HomeMy WebLinkAboutFrancis Ave. # 9 - 5/13/2002MANSFIELD BOARD OF HEALTH
APPLICATION FOR PERMIT TO DRILL WELL
Name
Addre
//0/ Locati
Registered
Well Driller: hIAYW,515
Address:
TYPE OF WELL:
oaS44'
Domestic Potable (for household -use)
Domestic Auxiliary (for watering, pools, etc.)
_ Industrial/Commercial Potable (for human consumption, including food processing)
_ Industrial/Commercial Auxiliary (for manufacturing, etc.)
Agricultural (for irrigationofland-in-the business -of agriculture)
Fee: _�k- Domestia$10.00 _ Industrial/Commercial $100.00 N/C Agricultural
Date: 6-- / S — (Jo2 Applicant Signature
PERMIT TO -DRILL WELL
The above application has been approved and permission is granted to drill a well for the
following -use at
Pomestie Potable (for household use)
_ Domestic Auxiliary (for watering, pools, etc.)
_ Industrial/Commercial Potable (for human consumption, including food processing)
_ Industrial/Commercial Auxiliary (for manufacturing, etc.)
_ Agricultural (for irrigation of land in theL business of agriculture) .-
Date: `� — ( C��1 Approved by:
Board of Health
NOTE: Electrical permit required; underground cable trench must be inspected
Upon Installation of well, call Department of Public Works office at
261-7331 to be added to well list
1 WIRO7r,(,HLABcj".TORIh'S, INC.
Alit CERT. NO.: M-AIA 063
449Idte..130
5antAvieh, AIA 02563
508 (888-64(50) Y-800-339-6460
TfLY (508) 888-6446
CLIENT: Waynes Well Drilling LOCATION: Francis Avenue
ADDRESS:
Mansfield, MA
COLLECTED BY: Allan/Envirotech SAMPLE DATE: 6/10/2002
WATER SAMPLE TYPE, New Well SAMPLE TIME: 10:30 AM
DATE RECEIVED: 6/10/2002
LAB I.D. #: 0206202
WELL SPECS.:
NA
RESULTS OF AAJA L YS/S:
Parameters
Units
Recommended
Results
Method
Date Analyzed
Limits
Coliform bacteria
/100ml
0
0
PH
pH units
6.5-8.5
6.69
9222 B
4500 H+
6/10/2002
6/10/2002
Conductance
Nitrate-N
umhos/cm
500
166
120.1
6/10/2002
Nitrite-N
mg/L
mg/L
10.0
1.00
0.06
300.0
6/10/2002
Sodium
mg/L
28.0
< 0.004
300.0
6/10/2002
Iron
mg/L
0.3
9.1
0.7
200.7
6/11/2002
Manganese
mg/L
0.05
0.298
200.7
6/11/2002
Potassium
mg/L
20.0
1.0
200.7
6/11/2002
Calcium
mg/L
N/A
20.7
200.7
6/11/2002
Magnesium
mg/L
N/A
2.6
200.7
6/11/2002
Hardness (as CaCO3)
mg/L
500
62.7
200.7
6/11/2002
Alkalinity
mg/L
200
49.0
200.7
6/11/2002
Sulfate
mg/L
250
24.1
2320 B
6/10/2002
Chloride
mg/L
250
7.7
300.0
6/10/2002
Color
APC units
15.0
< 5.0
300.0
2120 B
6/10/2002
6/10/2002
Turbidity
Free CO2
NTU
5.0
2.6
2130 B
6/10/2002
mg/L
50
47.3
4500-CO2 D
6/10/2002
COMMENTS:
Iron level is
not a health hazard.
Manganese is
not a health hazard, but may cause staining
problems.
WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING
FOR PARAMETERS TESTED.
PURPOSES
<=less than Date_����Z
>=greater than 4ab
ld J. Sa iTNTC=too numerous to count ratory i ctor
Department ofEnvironmental Management/Division of Water Resources
g WELL COMPLETION REPORT
GEOGRAPHIC DESCRIPTION
WELL LOCATION '
Address bask 0,iP i, dc' iti----� N S E W of
L i/ Ir I P719! 54.'j D,4'dC (feet) (clrcleJ
City(fown /h1,7f ;il (road
Weil owner i � i I/'C7` 1nOf��"
r!i2 nC s'�`%'' .. N S E W of
Address (mf. in repine) (Circle)
�vu�ti�ir Mii1 OZo9z.
f no u intersect. w/ (r
Board of Health permit obtained: yes yJ
WELL USE WELL DATA 2
Domestic El Public❑ Industrial❑ Total well depth ft'
Monitoring[] Other
f Depth to bedrock �� ft.
T/a--
Water -bearing rock/unconsolidated material:
Method drilled 'rf Description
Date drilled ��Water-bearing zones:
t) From To
CASING cl op 2)From Z/0 To 7Z
I, Type 'r'" Z� To
��0 3) From
Length _71--ft. Dia(I.D.)—In. dia.
Length into bedrock �� ft. Gravel pack well:
dia.
'Protective well seal: Screen:
Grout ❑ Other W ( Slot# length from —to
STATIC WATER LEVEL (all wells) / /� ,U 2
q -----
. Static water level below land surface ft. Dated
ace_1--
WELL -TEST (production wells) S;0
30 ft.. after pumping hr. min. at L--gPm
Drawdown �����
Howmeasured Recovery
-ia ft. after�.f- hr, min.
i of FORMATIONS .""""
F7r
Driller.—
Firm j
Address