HomeMy WebLinkAbout2016 Aug - Irrigation Well Information and Water Test .
� Massachusetts Department of Environmental Protection �����d��
� - Bureau of Resource Protection L
�; Well Comp/etion Reports AUG � �ZQ�U
Well Driller
Please specify work performed: Address at well location:
___..�.......�....._._�..�._............_..
New well Street Number: Street Name:
�
90 CAPT CHASE ROAD
Please specify weli type: Building Lot#: Assessor's Map#:
�rrigation������ ��
€_.__�_ _.__
Assessor's Lot#: ZIP Code:
Number Of Wells: 02675
CityRown:
Weii Location YARMOUTH
In public right-of-way: G�
�f Yes f�"No { North: West:
W.�.��.�..�...�
41.07751 70.20599
Subdivision/Property/Descri ption:
Mailing Address:
r click here if same as well location address
_e_.._________ve._..____________._______..�..._..._.__
Property Owner: Street Number: Street Name:
KICHKOVA 90 CAPT CHASE ROAD
Citylfown: State:
Engineering Firm: YARMOUTH MASSACHUSETTS
ZIP Code:
02675
Board of health permit obtained:
t�"Yes t�Not Required
Permit Number: Date Issued:
� �W�_.__._....���._......._�.I
—�
� �
i
Massachusetts Department of Environmental Protection
��� � Bureau of Resource Protection—Well Driller Program
�` Well Completion Reports(GeneraQ
B'� �
�
Well Driller - General Well Form �
DRILLING METHOD
Overburden Bedrock
uger -Choose Bedrock--
WELL LOG OVERBURDEN LITHOLOGY
Drop in dritl Extra fast or slow Loss or addition
From(ft) To(ft) Code Color Comment
stem drill rate offluid
_�..
_,.� _. _�._ .�_�_ _
''"'� --- _� _� �" C` � f` �"`
0� 1 20 Fine To Coarse S,� Brown � "+s �� �� f Fast�"Slow �
� YES NO ��_ 1 Loss Addition !
i
WELL LOG BEDROCK LITHOLOGY
Drop in Extra fast or �Loss or Visible Rust Extra ;
From(ft) To(ft) Code Comment drill stem slow drill rate addition of Staining Large
fluid Chips I
_....._ __._.� . t�' C` � � 'I 9 i" (" !��
� � �� Choose Code '��_ �� �� � � �Ye ��Ye� �
d---.------- YES NO � Fast Slow � � Loss Addition �--- �—
_e____�___.__. ________.____. __.__....�.":.�'::.:�:::.:�.��:::�� _______-�__.________ __�_.__ � _..._.... __.__ .. .::_._ _�___L_ _____e__._
ADDITIONAL WELL INFORMA710N
_..�..e..________ _.._.__w_._......
Developed �'Yes�No� Disinfected �`Yes C`No
Total Well Depth 20 Depth to Bedrock '
_..._�_.............._._ .
Surface Seal Type None racture Enhancement �Yes 4e No
����.e��__.._ � _
CASING i��s Casing above groun �d
��From � To Type Thickness Diameter � Driveshoe
.���__�_ee..e___..__�_�___���_________��_____.��__�.._e__.._�_.._�___�__.��__��_�..�_�._������._�_���_�e��________���_.._�_m__w�_�_��....__._.._._��_�..��_��_�__v_�.
�CI ,, � 17 Polyvinyl Chloride ����� S�chedule 40 � �4� �Yes
SCREEN r No Screen
� �._..._.._.��.��.� .�
�From To Type Slot Size Diameter
� ... .__._ _._.._.�__.... _______._�.______ _.___ �_.. _ �.�._.._�___._._ . _.__._ ___ __ .__..____ _...__. . e. ... ..�__�...
,._..�__ _ �-___..�._—,
_ ._ __ 17 Y� ;i2� 0��.�__ Stamle§s Steel Well Point . __ O.�g� � .; _ _
WATER-BEARING ZONES �DRY VVELL
From To Yield(gpm)
�..___________...........____.._...___._..__��_.�� _._____
�µ� 20._ l"��
PERMANENT PUMP(IF AVAILABLE)
�,2Wire Constant Speed
Pump Description � � Horsepower �
Submersible /
Pump Intake Depth(ft) 16 Nominal Pump Capacity(gpm) 15
ANNULAR SEAL/FIITER PACK
� Water Batches Method Of
From To Material 7 Weight Material2 i Weight
' (gaq (count) Placement
_ . ._ . . ..__.. ...�..__._..... .______�___�_____ _ .�__.e........e..........m__�__.__e _...__..___..__.._.._...___
_..______ _____�__.._________.._��_.. ...___.. _���
_ �....�..._.._ .�. ______.�..... _____. _ ___ � ..
��� ��� Choose Material mm�� '� � Choose Material �+' ��� ��� ��� —Choose One ►
y
� r
Massachusetts Department of Environmental Protection
� ,.�.�. Bureau of Resource Protection—Well Driller Progr�am
�� Well Completion Reports(General)
, �-�'
, �
� WELL TEST DATA
, _..��.w�
1 �Yield(gpm) �HH��,mped Pumping Level(ft Time To Recover Recovery(ft
Date Method gGS) (HH:MM) BGS)
_� '
� �07/29l2016 i ConstantRatePumP�mm���1����^1.3� � �_._. ��01. .._ .. . ���
,
� WATER LEVEL
Date Static Depth BGS(ft) Flowing Rate(gpm)
Measured
�07/29/2016� 8.........___ _____................._______� 12..................._...._._.._.._........_...._..�
��__�
COMMENTS
!
� WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete
' and accurate to the best of my knowledge.
WILLIAM Supervising Driller DESMOND,
DrillerURQUHART Registration# 299 Monitoring[M] Signature THOMAS,E
DESMOND WELL
Date Job Complete
Firm DRILLING,INC. Rig Permit# 024 08/03/2016
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
i
i
�
!
l
,
+ ,���YQF,{���JT-�. CERTIFICATE �F ANALYSIS Page: � of 1
'`'� '���
'q '�� Barnstable County Health Laboratory (M-MA009}
':,g `y,;
''yst:t�;i.�is�?% Report Prepared Far: Report Qated: 08/02/2015
Sally Desmond
Desmond Weli Drilling Order No.: G1695364
P 4 Box 2783
Orleans, MA 02653
, ----------------:------ ..----------------...------- _.__ _�
�aboratorv !D#: 1 fi95364-01 Descrfption: water-Irrigation well
5ampte#: Sampie tocation: 90 Capt.Chase Rd.,Yarmouth Coilected: 07/29/2016
Cotlected by: QWD Reaeived: 07l29/2016
� Rautine_M
i I7EM RESULT IfNIT5 RL MCL METHOD# ANALYST TESTED NOTE
�
� Nitrate as Nitragen 6.3 mg/L 0.10 10 EPA 300.0 LAP 07/29/2016 �
� Iron p,�� mg�� o.�0 0.3 SM 3111B �aP os�oz�2o�s
Manganese p,�2 mg/L o.02� 0.05o SM 3119B LRP 08/Q2/2616
PH �j,J PN AT 25C NA 6.5-8.5 5M 4500-H-B DCB 07/29/2016
SOdlUftl $T mg/L 2.5 20 SM 31116 LAP 08/02/2016
1
' Total Colifarm 0 P�A 0 0 SM 9222B RG 07l2912016
I Conductance 280 umohslcm 2.0 SM 25108 DCB 07/28/2016
� Sodium leve!is abova the�naxium contaminant level. Those on a!ow sodium diet may wish to consult a physicran.
' . .
Attached plsase flnd ihe laboratory certiiied parameter iist. ApproVed By: _. _.
—__.....__..
(l.ab Manager)
' ' .� /���T�
��
�
s
i
{' .
I
i
� �
i
i '
i
,
�
ND=fVone Detected RL = Reporting Limit MCL�Maximum Contaminant Level
3195 Main.Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605