HomeMy WebLinkAboutMiscellaneous - 2189 TURNPIKE STREET 12/8/1992 tiL Department of Environmental Managernent/Division of Water Resources
WELL COMPLETION REPORT
WELL LOCATION
Address E' q y GEOGRAPHIC DESCRIPTION
, d`!e%r rb9 IiL✓p8Q1 tG�,�/ '_ a` ��'�°
o N (S E(' of
i
(feet) (circle)
City/Town i is �. �r C` 'A
Well owner v3fists" )+. /,tfr' co (road)
Address �1 (t 1 Sal% r Y✓ > ' �w,d N S E ('W" of
7,D r j 1 fall.in tenths) (circle)
' 6 U"f,Gay �'�rP'�.�ri1� �•�%!tt. �i
w
intersect. f�ddt'p�/z t •Art
Board of Health permit obtained: yes no ❑ (road)
WELL USE WELL DATA
Domestic ® Public❑ Industrial ❑ Total well depth ft.
De tit to bedrock ` '
Monitoring❑ Other P �' ft. i
Water-bearing rock/unconsolidated material:
Method drilled
j s ; Description ��� '" ����,
Date drilled
Water-bearing zones:
CASING
1 1) From - To Q'
Type From To
f�'t�
Length ft. Dio1.I.D.) in. T
3) From o I
Length into bedrockF ft. i
Gravel pack well: dia.
Protective well seal: Screen: dia.
Grout-0 Otiteri-VIo/'i wo L Slog" length from_to
STATIC WATER LEVEL(all wells)
Static water level below land surface J 0 ft. Date
WELL TEST(production wells)
Drawdown A�ft. after pumping I
tr, min.at gpm
✓,�
How measured Al _d Recovery c' n ft. alter�hr. min.
o
LOG of FORMATIONS COMMENTS 2
_ Materials Front To °_
/ Driller UJ'50�'V
Firm f 1 �7Ce' c
I ,�,/� - ' ' I
Address �'�� 2,
City/Town
Supervising P 4 r lier Rq�g# '
1 ,il
t .
S 'r'l r'
i" i nature:afsupervistrrg"registered well driller
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Please prinr firmly BOARD OF HEALTH COPY
NUMBER FEE
';U0 THE COMMONWEALTH OF MASSACHUSETTS $25 . 00
...T.QW.i....... of ------....NCL RTK..ALQDQVY-R............................
Wilmington Pump
This is to Certify that ................----••-•-------•-- -•-....---..............................
NAME
639. Woburn Street, Wilmington, MA 01887. ---------•----•••--•---
ADDRESS
IS HEREBY GRANTED A LICENSE
For ..........We-IL-Drilling---Permit...'.-...Lot...#5.... -------------------
..-----•--•-•-----•-•----•---••--•--••----------------••-----•-•---•-------•••-------•--••----•-•-•--------••-------------•--••-•----•-----------.........................
............................................ •--••••--•-••----•-••--••••-----------•-•---••••-•-••--•••--••--•••-•-••-----•••---•-----••-••----•---••.......-•-•--------•---
-------•--••-----•-•---•-•-----------••-••----•--•-----------•••-•-----•••••----•---------•.-•------•••--•-•-•...........................................................
This license is granted in conformity with the Statutes and ordinances relating thereto, and
expires...----December 31 , 1993 -__unless sooner suspended.ozrevoked.
t,
�OF
•---- --
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December..................----•-•-•-19--- .•-----••---- -• •--.................................
--...••. --••• • ....... . ------ ------ --------------
----- -•--- --• y
FORM ass HOBBS @ WARREN, INC.
1 11211(%O
BOARD OF H1_-*Ai,'ci1 , 1„4,, »Jr
Town of North Andovei ,Mass . � �
Permit # Date
APPLICATION FOR WELL & PUMP PERMIT
Application is hereby made for permit to drill a well P,L) . Application is
made to install ( ) a pump system'.
Location . Address � ' �. �` - Loty.
Owner dli � "fj, .,� .�rd ., e., A d d r e s s,/,ji.; n � .,,, nA w z�,n T e l .
Well Contractor ,; Address ; ''� � .: .r ,f �n Tel
Pump Contractor Address Tel . .
WELL CONTRACTOR .(To be completed at time of pump test )
f
Well used for
Type of Well ��._ ._.
Diameter of Well � w Size of. Casing
Depth of Bed Roc1c Depth casing into Bed Rock
Was Seal Tested? Yes (" ) No (�) Date. of Testing
Depth ••of �xlell — =, ---• Well Ended in What. Material
Depth to Water ' Delivers Gals . Per Min . for 4 hours
Drawdown feet after pumping __hours' at ^� GPM
Date of Completion ' ° " j
Signature Well C6ntract:or
PUMP INSTALLER (To be' f'i..11ed in- before installation)
51ze & Name Pump Pump Type Used
Dater Pump Delivers GPM Sire of Tank
Pipe Material Used in Well : Cast I'r. on (V) GhIv,1ni.zed (^) Plastic (�3
Jell Pit (�) or Pitless ,Adapter (�)
Jas sleeve used to protect pipe? Yes (^) NO(—) Type or Name Well Seal
)a C e
14NY N4Y tiNY NY*NYi� NYYeN4w'rNYNY NY*N4 sliNle(YeN,11 54ti'r,";'�'�,Q�CIC C ,r;Qi'r'J� iD
)ate Water analysis r'epdr-t• 'submitted to Board of 1'ical'th
)ate release given hDowner of record & Bldg . Insp
Health Inspector
7hor-jeeomew Xatforwotp Poe
j 66 LITTLETON ROAD W6STFORD, MA 01896 (508) 692.0395 FAX (508) 692.0023 1.800.649•TEST
Report Numbers C-wpo-7529 Report Date# boo. il, 1992
clients sample Taken Ats
Wilmington Pump Supply Inc. Chester s3ullivan
&.p® Box 517 Turnpike st.
Wilmington, MA 01997 N. Andover,Hass.
I
Sample 'Taken By! WPS staff ons December 10, 1992
CHRTIrICl►TE OF ANALYSIS
I
TEST FARAME'TSRs EPA Max REGULTS UNXT9
Total coliform (P) 0 0 Per 100ml
Cal,ol.um No Limit 65.9 mg/L.
Capper (S) 1.3 <0.01 mg/L
Iron (a) 0.3 # 0.40 mg/L
llagoersium No Limit 1042 mg/L
Manganese (0) 0.05 <0.01 mg/L
sodium " 20 19.9 mg/r,
Potassium (0) No Limit 7.5 mg/L
Alkalinity (0) No Limit 162 mg/L.
AM0111a No Limit e0.01 mg/L
Chloride (0) 250 26.7 mg/L
chlorine (total) 0.7 <0.02 mg/L
Color (0) 15 10 CPU
Conductivity No Limit 445 umhos/am
1lardnema No Limit 207 mg/L
Nitrates(as N) (P) 10 0.09 mg/I,
Nitritas(as N) 1 40.01 mg/L
pH (0) 6.5-9.5 7.3 OU
Odor (S) 3 0 TON
Sulphates (0) 250 15.6 mg/L
Turbidity 5 3.3 NTU
Oediment pea/nag pas
NT-Not wos9ted, 6-value Sxuood® EPA STD, TN'TC-Too Numerous to Count
j *"Background Bacteria rooted, -SPA Advisory Limit
PSXaeede i;PA Advisory Limit
(P)-Primary EPA standard, (s)-secondary EPA standard (may affect
aesthetics of drinking water i.e. haute, color, etc.)
This water nampie, as tested, is considered sArE to drink according
to EPA guidelines. However, one or more of the parameters exceeds
EPA ssacondary standards as indicated by the ( ) reign.
Masuaohueettss state Certified Michael P. Carlson, for , .
Westing Laboratory #MA049 Thorstenson Laboratory Xna.
i
i
'YELL DATABASE
ADDRESS: '77-c
r
AGE, OF �� 'U ;y ELL DRLr-LE
f
LOCA.TIOii:
-FELL P—T73 "DA 1 i ,�� DE Tr OF 7-711.L
=ErOF a- DRLL J b. DUG � L�L�iiQr�it
'WA -AHAL.'Y=DA=---I:',2 ~i G j � � HKEMA.NGA.vLIESE.:. Y
0T=C0-1FD�.,'�MTAI FIM y
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ADDRESS:
AGE OF WF r: WELL D=LF-P
WELL PER-MIT.T: WELL LOCATION:
WELL PE �tiLTDA E' DEP r?'OF WELL;
7-PE OF WELL: a. DRILLED b. DUG c. L i FKlvf o nni
TYPE OF WA7,EREEA=(Z- ROCK:
WATER A�`+ALYSIS DATE: GASIESE: Y N
HIGH IRON: 'l N OTHER CONTA.,NEENANTS: Y N