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HomeMy WebLinkAboutMiscellaneous - 20 CASTLEMERE PLACE 4/30/2018 (2) / 20 CASTLEMERE PLACE 210/037.A-0052-0000.0 i 1a + Department of Environmental Management/Division of Water Resources ra WELL COMPLETION REPORT WELL LOCATION GEOGRAPHIC DESCRIPTION Add s� 41 t S E W of (feet) (circ/) City/Town G�'L -' �+�ST le i d. Well owners�� � -- (road) � Address �6 N S (,ED ,EDW of (nil.in tenths) n Iclrcle) Board of Health permit obtained: yes I no El intersect. w/ f (road) V-4-M WELL USE WELL DATA /� Domestic 14 Public❑ Industrial E] Total well depth-7.5-IT ft. Monitoring❑ Other Depth to bedrock ft. TW,water-bearing to k/unconsolida4e( d material: Method drilled J _ G�q /�©t JNn V"�-'��'� Date drilled // ©� ` / Description CASING Water-bearing zgnes� �jp3 Type 1) From 33 To_ L�I�__ 2) From 7' To Length T ft. Dia(.l in. 3) From D To 65> Length into bedrock ft. Gravel pack well: dia. Protective well seal: Screen: dia. Grout-0 Other R < Slot$ length from_to STATIC WATER LEVEL(all wells) (�11 12 _/ `q Static water level below land surface h ft. Date WELL TEST(production wells) Drawdown-7575'ft. It pumping 4 hr. O min.at gpm How measured " i2 �' Recovery ql2 ft. after—hr, min. 0 LOG of FORMATIONS COMMENTS e >4 Materials From To 0 ( � Driller. Firm Address City/Town Supervising Driller Reg.# - W Si natuM of supervislng reistered well drJller Please Prier firmly BOARD OF HEALTH COPY /jo, e MORTiy , 3? o�.: • OG F 9 BOARD OF HEALTH 'SSAN us�` NORTH ANDOVER, MASS. _ APPLICATION FOR WELL AND PUMP PERMIT Permit # Date A permit is requested to: drill a well X install a pump k' LOCATION: c20 C✓� S7"l �e M�212. lq4 • Lot # Z ( OwnerCAV?A -L'4}✓LO Address 2-M CASTL-e OAC/ C /' (Tel �n t o t 2 q De.Pal- Rd. Well Contrctr� M LLty0 S mac, Add. ISOxf= 2D o4 QUA Tel 4 -7 - 887 - Z32n Pump Contrctr e' Add. Tel WELLS (To be completed at time of pump test. ) Type of well �� Use Diameter of well Size of casing Depth of bed rock Depth casing into bedrock Z Seal been tested? Yes (✓) No (_) Date of test Depth of well �JJ� Water-bearing rock Depth to water ��� Delivers GPM for (how long?) Drawdown feet after pumping hours at Z (0 GPM Date of completion q C ,2^ Signatur of well contractor PUMPS ' (To be filled in before installation. ) Name & size of pump 601iLyS l� �Q� Type(�VPim 0,43/$L-e �'v1T�pt. w 7c-3 5'0 Size of tank Pump delivers GPM Pipe used in well: Cast iron (_) Galvanized ( x) Plastic (_) Sleeve used to protect pipe? de _ Nos Ty e well seal Date } Signatalre of pump installer Date water analysis report submitted to Board of Health Plumbing inspector Wiring inspector Board of Health Add ress�7�,G/u;��� i►� n � y°r. Title of File Page of Date File open: Date file closed: ._ Doc Document/Action Title Date of Refer to other Purpose of DocumecntjAction and action Document/ document j notes — Nlum• Action De artment ------------- Board of Appeals — Board of Health Planniinn Board _ Conservatiion Commission — BuiVding Departm, en;t —� "'giyq vf It `4 �1­; i'i,V i tN7 46 NU BER J 4o FEE E COMMONWEALTH OF MA A C.IH U S ETTs of 12 This is to Certify that ..................... .................. NAME ............................ ...... ..... ........ ... . .... ................. 7" ADDRESS % 'IS' HEREBY GRANTED A LICENSE Forr .............................. ........... ............. .................................... . .......... ........................................ ........................................... ................................................ ........................................... ....................... .......................... ........... ................ .............................................................. ..............--------- .......................... ........................................................................... ................................................................................ in This.1.icense conformity with the Statutes and ordinances relating thereto, and expires., ------- nle8s sooner suspended-or revoked. ...........................O u ......................... ............ ......... .................... ........... 01 Oil. ..................... .............. ....... ------ ....... FORM 433 .......... ---------- HosBs a WARREN Tm _j y 'q A D 77777777�� fjjtl J 4 J: V .�? off'' _' • pL 41 � °�•�•'' t5 BOARD OF HEALTH SSS""U NORTH ANDOVER, MASS. APPLICATION FOR WELL AND PUMP PERMIT Permit # Date A permit is requested to-: dx-ill(�a well X install a pump )-,- LOCATION: umpk'LOCATION: �� CSTI �e.^^� - I1� , Lot # Z OwnerjA�,^eS CAVAL 40-0- Address Zo CASrceMC/Z< /�(Tel Well ContrctrC M '/40 Lcr►� S =#L/c- Add. 'SOxf-o2p, YUA , Tel 475-887 -23zd Pump- Contrctr �wV' 2 Add. Tel WELLS (To be completed at time of pump test. ) Type of. well Use ; Diameter of well Size of casing Depth of bed rock Depth casing into bedrock Seal been tested? Yes (_) No *(_) Date of test Depth of well Water-bearing rock Depth to water Delivers GPM for (how long?) Drawdown feet after pumping hours at GPM Date of completion Signatur 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? ies (_) 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