HomeMy WebLinkAbout2017 - New Irrigation Well Info ,
Massachusetts Department of Environmental Protection
���,-`' Bureau of Resource Protection �����.���
�.-� Well Completion Reports
- JUN �5 2017
Well Driller HEALTH DEPT.
Please specify work performed: Address at well location:
CNew Weil v������ Street Number: Street Name:
; 70 DAVIS ROAD
� Please speciiy well type: Building Lot#: Assessor's Map#:
� Irrigation ����
Assessor's Lot#: ZIP Code:
Number Of Wells: 02675
' CitylTown:
Well Location YARMOUTH
in public right-of way: GPS
i
; f"Yes f"?No _ ----1�!�rth:_- - _ __1J�sL', __ _ _ _ _
' 41.66738 70.20009
SubdivisioNProperty/Description:
Mailing Address:
���click here if same as well location addres
Property Owner: Street Number: Street Name:
� OLGA PODDUBNAYA 555 10 STREET APT 1
� City/Town: State:
Engineering Firm: BROOKLYN NEW YORK
� ZIP Code:
� 11215
' Board of health permit obtained:
C"Yes t�Not Required
Permit Number: Date Issued:
� �
Massachusetts Department of Environmental Protection
���' Bureau of Resource Protection-Well Driller Program
�£.
Well Completion Reports(General)
Well Driller - General Well Form
DRILIJNG METHOD
Overburden Bedrock
uger Choose Bedrock-
WELL LOG OVERBURDEN LITHOLOGY
From(ft) To(ft) Code Color Comment Drop in drill Eutra fast or slow Loss or addition
stem drill rate of fluid
��1 10 Fine To Coarse S • Brown __� � � �"`Fast t"`Slow i�' (^
YES NO Loss Addition
10 _W 16 Fine'Fn Coarse S;� BrowA ;�► - � �-- #"Fast 1`�low � � -
YES ND Loss Additlon
WELL LOG BEDROCK LITHOLOGY
Drop in Extra fast or Loss or Visible Rust ��
From(ft) To(ft) Code Comment drill stem slow drill rate addition of Staining Large ,
fluid Chips
(������������� � ;Yes
Choose Code *k � � � �� � � r Ye
�� �—..—.� I �� YES NO Fast Slow Loss Addition �
ADDITIONAL WELL INFORMATION
Developed ��'es 4'"'No Disinfected t�Yes!"'No
�.�.�_�
Total Well Depth 16 Depth to Bedrock
Surface Seal Type None ��racture Enhancement �Yes C�'No
CASING �Is Gasing above ground.
From To Type Thlckness Diameter Driveshoe
�0 � 12 � Polyvinyl Chloride ������ Schedule 40 ��T�� �� ��Ye �
SCREEN�No Screen
From To Type Slot Size Diameter
12 16� Sfainless Steel VVdI Point *: 0.012 �41....._TLL��
i
WATER�EARING ZONES ri DRY WELL
From To Yield(gpm)
�' ���W�� 16 �"- 12_______�
PERMANENT PUMP(IF AVAILABLE)
Wire Constent Speed Horse ower
Pump Description � P �
ubmersible
Pump Intake Depth(ft) 14 Nominal Pump Capacity(gpm) 15
ANNULAR SEAL/FILTER PACK
Water Batches Method Of
From To Materiall Weight Material2 Weight (9al) (count) Placement
Massachusetts Department of Environmental Protection
� Bureau of Resource Protection—Well Driller Program
_�,�
,�€ Well Completion Reports(General)
�'C�h"o'"o"s"e Material °+! (�C�hoose Material +► �'�'`'� i Choose One— +
�� �_._.�.� I.__...___.__...__.�_____� �_-_.) i �� �� L___._____.I �..._.-.1 ���^��_���
; WELL TEST DATA
Date Method reld Time Pumped Pumping Level(ft Time To Recover Recovery(ft
(9�� (HH:MM) BGS) (HH:MM) BGS)
05M6/2017 Consfant Rate Pump +; 12 1:30 �� 0:01 ��
WATER LEVEL
i
; - �te _ _ _ _
Measured Static Depth BGS(ft) Flowing Rate(gpm)
i
� 05/16l2017 ��.����� 12 ...�..........�.._�.�._..............�
i
i
� COMMENTS
I
�
,
i
� WELL DRILLERS STATEMENT
1 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 knowiedge.
DESMOND
1MLLIAM Monitoring[MJ Supervising Driller ���
DrillerURQUHART Registration# 764 Signature THOMAS,E
DESMOND WELL Date Job Complete
Firm DRILL�NG INC. Rig Permit# 024 04/25l2017
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
�
i
�
S%�°�""�� CERTIFICATE OF ANALYSIS Page: � of 1
'�ru .r
s �, Barnstabie County Health Labaratory (M-MA009)
�.� ��
- ���'s,,�H�Ss'�"� Reaort Prepared For: Report patsd: 5/22/2017
Sally Desmond �
Desmand Well Drilling 4rde1' No.: G1799595
P O Box 2783
Orleans, MA 02553
�
�aboratorv ��#: 1799595-01 Description: water-Drinking Water
3 5ample#: � Sample�ocation: 70 Qavis Rd.,Yarmouth Collected: 05I17/2017
?
Collected by: Received: Q5/18l2017
Routlne M
ITEM RESULT UNI7S RL MCL ME7HOD# ANALYST ?ESTBD NOTE
Nitrate as Nitrogen q.39 mg/L 0.10 �o EPA300.o u�P 5N8/20'[7
; ��g�_____. _ _ ____--__ 5.$ m�__� 0.10 ___ 0.3 EPA 200.8 KK 5M912017
Manganese 0.042 mglL 0.0030 0,050 EPA 200.8 KK 5/19/2017
pH g,� PH AT 25C NA 8.5-8.5 SM 4500-H-B DCB 5/1$/2017
Sodium Zg mgJ� 0.10 20 EPA 200.8 KK 5/19/2017
+ Total Coliform Absent P!A 0 0 SM 8223 RG 5/18/2017
Conductance � Z00 umons/cm z.o SM 2510B �ca 5/1a�zo�7 -
Sodium levei is above the maxlmum contam/nentleval. Those on a low sodfum diet may wlsh to consult a physfc/an. The
; water may present aesthetic prablems(taste, odor,staining)due to Iron.
� ���
�� Attached please find the laboratory certified parameter list. Appl'OV�d By: i i�% " J �
(Lab Directo
;
�
vC� 2 ,�-/�,�,/
� � �
� .
�
i � '
�
' , .
�
�
� .
�
ND=None Detected RL = Reporting Umit MCL�Maximum Gontaminani Level
3195 Main Street, PO. Box 427, Barnstable� MA 02630 Ph: 508-375-6605