The URL can be used to link to this page

Home My WebLink About0108 SCHOOL STREET - Health 108 SCHOOL STREET ' COTU IT �. A = 020 - 039 C�� Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Driller _ Please specify work performed: Address at well location: '- New Well Street Number: Street Name: ��- 108 SCHOOL ST ,� Please speci well type: Building Lot#: Assessor's Map#: ; Irrigation 020 ' ' Assessor's Lot#: ZIP Code: Number Wells: 039 02635 CitylTown: Well Location BARNSTABLE In public right-of-way: GPS /~,Yes C No North: West: 41.61808 70.43918 Subdivision/Property/Description: Mailing Address: W.click here if same as well location addres Property Owner: Street Number: Street Name: KEITH RAPP 108 SCHOOL ST City/Town: State: Engineering Firm:- 1'. ---BARNS-TABrE MASSACHUSETTS ZIP Code: 02635 Board of health permit obtained: Yes r,Not Required 2exmit-Number: Date Issued W2021043 ' ' 08/02/2021 J Massachusetts Department of Environmental Protection Bureau of Resource Protection-Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD Overburden Bedrock Puger - � Choose WELL LOG LOG OVERBURDEN LITHOLOGY From(ft) TOM Code Color Comment Drop In drill Extra fast or slow Loss or addition F stem drill rate of fluid 0 20 Fine To Coae S` Brown r"°Fast( Slow - — — —rs--- - � � YES NO Loss Addition 20 - 30 Fine To Coarse Si Brown Slow r ES NO Loss Addition ._.. E ._.._.....— .. ...... 30 1 50 (Medium Sand j (Brown I �1 ( ----_---� Loss Addition YES NO 50 80 Fine To Coarse S Brown « [LY6S OFast t StowOLoss A � Addition WELL LOG BEDROCK LITHOLOGY ..........................._...- ........ ..... _ ...... ......-..- ...... .... _ ... ................... Drop in Extra fast or Loss or Visible Rust Extra From(ft) To(ft) Code Comment drill stem slow drill rate addition of Staining Large fluid Chips Choose Code--� f t �g r Y .. ._ —__- - YES NO Fast Slow Loss Addition � -� ..................... ADDITIONAL WELL INFORMATION Developed I t Yes C No Disinfected Yes -No Total Well Depth 60 Depth to Bedrock Surface Seal Type None ^ ^�racture Enhancement CASING r Is Casing above ground? JJJ From To Type Thickness Diameter Driveshoe 56 Polyvinyl Chloride + Schedule 40 i; L4 :] Yes SCREEN r N- Screen From To Type Slot Size Diameter lii7-71 60 Stainless Steei Well Point + 0.012 4 WATER-BEARING ZONES r DRY�WEL From To Yield(gpm) 42 — 60-- --1 1 z-----� PERMANENT PUMP(IF AVAILABLE) Wire Constant Speed Pump Description Horsepower l� Submersible 3/ Massachusetts Department of Environmental Protection . , Bureau of Resource Protection-Well Driller Program Well Completion Reports(General) Pump Intake Depth(ft) 55 Nominal Pump Capacity(gpm) 15 ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Water (Batches Method Of (gal) (count) Placement u C� Choose Material __� Choose Material + �� E_ �. -Choose Onee=i� WELL TEST DATA [Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft (HH:MM) BGS) (HH:MM) BGS) _ _ _ 18/11/2021 l 1 Constant Rate Pump , 12 _� 01:30. 44 00 01 ..... 142. ._.._.. WATER LEVEL Date Static Depth BGS(ft) Flowing Rate(gpm) Measured 08/11/2021 42 l 12 �_.........„ - --- ... 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. ' DESMOND WILLIAM Monitoring[M) Supervising Driller Signature Ili DrillerURQUHART Registration# 764 THOMAS,E DESMOND WELL Date Job Complete - ---- Firm DRILLING INC. Rig Permit# 0551 1o/os/2o2t NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. ENVIROTECH LABORATONES,INC. MA CERT.NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name: Desmond Well Drilling Location; 108 School St. Address: PO Box 2783 Cotuit,MA Orleans, MA 02653 Lab.Number: DW-213886 Collected By: DWD Date Received: 08/12121 Sample Type: Well Well Specs: 60742' Location Source 'Date`Collected %Time Collected , `R aComments" , Analyse Requested _ _.0 tintt2l mm Rec6 4 ±OQ irrigetlon'" ; z _ ended Limitsi Analysts Result Method ]VateAnalyzeal Analyzed By pH `` `_pH 7.19 SM 4500-H-B 08/12/2021 SD �._ - — --- - Specific Conductancep umhos/cm 500 66 EPA 120 1 08l12/2021 LSD _ ......- _ .. "ri <0 006 EPA 300.0 08/12/2021 SD Nitrite-N _, /_ _._.. . 1.00 _„ Nitrate N - _mgll 10.0..,. ,..... 1_0_ EPA 300.0 08/12 „ SD -- Sodium mg/L 20.0 7.8 EPA 200.7 08/16/2021 KB Total Iron mg/L 0.3 Y <0.01 EPA 2003 08/16/2021 KB Manganese A 200.7 08/16C2021 KB Total Coliform(Presence/Absence) PresentlAbsent Absent A SM9223B 08/12/2021 KF c@ 1500 Comments: All samples were analyzed within the established guidelines of US EPA approved methods with all,requirements met, unless otherwise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. Water meets EPA standards and is suitable for drinking for parameters tested. Date 8/20/2021 Ronald J.Saari Laboratory Director BRL=Below Reportable Limits *See Attached Page 1 of 1 °Certification is not available for this analyie for potable water samples.. 1 No. Fee BOARD OF HEALTH TOWN OF BARNSTABLE 0(ppricatiou _for Yell Construction Permit Application is hereby made for a permit to Construct , Alter( ), or Repair( ) an individual well at: 10� Ss(-pool St , Gifu if- d�O� 9 Location-Ad ess Assessors Map and Parcel R",Q 7 Co -u t�-, IUD Owner I I Address -Sm�n�4 tN-efl �r��l�hra n,r Pb box 0 Va,y( . Installer-Driller j "T Address , Type of Building Dwelling .X Other-Type of Building No. of Persons Type of Well 1 V L.r,4 a:�Cc(; t- V Capacity Purpose of Well t i—mow 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 2 ZLd2 Date Application Approved By D to Application Disapproved for the following reasons: ? Date Permit No. W o ( �0 1 Issued —T Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IISSTTO CERTIFY,that the individual well Constructed/), Altered( ), or Repaired( ) Installer at 10 has been installed in accordance with the provisions of the Town of Barnstable oard of Health Private W ll Yrotection Regulation as described in the application for Well Construction Permit No. i,,,e\D X( —o Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector . - No. �j Fee 1� BOARD OF HEALTH TOWN OF BvARNSTABLE � 2pplication _for Yell Construction Permit r' Application is hereby made for a permit to -Construct(�), Alter(' ), or Repair(:) an individual well,at; LA Location-Address Assessors Map and Parcel Owner q Address 1S �n U�e11 CA Installer-Driller t e y Address— Type of Building Dwelling Other-Type of Building No. of Persons =TYPe'of Well }` `` I°rat t 'tYl ,r�Ck'f �Y%�G Capacity --- _. Purpose of Well v 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 Complianc(ee has been issued by the Board of Health. Signed Q L' . kNA 4 \ _ 12-1 60LI 1 jDate { Application Approved By //2/ l Date Application Disapproved for the following reasons: f Date T Permit No. �1 u 1 `b V 7 Issued (� P Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliartce THIS IS TO CERTIFY,that the individual well Constructed(✓), Altered( ), or Repaired( ) by 1 � ,,MOV)d D d kYIC , Iris... (� Installer at )0 2 Sc"o C) t s-r- -E�-1--LA t 1- 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. i j U u V 7 Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector . . _ . - - _ - - BOARD OFHEALTH` — — re TOWN OF' BARNSTABLE Well Construction Vermcit No. Ly - /-U V Fee t f Permission is hereby granted to �'Mnyyl l i ni �I i W Installer to Construct ), Alter( ), /or Repair( an individual well at: v ` Street / as shown on the application for a Well Construction Permit No. 1-1) ' 0 Dated 60 Date l Approved By �, V �. WI2021 ShowAsbuilt(1700x2800) TOWN OF BARNSTABLE LOCATION SL-\Q,ThD$ Satune>l� t-V— SEWAGE B VILLAGE Gd C0., ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. V ti w'J SEPTIC TANK CAPACITY t}"elpLeij LEACHING FACI=:(type)4 Co;S—_ (Size) NO.OF BEDROOMS 3 BUILDER OR OWNER KE t i rt RnS4 wa�2�r �APP PERMITDATE COMPLLANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply WeB and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wedand and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by - c- F K'a a S T(�lj•J � �J , httpsJltsg ldb.tam.barnstable.maus:8431 Mome/ShowAsbuilt?mp=020039&sq=1 1/2 r— TOWN OF BARNSTABLE LOCATION L C>r70 z s (a06 Sc�CkDc -- S r SEWAGE # VILLAGE C-0w +'' ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 4 CS_ S� o�c (size) NO.,OF BEDROOMS 3 i BUILDER OR OWNER KG c 7 A> PERMPTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .. Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ZOO i t i 2�