HomeMy WebLinkAbout0070 J.B. DRIVE - Health 70 J.B. Drive
Marstons Mills
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CERTIFICATE OF ANALYSIS
Barnstable County Health Laboratory
Report Dated: 10/21/2005
Report Prepared For:
Order No.: G0533477
Gary Pralim
70 J.B. Drive
Marstons Mills, MA 02648
Laboratory ID#: 0533477-01 Description: Water-Drinking Water
Sample 9: 33477 sampling Location: 70 J.B.Dr.Mars tons Mills,MA Collected: 10/20/2005
Collected by: G.Pralun Map 101 Parcel 46 Received: 10/20/2005
Routine
rrEM RESULT UNTrS RL MCL Method# Tested
LAB: Inorganics
Nitrate as Nitrogen 2.5 mg/L 0.10 10 EPA300.0 10/21/2005
LAB: Metals
Copper 0.70 mg/L 0.10 1.3 SM 3111B 10/20/2005
Iron BRL. mg/L 0.10 0.3 SM 3111B 10/20/2005
Sodium 19 mg/L 1.0 20 SM 3111B 10/20/2005
LAB: Microbiology
Total Coliform Absent P/A 0 0 309 10/20/2005
LAB: Physical Chemistry
Conductance 210 umohs/cm 1.0 EPA 120.1 10/20/2005
pH 5.9 pH-units 0 EPA 150.1 10/20/2005
Water samplemeets the recommended"limns for drinking water of all the above tested parameters.
Approved By: _
( irector)
R =
RL = Reporting Limit
MCL=Maximum Contaminant Level
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605
No.--- "--72 --' Fee---
BOARD OF HEALTH
TOWN OF BARNSTABLE
Application-*rVell ttCon5tructiolupffmit
Application is hereby made for a permit to Construct (. ) Alt e ( , ), or Repair ( Y n indivi pa 1 Well at:
76,-- < �`'+a',-T°`' _�' ��s-- =- f' � - — - -----------------
----- - ----
Location — Address Assessors Map and Parcel
Gl' -_- - ---------------------------------- 7a - - ' -----
-- - --------
Owner /,/ Address
J (----------- � =z4x, ---- f�-���1 S �z. �'Lifl1 e,
------------------------------------
Installer — Driller Address
Type of Building
Dwelling,//g -s-�------------------------------------------------
Other - Type of Building ---- No. of Persons----------------------------------------------------
Typeof Well Capacity-----------------------------------------------------------------------------
Purpose of Well
- - -
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 Compliange has been issued by the Board of Health.
Signed ------------------------ -` /'E/!__
date
Application Approved By--____ -- -- n ---------------------
date
Application Disapproved for the following reasons:---------------------------------------------------------------_-_-----------------------------__
---- - —----------------------------—----------------------------------------------—------------------------------------ ------------ --------------------
j date
PermitNo. ------- / = -------------—---------------- Issued----------------------------------------------------------------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate ®f (Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (>V)
---------------------------------------------------------------------------------------------------------------------
Y — Installer
at---------`7---0-------�------ ----------- t-----'--------------------------------------------------------------------------------------------
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. - --r-Dated-------—-----------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---------------------------------------------------------------------------------- Inspector---------------------------------------------- - -- --
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--------
No.---=---.- - Fee---
BOARD OF HEALTH
TOWN OF BARNSTABLE _
f
6
0(ppYi atiou,forlVell Contructioupermit
Application is hereby made for a:permit to Construct ( ), Altel ( • ), or Repair ( tin individual Well at:
d. �1f7_�
Location
/ — Address Assessors Map and Parcel /
---------------------------- - �� � - `=�----' <�(l'To��,S -'--t'-',!s ----------
Owner i Address
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o /kyCi?)^j,-'P/��_)a_�l_�l,_ �Y- 1� _ -- 1=U '1 __ p S ------------
Installer.—
Driller Address
Type of Building
Dwelling_1�o���- -- - -----------------------------
Other - Type of Building --------------------- No. of Persons-------------------------------------------------
Typeof Well------------------------------------------------------------------- Capacity-----------------------------------------------------------------------------
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
yplace the well in operation until a Certificate of Compliance has been issued by the Board of Health.
h
Signed j------------------------- --
date
Application App owed By-----—- �� �1�L- --------------- - �'--=_1-------
J date
Application Disa Proved for the following reasons:— --_-_------_----_------------------------------------------------P
__------- ---- — _ _-- -- ----- --------------------------------------—-------------— - ------ --- -
date
�-� �—�-�-=--t�S--------------------------------- Issued-------------------------------- � -Permit No. -----�--- ------ --- -------------------
j date`1
I 1� BOARD OF HEALTH
r TOWN OF BARNSTABLE
Certificate ®f (Compliance
THIS IS TO'CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (>)
b �d.h.�av��! C_ ----:----------
-------------
Installer
at- - - Q -------------------------
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. 9 ---Q�/--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
Yell Cou!9truct ion Permit
No. Fee-- ---------
Permission is hereby granted-----------` - —z � ' /1.,�ra p-(L ---------------------------------------------------------
to Construct ( ), Alter ( ), or Repair0,0
( ) an Individual Well at:
No. -- - - - !�---------— - `y-Q-------------�-- ----------------------------------------------------------------------------------------
Street
as shown on the application for a Well Construction Permit
------------------ Dated---------------------------------------------------------------------------------
------------------------------------------
d o Board Health
DATE -- = - --- -/— - -- -
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