HomeMy WebLinkAboutMiscellaneous - 18 WEST WOODBRIDGE ROAD 4/30/201800
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WELL COMPLETION REP RT
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WELL LOCATION GEOGRAPHIC D SCRIPTION
Address 18 WOSt Road
NE W of
(feet) (circle)
City/Town NnrthAndar
Woodbridge Road.
Well owner rr-y resaftwM
(road/
Address _1 R Wag± W dbr jd..J�d
.2 N S(�) W of
NtSrth Atirintpr, , MA
R /1 �,
lm/. in tenthsl le
Board of Health permit obtained: yes;M
tp0��1
no ❑
in tersect. w1X- f f; pRo�
�o`a21'
WELL USE
WELL DATA
Domestic ❑ Public ❑ Industrial ❑
Total well depth I gc5 ft.
Monitoring ❑ Other
Depth to bedrock R-5, ft.
Water -bearing tock/unconsolidated material:
Method drilled Rotary
Date drilled 1/11/93
Description Preen Reel,
Water -bearing zones:
CASING
1) From 1135 To ? -5r
Type Si-PP1
Length_100_ft. Dia(.I.D.)6_in.
2) From To
3) From To
Length into bedrock ft.
Gravel pack well: dig.
Protective well seal:
Screen: dia.
Grout.[] Other ilrij_je S1p
I Slot r' length from— to
STATIC WATER LEVEL (all wells)
Static water level below land surface_ ft. Date 7 �� Z,Lt33
WELL TEST (production weiis)
Drawdown 11 55 ft. . after pumping_Q lit.3() min. at`r_ gp'tn
How measured . Air Recovery 20 after 1lit. _Q.__min.
0
LOG of FORMATIONS COMMENTS
Driller Drab n McKi ssi ck
rA Firm Avellino Well and Pump
Address244A Haven. Street
City/TownRt3ading, MA
SupervisiXig Driller 13eg.# (559
' Z�
IA�Siazure supervi ng red well driller
,P(ess prior tirm/y /§0 D OF,. HEAL.!-l1-,-�OPY - .
Town of, Orth Andover o
Massachusetts
Board of Health
Permit No, 3h5
• Date _1/13/93
APPLICATION FOR WELL AND PLHP PERMIT
Application is hereby made for a permit to drill or repa r ( ) a well. Application
is also made to install () major renovation
() or major repair () of pump system,
Location; Address 18 West Woodbridge Road
Lot Number
Owner Tgnrry ("rossman Address _Same
TPO eTDhonp # sop -688-8861
Well Contractor AvPllinn iaPll & pump Address 244A Haven St, Reading Tele hone # 617-944-5454
Pump Contractor_
Address Same Tele hone # Same
WELL CONTRACTOR (To be tilled in 'at tine of pump test)
n'ps Of Well' Art=P. i n • Well Used For Irrigation
Diameter of Well _6" Site of Cuing 64"
Depth of Bed Rock Depth of Casing into Bed Rock
15
Was Seal Tested? Yes ( No ( ) Date of Testing 1-1393
Depth of Well za 155'
Well Ended in What Material Bedrock
Depth to Water _ 20 12
Delivers Gallons/per/Minute
Drawdown 80 feet afterum in
at
location with tie' down lines on zevirs �oofsthis f rm,GPM. :Sketch map of well
Date 'of Caap1etion-1___ 13_93
PLMP INSTALLER '(To be filled in before installs oe 1 ontr to gnature
Size.and Name of pump 2 hp Jacuzzi
Type of pump Uled "-�ersible
Water Pump Delivers 1_ ------ GPM 'Size of Tank —120
Pipe material used in Wells Cast, Iron O Galvanized
() Plastic (X)
Well pit O or Pitless adapter (x)
Was sleevo used to protect pipet Yes ( ) No
or sae of W 1 Sea.
Date
* In tall gnature
Date water analysis report submitted to Board of Health
Date release was given to owner .of record and Building Inspector
Health InApector
12 . C2—,1a� .1�4 c ao�d , o a-�- --
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AVELLINO WELL & PUMP
A Division of Avellino General Contractors, Inc.
244A Haven Street, Reading, MA 01867
1-617-944-5454
1-617-944-3777
Fax 1-617-944-6625
AGREEMENT is made this day of�Z74" 19-
between Avellino General Contractors, Inc. doing business as Avellino Well & Pump, herein referred to ' as the
CONTRACTOR and --A4aRas� , herein referred to as the OWNER
Address 19' WF.6 Zj WoonRMD49' Rn A49jnw A,vici,✓er . `v,o
Tel. #
I. SERVICES
1. The CONTRACTOR agrees to drill a 6 inch diameter well in a workmanlike manner on the property of the
OWNER in a location which is mutually agreed upon between the OWNER and the CONTRACTOR. Further
details may be shown on a rider attached, if any. i
2. The OWNER represents and warrants that they own the property and agrees to provide the CONTRACTOR
with adequate access to and from the drilling site and to provide the CONTRACTOR with adequate water
during drilling procedures.
3. The CONTRACTOR agrees to exercise reasonable care during drilling procedures. The CONTRACTOR
bears no responsibility for (a) impairment caused from moving equipment to and from the drilling site or
when extracting debris, or (b) for disposing of the extracted debris.
4. The CONTRACTOR agrees to drill a well UP TO 300 FEET DEEP OR TO OBTAIN A MAXIMUM
FLOW OF 300 GALLONS PER HOUR, WHICHEVER MAY COME FIRST that includes 20 feet of casing,
and a pump. Electrical wiring is to be brought from the well to the house by a licensed electrician.
5. If the CONTRACTOR finds that the well is completely dry (no signs of water at all) CONTRACTOR will
not charge the owner the drilling price up to 300 feet. If the CONTRACTOR drills beyond 300 feet and
the well is still completely dry, the OWNER shall pay the full drilling price beyond 300 feet. If the
CONTRACTOR drills beyond 300 feet and any water is found, the OWNER pays the full drilling price from
the first foot. Irrespective of whether or not water is found the OWNER shall pay for all installed casing
beyond the first 20 feet from the ground level.
II. COMPENSATION:
1. The OWNER agrees to pay the contractor $.,;1n5',& for drilling a well and related materials as
outlined in paragraph 4, Section I. Should drilling be required beyond 300 feet an additional $ 10.00
per foot will be charged. If more than 20 feet of casing is required, an additional $ 10.00 per foot
will be charged. THE OWNER MAY ORDER DRILLING STOPPED AFTER 300 FEET. SUCH ORDER
MUST BE IN WRITING AND IS NOT EFFECTIVE UNTIL DELIVERED TO THE CONTRACTOR.
2. The OWNER agrees to the following payment schedule: A deposit of $ 1 Q 0 o,1lam_ upon signing agreement.
The balance of $1, poj.� , DD upon commencement of work. OWNER is responsible for any unmarked
utilities. OWNER is responsible for any and all permits and fees. If the OWNER requests that the
CONTRACTOR handle the permits, an additional $100.00 will be charged above the actual permit cost.
III. CANCELLATION:
1. The OWNER acknowledges receipt of a Notice of Cancellation form in duplicate which were given to the
OWNER Prior to signing this agreement.
2. The CONTRACTOR reserves the right to cancel this agreement without penalty or obligation at any time
if any conditions are found that may endanger equipment, workers or the environment.
IN WITNESS WHEREOF, THE PARTIES HERETO HAVE EXECUTED THIS AGREEMENT AS OF THIS
DAY AND YEAR WRITTEN ABOVE. THIS AGREEMENT IS BINDING UPON THE PARTIES, THEIR HEIRS,
SUCCESSORS AND ASSIGNS.
—/1 oo, eou?m AT, u e -D To AVELLINO GENERAL CONTRACTORS, INC.
�-
Owner Contractor
I
NUMBED FEE
THE COMMONWEALTH OF MASSACHUSETTS c
sL $25.00
--------- TOWN- of ------------ NORTH ... j.lMOVFR -
This is to Certify that----------- Avellin-o... General ... Cnntractors ............................
NAME
244A Haverhill Street, Reading, MA 01867
----------------------------------------------------------------------------------------------------------•-------------------.........................................
ADDRESS
IS HEREBY GRANTED A LICENSE
For................................Well.__Drill.ing__Permit - 18 _WEst Woodbridge Road
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------
This license is granted in conformity with the Statutes and ordinances relating thereto, and
expires ---- Dac�emba---- 31--, .... 1--9.93----�...- •..unless soo
..January---4-►--------------------------19---9-3
FORM 433 HOBBS $ WARREN. INC.
Page 1
TOXIKON CORP. REPORT
Work Order # 93-03-11T
Received:
03/09/93
03/12/93 09:35:07
REPORT
AVELLINO WELL & PUMP
PREPARED TOXIKON CORPORATION
i
TO
244A HAVEN STREET
BY 225 WILDWOOD AVE.
READING, MA
WOBURN, MA 01801
(617)944-5454
CERTII BY
ATTEN
ANGELO OR PAUL
ATTEN PAUL LEZBERG
PHONE (617) 933-6903
CONTACT KARL
CLIENT
AVELLINO SAMPLES 2
COMPANY
AVELLINO WELL & PUMP
MA CERT # MA064: TRACE METALS,
SULFATE,CYANIDE,TURB.,RES. FREE
FACILITY
244A HAVEN STREET
CHLORINE, Ca, TOTAL ALK., TDS,
pH, THMs, VOC, PEST.,NUTRIENTS,
.READING,
MA
DEMAND. O&G, PHENOLICS, PCBs
(OIL). CT DHS #PH -0563, NY #10778
FL HRS E87143 NJ DEP 59538
NC DNR286 SC 8800 NH 204091-C.
WORK ID
MR.GROSSMAN
TAKEN
3/9/93 AT 11:30AM
Verified By: y^
_
TRANS
MA CERT# MA064:
TYPE
WATER
P.O. #
INVOICE
under separate cover
01
02
SAMPLE IDENTIFICATION TEST CODES and NAMES used on this workorder
1 524 EPA 524
2 T COLI TOTAL COLI (COLILERT)
Page 2 TOXIKON CORP. REPORT York Order # 93-03-117
Received: 03/09/93 Results by Sample
SAMPLE ID 1 FRACTION 01A TEST CODE 524 NAME EPA 524
Date & Time Collected 03/09/93 11:30:00 Category WATER
DETECTION DETECTION
RESULT LIMIT RESULT LIMIT
Dichlorodifluoromethane
NO
1,2-Dibromomethane (EDB)
ND
Chloromethane
ND
Chlorobenzene
ND
Vinyl Chloride
ND
i,1,1,2 -Tetrachloroethane
NO
Bromomethane
ND
Ethylbenzene
ND
Chloroethane
ND
m -Xylene
ND
Trichloroflouromethane
ND
p=Xylene
ND
1,1-Dichloroethene
ND
o=Xylene
NO
Methylene Chloride
ND
Styrene
ND
trans-1,2-Dichloroethene
NO
Isopropylbenzene
ND
1,1-Dichloroethane
ND
Bromoform
NO
2,2-Dichloropropane
ND
1,1,2,2 -Tetrachloroethane
ND
cis-1,2-Dichloroethene
ND
1,2,3-Trichloropropane
NO
Chloroform
ND
Bromobenzene
ND
Bromochloromethane
ND
n-Propylbenzene
NO
1,1,1 -Trichloroethane
ND
2-Chlorotoluene
ND
1,1-Dichloropropene
ND
1,3,5-Trimethylbenzene
NO
Carbon Tetrachloride
ND
4-Chlorotoluene
NO
1,2-Dichloroethane
ND
tert-Butylbenzene
ND
Benzene
ND
1,2,4-Trimethylbenzene
ND
Trichloroethene
ND
sec-Butylbenzene
NO
1,2-Dichloropropane
ND
4-Isopropyltoluene
ND
Bromodichloronethane
NO
1,3 -Dichlorobenzene
ND
Dibromomethane
ND
1,4 -Dichlorobenzene
ND
cis-1,3-Dichloropropene
NO
n-Butylbenzene
NO
Tod o'l� e
4.41_
1,2 -Dichlorobenzene
NO
trans-1,3-Dichloropropene
ND
1,2-Dibromo-3-Chloropropane
ND
1,1,2 -Trichloroethane
ND
1,2,4-Trichlorobenzene
ND
1,3-Dichloropropane
ND
Hexachlorobutadiene
ND
Tetrachloroethane
ND
Naphthalene
ND
Dibromochloromethane
ND
1,2,3-Trichlorobenzene
ND
Notes and Definitions for this Report:
Units = ug / L
ND = Not Detected at Detection Limits
DATE RUN 03/09/93
ANALYST XL
CONC FACTOR HP -2
Page 3 TOXIKON CORP. REPORT Work Order # 93-03-117
Received: 03/09/93 Results by Sample
SAMPLE ID 2 FRACTION 02A TEST CODE T COLI NAME TOTAL COLI (COLILERT)
Date & Time Collected 03/09/93 11:30:00 Category WATER
TOTAL COLIFORM
RESULT
TOTAL COLIFORM .................. ABSENT
Notes and definitions for this report:
TEST DATE: 03/09/93
UNITS = cfu / 100mL
>
Page 4 TOXIKON CORP. REPORT Work Order # 93-03-117
Received: 03/09/93 Test Methodology
TEST CODE 524 NAME EPA 524
EPA METHOD: 524.2
Reference: MEASUREMENT OF PURGEABLE ORGANIC COMPOUNDS IN WATER BY
CAPILLARY COLUMN GAS CHROMATOGRAPHY/MASS SPECTROMETRY.
Methods for the Determination of Organic Compounds in
Drinking Water. EPA -600/4-88/039. December 1988.
TEST CODE T COLI NAME TOTAL COLI (COLILERT)
STANDARD METHOD: COLILERT
Reference: Edberg, S.C., Allen M.J., Smith, D.B. "National Field Evaluation
of a defined substrate method for the simultaneous enumeration
of total coliform and escherichia coli from drinking water.
Comparison with the Standard Multiple Tube Fermentation Method",
Applied and Environmental Microbiology, 54, 1595-1601 (1988).
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