HomeMy WebLinkAboutWell Completion Report - 2024 j Massachusetts 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:
149 OLD MAIN ST
Please specify well type: Building Lot#: Assessor's Map#:
'Irrigation 51
Assessor's Lot#: ZIP Code:
Number Of Wells: 43 02664
City/Town:
Well Location YARMOUTH
In public right-of-way: GPS
i Yes No North: West:
41.66035 70.19532
Subdivision/Property/Description:
Mailing Address:
r click here if same as well location address
Property Owner: Street Number: Street Name:
YARMOUTH TENNIS CLUB 149 OLD MAIN ST
City/Town: State:
Engineering Firm: YARMOUTH MASSACHUSETTS
ZIP Code:
02664
Board of health permit obtained:
C Yes f:Not Required
Permit Number: Date Issued:
MAR 2024
HEALTH DEPT.
Massachusetts Department of Environmental Protection
10,,,_ Bureau of Resource Protection—Well Driller Program
• Well Completion Reports(General)
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
iuger I•-Choose Bedrock—
WELL LOG OVERBURDEN LITHOLOGY
` i Drop in drill Extra fast or slow Loss or addition
From(ft) To(ft) Code 1 Color I Comment
stem drill rate of fluid
i ..._ ,I
0 20 Medium Sand +I Brown + Fast t`Slow I
ff ` YES NO Loss Addition 1
tf
II
20 € 25 I Medium Sand + ; Brown .111 C Fast C Slow r- -- YES NO I Loss Addition II
25 30 {Fine To Coarse SE =1';Y Brown j C Fast C Slow j
f YY4 YES NO E Loss Addition I.
WELL LOG BEDROCK UTHOLOGY
•
•
Drop in {•Extra fast or Loss or Visible Rust Extra
From(ft) To(ft) Code !Comment addition of ;Large
drill stem slow drill rate fluid Staining f
Chips
'! YES NO €I Fast Slow Loss Addition -- 1
a Choose Code + I.
r Yes I I Ye
I •
ADDITIONAL WELL INFORMATION
Developed r Yes r No Disinfected 6 Yes r No i
Total Well Depth 30 Depth to Bedrock
Surface Seal Type !None racture Enhancement
f Yes t :No
CASING iris Casing above ground?
From To Type Thickness Diameter Driveshoe i
0 I 26 i 1 Polyvinyl Chloride 2 Schedule 40 zi. 4 r Yes
i
SCREEN r No Screen[
i
From To Type _ Slot Size Diameter 1
[26 ( 30 i 1 Stainless Steel Well Point 0.010 i 4 1
WATER-BEARING ZONES r DRY WELL
From To !Yield(gpm)
• [
I �.
11_ _ f [30 12
PERMANENT PUMP(IF AVAILABLE)
2 Wire Constant Speed
Pump Description Horsepower
Submersible CA
Pump Intake Depth(ft) 25 Nominal Pump Capacity(gpm) 10
[LIII— 1 Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
ANNULAR SEAL/FILTER PACK
From j To Material 1 Weight Material 2 Weight Water Batches Method Of
(gal) (count) Placement
' i
•
Choose Material i Choose Material I I i --Choose One A
WELL TEST DATA
Date Method Yield(gpm) Time Pumped I Pumping Level(ft Time To Recover 1 Recovery(ft
(HH:MM) 1 BGS) (HH:MM) i BGS)
02/02/2024 Constant Rate Pump _._ati 1 12 1:00 •
x 13 0:01 > 11 1 I
WATER LEVEL
Date !Static Depth BGS(ft) Flowing Rate(gpm)
Measured ", i
[02/02/2024 ;01 i i12 1
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,
DrillerURQUHART Registration# 877 Monitoring[M] Signature PATRICK,
DESMOND WELL
Firm DRILLING INC. Rig Permit# 0551 Date Job Complete 02/26/2024
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
MAR 1 1 2024
HEALTH DEPT.
ENVIROTECH LABORATORIES, INC
CERT NO.:.4 .' 063
8 Jan Sebastian Drive Unit 12
Sandwich,MA 0256.3
(508)888-6466 1480-339-6460
FAX(508)888-6446
Client Name: Desmond Well Drilling Location:
Address a PO Box 2783 149 Old Main St
Orleans, MA Yarmouth
02653 Lab Number: DW-240369
Collected By: Desmond Date Received: 02/02/24
Sample Type: Irrigation Well Specs: 30/11
Location Source Date Collected ` lime Collected Comments
A 02/02/24 12:00 Well
Analysis Requested Units Recommended Limift 'final tis Resuii1 Method Date Analyzed Analyzed By
Total Coliform CFU/100mL 0 0 SM9222B 02/022024 AH @ 15:30
pH pH units 6.5-8.5 6.13 SM 4500-H-B 02/02/2024 KF
Specific Conductance= umhos/cm 500 321 EPA 120.1 02/02/2024 KF
Nitrite-N mg/L 1.00 <0.006 EPA 300.0 02/02/2024 KF
Nitrate-N mg/L 10.0 2.3 EPA 300.0 02/02/2024 KF
Sodium mg/L 20.0 59 EPA 200.7 02/05/2024 KB
Total Iron mg/L 0.3 0.133 EPA 200.7 02/05/2024 KB
Manganese mg/L 0.05 0.012 EPA 200.7 02/05/2024 KB
Comments:
Sodium level is not a health hazard,but if on a low Sodium diet,consult a physician before drinking
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.
frr •
Date 2/14/2024
Ronald A.Saari
Laboratory Director
BRL=Below Reportable Limits *See Attached Page 1 of 1
aCerl cation is not available for this analyze for potable water samples..