HomeMy WebLinkAboutEast St. #250 - 6/11/1998MANSFIELD BOARD OF HEALTH
j,44r Lo L) X APPLICATION FOR PERMIT TO DRILL WELL
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TYPE OF WELL:
12-rmestic Potable (for human consumption)
omestic Auxiliary (for landscape watering, pools, etc.)
—Industrial/Commercial Potable (for human consumption, including food processing)
_Industrial/Commercial Auxiliary (for manufacturing, etc.)
Agricultural (for irrigation of land in the business of agriculture)
Fee: Domestic $ 10.00 Industrial/Commercial $ 100.00 N/C Agricultural
Date: Applicant Signature: ,0
PERMIT TO DRILL A WELL
The above application has been approved and permission is granted to drill a well for the
following use at , 1()alq J j Ac- son & ?'n'1 Fii 7-142Y (�!C'f7't L
Domestic Potable (for human consumption)
_Domestic Auxiliary (for landscape watering, pools, etc.)
_Industrial/Commercial Potable (for human consumption, including food processing)
_Industrial/Commercial Auxiliary (for manufacturing, etc.)
_Agricultural (for irrigation of land in the business of agriculture)
Date: IL& �Q Approved by:
Follow-up notes for after the well is drilled:
1. Electrical permit required; underground cable trench must be inspected
2. Upon installation of well, call Department of Public Works office at 261-7331 to be
added to well list
3. Display "Well Water" sign.
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MEMORANDUM
`<. No. 37623 .�
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TO: Scott Leite, Health Agent
FROM: Lee M. Azinheira, P.E., Town Engineer
DATE: June 11, 1998
SUBJECT: Irrigation Well/Mansfield Elementary School Complex
The proposed irrigation well to be drilled by LaFramboise Well Drilling is to be located
approximately in the site identified by the number "1" on the attached plans.
This location is in excess of 300 feet from Ware Street and East Street. Therefore, there
are no septic systems located within 100 feet of the proposed irrigation well installation.
If you have any questions, please do not hesitate to call me.
J UN 9 1998
LMA/jcd
t � Department of Environmental Management/Dlvls(on of Water Resources
V WELL COMPLETION REPORT
WELL LOCgqTION _ �OG PH C DESCRIPTION
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- Board of Health permit obtained: yes B-�no Elntersect. w/ - /re.dl -
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WELL USE ':. WELL DATA
Domestic ❑ Public ❑ Industrial ❑ Total well depth Ron ft.
Monitoring ❑ Other - I RtZt G �epth to bedrock k.
,� `o I�-iss U�er-bearing lock/nnconsolldated material; '
Method drilled 7//W2r/4L_
7—/Decription
Date dulled 7 —�o s
Water-bearing zon�s;`
CASING' -
.S 7 4 11 From To
Typo 3 i Length 21 From 3aD
- � f[. Dla(.I.D.�In' �, 31 From To '
I Length Into bedrock - O ft.
bIvy Gravel pack well: dia.
I. Protective well seal: '�,�0� Screen: dia.
i Grout.❑ Other Slat Pt— length. _:from_ to_ ='I
STATIC WATER LEVEL (all wells) '' "'
Stella Water level below land surface / ft. Dale
WELL TEST,fprodPu^c�tion Wells)'<
1, Drawdowds--o—tt. after p/umping � hrsmin. at ® gpm
-
l How measured-� 6L L l Rdcovery G 60 ft. aller_hr. 3 o.min.
LOG of FORMATIONS COMMENTS
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