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Home My WebLink About- Miscellaneous - 800 MASSACHUSETTS AVENUE 2/9/2021 Massachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: SKILLINGSWELL Transaction ID: 1248692 Document: Well Driller Size of File: 523.37K Status of Transaction: In Process Date and Time Created: 1/27/2021:4:10:38 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. RECE�v�'ID FEB �a�021 N OF�ORSH�MEN�R Nip, . LAI. Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 800 MASSACHUSETTS AVE Please specify well type: Building Lot#: Assessor's Map#: Closed Loop Assessor's Lot#: ZIP Code: Number Of Wells: 01845 10 City/Town: Well Location NORTH ANDOVER In public right-of-way: GPS (GPS for the deepest well) C"Yes r No I North: West: 42.68475 71.11348 Subdivision/Property/Description: BILL WENZEL HEATING AND AIR CONDITIONING Mailing Address: Ir click here if same as well location address Property Owner: Street Number: Street Name: 16 BROADWAY City/Town: State: Engineering Firm: AMHERST NEW HAMPSHIRE BILL WENZEL HEATING AND AIR CONDITIONING ZIP Code: 03031 Board of health permit obtained: Yes G Not Required Permit Number: Date Issued: I Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(Geo Thermal) Well Driller - Geothermal DRILLING METHOD Overburden udRotary Bedrock irHammer WELL LOG OVERBURDEN LITHOLOGY From(ft) To(ft) Code Color Comment Drop in Extra fast or slow Loss or drill stem drill rate addition of fluid jL 20 Gravel Brown f YES N N D r Fast C-Slow Loss Addition 20 0 Boulders [MEDIN — Brown G r r Fast G Slow r r YES NO Loss Addition WELL LOG BEDROCK LITHOLOGY Loss or Extra From(ft) To(ft) Code Comment Drop in Extra fast or addition of Visible Rust Large drill stem slow drill rate fluid Staining Chips P 32 100 Granite GRAY/MEDIUM r r. (` r r f r Ye r Yes YES ND Fast Slow Loss Addition 100 150 Granite GRAY/MEDIUM r r EFast rr f YES NO Slow Loss Addition F . r Y r Yesj 150 250 Granite GRAY/MEDIUM r (� r r �" r ry RYes YES NO Fast Slow Loss Addition ADDITIONAL WELL INFORMATION Date drilling begun 112/07/2020 Date last well drilled 112/31/2020 Total Well Depth 250 Depth to Bedrock 32 GEOTHERMAL INFORMATION Thermal Conductivity(BTU/hr.ft.°F) Thermal Diffusivity(ft2/day) �— Formation Water Temperature(°F) Single Family Home? DEP UIC# MAS31A210321-5C3 rYe CASING r Is Casing above ground From To Type Thickness Diameter C 70 Steel Schedule 40 LOOP MATERIAL To Type Thickness Diameter Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program L17 �- Well Completion Reports(Geo Thermal) 250 FCFEji 1.51 1.25 WATER-BEARING ZONES r DRY From To Yield(gpm) r—- L240 F256 j 100 WELL SEAL From To Material 1 Weight Material 2 Weight Water(g ) Batches Method Of Placement al 70 Bentonite/Graphite j Bentonite Chips/Pellets T-- WATER LEVEL Date Measured Static Depth BGS(ft) Flowing Rate(gpm) 12/31/2020 0 0 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. Monitoring[M] Supervising Driller SKILLINGS, Driller LAN CONAWAY Registration# 546 Signature ROGER,B SKILLINGS AND Firm SONS,INC. Rig Permit# 216 Date Job Complete 12/31/2020 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(Addendum) Well Driller - Addendum Form WELL COMPLETION ADDENDUM FORM MONITORING WELLS Well ID GPS Coordinates(WGS 1984)Degree Decimals �— North 2.68492 West:71.11358 I2 NorthF 2.68483 West 71.11352 13 — North 2.68478 West:71.11348 F— North 2.68488 West:71.11348 I5 North 2.68485 West:71.11340 F North 2.68480 West:71.11342 r7 North 42.68475 West:71.11348 la North 2.68467 West:71.11350 F9— North 2.68477 West:71.11337 10 North 2.68473 West:71.11335 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.