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Home My WebLink AboutWell Completion Report 1129 Great Island Rd, Yarmouth - DomesticMassachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: Transaction ID: Document: Size of File: Status of Transaction: Date and Time Created: Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to “Download a Copy” from the Current Submittals page. 2014044 5/5/2026:12:02:35 PM 380.02K RONATLANTIC Well Completion Reports In Process Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Completion Reports Please specify work performed:Address at well location: New Well Street Number:Street Name: 1129 GREAT ISLAND RD Please specify well type:Building Lot#:Assessor's Map #: Domestic 4 Assessor's Lot#:ZIP Code: Number Of Wells:13 02673 1 City/Town: Well Location YARMOUTH In public rightofway:GPS (GPS for the deepest well) Yes No North:West: 41.61486 70.25821 Subdivision/Property/Description: GREAT ISLAND Mailing Address: click here if same as well location address Property Owner:Street Number:Street Name: NICHOLAS KASDON 1129 GREAT ISLAND RD City/Town:State: Engineering Firm:YARMOUTH MASSACHUSETTS ZIP Code: 02673 Board of health permit obtained: Yes Not Required Permit Number:Date Issued: Massachusetts Department of Environmental Protection Bureau of Resource Protection – Well Driller Program Well Completion Reports(General) Well Driller General Well Form DRILLING METHOD Overburden Bedrock Auger Not Applicable did not drill in Bedrock material (NA) WELL LOG OVERBURDEN LITHOLOGY From(ft)To(ft)Code Color Comment Drop in drill stem Extra fast or slow drill rate Loss or addition of fluid 0 5 Clean Fill Brown YES NO Fast Slow Loss Addition 5 25 Medium Sand Brown W/CS YES NO Fast Slow Loss Addition 25 27 Silty Sand Brown YES NO Fast Slow Loss Addition WELL LOG BEDROCK LITHOLOGY From(ft)To(ft)Code Comment Drop in drill stem Extra fast or slow drill rate Loss or addition of fluid Visible Rust Staining Extra Large Chips Choose Code YES NO Fast Slow Loss Addition Yes Yes ADDITIONAL WELL INFORMATION Developed Yes No Disinfected Yes No Total Well Depth 27 Depth to Bedrock Surface Seal Type None Fracture Enhancement Yes No CASING Is Casing above ground? From To Type Thickness Diameter Driveshoe 0 24 CertaLok Schedule 40 4 Yes SCREEN No Screen From To Type Slot Size Diameter 24 27 Stainless Steel Vee Wire 0.010 4 WATERBEARING ZONES DRY WELL From To Yield (gpm) 13 27 35 PERMANENT PUMP (IF AVAILABLE) Pump Description 3 Wire Variable Speed Submersible Horsepower 1 1/2 Pump Intake Depth (ft)25 Nominal Pump Capacity (gpm)20 ANNULAR SEAL / FILTER PACK From To Material 1 Weight Material 2 Weight Water (gal) Batches (count) Method Of Placement 0 13 Native Material Choose Material Gravity WELL TEST DATA Date Method Yield (gpm)Time Pumped (HH:MM) Pumping Level (ft BGS) Time To Recover (HH:MM) Recovery (ft BGS) 04/29/2026 Constant Rate Pump 31 0:40 21.5 0:02 13.3 WATER LEVEL Date Measured Static Depth BGS (ft)Flowing Rate (gpm) 04/29/2026 13.3 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. DrillerJ. LEONARD Registration #786 Monitoring [M]Supervising Driller Signature PETERSON, RONALD, C Firm ATLANTIC WELL DRILLING, INC.Rig Permit #477 Date Job Complete 05/01/2026 NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion. Massachusetts Department of Environmental ProtectionBureau of Resource Protection – Well Driller ProgramWell Completion Reports(General)Well Driller General Well FormDRILLING METHODOverburden BedrockAuger Not Applicable did notdrill in Bedrock material(NA) WELL LOG OVERBURDEN LITHOLOGYFrom(ft)To(ft)Code Color Comment Drop in drillstem Extra fast or slowdrill rate Loss or additionof fluid05Clean Fill Brown YES NO Fast Slow Loss Addition525Medium Sand Brown W/CS YES NO Fast Slow Loss Addition2527Silty Sand Brown YES NO Fast Slow Loss AdditionWELL LOG BEDROCK LITHOLOGYFrom(ft)To(ft)Code Comment Drop indrill stem Extra fast orslow drill rate Loss oraddition offluid Visible RustStaining ExtraLargeChipsChoose Code YES NO Fast Slow Loss Addition Yes YesADDITIONAL WELL INFORMATIONDevelopedYesNo Disinfected Yes NoTotal Well Depth 27 Depth to BedrockSurface Seal Type None Fracture Enhancement Yes NoCASINGIs Casing above ground?From To Type Thickness Diameter Driveshoe024CertaLok Schedule 40 4 YesSCREENNo ScreenFromTo Type Slot Size Diameter2427Stainless Steel Vee Wire 0.010 4WATERBEARING ZONES DRY WELL From To Yield (gpm) 13 27 35 PERMANENT PUMP (IF AVAILABLE) Pump Description 3 Wire Variable Speed Submersible Horsepower 1 1/2 Pump Intake Depth (ft)25 Nominal Pump Capacity (gpm)20 ANNULAR SEAL / FILTER PACK From To Material 1 Weight Material 2 Weight Water (gal) Batches (count) Method Of Placement 0 13 Native Material Choose Material Gravity WELL TEST DATA Date Method Yield (gpm)Time Pumped (HH:MM) Pumping Level (ft BGS) Time To Recover (HH:MM) Recovery (ft BGS) 04/29/2026 Constant Rate Pump 31 0:40 21.5 0:02 13.3 WATER LEVEL Date Measured Static Depth BGS (ft)Flowing Rate (gpm) 04/29/2026 13.3 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. DrillerJ. LEONARD Registration #786 Monitoring [M]Supervising Driller Signature PETERSON, RONALD, C Firm ATLANTIC WELL DRILLING, INC.Rig Permit #477 Date Job Complete 05/01/2026 NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion. Massachusetts Department of Environmental Protection Bureau of Resource Protection – Well Driller Program Well Completion Reports(General) Massachusetts Department of Environmental Protection Bureau of Resource Protection – Well Driller Program Well Completion Reports(General)