HomeMy WebLinkAboutDecommissioned Well - Miscellaneous - 742 BOXFORD STREET 7/15/2026 Massachusetts Department of Environmental Protection
Bureau of Resource Protection
Well Completion Reports
Well Completion Reports
Please specify work performed: Address at well location:
Decommissioned Street Number: Street Name:
742 BOXFORD STREET
Please specify well type: Building Lot#: Assessor's Map#:
Domestic
Assessor's Lot#: ZIP Code:
Number Of Wells: 01845
1
C ity/Town:
Well Location NORTH ANDOVER
In public right-of-way: GPS (GPS for the deepest well)
Yes
North:��* West:
42.66852 71.03907
Subdivision/Property/Description:
FOR PETER BREEN Mailing Address:
.. ......................
click r if same as well location addres
Property Owner: Street Number: Street Name:
CHRISTOPHER HAGERTY 742 BOXFORD STREET
City/Town: State:
Engineering Firm: NORTH AN DOVE RMASSACHUSETTS
ZIP Code:
01845
Board of health permit obtained:
Yes 1 t Required
Permit Number: Date Issued:
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(Decommission)
Well Driller - Decommission Form
WELL INFORMATION
Date Decommissioned 06/15/2026
Depth of Decommissioned Well 385
ADDITIONAL INFORMATION(IF AVAILABLE)
Original WCR#for Well ended in formation type r
Decommissioned Well Overburden Bedrock
Was a new well drilled? WCR#for New Well
CASING
Casing Type Steel Casing Diameter 6
Mr ^J 1 WPAPq
Was casing ripped or .............
Was Casing left in place? f4'Yes No perforated? Yes No
From TO
Were obstructions left
in the well? Ir'Yes 4'No If yes,what type? Choose Description
Surface Seal Type CM
DECOMMISSIONING MATERIAL
From TO Water
ft(BGS) ft(BGS) Material 1 Weight Material 2 Weight (gal) Batches Method Of Placement
...........
0 4 Concrete ---Choose Material 1 0 3 Gravity
............... ...................... ................................................................ ......................................................................................
...................................................................................... ........................................................................... ............................................................................ .............................................................................................................................................................I........................ .......... ........... .........................................................................................................................................................
...............
.......... ........................................................................... .....................................................................................................................................................................................................................................4 85 Bentonite Grout ---Choose Material 96 22 Trernie
3..................................................................................................................... ..................... ......................
...................................................................................... 3.................. "I..................................... .. .......... .............................................................................................................................................................I........................ ............................................ ........... ...........
.................................................................... ............... ........................................................................................................................................................
WATER LEVEL
Date Measured Static Depth BGS(ft) Flowing Rate(gpm)
06/15/2026 12
............
COMMENTS
*WELL DECOMMISSIONING FOR PETER BREEN**PARCEL ID:105.A-0021-0000.0
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
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(Decommission)
the best of my knowledge.
DrillerAMOS ROLLINS Registration# 1008 Monitoring[M] Supervising Driller Signature ROLLINS,AMOS,
CHARLES M. ......
06/15/2026
Firm ROLLINS CO.,INC. Rig Permit# 208 Date Job Complete
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.