Loading...
HomeMy WebLinkAbout0100 WATERFIELD ROAD - Health (2) 06 100 Waterfield RoA", Osterville A= 119 - 023 o ` e ENYIROTEW LABORATORIES, RVC ( U,00 0 MA CERT. NO.:M MA 063 8 Jan Sebastian Drive Unit 12 Sandadch,AM 02563 (508)888-6460 1-800-339-6460 FA,I(508)888-6446 Client Name Desmond Well Drilling Location Mead-#100 Waterfield Road Address PO Box 2783 Osterville,MA Orleans MA 02653 Sample Date 05/15/06 Collected By Desmond Well Drilling Sample Time 2:30 Sample Type New Well Date Received 05n 6/06 Lab Order Number Dw-2oos-1688 Well Specs 56 3a Loeatcon Source Date'Collected Tine Collerted. :: C©mrfients A 5115106 2:30: ` ... Analysis Requested Units Recommended Limits Analysis Result Method Date Analyze Analyzed By Total Coliform /100 ml 0 0 9222 B 5/16/2006 RS pH pH units 6.5-8.5 5.81 4500-H-B 5/16/2006 LL Specific Conductance umhos/cm 500 46 120.1 5/16/2006 LL Nitrite•N mg/L 1.00 <0.004 300.0 5/16/2005 LL Nitrate-N mg/L 10.0 0.04 300.0 5/16/2006 LL Sodium mg/L 20.0 6.2 200.7 5/17/2006 MC Total Iron mg/L 0.3 <0.1 200.7 5/17/2006 MC Manganese mgiL 0.05 0.012 200.7 5/17rMM Mc Comments: Low pH indicates high corrosive characteristics. Water meets EPA standards and is suitable for drinking for parameters tested. 5 Date Ronald J.Saari Laboratory Director z e of "' E >� .. M. ra r- BRL=Below Reportable Limits Page 1 of I..-, *See Attached Massachusetts Department of Environmental Management Q Office of Water Resources A,0145884 TYPE OR PRINT ONLY Well Completion Report �v p 1. WELL LOCATION GPS (OPTIONAL) LATITUDE _ ' LONGITUDE—" DATUM Address at Well Location: too Yjak2r cie q 1-,),l Property Owner/Client: i�4 nxAta Dicta OU c n Subdivision Name: Mailing Address: Wkf �P rV ` C Ci frown:City/Town: � � ty 0 '�.t•�'��i�, r��"``�-g� ' Assessors Map �(0 Assessors Lot#: ��` NOTE: Assessors Map and Lot# mandatory if n5 streetaddress available Board of Health permit obtained: Yes Not Required El Permit Number 0 Date,lssued� 5iiz1C 2. WORK PERFORMED " 3. PROPOSED.USE 4. DRILLING METHOD © New Well ❑ Abandon ❑ Domestic Aq Irrigation ❑ Cable ;Q;Auger ❑ Deepen ❑ Recondition ❑ Monitoring ❑ Municipal ❑ Air Hammer ❑ Direct Push ❑ Replace ❑ Other ❑ Industrial ❑ Other ❑ Mudj1;tarVZ,E1 Other 5. WELL LOG Water Unconsolidated Consolidated 6.SITE SKETCH (use permanent-'landmarks with distances) Bearing ; Other Rock Type From (ft) To (ft) Zones ( 0 0 Material Description --�IU -5rJ 7.WELL CONSTRUCTION 8. CASING Total Depth Drilled -75 5` From(ft) To (ft) Casing Type,-and Material Size_I.D. (in) Well Seal Type Date Complete (0 —5 2 C!kALIA© vc Vuv 49 A 9. SCREEN From (ft) To (ft) Slot Size Screen-Type and Material Screen Diameter i - 10. FILTER PACK/GROUT/ABANDONMENT MATERIAL 11. ADDITIONAL WELL INFORMATION Developed? q Yes ❑ No From (ft) To (ft) Material Description"p Purpose Fracture Enhancement? ❑ Yes ® No Method Disinfected? &L Yes ❑�'No 12. WELL TEST DATA(ALL SECTIONS MANDATORY FOR PRODUCTION WELLS) 13. STATIC WATER LEVEL(ALL WELLS) Yield,e-_: Time Pumped Drawdown to Time to Recover Recovery to Depth Below Date Method (GPM) `'-'(his-&min) (Ft. BGS) (hrs&min) (Ft. BGS) Date Measured Ground Surface (FT) 14. PERMANENT PUMP(IF AVAILABLE) "' 15.NAMEIADDRESS OF PUMP INSTALLATIO COMPANY Pump Description Acauc�4 r ©�72Z. Horsepower Pump Intake Depth - ' '� (ft) Nominal Pump Capacity iC (gpm) i0_Jsa` 16.COMMENTS 17.WELL DRILLER'S STATEMENT. This well was drilled, altered, and/or abandoned under my supervision, according to applicable d 4 rules and regulations, and this report is c o rrfiiplete and correct to the best of my knowledge. Driller `�' � 2.Srf,aY, .L� Supervising Driller Signature: / 4� ���� Registration #: Firm- wk11 v)ti��it9� �y�� 'Date: 5' SS -c /-.: Rig Permit#: 1�1 NOTE. Well Completion Reports must be filed by the registered well driller within 30 days of well completion. BOARD OF HEALTti`COPY' ._ _,., i will be necessary to aeeemune au avow w"••- New walls am shown as shaded a¢ \ EXTREME CARE most be taken to avoid damage to interior finished space,by rd . water and wind conditions.Coves'opea roof areas with tarps to prevent water .r1 3atmsian to finished space below.Cover aad protect the ezistiag hardwood floors, carpet etc.,with particle board cr a similar product FAAK NO.Sub-floor plywood is to be glued and nailed oar local and state code Whee,Joist spans are in access of 10 feet,wood or metal bridging shall be used to _ , reinforce the floor system. - DRAWN BY r THE BUMMER shall verify all dimensions and measurements of tough openings fur ' windows and doors,in the field. I 1 TE1E D85I(AIER is available to assist the builder with eery questlans.Cell the A2 . phone number on this plan.. .. .. -S,o .. . y UE3>Zr 1: ( r - j. I � '' '_:. _ �oPr� -I eve;K•e`' 1 •'' 9 BEDROOM#1 I t' O I LAUNDRY'. J -. I1 I .� H BATH at B d I18o11G ':: d• ,o �_—i I _ I{ITCEIEPF- F�'•. - c _�6' —— � _ t ��� - � � � � � � I 1 I Ffn-�Do,.+rt 5T<irc5 � I, � I .—. _ •' UW"7 `t � � N BATH I I N I 1_—J 13; L O _ }-_f?/rl•x.fG'LQ'L' { :5_0:6 e y ��// I AII& 'r<ewssFcta d' I BEAM 1 f GI Acd2 aFYxtc„e f t .! 6' / _ BCAM 4 ray y �Si ,I, a q�°: a-C?lq-°old"w�- Rtpvs � BBwniz c.o• q•'-o•< � ,C'3�' `-sue-- 3 K 4 I; o o� o s•'- �farvt � .� a _— — _ _ 'b. PANTRY.: ° Paxr2 BEV. AMS f a-" �/4YW� G''S d-S @ �� 1 ' s FUTURE GA E ccos>r t F ru a+1 a,3y .ru _. =J _D ; I Fit•.tSG'IL.� > 1 77Sh°' D..00.R_ � .. .! .• PgTtO DaoR V Rrti Q � , COVERED.'.BRICK ENTRY; 5=a°rb'ty _ t` FW1460•06ASK j tom•, > P. tt( :Amd-BOARD CEILING_CEix dy550 t I 'BEAM 3 S� I _._.— — -- bi o re eqq _ 1� BEDROOM#2 Y .g BEDROOM 03 E 1$ — E:reST.tacy p�ld: 3 e NW SIDE ENTRY( J I(-6 I'll: ds'7Ce't'GONLIZCYC A PR ON - 6 FaaNT STwS - .— a.xr oa `} 1=Yza`�L�Gar&*.A�K�eNtY. m NOTE .. - yt-rwoE tvnw N SEE DETAILS PAGE j SECTION DETAI T r tiTrOF.-F NT 4�0'• -- --- - _ al r >�t is � a" I I I _ -•' . stICK STOO /w s�ioeGi.ra+rrrS• I L6WiJE.EaLlsir t4C�- yE+¢ o- II wtNt70tJ. lot? 0- i Ilg� I BATH a, ��• • �' NEW FRO TEN TRY _ —I I • m 7�+CLOSET. t� -� FlEw�ar16 QWtcftht. 1 Ea 15 �b f7upr,C.vr-Kr BF-AM 4 �-1'y/y=x 16°LVL r� ® � 8 -'Fv�2�NTRy FOtzs-Gu.��rt7 _ rlQtionl.�4rC-.- —3•cW(44PfEK5.16•o.L. —_-- — RitW_E✓_IT, tlzE bGHr - ' hP i.!• .V�'�J'•�LIVr Oft -0^ - - -._ x - tT Eli WI w. .. � EN••t.•-�ILtW'�.a fNbr� Current Floor Plan CE 0 0 @ @ ;DWi O O II I 0 0 o d - ®l Fee---- =------------ BOARD OF HEALTH TOWN OF BARNSTABLE Zppiication,forVell Con0truct ion Permit Application is hereby made for a permit to Construct (A), Alter ( ), or Repair ( )an individual Well at: t Location — Address Assessors Map and Parcel io© v-4 o. i � Owner -- Address nn,� d� .�1±1--=--- Installer — AIler —--- Address Type of Building Dwelling - — -- - ------------ Other - Type of Building--------------- - No. of Persons------------------------------- ��P1�i � C- Type of Well 5G . —Py�—_ Ca acit 1 "- ----------- Purpose of Well---��Lz !_I�YL-------------- Agreement: The rndersigned 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. /Ate Application Approved --—----—-— -- date Application Disapproved for the following reasons:----------— - - ---- - ---- --- -- --= - -- -------------------- -- — - date Permit No. _—e�--� ---- Issued - date BOARD OF HEALTH TOWN OF BARNSTABLE �ertif icate ®f �Com�riante THIS IS TO CERTIFY, That the Individual Well Constructed 00, Altered ( ), or Repaired ( ) by— '�-_W� f�1---b-.s a t— —/ Y�� t \N 1 � ------— — -- -- -------- --- ------ has been installed in accordance with the provisions of the Town of Barnstable Boarrd. of Health Private Well Protec io Regulation as described in the application for Well Construction Permit No. -�-v�1-5bated-�, - f- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- --_ —_ Inspector----- - - ___- - —-- --- OlS i j No.��u� � Fee--- BOARD OF HEALTH TOWN--OF. BARNSTABLE Applicat ion-for lVell Con0tructionVermit d`Application is hereby made for a permit to Construct (X), Alter ( ), or Repair,( )an individual Well at: C. — — — Location Address Assessors Map and Parcel -- tA 021655 Owner Address, 5 D_es or WQ��1<4\i n�,�tic_—_-=- --- -o.'�o� 3 U��� 1��11A-oz��3 -- - - _ _ — —� — ---- -- -- -- 'r Installer Driller Address Type of Building Dwelling ------ ------- 1 Other - Type of Building No. of Persons------------- -------- �"SckAL10 PAC. 10 GPK Type of:Well —— — Capacity--— ——----—--— -- { Purpose of Well _g— ( 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. �:yt' -—---- — — — ate I / Application Approved —---�-----— date w Application Disapproved for the following reasons:------------�:'- —--—--- ---— ---- I date i Permit No. — --- ---- Issued'--------- --- - - i date sww..n..,f...e�-.�.a.+.....�— r-.-,..—..-.—,..,�+ss..s..a............. — —_'°--'— a.—�1:"+--:=9..,�.7r+•t�---6:"s>'4+.,'al^�_� i «. i BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compfiante THIS IS TO CERTIFY, That the Individual Well Constructed 0(), Altered ( ), or Repaired y Installer --- alt—J00 has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protion i; r ; Regulation as described in the application for Well Construction Permit No. `P---O�1�ated- - 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 f Ivell Congtruct ion Permit Fee— f No. -� ^��j ©� { Permission is hereby grantedS ` Ct to Construct K ), Alter ( ), or Repair ( ) an Individual Well at: No. — Street as shown on thhe� application for a Well Construction Permit No. _^ Date Board o�fh----._...._.. DATE— — r F.. 5 L E 2C96 MAY I I A,;-' 10 1 1 i wfll be neceamy to de¢rmoe au umar„'•'_ New was ace shown_shaded. ata \ EXTREbte CARE most W tWou to avoid damage to interiot5nished space,by `L . water andwind con&bons.Cover opm roof areaz with tarps ro Prcvcot iatnrsion ro shed space below.COveraad Ptoteet the existing hard wood floors. carpet etc.,with particle board or a similar product - FRAMINO.Sub- mwdi ro be glued and nailed oar IDeal and state code. Where Joistsp aoeess of t0 feet,wood or metal bridging shall be wed to Y .. . reinforce the floor system. x....,,"i,-and m"^m•"^^mf h i fo ts o toug openngar I DP.AWN BY THE BUILDER shall verify windows and doom,in the field_ I . THE DESIGNER Is available to assist the builder with any questions.Call the. A2 ph one number oathis phis.• .. S fi•IaSE ZC v s! I Gw a 1 , .3-6 i! r �LJ BEDROOM N1 rta•x6 e• t6 LL o- w ` o v 4 I r—i 9* N LAUND BY BATH ICITCHEl�- P': - O L —BEAM 6. 0 il5our' I+. 1,�} 0 ,t '� diW ddW�� �' N BATH CA ! d' I BEAM 1 �tlp2 oPcytr� �0 g• �-� I ptt.°t rrt t xsrt to ; ' /� — '!a•-B' BCAM4 6-8 _BEAkL? n - v -9ErVtt x y5 c.o^ a'e•< , _- _ 1^--RiL�E - a °` a - $ z: S- y�r-ygya. > $ $ G BEAM S I a- �,cq*/a'.tvL' '-$ i�S q 3 V FUTURE GIV -- - - - tar p AIyTRY' pnrtrzy �t CLOSET ,t I Pa trs Fit-RSE'IL _ P _ �� D_DOR_ RTIO puOta COVEREWBRICK ENTRY; 5LOv r6 _ ` FwN60.66A 2u slz I, `11W soaa_c CZIL iXC;.gpii d 3fio 'BEAMS 6�° ag --� BEDROOMtQ 3 g NEW SIDE ENTRY BTDRo PX M3 CE: ��'+Ca'cotl7i•GYC APRON� _ �_ ,� �rd �'r-rmNT3Tw5 axm•sr�os �usnws, In ' r—�w Cr 9• NOTE: SEE DETAILS PAGE SECTION DETAI T `_� _- . �K'CdL�IS GP'f"o _ -McKsTOO - w/-0,taeur8"wrg- I I I 1 _ •-- , BATH ITi1 1-GAtJG dca4sitH F`orJGr2 o- I! J I I o. . WINt'7otaJ. loam ea•'i Ilg�l F- ' Its rot.wWS I 4 lt, Y J. 13 NEW FRO T E NTRY ,FM I Way.L.AA'� •® of f�¢E RtDbG N?ty 1 ��� BEAM 4 LJ ® R r . _ '�r-p�R-LFrlri2y�FO+�L-Gt�JJtYJ - OpILoNWC_. 9.cfv RhFfERS'IV"o.e. — _ Rlod a✓ry -- — .. T H _ - E+tt �' =t'L..' fit,-C?Ltw"�(hlv4'i"C _ _ "�aLIS'fiN6 TOWN OF BARNSTABLE Pell �r o LOCATION (�✓�I; SEWAGE # ' !dD �'/�� �/�,t� VILLAGE ASSESSOR'S MAP & LOT 0, INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (Size) t� NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER J& BUILDER OR OWNER 'J DATE PERMIT ISSUED: �'l,� / DATE .COMPLIANCE ISSUED:t. �/ �✓— VARIANCE GRANTED: Yes INo Y C r � _ a 1 s 1 1 'Ilk ' y 1 ASSESSORS lTNO- No Fps. THE COMMONWEALTH OF MASSACH'USETTS; ... ' BOARD O HE T ------ ......OF.................. .. Applirta#ion for Disposal Works Tomitrurtion rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal • System at .......... -• - _•..... ---••----...•------•.....................•---••- ocation-Address or Lot No. --- ..._ ....................................... ..........-----..---•--------•-•--••••----_ .............................................. owwr Address Installer Address d Type of Building Size Lot............................Sq. feet U Dwellingo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of personst._....................... Showers —,Cafeteria d Other fixtures ------...... ------------------- W Design Flow............................................gallons per person per day. Total daily flow........................_...•......_..._..__gallons. P4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter-_---___________ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area.................. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ N Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water_---___-_____•_---_-__-. Gz Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x 0 Description of Soil.........c_ A` ......................•--•-------------•---------------------------. - - - -- -- - - x U ..............•-------••-•••-•---••--•--•----•-•-----•--•••••••-•------•-------•-•-.........•••-••-•-•-••••--•-••••--•-----•-••-----••----•---...•.........................................----•--•-- x •-----•-•••------------------•----••••--••-•----•--•--•••-----••••--••--••--•----••-••-••----•-•••.........-••-•-......_ ••---•--...•--• = V Nature of Repairs or Alterations—Answer when applicable_ ' - d�� ................................. ......•...._.....__. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i T='Li:p 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 oard f health. Application Approved ----•----••---• •-• ..... ----- -------- t / Date-. Application Disapproved for the following reasons----------------------------•---------------------------•------------------------•---•••••--••--••--••-•......._ --•----•--•----------------------------------•-------------•--------------•----....-----......._-........._.....---.........-----•---------------•----------------------------------------------...._..-- Date PermitNo......................................................... Issued-...........................................i Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A�C(� I DATA s'- . No.....................� Fmc../. ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LTH, Appilration for Disposal, Works Tonstratrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at r s 6 ✓�� `..�. �i'/7 !� + .........:.:.. ............................................ ................_..._.................._.._............._....._._........_.....................___ I�ocation-Address or Lot No. :........ ..... (----•--------•------_----•--••--_•_-•_- ---------------- ----------- Owner} Address ................... ............. Installer Address d Type of Building 1 Size Lot............................Sq. feet Dwelling_�Ko. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) A4 Other fixtures -------------------------------• . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter________________ Depth................ Disposal Trench—*\'o_____________________ 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. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water......................... f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ D Description of Soil......... __-__ U -_------------ V Nature of Repairs or Alterations—Answer when applicable_. ._ '✓ s f f _____________________________________________________________________________________________________________i!'�::•_'Z1!:2 ]:':`_.c! /'_` .____._____._.._.._.____..__..______..___.__.__..___- Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of TTT y g g p y 5 of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health A Sl ned � � r t �r f�✓ eWt*+ n .. _ ` .. e � fate"�. t Application Approved$_'}::.____ ___--�� (�_ �� �' ` - d - Date Application Disapproved for the following reasons-----------------------•---------------------•-•--------•----•---•-----------•--•---------------------------•••-- -•----...-•---•--------------------•-----....-----•-•----•--••---------------------._........-----------..__.._.._....-•--•-••-•-•-•-•------•-•----------•--•--•----•--••----•--------------•------------ Date �---------------•----.........---._...... Issue ._......................................................Permit No. - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ . ........OF uprrtifirW of Toutpli- anrr ,`TOCERTIFY Thai the Individual Sewage Disposal System constructed ( ) or Repaired k(� byL ..................•---•---•------------.._.._....----•-•. ----•••-- } f r s pInstaller r ; / 4T has been installed in accordance with the provisions of TIME 5 of The State Sanitary Code as described in the application I Works THE SS ANCEOFTHISo dated �CERTIFICATE SHALL NOT BE CONSTRUED ASA GUARANTEE T•YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ •.:.. ._-. .. ..................................... Inspector... ..._ .._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1� l/•.!.- ;10._"_•`.. . ._ FEE. Biupos al Works Tonotrwtiou 'uprrutit Permission is hereby granted.......:�......Jf�_.., !rfi .-a.��`�r'�'`.. ------ ----------•-- •---• ...... to Construct ( ) or Repair ( L)-a Individual Sewage Disposal System -, _ r T !',"d/ e" r f , / r`' '-..��� - ti %ter r;�f. ato.. •---•--------•---•------- -------------- ...... Street as shown on the application for Disposal Works Construction Permit ``No�__.���_____ Dated...... � _._ . I)J .^ ..............._ ----- •---------------•----__-_ WC- BolalydHealtk DATE ._ �� ----------•-------------•---• FORM 1255 HOBBS & WARREN. INC., PUBLISHERS F�