The URL can be used to link to this page

Home My WebLink About1525 MAIN ST./RTE 6A(W.BARN.) - Health 1525 Main St./Rt.6A A= 197—008 W. Barnstable � y Massachusetts Department of Environmental Protection i Bureau of Resource Protection WELL DRILLER Please specify work performed: Address at well location: New Well —� Street Number: Street Name: 1525: /I ROUTE 6A Please specify well type: Building Lot#: Assessor's Map#: Domestic � t�'� Assessor's Lot#: ZIP Code: Number Of Wells: 02668 �V¢�d.,t apt ,e /vl City/rown: Well Location BARNSTABLE In public right-of-way:Y• GPS North: West: 41.69944 —� 70.35613 Subdivision/Pro perty/Descnption: Mailing Address: b click here if same as well location addres Property Owner: Street Number: Street Name: DESROCHERS 1525 ROUTE6A -7 City/Town: State: Engineering Firm: BARNSTABLE—� MASSACHUSETTS ZIP Code: 02668 Board of health permit obtained: tji Yes rji Not Required Permit Number: Date Issued: W1218 9/19/2012 —� O BJ � N � r � Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) t Well Driller - General Well Form DRILLING METHOD Overburden Bedrock Auger --Choose Bedrock WELL LOG OVERBURDEN LITHOLOGY From To(ft) Code Color Comment Drop in Extra fast or slow Loss or addition of (it) drill stem drill rate fluid 18 Fine Sand Brown Ye t fa Fast t.J:1 Slow r)a Loss iji)Addition FM SAND 18 35 Clay Light Gray TRACE Ye rJ„Fast ,J Slow =LOIS Addition 35 40 Clay Light Gray Ye i)a Fast 4,Slow iJci Loss *Addition F4 07 41 Cla ^� Li ht Gra TRACE SAND Y 9 Y c Ye r)a Fast rJa Slow :�at Loss �J Addition 41 60 Clay Light Gray , Ye ,J:,Fast ,J:r Slow rJ. Loss z)n Addition 60 70 Medium Sand Brown GRAY , Ye ifi Fast r)a Slow rJc Loss rjai Addition WELL LOG BEDROCK LITHOLOGY Visible Extra To(ft) Code Comment From . Drop in Extra fast or slow Loss.or addition of Rust Large (ft) drill stem drill rate fluid Staining Chips Choose Code ------� Ye r�:r Fast rJ,Slow r�r Loss Jll Addition : Ye ' Ye ADDITIONAL WELL INFORMATION Developed rljr Yes 4 No Disinfected ,Yes 1Ji No Total Well Depth 170 � 1 Depth to Bedrock Fracture _ Surface Seal Type None Enhancement t,— CASING b Is Casing above ground. From: 11 To: 10 From To Type Thickness Diameter Drlveshoe 0 r 60 Polyvinyl Chloride Schedule 40 0 Ye t SCREEN � No Scree From To Type Slot Size Diameter 60 c, 70 Stainless Steel Well Point 0.007 0 WATER-BEARING ZONES c DRY WEL From To Yield(gpm) 24 70 F8_ PERMANENT PUMP(IF AVAILABLE) I - Massachusetts Department of Environmental Protection Bureau of Resource Protection-Well Driller Program Well Completion Reports(General) t` 2 Wire Constant Speed Pump Description Horsepower Submersible 1/2 Pump Intake Depth(ft) 70 Nominal Pump Capacity(gpm) 10 ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of Placement (gal) Choose Material Choose Material --Choose One WELL TEST DATA Time Pumping Time To Date Method Yield Recovery (ft (gpm) Pumped Level (ft Recover BGS) (HH:MM) BGS) (HH:MM) 9!25/2012 Constant Rate Pump 1:00 59 0:03 24 WATER LEVEL Date Measured Static Depth BGS (ft) Flowing Rate (gpm) 9126l2012 124 — 1 rg 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 a knowledge. Driller �TRICKDESMOND Registration# 877� Monitoririg[M] Supervising Drill Firm I DESMOND WELL DRI Rig Permit# 1024 Date Job Compl NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. I f t Page: 1 of 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) sqc y � Report Prepared For: Report Dated: 9/21/2012 Sally Desmond Desmond Well Drilling Order No.: G1271133 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1271133-01 Description: Water-Drinking Water Sample#: Sample Location: 1525 Route 6A W. Barnstable, MA Collected: 09/19/2012 Collected by: Customer Received: 09/19/2012 Routine ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 LAP 9/19/2012 Copper ND mg/L 0.10 1.3 SM 3111E LAP 9/19/2012 i Iron 3,8 mg/L 0.10 0.3 SM 3111E . LAP 9/19/2012 pH 6,8. PH AT 25C NA 6.5-8.5 SM 4500-H-B LAP 9/19/2012 Sodium 10 mg/L 1.0 20 SM 3111E LAP 9/19/2012 Total Coliform Absent P/A 0 0 SM9223 AF 9/19/2012 Conductance 130 umohs/cm 2.0 EPA 120.1 DCB 9/19/2012 Based on the results of the parameters tested, the water is suitable for drinking, but may present aesthetic problems (taste, odor, staining)due to Iron. Approved Attached please find the laboratory certified parameter list. A pp By: � Lab Director 7 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court, House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 f CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) �ACFi�S�" Recipient: Sally Desmond Matrix: Water-Drinking Water Desmond Well Drilling Sampled: 09/19/2012 0:30 P 0 Box 2783 Received: 09/19/2012 13:15 Orleans, MA 02653 Collection Address: 1525 Route 6A W.Barnstable, MA Order#: G1271133 Sample Location: Lab ID: 1271133-01 Description: 2day-1525 Route 6A Date Analyzed: 9/19/2012 @ 9:31 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Based on the results of the parameters tested,the water is suitable for drinking,but may present aesthetic problems(taste, odor,staining)due to Iron. EPA 524.2- Volatile Organics by GC/MS Result MCL MDL I Result MCL MDL Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L Dichlorodifluoromethane ND 0.50 Chloroform 1.0 80 0.50 Chloromethane ND 0.50 ds-1,2-Dichloroethene ND 70 0.50 Vinyl chloride ND 2.0 0.5o cis-1,3-Dichloropropene ND 0.50 Bromomethane ND 0.50 Dibromochloromethane ND 0.50 1,1,1,2-Tetrachloroethane ND 0.50 Dibromomethane ND 0.50 1,1,1-Trichloroethane ND 200 0.50 Ethylbenzene ND 700 0.50 1,1,2,2-Tetrachloroethane ND 0.50 Hexachlorobutadiene ND 0.50 1,1,2-Trichloroethane ND 5.0 0.50 Isopropylbenzene ND 0.50 11,1-Dichloroethane I ND 0.50 Methylene chloride. ND 5.0 0.50 1,1-Dichloroethene ND 7.0 0.50 Methyl-tert-butyl ether ND 0.50 1,1-Dichloropropene ND 0.50 Naphthalene ND 0.50 1,2,3-Trichlorobenzene ND 0.50 n-Butylbenzene ND 0.50 1,2,3-Tdchloropropane ND 0.50 n-Propylbenzene ND 0.50 1,2,4-Trchlorobenzene ND 70 0.50 p-Isopropyltoluene ND 0.50 1,2,4-Tri methyl benzene ND 0.50 sec-Butylbenzene ND 0.50 1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50 1,2-Dibromoethane(EDB) ND 0.50 tert-Butylbenzene ND 0.50 1,2-Dichlorobenzene ND 600 0.50 Tetrachloroethene ND 5.0 0.50 1,2-Dichloroethane ND 5.0 0.50 Toluene ND 1000 0.50 1,2-Dichloropropane ND 0.50 Total xylenes ND 10000 0.50 1,3,5-Trimethylbenzene ND 0.50 trans-1,2-Dichloroethene ND 100 0.50 1,3-Dichlorobenzene ND 0.50 trans-1,3-Dichloropropene ND 0.50 1,3-Dichloropropane ND 0.50 Trichloroethene ND 5.0 0.50 1,4-Dichlorobenzene ND 5.0 0.50 Trichlorofluoromethane ND 0.50 2,2-Dichloropropane ND 0.50 Surrogates %Recovered QC Limits(%) 2-Chlorotoluene ND 0.50 p-Bromofluorobenzene 84% 70 130 4-Chlorotoluene ND 0.50 1,2-Dichlorobenzene-d4 73% 70 130 Benzene ND 5.0 0.50 Bromobenzene ND 0.50 Bromochloromethane ND 0.50 Bromodichloromethane ND 0.50 Bromoform ND 0.50 Carbon tetrachloride ND 5.0 0.50 Chlorobenzene ND 100 0.50 Chloroethane ND 0.50 Attached please find the laboratory certified parameter list. Approved By: . (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 1 of 1 ki a=— r� t Fee----- / c------ .QS^ BOARD OF HEALTH 1' TOWN OF BARNSTABLE o Cicationffor; eli Construction Permit Application is hereby made for a permit to Construct (A Alter ( ), or R air ( )an individual Well at: Location — Address �Assssessors Map and Parcel gA� Owner Address Installer — Driller-+ — Address Type of Building Dwelling --------_--_______.-____-- Other - Type of Building—=------------ No. of Persons------------------------. Type of Well g —-- Capacity—i-d--`� "------- —__— 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 -` ---- ---------- -� I Z.____---- �/� � n Application Approved By —— date I/ ' `' /�! �— — k Application Disapproved for the following reasons: ---------------------- -- --- ---- date Permit -o Issued dal -- -- - ------- BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (A Altered ( ), or Repaired ( ) Installer at-_ 1515 R o%Ae- 6A _ W •&.rrs 61t -— - --- ------- --- - --- - 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—__---------__—___ —_---____-- D� ko�b _oZ__--------� Fee--------_ �__ BOARD OF HEALTH EJ TOWN OF BARNSTABLE O( pCication1br; ell Cott.5truct ion Permit Application is hereby made for a permit to Construct (A Alter ( ), or R air ( )an individual Well at: L52.5_�o� eV, -- Location — Address Assessors Map and Parcel Owner --~ Address AV —--- - ——- --�— -- 5 -� _ — Installer — Driller) � Address 53—-------------- Type of Building Dwelling Other - Type of Building----_________ No. of Persons-------- —� Type of Well Ch'I�b �IL —-- Capacity— 9_} -——- -- —--— 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 _ _—___— _2 " date Application Approved By t�� ' ` VzICent- • ate �--- _ Application Disapproved for the following reasons: + date Permit No D j -- Issued— -! _f T- ------ - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (4 Altered ( ), or Repaired ( ) by 1)6 l-r-,a . W Q \ _LC Ohl r\9 -----— ----- — -- —-------- ------------ J Installer at 15 25 R<3 6A , W aa<rs - ----- - - ----------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection t 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 Well Con5tructionPermit _ No.F/1 �� Fee- - - Permission is hereby granted UUWA N WQ\,-0 to Construct 06, Alter ( ), or Repair ( ) an Individual Well at: No- S 5Z5 V,61J-- (nn_L �n j. Far s �_----- -- --------- street as shown on the application for a Well Construction Permit No. n) - -' t/ _ _-- _- Dated_—_--__—— _--_-- -----------------_---- C / Board of Health DATE _! � 09/21/2012 FRI 10: 40 FAX '5083627103 Barnstable CTY HealthLab --- Desmond well Drilling 2002/003 4°F CERTIFICATE OF ANALYST z . S Page: 1 of 1 Barnstable County Health Laboratory (M-MA009) '9rgcm3 Report Prepared For: Report Dated: 9/21/2012 Sally Desmond Desmond Well Drilling Order No.: G1271133 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1271133-01 Description: Water-Drinking Water Sample#: Sample Location: 1525 Route 6A W.Barnstable. MA Collected: 09/19/2012 Collected by: Customer Received: 09/19/2012 Routine ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 LAP 9/19/2012 Copper ND mg/L 0.10 1.3 SM3111B LAP 9/19/2012 Iron 3.8 mg/L 0.10 0.3 SM 311113 LAP 9/19/2012 pH 6.8 PH AT 25C NA 6.5-8.5 SM 4500-H-13 LAP 9/19/2012 Sodium 10 mg/L 1.0 20 SM 3111 B LAP 9/19/2012 Total Coliform Absent P/A 0 0 SM9223 AF 9/19/2012 Conductance 130 umohs/cm 2.0 EPA 120.1 DCB 9/19/2012 Based on the results of the parameters tested, the water is suitable for drinking, but may present aesthetic problems (taste, odor, staining)due to Iron. Attached please find the laboratory certified parameter list. Approved By: (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 09/21/2012 FRI 10: 40 FAX 5083627103 Barnstable CTY HealthLab --- Desmond Well Drilling 003/003 .................... . ...... ...... ................................ g._... �., CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Recipient: Sally Desmond Matrix: Water-Drinking Water Desmond Well Drilling Sampled: 09/19/2012 0:30 P 0 Box 2783 Received: 09/19/2012 13:15 Orleans, MA 02653 Collection Address: 1525 Route 6A W.Barnstable,MA Order#: G1271133 Sample Location: Lab ID: 1271133-01 Description: 2day-1525 Route 6A Date Analyzed: 9/19/2012 @ 9:31 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor. 1 Comment: Based on the results of the parameters tested,the water Is suitable for drinking,but may present aesthetic problems(taste, odor,staining)due to Iron. EPA 524.2- Volatile Organics by GC/MS Parameter Result MCL �' Result MCL �' ug/L ug/L ug/L Parameter ug/L ug/L ug/L Dichlorodifluoromethane ND 0.50 Chloroform 1.0 e0 0.50 Chloromethane ND 030 ds-1,2-Dichloroethene ND 70 0.50 . Vinyl chloride ND 2.0 0.50 ds-1,3-Dichlompropene ND o.5o Bromomethane ND 0.50 Dibromochloromethane ND 0.50 1,1,1,2-Tetrachloroethane ND 0.50 Dibromomethane ND 0.50 1,1,1-Trichlomethane ND 200 o.5o Ethylbenzene ND 700 0.50 1,1,2,2-Tetrachloroethane ND 0.5o Hexachlorobutadiene ND 0.50 1,1,2-Trichloroethane ND 5.0 0.50 Isopropylbenzene ND 0.50 1,1-Dichloroethane ND 0.50 Methylene chloride ND 5.0 0.50 1,1-Dichloroethene ND 7.0 0.50 Methyl-tert-butyl ether ND 0.50 1,1-Dichloropropene ND o.s0 Naphthalene ND 0.50 1,2,3 Trichlorobenzene� ND 0.50 n-Butylbenzene ND 0.50 1,2,3-Trichloropmpane ND 0.50 n-Propylbenzene ND 0.50 1,2,4-Trichlorobenzene ND 70 0.50 p-Isopropyltoluene ND 0.50 1,2,4-Trimethylbenzene ND 0.5o sec-Butylbenzene ND 0.50 1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50 1,2-Dibromoethane(EDB) ND 0.50 tent-Butyl benzene ND 0.50 1,2-Dichlorobenzene ND 600 0.50 Tetrachloroethene ND 5.0 0.50 1,2-Dichloroethane ND 5.0 0.50 Toluene ND 1000 0.50 1,2-Dichiompropane ND 0.50 Total xylenes ND 10000 0.50 1,3,5-Trimethylbenzene ND 0.50 trans-1,2-Dichlordethene ND 100 0.50 1,3-Dichlorobenzene ND oso trans-1,3-Dichloropropene ND 0.50 1,3-Diehloropropane ND 0.50 Trichlomethene ND 5.0 0.50 _.....__..__ Dlthlorobenzene............ ......................................ND._........ s.o.._..........o.so..... .. dchlomfluommethane ND 0.50 2,2-Dichloropropane ND 0.50 Surrogates %Recovered QC Limits(%) 2-(hlorotoluene ND 0.50 -Bromofluorobenzene 84% 70 1 130 Chlorotoiuene ND 0.50 1,2-Dichlorobenzene-d4 73% 70 130 Benzene ND 5.0 0.50 Bromobenzene ND 0.50 Bromochloromethane ND 0.50 Bromodichloromethane ND 0.50 Bromoform ND 0.50 Carbon tetrachloride ND 5.0 0.5o Chlorobenzene ND 100 0.50 Chloroethane ND 0.50 Attached please find the laboratory certified parameter list. Approved By: (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminan Le e\ Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 1 of 1 -41 S S i S•T \�7 4 v .�.9Rce c) g /0.4,ec,r 4. oO/ c�v �', _ v 64 NOTES 1. LOCUS; 1525 RTE.6A,WEST BARNSTABLE; G pCE 7: ASSESSORS'MAP 197,PARCEL 008-OWNER p.C- j JUDITH A.DEROSCHERS - 2. PLAN REFERENCE:PB 75,PG.141,PB 410, 4. PG.44;TOPOGRAPHIC SURVEY DURING THE WEEK OF JUKE 10,2012 BY CAPE COD �yw N ENGINEERING,INC.,BOARD OF HEALTH DD FILE AS-BUILT RECORDS FOR PARCELS 0 003,007,008,009,015,&040,ASSESSORS'MAP P� 197. WA \ 3. WATER SERVICE AND POWER HOOKUP �\ SHALL USE APPROPRIATE CARE TO �? PRESERVE EXISTING FOUNDATION INTEGRITY TO THE DEGREE POSSIBLE. 4. ACCESS AND EXACT TRENCHING LOCATION SHALL BE AS DIRECTED BY THE OWNER WITH REGARD TO SPECIFIC �J LANDSCAPE FEATURE CONSIDERATIONS. ` 5. EXISTING WELL(CISTERN)SHALL BE e�ABANDONED,&SAND FILLED TO A LEVEL 0 -.AB VFTHF.GROTJNIDWAT.F...R.AND AND, APPROPRIATELY APPROPRIATELY CAPPED. 6. NO KNOWN SEPTIC SYSTEM COMPONENTS EXIST WITHIN 150 FT.OF THE PROPOSED Wa 0 Q WELL LOCATION. 0 Ll fj oQ �r I \Ii PiT nf �7o ,, PLAN (� Sp SHOWING su��FsrE ,� PROPOSED PRIVATE, POTABLE WELL LOCATION 44 AT 1525 RTE 6A,.WEST BARNSTABLE,MA OF ASSESSORS'MAP 197,PARCEL 008 To o�^ L�,�,E JUNE 18,2012 SCALE-I IN.=20 FT. M. 40 PERRY PREPARED BY V 35iL�p CAPE COD ENGINEERING,INC. ROBERT M.PERRY,P.E. U v �"QssTE�` P.O.BOX I "p �ov�t: EAST DENNIS,MA 02641 VN 508-385-1445