable
Latitude/Longitude:38.319614 ,-111.565121
Method Used to Determine
Latitude/Longitude:
Utah Division of Water Rights interactive map
Datum:NAD 83
Well Head Elevation:6920 feet
Method Used to Determine
Elevation:
Estimated from the Bicknell, Utah 7.5-minute
USGS topographic map
Name of Licensed Well Driller:Lance Wells
License Number:944
Company Representative's
Name:
Lance Wells
Company Name:All Wells Drilling
Mailing Address:PO Box 159
Hanksville, Utah 84734
Phone Number:[phone]
Responsible Driller/Operator
Onsite During Well Sealing:
Doug Wells (OR436)
TABLE 3
WELL DRILLER INFORMATION
TABLE 1
WELL BACKGROUND
TABLE 2
WELL LOCATION INFORMATION
Brinkerhoff Well - Grout Seal Certification
Depth Interval Well Drilling Method
0 – 900 feet: Conventional mud-rotary (pilot borehole)
0 – 602 feet: Conventional mud-rotary
Depth Interval Borehole Diameter
0 – 900 feet: 8.75 inches
0 – 110 feet: 22 inches
110 – 602 feet: 15.5 inches
Depth Interval Blank Casing
0 – 110 feet: 16-inch diameter low carbon steel surface casing
+2 – 200 feet:
220 – 240 feet:
360 – 480 feet:
500 – 520 feet:
540 – 560 feet:
Nominal 10-inch diameter high-strength low-alloy
(HSLA) steel production casing (0.250-inch wall
thickness)
Depth Interval Annulus Size
0 – 100 feet: 3.0 inches (between borehole wall and surface casing)
40 – 500 feet: 2.375 inches (between borehole wall and production
casing and screen)
Depth Interval Well Screen
200 – 220 feet:
240 – 360 feet:
480 – 500 feet:
520 – 540 feet:
560 – 580 feet:
Nominal 10-inch diameter HSLA steel louvered well
screen (0.080-inch slots) with bull nose bottom cap
Depth Interval Gravel Pack
30 – 590 feet: SRI Supreme #6 filter pack; approx. 368 cubic feet
installed
Depth Interval Seal Material
0 – 110 feet: Certified neat cement grout well seal (around surface
casing); approx. 143 cubic feet installed
4 feet: Steel ring welded between surface and production
casings.
15 – 30 feet: Neat cement grout well seal (around production
casing); approx. 13 cubic feet installed.
590 – 602 feet: Neat cement grout bottom plug; approx. 19 cubic feet
installed
Pitless Adaptor:A pitless adaptor is planned to be installed on the well
Filter Pack:
Well Seals:
TABLE 4
WELL CONSTRUCTION INFORMATION
Annulus Size:
Well Screen:
Well Drilling
Method:
Borehole
Diameter:
Blank Casing:
Brinkerhoff Well - Grout Seal Certification
Description of
Well Sealing
Process:
Surface Casing:
On January 26, 2024, All Wells Drilling (All Wells) sealed the 16-inch diameter surface
casing for the Brinkerhoff Well from a depth of 110 feet up to ground surface with neat
cement grout. Each neat cement grout batch was prepared in a 150-gallon mixer and
grout pump and installed in the borehole through a 2-inch diameter tremie pipe. Each
neat cement grout batch was prepared by mixing 14 x 92.6-pound (lb) sacks of Quikrete
Type I/II or IL Portland cement with approximately 80 gallons (gals) of water. A total of 8
batches (143 cubic feet) were mixed and installed in the borehole and each batch was
installed immediately after mixing and measuring the grout density.
Grout Material:Neat cement grout
Grout Volume: Surface Casing:
The theoretical volume of the annular space between the 22-inch diameter borehole
and 16-inch diameter surface casing from ground surface to a depth of 110 feet is 137
cubic feet. All Wells installed approx. 143 cubic feet of neat cement grout around the
surface casing.
Grout Density:The grout density was measured to be between 15.5 and 15.0 lbs/gal for the surface
casing grout seal.
Method of
Placement:
Tremie pipe and grout pump.
Depth from
Surface:
The certified cement grout well seal extends from ground surface to a depth of 110 feet.
Did Grout Come
to the Surface?
Grout came up to ground surface flowed out the borehole.
Length of
Tremie Pipe:
Surface Casing:
The bottom of the tremie pipe was set to a depth of 104 feet for the first 4 batches, then
a depth of 72 feet for the remaining 4 batches.
Issues Observed
During Well
Sealing:
No issues were observed during installation of the grout seal around the surface casing.
TABLE 5
WELL SEALING DESCRIPTION
!ABrinkerhoff Well
T28S R3E
T29S R3E
CN
1656ENS01 | MARCH 2024
This product is for reference purposes only and is not to
be construed as a legal document or survey instrument.
BICKNE LL TOW NLOCATION MAPFIGURE 1
Note s: All locations are approximate.
Bicknell Town
0 2,000
FeetSCALE:1:2 4,000
13 14 Borehole Diameters
12 10 1 - 8.75-inch diameter exploration pilot borehole
0 (0 to 900 feet).
9 2 - 22-inch diameter surface casing borehole
1 (0 to 110 feet).
2 3 - 15.5-inch diameter production borehole
100 4 (110 to 602 feet).
8 Blank Casing
10 4 - 16-inch diameter, 0.250-inch wall thickness,
low carbon steel surface casing
200 5 (0 to 110 feet).
3 5 - Nominal 10-inch diameter, 0.250-inch wall
thickness, high-strength low-alloy (HSLA) steel
casing (+2 to 200 feet, 220 to 240 feet,
300 6 360 to 480 feet, 500 to 520 feet,
and 540 to 560 feet).
Well Screen
6 - Nominal 10-inch diameter, 0.250-inch wall
400 7 thickness, HSLA Roscoe Moss Ful Flo louvered
screen with bottom cap; 0.080-inch slots
(200 to 220 feet, 240 to 360 feet, 480 to 500 feet,
15 520 to 540 feet, and 560 to 580 feet).
500 Tos Filter Pack
7 - SRI Supreme #6; approx. 368 cubic feet installed
(30 to 590 feet).
Well Seals
600 11 8 - Certfified neat cement grout well seal around
surface casing; approx. 143 cubic feet installed
(0 to 110 feet).
9 - Steel ring welded between surface and
700 production casings (4 feet).
10 - Neat cement grout well seal around production
casing; approx 13 cubic feet installed
(15 to 30 feet).
800 11 - Neat cement grout bottom plug; approx.
19 cubic feet installed (590 to 602 feet).
Static Water Level
12 - Static water level measured to be 9.86 feet
900 below ground surface on 3/26/2024.
DRAWING NOT TO SCALE 13 - Ground elevation approximately 6920 feet.
Key to Geologic Units Other
Tsrb = Basaltic lava flows of the Sevier River Formation 14 - Well head extends 2 beet above ground surface.
Tsr = Sevier River Formation 15 -Centralizers every 60 feet.
To = Osiris Tuff
Tos = Sandstone and conglomerate associated with Osiris Tuff Notes:
Tlc = Tracyte Tuff of Lake Creek
Tjv = Latite of Johnson Valley
Tbu = Bullion Canyon Volcanics
Tdv - Dipping Vat Formation
A - Designed by Neil I. Burk, P.G.
B - Drilled, constructed and tested by All Wells
Drilling; Utah-licensed Water Well Driller No. 944.
C - Well Identification Number (WIN) 448344.
Tj
v
Tb
u
Td
v
Ts
r
b
Ts
r
To
Tl
c
Depth
(feet)Geologic Units Well Explanation
BICKNELL TOWN
AS-BUILT CONSTRUCTION
BRINKERHOFF WELL
FIGURE 2
Brinkerhoff Well – Grout Seal Certification
ATTACHMENT
195 North 1950 West • Salt Lake City, UT
Mailing Address: P.O. Box 144830 • Salt Lake City, UT 84114-4830
Telephone [phone] • Fax [phone] • T.D.D. [phone]
www.deq.utah.gov
Printed on 100% recycled paper
State of Utah

GARY R. HERBERT
Governor
SPENCER J. COX
Lieutenant Governor
Department of
Environmental Quality
Amanda Smith
Executive Director
DIVISION OF DRINKING WATER
Kenneth H. Bousfield, P.E.
Director
December 23, 2013
Neil Burk, P.G.
Loughlin Water Associates
3100 West Pinebrook Road, Suite 1100
Park City, UT 84098
Dear Mr. Burk:
Subject: Well Seal Witness Authorization
On August 28, 2013 the Division of Drinking Water (the Division) received your request that the
Director authorize you to witness the well sealing procedure for a public drinking water well and
issue well seal certificate per Utah Administrative Code R309-515-6(5)(b).
The Division’s Well Seal Witness Authorization Review Committee reviewed your application
based on the below criteria:
1. At least 5 years professional experience designing wells, supervising well drilling or other
equivalent experience associated with well drilling or well sealing that are acceptable to
the Director [R309-515-6(5)(b)(ii)(A)].
2. Evidence of licensure as a professional engineer or professional geologist in Utah [R309-
515-6(5)(b)(ii)(B)(II)].
3. No familial, former long term employee, business partnerships, etc. with a well driller
[R309-515-6(5)(b)(ii)(B)(III)].
4. Acknowledgement that the applicant would not be acting as an agent or employee of the
State of Utah and that any losses incurred while acting as a witness would not be covered
by governmental immunity or Utah’s insurance [R309-515-6(5)(b)(ii)(B)(IV)].
5. Willingness to attend training events as required by the Director [R309-515-
6(5)(b)(ii)(B)(V)].
6. Complete, with a minimum of 75% passing grade, an examination on water well drilling
rules as offered by the Division of Water Rights [R309-515-6(5)(b)(ii)(B)(V)].
The Well Seal Witness Authorization Review Committee determined that you have met all of the
above criteria. On this basis you are hereby authorized to witness the public drinking water
Neil Burk, P.G.
Page 2
December 23, 2013
well sealing procedure and to issue well seal certificates. This authorization is contingent upon
your continuous fulfillment of the conditions for obtaining authorization per R309-515-6(5)(b)(ii).
Please include all of the following information, as a minimum, in each well seal certificate per
R309-515-6(5)(b)(iii), and send a copy of the well seal certificate to the Division.
(A) Certification that the well sealing procedure met all the requirements of Rule R309-515-
6(6)(i);
(B)The water right under which the well was drilled and the well driller's license number;
(C)The public water system name (if applicable);
(D) The latitude and longitude of the well and method used for its determination;
(E) The well head's approximate elevation;
(F) Casing diameter(s), length(s), and material(s);
(G) The size of the annulus between the borehole and casing;
(H) A description of the sealing process including the sealing material used, its volume,
density, method of placement, and depth from surface; and
(I) The names and company affiliations of other individuals observing the sealing procedure
including, but not limited to the well driller, the well owner, and/or a consultant.
Thank you for your interest in being a part of this program, and congratulations on becoming an
authorized well grout inspector.
Sincerely,
Michael J. Grange, P.E.
Acting Director
NL/mnc
ccs: DEQ District Engineers
Neil Burk, P.G., Loughlin Water Associates, [e-mail]
Jim Goddard, P.G., Division of Water Rights, [e-mail]
Jim Martin, P.G., Division of Drinking Water, [e-mail]
Nathan Lunstad, P.E., Division of Drinking Water, [e-mail]
DDW-2013-013888.docx