Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 178 - ENVIRONMENTAL HEALTH › Chapter 12 - WATER WELL CONSTRUCTION, PUMP INSTALLATION, AND WATER WELL DECOMMISSIONING STANDARDS › Attachment 178-12-1 - WAIVER OF DISINFECTION

Current through June 17, 2024
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
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FIGURE 1B. PRIMARY AQUIFER SEAL AT THE BASE OF THE
				  FIRST SILT/CLAY LAYER ABOVE THE PRODUCTION ZONE
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FIGURE 1C. PRIMARY AQUIFER SEAL AT/OR IMMEDIATELY BELOW
				  THE STATIC WATER LEVEL
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FIGURE 2A. SURFACE SEAL FOR ALL WELLS NOT EQUIPPED WITH
				  PITLESS UNITS
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FIGURE 2B. SURFACE SEALS FOR ALL WELLS WITH PITLESS
				  UNITS
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FIGURE 3. CONSTRUCTION AND REPAIRS OF BORED AND DUG
				  WELLS
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FIGURE 4. OPEN HOLE WELL CONSTRUCTION
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FIGURE 5. OPEN HOLE CONSTRUCTION - MULTIPLE
				  AQUIFERS
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FIGURE 6. UPPER PORTION OF NON-POTABLE WELLS 6-5/8 INCH
				  OD AND LESS WITH STEEL CASING RISER
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FIGURE 7. NON-POTABLE WELLS 6-5/8 INCH OD AND LESS WITH
				  METAL SLEEVE BOLLARD
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FIGURE 8. CONCRETE PAD FOR NON-POTABLE WELLS LARGER
				  THAN 6-5/8 INCHES IN OD
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FIGURE 9 WELLS LOCATED IN THE ARIKAREE FORMATION THAT
				  ARE SUBJECT TO SUBSIDENCE
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FIGURE 10 NESTED WELL DESIGN
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FIGURE 11A. CLOSED LOOP WATER WELL AS PER 46-1212 10 OR
				  MORE BOREHOLES
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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
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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
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FIGURE 12. PITLESS UNITS INSTALLATION IN A HIGH TRAFFIC
				  AREA
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FIGURE 13. DECOMMISSIONING THE UPPER PLUG - OPTION
				  1
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FIGURE 14. DECOMMISSIONING THE UPPER PLUG - OPTION
				  2
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FIGURE 15. DECOMMISSIONING THE UPPER PLUG - OPTION
				  3
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FIGURE 16. DECOMMISSIONING DRILLED WELLS
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FIGURE 17. DECOMMISSIONING DUG OR BORED WATER
				  WELLS
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FIGURE 18. DECOMMISSIONING DRIVEN SANDPOINT WELLS WHERE
				  THE CASING IS LEFT IN PLACE
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FIGURE 19. DECOMMISSIONING FULL LENGTH GROUTED
				  WELLS
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FIGURE 20. DECOMMISSIONING MULTIPLE AQUIFER
				  WELLS
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FIGURE 21. DECOMMISSIONING FLOWING WATER WELLS AND
				  CONFINING LAYERS
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