178 Neb. Admin. Code, ch. 12, Attachment 1
This is to certify that I have been informed by ______________________________________ of the advantages of the disinfection of the water well producing water for human consumption located at ___________________________________________________________________.
I do not desire to have the well disinfected and hereby waive the disinfection requirement.
________________________________________
Landowner or Owner's Agent
_____________________________________
Date
FIGURE 1A. PRIMARY AQUIFER SEAL ON TOP OF GRAVEL PACK ABOVE THE WELL SCREEN
FIGURE 1B. PRIMARY AQUIFER SEAL AT THE BASE OF THE FIRST SILT/CLAY LAYER ABOVE THE PRODUCTION ZONE
FIGURE 1C. PRIMARY AQUIFER SEAL AT/OR IMMEDIATELY BELOW THE STATIC WATER LEVEL
FIGURE 2A. SURFACE SEAL FOR ALL WELLS NOT EQUIPPED WITH PITLESS UNITS
FIGURE 2B. SURFACE SEALS FOR ALL WELLS WITH PITLESS UNITS
FIGURE 3. CONSTRUCTION AND REPAIRS OF BORED AND DUG WELLS
FIGURE 4. OPEN HOLE WELL CONSTRUCTION
FIGURE 5. OPEN HOLE CONSTRUCTION - MULTIPLE AQUIFERS
FIGURE 6. UPPER PORTION OF NON-POTABLE WELLS 6-5/8 INCH OD AND LESS WITH STEEL CASING RISER
FIGURE 7. NON-POTABLE WELLS 6-5/8 INCH OD AND LESS WITH METAL SLEEVE BOLLARD
FIGURE 8. CONCRETE PAD FOR NON-POTABLE WELLS LARGER THAN 6-5/8 INCHES IN OD
FIGURE 9 WELLS LOCATED IN THE ARIKAREE FORMATION THAT ARE SUBJECT TO SUBSIDENCE
FIGURE 10 NESTED WELL DESIGN
FIGURE 11A. CLOSED LOOP WATER WELL AS PER 46-1212 10 OR MORE BOREHOLES
FIGURE 11B. CLOSED LOOP WATER WELL AS PER 46-1212 LESS THAN 10 BOREHOLES AND LOCATED LESS THAN 1000 FEET OF A COMMUNITY PUBLIC WATER WELL
FIGURE 11C. CLOSED LOOP WATER WELL AS PER 46-1212 LESS THAN 10 BOREHOLES AND LOCATED 1000 FEET OR MORE OF A COMMUNITY PUBLIC WATER WELL
FIGURE 12. PITLESS UNITS INSTALLATION IN A HIGH TRAFFIC AREA
FIGURE 13. DECOMMISSIONING THE UPPER PLUG - OPTION 1
FIGURE 14. DECOMMISSIONING THE UPPER PLUG - OPTION 2
FIGURE 15. DECOMMISSIONING THE UPPER PLUG - OPTION 3
FIGURE 16. DECOMMISSIONING DRILLED WELLS
FIGURE 17. DECOMMISSIONING DUG OR BORED WATER WELLS
FIGURE 18. DECOMMISSIONING DRIVEN SANDPOINT WELLS WHERE THE CASING IS LEFT IN PLACE
FIGURE 19. DECOMMISSIONING FULL LENGTH GROUTED WELLS
FIGURE 20. DECOMMISSIONING MULTIPLE AQUIFER WELLS
FIGURE 21. DECOMMISSIONING FLOWING WATER WELLS AND CONFINING LAYERS
178 Neb. Admin. Code, ch. 12, Attachment 1