HomeMy WebLinkAboutWell Completion Report 2022 Jan 27 L.'elMassachusetts Department of Environmental Protection
Bureau of Resource Protection
Well Completion Reports
Well Driller
Please specify work performed: Address at well location:
New Well Street Number: Street Name:
17 THACHER ST
Please specify well type: Building Lot#: Assessor's Map#:
Domestic 122
Assessor's Lot#: ZIP Code:
Number Of Wells: 55 02675
City/Town:
Well Location YARMOUTH
In public right-of-way: GPS
............................................................
C Yes (No E North: West:
41.70584 70.24583
Subdivision/Property/Description:
Mailing Address:
9-click here if same as well location address
Property Owner: Street Number: Street Name:
JOAN BRAZEAU RECEIVED 17 THACHER ST
Q City/Town: State:
Engineering Firm: MAR 2 8 2022 YARMOUTH MASSACHUSETTS
ZIP Code:
HEALTH DEPT. 02675
Board of health permit obtained:
r—Yes as Not Required
si
Permit Number: Date Issued:
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
, Well C'oinpletion Reports(General)
Pump Intake Depth(ft) 33 Nominal Pump Capacity(gpm) 15
ANNULAR SEAL I FILTER PACK
From To Material 1 Weight Material 2 •Weight Water Batches :Method Of
(gal) ,(count) Placement
Choose Materia! +' i••, Choose Materiel j(': 1 __Choose One—
WELL TEST DATA
Date Method Y eld(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft
3 (HH:MM) DOS) 1(HH:MM) BGS)
;0112712022 3 =Constant Rate Pump 12 01:30 18 Ij00:01 ;11
WATER LEVEL
Date
Static Depth BGS(ft) Flowing Rate(gpm)
Measured
i
01/27/2022 I 111 1 312
I
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.
DESMOND
WILLIAM Monitoring(M) Supervising Driller III,
Signature
DrillerUROUHART Registration# 764 THOMAS,E
DESMOND WELL
Firm DRILLING INC. Rig Permit# 0551 Date Job Complete 02/1612022
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
t
ENVIROTECHLABORATORIES,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 17 Thacher Street
Orleans, MA Yarmouth,MA
02653 Lab Number: DW-220271
Collected By : Desmond Well Drilling Date Received: 01/27/22
Sample Type: New well Well Specs: 40/11
Location Source Date Collected Time Collected Comments
A 01127122 2:15
Analysis Requested Units Recommended Limits Analysis Result Method Date Analyzed Analyzed By
Total Coliform CFU/100mL 0 0 SM92226 01/27/2022 KF @ 15:00
ph{ pH units 6.5 8.5 7.17 SM 4500-H-B 01/27/2022 SD
if u .. 216 EPA 120.1 01/27/2022 SD
Specific Conductance= umhos/cm 500 -.--
ite <0.006 EPA 300.0 01/28/2022 SD
Nitrite-Pi mg/L 1.00 .
Nitrate-N mg/L 10.0 3.49 EPA 300.0 01/28/2022 SD
Sodium mg/L 20.0 26 EPA 200.7 01/28/2022 KB_ .._.
Total Iron mg/L 0.3 0.63 EPA 200.7 01/28/2022 KB
_ ....__
Manganese mg/L 0.05 0.011 EPA 200 7 01/28/2022 KB
Comments:
Sodium level is not a health hazard.
Iron Level is not a health hazard,but may cause taste and staining problems.
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.
L _
frr A
4 /
Date 1/31/2022
Ronald J.Saari
Laboratory Director
BRL=Below Reportable Limits
*See Attached Page 1 of 1
oCertification is not available for this analyte for potable water samples..