538 Well Completion Report 2001 YPE-OR PRINT ONLY
Massachusetts Department of Environmental Management
Office of Water Resources
Well Completion Report
103748
Wdress at Well Location: Lot 1 Sylvestor Rd Property Owner Stan lawalick
subdivision Name: Mailing Address: PO Box 114
11ity/Town• Northampton City/Town: Leeds MA 01053
\ssessors Map Assessors Lot#: NOTE: Assessors Map and Lot# mandatory if no street address available
3oard of Health permit obtained: Yes D Not Required Cgi Permit Number sate Issued
New Well
Deepen
❑ Abandon
❑ Recondition
® Domestic
D Monitoring
D Irrigation
❑ Municipal
D Cable ..,;,.. 'i D»uger
CC Air Hart T'7 Direct Push
D Mud.Rotarv.,_0 Other
_ nepaue u
€ist.ta` !
Lit
¢
3
mI
emmsbuln
I .. .
Unconsolidated
Consolidated
I,. M e_s . so ,c+r • C s-r ;eh /r1
)c{i 's .0?C- ) / lid
From (ft) To (ft)
o
_
t°
o
m
m
N
o
Y
g
E
m
a
$
Other
Rock Type
YP
High
Low
0
15
45
60
Soft Tan
-"-�"�
tx
60
125
Graywh to
125
126
X
Tan
S I t'
126
440
GrayWh] te
c.
4----^
vse' w«-, o y 72---
Total Dep h Drilled 441
From (ft) To (ft) Casing Type and M terial Size O.D. (in) Well Seal Type
Date Drilling Complete
6-12-01
0
70
17 pound Steel
- ii" . Driveshoe
r
CO SCREE u.,.,�x;.._
.�....,...- ._._,... . ...& aaeu^uxs^.t�sr...a. :..a.:vyvsi: _... z-,..
.�
From (ft) To (ft) Slot Size Screen Type and Material Screen Diameter
10.'FILSER_#AC
c. c +r 5'Ptl '=lt , '- ``1e,/ka4- r. C ' "
Y. '' e ,.1L1)1M Th EP I s
From (ft) To (ft) Material Description Purpose
Developed? E Yes O No
Fracture
Enhancement? D Yes ❑ No
Method
Disinfected? IX Yes ❑ No
12.-WELL
TES. 'OA .-.L -je rr or a .. £ "^ ' ` :t? ,y�° ya.�kAr.:
1 - r
Depth Below
Date Measured Ground Surface (FT)
Yield - Time Pumped Drawdown to Time Recovery to
Date Method (GPM) (hrs-& min) (Ft. BGS) (hrs & min) (Ft. BGS)
6/fa,i.A
4. , (Jr
G
-1 3c,4
voa /A, -, /so
G;r3/oi G,ee.,. / It yet
_kw1
14..PERMANEN1?
UM�'i
�
` �
:'..
� yam" "
_" ,�:
t7l� irt x '" l .,,7 fi x'..
_...mod�:nl�i .,.-
Kirke R Renshaw Inc
Aergmotor Submersible Horsepower 3/4hp
Pump Description
Pump Intake Depth 340... (ft) Nominal Pump Capacity p (gpm)
130 Cutnmington Rd 01 084
t( jr its 2
s i -
This well was drilled and/or abandoned under my supervision, according to applicable rules
Driller ,iokU !Bisbee Supervising Driller Signature:
y
Arm. T4 ``:zG ,4-n ttn . 1n < Date 6727/c/ Rig Permit#: I )°2I / I/ I
NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
BOARD OF HEALTH COPY
Registration rid I 1 13 16 1