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HomeMy WebLinkAbout0093 ALPINE WAY - Health 93 Alpine Wad--�--f Marston's Mills t /' l No. W oa 01k Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppYicatiou jfor Yell Cougtructiou Perron Application is hereby made for a permit to Construct(�, Alter( ), or Repair( ) an individual well at: W6 she.V�N :MkAL NS Mi11 S U 1 — bZ'L Location-Address Assessors Map and Parcel S' 1A o\1�j Ly, ,�arr�,r 1-�sn, U, �zSb(o Owner A ress Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well 4b Svc Capacity (0CJj Apr,. Purpose of Well k 6 acLMI 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 1: Zl zbu Date Application Approved By �p?c�' Date Application Disapproved for the following reasons: a Date ��n /_ 1.?'61-zjzz Permit No. lo- �� 6 Issued Date ----------------------- —-------- -------- ---------- •---------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed N, Altered( ), or Repaired( ) by �mc>y-g\ �yg, n Installer at �3 Aigin� W� uy) \arSA­oY\S elks has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Prot ction Regulation as described in the application for Well Construction Permit No. ��-10110 Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. W 7iu •- Olk Fee BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicatiou ,for 39err Cou.5tructiou Permit . Application is hereby made for a permit to Construct©Q), Alter( ), or Repair( ) an individual well at: Location-AAdress Assessors Map and Parcel RA3:!- �— Owner T� Ad&ess � Installer-Driller Address Type of Building Dwelling Other-Type of Building rM No. of Persons Type-of We11'H Ca aci - J Purpose of Well 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 Date Application Approved By s -S 6 Z Z p Date Application Disapproved for the following reasons: Date Permit No. 6�)?-7y 01 6 Issued b "� Date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate of Compliance THIS IS TO CERTIFY,that the individual well-- Constructed'( , Altered( ), or Repaired( ) by D�sry%c!j� �d® d ` _ Installer at �13 A I YI i n e_ V �i 1 JV\C�C -S�-r,�-� MMc 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.11)70^71) , Dated - 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 j Vern Cow5tructiou Permit No. 1 Fee Permission is hereby granted to X4S Installer to Construct(�, Alter( ), or Repair( an individual well at: 'I Street as shown on the application for a Well Construction Permit No. LAV 07-0 QI Date 1 67n Date -- '� �, Approved By --- - � �., ���, :�!,��-,i.-,'1­� ., I'll , — ` -, 1 �. T­�*.',I, ; II , �� - , , . : , " N 'I .. . I -- ­; , ­ ,"', ..,. . , 11 , '!- � � ----- , ----- - -, ,�� _ 111. �- . � .� .. ­ .. ,, ..�.�.� , _ ��� i ­ - ,!- , ,� i ­. "., , , - - _���'i 1 ,-, , "-�'I'l-l'-�.,n�71'ail�-.11.--.'���, .7 ._,;._ ` �_lrli� ,_'�il, . 1-11. 4��_' asww,,.,.�.�.�l""I�-, ,��*,-,-."*,��,--"..i.".71-�.�,-;-,---,-�'� , ,�,*,',',,,':--�".----',,,--.',-..��,��";*,,'--",-",;�"-,'.;i",�..�""-*".Z,-7-.��I- .,"_, _�� ", v -� ,,�',,,i,,.,, '­ - .2'�� . . , _..,_m, A__ .�O, - ". , .i." "i.- �,�,�-��, "1-1 _ - - � , ,, mg ; � ��.�P,K_, �,Z-f i, .� - . '- . "'' 7, - nr,',.5.!!��,,�:::,.::;�� .,: ��­c. 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".�.: . .; � — kj C� i r i No.v i�b 1 1 Fee BOARD OF HEALTH TOWN OF BARNSTABLE ApplicationforlVell Conoruction3permit 93 Application is hereby made for permit to Construct ( Alter ( ), or Repair ( )an individual Well at: PP Y P P '2- Location — Address Assessors Map and Parcel ry C��.it1 -�`N Owner Address Installer — Driller Address Type of Building Dwelling Other - Type of Building-=— --- No. of Persons-----.------------ -- Type of Well "�G/� © 1QU� / (/ d % lty - AG -/0— 45167t.S Purpose 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 lEertificateof Comp fiance has been issued by the Board of Health. Signed - �.�•_ LO __ date Application Approved By date Application Disapproved for the following reasons: -------- -- -- - — 22 Permit No. 3 -----date O — Issued ------ ---_ ate BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, That a Individ4 Well Constructed (V6ltered ( ), or Repaired ( ) y � )e1&C11v6 S Installer at-_vs AxA l lr& "" has been installed in accordance with 4 provisions of the Town of Barnstable Board of Health Private W ll Priptection Regulation as described in the application for Well Construction Permit No W 2�°U3-0(1 Dated_* �---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector------- -___-_- ------— - �12oo3-vlg � No.------------------ � Fee---t------g?---------- BOARD OF HEALTH TOWN OF BARNSTABLE 01ppricat ion-for lVeir Con5truct ion Permit Application is hereby made for a permit to Construct ( ✓)!Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel Obi its T_O�ti / :_ O-AP�► /V a,0 _ 6 Owner — — — Address �1_6.6MOn Z GU&6 _ L44ZIIV 6-=27e- IJd a S- -- - --------------------------- Installer — Driller Address Type of Building ✓ Dwelling —__-- -- —--- — Other - Type of Building—= —_____ No. of Persons------ ——------ __ Type of Well � �� �O �U� /o li���C�a acity----�----- Purpose of 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 unti4alertificate Df Compliance has been issued by the Board of Health. Signed 1A wal date Application Approved By ___ ___— 2 Z- c-3 —_ date Application-Disapproved for the following reasons: ---------- ----- —_ �A date Permit No. ZU 0 e3_ D Issued --- ' date ti BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (VI' Altered ( ), or Repaired by C6ln&7 Ib t � � '/GG�/t/6 _��_ Installer-- _-- at—qS- ���1 NYC Ll/fI ?61/t�57Z,?/(/ has been installed in accordance provisions of the Town of Barnstable Board of Health Private Wipll Pr tection Regulation as described in the application for Well Construction Permit No Ulzlo3—"(1 Dated 42*6 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 Veil (Con5truct ion Permit No.W 2 GO 3--0� Fee Permission is hereby granted 0 7to Construct (-**I','Alter ( ), or Repair ( ) an Individual Well at: No. J '64 er CU M WA - ----------------------------- street as shown on the application for a Well Construction Permit No.- W Dated s2�4 3 I -- -- — 3 - Board of Health DATE Massachusetts Department of Environmental Management RECU17 � Office of Water Resources TYPE OR PRINT ONLY Well Completion Report I" 1. WELL LOCATION GPS (OPTIONAL) LATITUDE LONGITU E Address..at WelbLocation:f5 64Lpr i; Property Owner .rJ, ,4 � 4 t r:;OWN O F_yARNSTA M * , Subdivision Name :' Mailing AddressPi ' ` g Y k .Cityrfown i"Yt own � Assessors Map Assessors Lot#: NOTE..Assessors Map antl,Lot# mandatory if tad street addrepss available; Board`of Health �permit obtalnod . "Yes.❑ Not Required:. Permit Number Date,tssued` - eM,. .� 2. WORK PERFORMED 3. PROPOSED USE 4. DRILLING METHOD New Well ❑ Abandon ❑ Domestic Irrigation ❑ Cable ^ " Auger ❑ Deepen ❑ Recondition ❑ Monitoring ❑ Municipal ❑ Air Hammer -E] Direct Push ❑ Replace ❑ Other ❑ Industrial ❑ Other ❑ Mud'Rota ❑ Other 5. WELL LOG Ir Unconsolidated Consolidated 6.SITE SKETCH (Use permanent landmarks with distances) W Permeability ca Ca From (ft) To (ft) High Low c� m Other Rock Type —145 _ 47 Luce . . . . . . . . . . ` I 7.WELL CONSTRUCTION 8. CASING - Total Depth Drilled ­47 From (ft) To (ft) Casing Type and Material Size b.D. (in) Well Seal Type Date Drilling Complete 9. SCREEN From (ft) To (ft) Slot Size Screen Type and Material Screen Diameter —/f1 10. FILTER PACK!GROUT ABANDONMENT MATERIAL 11. ADDITIONAL WELL INFORMATION Developed? EYYes ❑ No From (ft) To (ft) Material Description', Purpose Fracture / f Enhancement? ❑ Yes L! No Method Disinfected? ly Yes ❑ No 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)-.'' (hr-S min) (Ft. BGS) (hrs & min) (Ft. BGS) Date Measured Ground Surface (FT) mr=lC> 14. PERMANENT PUMP(IF AVAILABLE) 15,NAM ElADDRESS OF PUMP INSTALLATION COMPANY_ Pump Description Horsepower Pump Intake Depth (ft) Nominal Pump Capacity (gpm) 16. COMMENTS 17. WELL DRILLER'S STATEMENT This well was drilled and/or abandoned under my supervision, according to applicable rules and regulations, and this report complete d cor ct to the best of my knowledge. Driller: N - - �V/n `Supervising Driller Signature: . � ��� s '�j Registration #: 7 �o _ x, Firm: .6n�" (� r'i I I( ' -1- r Date: e 1' Rig Permit#: NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion. BOARD OF HEALTH COPY Fl\rl,IROTFCHI-ABORAT ORIF.S,INC. AAA CFRT. NO.:Af-AIA OG3 449Rre. MO RECE!VEf - - Sandccich, AIA 02.56.3 .508(888-6460) 1-800 3.39-640 FAY(508)888-6446 J U N 2 5 ?003 F TOWN Or Bh-- 'vSIABLE i HEALTH DEPT. -.F CLIENT. John Fain LOCATION: 95 Alpine Way ADDRESS: 5 Holly Lane Marston's Mills, MA Barrington, RI 02806 COLLECTED BY. Desmond Wells SAMPLE DATE: 6/16/2003 SAMPLE TIME: 1:00pM WATER SAMPLE TYPE: New Well DATE RECEIVED: 6/16/2003 LAB I.D. #: 0306484 WELL SPECS.: 4", 23'/45' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Co►iform bacteria /100ml 0 Absent 9223 B 6/16/2003 pH pH units 6.5-8.5 6.19 4500 H+ 6/16/2003 Conductance umhos/cm 500 77 120.1 6/16/2003 Nitrate-N mg/L 10.0 0.11 300.0 6/16/2003 Nitrite-N mg/L 1.00 < 0.004 300.0 6/16/2003 Sodium mg/L 20.0 9.9 200.7 6/17/2003 Iron mg/L 0.3 < 0.1 200.7 6/17/2003 Manganese mg/L 0.05 < 0.008 200.7 6/17/2003 COMMENTS: pH is below recommended limit and may have corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. <=less than Date >=greater than Ron ld J. Saa TNTC=too numerous to count Laboratory Di ctor I 'c 3 TOWN OF BARNSTABLE � LOCATION o r""<Z AI:9.,AiGs- /1/'/1-� SEWAGE # � VILLAGEf3j/3,�g�'29�-5 i j3iG�L"S ASSESSOR'S MAP Cz LOT �/ INSTALLER'S NAME & PHONE NO.1.k-), 1' CG�3i.74 SEPTIC TANK CAPACITY ,o/5 00 C4-L . LEACHING FACILITY:(type) 2 -%7, r S (size) /4�. p NO. OF BEDROOMS PRIVATE WELL', 4 s r BUILDER OR OWNER DATE PERMIT ISSUED: �1Tl�7 DATE COMPLIANCE ISSUED• 7114,le7 VARIANCE GRANTED: Yes No vim` F3 C 'PiT7�- Pr 2 ��_� Q � r�o �Ca�2Gt4 St=pTzc ,Ltd 30 � r P)r NN �1 V �' 14 Z - -} `TOWN'OF BARNSTABLE LOCATION c r"4/ 1,1i1571�V- di!/4,x SEWAGE # VILLAGE,fdaA,A,61-0 "i f lGf� ASSESSOR'S MAP & LOT f + OdG 6 I'" INSTALLER'S NAME & PHONE NO.l�.,, CG (�� u'i2-ram t✓o���"' SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 2—;�7,1 .5 (size) NO. OF BEDROOMSPRIVATE WELL BUILDER OR OWNER 9eV W -- DATE PERMIT ISSUED: / 7�C�7 DATE COMPLIANCE ISSUED: 7116le7 VARIANCE GRANTED: Yes No � r Pr Z �� �'1 (� `7�12c t4 19-C-) 30 -� � �r� z • 4 w No.3.� C- •-- \ Fps... i. .� THE COMMONWEALTH OF MASSACHUSETTS --� BOARD OF HEALTH •-/d 1.V✓-iV..............OF...4eR4AeA1,.4.A' ..49C� -..-._.----.--.---.-•------ ApplirFatiun for Uhipati al Works Tumitrurtiun ramit Application is hereby,made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: A- V—)QA �T Location-A d ess or Lot No. ---- --- -- --------- - .................................................... Address a ............... .---...••----......_................i------ ...........................................................................................................-----------------......----------................-----s............................... Installer Address dType of Building Size Lot_.._3,s3---A_,St-fe6 U Dwelling l 'go. of Bedrooms...............`7-.......................Expansion Attic ( ) Garbage Grinder (VO Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures --------------------------------- W Design Flow...........5. ......................gallons per person per day. Total daily flow-------_._.! 0.....................gallons. WSeptic Tank L Liquid capacity,44200..gallons Length...40...... Width....%_........ Diameter________________ Depth...�+-...._... x Disposal Trench—No. --_------••-___--•-- Width-------------- Total F- ._ ........ Total leaching area....................sq. ft. �.�..__. Depth ra�� A. Total leaching area.__.�1�_�...sq. ft. Seepage Pit No------.�----------- Diameter..__._lS Z Other Distribution box ( ) Dosing tank '� L `-' Percolation Test Results Performed by---------- ............. Date-.s/u/�/-• ,�_._l Test Pit No. I...... _..___minutes per inch Depth o st MMPaE ------- epth to ground water-ZQ_'_e-f Test Pit No. 2.......Z....minutes per inch Depth of e it_______/_ epth to ground water_.?Q..'.. _ '__. ���S . .................. ---•.................... O Description of Soil....., - --,LQ�.�rl_.._..../_..._.7�P,s� ....a' z---�ti x U -•-----•...-•---•-•---•-----•--•---------------------------•--•........._.......--••--...........-•----------•••-------•-----•---------------•--•--•---...-•---••-------------------------------------- W ----------------------------------------•---------------------.....-•••--•---------•-•------••-•--•-----------•---------•--•-----------------------•-••--•---•-------------------••----•-----------..... UNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- --------•-------------------•--------------•-------•-------•------------------------................. ................................................... •------•----------------..................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.' 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 oar of lth. / Signed . ..... .. ... /e Application Approved By---- . • -•--•• • ........ . ... ___.�.__ ----•--------------------•--••--•-- / a 7_.... JESIGNjr4 ate Application Disapproved for the follo i g reasons:................ ?v IO/�'Q�n����N MUST !�n va u tM �v °f�---- �•iate ^n, ��^ WAS INSTALL IN WRITING Perms No. _ Issued�� ==----------E� f ! 'r E. DateK......... L �✓ �a }A oJ.._..... --------- F / ..,.� ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 742ZV.Aoe...............0F...,e2rM l/.,.S',AS6.�......... , VVfiration for Diripoott1 Workri Tomitrortion JIrrmit Application is hereby made for a Permit to Construct ( ) or Repair- ( ) an Individual Sewage Disposal System at: ........... ,� l d r. .: :..rF�r..'4 �............................ ............. ,/.�_..._......_...Location-A d ess `T or Lot s 'L��---- - -.--•••"' 1 /. ..- .....IYQ/ ,e!J/ �1.,�..._.... .......................... ...................................•-•-----...----.....-...........---.....J•--.................. W Owner Address a T.._e. _ ........................................... " taller --t..A 1 �.E'_ �� Address............................................ � U y Size Lot.....3a13:_-A!,Sgr4t-P_1 �-. Dwelling4ego. of Bedrooms......................................Expansion Attic ( ) Garbage Grinder (�/) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures ................... .......... Design Flow............1.� ..... __..... allons er erson er da Total dail flow............ W •- -•--....... .� w g : P P P Y• y �f..�1.....................gallons. ►4 Septic Tanis t Liquid capacity au�...galions Length---/.V-.-_-_ Width.-.'......... Diameter..........s:.... Depth...... Disposal Trench—No. ................:... Width.................... Total Len r��e p`� •�-:s��btal leaching area....................sq. ft. Seepage Pit No......2......_.... Diameter......IV........ Depth below tal leaching area...,�V./...sq. ft. Other Distribution box ( ) Dosing tank Percolation Test Results Performed by......... = Date dayl... Test Pit No. I......Z......minutes per inch Depth of Tes1131,i ...CP �. } to ground water.24.1.. ,6 . . w Test Pit No. 2.......z-....minutes per inch Depth of Test itt p .�••-., ground round water.�(l.�....S.f:... Ee E Description of Soil._...,, .��-....�elGt,tx�/....._.t�_......Td t'. .L,-...�.'>!i , ?/Ll. tj...4....C'Qe94XAC..SMA rt l U ......................................................•-••......_......-•••-•-•••••......... M. ...........................................•--.......----........_..........._...----••--•••-•---•••---...••---------....__......._.....---....._...._.......................__..........-•-••••........ U Nature of Repairs or Alterations—Answer when applicable..................................................... .................................................................................................................................................................. greement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL- 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. Signed..............................._........--•--....---•-----------......•--••...-•••••.•• ................................ Application Approved B Date Application Disapproved � q ing awns:?.. :..Z..............•••--•-••-••...---•••..................-••••........ _ te7 •_ ________________________________•----•.----.__-_.--_-_.--------•-------_--..•.•--•----•••--••---•-----_._.--. -D-te.............. PermitNo.........................................•--........_ Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................I.................OF T Trrtif irttt� #f t THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by..................................'.................._.........................----•---••-------..............----...--••-•......-•-•-.........•• ....•-••-••-••........._-•••••••......... Installer at........... ...... '; �..L�.rz.....0............................................................._ ••-•••......•-•--•......•_.. ••••. .. a 1 at7o far is>os, ... ons uctio r ��'o._.......F� r dated................................................ - •------.... cri --- has b en JJin� sta ed in a . r nce with the',.r(Visions of TIT I� of. St t y Code as described in the PP z ,. i 1 -=r-&"`�r "�r-J r ! Y ► 1 I .................. ............................ THE ISSUANCE OF THIS CERTIFICA H9-t,, NOT BE CONSTRUED AS A GAR•p NTE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. `� f f� O DATE....................... ...... .1..._............_........... Inspector..... .------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF......._.......................................................................... NO......................... FEE........................ U i o �t1 S � � Permission Is hereby granted.................................•--.........•-••-•••--•.....••---•-••••••••.............................. to Construct ( ) or Repair ( ) v' ual Sewage D'spr al, ;Sysltem ' C at No................................................. =--.._........._ ......---......------------•-----•-•----------•••....................I. Street as show �. r e a licat' or DisposaIkAlc Co struction P t`N \ Cod' ter. �. ....... o 6 t! 7 .------- DAE._ r w. r rlealw r� ............................ ................... 'IL ' r o �d FORM '235 HOBBS_&�1A� R�N;`IWCSPU1SHERS t 1, Log' Number: Bottle # E701 Date: December 12, 1986 $^Q't',S+a BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE v BARNSTABLE, MASSACHUSETTS 02630 a � Ass DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511 Ext. 337 Client: LeBel Construction Collector: S. Solbo Mailing Address: 4 Oak Street Affiliation: well driller Centerville, MA 02632 Time &Date of Collection: 12/10/86 1:00 p.m. Telephone: 477-2811 Type of Supply: well -Sample Location: ,Lbt 4 Alpine Way Well Depth: 44' Barnstable, MA Date of Analysis: 12/11/86 9:20 a.m. PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 0 H Conductivity (micromhos/cm 500.0 Iron ( m) 0.3 Nitrate-Nitro en ( m) 10.0 Sodium ( m) 20.0 I I . _Water sample meets the recommended limits for drinking of all above tested parameters. II . XX Based only on results of the parameters tested for this sample, the water is suitable for drinking but may present the problems checked below: A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. C. X Water may present aesthetic problems (taste, odor, staining) due to iron D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. High Nitrates ^The�rnstable County Health and Environmental Department shall not endorse any statements, REMARKS: interpretations or conclusions made by anyone else concerning these results without written consent. CC: Barnstable Board of .Health CC: Scannell Well Drilling 1 /7/85 La atory Director rt � Explanation of Test Results Total Coliform Bacteria Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the result of accidental contamination of the sample.bottle through improper sampling methods. For this reason,_it would be advisable to retest any well water that is,not approved. PH PH.is the measure of acidity oralkalinityof the water. On the pH scale, the number 7 is neutral, less than 7 is acidic and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5. Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500'inicromhos/crn-are generally considered unacceptable and may have a laxative effect upon users. Iron , The presence of iron in water in concentration of..3 ppm or greater may: give the water a bittersweet astringent taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron in.Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water n'iav cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been sugCn gested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes. Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish-green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water sup plyh'assrn6fe-than'20 ppr•n`sodiumitts up fo the people who are on such a diet to find another source of drinking wator�or contact.their'doctor,,to determine%if-'cd'nsuming the water is advisable. Concentrations exceeding 50 ppm indicate-th,at th'emmay be,ocean water or,road,salt runoff water getting into the well. r Department of Environmental Management/Division of Water Resources WATER WELL COMPLETION REPORT WELL LOCATION Address Or C L V ( r/ City/Town A5i0/5 re.) S M r TS G.S.Quadrangle Map !� Grid Location Address 0JG3� WELL USE CONSOLIDATED WELL Domestic©"Public ❑ Industrial ❑ Type of Water-bearing Rock Other Water-bearing Zones Method Drilled a Uc e r 1) From To 2) Fro.m To Date Drilled zc)Ijo A l 3) From To 4) From To "CASING r Depth to Bedrock Length �� Diameter y Type PUG UNCONSOLIDATED WELL STATIC WATER LEVEL, Water-bearing Materials Feet below land surface ,"� Sand: fine❑ medium❑ coarse Date measured Gravel: fine❑ medium❑ coarse❑ GRAVEL PACK WELL Screen:Yes No'❑ < . </y , Slot# Jb length V from �)�U to ❑ Split Screen (or 2nd screen) WATER QUALITY TESTS MADE Slot# lenqth from to Chemical ❑ Biological Depth To Bedrock i PUMP TEST Drawdown feet after pumping days-2—.—hours at A GPM. How measured Recovery feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To C' ,( larS Q `° DRILLER CDG/S� Firm0A• SG tic-4 J. y Address /• 9l40 ` Cityl4gsxA« /wit . 0 y9 Registration No.OT-> Aerator s ignature Please print tirmly BOARD OF HEALTH COPY 25M.10.85.807101 re,,- cyis�Doso Sys ter+-t y�air� r kJ o)l r .FO!^/7 9 747 Ile A/47 f c em�er !Uv•vr ,�e r ,&C 74o 4 .zc_a c fi i cif p,4 ,•1'f�g1��d,T J Leos et c'tt .s�o% wQ// X 2. S 4- ¢ X /4�h /%k 2, S = 4 440 4 qo / S/dWGI S Tl ,k 7 z x / _ /,WdMaE r X Z 300 a�/c/Q 3Q 4 9 p w o`er ALLA oy �t S r ✓� �/�u/ �/(l g Ct / . q�Q o L L . y y G�ST�VL FSS/ONAL E�6 r