HomeMy WebLinkAboutMass DEP - Well Driller - Miscellaneous - 288 STILES STREET 8/26/2020 Massachusetts Department of Environmental Protection
eDEP Transaction Copy
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Username: SKILLINGSWELL
Transaction ID: 1213417
Document: Well Driller
Size of File: 362.36K
Status of Transaction: In Process
Date and Time Created: 8/24/2020:3:21:55 PM
Note: This file only includes forms that were part of your
transaction as of the date and time indicated above. If you need
a more current copy of your transaction, return to eDEP and
select to "Download a Copy" from the Current Submittals page.
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection
1 Well Completion Reports
Well Driller
Please specify work performed: Address at well location:
New Well Street Number: Street Name:
288 STILES STREET
Please specify well type: Building Lot#: Assessor's Map#:
Domestic
Assessor's Lot#: ZIP Code:
Number Of Wells: 01845
City/Town:
Well Location NORTH ANDOVER
In public right-of-way: GPS
ryes t"No North: West:
42.63840 71.09988
Subdivision/Property/Description:
Mailing Address:
r click here if same as well location addre
Property Owner: Street Number: Street Name:
GALE PAGE 288 STILES STREET
City/Town: State:
Engineering Firm: NORTH ANDOVERMASSACHUSETTS
ZIP Code:
01845
Board of health permit obtained:
(e Yes r Not Required
Permit Number: Date Issued:
VERBAL 07/10/2020
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
Air Hammer Air Hammer
WELL LOG OVERBURDEN LITHOLOGY
To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition
From(ft)
stem drill rate offluid
14 Gravel Brown r ( r Fast r slow r r
YES NO Loss Addition
WELL LOG BEDROCK LITHOLOGY
Loss or Extra
Drop in Extra fast or Visible Rust
From(ft) To(ft) Code Comment addition of Large
drill stem slow drill rate fluid Staining Chips
p
14 100 Schist GRAY/WHITE I r '� f- r' r (�i
�I �M r�Yes r Ye
YES NO IF
Slow Loss Addition
100 140 Schist GAY//WHITE/ t" r f ( r r Yes r Ye
YES NO Fast Slow Loss Addition
ADDITIONAL WELL INFORMATION
Developed I r Yes r.No Disinfected r.Yes r No
Total Well Depth 140 Depth to Bedrock 14
Surface Seal Type CementlBentonite �racture Enhancement r`'Yes G No
CASING F Is Casing above ground? From: 1.5 To: 0
From To Type Thickness Diameter 1 Driveshoe
38.5 Steel Schedule40
SCREEN r No Screen
From To Type Slot Size Diameter
C� ---Choose Screen
WATER-BEARING ZONES DRY WELL
From To Yield(gpm)
65 70
110 120 20
PERMANENT PUMP(IF AVAILABLE)
Pump Description Wire Constant Speed Horsepower
�ubmersible 3/
Pump Intake Depth(ft) 100 Nominal Pump Capacity(gpm) 10
ANNULAR SEAL/FILTER PACK
Massachusetts Department of Environmental Protection
., Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
s
From To Material 1 Weight Material 2 Weight Water Batches Method Of
(gal) (count) Placement
C� 38.5 Bentonite Grout II (Choose Material Gravity
WELL TEST DATA
Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft
Date
(HH:MM) BGS) (HH:MM) BGS)
07/14/2020 Air Blow With Drill Stem 25 00:30
07/20/2020 Constant Rate Pump 14 06:00 33.5 00:10 6.4
WATER LEVEL
Date
Static Depth BGS(ft) Flowing Rate(gpm)
Measured
07/14/2020 10 1 10
07/20/2020 12.8 10
COMMENTS
WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete
and accurate to the best of my knowledge.
COREY Monitoring[M] Supervising Driller SKILLINGS,
Driller DICKERSON Registration# 546 Signature ROGER,B
SKILLINGS AND
Firm SONS,INC. Rig Permit# 557 Date Job Complete 07/30/2020
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.