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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:
20 EASTWOOD LANE
IPlease specify well type: Building Lot#: Assessor's Map#:
Irrigation 025
Assessor's Lot#: ZIP Code: _
Number Of Wells: 036 02635 C.,
City/Town:
Well Location BARNSTABLE
In public right-of-way: GPS
t"1Yes t"No North: West:
41.64431 70.44901
Subdivision/Property/Description:
Mailing Address:
click here if same as well location address
Property Owner: Street Number: Street Name:
CAMERON DENNIS 20 EASTWOOD LANE
City/Town: State:
Engineering Firm: BARNSTABLE MASSACHUSETTS
ZIP Code:
02635
Board of health permit obtained:
C Yes .Not Required
Permit Number: Date Issued: _
W2022005 03/0812022
Massachusetts Department of Environmental Protection
e Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
uger _ Choose Bedrock--
WELL LOG OVERBURDEN LITHOLOGY
_....................--............................._._.. —-.-....._._-... .... -—----- _. ...-_....-..........----— ._...........--..__.._...._..From(ft) To(ft) Code Color Comment —
Drop in drill Extra fast or slow Loss or addition
stem drill rate of fluid
� =Addto,,Fine To Coarse Sr �YES NO t�
10 15 Silty Sand �� Brown ...... !� i i Fast t�Slow
. ..� ,._
YE........(...7.....
..
S ND I Lnss Addition
............
— ---
15 35 Fine To Coarse S ;�` Brown 'i r C Fast Slow =ssAdditon
YES NO
35
Fast('Slow 55 Fine To Coarse S Brown �— YES NO Loss Addition
WELL LOG BEDROCK LITHOLOGY
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 Chips
P
Choose Code 1� ( ---�—� �Yes �Yes
( YES NO Fast Slow Loss Addition
ADDITIONAL WELL INFORMATION
Developed Yes ("No Disinfected Yes t":Nb
Total Well Depth 55 Depth to Bedrock
Surface Seal Type None :Jracture Enhancement f``Yes C No
CASING r,Is Casing above ground
From L
Type Thickness Diameter Driveshoe
........ ..... .....Polyvinyl Chloride + Schedule 40 1� K= r.Yes
SCREEN 11 No Screen
From To Type Slot Size Diameter
�
52 55 Stainless Steel Well Point OAl2 R 14
WATER-BEARING ZONES 1� DRY WELL
From To Yield(gpm)
42 55 12
PERMANENT PUMP(IF AVAILABLE)
Wire Constant PumpSpeed Description Horsepower
ubmersible 3/4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
Pump Intake Depth(ft) 51 Nominal Pump Capacity(gpm) 10
ANNULAR SEAL/FILTER PACK
From To Material 1 Weight Material 2 Weight Water Batches Method Of
(gal) (count) Placement
0 lChoose Material �� Choose Material —^, C� Choose One—
WELL TEST DATA
Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft
Date
(HH:MM) BGS) (HH:MM) BGS)
04/25/2022 1 Constant Rate Pump w K= 01:30 43 00:01 42
WATER LEVEL
Date
Measured
Static Depth BGS(ft) Flowing Rate(gpm)
04/25/2022 142
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 Monitoring[M] Supervising Driller DESMOND,
DrillerURQUHART Registration# 877 Signature PATRICK,
DESMOND WELL
Date Job Complete
Firm DRILLING INC. Rig Permit# 0551 04�27/2022 —
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
(508)888-6460 1-800-339-6460
FAX(508)888-6446
Client Name: Desmond/-Yell Drilling Location
Address: PO Box 2783 20 Eastwood Lane
Orleans, MA Cotuit,MA
02653 Lab Number: DW-221361
Collected By : Desmond Well Drilling Date Received: 04/25/22
Sample Type: Irrigation Well Specs
+'. '`-a�"stf 'd"'.M��'�:;a `F ar.?4 3 gz'yf " � `S'SF
�Locatton Source ��mate Callect�ed��Tme Cnl�ected Gaerrts
r
Analysis Requested Units ;Recommended Limits Analysis Result ltlethod Date Analyzed Antlyzed By
Total Coliform CFU/100mL 0 0 SM9222B 04725/2022 JMIDC Q 16:15
_-__._ _.
-.
_:._.- . -- -
pH pH units 6 5-8.5 6 01 SM 4500 H B 04125i2022 RS
Specific Conductances umhosicm 500 81.8 EPA 1201 04/25/2022 RS
<0 006 EPA 300.0 0
Nit rite-N mg/L. 1.00 4/25/2022 RS_ _.__-------------
Nitrate-N mg/L 10.0 0.068 EPA 300.0 04/25/2022 RS
- _
Sodium mg/L 20.0 12 EPA 200 7 05/03/2022 KB
_.. _
Total Iron mg/L .0.3 0.96 EPA 200 7 05/03l2022 _
...
Manganese - mglL 0 05 0.108 EPA 200.7 05/0312
Comments:
pH is below recommended limit and may have corrosive characteristics.
Iron Level is not a health hazard,but may cause taste and staining problems.
Over a lifetime,the EPA recommends that people drink water with manganese levels less than 0.3 mg/L and over the
short term,EPA recommends that people limit their consumption of water with levels over 1.0 mg/L
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 `5/3/2022_
Ronald J.Saari
Laboratory Director
BRL Below Reportable Limits `'See AttacJted Page 1 of 1
oCerttfzcation is not available for this analyze for potable water samples..