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HomeMy WebLinkAbout0000 INDIAN TRAIL - Health 0 Indian Trail Barnstable 336 013 007 I : ENVIROTiECH LABORA'TORIES, INC: MA CERT NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandnich,AM 02563 q (S08)888-6460 1-800-339-6460 FAX(508)888-6446 � � ►��%l Client Name Desmond Well Drilling Location Friary,C0:I anrTratl Lot 3 Address PO Boot 2783 Barnstable;MA py�Orleans MA 02653 Sample Date 05/19/06 �G I Collected By Desmond Wells Sample Time Sample Type New Weld.rogation_ „ ,.,,�,.,��, �, Date Received 05/1 s/os Lab Order Number DW-200s-1796 Well Specs 4"SCH 40 PVC/ 46'/23' Locotton Source =Date Collected Time Collected Comments Armlysis Requested Units Recommended Limits Analysis Result Alethod Date_4nalye Analyzed By Total Coliform 1100 ml 0 0 9222 B 5/19/2006 MC pH pH units 6.58.5 5.96 4500-H-B 5/19/2006 LL Specific Conductance umhos/cm 500 200 120.1 5/19/2006 LL Nitrite-N mgJL. 1.00 <0.W4 300.0 5119/2005 LL Nitrate-N mg/L 10.0 1.74 300.0 5/19/2006 LL Sodium mg/L 20.0 21.2 200.7 5/22/2006 MC Total Iron mg/L 0.3 <0.1 200.7 5/22/2006 MC Manganese mg/L 0.05 <0.0D8 200.7 5122/2006 MC Comments: Low pH indicates high corrosive characteristics. Sodium level is not a health hazard. Water meets EPA standards and is suitable for drinking for parameters tested. - Date l z !/ ROtmld :Saari Laboratory Director 3 C= CD BRL=BelowReportableLimits Page 1 of 1 *See Attached Massachusetts Department of Environmental Management , U Office of Water Resources 14 TYPE OR PRINT ONLY Well Completion Report rn/P 3 3�0 -oo 1. WELL LOCATION GPS (OPTIONAL) LATITUDE ° LONGITUDE�° DATUM % Address at Well Location: Q (n&ic,,"T-m;k - Lo-r Property Owner/Client: 1�r+et�i Subdivision Name: Mailing Address: 1tr � 1 City/Town.. 'Pic c nx-,g\At_ City/Tbwn: Assessors Map ! Assessors Lot.#: NOTE: Assessors Map and Lot# mandatory.if no street address available Board of Health permit obtained: Yes ❑ Not Required ❑ Permit Number Date,lss ed` 2.WORK PERFORMED 3. PROPOSED USE.` . :' 4.`ORILLING METHOD Q New Well ❑ Abandon ❑ Domestic. C. Irrigation ❑ Cable ` . Auger ❑ Deepen ❑ Recondition ❑ Monitoring ❑ Municipal ❑ Air Hammer: ,0 Direct Push ❑ Replace ❑ Other ❑ Industrial . ❑ Other ❑ Mud Rolm ,EJ Other 5.WELL LOG Water Unconsolidated Consolidated 6.`SITE SKETCH(use permanent landmarks witti distances) Bearing' � .. > D _0 Other Rock dYPe From (ft) To (ft) Zones 0 Material Description 7. WELL CONSTRUCTION 8. CASING _ To Depth Drilled "`3� From (ft) To (ft) Casing Typeeand Material Size I.D.(in) Well Seal Type . Date Complete �.J eke ':VC. �A 9. SCREEN From (ft) To (ft) Slot Size Screen Type and Material Screen Diameter 10. FILTER PACK/GROUT/ABANDONMENT MATERIAL 11. ADDITIONAL WELL INFORMATION ` Developed? 91 Yes ❑ No From (ft) To (ft) Material Description Purpose Fracture Enhancement? ❑ Yes No Method ? Disinfected? [K Yes ❑ No 12 WELL TEST DATA(ALL SECTIONS MANDATORY FOR PRODUCTION WELLS) 13. STATIC WATER LEVEL(ALL WELLS) Yield,, \-Time Pumped Drawdown to Time to Recover Recovery to ' Depth Below Daie Method (GPM) ` �(hr"si&min) (R. BGS) (hrs& min) (Ft. BGS) Date Measured Ground Surface (FT) 14. PERMANENT PUMP(IF AVAILABLE) ` 15 NAME/ADDRESS OF PUMP INSTALLATION COMPANY Pump Description `- Horsepower Pump Intake Depth -'�, (ft) Nominal Pump Capacity (gpm) 16. COMMENTS T 17. WELL DRILLER'S STATEMENT This well was drilled, altered,and/or abandoned under my supervision, according to applicable }I rules and regulations, and this rep rt is complete andcorrect to the best of my knowledge. Driller: 1jRAV-MV_-4tr Supervising Driller Signature: ,r.• f �g Registration #: ? Firm: ~-�- ��. It �C'4�i z_ Date: i-- L, o(,. Rig Permit#: NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion. BOARD OF HEALTH COPY _( Search for Map/Parcel 33 6013 007 y y�Y Town of Barnstable --- ----- — P Y( j Ir For Parcel Number 336013007 Rental Pro ert Y/N . rT Business Name �� Zone of Contribution Y/N : i1 Area Number � Contaminant Rel(Y/N): Phone: ���, Fuel Storage Tank Permit: .IJI Card On File: �r Disposal Works Perc Test Well Permit Construction File/Permit No: Issuance Date: 05/ Ii f Comp letion Date: _ Size of Septic Type/Size of SAS: ]� Tank: Comments: !r i ation well. #0 Indian Trail. i Innovative/Alternative Technology Septic Systems Single or Clustered t I/A Type _ � j I/A Service Type �— i add delete i;e—cCrci—s5jj I �1 V / ) --- Fee- --------------- No.-b� BOARD OF HEALTH TOWN OF BARNSTABLE u 0 Zippliration-*rVell CongtrurtionPermit Applica Win is hereby made for a permit to Construct (✓� Alter ( ), or Repair ( )an individual Well at: — Location — Address Assessors Map and Parcel w �v/ Ad --------------------DESMMD-W-EL.L-DP4LLWG,-IIVE :-- -------------— -- --Aaaresg— ids ORLE NS,M ,BOX 2783 � � Type of Building OR LEANS,2 MA 02653 c9 si ,[Ay (508)240-1000 Dwelling ------------------------------------- Other - Type of Building--__ No. of Persons.--------------- 6'e rill Type of Well Zt" --— Capacity---�-------- --—---- -- I Purpose of Well--- li-��-� � ---- 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 unti Certificate Df Compliance has been issued by the Board of Health. Sign � -- dat� - Application Approved By - 'J da -�- Application Disapproved for the following reasons: date . . W_ _ Permit No. -- ---- Issued � --- -- - ------ ate BOARD OF HEALTH DESMOND WELL DRILLING, INGT O W N OF B A R N S T A B L E 5 RAYBER ROAD,BOX 2783 ORLEANS,MA 02653(508)240-1000 C ertif irate ®f COMPhante THIS IS TO CERTIFY, That the Individual Well Constructed (A- Altered ( ), or Repaired ( ) by------ Installer has been installed in accordance with the provisions of the Town of Barnstable Bo r 4Heah Priv Well Protection Re ulation as described in the application for Well Construction Permitarfed--------------- g THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----------- ---—__- -- Inspector-----— ---------------------- ----—------ . V 'A , _1 Fee- ----------------- BOARD OF HEALTH TOWN OF BARNSTABLE aAPR!icat ion for Well ConotructionVermit {` 1 Application is hereby ade for a permit to Construct'(✓' Alter ( ), or Repair ( )an individual Well at: Location Address,•.: Assessors map and Parcel q / AC—EC t4T Address 1 f --- ------- -- -nF 4OND WWEI I DRIL 1_02653 3�NO;INC. ------------ - A�� �-�- �----- c Installer — Z _ Type of Building ORLEANS,MA(508)240-1000 Dwelling-- ---- -- - --- - Other - Type of Building--------------- No. of Persons------------ ---- 1. �Ur i l! Type of Well- U - Capacity--- - - ---- --- --- Purpose4of Well---- f I-n a'_--%------ Agreement: The undersigned_agrees tolinstall the aforedescribed individual well in accordance with'the provisions of The Town of Barnstable Board of'Health PrivatetWell Protection Regulation The undersigned further agrees not to place the well in operation unti Certificate of Compliance has been issued by the Board of Health. S' ned� =�!\\ �—r 4datel — Application AP xt s 'a-atew 3 Proved BY `r ., Application Disapproved for the following reasons: ---- - - -- ----- - --------- a ----------�-------- -------------__---- / , date t Permit No., tj_wo'--�-�-D/ __-- Issued. /---- -��------ - -- r date s'-.,..e•.......__-_,...'-.z-••---i_-E-`3-'.e-."c_.{.,?.,�r� ,?*�i4-:. -�- ._4,y-�:+:�c_-.a....cc-y'+_w- ..'+y-:��' _ _-.E' _.•_ - _. .-x. ._s.:'*n..,F:�., ...'.�.,..a... :..T.:_1Y,:c-r".d';;;-. ' ^^�� BOARD OF HEALTH DESMOND'WELL DRILLING, INe.O W N O F BARNSTABLE 5 RAYBER ROAD,BOX 2783 ORLEANS,MA 02653 C ertif irate Of Compliance (508)240-1000 - THIS IS TO CERTIFY, That the Individual Well Constructed (4- , Altered ( ), or Repaired ( ) by——— Installer at la I L —-------3-6-0__t-3oo 7 has been installed in accordance with the provisions of the Town of Barnstable Board f Heal h P Well Protection Regulation as described in the application for Well Construction Permit No.(��_-_-- ---- ----- i 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 DESMOND WELL DRILLING, INC. 5 RAYBER ROAD,BOX 2783e[Y �on�trUctiOnermit ,,,, ORLEANS,MA 02653 � (508)2)4 100 / �_f inoo - - t No. Fee t C - Permission is hereby granted -- - -- . -----to Construct ('---,�Altteer( ), or Repair ( ) an Individual Well at: — [} I-" Street as shown on th 4e,�tap lic tion for a Wel Construction Permit No._ � t/ .,40; ��- —----- Dated- -. -� S_------------------ Board of Health DATE— / -- Barnstable Assessing Search Results Page 1 of 2 } t Home: Departments:Assessors Division: Property Assessment Search Results New Search 0 'I N D IAN TRAIL Owner: 2006 Assessed Values: BARNSTABLE LAND TRUST, INC Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $0 $0 336 /013/007 Extra Features: $0 $0 Outbuildings: $0 .$0 Mailing Address Land Value: $317,900 $317,900 BARNSTABLE LAND TRUST, INC Totals $317,900 $317,900 P O BOX 224 COTUIT, MA.02635 Tax Information: Tax information is currently not available for 2006 Construction Details Property Sketch Legend Building Construction info N/A A sketch is not available for this parcel. Land Interactive Property Map: ap requires Plug in. have visited the maps before '' First time users Show Me The Map Click Here Lot Size(Acres) 2.18 April 2001 photos available Appraised Value $317,900 Assessed Value $317,900 Sales History: Owner: Sale Date Book/Page: Sale Price: http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=ad... 5/15/2006 Barnstable Assessing Search Results Page 2 of 2 4 BARNSTABLE LAND TRUST, INC Dec 31 2002 12:OOAM 16168/182 $0 WARREN, GEORGE U C59439 $ Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area (Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDIK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp.mapparback—ad... 5/15/2006 Parcel Detail Page 1 of 2 Niiw Logged In As: Monday, M< Pa rce I Detail Parcel lookup Parcel Info Parcel ID 336-013-007 Developer! .LOT 3 Lot , ........._...........m.___..._ Location . INDIAN TRAIL Pri Frontage _- ------------. __.- _,._,... _... .................. Sec Road Sec Frontage .m................... Village : Fire District BARNSTABLE ........... Sewer Acct Road Index 7777 Owner Info Owner BARNSTABLE LAND TRUST, INC Co-owner Streets P O BOX 224 Street2 city COTUIT StateiMA zip'02635 Country Land Info ........ . ......... ....... .... Acres 2.18 use! ORG MDL-0q Zoning Nghbd 0113 Topography= Road Utilities i Location ; Construction Info w.._.. . _,. . ..... _ ___.._..._.._._.._W. .,,,,._ ... Permit History _._. .,- _...:_ .. ._—. _ —,-- .... ............_._...__....._._.... ...._ Issue Date Purpose Permit# Amount I Insp Date Comments Visit History Date Who Purpose 6/2/2004 12:00:00 AM Paul Talbot Vacant Lot Sales History Line Sale Date Owner Boole/Page Sale I' 1 12/31/2002 BARNSTABLE LAND TRUST, INC 16168/182 2 WARREN, GEORGE U C59439 http://issql/intranet/propdata/ParcelDetail.aspx?ID=102713 5/15/2006 AA Parcel Detail Page 2 of 2 f Assessment History Save# Year Building Value XF Value OB Value Land Value Total Para 1 2006 $0 $0 $0 $317,900 2 2005 $0 $0 $0 $298,900 3 2004 $0 $0 $0 $298,900 Photos http://issql/intranet/propdata/ParcelDetail.aspx?ID=102713 5/15/2006