HomeMy WebLinkAbout0020 BOXWOOD DRIVE - Health 20 Boxwood Drive
W. Barnstable
A 216 062
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EIVVIROTECHI.ABORf1TORIES,INC.
AIA.CERT.NO.:M ALI 003
8 j.m Sebastian Ilrive-Unit#12
Sandcaich MA 02563
508(888-6460) 1-800-.339-6460
FAX(508)888-6446
CLIENT: Elinor Howes LOCATION: 20 Boxwood Dr.
ADDRESS: 20 Boxwood Dr. W. Barnstable, MA
W. Barnstabie, MA
COLLECTED BY: Meehan Wells SAMPLE DATE: 11/19/2004
SAMPLE TIME. NA
WATER SAMPLE TYPE: New Well DATE RECEIVED: 11/19/2004
LAB I.D. #: 0411297
WELL SPECS.: 907 66'
RESULTS OF ANALYSIS:
Parameters Units Recommended Results Method Date Analyzed
Limits
Coliform bacteria / 100ml 0 0 9222 B 11/19/2004
pH pH units 6.5-8.5 6.42 4500 H+ 11/19/2004
Conductance umhos/cm 500 263 120.1 11/19/2004
Nitrate-N mg/L 10.0 2.60 300.0 11/19/2004
Nitrite-N mg/L 1.00 < 0.004 300.0 11/19/2004
Sodium mg/L 20.0 42.9 200.7 11/19/2004
Iron mg/L 0.3 < 0.1 200.7 11/19/2004
Manganese mg/L 0.05 0.021 200.7 11/19/2004
COMMENTS: pH is below recommended limit and may have corrosive characteristics.
Sodium level is not a health hazard.
WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES
FOR PARAMETERS TESTED.
< = Less than
> = Greater than
T N i C = Too numerous to count
e Date u� l a,
R ald J. Saari
Laboratory Dire or
�f
—060 Fee------:- 5�OL9
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zipplication-*rVell Con5truct ion Permit
AP Ij t* hereb for e it to Co st u t Alter or Repair (44an individual Well at:
_Mca ' - -- .,
--- Loc ti Address Assessors Map and Parcel
Own dress d --------------
____ ____
Installer — Driller Address
Type of Building
Dwelling ----------
Other - Type of Building No. of Persons------------------------------
laamnl k/
Type of Well Capacity--------------
Purpose of
Agreement:
The undersigned agrees to install the aforidescribed 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.
I/- F111 al
date
Application Approved date
Application Disapproved for the following reasons:
--- ---- date
Permit No. Issued
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate (Of (COMPliancr
THIS IS TO CERTIFY, That the Individual Well Constructed Altered or Repaired
by-------- —-----------------------
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 ---------------------------
No. ---- - ------ /w
BOARD OF HEALTH C� i3�tL/
n�2r TOWN OF BARNSTABLE
Zipplicatioq_*rVell Zo0tructionPermit'
Application is hereby' a for aperrnit'to.Co strii t ( ) Alter ( ;);:or,Repair (�I an individual Well at; r ,
-- - ---- — - , i
Loc t�n —'Address Assessors Map and Parcel i
-- Owner
►rY hC �u t,Jl�-�1]1.1_--- ---
Installer — Driller Address
Type of Building -
Dwelling - — -
-
,... „x�:` - .. .\ .+r;.r .S.r=a K r...��:A9r'c`.'.",.'7-""�°�iN"t-$=.i .:..'vL"Y; s. ._ 'S.'./n•r..:`� �. ='2. .,,,.�r 3: .._ .r,}:r:;�"�' _r. �a.:r" .
No. o ersons-- -" ------ - _.
Other - Type of Building--- —.-- - - _ --
Type of Well--- -- --------- Capacity---- — - --—--- - ---
Purpose of Well'=-- ---------- --
�y Agreement:
I; The•undersigned agrees to.install the aforedescribed individual well in accordance with the provisions of The.-
Well
- Town of Barnstable Board'of Health Private,Well Protectio: ulatlon Tlie undersi ned further agrees not to'
g ; g g
place.the well in opera_hon until a,Certificate'.of,Complianceyhas been issued by the Board of Health �,� Y; ran, '` {
y..
Signed'"~ / '!�!t�''^ =.1'�. -.kd, _��it _ "�_ `'�, d f 'y .•n14.f aY' ° �. A
b ------- t � date""
1
Application Approved By — --- -
k � date ,
Application Disapproved for the following reasons:=------------ - — ---- - ---—--—-
date
�at�P,4
Permit No. Issued--------- date'
._..,.;.�._...c�......-.s,......-._.d..a-=.'.,..�_.+�..t«�i.-sN.d.. at•...-r,==. n-•7,—.a.-t.-.4-.�.-�.-_.�f... . - .-4_. �._
BOARD OF HEALTHY s
TOWN OF BARNSTABLE
f .w ��Ctrtlficate Of �tCOMPlian(e
+ s N'.., fi
..ra
THIS IS TO,CERTIFY, That the Individual Well Constructed ( :), Altered ( . ),,or; Repaired
byInstaller
c
has been installed an accordance with the provisions of the Town of Barnstable Board of 44ealth`'Pnvate Well Protection
tT 0'to s .i s r S yi .• i .': s,l 4 i l5n:•
Regulation as.described in the application for'Well Construction Permit'N0. - - bated
!
-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
-- Inspector-------- -- --=----------
,y BOARD OF HEALTH
;. TO W N O F BA RN S`T A B LIE t:
Yell Conaruct ion permit
No. �--� Fee- —
Permission is hereby granted
to Construct ( ); Alter'( )_or Repair ) an Individuaalll Well at-., I , n
��� � No !91✓'� ��• '�"` f"f�U..?;� h V '"\ ' w* �M�� �D 1 �tJ _—�F _ _ r.. h - .n
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a ;y .J r Y _ Y: _ P S•. ^+�, l.n. . ''�} f„�F .&n"i g',. f�
ail,shown on..'the"application for a Well Construction•Permit -�" p
'�t r No ---- Dated ,,:.
` -- -
�� � 1\ Board of Health
DATE— -_--