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Massachusetts Department of Conservation and Recreation
Office of Water Resources
Well Comg..et.ion Report
22-DEC-09 15:55:33
WELL LOCATION 2688$5
GPS North: 420 1.131, UPS West: -710 13.043'
Address: 68, Spring Street
Property Owner/Client: JES, Inc.
Subdivision Name:
Mailing Address: 5 Middlesex Avenue
City/Town: Mansfield
City/Town, State:Somerville MA
Assessors Map:
Assessors Lot #: Permit Number:
Hoard of Health permit. obtained: N
Date Issued:
Work Performed Proposed use
Drilling Method Overburden Drilling Method Bedrock
New Well Monitoring - 3 wells at this
location. Direct Push
CASING
From (ft) To (ft)
Type Thickness Diameter
.00 -7.00 PVC
Schedule 40 2.00
SCREEN
From (f t) To (ft)
Type Slot Size Diameter
'-7.00 -17.00 Slotted
PVC .010 2.00
WELL SEAL / FILTER PACK / ABANDONMENT MATERIAL
From (ft) To (ft)
Material Description Purpose
_. .00 .. __1 ......Concrete
Seal
-1.00 -5
Sand -Fill
.. 5..00, -6
-Bentonite Chips/Pellets .. -Seal
-6.00 -17
Sand .. _.. _ _..... ...Filter _... .. . _..
WELL TEST DATA (ALL SECTIONS MANDATORY FOR PRODUCTION WELLS)
Date Method Yield Time Pumped Pumping Level Time toRecoverRecovery
(GPM) (hrs & min) (Ft. BGS) (Hrs & Min) (Ft. BGS)
STATIC WATER LEVEL (ALL WELLS)
PERMANENT PUMP (IF AVAILABLE)
Date Depth Below Ground pump
Description:
Measured Surface (ft) Type:
Intake Depth:
12/21/2009 10
Nominal
Pump Capacity: Horsepower:
WELL DRILLER'S STATEMENT
ADDITIONAL WELL INFORMATION
Driller: Rich Banetti
Developed: No Fracture Enhancement:No
Supervisor: Richard C. Bonetti Rig #: 592
Disinfected: No Well Seal Type:Cement
Firm: Soil Exploration Corporation
Total Well Depth: 17.000 Depth to Bedrock:
Registration #: 682 Date Complete:12/21/2009
Comments:
OVERBURDEN
From To Description Color
Comment Water Loss/Add Drill Drill
(ft) (ft)
Zone of Fluid Stem, Drop. Rate
.00 17.00 Sand & Gravel .Brown
.Yes -N/A No - Fast
BEDROCK
From To Code- Comment Water ':Drill Extra Drill Rust Loss/ # of
(ft) (ft)
- Zone Stem Large Rate Stain Add of Frac
Drop per ft
1/1