HomeMy WebLinkAboutWell Completion Report 2021 Aug 4 Massachusetts Department of Environmental Protection
< m.'m, Bureau of Resource Protection
Well Completion Reports
Well Driller
Please specify work performed: Address at well location:
New Well Street Number: Street Name:
82 SOUTH ST
Please specify well type: Building Lot#: Assessor's Map#:
irrigation ....� 42
Assessor's Lot#: ZIP Code:
Number Of Wells: 141 02664
City/Town:
Well Location YARMOUTH
In public right-of-way: GPS
Ft-Yes 1`"NoNorth: West:
I
41.65350 70.20055
Subdivision/Property/Description:
Mailing Address:
P.click here if same as well location address
Property Owner: Street Number: Street Name:
PAUL PETELL 82 SOUTH ST
City/Town. State:
Engineering Firm: YARMOUTH MASSACHUSETTS
ZIP Code:
02664
Board of health permit obtained:
r Yes a Not Required]
Permit Number: Date Issued:
SEP 2 7 2021
HEALTH DEPT.
•
ii Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
I Well Completion Reports(General)
p
t '
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
Auger --Choose Bedrock--
WELL LOG OVERBURDEN UTHOLOGY
IFrom(ft) To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition
l stem drill rate of fluid
—
_..
0 20 Medium Sand Brown r I i t Fast r Slow L
.._.- _ I YES NO I.
Loss Addition
L
WELL LOG BEDROCK UTHOLOGY
Loss or
From(ft) To(ft) Code Comment I Drop In Extra fast or addition of Visible Rust Large
drill stem slow drill rate fluid Staining
Chips
Choose CodeId' r r [r , r :., r r
r Yes r Yes:
1
YES NO Fast Slow Loss Addition
ADDITIONAL WELL INFORMATION
Developed I ( Yes r No Disinfected r:Yes r No
Total Well Depth 20 Depth to Bedrock
Surface Seal Type None ;Fracture Enhancement j 1"Yes t:No
CASING r Is Casing above ground?i
From To Type Thickness (Diameter Driveshoe
t" 118 1 I Polyvinyl Chloride I I Schedule 40 �1 14.. . r Yes
SCREEN r No Screen'
i From To Type Slot Size Diameter
16 ( 120 Stainless Steel Well Point i 0.010 1 4
WATER-BEARING ZONES (r DRY WELL
From 1(To I Yield(gpm)
20 12
PERMANENT PUMP(IF AVAILABLE)
2 Wire Constant Speed
Pump Description Horsepower
Submersible , 3/4
Pump Intake Depth(ft) 15 Nominal Pump Capacity(gpm) 15
ANNULAR SEAL/FILTER PACK
Water Batches Method Of
From To 'Material 1 Weight Material 2 Weight
(gal) (count) Placement
i s ,i 1 i I[ E i L. .w... .-a(d
Choose Material i,r- i t Choose Material _.7.1 [ —Choose One-- •
Massachusetts Department of Environmental Protection
N Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
WELL TEST DATA
Date Method Time Pumped Pumping Level(ft Time To Recover Recovery(ft
Yield(gpm) (HH:MM) BGS) (HH:MM) BGS)
08/04/2021 L Constant Rate Pump j'-[12 ,01:30 9 00 01 7 —1_I
WATER LEVEL
F
I
Date Static Depth BGS(ft) Flowing Rate(gpm)
Measured
08/04/2021, (7 1,.. 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,
Monitoring[M]
DrillerURQUHART Registration# 299 Signature THOMAS,E
DESMOND WELL
Date Job Complete . .
Firm DRILLING, INC. Rig Permit# 024 ;08/31/2021
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
' ' i
ENVIROTECH LABORATORIES,INC.
MA CERT. NO.:M-MA 063
8 Jan Sebastian Drive Unit 12
Sandwich,MA 02563
(508)888-6460 1-800-339-6460
FAX(508)888-6446
Client Name: Desmond Well Drilling Location:
Address: PO Box 2783 82 South St.
Orleans, MA Yarmouth, MA
02653 Lab Number: DW-213768
Collected By: DWD Date Received: 08/04/21
Sample Type: New Well Well Specs: 2077'
Location Source Date Collected Time Collected Comments
A 08/04/21 12:48
Analysis Requested Units Recommended Limits Analysis Result Method Date Analyzed Analyzed By
Total Coliform CFU/100mL 0 0,BG 0 SM922213 08/04/2021 NB 441815
pH pH units 6.5-8.5 6.29 SM 4500-H-B 08/04/2021 KF
Specific Conductance= umhos/cm 500 126 EPA 120.1 08/04/2021 KF
Nitrite-N mg/L 1.00 <0.006 EPA 300.0 08/05/2021 KF
Nitrate-N mg/L 10.0 1.80 EPA 300.0 08/05/2021 KF
Sodium mg/L 20.0 11 EPA 200.7 08/05/2021 KB
Total Iron mg/L 0.3 0.01 EPA 200.7 08/05/2021 KF
Manganese mg/L 0.05 0.009 EPA 200.7 08/05/2021 KF
Comments:
pH is below recommended limit and may have corrosive characteristics.
All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met,
unless otherwise noted at the end of a given sample's analytical results.
We certify that the following results are true and accurate to the best of our knowledge.
Water meets EPA standards and is suitable for drinking for parameters tested.
1444114114444'
,14(
Date 8/6/2021
Ronald J.Saari
Laboratory Director
BRL--Below Reportable Limits "See Attached Page 1 of 1
❑Certification is not available for this analyte for potable water samples..
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