HomeMy WebLinkAboutMiscellaneous - 10 CASTLEMERE PLACE 4/30/2018DepaIrtment of Environmental M anagemen t/Di vision of Water Resources
WELL COMPLETION REPORT
WELL LOCATION GEOGRAPHIC DESCRIPTION
Address PS 6- W of
— 0
(fee" f'o.)
City/Town, I A r%_C1
Well owner. (road)
Address_,Z,:� N S _6E W of
OWA (nit in tenthsil 1 8
no in(ersect. W/ GA42,6* AA0
Board of Health permit obtained:.., yes froadl
WELL USE WELL DATA 6
Domestic, g], Public [] industrial E] Total well depth -5— ft.
Monitoring C] Other Depth to bedroc, Aft.
Water -bearing iock/iinconsolld�Jpd material.
Method dril Description Meq tom
Date drilled -7 Water -bearing zones:
'CASING 1) From To
2) From To 7-70
Length __q.3r 6ia (1. D.) in.
Length into bedrock it. 3) From— To
Gravel pack well: dia.
Protective well seal: Screen: d . !a.
Grout -E-1 Other-D'o Slat 0�_ length —from— to—
STATIC WATER LEVEL (all wells)
Static water level below land surface Z- ft. Date 2 —9 9
WELL TEST (production wells)
Drawdown 5_rt. After pumping Q hr. min. at__j'L_Y%j5;n
How meaSUred—.0 04 flA Recovery I t. after—hr. min.
LOG of FORMATIONS COMMENTS
Materials From To
Driller
16;� ress
A114
SupeyistpQ Driller Fle�.# _71 6
Si_Qne1&r*f supervisin!
firmly
BOARD.60 HEALTH rnPV
NOFATM.
�c _!�-O• DO
BOARD OF HEALTH
NORTH ANDOVER, MASS.
APPLICATION FOR WELL AND PUMP PERMIT p
Permit # Date^ z 1
A permit is requested to: drill a well install a pump
LOCATION: ( 0 C S's�-e,�►.e(L.Q Lot #
Owned ��AXLe.S GC_bf2- -e Address /'0 CA -Si c.tM-?1te Rc-Tel
-p-e-
Well Contrctr o��� .�c. Add. i2� i'70Wo{LD, MA. Tel ?7Y --Fe'? 2320
Pump Contrctr Add. Tel
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WELLS (To be completed at time of pump test.) }
Type of wellUse
Diameter of well 6 Size of casing �f
1 i
Depth of bed rock _'2 7 Az Depth casing into bedrock Z
Seal been tested? Yes No (_) Date of test T9
Depth of well 3 o s Water -bearing rock
i
Depth to water, 2 Delivers 2,C. �Z GPM for �lk'14.
i`( (how long?)
®
Drawdown L feet after pumping �t hours at z(. K_- PM
Date of completion 1-7- L 0' ,
Signa ure f well contractor
PUMPS (To be ,fi lledinbefore installation.)
Name & size of pump 61-OULP3 -2- ' Type
Size of tank Pta 774WL- Pump delivers IO GPM
Pipe used in well: Cast iron (_)
Galvanized (_) Plastic (�s
Sleeve used to protect pipe? Yes g (_)
Date /10
() Type we 1 seal (� W
. -A e
Signature
******************************************
V'Pump
installer
***************************
Date water analysis report submitted to Board of Health
Plumbing inspector Wiring inspector
Board.of Health
I
c.q T-�E� �.P� ,�a.9 cv
PL 0 T PLAN
" I HEREBY CERTIFY TO THE TITLE INSUROR AND IN
TO THE BANK THAT THE DWELLING IS LOCATED ON
THE LOT AS SHOWN AND THAT IT DOES CONFORM[
317TH THE" --I OFA/ q -A7 o'ER ZONING REGULATIONS
REGARDING SETBACKS FROM STREETS & LOT LINES."
" I FURTHER CERTIFY THAT THIS DUELLING IS NOT DRAWN FOR
LOCATED IN THE FEDERAL FLOOD HAZARD AREA AS a
SHOWN ON FEMA I[ LAITY PANEL # 01570<0z6
C-����-S GEo/�GE ✓'e
DATE / s 50 �%[/,✓E / 9 9 B
� t SIAPI SKI r
No.
t�a
THIS P .-F �Jl T E ;i�URPOSES - NOT FOR MERRIMACK ENGINEERING SERVICES
BOUNDAR .v Eigi OIV� BOUNDARY INFORMATION 66 PARK STREET
TAKE) FRO "CORDS. ANDOVER, MASSACHUSETTS 01810
wlw� " :,�R c& 2333 —
•k:.
O
N A
s �►'" " h• BOARD OF HEALTH
,SSACMUSE� NORTH ANDOVER, MASS.
APPLICATION FOR WELL AND PUMP PERMIT
Permit # Date -( l
A permit is requested to: drill a well %C install a pump
LOCATION: ( 0 C (� ST�-e N►�(�2 I� Lot #
Al. i- K4--j,Owner �1(2-(.e S GIZ-b(L-G-e Address PO Rc-Tel
C'. M. 12 0 Pe.� 2d.
Well Contrctr ���� �� c. Add. ��-`� 13OxrcgM, Tel ? 749--Fe7 - z3 2 O
Pump Contrctr g" -0— Add. Tel
**********************************************************************
WELLS (To be completed at time of pump test.)
Type of well
Diameter of well
Depth of bed rock
Seal been tested? Yes (_)
Depth of well
Depth to water,
Use
Size of casing
Depth casing into bedrock
No (_)
Date of test
Water -bearing rock
Delivers GPM for
Drawdown feet after pumping hours at
(how long?)
GPM
Date of completion
Signature of well contractor
**********************************************************************
PUMPS (To be,filled in before installation.)
Name & size of pump
Type
Size of tank Pump delivers GPM
Pipe used in well: Cast iron (_) Galvanized (_) Plastic (_)
Sleeve used to protect pipe?,Yes (_) No (_) Type well seal
Date
Signature of pump installer
**********************************************************************
Date water analysis report submitted to Board of Health
Plumbing inspector Wiring inspector
Board of Health