HomeMy WebLinkAboutForbes Blvd. #110 - 1/9/19924' De PdrtmePt_Of Environmental Management/Division of Water Resources
iw '' qf" «. WATER YIIE.LL COMPLETION REPORT"
WELL LO IONS 'I-'7. GEOGRAPHIC DESCRIPTION'
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Address ��� :; p'fll J ( N s4,
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I Well owner (' f {�
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Address 1 cI. A (e,, n tear l (ctrcle)
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Board of Health permit: yes ❑
no>` intersect w/CArroadl
WELL USE - WELL DATA
Domestic [] Public ❑ Industrial ❑
Total well depth DD ft.
Monitoring,a Other Depth to bedrock � ft. _
/ Water -bearing rock/u ncon og rat?d materia l
Method drilled �l
ll ! A /9 Description r <a j'
Date drilled ! '/ Water -bearing zon'-'�.)
CASING. � Ll tl From
To 1 j
Type f/ V 1. -� 2) From To
Length-,LZ)--ft. Dia(.I.D.)—in• - 3) From To r� "
Length into bedrock_------- ft.
_,ravel'pabwAll •dia. T� i
Protective well seat: /' Screen: ✓� h/ dia!
� M 7i Slotr 10 th�from6t0�
Grout_0 Others r .
WELL TEST.
'Static water level below land surface ft. Date
L n
Drawdown--ft. after pumping_hr.--min. at ' 9P _
II How measured
- ar_hr. min.
Recovery ft. aft
LOG of FORMATIONS COMMENTSis
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Materials From To
I - � Driller
Mass. Registration' _
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Addressff/� u J
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I i City/Too J •A J/
Sr nature al su ervlsln re isteredr4ell driller
aadnrnrmly BOARD OF HEALTH COPY ' -