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HomeMy WebLinkAbout0675 OAK STREET (CENT./W.BARN) - Health 4 675 OAK STREET (CENT./W.BARN) WEST BARNSTABLE A= 215 - 034 - 001 , ENVIRO TECH LABORATit VES,INC MA CERT. NO.:M-AL4 063 8 Jan Sebastian Drive Unit 72 Sandwich,MA 02.56.3. (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name: .Desmond kyell Drilling Location: Address: PO Box 2783 675 Oak St �r{ Orleans, MA W Barnstable,MA 02653 Lab Number: DW-203188 Collected By: DW D Date-Received: 09/01/20 Sample Type: Well Specs: New Well 116/94 w ; cuttosp.Srrurce! K Date 0lle�red Time elleded ` �L N, fi Comments . � .P S A .. r A° ax �� , -08t01120� . . 1200 .E Analysis Requested Units Recommended Liutrits Analysis Result Method jDateAnalyzel Analyzed By Total Coliform CFU/100mL 0 Absent SM9222B 09/01/2020 SD @ 19:25 p pH units 6,5-8.5 5.78 SM 4500-H-B 09/01/2020 SD_..—._ -.... — ---- Specific ConductanceR umhos/cm 500 279 EPA 120.1 09/01/2020 SD - — -- --- ---- —_._... - - ---__ --- - - -- --- Nitnte-N mg/L 1.00 <0.006 EPA 300.0 09/01/2020 LL _— _.. ...__....... ..-----._ _._.. .._..__.. - ._..-- -- .__...... Nitrate-N -----m—g/L _ . 1 .0 - 1:90EPA—0—.0 09/01/2020 ---.._ ----LL - Sodium mg/L 20.0 29 E-P-A 200.7 09/02/2020 KB ..... __ .. ..... — - .__—......................... ....- ...Total Iron mg/L 0.3 0.03 EPA 200.7 09/02/2020 KB Manganese mg/L 0.05 0.011 EPA 200.7 09/02/2020 KB ._..... _....___. _ --- ...... .........._-------.............. Volatile_Organic Compounds* ug/L See comment. See attached EPA 524.2 09/02/2020 NEC* Comments: Low pH indicates high corrosive characteristics. L_ Sodium level is not a health hazard. *Trace to low levels of chloroform are occasionally detected in ground water in coastline areas.. *2-Butanone and acetone are found in the PVC glue used for well construction. *Limits:2 Butanone 4000 ug/L,Acetone 6300 ug/L © 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. Date 9/3/2020 CJ. . -- ......--. .__ _ ..._.........- _RonriLabo clor BRL=Below Reportable Limits *See Attached Page 1 of 1 acertiltcation is not available for this analyze for potable water samples.. New England Chromachem 6 Nichols Street Salem, MA 01970 078.744-6600 Sample Information EPA Method 524.2 Rev 4..1 Volatile Organic Compounds in Water Lab 10: 9073 Client: Envirotech Laboratory,Inc. Client ID' DW-203188 State: Liquid Date Sampled' 09/01/20 Date Received: 09/02/20 Date Analyzed: 09/02/20 MCL - Regulated VOC's Results.(uglL) (ug/L) Unregulated VOCs Results(uglL) Benzene ND 5 Acetone* 34.1 Carbon Tetrachloride ND 5 Bromobenzene ND 1,1-Dichloroethene ND 7 Bromochloromethane ND 1,2-Dichloroethane ND 5 Bromodichloromethane ND 1,2-Dichlorobenzene ND 600 Bromoform ND 1,4-Dichlorobenzene ND 5 Bromomethane ND Tdchloroethene ND 5 2-Butanone 78.0 1,1,1-Trichloroethane ND 200 N-But (benzene ND Vinyl Chloride ND 2 Sec-But benzene ND Chlorobenzene ND 100 Tert-But benzene NO cis-1,2-dichloroethene ND 70 Chloroethane ND trans-1,2-dichloroethene ND 100 Chloroform 1.96 1,2-Dichloropropane ND 5 Chloromethane ND Ethylbenzene NO 700 1 2-Chlorotoluene ND Styrene ND 100 4-Chlorotoluene ND Tetrachloroethene ND 5 Dibromochloromethane. ND Toluene ND 1000 1,2-Dibromo-3-Chloropropane ND X lenes(Total) ND 10000 1,2-Dibromoethane ND Methylene Chloride ND 1 5 Dibromomethane NDl 1,2,4-Trichlorobenzene ND 70 1 1,3-Dichlorobenzene ND 1.,1,2-Trichloroethane ND 5 Dichlorodifluoromethane ND 1,1-Dichloroethane ND 'Acetone Detection Limit=10.ug/L 1,3-Dichloropropane ND ND=<Method Detection Limit 2,2-Dichloropropane ND NA=Not Analyzed 1,1-Dichloropropene ND cis-1,3-Dichloropropene ND trans-1,3-Dichloropropene ND Hexachlorobutadiene ND Isopropylbenzene ND P-Isopropyltoluene ND Methyl-tert=butyl ether ND Naphthalene ND N-Propylbenzene ND 1,1,1;2=Tetrachloroethane. ND 1,1,2,2-Tetrachloroethane ND 1,2,3-Trichlorobenzene ND Trichlorofluoromethane ND 1,2,3-Trichloropropane ND 1,2,4-Trimethylbenzene IND 1,3,5-Trimethylbenzene ND Surrogate Standard Recoveries. % Benzene-d6 98 MCL TTHM's=80 ug/L 4-Bromofluorobenzene 90 Method Detection Limit=0.5 ug/L 1,2-Dichlorobenzene-d4 100 Analysis performed per 31 OCMR42 Electronically signed and approved by Mr.Bruce A.Bornstein,Lab Director Date: 09/03/20 Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports L.11 liv Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 675 OAK ST /t Please specify well type:_ Building Lot#: Assessor's Map#: Domestic 215 Assessor's Lot#: ZIP Code: Number Of Wells: 034 001 02668 City/rown: Well Location BARNSTABLE In public right-of-way: GPS f Yes t No North: West: 41.68746 70.34890 Subdivision/Property/Description: Mailing Address: IPF click here if same as well location address Property Owner: Street Number: Street Name: BURRAGE 675 OAK ST City/Town: State: Engineering Firm: BARNSTABLE MASSACHUSETTS ZIP Code: 02668 Board of health permit obtained: f:Yes C`Not Required Permit Number: Date Issued: W2020 024 08/05/2020 Massachusetts Department of Environmental Protection 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 _ To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition From(ft) stem drill rate of fluid C� � (� I F ROCKY AT t" f f 0 20 Fine To Coarse S + Brown + Fast( Slow YES NO � Loss Addition 20 a 40 Fine To Coarse S o Brown ( Fast Slow C` YES NO Loss Addition Fine To rs Coae Sim Brown Fast r Slow , L�S Addition C� (� Lo F_-__.__._-_ 60 80 Fine To Coarse S + Brown Slow YES NO [_ Loss Addition 80 100 Fine To Coarse S + Brown YES NO � Loss Addition 100 116 Fine To Coarse S Brown • Fyra 7rrc Fast d"Slaw Loss Addition WELL LOG BEDROCK LITHOLOGY Drop in Extra fast or Loss or Visible Rust Extra From(ft) To(ft) Code Comment drill stem slow drill rate Large fluid addition of Staining Chi ps Choose Code y t4 EYes ryes YES NO Fast Slow Loss Addition ADDITIONAL WELL INFORMATION Developed Yes r_No Disinfected Yes( No Total Well Depth 116 Depth to Bedrock Surface Seal Type None �racture Enhancement L._.Yes No CASING r Is Casing above ground? From: 1 To. 0 From To Type Thickness Diameter Driveshoe �0 112 Polyvinyl Chloride -iji Schedule 40 EYes SCREEN E Screen From To Type Slot Size Diameter 112 116 Stainless Steel Well Point 0.012 1 WATER43EAPJNG ZONES r DRY WEL From To Yield(gpm) Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program L71� Well Completion Reports(General) L94_.._ _4� ,2 ®� i PERMANENT PUMP(IF AVAILABLE) Pump Description V1/ire Constant Spa ed Horsepower Submersible 1] Pump Intake Depth(ft) 100 Nominal Pump Capacity(gpm) 10 ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of i (gal) (count) Placement Choose Material C� Choose Material —Choose One— WELL TEST DATA Time Pumped Pumping Level(ft Time To Recover Recovery(ft Date Method Yield m (gp ) (HH:MM) BGS) (HH:MM) BGS) 09I01I2020 :Rate Pump�^ 12 1:30 95 0:01 =—� WATER LEVEL Date Measured Static Depth BGS(ft) Flowing Rate(gpm) 09/01/2020 194 --_� 112 � 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. DESMOND THOMAS E Monitoring[M] Supervising Driller III, Signature DrillerDESMOND III Registration# 764 THOMAS,E DESMOND WELL Firm DRILLING INC. Rig Permit# 0089 Date Job Complete o9/09/2020 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. e , No. V`� a� ®� Fee - Lf -5, BOARD OF HEALTH TOWN OF BARNSTABLE application jor Yell Con.5truction Permit Application is hereby made for a permit to Construct N), Alter( ), or Repair( ) an individual well at: 0-15 oal_S�- , <c��- l�. 215 103LA1 oar Location-Address Assessors Map and� Parcel MR ^$�C('0.4 - b-� C)C��S�, rs 1 ` R07- OwnM Address �r L �'� 4��►• 2-y$3 0 4AA11 02,(55 Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well LV S(YAyo Capacity 'O:yp��,. Purpose of Well Po�a- t— 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 Cert' cate of Compliance has been issued by the Board of Health. Signed Z. two Date Application Approved By "s -)o Date Application Disapproved for the following reasons: Date Permit No. 2 Issued Date ---------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of compliance THIS IS TO � O CERTIFY,that the individual well Constructed(4, Altered( ), or Repaired( by { ) ��tt`Installer P at 0-1 �� S-� • �o-Cr1 c��, has been installed in accordance with the provisions of the Town of Barest b e Board of He lth Private ell Protection Regulation as described in the application for Well Construction Permit No. A—b)-- Dated K—5 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector F ' No. Fee BOARD OF HEALTH TOWN OF BARNSTABLE 2pplication _for Vern Construction Permit Application is hereby made for a permit to Construct N), Alter( ), or Repair( ) an individual well at: 0(LSV . W&<c4n-,��t, o3Lt1 oar Location-Address Assessors Map and Parcel Own Address \NQ-\\ )D o il;►� �r <�a r,s ),YA o z- s3 ,Installer-Driller J Address Type-of Building Dwelling Other)-,Type of Building No. of Persons Type of Well S <<� �- Capacity Purpose of Well P0}0,ye r 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 Cert' cate of Compliance has been issued by the Board of Health. Signed i �v��,. Z'1 Z,Ozv �•., Date Application Approved By ( s '13; JJ Date Application Disapproved for the following reasons: Date Permit No. Issued > �� Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed('c), Altered( ), or Repaired( ) by Des y�'16n& V V Q` \ Installer at 0,5 5 O an. _ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private e11 Protection Regulation as described in the application for Well Construction Permit No.W90-0 �� Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Very Construction permit No. Fee Permission is hereby granted to S "OY4 W Q` V-4-- Installer to Construct()4), Alter( ), or Repair( )l an individual well at: No. (a1 5 C)o,.\v-- V V {S t ti ,• o c n Street 5 as shown on the application for a Well Construction Permit No.lnJ 'Dated Date ) Approved By Not tj BORK", -"A""N 10, .......................... :R Alf: ' TOWN OF.BA'RNSTABLE LOCATION . SEWAGE ,# VILLAGE f #—l� ' ASSESStOR'S 'MAP. LOT' E Syr, g i INSTALL ER'S NAME & PHONE NO. SEPTIC:TANK:CAPACITY LEACHING FrlCILITY:(type) C�} f f NO. OF BEDROOMS 3, PRIVA 'WELL OR PUBLIC` WATER` <Z BUILDER OR OWNER m DATE PERMIT ISSUED: ��'t�� DATE: COMPLIANCE ISSUED VARIANCE GRANTED Yes No ° )j Ile _ a TOWN OF BARNSTABLE ic LOCATION l�`G� 75 SEWAGE # 7 /® VILLAGE �,�]„ 14�� � ASSESSOR'S MAP & .LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /Oco &-a& 4 4kc, 10i� LEACHING FACILITY:(type) (size)6x -�Ff SOU' f NO. OF BEDROOMS PRIVA WELL OR PUBLIC WATER lZ U BUILDER OR OWNER i� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ' VARIANCE GRANTED: Yes No 3 a t' y 2 one