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HomeMy WebLinkAbout1225 IYANNOUGH ROAD/RTE 28 - Health 1225 IYANT.O:IJGhZD Hyannis ; A= 273 - OH O e Massachusetts Department of Environmental Protection 1 Bureau of Resource Protection ' pgt Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well Street Number: . Street Name: 0 1225 IYANOUGH ROAD Please specify well type: Building Lot#: Assessor's Map#: X Q Irrigation Assessor's Lot#: ZIP Code: 5 Number Of Wells: 02601 Cityrrown: Well Location tTy In public right-of-way: GPS II f Yes t'No� North: West: 41.67327 70.31016 Subdivision/Property/Description: Mailing Address: Ir click here if same as well location address Property Owner: Street Number: Street Name: CAPE CODDER RESOT 1225 IYANOUGH ROAD Citylrown: State: Engineering Firm: BARNSTABLE MASSACHUSETTS ZIP Code: 02601 Board of health permit obtained: t:°Yes C`Not Required Permit Number: Date Issued: W 2017 014 05/05/2017 r _ Massachusetts Department of Environmental Protection 4, Bureau of Resource Protection—'Well Driller Program a Well Completion Reports(General) f; f Well Driller - General Well Form DRILLING METHOD Overburden, Bedrock TM _ Choose Bedrock WELL LOG OVERBURDEN LITHOLOGY ° [Fr.m(ft) To(ft) Code Color Comment Drop in drill Extra fast or slow, Loss or addition stem drill rate of fluid 2 FFine To Coarse S ! Brown Fast Slow L f' YES ND Loss Addition (" (^ r r 20 40 Fine To Coarse S' Brown f7 Fast r Slow YES iO. Loss Addition Medium.S.....a...n............ Brow-n r f~ r r f'Fast!"Slow YES NO Loss Addition WELL LOG BEDROCK LITHOLOGY Loss or Extra From(ft) To(ft) Code Comment Drop in Extra fast or addition of Visible Rust Large drill stem slow drill rate fluid Staining Chip s Choose Code .�. r Yes) r°Yes) _- - YES NO Fast Slow Loss Addition ADDITIONAL WELL INFORMATION Developed ('Yes r No Disinfected a Yes r No] Total Well Depth 54 Depth to Bedrock Surface Seal Type lNoneracture Enhancement' f�'Yes f'No CASING r Is Casing above ground. From To Type Thickness Diameter Driveshoe olyviny!Chloride �chedule 40 Ye SCREEN r No Screen From To Type Slot Size Diameter 50 54 Stainless Steel Well Point 0.012 L4 WATER-BEARING ZONES r DRY WELL From To Yield(gpm) PERMANENT PUMP(IF AVAILABLE) Wire Constant Speed Pump Description � Horsepower Submersible 3 Pump Intake Depth(ft) 48 Nominal Pump Capacity(gpm) 35 Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of (gal) (count) Placement Choose Material t 0 Choose Material 0 —Choose OneAll WELL TEST DATA Time Pumped Pumping Level(ft Time To Recover Recovery(ft Date Method Yield(gpm) (HH:MM) BGS) (HH:MM) BGS) 05/22/2017 I Constant Rate Pump L> 12 1:30 38 0:01 t- WATER LEVEL ' Date Measured Static Depth BGS(ft) Flowing Rate(gpm) OS/22/2017 33 112 COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. WILLIAM Supervising Driller DESMOND, Monitoring[M] DrillerURQUHART Registration# 877 Signature PATRICK, DESMOND WELL Date Job Complete Firm DRILLING INC. Rig Permit# 024 os/o7/2017 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. CERTIFICATE OF ANALYSIS Page: 1 of 1 8 � Barnstable County Health Laboratory (M-MA009) �4"ds�_cHus � Report Prepared For: Report Dated: 5/24/2017 Sally Desmond Desmond Well Drilling Order No.: G1799677 P O Box 2783 Orleans, MA 02553 Laboratory ID#: 1799677-01 Description: Water-Drinking Water Sample#: Sample Location: 1225 lyannough Rd.Cape Codder Resort Collected: 05/22/2017 Collected by: DWD Received: 05/22/2017 Routine_M ITEM RESULT NU ITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 1.5 mg/L 0.10 10 EPA 300.0 LAP 5/23/2017 Iron ND mg/L 0.10 0.3 EPA 200.8 KK 5/24/2017 Manganese 0.076 mg/L 0.0030 0.050 EPA 200.8 KK 5/24/2017 pH 5.4 PH AT 25C NA 6.5-8.5 SM 4500-H-13 DCB 5122/2017 Sodium 60 mg/L 0.10 20 EPA 200.8 KK 5/24/2017 Total Coliform Absent PIA 0 0 SM 9223 RG 5/22/2017 Conductance 430 umohs/cm 2.0 SM 2510E DCB 5/2212,017 Sodium level Is above the maxium contaminant level. Those on a low sodium diet may wish to consult a physician. - - ..._......._............................ Attached please find the laboratory certified parameter list. Approved By:., (Lab Director) S/24-12 a/ b ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508.375.6605 No. 0 ap l 7 —0) Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppYication _for Yell Cou5tructiou permit Application is hereby made for a permit to Construct(✓), Alter( ), or Repair( an individual well at: Location-Address r Assessors Map and Parcel l y �ra�mo Qj .%do 0?-co I Owne AdIress r 2.Srnar�, W�111 1�r11��w tY1L P. a 13oX 21 g3 , 0 cUoms MA 6zb53 Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well yn S Wo P s r V C, Capacity 3 -' SPY+, Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certi Cate of Compliajjce has been issued by the Board of Health. Signed qlzs 1 Date' Application Approved By L5 ,, 7 Date Application Disapproved for the following reasons: � rr �7 Date Permit No. k;�j 1-7 Issued Date --------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(✓), Altered( ), or Repaired( by SVina�•� WQ,� �ri��\c�a �Y\�. Installer at Zz•J uAo n11 oLkkv f,,A "40.NYVVk7 has been installed in accordance with the provisl ns of the To of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.W,�t o 0 —G)L) Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector i r r No. W 7 ro) L Fee .�✓ BOARD'OFjHEALTH TOWN OF BARNSTABLE 01pplication _fdr Vell Couotructiou Permit ` Application is hereby made for a permit to Cori'struct4j, , Alter( ), or Repair( ) an individual well at: Location Address l 1 J 1 1/ 1 'Alssessors Map and Parcel tv\�j c �o ��c+� f IeA( t�nfi y44R �� I �c•�4v�u�i�'�� K� �lln\10 S , KkA 02-411 Owner Ad ress P.o. 1&3 Z-�K-i 0cbtn�,l MA aZ653 Installer-Driller Address Type of Building Dwelling i Other-Type of Building No. of Persons Type of Well �� S � 1�(� �w Capacity yr Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed �, n �.� 1-dzsh, Date " Application Approved B} S ✓cam, Date Application Disapproved for the following reasons: Date Permit No. 17 --0 19 Issued 5-15/ Date BOARD OF HEALTH TOWN OF BARNSTABLE _ Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(✓), Altered( ), or Repaired( by %I4 �� Jr�\\'Ca Installer at l 2_Z5 ucs,-,n c)�-,,A n KA � �- ,r nn�I has been installed in accordance with the provisions of the Torn of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. J —Gl L1 Dated i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEEXHAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Yell Construction Permit r >' No. u3i,qo 7 q Fee Permission is hereby granted to h-f(m(I)A \Ne. 1c,„I m l Installer J to Construct(✓), Alter( ), or Repair( an individual well at: No. I ZZ5 � ns Street as shown on the application for a Well Construction Permit No. �c 17 L' Dated Date 7 h 5 ��/ Approved ByCu L ,�-�'`' 1 BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rletl CongtructionPermit Application is hereby made for a permit to Construct Alter ( ), or Repair ( )an individual Well at: -------------------- ------- -` 3- --- --- - -- - - a _-o �---- -------------- �L/ Loccaation — Address ,1t�Assessors Ma/p aaLnd Parcel ------------p•-- x L.- ---Y!__� ---------------------------- — — !C c!W v ------=K--6*'------- ----------- -------------------------------- Owner Address --------- - d`—$ �``�-------'�-0-(� ------------[__=©` Installer — Driller Address Type of Building Dwelling kq o ' Other - Type of Building---------------------------------- No. of Persons------------------------------------------ Type of Well Capacity------------- ---------------------------- — Purpose of Well------- - 1�- ��-°��- ---- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of mpliance has b issued by the Board of Health. Signed --- - --- --- - - date Application Approved Bv� _ — date Application Disapproved for the following reasons:---------------------------------------------- ------------------_________ ------------------------- -—---------- -------------------------------------------------— - - - - ------ date Permit No. ------ r! ------ Issued ------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed , Altered ( ), or Repaired ( ) Installer at--------------- a S_---- �- —Z — ------------------------------------------------------------------------------------------ --- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit N12�"YY5,,* Dated -" ~ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- --— —-- —- -- -- Inspector--------------------------------------—--- ----— „-.- .. � ��''� 1' k._.may""`-.^1• +-,.i�°'`r�w--`.�-.,.,-,.err'^�t.• �-+"`"•�`(�x._ti....�,Mrr�'Y''.•-.t:.�.,,..��,t+-..v..xr.�,., #., ”. ��! �„�.., . y •. ' d Won 0 --------------- Fee--------------------- BOARD OF HEALTH TOWN OF- BARNSTABLE Application-*rletl CongtructionPermit Application is hereby made for a permit to Construct (4-p-Alter ( ), or Repair ( )an individual Well at: -----------------------1-d-A-5------- — 1-3 —--------------— Location — Address Assessors Map and Parcel ----------------------------- Owner Address Le'c'(( ----------- o`v_ 1 ------1 p-° a-5 - ' Installer — Driller Address Type of Building t Dwelling �0 � Other - Type of Building ------------------- No. of Persons---------------------------------------------- Type of Well—— (�='���- v-�` -��� c.t- Capacity------------------- Purpose of Well-------- I Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of pliance has b n issued by the Board of Health. Signed -- ---------------- date Application Approved B —--j— ------ -- — -- —� ------------ date Application Disapproved for the following reasons:------------------------------ ----------------------------------------------------—- - --—--- - date es. Permit No. --- -- Issued--- -- - — --- date sm.r.woimszs-se�:.�a+:.w.r..-�um.��_. -.:vv�+uv..vq..®- -mQ��sr+n.u..-�eir�ru.-u...-�.:aap-�.�.�r..rr-.re:eos ae.�o�n+r•w....a+w.,w.o:rr�.a�....r3.:3Ti�E'� a�*.-�..:.� BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance -THIS-IS TO CERTIFY,That the.Individual.Welt-Constructed (v)-,,,Altered ( ) =orgRepaired `• Installer .t"at ----------------------------------------------------------------------------------------- has been installed inrt ca cordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Re ulal n.as described in the application for Well Construction Permit No --- -- - Dated --~- g PP ----- �� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION„SATISFACTORY. —=----—------ ==— Inspector----------- ---------------------------— - --— - �.:...m-.�-.s,..®.�.,m-,..ram-.�..�.��.,�-...b.�.«.��.e....��. .��.�•�...�.�...�.�'�....�.,,.���;�..��_..,��.�.�-..o.�..a.. Z BOARD OF HEALTH TOWN OF BARNSTABLE Ve[I Con5truct ton Permit No. R�-- Fee Permission is hereby granted- --------_ to Construct (yj, Alter ( ), or Repair ( ) an Individual Well at: No. - - -C ------------------------ Sfreet as shown on the appl' at' for/ ell Construction Permit No. ------- .. ------- — — - ;Dated------- ° f.� - . --------- DATE:__ ,� Board of Health -71 �� '"� I � t ".-' „�.•/^- 'Jam" �,•.�,,,' Al.. 0 �, `, .� _( �' 2 Grp_ ��, � VV�� ..-• (, U r- ; M• � ,.1 , P. •`� .. - / l �• / %' �l�!I-�' � ` ,ter. it.•I ��;. • � . d• � 5".;.- wt Y t:k r , i � �!' Y' ,. / Al Y `'`... A ,r'..� ^''..�•�•••''����P'" �� 7 "0'000,01.11 < FLOW DESIGN DATA : SYSTEMS 2 ek, 12: EACH SERVING :20 MOTEL UNITS WITH w - TWO, PEOPLE IN EACH. 40 X- 60 r-2000 GALLONS PER DAY; ISO%Z3000 GALLON SEPTIC ,,TANK. AT 2 GALLONS R SQ. FT.- 1006 . SQ. FT. OF LEACHING. USE 4 PITS EACH. W TOTAL LEACHING WITH A So X 8' . LINER AND to OF. STONE W, W AREA 2 1009.48. SQ. FT. �w Z SYSTEM 22 UNtTS ,WITH 2 PEOPLE IN EACH. 44 X SO%. 2200 GALLONS PER DAY-1 ISO%:3300 GALLONS. us� 3500 0 z GALLON .SEPTIC TANK. AT 2 GALLONS MR SQ. FT.!C 1100 Z .SO. FT..,,'OF LEACHING. USE 3 PITS, EACH WTH A 13' X So (91 w LINER AND 3- OF' STONE.. TOTAL LEACHING AZ : 12 44' SQ. FT. A .ir C3 ix 00 6 - %0.\ .00 L 7 0 70.2 70.2 SYMBOLS: 40 w 00 METER) LEACHING PIT IRCUIT 3REAKER ' -SEPTIC TANK -ft.s %If\ r 0 'DISTRIBUTION BOX r ZCaLt 65 14 6,4 L v ;57- 0 70. 70.9 0 70.9 MOTEL 4 70.5 70.1 0 MOTEL L!b o WATER > SYSTEM 7% 0 0 30' 0.8 0 0 0 0 0 0 0 10-61 0 0 No.4 z 0 0 0 0 0 SYSTEM 0 W06 4 0 gi3.4 70.3 0 20, 0 TEST 70. Z x PIT 0 0 NO.A SYSTEM 0 - LO z m OOL 0 r 01 z 0 0 0 , 70.2 0 . 1 11 � 11 . , . ; I :I A", . I \ L\ I , ' . 24' -to-9 SYSTEM 72.1 0 io 0 NO. a 0 21 0 0 d PLAN 70.1 0 SYSTEM Io % NO.2 SCALE Ill 401 G) RELOCATED) z S �RE SHOWN 70.9 AND REPRESENT FEET 9 0 ELEVATION 0 j 20, ' 0 0 IX ABOVE AN ASSUMED DATUM (APPROXIMATF- . M-S- LJ -to. 30' o TO. 0 0 SHOWN PROPOSED FINISH GRADES ARE 0 r m 0 0 10 1 10 To- > TEST PIT 0 0 It 1410. 5 0z 0 30 10 lz -----------1 0 70.5 0 m 69.3 0 "STEM r 0 NO.9 o- 0 TOTAL PARCEL 11.2 to AREA bF LE 'WITS ISSO TEST PIT ALLOWAB NO. 2 0 2! ISO . , CTUAL UNI Ti -RAGE BUILDING C 04- 6.8% 0 0 0 HEIGHT 2 STORIES, PARKING ' RE IRED 204 SPACES 4, m L r of 10 on �' 1 40 L '010.10 , 3" SPACES Sl PARKING ::,!IAC AL GA �AS R METE 0 3 71.1 0 T ST PITX 0 ...... I� I I i mdI GREASE -4 JLTRAP TEST PI I Z z NO. 4 : '- No. 5 NO. I NO. 2 NO. ' �O SYSTEM 0 NO.I OMINISTRATION A r A =1RATO (RELOCATED) ROUND ,ELEvATION:� 0. BUILDING TRANS- FORMER,,/., - 0.4 .2500 GAL.� LOA LOAM ek SEPTIC TANK SUBSOIL SUBSOIL -07-1 SUBSOIL - 2. 0 SUBSOILd 71.S -2.3 SUBSOIL -2.4 01 100, HIT ?0!.0 LIGHT LIG .6 of di COARSE SANDY 22 ISANDY YELLOW LIGHT e GRAVEL dOARSE GRAVEL .0, SANDY SANDY OWL, YELL 71.0 GRAVEL 0, &2 GRAVEL I SANDY:z,� - 6.7 GRAVEL COARSE C ; 1. - 8.0 8.0 YELLOW CONCRETE WALK SE COARSE 40' SAND " SAND , -9.0 SAND COARS E COARSE cl WHITE" -9.8 WH ITIE NO To CONC. PAVEMENT w COARS C�;O,.-,0c HITE SAND W OV 1 0 SA 0 .1.2 40, W, -12.0 C, 4!� .0, FOUNTAI N M. 71.4 31.01 2 4" 600 ;2 E VERT I"t 44 POLE(:i�" M.H.B W _rE RE ROU 132