HomeMy WebLinkAbout0154 KEVENEY LANE - Health Fy
154 Keveney Lane
Barnstable, MA
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No. ------------------ Fee- --------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
0ppCicat ion-for Well Con0ruct ion Permit
Application.is.hereby made for a permit to Construct (�), Alter ( ), or Repair ( )an individual Well at:
mtLi
—_Location — Address �sors Map and Parcel
caner Address
Installer ri ler — -- Address
Type of Building
Dwelling
Other - Type of Building-=--_i_,—__—_______ No. of Persons----.-I _-
Type of Well �'�r�- °� l_�1ri� q SCMd_p V(. Capacity-- —
Purpose of
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 Certific a.of Compliance has been issued by the Board of Health.
date/
Application Approved ____—_ __--_— 6 .
date
Application Disapproved for the following reasons:
-- _— __----__--_------------------ date
►-�, / l
Permit No.��-___�'�-�� �� ___-_- Issued---_� 11�___—___------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate Of (Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed Altered ( ), or Repaired ( )
by %46:5MoIVA
installer
Ev .ic- II,
has been installed in accordance with the provisions of the To 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. -------------- Fee--------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
F Applirat ion iforWell Congtrurt ion Permit
4
Application is hereby made for a permit to Construct Alter ( ), or Repair ( )an individual Well at:
Location — Addr
ess
ress I Assessors Map and Parcel
� c0L144,a� YY19 75
Owner— Address
oZ 3
-------- ----------------------- s -----
Installer — ruler Address
Type of Building
Dwelling
i( Other - Type of Building-=---__—_______ No. of Persons--- ____.--____
Type of Well ''�t qo - S�_ NL �y�. Capacity--
Purpose
�_� —____.____ —
of Well------N-��L �7_�?� ---
Agreement:
The undersigned agrees yto 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 untiI'a Certlfica.a.of Compliance has been Issued by the Board of Health.
Si ne 4
- ----_----- (6 Z b°►_
date ---
Application Approved — —__—____—___— 6/ �q_________
date
Application Disapproved for the following reasons:
date
Permit No. Issued----��
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
C ertif irate ®f Compliariie _
THIS IS TO CERTIFY, That the Individual Well Constructed ( vr, Altered ( ), or Repaired ( )
by .T 6 5-0DNLi 40EGL Z_ (vC
_Gam___.-____--------------------------------------------------- "
Installer
at-;/_�� E(✓�ti_� /y2 Ca�i�1.e-4"ut
--------
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-----------------------________—__________--_
r.r.
BOARD OF HEALTH
TOWN OF BARNSTABLE
Well con!9trurtionPermit
No. Fee
Permission is hereby granted J h L �
to Construct ( �, Alter ( ), or Repair ( ) an Individual Well at: ,
No. _ -- —E/f/E ZZ.9�C- ,�`_ J �u 4y,'m a
-- — - ---------------- ------ ----------------------
Street —
as shown on the application for a Well Construction Permit
No.- ---_-- (7ate - --- ---------------------------------
- — —--- -------------------- --.
DAT E .
Board of Health
--- __
do r Massachusetts Department of Conservation and Recreation
Massncbusesss Office of Water Resources -
Well Completion Report 21-OCT-09 11:16:00
WELL LOCATION 265609
GPS North: 410 42.325' GPS West: -700 15.869'
Address: 154, Keveney Lane Property Owner/Client: Bob Kittredge
Subdivision Name:Cummaquid Mailing Address: 154 Keveney Lane
City/Town: Barnstable City/Town, State:Yarmouthport MA
Assessors Map: Assessors Lot #: Permit Number:W2009-023
Board of Health permit obtained: Y Date Issued: 10/08/2009
Work Performed Proposed use Drilling Method Overburden Drilling Method Bedrock
New Well Irrigation Auger
CASING
From (ft) To (ft) Type Thickness Diameter
.00 -66.00 PVC Schedule 40 4.00
SCREEN
From (ft) To (ft) Type Slot Size Diameter
-66.00 -70.00 Stainless Steel Vee Wire .012 4.00
WELL SEAL / FILTER PACK / ABANDONMENT MATERIAL
From (ft) -.To (ft),. Material Description Purpose
r:
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)
10/14/2009 Constant Rate Pump 15-0000 1:30 33.0000 0:01 30
STATIC WATER LEVEL (ALL WELLS) PERMANENT PUMP (IF AVAILABLE)
Date Depth Below Ground Pump Description:Goulds 18GS10422
Measured Surface (ft) Type: 2 Wire Constant Speed Submersible Intake Depth: 65.0000
10/14/2009 30 Nominal Pump Capacity: 18.0000 Horsepower: 1.0000
WELL DRILLER'S STATEMENT
ADDITIONAL WELL INFORMATION Driller: Thomas E Desmond III
Developed: Yes Fracture Enhancement:No Supervisor: Thomas Desmond III Rig. #: 100
Disinfected: Yes Well Seal Type:None Firm: Desmond Well Drilling Inc.
Total Well Depth: 70.000 Depth to Bedrock: Registration #: 764 Date Complete:10/14/2009
Comments:
OVERBURDEN .
From To Description Color Comment Water Loss/Add Drill Drill
(ft) (ft) Zone of Fluid Stem Drop Rate
.00 15.001 Silty Sand & Gravel ,,Brown' No
15.00 70.00 Fine to Coarse Sand Brown Yes N/A
BEDROCK
From To Code Comment Water Drill Extra Drill Rust Loss/ # of
(ft) (ft) Zone Stem Large Rate Stain Add of Frac
Droo per ft
1/1
'~° aARys�. CERTIFICATE OF ANALYSIS Page: 1
,q M
Barnstable County Health Laboratory
yssnc�ct}s `j Report Prepared For: Report Dated: 3/25/2008
Suzanne Kittredge Order No.: G0845497
154 Keveney Lane
Yannouthport, MA 02675
Laboratory ID#: 0845497-01 Description: Water�Drinking Water
Sample#: Sampling Location 154 Keveney Ln.Cummaquid,MA Collected: 3/23/2008
Collected by: S.Kittredge Received: 3/24/2008
Routine
ITEM RESULT UNITS RL MCL Method# Tested
Nitrate as Nitrogen 0.58 mg/L 0.10 10 EPA 300.0 3/24/2008
Copper 0.10 mg/L 0.10 1.3 SM 3111B 3/25/2008
Iron ND mg/L 0.10 03 SM 3111 B 3/25/2008
Sodium 20 mg/L 1.0 20 SM 3111 B 3/25/2008
Total Coliform Absent P/A 0. 0 SM9223 3/24/2008
Conductance 250 umohS/cm 2.0 EPA 120.1 3/24/2008
pH 7.6 pH-units 0 SM 4500 H-B 3/24/2008
Sodium Level is-al the maximum contamina 2t leveL'''Tl:ose on a low sodium diet may wis/t 10 consult a"physi'ciari.-
Approved By:
— ab Direc r)
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ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
LO ON !''~�{ SEWAGE PERMIT A
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VILLAGE
II I N S T A LLER-S YAME b ADDRESS
e LDE § OR OWNER
DATE PE MIT ISSUED
DATE COMPLIANCE ISSUED
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BOARDAOFHEALTH S
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35 Applirtttion for Disposal Works ( onstrurtivit Prrmit
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Application is hereby made for a Permit tog Construct ( ) or Repair (k;j an Individual Sewage Disposal
System at: }
-------------- ------------------------------------------------------------•--------......._...------•-----------
:Ion,-Address 0 � or t N .
�- ..........
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Owner Y ddress i
ab= ----.9:)b ....... ceifl........f-sP.ee..__-.....(VA-v
Installer Address
d Type of Building Size Lot..._........................Sq. feet
V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building _______________ No. of ersons_._____.__.__________._._._. Showers — Cafeteria
a YP g --------•---- P ( ) ( )
a' Other fixtures __________________________________
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by........................................................................... Date........................................
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2..._............minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ----•------------------------------------------------------••----•-------------------------------••-------•- ...-----•....- ---------
-.........
.
0 Description of Soil........................................................................................................................................................................
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x *� q-------------------- ----- -----_____---
U Nature of Re air or Iterations—Answer when appli able._.__..?���l f___f _ _ _. ____________________
= � "f•6�_�.__91'1_a2!�Iti�!` a 's5 �3L=--------------------------------------------------------•---...---------
Agreemen
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITI - 5 of the State Sanita —The un igned further agrees not to place the system in
operation until a Certificate of Compliance ha en issue th boar health.
--- ......•------•-- - •-- - ......... --------•--• .......................... ..
D
Application Approved By............ ••••. �.
ate
Application Disapproved for the following reasons:--............................................................................................................
..........................•-•-----•---------•-•-------•--._.......-••---•----------...•-•---------.....----------------•------•••--------•----------•-•---•--------------•••--•----•--------•-----------
Date
PermitNo......................................................... Issued_........................................................
Date
No... .......� Fims 1• ...........•.•.•.. c.
«y*THE COMMONE LTH .OF lkSSACHUSEi-'
I/V
tBOARD .,OF
THEA
;
i
Ap' ira ilan for Diipn� Works Tumitrurtiun ramit
Y" Application is hereby made for a Permit to Construct `( .3) or Repair (44' an Individual ;Sewage Disposal'
Systein at:
...I�1 v.....?ra 4�(�xtc..' 71 f,}trl o S.Sa l... f4i QCi[t l - ............... `..............................n - -
f '
7 .......... .._... v ... =-- ............... ....
�Location-Address o Lot ryo
Owner ddress
w .• � - _ -x� ..fib er�ncX+ _3 �Q._ r n;s r Je A _. -!�1 t.Inst�ller Address :.._..
UType of Building Size Lot........ ..................Sq. feet
Dwelling—No. of Bedrooms.....:......................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building
r .a. yp g ____________________________ No. of persons_________.____.____..___._._ Showers ( ) — Cafeteria ( )
a. Other fixtures -----------••-•-•--•----•--
W Design Flow....................................__......gallons per person per day. Total daily flow............................................gallons:
WSeptic Tank—Liquid capacity__._____-._gallons Length:_______________ Width._.__..______._. Diameter____.._.__._____ Depth___
x 7.
Disposal.Trench—No_ ____________________ Width..............._.... Total Length.................... Total,leaching area................_:_ Sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth,below inlet.................... Total leaching area____ %(ql, tt.
z Other Distribution box ( ) Dosing tank ( )
'Percolation Test Results Performed by................................................................ _________ Date....................................
Test Pit No. 1__........._----minutes per inch Depth of Test Pit.................... Depth to ground water.......................
r (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth,to ground water.........._........
::.
O Description of Soil....................
= s ..
------ ---- ------------- --------------•-- r {
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U Nature of Re air or Iterations Answ when applicable...- SCR ...t�' _ ? ..:;.
.............. f p ins a s l •:i_> __�9 5 1�►_9__-45V_4'A'K..............................
x Agreemen
i The undersigned`,agrees`tt :install the aforedescribed Individual Sewage Disposal Syst� m m.acc' dance with
` the provisions of TITIE 5 of the. Sthte''-Sanitary__Code— The undersigned further agrees not to place the system in'
l operation until a Certificate-of Compliance h 1,been issued by the board of health
p' . - •.
Da
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- -.
Application Approved By:.... 6: - . -. � ;................................
- -- -. .
Application D> approved f or,tthe following reasons:........................... _-________-_._.
kr •. - - _ ........................................ __ ____________ _ _ __- _ .
Date
Permit No = n ................. Issued................................
Date i-
d ��. _P�+►1�7 WERE s •. :; _ r� r•.' -ra ,.-\: tq
R$Gorlrh�'D� THE COMMONWEALTH'OF MASSACHUSETTS;. N
M sTL o: coy+/ - BOARD OF., HEALTH
. - ._ .! a�•./GalNa � OF. ....... ....... ;� i
.. f�r # ftrtte n " �ntr�inrr
THIS IS CERTIFY, That the Ind vidual Sewage Disposal System constructed ( )-or.-Repaired
' w
` by---r-----...--•---.... 3y�!C�QS�-_--•- ..:.-•• •-••• -----------••--•-••-----•• 1 - ---- ...........
at. t ,- C_:. cZ �Styvi M v „- •••• 1,
has.been installed in accordance wit i'the provisions of TITLE] j of The State Sanitary Code'as described in the
ap�pliVon for Disposal Works Construction'Pe,rmit Na__�a?%'.��o'7_____________ _ dated__.____�th_fZ5,,5'____________._____.
• VTHE ISSUANCE OF THIS CERTIFICATE,SHALT. NOT BE CO STRUED A GUARANTEE THAT THE
SYSTEM WILL UNCTION SATISFACTORY.
` Inspector ..
DATE............... .. .
4.
A
THE,.COMMONWEALTH"OF MASSACHUSETTS ,f • -
f BOARD OF HEALTH
OF - •�
....................... FEE....
No._ ...... l ............
LL .
Permission is hereby granted.............. C 10.. saw:
to Construct ( ) or�Repair ( an Individual Sewage Disposal System "
at No.------..1_ :{_l2. 7 � n-Q Lam- �`u.r ass^-u�. ------------------- -------•-
---•• -•--•..__.._...
�3' \ street
as shown on the application for Disposal Works Construction Permit No - �''_ Dated..... 11.454 ................
.....................I---- //^(� �/J/�(�{�
dFr ---.____--=-•--•-- Health S
i 41.0�$�... F ` Board of
DATE--------�- -� - '
FORM 1255 A. M. SULKIN INC:, BOSTON '
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SCALE:A� FIOT&V, APPROVED BY:
DRAWN BY
DATE: 4•b'OS REVISED 4•Z$•Or
PROPOSED ADDITION
DRAWING NUMBER -
l54 KEVENEY LN, A _3