90 NORTH ST e
I
f
A
AAM1� 4,Department of Environmental Management/Division of Water Resources
t WELL COMPLETION REPORT
WELLLOCAT .� �./ tf Oxy - GEOGRAPHIC DESCRIPTION '
Address /1t YAT
U. �� �� N S E W of ,
_ MP,A, tfmi lchetat
City/Town - L O�
well owner M e,A t
Addrsx ��� (/J�s - r"+-'(�i_1 ✓e N SE W of
771
. �x,J Q V I7n+(.M ttmhr fc8Cls1 .
Board of Haab permit obtained: yes:❑ no intersect. wJ
ka+dl
WELL USE WELL DATA
Domestic ❑ Public Industrial ❑ Total well depth..„_;_ft.
tyionitaring� Other- Depth to bedrock ft..
JGC L Water-bearing focktunconsogdate �atertat:
Method drilhid q - ! h / vi
Date drilled
Description Vt r IIh1 ( Y Sr
q C Water-bearing zo s: p
O
n 'TYPeCASfN I vit From � To
i Length —:_.R.Dia(I.D:1 r in. 2)From To
.� 3)From To
Length Into bedrock ft. _777'
r�
'- - Gravel pack well: dia. -
Protectivewell soal:
hh Screen: `/ 18.
Grout-El 6tlter All, e Siot'ral0 length/0 to
STATIC WATER LEVEL(all wells). . �7
Stette water Irival below land surface J' ft. Date - //-
r -q
WELL TEST(production wells)
Drawdownft. error pumping_.,_hr.—_min.at gpm '
How measured Recovery ft. after—hr. `-min. `
LOG of•FOHMATIONS. COMMENTS
tdJCKia6,. Frara Ta _ n
t k+/ Driller l C Aug r
Firm
Co0Address ' lc i er"/ ✓,d?4
A 010V 7
Cn3.
Supervising Driller 8eg.tl
?nK+nnnrr n
BOARD OF HEALTH COPY yy