20R DEP General Well Report 2020Massachusetts Department of Environmental Protection
Bureau of Resource Protection
GENERAL WELL REPORT
Note:.GPS coordinates must be in W.GS84 datum, in degrees. decimal deg0o format.
GPS (Required) � North Z 3 -7 1-F' c west..'? '2. 7v Lt., 0
Address at Well Location ?0 R SC4, A141,41 57k, kProperty Owner 'Spare's ^ ,IW
Subdivision/Property Description 0 Engineering Firm
City/Town ftd4�LVV�4 7-rw" 'f Mailing Address 'Z -7 'e
Assessors, Map /0 n VS �Assessors Lot# ' O3 U 3'O CityfTown V(dyAVi;v& State 010 3 17
Board of Health permit obtained ❑ Yes WNot Required Permit Number Date Issued
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1
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0 clen I Bedrock
Developed JZ Y ❑ N
Fracture
E] Y a] N
Ivarl.ur
R1
I 1E
2
Enhancement
OVERBURDEN LITHOLOGY
Drop In
Drill
Stem
Extra
Fast or
Slow
Loss or
Addition
of Fluid
Disinfected Y N
Surface Seal
Type ❑
From TO
Code
Color
Comment
Total Well
Depth 02
Depth to
Bedrock -Z
(it) (it)
Drill Rate
—
S
0 6
6--
F'e
0 Y,M N
El IF OS
El L OA
-7
C L
67
OY 19 N
El IF 0 8
[:1 L El ,
ammov MlAoffuzz
go -A
I ' % M fl
W 1%
7 23
Fes
RtZ
EjY A N
0 IF 0 S
[:1 L 0 A
From To Type
Thickness Diameter
123 313
0 Y [S IN
El F El S
ML El
C)
35 T5
OY Ig N
El F 0 S
El L 0 A
0 Y NrN
0 F 0 S
El L 0 A�
IWON"falk"201
0 Y [:1 N
El F 0 S
El L 0 AI I
From To Type
Slot Size Diameter
0 Y El N
El IF DS
0 L F1 A:;
E100
BEDROCK LITHOLOGY
Drop Extra
In Drill Large
Extra
Fast or
Slow
Loss or
Addition
Visible
Rust
000
TO
From
(it) R
Code
Comment
Stem Chips
' Drill
of Fluid
Staining
TO Yield
Rate
From (gpm)
'b, too'
0 YXN 0 YkN
2 IF 0 S 0
L 0 AJO
Y 0 N
2Z-7 /'L
--iA. —y
OYO NOYO NO
FO BE]
LEI AJOYO
N
Z6 75 Zo
zo
ff Y 0 N ff Y 0 N-ffF
0 S El
L 0 A El
Y 0 N
3qj 3Y -L
OYONJOYONO
FO SEILOAOYO
• Y [:1 NJOY 0 N
El F El S El
LEI AO
Y 0 N
Pump
Description
Horsepower
• YO NJOYO NEI
F 0 So
LOAFlyO�N
0 Y El N El Y 0 N
0 F El 8 El
L 0 A
0 Y 0 N
PumpIntake Nominal
Pump
Depth capacity glor
E1Y El NJOYO NEI
FO.SO
LEJAOYO
N
Thermal Thermal Formation
Conductivity Diffusivity Water
(BTUlhr.-ft-OF) (felday) Temperature (OF)
From To
Matedal 1 Weight
Material 2 Weight
Water (gal) Batches Method
Placement
of
Yo z
Fg-1 nc' i, s -bo
'30
11 El
U
Li
El
/0�j U'X)eW1'd'V 50 � Z-
0 El
El
1:1
Ej F-1
DEP UIC #
Sample taken from this well 0 Y JR N
Mir
''251MUMV
Time to Recover
(Ins) (min)
Recovery.
(ft SGS)
Date Static Flowing
Measured Depth BGS (it) Rate (gpm)
Date
Method
Yield (GPM)
Time Pumped
(hrs) (min)
Pumping Level
(ft BGS)
--T(9 —T
30
lolz�jzo
CLL -7)-/f-rM L is 90Y4, k (-Z Wvs
M This well was drilled or altered under my direct supervision, according to the applicable rules and regulations, and thi;
16 WEEUDRIILERS�STA_EMENT
I report is complete and accurate to the bestI d
Driller C1'4'PZ' Supervising Driller Signature Certification #
Company --Tk'k5t-t1A;C-- "r- c TlvDate Job Cornpi%;t
Massachusetts Department ofEnvfronmental Protection
f Bureau of Resource Protection
t " GENERAL WELL REPORT
Note: GPS coordinates must be in:WGSB4 datum, in de lees. decimal de ree"format.
"9;;WELLLIrOCAl'(ON'1q GP$(Requiredp)�North �L('".2" `3t%2'=�! 'O "West'..? '2 70y:.. L/7%°
AddressatWell Location 'Z� (Z. gr -,7114 14411V 5'F, . `Property Owner
Subdivision/Property Descriiption)ElEngineering Firm
City/Town uf(yc�(�b"/((f Tb-w,v W ✓ dd-�- ��// GFfy�,✓ Mailing Address d y Z --7e
rrP [[9
Assessors Map jo L99SS' Assessors Lot# c7 303® Cityfrown 11boz-a'v'/& "M State
0
Board of Health permit obtained ❑ Yes JyNot Required Permit Number Date Issued
2 WORK I'E2FOGMEDe3
N!ELL
IlL'NGMET
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MA ",;)k,<N',it-;
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arai� ,ODrK•`xi+.S
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�OvertiurdenBetlro
"� C Z
Developed jM Y ❑ N
Fracture
Enhancement ❑ Y ® N
®
®
;:`fir�WE�L.LOG
OVERBURDEN LITHOLO"GY
Drop in
Dnl1
Extrd
Fast or
SI°w
Loss or
Addition
Disinfected ❑ Y� N
Surface Seal
Type ® P1
From To
(ft) (ft)
Code
Color
CommentStem
Drill Rate
of Fluid
Total Well ,
Depth t7 �q
Depth to
0 7
SG
"-
❑ Y A N
❑ IF El S
❑ L❑ A
% 2V
F25
It
❑ Y M N
❑ F ❑ S
❑ L ❑ A
RC3QSIt,Gry'a
q�Bedrock
•Z`( 3
6-
Fit
❑ Y,N N
❑ F ❑ S
K L ❑ A
From To Type
Thickness Diameter—
iameter'j`(
'3 YJUI
'1
PjL•=
❑Y.2N
❑F❑S
❑L❑A
iyo QL7-JK]
/J( /IS
(
8✓
❑Y,RN
El [IS
[3L El
❑❑❑
❑ Y El
E] F E]S
❑ L ElA3CRFN'«3
t,.`zz3sr.
)yto ut'5:4" ., 6sl`tu.
❑ Y ❑ N
❑ F ❑ S
❑ L ❑ A
From To Type
Slot Size
Diameter
❑Y❑N
❑F❑S
❑L❑AExtra
_ ❑❑❑.=
66j VR
+ m t+•+2+�
BEDROCK LITHOLOGY10
Drop
In Drill
ENra
Large
Fast or
Slow
Loss or
Addition
Visible
RustcJN/EEj�'�q`211GrZOTMNES.Sr
To
1. •� er'.. �,:L.i 3
From
(ft)
(ft)
Code
Comment
Stem
Chips
Drill
of Fluid
staining"^'*"
;'"�"' "�"°y`"'""'^""s}II1V' .
To Yield (gpm)
Rate
From
(s'
ofw:
❑YMN❑Y®NQ]t
F❑S❑L❑A❑Y9N
1z TF- 2.d3� gC) l
ZS
L(02
CG(2
❑YfM.N❑YfkN❑F❑S❑L❑A❑Y
IN
❑Y❑N❑Y❑N❑F❑
S❑L❑A❑Y❑N
ENTfP.F..;A4a❑Y❑N❑Y❑N❑ AI3,U(VLB{A`�
❑Y❑N❑Y❑N❑F❑
BE]
L❑A❑Y❑N
Pump EEO 6:'
Description
Horsepower ...—
❑Y❑NEI
Y❑N❑F❑S❑L❑A❑Y❑
N
❑Y❑N❑Y❑N❑F❑S❑L❑A❑Y❑N
Pump Intake
� ft
Depth
Nominal
Pump
Capacity gpr
❑Y❑N❑Y_❑N❑F❑.S❑L❑A❑Y❑N
tlhW
,r r,... �-
W' iM.."SxN{Li�i S9 /�'+aK�.i'A4'�.
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T1iE,RM,� MA, 1011Y O'r'?y0�erl
ooP o 1�"/s
.wm".:YYd.4:S4x-W
.LLS'
Method of
Thermal Thermal
Formation
From
To
Material t Weight Material 2 Weight
Water (gap Batches
Placement
Conductivity Diffusivity
(BTU/hr-ft-°F) (82/day)
Water
Temperature (°F)
5
402
13 ' (sOa
P %0
390 30
2
❑ ❑
❑
❑
❑ ❑
1, 6 Lowe yz w.v
Ko r,
❑ ❑ ❑
❑ ❑ DEP UIC # Sample taken from thiswell❑ Y N N
i`
q�13N,tW1ELL�,;T,ESt(D�ATaF.,zaYt::3?,'+.s'a^.,�u.?er,3',%`d:
r 3 '.nr itYl 11R ee4AI
?. °. J + E s+r SSC X FU`(a xnf x"A�t, lhv�^Vl'l`t` F xMn
iY,tk'li^'^"i;� .t,4'rT..it+e14�'(WATER,E;VEf�',.,.yZ.,.;�.x°ac•�.rs.,
Time Pumped Pumping Level Time to Recover Recovery Date Static Flowing
(ft BGS) (hrs) (min) (ft BGS) Measured Depth BGS (ft) Rate (gpm)
Date Method
Yield (GPM)
'Fa 4
inns) . (min)
1/yo i z Y e 3o' /V
❑ ❑
Imo'
ats rya
loop UFO/L-/c /Ji'JL
This well was drilled or altered under my direct supervision, according to the applicable rules and regulations, and thi:
(B WELLDRILLERS,ST-ATEMENT�s$
report is complete and accurate to the best o knowled
Afc-e Le. Cy-�Poat- Supervising Driller Signature Certification dk S
Driller
Company uS61/Alc=- t �Z�'5 -IVC. Date Job Complete /0 'ZJ Rig Permit# 0 (> J