HomeMy WebLinkAbout0045 BRAMBLE PATH - Health 45 Bramble Path
Marstc Mills
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LOCUTION _ SEW&CxE PERMIT UO.
VILLAGE
II�lSTQLLER•5 ►J�►ME � ADDRESS
— 4� 0 LA) H/61C
BUILDER 5 Q & . F- ADORE SS
plaTE PERMIT ISSUED '- -
D ATE COMPLI &KiCE ISSUED : — — —
YOZD /
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y
BOARD OF OF HEALTH
TOWN OF BARNSTABLE
2pplicat ion ffor Well Congtruct ion Permit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair )an individual Well at:
Location — Address — A sors Map and Parcel
— e —._— —
n / Owner / Address
�l �l �f -- �1 _--- - — ------------------------- --- ----- — -----------------
Installer — Driller Address
Type of Building
Dwelling— � •� —— —-----
Other - Type of Building-----__—___— No. of
G /
Type of Well--L
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 a Certificate .of Compliance has been issued by the Board of Health.
f,
Signed _____— _
�J � date
Application Approved By00,
date
Application Disapproved for the following reasons:
_ — --------------- �—j— _date
Permit No. Q_o f) 1___00 -- Issued-- �-� —/---- ___--
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO RTIFY, That the Individual Well Co structed ( ), Altered ( ), or Repaired (11-r
nstaller
at_ i 1gc ��—�
-----------------------------------------------------------------------------
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 SATISFACTORY.
DATE---- —— -- Inspector------— - --
' E
i
No.-C- ��C Fee--
BOARD OF HEALTH
F TOWN OF BARNSTABLE
:i
0pplicationArVell Con0ructionVermit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair )an individual Well at:
VLocation — Address Assessors Map na d Parcel -
-=1 -!- "xv
`Owner —�_— Address
-,- -----------------------------------_—.__.-------------
Installer — Driller Address
Type of Building 11
Dwelling__f ����✓ _,-�__ __-_-____
Other - Type of Building- . No. of Persons--- _.-__.__.___—__
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 a Certificate .of Compliance has been issued by the Board of Health.
.Signed-%% �-='te r- _W _ ------
1 t ,—A�~�� —Q J date
Application Approved By - L j �Z! ' !` ;
date
Application Disapproved for the following reasons:
date
Permit No.�0 MD
___�- --- Issued-- J -� ----
date —
BOARD OF HEALTH
TOWN OF BARNSTABLE
(certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Co'structed ( ), Altered ( ), or Repaired (v)
by
nstaier
-----------------------------------------------------
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 SATISFACTORY.
DATE...-._..
"-" _ Inspector
BOARD OF HEALTH
TOWN OF BARNSTABLE
Ivell Congtruct ion Permit
No. r2=-2--0410� Fee-: -
Permission is hereby granted
-----------------------
to Construct ( )�,/Alters/y( ), or Repair (�an Individual Well at:
No. � i f.?7Tx/-
------------
Street
as shown on the application for a Well Construction Permit
No.- _�� -- -- Dated--- f 7- -- --------
a Board of Health Q
DATE
aRys^ Page: 1
CERTIFICATE OF ANALYSIS
Barnstable County Health Laboratory
Report Dated: 5/14/2004
Report Prepared For:
Order No.: G0424855
Jed Healey
45 Bramble Path
Marstons Mills, MA 02648
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Laboratory ID#: 0424855-01 Description: Water-Drinking Water
Sample#: 24855 Sampling Location 45 Bramble Path Marstons Mills MA Collected: 4/21/2004
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Collected by: J Healey Received: 4/21/2004
Routine
ITEM RESULT UNITS RL MCL Method# Tested
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LAB: !C Lab
Nitrates —5.6, mg/L 0.1 10 EPA300.0 4/21/2004
LAB: Metals
Copper <0.1 mg/L 0.1 1.3 SM 311113 4/21/2004
Iron <0.1 mg/L 0.1 0.3 SM 311113 4/21/2004
Sodium 14 mg/L 1.0 20 SM 311113 4/21/2004
LAB: Microbiology
Total Coliform Absent P/A 0 Absent 309 4/21/2004
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LAB: Physical Chemistry
i Conductance 260 umohs/cm 1 EPA 120.1 4/21/2004
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pH 9.4 pH-units 0 EPA 150.1 4/21/2004
Sample has higher than average levels of Nitrates and PH. Monitoring is recommended(2-3 times per year)to establish.any
upward trends:
Approved By:
Director)
-'ARCEL :_ te r`
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605