|
If you need help, please call 802-828-1535
|
|
|
Links To Any Scanned Documents:
|
|
|
|
If you need help, please call 802-828-1535
|
|
|
Date Well Was Completed:
|
03-26-2024
|
|
|
Date Report Received:
|
03-28-2024
|
|
|
Well Driller License Number:
|
OPR License: 165.0000057
WellDrillerID: 224
Clarence Gould Jr, Gould & Sons Well Drilling
|
|
|
Drilled By:
|
Clarence Gould Jr
|
|
Well Report Number:
|
68004
|
|
|
Well Number/Tag Number:
|
68004
|
|
|
Comments:
|
Existing well in basement to be decommisioned
|
|
|
Town:
|
Manchester
|
|
|
Map Cell:
|
|
|
|
Tax Map:
|
|
|
|
E-911 Address:
|
144 Beech St
|
|
|
Sub Division:
|
|
|
|
Lot Number:
|
|
|
|
Owners
|
| Conway | Catherine | Current Owner |
|
|
Purchaser's First Name:
|
|
|
|
Purchaser's Last Name:
|
|
|
|
Well Use Code:
|
01 = Domestic
|
|
|
Reason for Well Code:
|
16 = Replace Existing Supply - Does Not Meet Isolation Distances
|
|
|
Drilling Equipment Code:
|
|
|
|
Total Depth of Well (in feet):
|
340.00
|
|
|
Yield (in GPM):
|
30.00
|
|
|
Yield Test Tested For (in hours):
|
3.00
|
|
|
Static Water Level (in feet):
|
35.00
|
|
|
Well Is Overflowing:
|
N
|
|
|
Date Measured:
|
03/27/2024
|
|
|
Depth To Bedrock (in feet):
|
96.00
|
|
|
Total Casing Length (in feet):
|
112.00
|
|
|
Casing Diameter (in inches):
|
6.00
|
|
|
Casing Length Below Land Surface (in feet):
|
0.00
|
|
|
Casing Length Exposed (in feet):
|
2.50
|
|
|
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:
|
|
|
|
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:
|
MC68004
|
|
|
Latitude:
|
43.20137
|
|
Longitude:
|
-73.02280
|
|
Well Not Visible At Latitude/Longitude:
|
N
|
|
|
Location Determination Method:
|
13 = E911 Address
|
|
|
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:
|
N
|
|
Well Status:
|
Available For Use
|
|
|
A
|
|
UOE:
|
nForms
|
|
DOE:
|
12/10/2025 9:25:04 AM
|
|
UOC:
|
Julia.Beaudoin
|
|
DOC:
|
12/10/2025 9:29:26 AM
|
|
WellReportID:
|
129001
|
|
If you need help, please call 802-828-1535
|
|
|
Lithology
|
| View | 0.00 | 96.00 | | BC | Clay and boulders | Clay and Boulders | |
| View | 96.00 | 340.00 | | R | Rock, bedrock, ledge | Rock, Bedrock, Ledge | Marble/limestone |
|
|
If you need help, please call 802-828-1535
|
|
|
Deepened/HydroFractured
|
|
|
If you need help, please call 802-828-1535
|
|
|
Closure Log
|
|
|
If you need help, please call 802-828-1535
|
|
|
Change Log
|
| 12/10/2025 9:29:26 AM | Julia.Beaudoin | Longitude | -73.0228000000000 | -73.1236100000000 |
| 12/10/2025 9:29:26 AM | Julia.Beaudoin | LocationDeterminationMethod | 13 | 14 |
| 12/10/2025 9:29:26 AM | Julia.Beaudoin | Latitude | 43.2013700000000 | 43.2192600000000 |
| 12/10/2025 9:29:26 AM | Julia.Beaudoin | DepthDrilledinBedrock | 0.0000000000000 | 244.0000000000000 |
|
|
If you need help, please call 802-828-1535
|
|
