HomeMy WebLinkAboutWater Well Completion Report - Miscellaneous - 542 SHARPNERS POND ROAD 7/6/2020 Department of Environmental Management/Division of Water Resources
WATER WELL COMPLETION REPORT
WELL LOCATION
Address Jr, 1 O' #7
City/Town M. AYIL)UP.I 4
G.S.Quadrangle Map
Grid Location
Owner TIll_'
a
Address f� l�I fr1vP 1tiY 1,/,9Lf C
WELL USE CONSOLIDATED WELL
Domestic® Public ❑ Industrial❑ I
Type of Water-bearing Rock J PQl'i _
Other
Water-bearing Zones
1) From�To /1;0 _
Method Drilled z/� S5
2) From o%y7 To
Date Drilled 3) From To
4) From To--
CASING Depth to Bedrock
Length ' ) Diameter
Type S&At —/5 46 UNCONSOLIDATED WELL
STATIC WATER LEVEL Water-bearing Materials
Feet below land surface Sand: fine❑ medium❑ coarse❑
Date measured Gravel: fine❑ medium❑ coarse❑
Screen:
GRAVEL PACK WELL Slot fit length from to_
Yes ❑ No
Split Screen (or 2nd screen)
WATER QUALITY TESTS MADE slot length from to
Chemical ❑ Biological ❑ Depth To Bedrock
PUMP TEST
Drawdown feet after pumping days hours at GPM.
How measured Recovery feet after hours.
LOG of FORMATIONS COMMENTS: (On well or water)
Materials From To PM -
SFr"t: t1i U ^; r.
DRILLER y
� m
Firm A L. M,4,4ni- Q
Address ;). Aix 1A 7 `
City qe,;g .1fij d4
Registration No. j —/
operator's signature
ease pant rrm y BOARD OF HEALTH COPY 25M 10-85-807101
