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If you need help, please call 802-828-1535
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Date Well Was Completed: 09-17-2020
Date Report Received: 09-28-2020
Well Driller License Number: WellDrillerID: 165
A. Richard Purchase, Johnson Artesian Well Drilling Co.
Drilled By: Ezra Cushing    
Well Report Number: 58208
Well Number/Tag Number: 58208
Comments:
Town: Brookline
Map Cell:
Tax Map:
E-911 Address: 268 Grassy Brook Road
Sub Division:
Lot Number:
Owners
Last NameFirst NameOwner Status
DerocherCrystalCurrent Owner
Purchaser's First Name:
Purchaser's Last Name:
Well Use Code: 01 = Domestic
Reason for Well Code: 2 = Replace existing supply
Drilling Equipment Code:
Total Depth of Well (in feet): 460.00
Yield (in GPM): 60.00
Yield Test Tested For (in hours): 1.00
Static Water Level (in feet): 40.00
Well Is Overflowing: N
Date Measured: 09/21/2020
Depth To Bedrock (in feet): 14.00
Total Casing Length (in feet): 30.00
Casing Diameter (in inches): 6.00
Casing Length Below Land Surface (in feet): 0.00
Casing Length Exposed (in feet): 2.00
Casing Material: 1 = Steel
Casing Weight (in lbs/foot): 19.00
Casing Finish Code:
Length of Liner used (in feet):
Liner Diameter (in inches):
Liner Material:
Liner Weight (in lbs/foot):
Liner Type:
Grout Type: 4 = Clay/Seal Bentonite
Seal Type:
Diameter Drilled In Bedrock (in inches): 0.00
Depth Drilled In Bedrock (in feet): 0.00
Screen Make and Type:
Screen Material:
Screen Length (in feet): 0.00
Screen Diameter (in inches):
Screen Slot Size (in inches):
Depth to top of Screen below land surface (in feet):
Gravel Size or Type:
Method of Sealing Casing Code: 1 = Drive shoe only
Yield Test Method Code:
Well Development Code:
Not Steel Casing: N
Has Water Been Analyzed N
Well Has Screen: N
AW Partial: N
Unique GIS Name: B458208
Latitude: 42.99243    
Longitude: -72.62259    
Well Not Visible At Latitude/Longitude: N
Location Determination Method: 14 = GPS location
Well Type: Bedrock
Depth To Liner Top (in feet):
HydroFractured: N
Hydro Fractured Resulting Flow (GPM):
Well Location Submitted As A Dot On A Map: N
Abandoned Per Water Supply Rule: N    
Date Of Abandonment:    
Reason For Abandonment:    
Well Driller Supervising Abandonment:    
Date Of Deepening or Hydrofracture:    
Well Driller Deepened/Fractured:    
Provided VDH Info To Owner: Y    
Signed Form: Y    
Well Status: Available For Use    
A
UOE: Heather.Campbell
DOE: 11/30/2020 2:12:42 PM
UOC:
DOC:
WellReportID: 120453
If you need help, please call 802-828-1535
Lithology
Starting DepthEnding DepthWater BearingLithology CodeCode DescriptionLithology DescriptionRock Type
View0.0014.000GGravelloose 
View14.00300.000RRock, bedrock, ledgew/schistGranite
View300.00400.000RRock, bedrock, ledge  
View400.00460.000RRock, bedrock, ledgew/quartzGranite
If you need help, please call 802-828-1535
Deepened/HydroFractured
No Records Found
If you need help, please call 802-828-1535
Closure Log
No Records Found
If you need help, please call 802-828-1535
Change Log
No Records Found
If you need help, please call 802-828-1535
 
       
   
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