HomeMy WebLinkAbout2017 - New Irrigation Well Info �a-
Massachusetts Department of Environmental Protection
Bureau of Resource Protection
� Wefl Completion Reports
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Well Driller
Please specify work performed: Address at weit location:
ew Well ____� Street Number: Street Name:
2p2 PLEASANT
Please specify well type: Building Lot#: Assessor's Map#:
rrigaUon �����"� !
Assessor's Lot#: ZIP Code:
02664
Number Of Wells:
Cily/Tawn:
Well Location YARMOUTH �
In public right-0f way: G� '
C"Yes t"'`No North: West: _ _ ___ --.(
41.65767 70.19337
Subdivision/PropertylDescriPtion:
Mailing Address: ;
�click here if same as well location addre '
Property Owner: Street Number: Street Name: I
SULLNAN,JIM 94 LYBERTY STREET k
City/Town: State: �
Engineering Firm: QUINCY MASSACHUSETTS �
ZIP Code: `
02169
Board of heatth permit obtained:
C'Yes �'Not Required
Permit Number: Date Issued: '
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„�� Massachusetts Department of Emironmental Protection
Bureau of Resource Protection—Well Driller Program
'. � Well Comp/etion Reports(General)
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� Well Driller - General Well Form _
DRILUNG METHOD
�verburden Bedrock
uger Choose Bedrock—
WELL LOG OVERBURDEN UTHOLOGY
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From(ft) To(ft) Code Color Comment Drop in drill Eztre fast or slow Loss or addition
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stem drill rate of fluid
�' � 15 Fine To Coarse S� Brown +!' �S � C'Fast�”Slow � �
Loss Addition
15 25 �To Cosrse S � Brown y�: �S � t`Fast f"Slqyv � �
Loss Addi�on
WELL lOG BEDROCK LITHOLOGY
Drop in Extra fast or Loss or Visible Rust Extra
From(ft) To(ft) Code Comment addition of Large
drill stem slow drill rate Staining �
fluid Chips
L..�.�� L_..,,,.� Choose Code ,+�' �" C` C` (' {"' �
� YES N� Fast Slow Loss Addition �Ye r Ye
ADDITIONAL WELL INFORMATION i
Developed �'Yes C"No Disinfected C:Yes t''`I�� !
Total Well Depth 25 Depth to Bedrock
Surface Seal T e None � �Yes t�No �
YP racture Enhancement
CASING ��is Casing above ground. �
From To Type Thickness Diameter Driveshoe
�� 21 Polyvinyl Chloride ='+�� Schedule 40 _��-^� E�—1 ('Ye
L�w-----�
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SCREEN �NoScreen __ _ . _ __ _.___-- ---- �
From To Type Slot Size Diameter
21 25 STainless Steel We11 Point �'► 0.012 ��
WATER$EARING ZONES �DRY wEL
From To Yield(gpm)
11 p5 �p
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PERMANENT PUMP(IF AVAILABL.� i
Pump Description ��Variable Speed � ;
ubmersible Horsepower �
1/2
Pump Intake Depth(ft) 23 Nominal Pump Capacity(gpm) 15 �
ANNULAR SEAL/FlLTER PACK �
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From To Material 7 Weight Material 2 Weight Water Batches Method Of �
(gal) (count) Placement E
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Massachusetts Department of Environmental Protection '
Bureau of Resource Protection—Well Driller Progam
��� Well Completion Reports(General)
� �� Choose Material � �� Choose Material � � � �� —Choose One—�
WELL TEST DATA
Time Pumped Pumping LeveF(ft Time To Recover Recovery(ft
Date Method Yield(gpm) (HH:�� �� (HH:MM) �)
12Y20/2016 Constant Rate Pump '*i 12 1:3D 17 0:01 »
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� WATER LEVEL
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� Date StaticIIeptfi BGS(ft) ftowfng Rate t9Pmi -- :_ -- :___ .. —
Measured
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12/20/2076 11 �2
COMMENTS
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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.
����� Supervising Driller DESMOND,
Monitoring[M]
DrillerURQUHART Registration# 877 Signature PATRICK,
DESMOND WELL Date Job Complete
Frm DRILLING INC. Rig Permit# Q24 O5/9/2017
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
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���°F"^R-�r,� CERTIFiCATE 4F ANALYSIS Page: 1 of ,
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� �, Barnstable County Health Laboratory (M-MA009}
♦�y�:r,���_��cv'��/ Repart Prepared For: Report nated: 12l22/2018
Sally Desmond
Desmond Well Drilling 01'der NO.: G1697730
�; P o sox z7ss
Orleans, MA 02553
Laboratorv ID#: �697730�{�� Uescription: Water-Irrigation Well
Sampie#: sampie Location: 202 Pleasant St.Yarmouth,MA Collected: 12/20l2016
Collected by, DWD Received: 12/20/2016
Routine M
i7EM RESULT UNtTS RL MCL METHOQ# ANALYST TESTED NOTE
Nitrate as Nitrogen �j,7 mgll 0.10 10 EPA 300.0 LAP 12/20/2016
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mg� 0.40 0.3 --sNF'�7-11$ ---r�"+��-----;i�'=4izv,$– —
_-tron _ _ �p --- Z
Manganese Np mglL D.025 0.050 SM 31116 I..AP 42l21@018
pH 5.� PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 12l2�/2016
Sodium 32 mgll. 2.5 20 SM 31118 !AP 12I21/2016
Total Coliform Absent P�A fl 0 SM 9223 RG 12/20/2016
Conductance 330 umohs/cm � 2.0 st�2stoa ace �z�2o�zo�s
trrlgation: 11'25' _-.......-..... .
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Attached pEease find the laboratory certified parameter list. Appl'OVBd By:
(I.ab Dfrector)
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N�=None Detected RL = Reparting Limii MCL=Maximum Gontaminant Lavel
{� 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605