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Home My WebLink About0053 HI RIVER ROAD - Health 53 HI RIVER ROAD / MARSTONS MILLS A = 060 - 036 Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports f -------- - -- - - -- - .. - - Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 53 HI RIVER RD Please specify well type: Building Lot#: Assessor's Map#: Irrigation 060 ;Q Assessor's Lot#: ZIP Code: Number Of Wells: 036 02648 Cityrrown: Well Location BARNSTABLE In public right-of-way: GPS C Yes f"No North: West: 41.66084 70.42095 Subdivision/Property/Description: Mailing Address: click here if same as well location address Property Owner: Street Number: Street Name: JOHNSON TREE FARM PO BOX 1016 City/Town: State: Engineering Firm: BARNSTABLE MASSACHUSETTS ZIP Code: 02655 Board of health permit obtained: is Yes #"Not Required Permit Number: Date Issued: W2021042 07/14/2021 Massachusetts Department of Environmental Protection w-� Bureau of Resource Protection-Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD Overburden Bedrock uger -Choose Bedrock-� WELL LOG OVERBURDEN LITHOLOGY From(ft) TOM) Code Color Comment Drop in drill Extra fast or slow Loss or addition stem drill rate of fluid r r r [0�R � 20 Fine To Coarse S k Bluish Gray C Fast C Slow YES NO �� [L�Addition `L J 4�0 Fine Tc Coarse S I� Biuish Grayl 'Fast t Slow - YES NO Loss Addition 40 80 Fine To Coarse S; Bluish Gray t f Fast r Slow �� Loss Addition SilCy-- ILrownF—] astSlowC= 70 r Loss Addition ............. 70 90 Fine To Coarse S i Brown r Fast Slow -------- YES NO Loss Addition WELL LOG BEDROCK LITHOLOGY Drop in Extra fast or Loss or Visible Rust Extra From(ft) To(ft) Code Comment addition of Large drill stem slow drill rate Staining fluid Chips . .............. ... ..__.............. C FYES rC astSlow Losddition-- . . ............a ADDITIONAL WELL INFORMATION _ Developed t Yes f"No ( Disinfected F(:>Yes r No Total Well Depth 90 Depth to Bedrock Surface Seal Type None racture Enhancement ''Yes I No CASING r.Is Casing above ground? From To Type Thickness Diameter Driveshoe 80 Polyvinyl Chloride Schedule 40 — 4C::—] ( LYes} SCREEN r No Screen -— --- ------- - -- - --- .... ....... _.- From To Type Slot Size Diameter t --- -- - --- -- -- — -- -- --- -- —------------- _..- 80 90 Stainless Steel Well Pint 0.012 4 o i --._- _.-___ WATER-BEARING ZONES r-DRY WELL From To YleId(gpm) 39 90 12 PERMANENT PUMP(IF AVAILABLE) LlMassachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Pump Description 3 Wire Variable Speed Horsepower Submersible Pump Intake Depth(ft) 38 Nominal Pump Capacity(gpm) 60 ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of (gal) (count) Placement ........ ... ........... ....................... ... ...... ....... ._... Choose Material WELL TEST DATA Time Pumped Pumping Level(ft Time To Recover Recovery(ft Date Method Yield(gpm) (HH:MM) BGS) (HH:MM) BGS) OS/1,/2021 Constant Rate Pump 01:3040 00:01 39 _.. ------- .............................. ............ ... ........... ........... ........................... ... .....- WATER LEVEL Date Static Depth BGS(ft) Flowing Rate(gpm) Measured 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 DEREK Monitoring[M] Si III, DrillerGOODWIN Registration# 764 gnature THOMAS,E DESMOND WELL Firm DRILLING INC. Rig Permit# 0089 Date Job Complete O8l,2l2o2t NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. ENVIROTECH L:ABORAT®RIES,INC AA. CERT. NO.:M AL4 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 +. (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name: Desmond Well Drilling Location; 53 Hi River Rd. Address: PO Box 2783 Marstons Mills,MA Orleans, MA 02653 Lab Number: DW-213620 Collected By: DWD Date Received: 07/29121 Sample Type: irrigation Well Specs: 901/39, `�..::.. �.x�.++.' >�_ , .. : -_ Ask ': rm :i..._ #r :i"€ '•.P'.."', s¢#,' s ..at ` #3;u+ 'i,ME "x"F Cll1�Ot3.S'�I1�EGe 4c �t7leaGll (1 �T�TID( COIt {� d � ry. yyy� �C ePhi r Analysis Reque led Visits ReconunendedLtmils Analysis Result Method Date Analyze Analyzed By Total Colifonn CFU1100mL 0 0 SM9222B 07/29/2021 NB @1530 I PH PH units 6 5 8.5 6.38 SM 4500-H-B 07/29/2021 —. _— _: ---- Specific ConductanceII umhos/cm 500 138 EPA 120.1 07/29t2021 S --- -- -- - Nitrite-N mgll. 1.00 <0.006 EPA 300.0 07/30/2021 SD _ --- <0.01 EPA 300.0 07130/2021 SD Nitrate-N mg/L 10.0 — — __-- Sodium mg/L 20.0 19 EPA 200.7 07/3012021 - KB _- - - — Total Iron m9 2.19 EPA 200.7 07/30/2021 KB _ Manganese mg/L 0.05 0.039 EPA 200.7 07/30/2021 —K5-_ CotntnentS: Iron Level Is not a health hazard,but may cause taste and staining problems. PH Is below recommended limit and may have corrosive characteristics. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. Water meets EPA standards and is suitable for drinking for parameters tested. Bate 8/3/2021 Ronald J.Saari Laboratory Dire-lor BRL=Below Reportable Limits "See Attached Page 1 of 1 aCerlification is not available for this analyse for potable wafer samples.. �rBG No. ® Fee f BOARD OF HEALTH TOWN OF BARNSTABLE 0[pplicatiou -for Yell CoufStructiou Permit Application is hereby made for a permit to Construct ), Alter( ), or Repair( ) an individual well at: r '53 i f i Ki vew P4 Wrstop)s kc ((S 6C b 1 c?31n Location- ddress Assessors Map and Parcel hr1Qj -- ffiMeja, jo hftS6h 6u-mpS )PAiV-C1-1r Rd, (SWILL , A4A- Owner Address Installer-Driller Address Type of Building Dwelling X *7766 Other-Type of Building No. of Persons Type of Well 5 ts+t L�6 V UG 'I �� Capacity M� Gem r l Purpose of Well jrfjaU47pn 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 Certifi ate Compliance has i issued by the Board of Health. Signed �-- ,. `t �j D to Application Appro By Date Application Disapproved for the following reasons: r Date Permit No. _.._ Issued J � Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate of Compliance THIS �IS,,TO�CERTIFY,that the individual well Constructed K), Altered( ), or Repaired( , ) by �(-)nck d' �__� Installer at __5aJ 14i )?I WE &_ /�/d/�.I�)&P,S &L4 has been installed in accordance with the provisions of the Town of Barnstable Board of ealth Private Well Prote ion Regulation as described in the application for Well Construction Permit No. ,6/ Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date ' n Inspector No. � � Z1 Fee 7BU I •' J ,.4 OARD OF HEALTH �, F TOWN OF BARNSTABLE 1PPYicatiou _for Yell Contruct ou Vermit Application is hereby made for a permit to Construct ), Alter( ), or Repair( ) an individual well at: Location-Address Assessors Map and Parcel ? p-r nolj + parncla -Jolu c,a h Mt5 P kry)rjs )qi' r P,I 0,Ske v' Owner Address Installer-Driller Y' ' f Address � .TyPe;of Building -.. _ .._ _ -- ._ �_ r ,: �, �. . } •.�,,« f Dwelling Other-Type of Building No. of Persons Type of Well �C•►f-I 4() #)1/( q " Capacity Purpose of Well )r r(cy1`•jz j)n f' V ` Agreement: The undersigned dgfeest to install the afore described individual well in accordance with the provisions of the F 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. J r Signed Date Application Approved By Date .a Application Disapproved for the following reasons: ,. Permit No t Yt F'"`C"•� --- Issued _. Date • ---------------------- —e--f___ __- _^_____ fi BOARD OF HEALTH r TOWN OF BARNSTABLE .V Certificate of Compliance i t THIS IS TO CERTIFY,that the individual well Constructed`(<), Altered( ); or Repaired F _ by �lan� R 4 k K L}1 • Installer at 1 Vr A/11 1ai?, C 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. 1Jlf EJL, -Dated �� :LE THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL ' SYSTEM WILL FUNCTION SATISFACTORILY. Inspector''.-, y �'—.s_:oa,�:. -�..�:;...�___-,_S_.�_�_�:�..o:..c..r:_e�.:;o,•�,_a�-sixo�:_��.�a.-r.:�acavr�.er,�4--C�c«m#�,�s� <� •- ..�. 'v-=�3f.�..y.=_ ��..-.. __ .,...�,z.�a..ay- _-._. -._"- BOARD OF HEALTH TOWN— OAF. BARNSTABLE • Verr Cougtructiou Permit Permission is hereby granted to . Ib<m(,kn ri (A p/1 -Pr I I i� �, /,H� . Installer . x to Construct , Alter( ), or Repair( an individual well at: No. ri I 1(�' 1'"^ l��I .�/7i.Y,( i? kt/_l� 4 w d Street as shown on the application for a Well Construction Permit No. �c'-} Dated Date ! ! 1 Approved Bryce .�. J , ,J . Proposed 10' Access Roads TYP•� z I it N56' 18' 04"E 575.79 j i 1 i M N N l R30.0 0 Lot 8 t Street Address #54 N c° 0- 3.50 Acres h,52,618 sf (Per P ' n) r " _ Assessors Ref. 0.60036 � z 38:5, ;tE 0 I to�eW 11 Roads T . .R• o e ss Roa YP Pro osed 10 Acc sx24 w y. p v 7 r Storage Barn, to 4P Go"` 4 . eound 287.51 _ �H�t) f S56' 18' 04"W 68 pROPOSGEDE / ( EsiDfzA PROLE) E