HomeMy WebLinkAbout2017 - New Irrigation Well Info �,,
Massachusetts Department of Environmental Protection ��������
€��-`�` Bureau of Resource Protection ��N ��
� Well Completion Reports �O��
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HEALTM D P
Well Driller
Please specify work pertormed: Address at well iocation:
New Well � � Street Number. Street Name:
7 EDGEWATER DRIVE
Please specify well type: Building Lot#: Assessor's Map#:
Ircigation ���
Assessor's Lot#: ZIP Code:
Number Of Welis: 02664
Cily/Town:
Well Location YARMOUTH
In public right-of�way: GPS
C"`Yes�No� North: West:
41.68345 70.16423
SubdivisioNProperly/Description:
Mailing Address:
(-'ciick here if same as weil iocation addres
Property Owner: Street Number: Street Name:
MATTCOSENZA 34 CLUB DRIVE
Cit�dTown: State:
Engineering Firm: CHILUCOTHE OHIO
' ZIP Code:
45601
Board of health permit obtained:
C`Yes �Not Required
Permit Number: Date Issued:
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Massachusetts Department of Environmental Protection
�� Bureau of Resource Protection-Well Driller Program
Well Completion RepoRs(General)
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Well Driller - General Weil Form
DRILLJNG METHOD
Overburden Bedrock
uger Choose Bedrock—
WELL LOG OVERBURDEN LITHOLOGY
Drop in drill Extra tast or slow Loss or addition
From(ft) To�ft) Code Color Comment stem drill rate of fluid
� 20 Fine To Coarse S„� Brown W�� � � � �Fast("Siow � �
YES ND Loss Addition
20 (4"0 j'Fine To Coarse S �` Brown +` � � �Fast C'Slow � �
�� L� i�� �,�_�____..._..� yES NO ���W���_w� Loss Addition
�' Brown �""Fast C'Slow
40 48 Wv Clay mmm��� � Ty�� ES � �._,�___,,,�,� oss ddiUon
WELL LOG BEDROCK LITHOLOGY
From(ft) To(ft) Code Comment Drop in Extra fast or add on of Visible Rust �ge
drill stem slow drill rate fluid Staining Chi
ps
L�T��J L._______� ChooseCod�e� _._____�w__ (., C. C` (` (' � �"'";Ye �Ye
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YES N� Fast Slow Loss Addition
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! ADDI110NAL WELL INFORMATION
Developed �Yes C"No Disinfected t;Yes C`No
i Total Weli Depth 48 Depth to Bedrock
Surface Seal Type None ��racture Enhancement �Yes�`No
Cp�� �Is Casing above ground?
From To Type Thickness Diameter Driveshoe
� 0 44 `� Pdyvinyl CMo� Schedule 40 .W J� �1 � Ivi Ye
C_.__�] C�.J �______________ �
SCREEN �No Screen
From To Type Slot Size Diameter
� L"'._.ml 48 Stainless Steel Well Point '+�i 0.010 �41�
� WATER$EARING ZONES I�;DRY WEL
� From To Yield(gpm)
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30 �_ 48 __ 12 �
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� PERMANENT PUMP(IF AVAILABL�
� Wire Variable Speed �
� Pump Description Horsepower ��
� ubmersible
Pump Intake Depth(ft) 42 Nominal Pump Capacity(gpm) 15
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Massachusetts Departcnent of Environmental Protection
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Bureau of Resource Protection—Well Driller Program
,' Well Completion Reports(General)
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ANNULAR SEAL/FlLTER PACK
Water Batches Method Of
From To Materiall Weight Material2 Weight (9al) (count) Placement
� �� �� Choose Material *� �___�_� Choose Material � �� �� �__� -Choose One- �*�"
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WELL TEST DATA _ --
� Date� Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft
(HH:MM) BGS) (HH:MM) BGS)
04/24/2017 Constant Rate Pump � 12 1:30 34.5 0:01 30
� - 1NATER LEVEL __ .
- _ - __ - __
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Date Static Depth BGS(ft) Flowing Rate(gpm)
Measured
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04/24/2017 30 _-����_��� 12 �
COMMENTS
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WELL DRILLERS STATEMENT
This well was drilled or aitered under my direct supervision,according to the applicable rules and regulations,and this report is complete
and accurate to the best of my knowledge.
DESMOND
Supervising Driller Iil,
JOSHUA Monitoring(M] Signature
DrillerBROOKS Registration# 764 THOMAS,E
DESMOND WELL Date Job Complete
Firm DRILLING INC. Rig Permit# 0051 05/25/2017
NOTE:Well Completion Reports must be filed by the registered well drilier within 30 days of well comptetion.
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