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HomeMy WebLinkAboutMiscellaneous - 18 WEST WOODBRIDGE ROAD 4/30/201800 0 fi 0 0 a t3' n N• a W m 0 w a a"f Department of, Environmental Management/ WELL COMPLETION REP RT !" 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-�- -- m tA W P 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). • J,. ,-MA L I. 3--ALZE � I iNCh' s /6 FfIrl'-