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1091 DEP Report 6-20-18 ' Massachusetts Department of Environmental Protection •0 Bureau of Resource Protection GENERAL WELL REPORT Note:GPS coordinates must be In W0884 datum, in degrees. decimal dowse format 1444jGPS(Required) North '4 a.a B_ ( r j° West .2 .. )a a.2.° Address at Well Location \C CI l l A Af2C4lan VYm QtC 1\ e(\ 0 Property Omer -1-Pi{1 l I (,i len So n SubdMSion/Properly Description 0 Engineering Firm J City/Town :(finV-4Y1C1 V t ( DyA MamngAddress ,3RR Ik)2ectL 'Y\ icnit(\ CA Assessors Map Aaeassoyre Lot# CmRmw 1\("VA kVA m A sate fV\& Board of Heath permit obtained laces 0 Not Required Permit Number Date Issued 10 19 (-- I t 2:vibrieftwasiPngiitng I ... _ 4 kB,a`AIjG, 1 W E.WELL s 710NIu ,.: I/v I © r— © niiii Overburden Bedrock Developed ❑V �N Fn enc y dN ;3w1 I�/l ® lel i,) Enhancemem YY,1 L ,L.yy OVERBURDEN LRHOLOOV Drop in Extra 1•=Llan« Disinfected [„� IDN Surface Seal � ® DNI Addition Type From(a) (fl) Cede Cuter Comment Stem) D(il Rete of Fluid C I(0 T auk N ❑F cgs ❑L QA Depth Bedrock 'ICr) tool \IUo r DV ON DFdS DL0A 7r Na C Y m N D F tog D L [IA From To Typo Thickness Diameter DYt7IN OF DIS DLQ•A 0 \Lill 4I IL 'e I1 toIi DY LIN DFdS CL2A JJ- DV ©N DF giS DL IlA SSZEENL ., :-t. , , OV ON OF OS DL 0A From To Type Slot Sbe Diameter Che ON OF DS DL DA �„------ ail.__ IL VVELGEGGII BEDROCK LITNOLOGY Extra ant . Drop Extra Fast or Loss or Visible From To In Drill Large Slow Addebn Rust . oarNO]ANES re) pp Code Comment Stem Chlq Dtla atFIUN StalnNg """�"` n."asr _ . . Rate From To Yield(Bpm) ,Ito all() SS 9 4c DVLrINDYI'NLLFDSDLviADV'N clic, (' ( i '.-3 •).J ,3 -\L,: 53DYQ]NDVI4NLfFDSDLoADYasi ',\L LII,. Sci DYIaNDY[JNId`p DSDLIaADVQ1ii UI0 =,C"155 DYm NCYIi N6 F D S D L R A D Y 211.41 y1Ej�NlWr„APNT PUMP OF i1KAILABLEI. ScnD7�1 (col AN DVfNDY( N�FDSDLDADVD'N Pump ❑❑❑E Horsepower (c / i Con/ (C✓ly' DYND YIpJ/ N CF'SDL gADY 'N Description (fad ) ('$ ) I DYDNDYDNDFDSDLDADYDN Pump intake Nominal ❑VCNCVDNDFOsDLDADYDN Depth Pump --)D2) gy}3 Gig 1 ft Capacity gpm 11.ANNUL'$81S TER'PAC11C );'.f, - li :'. '. =M Y; ,.le4l,OEONJMBRBTAL INFORMATJON(Opt,Open Looponly) From To Material l Weight Matelot 2 Weight Water(gal) Batches Method of Thermal Thermal Formation Pleooment conductivity Diffusivity Water E (BTU/hr•R°F) (fl/day) Temperature(F) LDEP DIG* Sample taken from this well 0 Y DN d; :(I,•; 14:WA1'BPLEVEL Date MethodYield(OPM) Time Pumped pumping Leval Time to Recover Recovery Date Static Flowing (h rs (mat) (a DOS) (hrs) (min) (a BGS) Measured Depth BOs(a) Rate(ppm) (r\2ok � H 3. oc R;),3 icS u,--7t 11316 (co ' 15 it w..;'', 1-,L11, , Thls well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this n" ')D� 'i report is complete and accurate to the best oo my kknnowled/ge Driller �Yx C Y t (OI t A. S Supervising Driller Signature IL.� 9,jKx .... certification# -7 CIc) Company CONNECTICUT VALLEY ARNSI.\S WCI L CO.NC Date Job Complete 1 I\t I\si Rig Permit# 5 P