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HomeMy WebLinkAbout0675 MAIN STREET (OST.) - Health 675 Main Street LOsterville1 - 038 .,l� F`a a CERTIFICATE OF ANALYSIS Page: 1 of 1 Barnstable County Health Laboratory (M-MA009) 49�c Report. Prepared For Report Dated: 6/3/2014 Sally Desmond Desmond Well Drilling Order No.: G1480110 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1480110-01 Description: Water-Drinking Water Sample#: Sample Location: 684 Main St. Osterville, MA Collected: 05/29/2014 Collected by: Customer Received: 05/30/2014 ' i Routine_M i ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 0.40 mg/L 0.10 10 EPA 300.0 5/30/2014 i Iron IUD mg/L 0.10 0.3 EPA 200.8 5/30/2014 f Manganese 0.0038 mg/L 0.025 EPA 200.8 5/30/2014 I pH 6,$ PH AT 25C NA 6.5-8.5 SM 4500-11-13 5/30/2014 Sodium 8.8 mg/L 1.0 20 . EPA 200.8 5/30/2014 j Total Coliform Absent P/A 0 0 SM 9222 B 5/30/2014 i Conductance 84 umohs/cm 2.0 SM 2510B 5/30/2014 Water sample meets the recommended limits for drinking water of all the above tested parameters. Attached please find the laboratory certified parameter list. Approved By: (Lab Director) / L a O r_ Z { L ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level J Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 6y ' Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well —� C Street Number: Street Name: J-64M MAIN STREET Y Please specify well type: Building Lot#: Assessor's Map#: Irrigation Assessor's Lot#: ZIP Code: Number Of Wells: 02655 a City/Town: Well Location BARNSTABLE a w In public right-of-way: GPS G Yes r.No North: West: 41.62824 70.38039 Subdivision/Property/Description: ARMSTRONG KELLEY PARK Mailing Address:_ r click here if same as well location addres Property Owner: Street Number: Street Name: CAPE COD HORTICULTURAL SOCIETY 934 PO BOX -� O City/Town: State: _ Engineering Firm: ABINGTON MASSACHUSETTS::� O ZIP Code: 02655 Board of health permit obtained: Not Required r, Permit Number: Date Issued: �� W2013 026 5/29/2014 —� v 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 Auger Choose Bedrock-- WELL LOG OVERBURDEN LITHOLOGY From Drop in drill w Extra fast,or slow Loss or addition of. To(ft) Code Color Comment (ft) stem drill rate fluid 0 g Sand And Gravel Brown YES r NO G Fast GOSlow +Loss Addition g 20 IMedium Sand Brown r YES r NO r Fast r Slow r Loss 0 Addition 20 25 ISilty Sand Brown tt YES r NO r Fast r Slow r Loss r Addition 25 30 Medium Sand = Brown * YES NO r Fast r Slow' GJ Loss r Addition WELL LOG BEDROCK LJTHOLOGY Visible "Extra From Drop in drill Extra fast or slow Loss or addition of To(ft) Code Comment Rust Large (ft) stem drill rate fluid Staining 'Chips .............................. -- ---- Choose Code r YES �✓ NO r Fast G Slow 0 Loss 0 Addition rJ Ye Ye ADDITIONAL WELL INFORMATION Developed Yes G No Disinfected i• Yes G No Total Well Depth 30 Depth to Bedrock Fracture Surface Seal Type lNone Enhancement f",Yes No CASING L._1 Is Casing above ground. From To Type Thickness Diameter ,Driveshoe. 0 26 jPolyvinyl Chloride Schedule 40 4 (D Ye SCREEN I No Scree From To Type Slot Size Diameter 26 30 Stainless Steel Well Point 0.010 4 WATER-BEARING ZONES r DRY WEL From To Yield(gpm) 9 30 15 PERMANENT PUMP(IF AVAILABLE) 2 Win:Constant Speed Pump Description p Horsepower a Submersible ___�_J 1 *v Massachusetts Department of Environmental Protection . Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Pump Intake Depth(ft) 25 Nominal Pump Capacity(gpm) 15 ANNULAR SEAL/FILTER PACK Water From To Material 1 ,Weight.Material 2 Weight Batches Method Of Placement (gal) Choose Material Choose Material Choose One WELL TEST DATA Time Pumping Time.To Date Method Yield;(gpm) Pumped Recovery(ft Level (ft Recover M BGS) (HWMM) BGS) (HH-MM) 5/29!2014 Constant Rate Pump 15 1:30 16 0:01 9 WATER LEVEL Date Measured: Static Depth BGS (ft) flowing°Rate(gpm)' 5/29!2014 9 15 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 E and accurate to the best of my knowledge. PATRICK Supervising Driller DESMON Driller DESMOND Registration# 877 Monitoring[M] 'Signature PATRICK, DESMOND WELL Firm DRILLING INC. Rig Permit# 877 Date Job Complete s/12/2014 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppricatiou _for Yell Cougtructiou Permit A�icatin is hereby made for a permit to Construct V), Alter( ), or Repair( ) an individual well at: make S� _ /�// 0 3 8 Location-Address Assessors Map and Parcel T VNGC-V ev.1. St SOQkVAy 6;4SS Owner 1 (�_ yr Address 1�LSlrc�c,c�.N\& \lC -,Q 1"�L p C�-1 ��• ��®� a� �Y�4�� - 3 Installer-Driller S Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well 11 SG?�u a\NC_ Capacity Purpose of Well i t r!N�t� 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 Complia has been issued by the Board of Health. Signed Ile, ADat *4 ,e'5' Application Approved By Application Disapproved for the following reasons: / Date L Permit No. Issued Date ------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed Altered( ), or Repaired( ) by a�Z�dt)J[ 1 6-(—YOL(— he,/ L-LI/I() Installer at 76" -/XP � �— S i�2 L)t L L has been installed in accordance with the provisions of the Town of Barnsta le r o HWaPrivate Well Protection Regulation as described in the application for Well Construction Permit No. ated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. ��v1/ �v`'l L Fee O4Z BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicatton ifor Yell Con,5tructton 30ermit Application is hereby made for a permit to Construct O, Alter( ), or Repair( ) an individual well at: Location-AddressfAssessors Map and Parcel C1C\0r Owner Y �T Address (� e a r .\V y n "to l �`L (k9m I`n'staller-Driller Address Type of Building Dwelling Other-Type of Building No�of Persons Type of Well SSc iN C Capacity Purpose of Well 14 r n„A l 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 9,ckl u Application Approved By Dat r ilv— Application Disapproved for the following reasr6ls-l Date � 1 Permit No. ( O Issued I . Date i BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed � , Altered( ), or Repaired( ) by�^i rfl/l nlr �n��1 � i i2 i 1 L_aj/: Insbtrer at �� A -,/;m) _n T S% 'Xw7 I )I/ / i5 has been installed in accordance with the provisions of the Ton of Barnst-a le Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. !/Dated v THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE ell Congtructton Permit No. oe Fee r Permission is hereby granted to l (:(� 1 ) 1 1 /�- C Installer to Construct( ), Alter( ), or Repair( an individual well at: No. -2 _ j Street as shown on the ap i lication or a Well Construction Permit No. ) �� ated _ t- Date Approved By �X4,j No. Fee �s,tla BOARD OF HEALTH TOWN OF BARNSTABLE Zf ppltcattou jFor Vern Cougtructiou Permit Application is hereby made for a permit to Construct W, Alter( ), or Repair( an individual well at: Location-Address Assessors Map and Parcel COS lfNRW Ut ORAL OC . 7�.©, 'RM R3�t- i 5- Owner Address Installer-Driller Address Type of Building Dwelling !l rq Other-Type of Building , L�'(a°'L�N� 1� �Y �i'c�C No. of Persons Type of Well r, �� Capacity ��� �✓( Purpose of Well t u_t d oynG j 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 lace the g g g P well in operation until a Certificat 7%01��iance s been issued by the Board of Health. Signed /2 !3 f Date Application Approved By AvJ/ � f to Application Disapproved for the following reasons: 0/ Date Permit No. (? Issued Pate ------------------------------------------ ------------------------------------ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( ) by Installer at 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. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date �``- Inspector No. ( Fee C1-5r60 BOARD OF HEALTH { TOWN OF BARNSTABLE 2ppricatiou _for Yell Con5tructiou Permit Application is hereby made for a permit to Construct , Alter( ), or Repair( ) an individu 1 well at: 675 NFL 4,57, D ��2y fe c� -- n� Location-Address Assessors Map and Parcel — CAM Cop H oer t e-U DTI C)O A .59C . Owner Address l L�U7(c U)cL Installer-Driller Address Type of Building Dwelling .�// ^n Other-Type of Building_AAAA S OA14 e�Q(-V 1�A41< No. of Persons Type of Well I(22!G�7/o td 1 Capacity G �� Purpose of Well Rk l G A 7L,,,#,J 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 Iica`re-of tom liance has been issued by the Board of Health:,.- Signed Pn Date Application Approved By ate Application Disapproved for the following reasons: Date Permit Now / 31/ Issued ate BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( ) by Installer at r 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. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. y,1 . Date r Inspecfor BOARD OF HEALTH TOWN OF BARNSTABLE Yell Con.5tructiou Permit No. Fee "00 Permission is hereby granted to } I Installer to /Construct( ), Alter ), or epair � an.individual well at: No. street as shown on the application for a Well Construction Permit No. ated l/f Date Approved By •t Al r - J Nlv 40 d t W 1. y 7 7 . t r j • C. . o - ' � e � r� fi R p GoOSIC earth feet 600 meters 200 �tls�L 4,157.E ki4; M4 i� 15 4/0 617,0776 OA) �2r"��5�2 `-Y DESMOND WCL;.. 0r'LLING, INC. 5 RAYBER ROAD,L'JX 2783 ORLEANS,NIA 02653 (508)240-1000 DEE _ -LING, INC. r6 2783 H 02653 r 0-1000 -Tokc a Hike']'rail —Take a Walk Trail Woodland Walkway Ql Twin Towers Memorial—, ,_Heather Hillside John Polk Water Garden, f, —ROtar�Rhododendron alk Class,Gardens---41 ! r-HOJly Dell �/ W Woodlarw Walkway—+ Gateway'Ernretf --Rear Entrance i h I•. 4' Ii! Class Gnrdea�i LCriners Christ Tree . :` Wetland Walkway) tuenrrtl Conifer Garden Gavin" mas Memonal �Growent of Armstrong-Kelley Park '--Beehives and Garden Armstrong-Kelley Park all t W Nm.cWi,.N S,wwp /7�Irlvl N<,Ntlrin,rsuv ABRAHAMSON &ASSOCIATES LANDSCAPE ARCHITECTS&SITE PLANNERS 8 Hawes Fprm Road.Brooksville,ME 04617 (207)324-0640