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HomeMy WebLinkAboutWell Completion ReportMassachusetts 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: 29 SCALLOP LN Please specify well type:Building Lot#:Assessor's Map #: geothermal open loop discharge well Assessor's Lot#:ZIP Code: Number Of Wells:02675 2 City/Town: Well Location YARMOUTH In public right­of­way:GPS (GPS for the deepest well) Yes No North:West: 41.63318 70.24063 Subdivision/Property/Description: Mailing Address: click here if same as well location address Property Owner:Street Number:Street Name: CO TAVANO MECHANICAL 29 SCALLOP LN City/Town:State: Engineering Firm:YARMOUTH MASSACHUSETTS ZIP Code: 02675 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 20 Silty Sand Brown YES NO Fast Slow Loss Addition 20 35 Sand And Gravel 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 35 Depth to Bedrock Surface Seal Type None Fracture Enhancement Yes No CASING Is Casing above ground? From To Type Thickness Diameter Driveshoe 0 5 Polyvinyl Chloride Schedule 40 4 Yes SCREEN No Screen From To Type Slot Size Diameter 5 35 Continuous Wire PVC 0.010 4 WATER­BEARING ZONES DRY WELL From To Yield (gpm) 5 35 15 PERMANENT PUMP (IF AVAILABLE) Pump Description ­­­ Choose Pump Description ­­­Horsepower ­­­ Choose Horsepower ­­­ Pump Intake Depth (ft)Nominal Pump Capacity (gpm) ANNULAR SEAL / FILTER PACK From To Material 1 Weight Material 2 Weight Water (gal) Batches (count) Method Of Placement Choose Material Choose Material ­­ Choose One ­­ GEOTHERMAL INFORMATION Thermal Conductivity (BTU/hr.ft.°F) Thermal Diffusivity (ft2/day) Formation Water Temperature (°F)DEP UIC # Single Family Home? Sample taken from this well? Yes Yes No WELL TEST DATA Date Method Yield (gpm)Time Pumped (HH:MM) Pumping Level (ft BGS) Time To Recover (HH:MM) Recovery (ft BGS) 06/19/2025 Constant Rate Pump 15 1:30 10 0:01 7 WATER LEVEL Date Measured Static Depth BGS (ft)Flowing Rate (gpm) 06/19/2025 7 15 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. Driller PATRICK DESMOND Registration #877 Monitoring [M]Supervising Driller Signature DESMOND, PATRICK, Firm DESMOND WELL DRILLING INC.Rig Permit #0551 Date Job Complete 06/20/2025 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 fluid020Silty Sand Brown YES NO Fast Slow Loss Addition2035Sand And Gravel 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 35 Depth to BedrockSurface Seal Type None Fracture Enhancement Yes NoCASINGIs Casing above ground?From To Type Thickness Diameter Driveshoe05Polyvinyl Chloride Schedule 40 4 YesSCREENNo ScreenFromTo Type Slot Size Diameter535Continuous Wire PVC 0.010 4WATER­BEARING ZONES DRY WELLFromToYield (gpm)5 35 15 PERMANENT PUMP (IF AVAILABLE) Pump Description ­­­ Choose Pump Description ­­­Horsepower ­­­ Choose Horsepower ­­­ Pump Intake Depth (ft)Nominal Pump Capacity (gpm) ANNULAR SEAL / FILTER PACK From To Material 1 Weight Material 2 Weight Water (gal) Batches (count) Method Of Placement Choose Material Choose Material ­­ Choose One ­­ GEOTHERMAL INFORMATION Thermal Conductivity (BTU/hr.ft.°F) Thermal Diffusivity (ft2/day) Formation Water Temperature (°F)DEP UIC # Single Family Home? Sample taken from this well? Yes Yes No WELL TEST DATA Date Method Yield (gpm)Time Pumped (HH:MM) Pumping Level (ft BGS) Time To Recover (HH:MM) Recovery (ft BGS) 06/19/2025 Constant Rate Pump 15 1:30 10 0:01 7 WATER LEVEL Date Measured Static Depth BGS (ft)Flowing Rate (gpm) 06/19/2025 7 15 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. Driller PATRICK DESMOND Registration #877 Monitoring [M]Supervising Driller Signature DESMOND, PATRICK, Firm DESMOND WELL DRILLING INC.Rig Permit #0551 Date Job Complete 06/20/2025 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) 1 35 5 30 North:41.63318 West:70.24064 2 35 5 30 North:41.63318 West:70.24063 Massachusetts Department of Environmental Protection Bureau of Resource Protection – Well Driller Program Well Completion Reports(Addendum) Well Driller ­ Addendum Form WELL COMPLETION ADDENDUM FORM MONITORING WELLS Well ID Well Depth Screen Interval FROM Screen Interval TO Length(ft)Angle Direction GPS Coordinates (WGS 1984) Degree Decimals NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion.