The URL can be used to link to this page

Home My WebLink About0333 IYANNOUGH ROAD/RTE 28 - Health ou I�Road 333 Y. . 9 A.= 328—068 Hya'nnis �ta a 1 o ! 4 h �i n 6 i I e.7 Massachusetts Department of Environmental Protection LI-I )v Bureau of Resource Protection 2 WELL DRILLER Please specify work performed: Address at well location: New Well Street Number: Street Name: 333 =,R IYANOUGH ROAD Please specify well type: Building Lot#: Assessor's Map#: Irrigation �--7 F— �. Assessor's Lot#: ZIP Code: Number Of Wells: 1 102601 City/rown: Well Location BARNSTABLE In public right-of-way: GPS r�i Yes r��.No North: West: 41.66259 - 1 170.28244 —� Subdivision/Property/Description: Mailing Address: C click here if same as well location addres Property Owner: Street-Number: Street Name: HOLLY MANAGEMENT r'297 NORTH STREET L City/Town: State: Engineering Firm: JHYANNIS j MASSACHUSETTS . ZIP Code: 02601 Board of health permit obtained: fjr Yes 11t Not Required Permit Number: Date Issued: W2012 015 7/1/2012 --� M CD W t,:,J .3 ti Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRIWNG METHOD Overburden_ Bedrock (Auger �--Choose Bedrock WELL LOG OVERBURDEN LITHOLOGY From To(ft) Code Color Comment Drop in Extra fast or slow Loss or addition of (ft) drill stem drill rate fluid 20 Fine To Coarse Sand I Brown Ye r)s Fast rje Siow rit Loss rm Addition 20 40 Fine To Coarse Sand Brown , Ye ij,i Fast T,n Siow rJa,Loss j Addition F4O7 45 Fine To Coarse Sand Brown , Ye T)Iq Fast if,Slow Addition WELL LOG BEDROCK LITHOLOGY Visible Extra From Drop in Extra fast or slow Loss or addition of To(ft) Code Comment Rust Large (ft) drill stem drill rate fluid Staining Chips Choose Code Ye rjtt Fast sj,Slow Ji Loss tjai Addition ADDITIONAL WELL INFORMATION Developed jt Yes }Jt No Disinfected T ,Yes tJ,No Total Well Depth 145 —� Depth to Bedrock Fracture - --- --- Surface Seal Type None Enhancement r)t Yes rat No CASING 6 Is Casing above ground From To Type Thickness Diameter Driveshoe 0� 42 Fiyvinyl Chloride 1 ISchedule 40 Ye SCREEN c No Scree From To Type Slot Size Diameter 42 45 IStainless Steel Well Point 0.012 WATER-BEARING ZONES DRY WEL From To Yield(gpm) 22 45 12 PERMANENT PUMP(IF AVAILABLE) 2 Wire Constant Speed Pump Description Submersible Horsepower 11 Pump Intake Depth(ft) 141 1 Nominal Pump Capacity(gpm) 120 I 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 Placement (gal) Choose Material ---] F7 lChoose Material Choose One-� WELL TEST DATA Time Pumping Time To Recovery(it Date Method Yield(gpm) Pumped Level (it Recover BGS) (HH:MM) BGS) (HH:MM) .F7/5120127, Constant Rate Pump j 112 1:00 124 0:01 JZ4 WATER LEVEL Date Measured Static Depth BGS (it) Flowing Rate(gpm) 7/5/2012 122 1 112 !� 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 a knowledge. Driller JPATRICKDESMOND 7 Registration# 1877 - 1 Monitoring[M] Supervising Drill . Firm I DESMOND WELL DRI Rig Permit# 1024 Date Job Compl 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 Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 7/12/2012 Sally Desmond Desmond Well Drilling Order No.: G1269064 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1269064-01 Description: Water-Brinkin . Sample#: Sample Location: -B3 lyannough Rd. Hyannis, MA 3 Collected: 07/06/2012 Collected by: Customer �33 Received: 07/06/2012 i Routine ITEM RESULT UNITS RL MCL METHOD# TESTED I Nitrate as Nitrogen 2.2 mg/L 0.10 10 EPA 300.0 7/6/2012 i Copper ND mg/L 0.10 1.3 SM 3111E 7/9/2012 Iron ND mg/L 0.10 0.3 SM 3111E 7/9/2012 pH 6.1 PH AT 25C NA 6.5-8.5 SM 4500-H-13 7/6/2012 Sodium 120 mg/L 1.0 20 SM 3111E 7/11/2012 Total Coliform 0 /100mL 0 0 SM9222B 7/6/2012 Conductance 760 umohs/cm 2.0 EPA 120.1 7/6/2012 Sodium level is above the maxium contaminant level. Those on a low sodium diet may wish to concult a physician. Attached please find the laboratory certified parameter list. Approved By: (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 No.---------------- Fee- ----- --------- BOARD OF HEALTH TOWN OF BARNSTABLE DESMOND WELL DRILLING,NC. 5 RAYBER ROAD,BOX 2783 Pplicat ion-for Well Cootruction3permit ORLEANS,MA 02653 (508)240-1000 Application is hereby made for a permit to Construct Alter ( ), or Repair ( )an individual Well at: ,33 i L atton — Address-- — Assessors Map and Parcel r� Ns�Al T— —--- �+ r Add Installer — Driller Address Type of Building Dwelling—, -—------ -- Other - Type of Building No. of Persons---:::�---------_ Type of Well 4� u0949LW Capacity Purpose of Well---Z"�&i1A6-J---_---__ 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 DfiCompliance has been issued by the Board of Health. Signed ------------- _—(rT' -/oL_ �� Q® date Application Approved By " '---vL ,tl�� _!'� —_— t date Application Disapproved for the following reasons: -- - --------------------- --- --- date Permit No. Issued -- ��--� ----------------- date BOARD OF HEALTH DESMOND WELL DRILLING, INc.T O W N OF B A R N S T A B L E 5 RAYBER ROAD,BOX 2783 OR MA 02653 (508)2 40-1000 (Certificate Of CAmpliance (508)2 THIS 7IIS TO CERTIFY, That the Individual Well Constructed (VI, Altered ( ), or Repaired ( ) by- AV CV - Installer at•�` ,�NOu.. , �i�ir�. has been installe in accord9ce with the provisiqaof the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ---------_-_Dated-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE -- Inspector—_------ ------- -------- ' I az No.- a` o Fee- ------------ BOARD OF HEALTH TOWN OF BARNSTABLE application i or Well Conf5truct ion Permit Application is hereby made for a permi/t/to Construct (✓r, Alter ( ), or.Repair ( )an'individual Well at: -1A N)U i.A ff GL — LZiY/✓ -- —�}�O 33 - , - --- I ~ - -�--- -- Location — Address Assessors Map and Parcel ��v�rPlAl w6e� ��4�Pr,_,P,�T — a9� far �._ �fv��,s twiner— T— _— Adds —-- - Installer - Driller Address Type of Building `^ Dwelling-- -_- r Oiher - Type of Building No. of Persons--' � cD,o�G - ,�iUt3i�Ga��,�G /_-/_5.�� Type of•Well —_—_-------- ---� Capacity---�--- -------------- ,j(" Purpose of Well-- tc?h 1/6 w 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 Compliance has been issued by the Board of Health. Signed date Application Approved By " '%A1kJ(_ AC-��'�-_—__------- / �-� date Application Disapproved for the following reasons: -- ------------------------------------------------- date Permit No.--- !1 4/ Issued—__ _`-� (0 , a�`- -------- - -- --- � — date -- - -- ----------------------------------------- BOARD OF HEALTH TOWN OF . BARNSTABLE Certificate ®f' Compliance THIS.IS TO CERTIFY, That the Individual Well Constructed ('), Altered ( }, or Repaired ( ) by� -- ---- -- ----�_..Zi,L:---------------- Installer at37 y�1/UDo �i _ t� �7fi�.. has been installed�n accordan�th the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. _—_—___—___Dated--------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- -- - Inspector-- -- --- - ____-- --- - ---------- --------------------. - ------------ ---- ------------------------ BOARD OF HEALTH TOWN OF BARNSTABLE Well ConaructionVermit No'L U t �v_c Fee Permission is hereby granted � 6lg>6n01 Ae// 4.e iGG//�ti - _'c_______ i to Construct Alter(v), Alter ( ), or Repair ( ) an Individual Well at: No.— _�� /� U�J _1�—l0 fir/✓� S /'/ Street as shown on the application for a Well Construction Permit �a/ r No.- --__ Dated-_ 6 (aL�( C) C f J C Board of Health DATE--�,-"`�! r Fee------�`-_'----- BOARD OF HEALTH TOWN OF BARNSTABLE Application,for Well Con0ructionVermit Application is hereby made for perm t t Co t ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel a ---- _ kv Owner Addres —— Installer — Driller —_� Address Type of Building Dwelling -- ___ -— -- -- —-- -- Other - Type of Building—=---—__—____- No. of Persons------- "rf - Type of Well `- Capacity---------—--- ——_— Purpose of Well-- 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 Compliance has been issued by the Board of Health. �f Sig -----_— -- '" —//— date Application Approved B -- - —_--__—--— -- �� date Application Disapproved for the following reasons: -------------_-------- -- -- date i Permit,No d �,l L"" — -— Issued----- - � — �—------- ------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance -E rr( � THIS IS TO CERTIFY, Th the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by— - = - - -- --- _--__- --.-----. ----.---------------- installer at 4f q 5.31 rial has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protec ion r . \, Regulation as described in the application for Well Construction Permit No rte—�i 0 Dated �1� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A%GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE ___ — __ Inspector ------____-- No.— -- -�-�-a Fee----- ---- BOARD OF HEALTH TOWN OF BARNSTABLE Application-for Well Co0tructionVermit rLL--1 Application is hereby made for perm t t Con t ( ), Alter °Repair (- a)anindvidualtWell'-at: ! yyLocahon Address Assessors Map and Parcel —Jr Avv ✓ t; 4 Owner r / ` Addres Ii P jV lnstaller=Dhiller Q 1f l C7-w sr tt *� Type of Building Dwelling -- !— - -- —-- — Other - Type of Building—=---__—____— No. of Persons- Type of Well' ' lu r L-L 1- Capacity Purpose of Well---=d- ' 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 1 place the'well in operation until a Certificate .of Compliance has been issued by the Board of Health. Sign d. _1��f', '%►'n!_ - / '!_ Application Approved Ba fi\ —, 7 ld ate Application Disapproved for the following reasons: date Permit No Issued--- -�_ date h -------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THISJS TO CERTIFY That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) k at__ 3 .' s -- Nf' iUD f - ---------- --- --- - 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 No W__: C 1-29-:Dated_�Z THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. r DATE --- _ Inspector----------______-- ------____-- BOARD OF,H,EALTH TOWN OF BARNSTABLE Well Con0ruct ion Permit No. L Fee—Permission is is hereby ranted to Construct (V-)';Alter ( ), or Repair ( ) an individ Well at: No. —. _�_ _---�_ - -----,� — -— ---------------------------------- U Sireet as shown on the application for a Well Construction Permit No.- Dated----__-- ----- --------------- - --------------- DATE �-" Board of Health — �,� �I:_____�_ -_--