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Home My WebLink About0970 MAIN ST./RTE 6A(W.BARN.) - Health `'97flUain+Street - m . 156'-026 i W. Barnstable r 1 Cz 9 e . I 11�- f l - V ' 179001002 #976 158026 4 y` #960 , 0 179001001 CN D so 179002 156084 J \�v/ 0 WOO 155034 AO /r\ \ 165024 155M 0975 0 29 Fee do r Massachusetts Department of Conservation and Recreation M"—.-.iusests Office of Water Resources t Well Completion Report 24-SEP-08 12:10:02 WELL LOCATION �a 53 7 9 9 GPS North: 41° 42.4981�GPS West: 70° 22.324' //„VJ �n1f �0 --037 Addre�, Mai- � Property Owner/Client: c/o Clifford Well Drilling Subdivision Name: Mailing Address: P.O. Box 430 City/Town: Barnstabl �j City/Town, State:South Yarmouth MA Assessors Map: Assessors Lot #: Permit Number:w2008-039 Board of Health permit obtained: Y Date Issued: 09/10/2008 Work Performed Proposed use Drilling Method Overburden Drilling Method Bedrock New Well Domestic Auger CASING From (ft) To (ft) Type Thickness Diameter 1.00 -77.00 PVC Schedule 40 4.00 SCREEN From (ft) To (ft) Type Slot Size Diameter -77.00 -80.00 Stainless Steel Well .012 4.00 Point WELL SEAL -/ FILTER PACK / ABANDONMENT MATERIAL- From. (f E) To (ft) Material Description Purpose WELL TEST DATA (ALL SECTIONS MANDATORY FOR PRODUCTION WELLS) Date Method Yield Time Pumped Pumping Level Time to Recover Recovery (GPM) (hrs & min) (Ft. BGS) (Hrs & Min) (Ft. BGS) 09/16/2008 Constant Rate Pump 15.0000 1:30 34.0000 0:01 32 GTATTC' WATER TMVEL (ALL, WET.Lq) PERMANENT PUMP (IF AVAILABLE) Date Depth Below Ground Pump Description: Measured Surface (ft) Type: Intake Depth: 09/16/2008 32 Nominal Pump Capacity: Horsepower: WELL DRILLER'S STATEMENT ADDITIONAL WELL INFORMATION Driller: Thomas E Desmond III Developed: Yes Fracture Enhancement:No Supervisor: Thomas Desmond III Rig #: 13'7"~'-, Disinfected:Yes Well Seal Type:None Firm: Desmond Well Drilling Inc. Total Well Depth: 80.000 Depth to Bedrock: Registration #: 764 Date Comp te:09/16/2008 Comments: OVERBURDEN From To Description Color CuuUmt/v Water Loss/Add Drill Drill (ft) (ft) Zone of Fluid Stem Drop Rate .00 6,00 Boulders Brown No N/A 6.00 25.00 Fine to Coarse Sand Brown L ( •01 WV 62 13C OUR No N/A 25.00 65.00 Silty Clay Brown a J Yes N/A /0y, 65.00 80.00 Fine to Coarse Sand Brown Yes N/A BEDROCK From To Code Comment Water Drill Extra Drill Rust Loss/ # of (ft) (lt) Zone Stem Large Rate Stain Add of Frac Drop pe r V ---------- - -� No.-- ----- --�- �� I 'u GfJx Fee----- BOARD OF HEALTH / TOWN OF BARNSTABLE 21pptication-*rMelt Con5.tructioni3ermit A lication is hereb ade for a ermit to Constr ct ( ), Alter ( ), or Repair ( an individual Well at: PP Y P Locat'°n — Address Assessors Map and Parcel owner A dress �-� C'� Q - - --------- -- vas-� - � - - -------------- ------- Installer — Driller Address Type of Building Dwelling---- --------------------------- Other - Type of Building ----------- No. of Persons--------------------------------_________ Type of Well -- - -- — -- Capacity---,/ --�� -6------ - -— —--— �� 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 a Certificate C p ' nce has been issued by the Board of Health. Signed4��,, � ___7 to-off date Application Approved By -- ' -- -- -- —- -— --- /0 P^1� date Application Disapproved for the following reasons:-------------------------------------------------------------------_________ — — -- ----------_—_----— ---— - - - --- -- - -------------------------- G 4) date Permit No. - �— -- ----- -- - Issued— —�'-tl - -- - — — ----------------- - BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f (Compliance THIS I---- idual Well Constructed ( ), Altered ( ), or Repaired by---- ----------------------------------------------------------------------------------------------------------—------------- --- -------- p�ry �l In taller at-- --------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Wel)Pr tection Regulation as described in the application for Well Construction Permit No.W-_`_"1-__31------Dated_9 ------- I r THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------—--------—---------—------------ -- -- Inspector-------------------------------------------------------------------------- M rc _-_ 0 9- No.— �ce/�' - r Q�t 1N� Iv A6 Fee------ ---------- ( BOARD OF HEALTH TOWN OF BARNSTABLE 1z1 , ticationArVeil Congtdruct ion"Permit � � 7 Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( an individual Well at: -----—-------- — — — -- --- —-- A� ! -- — -- ----- --— -- ---- Location Address Assessors Map and Parcel / Owner Address CJ ------------------------- Installer — Driller � Address - Type of Building Dwelling P �� - Other - Type of Building---------------------------- No. of Persons------------------------ T 'e of Well---- T --- Y pacit YP uf9.t? --- - - --- ---- -- Purpose of Well --�f--- —��- - -- ------- Agreement: j` 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 Compl' nce has been issued by the Board of Health. Signed��/� -- -—---- - — - —�U------ date ' cy Application Approved By- -�� - -- -- - -— = �4 ---- �,` date Application Disapproved for the following reasons:-------------------—------------------- ------------------------- ------------------- ------- I' .k• - � date ' Permit No. --�� _� — - ------------------ Issued��'—/[ - - - - - - - -- date --------------------------------------------------------------------------------------------------------i ij BOARD OF HEALTH TOWN OF BARNSTABLE s . C ertif icate Of Compliance THIS IS-T. IFY Thl 'tht-I d vidual Well Constructed ( ), Altered ( ), or Repaired (� -,-� $ Installer at- 9C� -- ' - --'� - - _'_ '------------------------------------------------------------------------ - ---------- 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.L--42j4-=-3!-----Dated— rat/ '------- 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 lVell Congtruct ion Permit i ( �o — G7 No. --�----s-------� / Fee----'—�----- i Permission is hereby granted to Construct ( ), Alter ( ), or Repair ( 41"an Individual Well at: No. - ��J ---� �' --'t�— '_r�7-�--------------------------- - - - -- - street j as shown on the application for a Well Construction Permit r jNo. ---------------------------- - —— - --- - --- — - Dated-- ---- --------------------- ------------------------------------------------- Board of Health DATE--------V&Ae------------