HomeMy WebLinkAboutCopeland Dr. #71 - 2/18/1999APPLICATION FOR PERMIT TO DRILL WELL
Name-
_ c.Cjjd,f ,1
Address j-'3���� Telephone
Registered Well Driller
1
TYPE OF WELL: 3 8
Domestic Potable (for human consumption) _.
v' Domestic Auxiliary (for landscape watering, pools, etc.)
_Industrial/Commercial Potable (for human consumption, including foodpiocessing)
Industrial/Commercial Auxiliary (for manufacturing, etc.)
Agricultural (for irrigation of land in the business of agriculture)
Fee: Domestic $ 10.00 Indust ial/Commercial $10o.00 N/C Agricultural
Date: � 18 � � Applicant Signature: ,
PERMIT TO DRILL A WELL
The above application has been approved and permission is granted to drill a well for the
following use at % (�� �= v
D mestic Potable (for human consumption)
�mestic Auxiliary (for landscape watering, pools, etc.)
Industrial/Commercial Potable (for human consumption, including food processing)
_—Industrial/Commercial Auxiliary (for manufacriuingY-etc
_Agricultural (for i 'gation of land in the businesss o agriculture)
ff
Date: Approved by: .m
F r and of Health
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.
Department of Environmental Management/Division of Water Resources
WELL COMPLETION REPORT
LOCATION
Address - _N S.- E W of
7 1 C n p p 1 g n d S Y (feet) (circle)
City/Town .�f.�}�
Well owner z'¢.e�>•�Tw . (road)
Address 71 Cnpe1azid it N S E W of
(mi. in tenths) (circle)
Niansfipld. MA 02048
Board of Health permit obtained: yes l no ❑ intersect. w/
(road)
WELL USE WELL DATA
Domestic ElPublic ElIndustrial ElTotal well depth 690
ft.
Monitoring ❑ Other Depth to bedrock 15 ft.
Water -bearing rocklunconsolidated material:
Method drilled air Lammnr
Date drilled.
Type #1,`'—steel
Length."I I—ft. Dia(I.D.) 6 in.
Length into bedrock 10 ft.
Protective well seal:
Grout ❑ Otherm
STATIC WATER LEVEL (all wells)
Description
Water -bearing zones:
1) From . 1 20 o 1 9 n
2) From o & To a A9
3) From _ n�To
Gravel pack well: dia.
dia.
Screen:
Slot# length _ from _to
Static water level below land surface 7 it. Date o IQ 10 Q
WELL TEST (production wells)
Drawdown 6 2 n ft. after pumping 6_ hr. min. at 1 2._gpm
How measured, i r Recovery t r� 7 ft. after.2.(}_ hr.—min.
LOG of FORMATIONS COMMENTS Well was ritaking -8 o ,-
Materials From To GPM. Hyd.rofractured.. tO 12
R
Driller Ltr_yp+_�_ Dn:�nt�A_ �.
zJ-" F
Firm Wgvr'P' S WPI 1 Dri 11 i nb
Address 92,9 Wgrpham 4Y _
City/Tow,. H d81 f-horn NA 02 U6,
Supervising Driller Reg.#.- �9 47
BOARD OF HEALTH COPY
ENVIROTECHL411ORATORWS, INC.
MA CERT. NO.: M-MA 063
449 Me,130
Sandwich, MA 02963
508 (888-6460) 1-800-339-6460
FAX (908) 888-6446
CLIENT. Wayne's Well Drilling LOCATION: 71 Copeland St
ADDRESS. c/o North Easton Savings Bank Mansfield MA
COLLECTED BY: Wayne's Well Drilling SAMPLE DATE: 3-10-99
SAMPLE TIME: N/A
WATER SAMPLE TYPE: New Well DATE RECEIVED: 3-10-99
LAB I.D. M 993174
�t
WELL SPECS.: N/A
RESULTS OF ANALYSIS:
Parameters
Units
Recommended
Results
Method
Date Analyzed
Limits
Colifonn bacteria
/loom[
0
0
9222 B
3/10199
pH
pH units
6.5-8.5
6.58
4500 H+
3/10/99
Conductance
umhos/cm
500
511
120.1
3/10/99
Nitrate-N/Nitrite-N
mg/L
10.0
2.25
4500-NO3 E
3/10/99
Sodium
mg/L
28.0
64.2
200.7
3/10/99
Iron
mg/L
0.3
0.13
200.7
3/10/99
Manganese
mg/L
0.05
0.230
200.7
3/10/99
Potassium
mg/L
20.0
3.4
200.7
3/10/99
Calcium
mg/L
N/A
19.8
200.7
3/10/99
Magnesium
mg/L
N/A
4.1
200.7
3/10/99
Hardness (as CaCO3)
mg/L
500
66.3
200.7
3/10/99
Alkalinity
mg/L
200
35.0
2320 B
3/10/99
Sulfate
mg/L
250
26.4
375.4
3/10/99
Chloride
mg/L
250
121.0
4500-CI L
3/10/99
Color
APC units
15.0
5.0
2120 B
3110/99
Turbidity
NTU
5.0
6.3
2130 B
3/10/99
COMMENTS: Sodium level is not a health hazard, but if on a low sodium diet,
consult a physician before drinking.
Manganese is not a health hazard, but may cause aesthetic problems.
WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES
FOR PARAMETERS TESTED.
Date � /� ll
Ron Id J. Saar
Laboratory Di ector
<=less than
>=greater than
TNTC=too numerous to count