HomeMy WebLinkAbout2021 Jan 11 - DEP Well Completion Report Massachusetts Department of Environmental Protection "r77
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Bureau of Resource Protection
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Well Completion Reports
Well Driller
Please specify work performed: Address at well location:
€New Well Street Number: Street Name:
181 THATCHER SHORE RD
Please specify well type: -- -- Building Lot#: Assessor's Map#:
Irrigation . = _--- 122
MAS o 7O72 Assessor's Lot#: ZIP Code:
Number Of Wells: 2 68 02675
Ep,L.- -pT City/Town:
Well Location H YARMOUTH
In public right-of-way: GPS
____...._................_............................
C"Yes C No € North: West:
41.70666 70.23475
Subdivision/Property/Description:
Mailing Address:
rj click here if same as well location address
Property Owner: Street Number: Street Name:
MAL CONDON 181 THATCHER SHORE RD
City/Town: State:
Engineering Firm: YARMOUTH MASSACHUSETTS
ZIP Code:
02675
Board of health permit obtained:
C"Yes G Not Required
Permit Number: Date Issued:
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
7 79 mi 112
PERMANENT PUMP(IF AVAILABLE)
---Choose Pump ---Choose E
Pump Description Horsepower
Description--- Horsepower--- :
Pump Intake Depth(ft) Nominal Pump Capacity(gpm)
ANNULAR SEAL 1 FILTER PACK
From To Material 1 Weight Material 2 Weight Water Batches Method Of
(gal) I(count) Placement
L_ L I Choose Material 1 I Choose Material { "- - ] I!i -Choose One^^ 14
WELL TEST DATA
_...___.._ ..... i Time Pumped Pumping Level(ft 1 Time To Recover Recovery(ft
Date Method Yield(gpm)i(HH:MM) BGS) I(HH:MM) BGS)
101/10/2022 I [Constant Rate Pump 12 i 1:30 19 i il0:01 7
WATER LEVEL
Date
Static Depth BGS(ft) i Flowing Rate(gpm)
Measured
.
-.
01/1012022 117 iIi12
{
`.. MAR Q 2 7022
COMMENTS FI FA LTI i n EP 7 ]
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
DEREK Monitoring[M] Supervising Driller III,
Signature
DrillerGOODLIN Registration# 764 THOMAS,E
DESMOND WELL
Date Job Complete
Firm DRILLING INC. Rig Permit# 0089 01/10/2022
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
ENVIROTECH LABORATORIES,INC
MA CERT. NO.:M-MA 063
8 Jan Sebastian Drive Unit 12
Sandwich,MA 02563 -r.-----`
(508)888-6460 1-800-339-6460
FAX(508)888-6446r----
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Client Name : Desmond Well Drilling Location :
Address: PO Box 2783 181 Thatcher Shore Rd
Orleans, MA Yarmouth,MA
02653 - _._..-1
Lab Number: Ow-220099 -
Collected B Desmond Well Drilling01/11/22
By: Date Received
Sample Type: Irrigation Well Specs: 79rfAR 02 7022 1
Location Source Date Collected Time Collected Comments
A01/10/22 16:45 Well
Analysis Requested Units Recommended Limits Analysis Result Method Date Analyzed Analyzed By
Total Coliform CFU/100mL 0 0 SM9222B 01/11/2022 ET/AC @ 1350
pH pH units 6.5-8.5 6.59 SM 4500-H-B 01/11/2022 SD
Specific Conductances umhos/cm 500 87 EPA 120.1 01/11/2022 SD
Nitrite-N mg/L 1.00 <0.006 EPA 300.0 01/11/2022 SD
Nitrate-N mg/L 10.0 0,07 EPA 300.0 01/11/2022 SD
Sodium mg/L 20.0 12 EPA 200.7 01/16/2022 KB
Total Iron mg/L 0.3 <0.01 EPA 200.7 01/16/2022 KB
Manganese mg/L 0.05 <0.005 EPA 200.7 01/16/2022 KB
Comments:
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.
Date 1/17/2022
Ronald J.Saari
Laboratory Director
BRL=Below Reportable Limits *See Attached Page 1 of 1
oCertlfteation is not available for this analyte for potable water samples..
Massachusetts Department of Environmental Protection
Bureau of Resource Protection-Well Driller Program
D
Well Completion Reports(General)
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
linger '-Choose Bedrock--
WELL LOG OVERBURDEN LITHOLOGY
#From(ft) To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition
istem drill rate of fluid
z
10 115 ,1 Fine To Coarse S: .! I Brown w 11 ' Fast C~Slow
I
YES ND 1 Loss Addition
..
..................E _ .. .... .._.._. ..... .... ._'"'"" .....,« 3 ..._.._.
5 20 Sil Sand 'Brown 7 4 t"' i Fast C Slow j C'
� YES NO 3 Loss Addition
F E W
120 i 25 Fine To Coarse S Brown C"Fast C'Slow
' YES NO Loss Addition '
J 1
Fast
25 45
ill-Clay Brown w . YES NO C' f Slow 1
Loss Addition I
S
45 65 .E=clay + r BrownC`Fast C Slow i
i; y -411
YES NO ...................................................__....., Lass Addifron
1
[ i
65 79 __lid Fine To Coarse S ;Brown i.
C"Fast("Slow f' 1
1p YES NO 1 _-.....________ ___________ Loss Addition
WELL LOG BEDROCK LITHOLOGY
Loss or Extra
From(ft) To(ft) Code Comment Drop in Extra fast or addition of 'Visible Rust Large
drill stem slow drill rate fluid Staining
Chips ps
_ I §
I Choose Code I ; C" C C` f' C. C !lrYep I Y....
YES NO 1 Fast Slow , Loss Addition --- _.
ADDITIONAL WELL INFORMATION
Developed a Yes C No Disinfected a Yes C No
Total Well Depth 79 Depth to Bedrock
Surface Seal Type =None .___.. fracture Enhancement 1 C"°Yes f:No
CASING [r Is Casing above ground?
From P To Type Thickness Diameter 1 Driveshoe
t
10 l X75_ I Polyvinyl Chloride Schedule 40 +14 I €i�Yes
IL
SCREEN ir No Screen
s From To Type 'Slot Size I Diameter
7s.... ..._. [79 i i Stainless Steel Well Point >10.010 4
WATER-BEARING ZONES 'ii DRY WELL;
1 3 From (To Yield(gpm)
t¢
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