HomeMy WebLinkAbout2017 Jun 21 - Irrigation Well Info and Water Analysis t Massachusetts Department of Environmental Protection ����ir���
"��,-°�' Bureau of Resource Protection
�'� Well Completion Reports ���� l ,� Z��,�
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HEALTH DEPT.
Well Driller
Please specify work performed: Address at well location:
New Well ��� Street Number: Street Name:
19 FONTNEAU ROAD
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Please specify well type: Building Lot#: Assessor's Map#:
' Irrigation ��� �
; Assessor's Lot#: ZIP Code:
� Number Of Wells: 02673
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Cily/Town:
Well Location YARMOUTH
In public right-of way: GPS
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� �Yes t"No _ North: West: __
� 41.66059 70.19321
Subdivision/Property/Description:
Mailing Address:
r click here if same as well location address
Property Owner: Street Number: Street Name:
KILLEY,BRENDAN 11 WINDCHIME
Citylfown: State:
Engineering Firm: MANSFIELD MASSACHUSETTS
ZIP Code:
02048
BoaM of health permit obtained:
C`Yes x+Not Required
Permit Number: Date issued:
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Massachusetts Department of Environmental Protection
� Bureau of Resource Protection—Well Driller Program
` :�;'� Well Comp/etion Reports(General) '
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Well Driller - General Well Form
DRILLJNG METHOD
Overburden Bedrock
uger Choose Bedrock—
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WELL LOG OVERBURDEN LITHOLOGY �
Drop in drill Extra fast or slow Loss or addition �
From(ft) To�ft) Code Color Comment
stem drill rate of fluid
p � 15 Fine To Coarse S� Brown ,� � � �Fast!�"Slow � � �
YES Nd Loss Addition
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15 30 Fine To Coarse S''�' Brown � � � �Fast tr'Slow � � �
YES N� Loss Addition
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WELL LOG BEDROCK lJ7HOLOGY �
Drop in Extra fast or Loss or Visible Rust E��
From(ft) To(ft) Code Comment addition of Large
drill stem slow drill rate fluid Staining Chi
PS
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�� �,� Choose Code w � � C' (~ �C {"' � �
�Ye r Yes
YE5 NO Fast Slow loss Addition
ADDITIONAL WELL INFORMATION
Developed �Yes t'"No Disinfected f�Yes C� G
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Totai Well Depth 30 Depth to Bedrock `
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SurFace Seal Type � ��racture Enhancement �Yes�`No
Cqsy� r is Casing above ground.
�From To Type Thickness Diameter Driveshoe �
�0� 26 Polyvinyi Chloride � mm� Schedule 40 ��� w��] �Yes �'
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SCREEN�No 8cree — _ __ _.___
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From To Type Slot Size Diameter �
26 30 Stainless Steel Well Point � 0.012 � �
WA7ER$EARING ZONES ��DRY WELL
From To Yield(gpm)
11 30 12 �
PERMANENT PUMP(IF AVAILABLE)
Wire Constant Speed� Horsepower
Pump Description ubmersible � t
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Pump Intake Depth(ft) 24 Nominal Pump Capacity(gpm) 20
ANNULAR SEAL/FlLTER PACK
Water Batches Method Of �
From To Materiall Weight Material2 WQ19ht �yal) (count) Placement '
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� Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
,�° Well Completion Reports(General)
��..� �u� Choose Material........_..� �_______1 Choose Material��°� �_,� � �^.......�� ��� �
Choose One— �
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i WELL TEST DATA
Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft
(HH:MM) BGS) (HH:MM) BGS)
O6/02/2017 VariaWe Rate Pump •r 12 1:30 12 0:01 ��
WATER I��
Date
Measured
Static Depth BGS(ft)' Flowing Rate{gpm) _ __.__— ___ _
Os/o2/2017 11 ���� 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.
. . . DESM
WILLIAM Supervismg Dnller OND
Monitonng[M] �p,
DrillerURQUHART Registration# �gq Signature
THOMAS,E
DESMOND WELL .
Date Job Compiete
Firm DRILLING INC. Rig Permit# 024 os/os/2017_
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of weli completion.
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°�'`�� CERTIFICATE OF ANALYSlS Pa9'�: 1 of �
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`� M� Barnstable County Heaith Laboratory �M-MA009)
� ,.��"�:��;,��;s�`'� Reaort Preaared For: Report oatea: s�ertot�
� Saily Desmond
; Desmond Weli DrilAng OI'deY NO.: G1799929
j 1'O Box 2783
� _ _ Orleans, MA 02553
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Laboratorv ID#: 1799929-0� Descrlptlon: Water-Irrigaiion Well
Sample#: Sample Loaatton; 19 Fontneau Rd.yarmouth,MA Coitected; O6/02/2017
Collected by: pWp Received: 06/02/2017
Routine M
ITEM RESULT UN_ 1� TS RL MCL METHOD# NA ALYST TE TED NOTE
Nitrate as Nitrogen 0.13 m9/� 0.10 10 EPA 300.0 LAP B/3/2017
� �rOn (�p mg/L 0.10 0.3 EPA 200.8 VZ 5/24/2417 '
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Man anese -- - —
g ND mglL OA25 _ _0,050 ---EPA--23(�.8----VZ 5l24/2017 _
PH 6.0 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 6/2/2017
SOdIU171 13 m9n- 2.5 20 EPA 200.8 V2 5l24/2017
Total Coliform p P/A 0 0 SM.9223 RG 6/2/2017
Conductance 230 umohs/cm 2.o sM 2s�os ace s�zi2oa�
Water sample meets the recommended l/mits for drinking wafer of a!I the abave tested parameters.
Attached please find the laboratory certi8ed parameter Iist. Appl'OV@d By: r.N.�-� `�.�
' (Lab ManagerJ �
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� ;ND=None Detected !2L = Repocting Limit MCL=Maximum Contaminant Level �
3195 Main Street, PO. Box 427, Barnstabie, MA 02630 Ph: 508-375-6605
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