WATER WELL COMPLETION REPORT - CORNER OF LORING AVENUE & CANAL STREET (RTE 114) a'6 Department of Environmental Management/Division of Water Resources
WATER WELL COMPLETION REPORT
WELL LOCATIONd ,) GEOGRAPHIC DESCRIPTION
Address n /,�'7 . 4; ���
/C- NOS E W of
!/eerl Icirclel
City/Town <11 L
Well owner IZ ? 7 ✓�S t ..l r.-G lroadl
Address U ! N S E W of
S A) ^A (mi.in tenmsl W"10E] D
bcl
Board of Health permit: yes no — urrersect. w/ 1n.0 1 'r Cr
road/
WELL USE WELL DATA
Domestic ❑ Public❑ Industrial ❑ Total well depth ( Z ft.
Moriitoring-O�Other Depth to bedrock ft.
f/ Waler-bearing rock/unconsolidated material:
Method drilled e�
r
Description (I '+S/: i,ioW•�
Date drilled /
Waterbearing zones:
CASING
Type py L 1) From ?_-. To �--
From-To-
Length t ft. Dia),I.D.) 2' in.. 3) From To
Length into bedrock ft. Gravel pack well: dia.
Protective well seal:
Screen: `dia.
Grout-0 Other; Sl of*_, length/f) from// 7 to?--
WELL TEST 1 L
Static water level below land surface ft. Date _
Drawdown ft. after pumping hr. min.at / gpm
How measured Recovery ft. after —hr.—min.
0
LOG of FORMATIONS COM'7MENTS
Materials From To Z
Driller
! Mass. Registration# y_3.4i1
Firm 17 t-i
— , r- le
Address
City/Town t—,2 .4•a.- rtCs lT -roc-, fJ/}
Si natwe o/s, ervising r istemd welt driller
Aleam print firmly BOARD OF HEALTH COPY
-_-_
...
. ��� �
1992
EAA� 1 0 0
^1`4� Og a�F�
r .ltd. �