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Home My WebLink About0117 STRAIGHTWAY - Health -r 117 Straightway A = 268 214 �h �j v EAWROTECHLABORATORIES,INC. MA CERT:NO.:M-MA 063 449 Rte.130 Sandwtich, MA 02963 908(888-6460) 1-800 339-6460 FAX(908)888-6446 CLIENT. De Melo Bros., Inc. LOCATION. 117 Straightway ADDRESS: 91 Flint St. Hyannis, MA Marstons Mills, MA 02648 COLLECTED BY.• Desmond Wells SAMPLE DATE: 4/8/2002 SAMPLE TIME: 4:OOPM WATER SAMPLE TYPE: New Well/Irrigation DATE RECEIVED: 4/9/2002 LAB I.D. #: 0204163 WELL SPECS.: NA RESULTS OFANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B• 4/9/2002 pH pH units 6.5-8.5 6.05 4500 H+ 4/9/2002 Conductance umhos/cm 500 277 120.1 4/9/2002 Nitrate-N mg/L 10.0 10.6 300.0 4/9/2002 Nitrite-N mg/L 1.00 < 0.004 300.0 4/9/2002 Sodium mg/L 28.0 35.7 200.7 4/10/2002 Iron mg/L 0.3 < 0.1 200.7 4/10/2002 Manganese mg/L 0.05 0.584 200.7 4/10/2002 COMMENTS: pH is below recommended limit and may have corrosive characteristics. Manganese may cause staining to buildings&walkways. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR IRRIGATION PURPOSES FOR PARAMETERS TESTED. <=less than Date //A L >=greater than R nald J. Saar" TNTC=too numerous to count Laboratory Director N.. Fee BOARD OF HEALTH TOWN OF BARNSTABLE Zipplicat ion-for lVell Con5truct ion Permit Application is hereby made for a permit to Construct ", ter or Repair ( )an individual Well at: '7 5 4Location0-S XddAddressAssessors Map and Parcel 4!�� S'7- 1;7 C 7-0 10 177 4S Owner Address ------------- Installer - Driller Ad ress Type of Building Dwelling Other - Type of Building— No. of Type of Well V6 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 un�tilcerfificarf Compliance has been issued by the Board of Health. Signei �1411,4 Z— date Application Approved By— date Application Disapproved for the following reasons: All date I Permit No. 67 Issued— —--------- date BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate (Of Compliance THIS IS-W CERTIFY, That the Individual Well Constructed Altered or Repaired by 4"707>-7 b cl-U&7-L� 6, 6,1/L-/C" T 11,7 nstaller has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Pr ection Regulation as described in the application for Well Construction Permit No. 03, 0�'.' "'-0.1 Dated I V / -' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector f � No. ��-V 7 Fee. BOARD OF HEALTH TOWN OF BARNSTABLE Zipplitation-*rVell Con5trurtionPermit Application is hereby made for a permit to Construct ( k Alter ( ), or Repair ( )an individual Well at: -- Location Ad —Assessors Map and Parcel . --— -- — --______ _— ----- /o `j 9� �/n� s�- �i�l — -- - Owner Address L/aC_ Installer — Driller Ad ress — -- Type of Building Dwelling --- -- —------ Other - Type of Building------- ------_ No. of Type of Well 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 Certifica a bf Compliance has been issued by the Board of Health. j Signe i -ri.��— �V14 Z— \ date Application Approved By � date ^- - Application Disapproved for the following reasons: ----__— _— —_ . --- ------------------ date Permit No.-1-,-)D 2'2 d--Issue ' 6 - -- �-----___date __--------- x BOARD OF HEALTH TOWN OF BARNSTABLE 1 C ertlf Irate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed Altered ( ), or Repaired ( ) &z c df2 i c.c/ -I- _ ----— — ---—— -- — ----- by—_ __ l Installer at A/ 11- t�ci/y if,/c. /S ------------------------ ---------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Pro ection A!Ly' Regulation as described in the application for Well Construction Permit No. '--- Dated o ik . �---- 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 Con5truct ion Permit No. - - Fee-/��------ S/1iOY� y G'JFGLILC// Permission is hereby granted to Construct ( vY, Alter ( ), or Repair ( ) an Individual Well at: No. -� / rJ 7`y2.�#r l� . � '44 .mil�✓ n.i S ` as shown on the application for a Well Construction Permit fl No._►�/ U D —��_ Dated _ � c DATE t Board of Health — Ji Massachusetts Department of Environmental Management 110004 Office of:Water Resources TYPE OR PRINT ONLY Well Completion Report 1 WELL LOCATION — OPTIONAL). _ LATITUDE LONGITUDE Address at Well Location: TW,4 Property Owner: C S IAY Subdivision Name: Mailing Address: City/Town: S City/Town: MoQ4,17OLLSr ✓F_ Assessors Map Assessors Lot#: I :NOTE: Assessors Map and Lot# mandatory if no street=address available Board of Health permit obtained: Yes,, Not Required ❑ Permit Number Dote:lssued' 2.WORK_PERFORMED .` = 3. PROPOSED.USE 4. DRILLING METHOD � _ �II 122 Well ❑ Abandon ❑ Domestic Aitirrigation ❑ Cable uger ❑ Deepen. ❑ Recondition ❑ Monitoring ❑ Municipal ❑ Air Hammer' C] Direct Push ❑ 'Replace ❑ Other ❑ Industrial ❑ Other ❑ Mud'Rota �,!_❑ Other S.WELL LOG � °" aC _ Unconsolidated Consolidated �. 5171�`�fCI�TC�I`(tig�p�i�s anent)a�a/nurlts,rrt �Itstenc H Permeability T Q ca From (ft) To (ft) Hign Low C g Other Rock Type + r Pi 2LJrQ w U WELLrONSiUCTItN " 8 CASING _ Total Depth Drilled' From (ft) To (`ft))/ Casing Type and Material - Size O.D. (in) Well Seal Type t> :Date.Drilling-Complete0 PVC % SCREEN ; From (ft) To (ft) Slot Size Screen Type and Material Screen Diameter 10 FILTER PACK/GFIOUT^/ABANDONMENT MATERIAL eW ( :ADDII"IONAL FINELL I A7'ION Developed? Yes ❑ No From (ft) To (ft) Material Description`�n'. Purpose Fracture Enhancement? ❑ Yes Ilo Method Disinfected? ❑ Yes o 12.WELL TEST DATA(PRODUCTION WELLS) 13. STATIC WATER LEVEL(ALL WELLS) Yield Time Pumped Drawdown to Time Recovery to Depth Below Date Method (GPM), (hrs`&/min) (Ft. BGS) (hrs &,miin) (Ft. BGS) Date Measured Ground Surface (FT) 14. PERMANENT PUMP(IF AVAILABLE) A NAME/ADDRESS OF PUMP TALLATI0NI COMPANY Pump Description + ' aZr110 S 0 A4 Horsepower /.(( Pump Intake Depth (ft) V Nominal Pump Capacity (gpm). �,a"t(f, e 16.COMMENTS 17.WELL DRILLER'S STATEMENT This well was drilled and/ abandoned under my supervision, according to applicable'fules r , and regulations, and t is a ort is comet and correct:0rest of my knowledge. Drillg vm�"sC' " u:�"4upervising Driller Signature: Registration #:I E3 I � < Firm: �� ' /� 1 Date: �� — RigPermit#: NOTE: Well Completion Reports must be,fii ed by the registered well riUer within 30 days of well completion. , SOARD OF;HEALTI. COPY` w �,y r a. K i .v. . <+ = .+.s t>�c e .t't c ,4sa.Y t '� ^ ::S -l+. -. ,.t + t,. f . s5 -'d&♦h Y t � : { S 4 i+- i *: * v LOCATION SEWAGE PERMIT NO. Z S'7ZA C� ✓ w ate. �:� , &Y VILLAGE INSJALLIR'S NAME & ADDRESS ' _0 U I L D E R OR OWNER 7 co DATE PERMIT ISSUED DATE COMPLIANCE ISSUED a �1 fs Co � 7 { 10 ti RNO..Il...3_' Fxs.. ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF .HEALTH v Appliration for Disposal Works Tonstrurtiun rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ... ` �----------------'--------------- ---- ---------------------------------------------- c on• ess or Lot No. er ` /ffn/j Address a ._.........- .................. .................. d ...... -•-........... Installer dress d Type of Building Size Lot............................Sq. feet v Dwelling—No. of Bedrooms.............................. .. .....Expansion Attic ( ) Garbage Grinder ( ) U Other—Type e of Building No. of persons............................ Showers a YP g -------------•-•-----------• P ( ) — Cafeteria ( ) G" Other fixtures --------------------------------- --..-_.-..............•-----.-.•.•.•.-.-•--•••••-•.--.-.-.--••--••---•-•............................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter..............._..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �-' Percolation Test Results Performed by.....................................•--•-•••............................. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ..............................................................................................•.....•--•-•-----••-------•---...._......... .------------------- 0 Description of Soil--•-•-•-•---....••-•-....---••---•-•••..................•--•-••--•--•-•.....----...••----•--•••------••••--•-•---••-•-••••-•-•-•--•-••--•......................---••-... x U ....._...•.........................•--•--•-•..............-----•-----------------....•-••.........-••---•----•-_........._..........-------•-•--•-•-..........--•--•....................------•--------- w ----•-••...............•--•--...-----••-----••...--•-••-----•----------•-------............•-----•--------••-••---------------------.......•--••-------....------•--•--........-•----•-•---•----....... Unf__ Re pairs or lteratio — swer en applicable--------------- --- ------- .............................................. Agreement: �� lwv ' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in: operation until a Certificate of Compliance has been issued by the board of health. _Silned... .................................................••----•-------•.............--- yat Application Approved BY '..........:........:._.._.. ... ........- ----- --- Date Application Disapproved t following reasons:................................................................................................................. .........................................................•-••--•••-•._..-•--•---••-------...-----------.............-----•-----------....------------•--------------••---•-•--•---...Date•----.._..._.. PermitNo......................................................... Issued-........................................................ Date ...................................................................................................: ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��Ea��/. •r /sr��. ��Q� ��,�.� OF...................................................................�r was CIrdif iratr of Toutpliatta T1 �T0 E)ZTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by....:..... ..............................•----....._.............-----.._...........----- ---------- -•-•-----._..__...------- nstaller / } at..------. ... ... ..__ .. ........... ....... �.. ................... -.. �' _...LLB.[ .. .. has been installe ccordan provisions of TITLE 5 o State Sanitar} Cod as d i ed in the application for is sal orks Co ruction Permit No... dated_ . .. _.. ................. THE ISSUANCE O CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector----------------------------------------------... ......--------------------- -------------- ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................OF ............................................ Appliration for Dhipaiial Workg Tomitrurtion V, "amit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at ....................... ...................... ...... ............................ .... .................................................................................................. L s or Lot No. ...................... ........ ...... ......... ... . . . ................. ............................ Address Owner ............./'/ ................ . ......... . ...... ... .................. ......................... ...... ............ Type of ui i g Size Lot............................Sq. feet U Dwelling—No. of Bedroo s............................................Expansion Attic Garbage Grinder ( ) P4 Other Type of Building ............................ No. of persons___________..___._..___.._.. Showers Cafeteria ( ) P4Other fixtures ......................................................................................................................i.................................. Design Flow............................. .........gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons--','Length................ Width._.___._.__...._ Diameter__-____________- Depth................ Disposal Trench No.d�.................... Width.._i�.............. Total Length.................... Total leaching area....................sq. f t. Seepage Pit No- -------- ...... Depth below inlet..._._....._..._._.. Total leaching area..................sq. f t. Other Distribution box Dosing tank -formed by.................................................. Percolation Test Results Per ........L.. .......... Date-------------------------------------'-. Test Pit No. I............ per inch Depth of Test Pit.....................Depth to ground water_....__..._.__.__.._._-. Test Pit No. 2................minutes per inch Depth of Test Pit.____.__.__________. Depth to ground water........................ P4 ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ U ....................................................................................................................................................................................................... W ...........-.. .......................................................................................................................................................................................... U ".. Nature of Repairg'4Fr.41terati Lswer en ......................... .. ......io .•...... ----------- - ................... ........................................... ......&_ ... .................... .. .. ....... . . ..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. S ghed... ...... ...... 7............---------------------------------------- ----------------- ...... Application Approved By....k',44?152.,- ............................................................... If ate Application, ------- Application Disapproved Xth ollowing reasons:................................................................................................................. t . .................... ....................................... ....... ...z........ ......................................................................;....................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF..................................................................................... (Intifiratr of Toutpliatta THI.&-I'" TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired J- ............. ............................I.......................... -------*........*------------------------------- at.... Installer ......................................I..................................... --- -- --------------- ---------- '---- -------***E, 5 of The State S'a'nitary`-C/odWa,,s d cribed in the has been installe accordanc of TITL application for -is," 'I orks Co truction Permit No.?---.7--- 4�k�---------- date .... lat- .................... On E ""THE ISSUANCE CERTIFICATE SHALL I CONSTRUED AS A GUAR NTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH,-.OF MASSACHUSETTS BOARD OF HEALTH OF..................................................................................... No,/J:: FEE._..�1,6............. Permission' is hereby ranted.. .4.................................................................................................................... to Con an In idual Sewage Disposal System atNo.. . . . .......................................................................................... Street as shown on the plication for Disposal Works Construction Permit No.... ....... ......... ated.. ........... ---------------- ....... ................... .. . ............................................................ oard of Health DATE................................................................................... FORM 1255 A. M. SULKIN, INC., BOSTON