HomeMy WebLinkAbout1051 SERVICE ROAD - Health 1051 Service Road
A= 153—035
W. Barnstable
BOARD OF HEALTH
TOWN OF BARNSTABLE
t Certificate ®f (Compliance
THIS IS TO CERTIFY, That Individual W 11 Constructed ( Altered ( ), or Repaired
b-------- ( )
-` �- ---'-__-lnc�d ---- -------------------------------------------------------------------------------- - --
Installer
at�/`�------
-- -- -
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------------------------------------------—- - ------------
_ rd� C-X, ��
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9- 1-7 /7 Fee------------ --- --..-
BOARD OF HEALTH
TOWN OF BARNSTABLE
Application-*rVell Con0ruct ion Permit
Ap lication is hereby made for a permit4t Construct/('� Alter ( ), or Repair ( )an ' dividual Well at: q
9 --------------- ---- 0 --� ----�/
Location — Address Assessors—Map Ma and Parcel
Owner Address
---------- - ----- F � -� -
Installer — Driller .Address
Type of Building �.
Dwelling f -�------- �'
Other - Type of Building ----------- No. of Persons----------------------------------—----------------
Type of 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 P otection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate .o o ance s b n issued by the Board of Health.
Signed ——- --------- ----------— ------------ --------------
— date
Application Approved By ----- - -----------------
Sate
Application Disapproved for the following reasons:--------------------------------------------------------------------------__________
---------------------------------------------------------------------------------------------------------------------------------------------------------
date
Permit No. I ` ` r ------------------
Issued te
tie is 1 II
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BOARD OFt HEALTH
TOWN OF BARNSTABLE
Zipp[ication fforVe[[ CootructionV'rrmit
-Ap lication is hereby made for a permit Construct( T, AItei'(.w ), or Repair.(�, )an.' di al Well at:
e:i�-------e
, Location;— Address ° Assessor M{ ap and Parcel
------------
f r ' Owner y Address
�'"'' - Q - __ r1___------- - -
Installer — Driller Address
Type of Building
-
'Dwelling---------------------------
r
Other - Type of Building------------------------------- f No. of Persons--- ----------------------------------
---
-- - - ------------------
Type of Well Capacity,
Purpose of Well - - - - --- -- - -------
Agreement: _ w
The undersigned agrees to install the Yaforedescribed 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 .o o 'ance ,' s bCen issued by the Board of Health.
Signed � ' ---- - -------- - /�da
Application Approved By - ------ --
te 9---------
---
ate --
Application Disapproved for the following resons ,'=- =--------------------------------------------------------------—----
-----------
' ;_ -- -- ------------- --——---------------------------------------------------------------------------------------- - - --
s date
f Permit No. --- �� - - - - ----------------------
---------- d-�---- - - Issued � -- --
ate
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance I
I
THIS IS TO CERTIFY; That,t Individual 711 Constructed ( Altered ( ), or Repaired ( )
bY--------� � -- - r-`"' --- -------------—------------------------------—-----------------------
Installer — — — ——
_------------------------------------
t
I
has been installed in accor mice itli the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in,t e''applicati4 for Well Construction Permit No. ------------------------Dated---- --------------------
THE ISSUANCE O r' / IISC'EZTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION,SATISFACTORY.
DATE------------------—-— —-------------------- -- Inspector-----------------------------------------------------------------------
_,..a.........a.�w,..�a�wY�.,..:�.,,ua�..waw,.i.ti�«.�d».!�,rw...b.M�•.�i.»,:...» - ... _. ..- _ -- � -
BOARD OF HEALTH
TOWN OF BARNSTABLE
)Veil Conoructioni3ermit
No. --------------- Fee-----------------
-- --------------------------------------------
Permission is bereby granted-------,��''- �---- -- - _ -- ��
to Construct Alter ( ), or Repair ( ) an Individual V/ ell a�
Street
as shown on the application for a.Well.Construction Permit
No. ----------------------------------------- Dated-(;�% ----ter- - -
--_._
- Board of Health
DATE—_y�'-�� _-���—----------------------
' TOWN OF BARNSTABLE
LOCATION 'oge Pj _.—SEWAGE # 93-,7g
1.53 - �
VILLAGE W, j_�, ,A) 4u j_E ASSESSOR'S MAP Ora LOT
c 56A) 77I—&JCS
INSTALLER'S NAME 6z PHONE NO.J,� ,�6'JSlAL�(, , •_
SEPTIC TANK CAPACITY_ _0: !i Ad
LEACHING FACILITY:(type) I'lbu�F�F`030 s a (size) t d
NO. OF BEDROOMS___ __,� SATE WELDOR PUBLIC WATER
BUILDER OR OWNER
Y
DATE PERMIT ISSUED: i Z " zv 93
DATE COMPLIANCE ISSUED:_
VARIANCE GRANTED: Yes - No
l
g �T7"-
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No.4...�.".Y.1 _ FizB.. .:tom......._
t
THE COMMONWEALTH OF MASSACHUSETTS
2 (. BOARD OF HEALTH
......OF......
PT Appliratiun for Ili-wiial Warkii Tunitrur#iun Permit
Application is hereby made.for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at:
(� .� ._�T_...S. ............. L` J..�'...... .......................................- - d+'c v_e?- 8 Lam..._
`� •-
Location-Addres or Lot No.
..... -• — •�./�.`..�.'.... ..........�T11-tom........--•- ......•.... ................ •.......... ..................._......--
owner Address
a .....................:P. C ............-•-•-•---•-------•--...........----- ...................---•-••-----•-•._...------....----•---..........---•--.........................
Installer Address
Type of Building 3 Size Lot...1._`5a5�1� ''JLSq. feet
., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
W'4 Other—T e of Building No. of persons............................ Showers
YP g -------••................... P ( ) — Cafeteria ( )
QOther fixtures ............................................. ....=......................................................................
W Design Flow................55
...........................gallons per person per day. Total daily flow.............--..33:�----.......gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width:............... Diameter................ Depth................
x Disposal Trench—No.(,... `.......... Total Length.....`........ Total leaching area.... .....sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) �� �.
"' Percolation Test Results Performed by....._._PL0!-k..... ... .��C...... Date......-_�.....1.3
Test Pit No. 1................minutes per inch Depth of Test Pit..........`F ..__ Depth to ground water.........?
f� Test Pit No. 2...AS....minutes per inch Depth of Test Pit........ Depth to ground water..........
,�h_...
phi f ----°=Z='.T1:S..)..�:3....�'.`... '`!p'. : ► .�o.... f,�a—
O t
`T 5� t t �a�- l t- ... r-L
Description of Soil..-.-----•-------- .. r i :......__..`.......fir}o......--•-------•-......
�+ �� Piiuk.. 17Mv�o •...- caESh�-4.S Cr 51yw.
V .............:�.�c''..........Z....r.�.. a..._2=`?'..---. .. -..... ,l.... - �.�!i'.:f...__... 4�'''"`-
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Lt1 8-`1..•---c-�----.......I.-!`.......-�.-N�+ w.�,.�.. ' �"
VNature of Repairs or Alterations—Answer when applicable...............................................................................................
-•-•-----•--------------------------------••----....----•--•---•--------•--......---...............-----••----•----•-------------•-------------•-------------•---------------------...-----••--.........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE, 5 of the State Sanitary e— The u ersi e further agrees not to place the system in
operation until a Certificate of Compliance has bee ssued by t o liealt 9_Z
Signed....... ........ . ...... ........................................ W
.... ....
Application Approved B ..................................... ' Dal-•--•--. �'-
Date
Application Disapproved for the following reasons:...............................................•--...................---.......................................
---•--•--•---•.............•--•--•------......-------•-----------•---•-----•----................----••-•---•--••--•-•--•--..........----•-----------..........--•------•--••••-•-----...................
Permit No....:. .. ..�.. .�t.................. Issued......................
Date................. .........
Date
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
IM ^� , JC
DATA
No..l. .._ , _.
s THE COMMONWEALTH OF MASSACHUSETTS
BOARD OFF HEALTH
153.4
Appliirtttion,for Bisvoiittl Works Tonstrurtion rantit
t
Application is hereby made for a Permit to Construct ( X) or Repair' ( ) an Individual Sewage Disposal
System it: . i
, 16 0..... :..- oT .......................... tt .. - = - "�'t er 6 L
{f9 L�-lti Location-Address or Lot No. -
... - ___....._.._.:•' ........... ....`...: ...................... -•---•-•------------•--------•..........•-•••.........................__._.......................
Owner Address
a ................................ .......?..... .............................................. .....•----------•---------...........-----•--...........•-•--.......................•.............
Installer Address
Type of Building Size Lot...).':9 ql.'....Sq. feet
�-. Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers
a YP g -----•---------••-•--------- P ( _) — Cafeteria ( )
Otherfixtures -----•-••------•••---••••.............................•------•---•••---••••••---•---•--•-••••---.........---.............------..................---
W Design Flow.................5.__-5...................gallons per person per day. Total daily flow...
.........................................gallons.
04 Septic Tank—Liquid capacity............gallons Length................ Width,.A__;...._..... Diameter................ Depth................
Disposal Trench—No. . !�._!.!FWidth.......�C......... Total Length...:= ........... Total leaching area.__..-?'�..1 ....sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet.......:-........... Total leaching area..................sq. ft.
Z Other Distribution box ( ). Dosing tank ( )
Ili a Percolation Test Results Performed by....... 7 .._...._."'`'� .G....... Date......��.: �. Gl.��............
Test Pit No. I................minutes per inch Depth of Test Pit.........'.`....... Depth to ground water........�.�:5.....
44 Test Pit No. ....minutes per inch Depth of Test Pit........ ... Depth to ground water.........ti` ._..
2 i 4 ........................................................r 5 ' t t �A . Gam.-t�4 "f. 1 0 'r•L.
............................................ .........................
O Description of Soil....... 1' --I l �) � t lr- i I ram.4 4 ' k 1= �,4 ....................................................w-4, o w��a.
.��•^� ........----•.............• . -----...--•••....... --•--- ------ -•
►�+ -ru 6) ,-. 2 '1 4 . 4• Via...`� ,h A+a �;/d.:.v.� .��� e i'., F•• Ea r+y �
V ..---•- -- --------------.... ----------
------------------
..........................................-I•�......-�NY � .....ems .. `..... ...'/,...._.......:-----------..............................
VNature of Repairs or Alterations—Answer when applicable........ ......................................................................................
.................................................... ...•-•---....-----•----•-••-•----.............----•-------------------------------------------•--------•--.........-.,...............--.......-•--
Agreement: _
The undersigned agrees to ]ns`tall the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of:ITL-: 5 of the State Sanitary e— Thgersi further agrees not to place the system in
operation until'a Certificate of Compliance has bee ued byhealt
Signed... .:'_ �....
Da e
Application Approved BY ....R......
Date w
Application Disapproved for the following reasons:............................................................................................................
e .._... ..............•.•--•-•--•-•-••---•-••----••••.................................... ............
Date .
Permit No....... ... .... Issued-........................................................
Date
.^.a.........s. ......................... -----------
THE -.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH '
...........�..r ..........OF........... ......................
Trrtif irate of Toutpliattre
THIS T��RTIFY, >hAt the Individual Sewage Disposal System constructed (V) or Repaired ( )
by -- ............................•-...•............•..-•---•--•---............----•-...---•---•-- -.......
.......----•-- L^
11
at..........-`~ ...............................................................7..Ins„..... ..� ....................••-•--------------------......................................
has been installed in accordance-with the provisions of TIT 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.......... = _.-_?.-_ry_9' dated................ ..................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................ - _ / .. Inspector----------- .....................................................................
- - - -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
SQ .................T ..OF.......-- .......•••--•..............
NO.. ..._..._..�.. (. FEE..... • ......--
Disposal Works Tonotrurtiott f rrntft
Permission is hereby granted........ `::�...I...._��.Z./`..5 CCJ.0-
to Construct (_ �X) or Repair ( ) an Individual Sewage Disposal System -
at No. Ltd.. `� �. /�`�', x I'�GZ%�a�--�ZI&
- •----------•--.•-••••......-- -•---•--------•---•--------------•-----•--------•-•••-•--•••......-----••.•.....
treet �r �-����
as shown on thWpplic:ion for isposal Works Construction P o._ 3� / d.o ....
............... -• . •.
. ......................... Boar of I ea
DATE-----------� --•---.. ._.__.
r
Logged In As: Parcel Deta I I
Monday, March 3 2008
Parcel Lookup
Parcel Info
Parcel ID 2153-035 Developer;.LOT 5
Lot i
Location 1051 SERVICE ROAD Pri Frontage
...........................
Sec
Sec Road ;RANTA CIRCLE Frontage ge'658
_ ;
Village;WEST BARNSTABLE Fire District jW BARNSTABLE
___ .........
Sewer Acct 3 Road Index 2101
Interactive g1
Map 1
Owner Info
owner!STILL, DONNA RANTA& Co-owner STILL DAVID B 11
Streetl ;P O BOX 618 Street2
City W BARNSTABLE State(MA Zip 02668� Country USA
Land Info
Acres i4.68 use°Single Fam MDL-01 Zoning RF Nghbd 0105
Road � ._.
Topography.Level Paved
utilities'Gas,Well Septic Location
Construction Info
Buildingof I
Year Roof�� `��� � Ex l
11993 struct Gable/Hi Wall lWood Shingle
Built�_._ _.-- _........ _.. p
Effect' _.` Roof AC
Area 12268 Cover Asph/F GIs/Cmp Type
e None
.
style;Cape Cod Int iD wall ] Bed Bedrooms
_._. .._ ._.__...... Wall .... .. ...._._..._ __1 Rooms! �
Model ?Residential Int ] Bath 2 Full + 1 H
Floor . .-. ] Rooms,
_._... Heat _ _..._ ._ . Total
Grade;Average Plus Hot Water ;6 Room
Type! Rooms ,,.
.. .... .. .:.
Heat'— __. _ Found.
Stories:1 112 Stories ;Oil }Poured Conc
Fuel
�_. _ _-_ _ ation E.
__.._ ...�
Permit History
Issue mate Purpose Permit# Amount Insp Date Comments
11/1/1993 B36317 $135,000 1/15/1994 12:00:00 AM WB 11/2 S
f
Visit History_ _..__...__ __ _ ". v..",
Date Who Purpose
1/17/2008 12:00:00 AM Paul Talbot Cyclical Inspection
3/27/2000 12:00:00 AM Paul Talbot Meas/Listed
2/15/1994 12:00:00 AM ML
Sales History
Line Sale Bate Owner Book/Page Sale Price
1 7/15/1993 STILL, DONNA RANTA& 8675/202 $1
2 10/15/1990 RANTA, ROBERT E & 7340/260 $100
- Assessment History""
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2008 $203,300 $0 $0 $208,600 $411,900
3 2007 $241,200 $0 $0 $208,600 $449,800
4 2006 $215,100 $0 $0 $226,800 $441,900
5 2005 $197,600 $0 $0 $154,700 $352,300
6 2004 $157,800 $0 $0 $123,800 $281,600
7 2003 $140,600 $0 $0 $132,200 $272,800
8 2002 $140,600 $0 $0 $132,200 $272,800
9 2001 $140,600 $0 $0 $132,200 $272,800
10 2000 $114,900 $0 $0 $80,200 $195,100
11 1999 $114,900 $0 $0 $80,200 $195,100
12 1998 $114,900 $0 $0 $79,900 $194,800
13 1997 $115,100 $0 $0 $58,500 $173,600
14 1996 $115,100 $0 $0 $58,500 $173,600
15 1995 $69,000 $0 $0 $58,500 $127,500
16 1994 $0 $0 $0 $0 $52,700
Photos
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9
3 fin'
BOARD OF HEALTH
TOWN OF BARNSTABLE
S�'U'G
Ips� Uj .6 Zippiicat ion ArVerr Con5truct ion Permit
Application is hereby made for a permit to Construct (&J, Alter ( ), or Repair ( )an individual W 11 at:
-IFCJ T
Location — Address Assessors Map and Parc I
ly1,C:�,' S_i_��/J u_ �N. P,�j N�4!/,°J C� Ti d� --- -- �— •--`--!--_C_�_-G_ __ n.�i 1i2,. -LE'----n!tt G--______
— Own r Address
------------------------- -----1-------
Installer — Driller j Address
Type of Building
Dwelling-------J°u.t-c -----------------------
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
place the well in operation until aVCert*ficate Compliance has been issued by the Board of Health.
Signed— J. - ► �Q- -----------------------
date
Application Approved By -
date
Application Disapproved for the following reasons:----------------------------------------------_______—____ —
- — -----------------------------------------
------- - -----
`� date
PermitNo. ---------------------------- Issued----------------------------- ----
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate Of (Compliance
THIS IS TO.CERTIFY,
That the Individu I Well Constructed (�, Altered ( ), or Repaired ( )
- /a
p Installer
at
has been installed in accordance with the provisions of the Town of Barnstable Board
pof�Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. -/�y_ Dated----_—__—
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------------------------- --------------------- Inspector---------------------------------------_
W
No.--- *- -�---- _ Fee---— __�_
--------
BOARD OF HEALTH
TOWN OF BARNSTABLE
} AppricationArlftl Con5tructionpermit
Application is hereby made for a permit to Construct (V), Alter ( ), or Repair ( )an individual Well at:
t�! ---- f C^_ c� , p
/ Location — Address Assessors Map and Parcel
y
------------------------ ------------------ - -----
IOwner Address — —--
_ �
• Installer — Driller � Address /
Type of Building
Dwelling �"u r
---------------------------------------------------------------- -
Other - Type of Building------------------------------------ No. of'Persons---------------------------------------------------\
Typeof Well- 11 L�------------------------------------------------ Capacity-------------------------------
Purpose of Well--lagt.-AS- •-----------------------
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--F.' E_ `'`"",'-- ---------- ---------------
date
Application Approved By-----------
-- `�;---= - _ "_ 3_
---- --- --------------------
date
Application Disapproved for the following reasons:----------------__-------------------------------_-----------------------------__---_---------—-------_
-----------------------------------------------------------------------------------------------------------------------------------------------------------
--------------
date
PermitNo. --y�`—-1—��- - - - ---------- Issued------------------------------------------------------------------------ --
date
BOARD OF HEALTH r
TOWN OF BARNSTABLE
'r
Certificate ®f (Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed (,,I), Altered ( ), or Repaired ( )
-----------=-----------
Installer t
at - -- -- - -- - - ---------------------------- ------------------------------------------------
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-- --- ---------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Ivell Congtruct ion 3permtt
--- Fee--------�---
c
Permission is hereby granted--------'------=-=- - - -�"--- -----.----�--------------------------------------------------------------------
to Construct (41), Alter ( ), or Repair ( ) an Individual Well at: J
No. --------`----4g7----------�---------A-A'a�'e�d — -----�'---- ----------------------------------------------
Street
as shown on the application for a Well Construction Permit
No.-------------------------------------------------------------------------------------- Dated----------- --- - - ram . - -------
----------
------------------------------------
M — '-
DATE �
--------------------------------
-----
.3 - Board of Health
-------- �-- -----------------
J*.
_ eve
ENVIROTECH LABORATORIES
Mass. Cert.#:MA063
449 Route 130 Sandwich,MA 02563 • (508) 888-6460
CLIENT. Bayside .Buildinp, Co. LOCATION: Lot 5 Access Rd.
ADDRESS: 1645 Rte 28 W_ Rarnstah1 e, MA
Centerville, MA
COLLECTED BY: D.A. Scannell SAMPLE DATE: 12-8-93 TIME: 12;OON
DATE RECEIVED: 12-8-93 SAMPLE ID: DAS 5
JOB#: New well WELLDEPTH: 100,
RESULTS OF ANALYSIS:
Parameter Units Recommended limit Result
Coliform bacteria/100 ml (MF Method) 0 0
pH pH units 6.0-8.5 6.03
Conductance umhos/cm 500 95
Sodium mg/L 28.0 10.2
Nitrate-N mg/L 10.0 0.03
Iron mg/L 0.3 <0.05
Manganese mg/L 0.05
Hardness mg/L as CaCO, 500
Sulfate mg/L 250
Potassium mg/L 20.0
Alkalinity mg/L 200
Chloride mg/L 250
Turbidity NTU 5.0
Color APC units 15.0
Background bacteria/100 ml (MF method) 200
EPA 601 602 # ug/L N.D.
COMMENT:
# See Report attached.
YES NO
uX ❑ WATER IS SUITABLE FOR DRINKING PURPOS OR P ETERS TESTED.
'. DATE +
f `
GROUNDWATER
ANALYTICAL
EPA METHODS 601 and 602
Volatile Organics (GC/PID/ELCD)
Field ID: DAS 5 Lab ID: 6597-01
Project: Bayside Lot 5 Access Batch ID: VG3-0164-W
Client: Envirotech Sampled: 12-08-93
Co,nt/Prsv: 40mL VOA Vial/NaHSO4 Cool Received: 12-09-93
Matrix: Aqueous Analyzed: 12-14-93
PARAMETER CONCENTRATION REPORTING LIMIT
(ug/L) (ug/L)
Dichlorodifluoromethane BRL 5
Chloromethane BRL 5
Vinyl Chloride BRL 5
Bromomethane BRL 5
Chloroethane BRL 5
Trichlorofluoromethane BRL 1
1,1-Dichloroethene BRL 1
Methylene Chloride BRL 1
trans-1,2-Dichloroethene BRL 1
1,1-Dichloroethane BRL 1
cis-1,2-Dichloroethene * BRL 1
Chloroform BRL 1
1, 1,1-Trichloroethane BRL 1
Carbon Tetrachloride BRL 1
Benzene BRL- 1
1,2-Dichloroethane BRL 1
Trichloroethene BRL 1
1,2-Dichloropropane BRL 1
Bromodichloromethane BRL 1
2-Chloroethyl Vinyl Ether BRL 5
cis-1,3-Dichloropropene BRL 1
Toluene BRL 1
trans-1,3-Dichloropropene BRL 1
1,1,2-Trichloroethane BRL 1
Tetrachloroethene BRL 1
Dibromochloromethane BRL 1
Chlorobenzene BRL 1
Ethylbenzene BRL 1
meta-and para-Xylene * BRL 1
ortho-Xylene * BRL 1
Bromoform BRL 1
1,1,2,2-Tetrachloroethene BRL 1
1,3-Dichlorobenzene BRL 1
1,4-Dichlorobenzene BRL 1
1,2-Dichlorobenzene BRL 1
QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS
a,a,a-Trifluorotoluene 30 27 89 % 87 - 113
1,2-Dichloroethane-d4 30 28 94 % 83 - 117
BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable
Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986).
Department of Environmental Management/Divisigptt f:Water Resourcepi
WELL COMPLETION REPORTS �—%P
WELL LOCATION GEOGRAPHIC DESCRIPTION
Address r 6 ~�
o r'IC-SS �/• oov' N �ci W of
(leer) (circle)
City/Town r~!24-1
/r AAd Q Q( Cr'C S Yr�1
Well owner. )u rVr_I C[�_ ' (road)
Address/! N S 1E W of
e O-Jle/ tenths! (circle)
Board of Health permit obtained: - yes 19"' no 0 ultersect. w!_C4, 11C(rOe T
WELL USE WELL DATA
Domestic QiPublic❑ Industrial ❑ Total well depth /00 ft.
Monitoring❑ Other Depth to bedrock - ft.
IWater-bearing rock/unconsolidated material:
I Method drilled CJ (J `s F°����'T /
Date drilled/ta I� I�-/ 3 '
Description A-4 e d( CoG/S e SO., N
Water-bearing zones:
CASING 1) From To
Type Sc 4
ri -2) From To +
Lengthft. Dia(.I.D.) =in. 3) From To
Length into bedrock ft.
Gravel pack-well: dia.
Protective well seal:
Screen: dia.
Grout_[ Other Slot 0_Z S—length_9_�_from�R . to.&r2
STATIC WATER LEVEL(all wells).
Static water level below land surface a / ft. Date
WELL TEST(production wells)
r v
Drawdown�ft. after pumping �(_Itr. . min. at ZT _gpm
How measured n ko Recov'ery�ft. after_hr.I S min.
0
LOG of FORMATIONS COMMENTS
MaterialsFiom
a n Driller
1, ^t erl Firm
/Caa / Address/�.b. AGk 2A0
�► d +
Gr m r P City/Town ryas /J E1z �61
g U/t 4 J rr/per Supervising Driller RegA S"-)
Sr nature or superv+sln re tstered well driller
P1easp""""m" BOARD OF HEALTH COPY
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