HomeMy WebLinkAbout0330 CEDAR STREET - Health A
West Bamstable
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CERTIFICATE OF ANALYSIS
Barnstable County Health Laboratory (M-MA009)
Recipient: Sally Desmond Order No.: G20118162�
Desmond Well Drilling• Report Dated 01/11/2020.j' '
P 0 Box 2783. Submitter: Well Driller
Orleans, MA. 02553 Description.: 3.Day Rush'=':33Q Cedar'ST.
Laboratory ID#: 20118162-01 Matrix: Water-Drinking Water
Sample#: Sampled;; 01/14/2020 '15:30' By: DWD ,
Collection Address: 330 Cedar St.K.Barnstable,MA Received: 01/15/2020. 14:05. By: PalmerP
Sample Location: Turn:Around; 72 W ROK
Routine M
ITEM RESULT.. UNITS. RL MCL. METHOD#: ANALYST TESTED •.TIME
Nitrate as Nitrogen 1,7 mglL. 0'AQ 10 EPA 300.0 CL 01l16/2020
Iron . 0.18: mg/L. 0110 0:3 EPA 200.8, CL 01/14/2020 11:46
Manganese ND mg/L 0.025` 0,650_ EPA'200.8 CL. .01/14/2020 11:46
OH 6.5 PH AT 25C NA 6;5-8.5' SM 4500-H-B CL . 01/1512620 14.49
Sodium 20 mg/L 2.5 20, EPA 200:8 CL 01/14/2020 11,46
Total COliform Absent P/A 0.' ' .0 SM..9223 RG. 01/15/2020 .15:14
Conductance 250 umohs/cm .2;0 SM 251013 yn 01/15/202.0 15.17
Sodium level is above the maximum contaminant level Those:on a low sodium. det may wish'to consult a physician.
Attached'please find the laboratory,certified parameter list. d Approved By,
(Lab Manager)
ND=.None'Detected, RL = Reporting Limit MCL'=Maximum:Contaminant.Level
3195 Main Street, .PO. Box 427, ..Barnstable, MA, 02630 Ph:608-375-6605 Page:. 1 of 1
Elf,
,. CERTIFICATE OF-ANALYSIS
' Barnstable Count Health. LaboratorM MA009
y y. ( .
`Recipient:;Sally Desmond Order No.: G2011816.2
Desmond Well Drilling Report Dated:, 01/17/2020
P 0 Box,2783 _ Submitterc Well Driller
Orleans, MA 02553. . Description: 3 Day.Rush-330.Cedar ST.
Laboratory 10#: 20118162-..01 Matrix: Water,-Drinking'Water
Sample#: Sampled:_ 01/14/2020 15:30 By DWD
Collection Addr: 330 Cedar St.W. Barnstable,MAo Received: 01/15/2020 14:05 By: Palmeri)
Sample Location: Turn Around: 72 Hr Rush
Analyst: yn Method: EPA 524.2 Dilution:1 Date Analyzed: 01/15%2020 @ 9:32 ,
......._ ... _. _....------.....: _.................................
__
EPA 524.Z- Volatile Organics by GC/MS
Result' •MCL M1DL . Result MCL MDR
Parameter ug/L ug/L u9/L Parameter ug/L. ug/L ug/L
Dichlorodi-fluoromethane ND " 0.50 :: Chloroethane NO 0.50.
Chloromethane` ND: 6.50; Chloroform 0.90 80. 0.50
Vinyl chiodde,
NO. 2.0 0:5o cis-1,2-Dlchloroethene` ND 70 0.50'
Bromomethane NO 0.50. ds-1,3-Dichloropropene NO . 0.50.
1,1,1,2-Tetrachloroethane ND. 0:50. bOr'omochloromethane NO. 0.50 -
1;1,1-Trichloroethane ND 206 0.50 Dibromomethane. ND
11;2,2-Tetrachloroethane NO, 0.50 Ethylbenzene ND 700. 0,50
1,1 2-Trichloroethane ND 5.0 0.50 Hexaehlorobutadlene ND.: 0 50
1,1=Dichloroethane NO 0:SO: Isopropylbenzene ND. oso
1,1=Dichloroethene ND 7 0 0:50: Methylene chloride NO : 5.0 0.50
1;1-Dichlcropropehe ND.' 0.50. Methyl-tert-butyl ether ND 0150
1,2 3-Trichiorobenzene NO oso; Naphthalene ND . 0.50
1,2,3-T.richloropropane ND 0.50 n Butylbenzene NO. 0.50.
1,2,4`-Trlchlorobenzene:: ND" 70,' 0.50 n Propylbenzene NO 0.5o`
1,2,47Trimethylben ehe NO 0.50 p-Isopropyltoluene ND 0.5o
1,2 blbromo73-chl0r6propane ND 0.50 sec-Butylbenzene ND: 0.50,
1,2=Dibromoethane(EDB) ND 0.50: Styrene ND: 100 0.50
1,2-Dichloroben2ene ND 500 0 50 tent=Butylbenzenie ND 0:50.
1,2 Dichloroethane NO 5.0 0 50.; Tetrachloroethene NO 5.0 0:50
1,2-Dlchiorbpropane ND o.5o Toluene NO i000 0:50:
1,3,5-Trimethylbenzene: NO 0:50. : Total.,xylenes ND i0o0D 0.50
0-Dichlorobenzene NO 0.50 trans-12-01chloroethene ND 400 0.50!
1,3'Dichloropropane NO o 50.,:. trans=l,3-Dichloropropene ND. 0:50;
1,4 Dichlorobenzene NO: 5.0 0.50 . Trichloroethene ND 5 0: pao
0.50' Trichlorofluoromethane ND
2,2=Dichforopropane. ND . 0:50
27Ghlororoluene NO o so Compound %Recovered QC Limits(%)
4-Chlorotoluene ND` 0.50.. ° E.
1;2-Dichlorobenzene.-d4. 94/0 70 130
Benzene d
NO 5.0 0 50 °
p-Bromofluorobenzene 86/0 70 l 130
Bromobenzene: NO 0:c
Bromochloromethane
Bromodichloromethane: NO. 0,5o
Bromoform ND 0.50
Carbon tetrachloride NO
5.0 0.50
Chlorobenzene.. NO, zoo. 050
Attached pleasefind the laboratory certified parameter list.
Approved By. ..........._._ C
- (Lab director)
NO=:None Detected. RL Reporting Limit MCL= Maximum Contaminant Level ,
3i 95 Main Street, M.Box.427, Barnstable, MA 02630 Ph:'508.375-6605 Pagel of 1
Massachusetts Uepartment of tnvironmental Protection
Bureau of Resource Protection
Well Completion Reports
Well Driller
Please specify work performed: Address at well location:
New Well Street Number: Street Name:
330 CEDAR STREET
Please specify well type: Building Lot#: Assessor's Map#:
(Domestic 131
Assessor's Lot#: ZIP Code:
Number Of Wells: 13 02668
City/Town:
Well Location BARNSTABLE
In public right-of-way: GPS
t Yes r No North: West:
......................................
41.70680 70.39103
Subdivision/Property/Description:
Mailing Address:
wK click here.if same as well location address
Property Owner: Street Number: Street Name:
ARNOLD LANE 330 CEDAR STREET
City/Town: State:
Engineering Firm: BARNSTABLE MASSACHUSETTS
ZIP Code:
02668
Board of health permit obtained:
.............................................................................
t Yes 1 r Not Required
Permit Number: Date Issued:
W2020 001 01/13/2020...................._....................
L1PMassachusetts 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
F
om(ft) To(ft) Code Color CommentT 'Drop in drill Extra fast or slow Loss or addition
stem drill rate offluid
€ i ........,
.......................
...............
...........................
015 Silty Sand And G ! Brown + ( Fast f Slow
YES NO Loss Addition
.
15 �35 Sand And Gravel Brown ill r Fast r Slow
- YES NO ........ Loss Addition
.................
............................
35 �55 Sand And Gravel Brown . Fast s:Slow
-' YES NO Loss Addition
....
55 EE65 i Sand And Gravel Brown + r Fast f-Slow t r
t .. ..... :( ......... �, YES NO ... ....... Loss Addition
.............................: ....................................
- C C C
65 80 Fine To Coarse S + Brown r Fast r Slow
� c
YES NO i oss Addition
WELL LOG BEDROCK LITHOLOGY
Loss or Extra
From(ft) To(ft) Code Comment Drop in Extra fast or Visible Rust
addition of Large
drill stem slow drill rate fluid Staining Chips
P
...............I.............................................................................................. ................................................_. ................................. ................
... f f f f r c
(Choose Code r Yes r Yes,
-- - YES NO 1 Fast Slow Loss Addition
..................... .......... ( ..
ADDITIONAL WELL INFORMATION
Developed rYes CNo € Disinfected t Yes i No
Total Well Depth 80 Depth to Bedrock
Surface Seal Type None Fracture Enhancement f'Yes
CASING rl Is Casing above ground? From: 1 To: 0
From..........................To.................... T Thickness.................................................................................Diameter.............j..Driveshoe.............;
ype
................................................................................................................................................................................................................i................................................................................................................
._.-_,, -
0 76 Polyvinyl Chloride Schedule 40 4 Yes;
SCREEN No Scrz
................................................................................................................................_....................................................................................,..............._............................................
From To ;Type Slot Size 7 Diameter
.......................................................................................................................:....................................................................................................................................................................................................................................................................................................:
'7fi 180 Stainless Steel Well Point � 0.012 4
WATER-BEARING ZONES'r7 DRY WEL
From To Yield(gpm)
.......... .............. ..............
35 <80 12......
:...................................................................................................................:
PERMANENT PUMP(IF AVAILABLE)
.1........... ........................................
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
7i Well Completion Reports(General)
2 Wire Constant Speed
Pump Description Horsepower
Submersible 3/4
Pump Intake Depth(ft) 75 Nominal Pump Capacity(gpm) 10
ANNULAR SEAL FILTER PACK
From To Material 1 Weight i Material 2 Weight 'Water Batches Method Of
(gal) (count) Placement
: _ ...
rr Choose Material + Choose Material .r ' Choose One
WELL TEST DATA
Date Method Yield m Time Pumped Pumping Level(ft Time To Recover Recovery(ft
(gpm) (HH:MM) BGS) (HH:MM) ,BGS)
t............................_... ............._.......................................................... ......................................:................................................................:.
01/14/2020ConstantRatePump 1201:30 i'37 00:01 35
WATER LEVEL
Date Static Depth BGS(ft) Flowing Rate(gpm)
Measured
I
01/14/2020 € 35 12
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
and accurate to the best of my knowledge.
WILLIAM Supervising Driller DESMOND,
DrillerUROUHART Registration# 877 Monitoring[M] Signature PATRICK,
DESMOND WELL
Firm DRILLING INC. Rig Permit# 0551 Date Job Complete a01/14/2020
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
LOCATION ; SEWAGE PERMIT NO.
VILLAGE
I N S T A LLER'S NAME i ADDRESS
- 1�1[� lC g•�
10
BUILDER OR OWNER
DATE PERMIT ISSUED -95
0ATE COMPLIANCE ISSUED 4 -g�
w
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+,
No. 13
THE COMMONWEALTH OF MASSJACHUSETTS
BOARO
................O F....... ................ ......I......__...............
Appliratio t for Biiipos it ,ark,�®repairr'
ii #riming ermi#
Application is hereby made for a Permit to Construct ( ( ) an Individual Sewage Disposal
System at:
Locat n-Addre �� �..
t No.
. ..__.. 1 .. ........... .... . Zi1 --Zi. ................
.........................................wn -Address
Installer Address 4141
Type of Building Size Lot_.7.7_ .•..Sq. feet
., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Building No. of persons............................ Showers — Cafeteria
a Other fi ures -•----•--•----- ••-•----------- .
W Design Flow............. S......................gallons per person per day. Total daily flow---------_ ...................--gallons.
9 Septic Tank—Liquid capaciWO gallons Length................ Width................ Diameter__-_--_..___---. Depth..._............
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...........:'.....sq. ft.
Seepage Pit No--------- -------- Diameter.......e....... Depth below inlet......6......... Total leaching area_.3�.4_sq. ft.
Z Other Distribution box ( ) Dosing to
Percolation Test Results Performed by..._...__ ___ j-?QAb.......................... Date......:7�-�_-9 7�...__.__.
,aa Test Pit No. 1.__ ........minutes per inch Depth of Test Pit.../2� ........ Depth to ground water.......
Gz, Test Pit No. 2....3.......minutes per inch Depth of Test Pit._/7--__-_••- Depth to ground water....... t%_______
-------..----•--•--- ------ ----- ---------------------
ODescription of Soil---------- -------- � t ... 12 ----------------------------------------------------•---•-----------.
I ----------------------------------------0-6-1-2--------- --•-• -V Nature of epairs or Aerations—Answer when applicable...............................................................................................
.......... ... ........ ............................................................................................................................................................................
Agr
Th undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
e p •isions of iI'PL L 5 of the State Sanitary Code— The undersigned further agrees not to p1lacA the system in
'%oper tion until a Certificate of Com liance has been issued by the bard of health.
;�/�
igned--•-- ��=�'ff�(1 /7 ` " �-----A� ........... ...._-----�.-®�. .
at
Application Approved BY ---------------------------- ...--•-.......4 �� r.�.
Date
Application Disapproved for the lowing reasons:...............................................................................................................
...............•--••-•-•-...---•--------...........-•-•-••---...-----.......--•---...........•--•--------------------•-------•------•-••---•----...---•-••------•••------•----•-----...................
dd m Date
Permit No.. �S..�_.:J...-.-y 1---------------------- Issued........................................................
Date
l 3r Te
.- --- Fmc ......
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® QF H ALTH
_ .............. . ....
----------•-•••--•---•••••-•-------
Apptira tiva jor Disposal Workii Tonstrnlr#ion ramit "
r Application is hereby,_made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at: `
.--- ----A0
._.. ...........
l� /40 Loc ion-Add t No.
..... .. ...........-........... --•-- f /
....lje,4�14...................................................
A.X
aW-a � ....... ......................................................
_._. r Address
Installer r'''
UType of Building ;# � — �t"� M .' �3'� Size Lot�1,. ......Sq. feet
�7 _Ex Expansion Attic x rb '
Dwelling_No. of Bedrooms ______ ___________ p ( ) Garbage Grinder ( )
a .....
OtherType of Building No. of persons.:' Showers ( ) — Cafeteria ( )
AOtherfc ures - ---------------............................................ - ------------------------------------------•--------------•---
W Design Flow_______ _1�061________ _______ gallons per person per day Total daily flow_-__- .j0 gallons.
WSeptic Tank—Liquid capa/iM....g0ons Length................ Width................ Diameter................_._,Depth................
x Disposal Trench—N9_____________________Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No_____________________ Diameter.__. ____..___.... Depth below inlet--- ,.............Total leaching ar ,0.7..,_....sq. ft.
Z Other Distribution box ( ) Dosing t -,( �.��s
~' Percolation Test Results Performed by t�Tr.424A-b--------••-------•--....... Date
a 7 ?
Test Pit No. l __..__._...minutes per inch Depth of Test Pit _ ____________ Depth to ground ate ____.
/ ----------
(T4 Test Pit No. 2 _.__.___._minutes per. inch Depth of Test PiV . Depth to ground water..__ ..______..
Ri .
----•----------•-----••-.......................... ---•••-•----..-•---
Description of Soil.......- l � t *- -----------------------
_•__ ........._
............................. VV �/�
�/ ....... T/V _ ••___••_•___-•_•____
_____________________________ / _.._._._.G ••_ .. .._
U Na e of Repairs or.Alterations—Answer when applicable.............................................. +'-
.....................
...................................=-...........-----------------------•--------•---......---------------....------....------------------................................._.........
gr ent:
The undersigned agrees tosinstall the'~aforedescribed Individual Sewage_Disposal System in accordance with
e provisions of TLITIE 5 of the State Sanitary Code— The undersigned further'agrees not to place the system in
operation until a Certificate ofkffollowing
iance has been
",issued by thf board of health.
Si neat fl�'l/ //_LL.// .=. ................ .....da $
Application Approved By....... .
Application Disapproved fort reasons-...................-----.............................................................--------_.......__....._.
-------------•----------......--------•-- ...... ........•.........................•............................................................
Permit No�°� ............. . .` .... ;, Issued.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOA D OF E LTH,.
ram.. .......... . ' .: :..........................
....
f rd ftrate of f�ompliFaurr
THIS IS TO CERTIFY, That the Individu ewa e Disposal System constructe ) or Repaired ( )
by................ ............................ � ✓.....!, - -' •------_-_-_-----------------------------------------------------------•------------__-----
, � "Stal
has been installed in accordance with the provisions of T4Lj 41IThe State Sanitary C9de,i �W_5ed in the
application for Disposal Works Construction Permit No......................................... dated_....__.._._..._.'..............................
THE ISSUANCE OF THIS CERTIFICATE SHALL-NOT BE C NSTRUED AS A G RA � EE THAT THE
SYSTEM Wl FUNC IONS TISFACTORY V�
_ _ice
DATE.....-•--- . . r� } Inspector'....
Mr ,y� THE COMMONWEALTH OF MASSACHUSETTS a
"' �' ViVa{/)�l}�j, ' f£D +4Wo/IV-CeR
BOARD) OF � � ►1NSo1w-lSlht71F��� t4Z "T7 HA� ti£��+ '0
.....................................0F/OW ................ ip�tl
rk �u tr ion rrutit
Permissi is.hereby granted:- -!--1- _.._._� .... .. .
to Constr ct /'� yyo� Re air htidwid 3 �a a Dis osal tem
...............
Street
as shown on the application for Disposal Works Construction Permitg& 4)......... Date ___ ____
r _0 g�— i
j ` Board of,Health
� t
} DATE.. -_-----r--•------•...............................••-••-•-•
r
,� FORM 1255 A. M. SULKIN, INC., BOSTON
BAXTER & NYE, INC.
Registered Land Surveyors and Civil Engineers
7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131
WILLIAM C.NYE,R.L.S.-President
RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering
September 17, 1985
Town of Barnstable
Board of Health
367 Main Street
Hyannis, MA 02601
RE: Lot 1 - Maple Street
West Barnstable
Site Plan dated September 10, 1984
Dear Board:
In In accordance with your request I have inspected
the installed septic system at Lot 1 - Maple Street. As
best could be determined by visual inspection, the system
has been installed in accordance with the Site Plan dated
September 10, 1984.
I trust that this meets your present needs. ,
Very truly yours,
Peter Sullivan, P.E.
Baxter & Nye, Inc.
PS/fmj
tN OF �y s
PETER u^ ,
SULLIVAN
No. 29733 y
MEMBERS OF
CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING
MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS
LO CAT ION,--i�qo p� SEWAGE PERMIT NO.
VILLAGE
I N S T A LLER'S NAME A ADDRESS
e U I L D E R OR OWNER
4. 7h,
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED 9_Q'I4 _gS
i
k
s
r
6
ins�
No. Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
2pplication _for Yell Cow5truction J)ermit
Application is hereby made for a permit to Construct , Alter( ), or Repair( ) an individual well at:
Location-Address Assessors Map and Parcel
c rn o 1 L-o y\k- o C"c" MA o2
Owner Address
ZSMns \PjLAX ,r.� ,�yr� l� ���� z�? �3� (�c r,s 62G53
Installer-Driller Address
Type of Building
Dwelling J
Other-Type of Building No. of Persons
Type of Well .S C�\uo Q G Capacity b t qVer„
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 CeI'ficate of Compliance has been issued by the Board of Health.
Signed f 1 13 zom
Date
Application Approved By
Date
Application Disapproved for the following reasons:
Date
Permit No. v" �" ® � Issued 13
Date
--------------------------------------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well 1Constructed(V), Altered( ), or Repaired( )
by �iQ,$►1non� ���� �)fi�1tc
Installer
at :;30 CX&O r SA, V V •
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 Coristruction Permit No. bOl Dated —'
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
�.
No. Fee
— 95
BOARD OF HEALTH
TOWN OF BARNSTABLE
zIppYication -for Yell Construction Permit
Application is hereby made for a permit to Construct O, Alter( ), or Repair( ) an individual well at:
�C) C940c Sl�- M •,�)atnS\J—
Location-Address Assessors Map and Parcel
U a LOB.Y4y'. o Cam_ t<t S .W 07 UA
Owner Address
OQ,5mm4 RJIA Ox\A`,wo .6c V-0 ra2-(,S3
Installer-Driller J , Address
Type of Building
Dwelling
N
Other-'`Type of Building No. of Persons
-, Type of Well S CAL(o V C- Capacity t q)pN-,
' v
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.
r
_ --' Signed (2C)IA -
Date
Q 4
Application Approved By
\ Date
Application Disapproved for the following reasons:
Date
Permit No. r Issued
Date
--------------------------------------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed(4), Altered( ), or Repaired( )
by be.S►-,na,-,X \ j0 r,QA � yyL
tn�J Installer
at ,�jt] CjLAU.c -S-�. W • 1�t�c+^�Sc.}�o�
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. �jU 2d' Ca��Dated Y+� ,
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILLFUNCTION SATISFACTORILY.
Date Inspectors
o .--_._— __-- _—__ —_ BOARD OF HEALTH �� ; i-._..---cr. .�m.�,..__�o� —
TOWN OF BARNSTABLE `
O9-d oa
Vern Construction Permit
;> No. Fee
Permission is hereby granted to Qs Y)rwA � 4 C i 1 i Y, t V\g-
Installer
to Construct(�A),ii Alter( ), or Repair( an individual well at:
No. -J�)o V\R . c v-'o ALl-
r Street
as shown on the application for a Well Construction Permit No. Dated
7 /�
Date j J +�`� Approved By tiw` -
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