HomeMy WebLinkAbout0471 PARKER ROAD - Health R '
47.1 Parker Road !
West Barnstable I
l A= 175-010 k r
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No.-- --------- � ,. 4 Fee-2-1-�--------
130ARD OF HEALTH
TOWN OF BARNSTABLE
DESMOND WELL DRILLING, INC.
5 RAYBER ROAD,NS,MA 02653 3 01ppCication for Well Con0ruct ion Permit
ORLEANS,MA 02653
(508)240-1000
Application i hereby made for a permit to Cons uct (�, Alter ( ), or Repair ( )an individual Well at:
Location--'iAQddreessp Assessors oMap
/7andd Parcel
J f I Y I 7 z�!T(1 p�`�_<30 i'G Lt�i�i- l:Nft S! UJ/S/C/�C
i Owner
n ^ Address
)uol�t0 _� _;_ �` °� . C-CC 'Ro9-4mg-.4---(1Lt -------�2 -- s_3
Installer — Driller Address
Type of Building
Dwelling —_ ------___.--------____--
Other - Type of Building-= LU No. of Persons--- x----
Type of Well Capacity,/ —�-- -� n4, —_—
Purpose of Well- t'4_----
60-44, 8
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 Certificate of Compliance has been issued by the Board of Health.
Signed
date
Application Approved By __ _---—-—
date
Application Disapproved for the following reasons:
/ 1 date
Permit No. �.=�- 1 `�-U - ---- Issued----L � 1 -n-�
date
BOARD OF HEALTH
DESMOND WELL DRILLING, INC. TOWN OF B A R N S T A B L E
5 RAYBER ROAD,BOX
ORLEANS,MA 02653 (Certificate Of Compliance
ORL
(508)240-1000
THIS IS TO CERTIFY, That the Individual Well Constructed (,4AI tered ( ), or Repaired ( )
by am, DID-L-tL-)--0—' gj L.r MI Gam,- -7-M — --- — -------
Installer
ZIat-
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.�^1- -1
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ---— - - Inspector--------- - ---- —_-----
O 75 �--. -A ". Fee---�T 5--------
BOARD OF HEALTH
TOWN OF BARNSTABLE
' DESMOND WELL DRILLING C..
5RAYBERROAD,BOX2783 policat ion,�iorVelr Congtruction Permit
ORLEANS,MA 02653
(508)240-1000
Application is hereby made for a permit to Construct (, , Alter ( ), or Repair ( )an individual Well at:
Location - Address Assessors Map and Parcel
—T 14 --SEW K!9S — d
Owner Address
-,�aR4-m 6?6 - lug _v_a-ems _
Installer - Driller Address
Type of Building
Dwelling
Other - Type of Building-=-�, �--- ----- No. of Persons-- 2ta=---. --
- -t lG!f�¢-�-J01v 0 +
4
Type of Well _____ Capacity-------- --�-------�-----
Purpose of Well-----------_'___
G ojw 8 z4zx-q t 6-
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
tplace the well in operation until Certificate .of Compliance has been issued by the Board of Health.
Signed Z` ---- - C�,
date
Application Approved By /date -
Application Disapproved for the following reasons: ---------------------.---_--_— _ _-
— date
i
Permit No. D � �----- Issued `------ -------
date
-----•---------•--------.-----_---...._..-- .+-
BOARD OF HEALTH
E
I' DESMOND WELL DRILLING, INC.
5 RAYBER ROAD,BOX 2783 TOW N OF BARNSTABLE
ORLEANS,MA 02653
i
(50e)240-1000 ((certificate Of CompUnce
THIS IS TO CERTIFY, That the Individual Well Constructed (/Altered ( ), or Repaired ( )
/� ,r _ •�;) installer too
� �1
at-- 1f U�lI\(C.__ C(. 04-6 tiJo 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.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE - _ - Inspector-- -- ---- - ---- -----___
li
--------- - ----------------------------- ------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Veil CongtructionPermit
�1 l�-C� rc Ci - DESMOND WELL DRILLING INC.
( N0' 5 RAYBER ROAD,BOX 2783 Fee
ORLEANS,MA 02653
Permission is herebygranted (5o8L240-1000 _
to Construct (-'), Alter ( ) or Repair ( ) an Individual Well at:
y / tP K&C
No.---->— C.cl� i 3?f2/lX'`l'74-131-� ---------------------------------
Street
as shown on the application for a Well Construction Permit
No.-- 1 I ''a-O `�--��—_�_ Dated.-----_ -- —j—_-- --- -------- -
DATE— !� / ��' -- �. Board of Health
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Map Page 1 of 1
Town of Barnstable Geographic Information System New Search Home Help
Parcel Viewer Custom Map Abutters Map Size 13 4 Zoom Out fl In
,t ry" Q ® =JPG Map: 175 Parcel: 010 Full
_ Property
_ate B Location: 471 PARKER ROAD Info
Owner: JENKINS,JAMES A TR
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o Location Information
41 Map&Parcel 175010
Location 471 PARKER ROAD
o Acreage 44.00 acres
8 8 V— 1 La144C (Current Owner
Mailing Address JENKINS,JAMES A TR
Sha Pond ?,o,PC>SF-0 � JENKINS NOMINEE TRUST
� t �'n ....E. PO BOX 199
` ..L.1'AJG-i4TJ01� MARSTONS MILLS,MA 02648
WEL L �l San,*Hill
Ind jAppraised value(FY 2012)
I Extra Features $0
Out Buildings $0
Land $825,300
4rjo .� Buildings $0
v� 44p* Total Appraised $825,300
lAssessed Value(FY 2012)
5 S Feerl& ar Extra Features $0
Out Buildings $0
S
Land $600,500
" Buildings $0
Set Scale 1 Aerial Photos "+ I MAP DISCLAIMER Total Assessed $600,500 �J
Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS
BarnstableMA v1.2.4379[Production]
DESMOND WELL DRILLING, INN.
5 RAYBER ROAD,BOX 2783
ORLEANS,MA 02653
(508)240-1000
yj q �
rlttp:H66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=l 75010 9/28/2012
Massachusetts Department of Environmental Protection
Bureau of Resource Protection
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WELL DRILLER � --_--- �___-'--_ ---
Please specify work performed: Address at well location:
New Well { Street Number: Street Name:
1471 a �PARKERROAD
Please specify well type: Building Lot#: Assessor's Map#:
Irrigation ( I
I Assessor's Lot#: ZIP Code:
Number Of Wells: 102668
Well Location 1 BARNSTABLE
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In public right-of-way: GPS
(- Yes ( No( i North: West:
II70'.219*42 ;
Subdivision/Property/Description:
--- --^�_I ,Mailing Address:
_---._._-..--
�r click here if same as well location address'
Property Owner: i Street Number: Street Name:
IJENKINS AND SON CRAN 199 f.PO BOX
_
City/Town: State:
Engineering Firm: ;iMARSTONSMILLS — MASSACHUSETTS
_ _ _ _ L._______._______._.____l
;CARE OF DESMOND WEB ZIP Code:
1 Board of health permit obtained:
r Yes C' Not Required!
,Permit Number: Date Issued:
!(W2012032J____..____._. -N_i
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Massachusetts Department of Enviro i mental Protection
Bureau of Resource Protection-Well Driller Program
Well Completion Reports(General)
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock j
IMud Rotary _ I--Choose Bedrock^ -� 1
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WELL LOG OVERBURDEN LITHOLOGY
From To(ft) Code Color Coment Drop in Extra fast or slow Loss or addition of
(ft) I drill stem drill rate fluid
0 15 Silty Sand And Gravel Brown I r Ye r Fast CSlow Loss �° Addition
15 130 Slily Sand and Graves Brown ; Ye j i ast Slow Loss Addition_ i �__-e�_._—.____.__ I
30 50 Sil Sand And Gravel, Brown ---_�---
_.__ J L_�
tY Ye I to Fast C Slow' I_' Loss to Addition{
50 70 (Sand And Gravel Br ow n
I f r Ye Fast r Slowl r Loss r Additions
70 90 Sand And Gravel Brown ; (� Yet Fast C Slow i r Loss rAddition 11
f _� C_._� ----------------,
90 r110 Sand And Gravel Brown Yes r Fast f Slow Loss r
Addition[-- F- D ---_ -_-- 1 _ ,
110 120 Sand And Gravel Brown f (— Ye� r Fast C Slow i i C Loss (" Addition
--� --� ---------J ` ------ - j j F'f- I
WELL LOG BEDROCK LITHOLOGY
Visible Extra �
From To(ft) Code Comment Drop inl Extra fast or slow Loss or addition of
Rust Large
(ft) drill stem drill rate fluid
Staining Chips
Choose Code I r Ye (` Fast �' Siowi r Loss C Addition Yes r Ye�
-- I-- r
ADDITIONAL WELL INFORMATION
Developed r Yes No, Disinfected Yes r No
Total Well Depth L1zg —_ — _`� Depth to Bedrock
Fracture --- -1
Surface Seal Type lNone (- Yes Enhancement No I
CASING L r Is Casing above ground?i From: �?, __._f________.J To
From To Type Thickness Diameter Driveshoe
�0 ? 100-- - 1 Steel_.._.__._,___... i17#•••_I
.__.._—. L--- 1 16 (r Yes,
SCREEN r No Screen
From To Type Slot Slze Diameter
�100 1120 Stainless Steel Vee Wire I0.i5l j fi
WATER-BEARING ZONES 'r DRY WELL
From To Yield (gpm)
100 120 i100 1
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)Ll
)
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PERMANENT PUMP(IF AVAILABLE)
-Choose Pump I i---Choose Horsepower--�
Pump Description + Horsepower
Description
Pump Intake Depth(ft) Nomi al Pump Capacity(gpm)
ANNULAR SEAL!FILTER PACK
From To Material 1 Weight Material 2 Weight Water(gal) Batches Method Of Placement
�� Choose Material Choose Material _..-.____... ...___......1 I
i I--Choose One-- ;
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WELL TEST DATA
i
Time Pumping Time To
Recovery (ft
Date Method Yield(gpm) P mped Level (ft Recover
_ (IiH;MM) BGS) (HH:MM) BGS)
10/12/2012 IAit--r Blow V1dth Drill Stem ( 1100. [0�30 1 �120 -- ; �0:03 ; !
------.�A._..___----_ ___.._...__
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WATER LEVEL
Date Measured Static,Depth BGS (ft) Flowing Rate(gpm)
COMMENTS
WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision, accord',ing to the applicable rules and regulations, and this report is complete a
knowledge.
Driller REINALDOSILVEIRA I Registration# 736 Monitorin M
—__ —... �.- g[ l ( Supervising Drill
Firm [ACEDRILLING,INC.�, Rig Permit# �022�-- I Date Job Compl
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
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W", CERTIFICATE OF ANALYSIS Page: 1 of 1
Barnstable County Health Laboratory (M-MA009)
Report Prepared For: Report Dated: 12120/2012
Sally Desmond
Desmond Well Drilling Order No.: G1272013
P 0 Box 2783
Orleans, MA 02653
Laboratory ID#: 1272013-01 Description: Water-Irrigation Well
Sample#: Sample Location: 471 Parker Rd,W Barnstable Collected: 12/18/2012
Collected by: Customer Received: 12118/2012
Routine
ITEM RESULT UNITS RIL IVICIL METHOD# ANALYST TESTED NOTE
Nitfate as Nitrogen ND mg/L 0.10 10 EPA 300.0 LAP 12/18/2012
Ccpper ND mg/L 0.10 1.3 SM 3111 B LAP 12/20/2012
Iron 1.2 mg/L 0.10 0.3 SM 3111 B LAP 12/2012012
pH 6.7 PH AT 25C NA 6.5-8.6 SM 4500-H-13 DC13 12/18/2012
Sodium 7.4 mg/L 2.5 20 SM 3111 B LAP 12/2012012
Conductance 69 umohs/cm 2.0 EPA 120.1 DC13 12/1812012
Attached please find the laboratory certified parameter list. Approved By: -LO-1
(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