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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