HomeMy WebLinkAbout1730 MAIN ST./RTE 6A(W.BARN.) - Health 1730 Main Street --Lo-r is
West Barnstable
A= 197—035-002
II
i
Massachusetts Department of Environmental Protection
Bureau of Resource Protection
LEIWell Completion Reports
Well Driller
Lw.d
Please specify work performed: Address at well location:
New Well Street Number: Street Name: `"a
1730 MAIN STREET
Please specify well type: Building Lot#: Assessor's Map#: ��;
Domestic 197 ri
Assessor's Lot#: ZIP Code:
Number Of Wells: 35 02668
City/rown:
Well Location IV°BARNSTABLE
In public right-of-way: GPS
C"-Yes r No North: West:
41.69741 70.35063
Subdivision/Property/Description:
Mailing Address:
click here if same as well location address
Property Owner: Street Number: Street Name:
NATHAN MAKI 1543 PLANTATION POINTE
DR
City/town: State:
Engineering Firm: ORLANDO FLORIDA
ZIP Code:
32824
Board of health permit obtained:
r�Yes f'Not Required
Permit Number: Date Issued:
W2018 016 05/11/2018
d �
Massachusetts Department of Environmental Protection
L
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
From(ft) To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition
stem drill rate of fluid
Medium Sand i EI; Brown � �' Slow
YES NO
SILTY � Loss Addition
L. .
r
20 25 Medium Sand ;; Brown I Fast r Slow Addition
------ TRACE C,TRACEjr f•` �! -- C' f"Medium Sand Brown ?r r�� Fast f Slow i
S ( L _ loss Addition
_....__._ TRACE C,TRACE =YFSNO
rr Medium Sand rownSILT Fast f SlowLoss Addition
_.._.._.
60 80 Fine To Coarse S�I Brown f" I r,Fast(7 Slow
Loss Addition
WELL LOG BEDROCK LITHOLOGY
_....._�.___..-.__..____---
From(ft) I To(ft) Code Comment Drop in Extra fast or Extra
Loss or ;Visible Rust
drill stem slow drill rate fluid addition of Staining Large
Chips
P
IC oose Code I J2
Ye
YES tJ0 Fast Slow Loss Addition -Yes
ADDITIONAL WELL INFORMATION
Developed 1 (i Yes f`No Disinfected Yes f"No
Total Well Depth 80 Depth to Bedrock
Surface Seal Type None -- —Dracture Enhancement
CASING r►Is Casing above ground? From: 1 To: 0
___ _._ _-----...._.._.._____._...---____-----------_...-_____ _
From To Type Thickness Diameter Driveshoe
F 76 7 j I I Polyvinyl Chloride -- Schedule 40 �:S 4 r'Yes
SCREEN r No Screen
From To Type — Slot Size Diameter
761180 1 Stainless Steel Well Point
WATER-BEARING ZONES Ir DRY WEL
----------..____ _. _
I From To Yield(gpm)
12.._..........__ 80_._...._ 12
PERMANENT PUMP(IF AVAILABLE)
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Well Driller Program
Well Completion Reports(General)
P Horsepower
Choose Pump Choose
_
Pump Description
Description— lHorsepower—
Pump Intake Depth(ft) Nominal Pump Capacity(gpm)
ANNULAR SEAL/FILTER PACK
From To Material 1 Weight Material 2 Weight Water Batches Method Of
— (gal) (count) Placement
JU Choose Material Choose Material
WELL TEST DATA
Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft
(HH:MM) BGS) (HH:MM) BGS) i
6/26/2018 Constant Rate Pump---
WATER LEVEL
Date
Measured Static Depth BGS(ft) Flowing Rate(gpm)
6/26/2018 [12 "_.._.—-----
112.___.
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.
Supervising Driller DESMOND
THOMAS E Monitoring[M] Signature III,
DrillerDESMOND III Registration# 764 THOMAS,E
DESMOND WELL
Firm DRILLING INC. Rig Permit# 0089 Date Job Complete 6/26/r W 201e.
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
.........
ag.t+,
CERTIFICATE C)F ANALY( IS
IDS 4 v .. Y (M
Barnstable•Count Health Laborator M-MA0.09
1GtIC1¢
Recipient:: Sally Desrrio.r d Order.Naa G18107300:
Desmond'Well Drilling Report Dated:: 06/26t201,8
P Q Box 2783: SuOillte'r: Well Driller,
Orleans,, MA 2553 0 Description.: 2 DAY RUSH-17,30.Main:SL
L-aboratorylft "18107380«01
Mafrix. Watsr=DrinkingWater
Sample#. Sampled: d6l2kb:16 12 40 By: DWD
CollectionAddresvv r Received: 06/22/2W 13 05" By PallnerP
-Sample Location:. Turn.Around -48 Hr Rush.'
Routine_M
ITEM RES 11 ULT. UNITS RL MCL METHOD"#. ANALys TESTED TIME.
Nitrate as Nitrogen SAmglL 010 10 EPA 300.0 tAF 06/23/2018 9926
Iron . EPA:200 CL: ;Q6/26/2018 12;24g 1 0
Manganese Jil L 0.025 0:050 EPA 200a3 CL 06/26/2018 12 24;
PH ti.4' PH AT 2% NA 6;5-8'4 SM 4500-N-B' DGB' 06/22/2018 9:55.
Sodium ;24 mg/L 2 5• 20 EPA 200.8 CL OkW2018 12 24 f
Total Coliform /10"1 0 0 SM 92228 RG' 06/2212.018 16 45:
Co11dtjbt.Ar1GG 230 umohs/cm; .2.0 SM12.5160 DCe: 06/22%2018 6,56
Sodlun level!s above the.maxiurr►`contamfrlant"level::Those:ori a!ow sodium"diet mAy wish to consult a AhvWdlan.
Attached please find the laboratory certified parameter lls'Ll
Approved gy:
(Lbb Director)
=1
r
E
ND='None;Deteetei3 RL :"= Reporting lamp MCL=Maximyni Contathhdnt Level
3195 Main Street,,.F'O".;Box 427, Barnstable;, MA 02634` Pli: 508=375-6605 Page 1 of is
1
i
�bf Dg�
CERTIFICATE OF ANALYS S �
f Ba;rnstable County Health Laboratory (W A009) I
Recipient: Sally Desmond order,No.:: G1810738D
Desmond Weli Drilling: Report.Datedt 06/26.2018 1
P 0'8ox 27.83 submittert Well Drilier'
Orleans;, MA 02553' Descriptlon: 216AY RUSH'-"1730.Main St:
abora#ory ID"#: 181:07380:-01.
Matrix• Water-Drinking Water
Sample# sampled: 06/22/2018 12:40 6ys M,
Coilectian;Addr. 1730 Main 5t:W Barnstable;MA Rik vedE` Q6/22/2018; 13t05 By PalmerP: !'
:5ample'Cocatlorr Turn":Around 48 Hr.Rush
Analyst: yn Mdthb&EPA 524 2' Dilution: 1 :-: Date Analyzed: Q6/22/,2Q14 10 15"215:
EPA 52A vdi-d /e Organics by GC/MS
.
Result MCh 8 ; 1 . MCL ;
Parameter ug/L u9/L u Parameter 09%L. ug/L uy/t
6ichlorpcllfluoromethane NR 0.50; Chloraethane ND 0.50
1
Chloromethane'" ND ` 0.50 Chloroform ND" 00 -0.50
Vinyl chloride; ND- 20 0.50- cis 1,2 Dichloroethene NO
70 0.50
eromomethane; ND: Q"5Q cis 1,1bich1
6
ropr9pene ND 0.50
1;11,2=Tetcachiotoethane ND: 0,so Ribromochlo"romethane, ND:;: o5p
1;P;1 0riclooehane 00Dbromnethan
,Th ' 0 0.
l
1,1,2,2 Tetrachloroeth..ane Np; 0:50= Ethylbenzene ND: 70a o50
1,1,2-Trichloroethane; ND 5 0 o.so HezachlorobutaOlene" ND" 0so
1,1-DichiOroathane NO U;So% Isopropylbenzene; ND. 0.50
1,1 Dichloroethene' ND: xo 0:50, Methylene chloride ND- 50 0;50
So
Safi=Dichlorop"ropene ND 0,5o Methyhtert-butyl ether Q.70: 0L.
1,2 3 Trichlorobeniene. ND, o.50 Naphthalene" ND' o:5a
1;2,3 Trichloropropane NDButylbenzene; ND o.50'
1,2,4 Trichlorobenzene ND' 70 0.50 n Propylbenzene ND
0.50:
1,Z;4-Trimethylbenzene _ N..D 0.50' p Isopropyltoluerie ND 050: {
1,2-Dibromo=3-ch►oropropane: ND' u 50: sec-@utylbenzene ND
1,2-Dibromoethane"(EDB) NO o.5o, Styrene:: ND 160 0.5o
1,2-Dic"hlorobenzene ND 60i)' 0 50 tert-8utylbenzene' ND 0:50
i,2-Dichloroethane ND 50 0.50. Tetrachloroethene ND 5.0 0;50:: "
1;2 0ichloropropane ND 0,50 Toluene ND' 1000 050
13,5 Trim@thYlbenzene ND 0.56. To"al xylenes ND x0000;. 0.50;
1,3-Dlchloro6enzene ND; Qa0 trans 1;2 Dichloroethene,. ND 100 o:50::
1,3-Dlchloropropane ND o.50- trans41345lchioropropene `ND o.50'
1,9-Dichloro6enzene N,D 5:U 0.So;: Trichloroethene ND 5:0 0,50;
l
2;2-Dichi4ropropane ND o.50' Triehlorofluoromethane ND 0,50 i
2 Chlorotoluene ND 0.50 -° - `o
Compound /o Recovered QC Omits(/g)
4 ChlorotolOne ND. 0 SU 1 2 Olohlorobenzene:d4 98°l0 7Q 130 j
Benzene_ ND 5;0 0 50 Bromonuorobenzene 08% 70 130
8romobenzene ND o.50 P
Bromochloromethane ND 0.50
Bromodichlororriethar a ND 0.5o,
I
Brgmoform ND o.50
�arbon'tetrachlorde ND s.o 0.50
Chlorobenzene; ND loo' 0,50'; f
1"
Attached please find the laboratory certified parameter list:: Approved By. ��' ---
ND"= None Qetected RL Reporting Llnilt. MCL=Mpx mum _ontamloant Lev
3195 Main;Street, PO. Box 427, Barnstable, MA 02630 Ph 508'375-6605' Page:1'6f 1