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1387 DEP Report 4-25-18 Massachusetts Department of Environmental Protection `■`\. Bureau of Resource Protection GENERAL WELL REPORT Note:GPS coordinates must be in WGS84 datum, in degrees. decimal degree format. 1;WELL:LOCATION j GPS(Required) North- a •Q_4,D �_ Z_° West-i2_2 L 77��°� Address at Wen Location /3 t 7 it/es t Hite /plvn /Sy L troperty Owner e A ,o Al ✓J/'rM rid SubdMslon/Property Description D Engineering Flmm city/Town Al Da *1i itflop'Fria? Mailing Address Rs(-7 M/I.ct /fIf/t12 y-an /Z Assessors Map Assessors Lot# City/rown JVaIa T{,A-Ay;41, State AV O/O(J Board of Health permit obtained 94es ❑Not Required Permit Number (C tf/i",lo I g-0 iSvtate Issued Y(J die 2.WORKPERFORME`OI°!:•, .6:WE44014,11li 'ii M tF10o 6.Ado6WNALWELLlNPORM11ON n © eves Overburden 1 Bedrock Developed ❑VO � ® © JOFracture Y '�NEnhancement ❑ 5.WELL MY OVERBURDEN UTHOLOGY Extra ,--,/ Surface Seal Drop Fast orSlow �ticn Disinfected U✓ Y ❑N �,� From (if) Code Coke Comment Stem Drill Rate of Fluid Total Well Depth to _r 1) 4 ' I-- DY giN ItiF IDS OL ZA Depth ffa3 r Bedrock b ❑YDN OF OS pi. CIA islAtANG,',: ❑V ON ❑F OS CIL D A From To Type' I Thickness Diameter ❑VON OF OS CIL OA O '{/ ' ,q,t.LJ /7rc ( r. ❑YDN Drips ❑LDA � ❑YON FDS LDA s:;§-REEK. O Y ON OF CS IDL DA From To - 'I TypeSlot Size Diameter ❑YON ❑FOS OLill UI u I,, S.WELL LOO) BEDROCK LITHOLOGY Extra Drop Extra Fast or Lou MaleMale ❑❑❑ es Fran To In Drill large Slow Addition Rust p'I LYER4EAhING ZONES (e) (g) Code Comment Stem Chips Drill of Fluid Staining I 1 fate 1 1 From To Yield(gam) 5' yo 56 J fnic4 ❑YI=///I222ssn OTO/I ❑SOLdAOYCJN Yob ' V,.) ? ' S- 40 ' iod SC ' MIC4 DY DY®J� ❑BOLL/�DYFIN Err,' 1110' C. ., on c4 ❑Y NOY[QN FOSOLIjAOYVIN .g n' ,Rho',SC v Ai c4 ❑Y ([J}N1DYry��1(N ❑SOLp4p//�IAOVOKN 1,,„&0:itan NTRUMP(IF AVAILABLE) 301-1 (OD 5C + al0CA DV,�� NDY6N ❑SOL(yAOY Pump r(nn 4a3' 15C, v m ,= YOt000E r 1 4 DND YON FDSOL AOY N Description Horsepower DYDNDYONOFOSOLDA❑YDN Pump Intake Nominal ❑VDNDYONDFDSDLOAO VON Depth Pump R Capacity gpm 11.ANNULPJSEl6CEILTERPACK ,r I p ;hdEYITHERTiAEINFORMAT1Ot1(Opt•:Open'Loop only) From To Material I Weight Material2 Weight Water(gal) Batches Method°f Thermal Thermal Formation Placement ConduGNity Diffusivity Water — (BTU/hcfb°F) (6/day) Temperature(°F) JN _ DEP Semple taken from well Y O 19.WELLTEST oat-- J:'_.° i„ t4.WATER'LEVEL Date Method Yield(GPM) lime Pumped Pumping Levy Time to Recover Recovery Date State Flowing (hrs) (min) (ft BGS) Mrs) (min) (ft SOS) Measured Depth BGS(ft) Rate(gpm) — SIICI(x c e2oo gg13 ' SC e?yo ' .5-AdeI 9 ' It COMMENTS, 16.WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this /� I /r report is complete and accurate to the best of kit a. Driller 7�OY1Pd I lr'�u�l P1 Supervising Driller Signature Iv-'^' F""'�-✓1 Certification If 7 °( r Company,...•a.rrT;"t1T V;1 I r'' £T...... 71£1.L C9, It t. Date JobComplete 7/..57/r Rig Permit ,S (, t.