Attachment 1: Statement of Work

GRAY WALL WATER WELL

STATEMENT OF WORK & SITE LOCATION

CASPER FIELD OFFICE

HIGH PLAINS DISTRICT

Wyoming - High Plains District Casper Field Office

Office Name and State goes here

WORK DATA SHEET

For
Drilling Gray Wall Well

WATER WELL

T. 39N R. 85W Sec. 10 SENW

Summary:
The contract will be for drilling a livestock water well expected to be 150’ into the Sundance Formation. All designs will comply with The State of Wyoming Water Well Minimum Construction Standards.
Contractor Furnished Materials:
• All materials needed to complete the well to specifications will be provided for by the contractor.
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Casing must be certified ASTM, API, NSF, or AWWA
Responsibilities:
a. Technical Representative (COTR):
The technical representative has the authority to review the practice during construction and conduct necessary tests and quality control reviews to ensure that all work is in compliance with the construction plan. The technical representative reviews all construction changes and insures. that the CO approves prior to installation. The technical representative maintains a job diary and/ or construction notes and prepares as-built drawings of the project. b. Contractor:
The contractor shall not make changes to the construction plan without technical representative and CO approval. The contractor shall comply with all applicable permits and conduct the work in a safe manner.
Permits:
The water well permit will be submitted to the Wyoming State Engineers Office by the government and provided to the contractor before drilling begins. Final Grading:
All disturbed areas shall be graded without surface depressions to blend with the surrounding area.

Safety:

The contractor is responsible for compliance with all state and local laws, ordinances, codes, and/or regulations applicable for the installation. The technical representative will document any safety violations witnessed.
Acceptance:
Acceptance of the project will be performed by the technical representative during construction and after the work has been completed. If deficiencies are found the contractor will be notified by the technical representative verbally or in writing and corrective action will be necessary to accept the project.
Submittals:
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Prospective bids will include a technical proposal. This will include at a minimum: Drilling Plan, workers experience, type of equipment expected to use, specifications for 5” pvc casing, gravel and filter pack, type of well screen, and any other pertinent