HomeMy WebLinkAboutCottage St. #52 - 2/11/1999Department of Environmental Management/Division of Water Resources
WELL COMPLETION REPOppT
Cs00bYt6L-J TL2e.
-----
Address rim
---_.._.. N..S_E
..W
of
(feet)
(circle)
City/Town MgNS
Well owner �117Z q ✓T/G E/y
11//201VIn
(road)
Address .CID !7/U/4/V Oct
FF
N S
.E W of
C/fi%/Ll� �l/L•.. L/�GG
h
!Q/l/C "
(ml In tenths)
(circle)
r
th
permit obtained: yes ❑ no a Board of Heal
Intersect. W/
(mad)
WELL USE -.
WELL DATA
Domestic ❑ Public E7 Industrial E7
Total well depth c7O
ft.
Monitoring ECG Other '
Depth to bedrock
ft.:
�i SV%LcrjG�
Water -bearing rock/unconsolidated
material:
Method drilled f�
.Description
Date drilled a'y/,-i,-
,Water -bearing zones:
CASING. -
1) From —
Type SCA 90 PVC )=T/
2) From To
Length /D. ft. Dia(I.D.)_ein.
3)From - To
Length into bedrock ft.
Gravel pack well: dia.
Protective well seal:
i6TLYy/�
dia.
Screen:
Grout. . Other
ElSlot#
�D length �O from
/O to ZO
Static water level below land surface ? ft. Date
WELL TEST (production wells)
Drawdown ft. after pumping— hr. min. at gpm
How measured - Recovery ft. after— hr.—min.
LOG of FORMATIONS COMMENTS
0
Materials From To
,5KiN2- a Driller
Firm. F�YJ'IONI//��� /NEGc +�-yC iG4 hS e
Address Po 6,-y a7s'3
City/Town GF'�E/I /vs h/k/ /D/-1G 53
Supervising Driller Reg.# %, 7
BOARD OF HEALTH COPY