HomeMy WebLinkAbout0180 VINEYARD ROAD - Health (2) U l 5 - bock 4c)1- Cc-�-u.G9"
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Massachusetts Department of Environmental Protection
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:
180 VINEYARD
Please specify well type: Building Lot#: Assessor's Map#:
`Irrigation 015
Assessor's Lot#: ZIP Code:
Number Of Wells: 004001 02635
City/Town:
Well Location BARNSTABLE
In public right-of-way: GPS
.r—Yes. �C`No North: West:
_------..._............_.__..........
41.59174 70.44645
Subdivision/Property/Description:
Mailing Address:
click here if same as well location addres
Property Owner: Street Number: Street Name:
CO SUDBURY DESIGN GROUP INC 740 BOSTON POST RD
City/Town: State:
Engineering Firm: SUDBURY MASSACHUSETTS
ZIP Code:
01776
Board of health permit obtained:
Yes C Not Required
Permit Number: Date Issued:
W2021068 11/30/2021
Massachusetts Department of Environmental Protection
Bureau of Resource Protection-Well Driller Program
d Well Completion Reports(General)
..:......................:.:..:.y.............1.
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
�.�._..... ��..............._......_ .............
Auger -Choose Bedrock- i
:..............................................................................t.............................................
....................................;
WELL LOG OVERBURDEN LITHOLOGY
--.�.._._.._ µvyNmNN-Nv~v- Drop in drill Extra fast or slow Loss or addition
From(ft) To(ft) i Code Color Comment
stem drill rate of fluid
0 20 ?Fine To Coarse S Fast
.................... 3 � ..� `, Brown ! YES NO _ Lo
ss Addition i
............. .__..._... _.._...._...._........................................ ._._ ._.__.._....................................._......._.._,....._._...._... _......._....._.............._.............................. ._
.... .
........
!20 I 35 € Fine Sand • 3 Brown r Fast f"Slow
_ 1 -- P _ YES ND ; loss Addition
....
........................ --- C' C _�... Ft,,s
>Brown C°>Fast r Slow iYES NO........ Addition
................................... ...........WELL LOG BEDROCK LITHOLOGY
Loss or Extra
Drop in Extra fast or Visible Rust
From(ft) TOM Code Comment addition of i Large
drill stem slow drill rate Staining
fluid ;Chips
i
'L Choose Code Yes
----- ---- Fast Slow Loss Addition Ye
ADDITIONAL WELL INFORMATION
Developed f Yes$`°No Disinfected Yes f"No
Total Well Depth 40 Depth to Bedrock
Surface Seal Type None racture Enhancement
Yes No
CASING is Casing above ground?
S
From To Type Thickness Diameter Driveshoe
36 Polyvinyl Chlonde ± € Schedule 40 4 Yes
�...� ..._....... .........._ _..._"_.. . .. ............. ----_
SCREEN No Screen!
From To Type s Slot Size 1 Diameter
136 40 i ;Stainless Steel Well Point '0.0 22 (j I
......................................................................._`:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::................................................................................................
.,.................................__...._...........................t......................................................................
WATER43EAMNG ZONES DRY WELL.
From I To Yield(gpm)
�18=I ;40- 72
PERMANENT PUMP(IF AVAILABLE)
Wire Constant Speed
Description 2 j Horsepower
Submersible A
Pump Intake Depth(ft) 35 Nominal Pump Capacity(gpm) 20
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reporis(General)
ANNULAR SEAL/FILTER PACK
......................................................_......................................................_................................................................................................................................................_._..............x..............................................._. .........................,...... _._..._.........................._.........................
T ..........,
Water Batches ;Method Of
From To =Material Weight Material Weight
1 (gal) (count) Placement
I � Choose Material + Choose Material
€........ L _ — j � 1... Choose One........._��
WELL TEST DATA
........................................................................................................................................................................................................................
Date Method Yield m Time Pumped Pumping Level(ft Time To Recover Recovery(ft
(gP ) (HH:MM) BGS) (HH:MM) BGS)
—r - _
.._........_._„..
01/24/2022 Constant Rate Pup 12 01:30 23 00.01 18
m
_.._ .. t
.. ... ... ......... ........... .... .._................................_ .... _..............-
WATER LEVEL
Date
3 Measured Static Depth BGS(ft) 1 Flowing Rate(gpm)
i
3
I E
i01/242022. j18 12
........................._._........__............_......
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# 024 03/2—52022
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
ENVIROTECH LABORATORIES,INC.
AIA CERT. NO.:M- M 063
8 Jan Sebastian Drive Unit 12
Sandwich,MA 02563
(508)888-6460 1-800-339-6460
FAX(508)888-6446
Client Name: Desmond Well Drilling Location: 180 Vineyard Road
Address: PO Box 2783 Cotuit,MA
Orleans, MA
02653 Lab Number: DW-220225
Collected By: Desmond Well Drilling Date Received: 01/24/22
Sample Type: Well-Irrigation Well Specs: 40/18
WCunnts
Locatlan gitrrce r `Date;Colleetetl 1Yrite Ctrllected ,
A. OIl�r4122 2'40 e
Analysis Requested Units Recommended Limits Analysis Result 'Method Date Analyzed,Analyzed By
Total Coliform CFU/100mL 0 0 SM9222B 01/24/2022 ET/AC @ 17:20
pH pH units 6.5-8.5 6.21 SM 4500-H B 01/24/2022 SD
Specific Conductancela umhos/cm 500 73 EPA 1201.1 01/24/2022 ,_SD
Nitrite-N mglL 1.00 t <0.006 EPA 300.0 01/24/2022 SD
Nitrate-N _ mg/L 10.0 0.05 EPA 300.0 01/24/2022 SD
......
Sodium mg/L 20 0 9 8 EPA 200.7 01l26/2022 KB
Total Iron mg/l 0.3 0.09 EPA 200.7 61/26/2022 KB
Manganese _. mg/L 0.05 0.009 EPA 2001 01/26/2022 KB
Comments:
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.
Water meets EPA standards and is suitable for drinking for parameters tested.
Date 1/27/2022
Y..-- . w ---
Ronald J.Saari
Laboratory Director
BRL=Below Reportable Limits "See Attached Page 1 of 1
aCertification is not available for this analyte for potable water samples..