HomeMy WebLinkAbout3074 MAIN ST./RTE 6A(BARN.) - Health ..
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Beirnstable
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection
WELL DRILLER
Please specify work performed: Address at well location:
New Well Street Number: Street Name:
43074—, - MAIN STREET
Please specify well type: Building Lot#: Assessor's Map#:
Irrigation 279
Assessor's Lot#: ZIP Code:
Number Of Wells: 035 02630
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Well Location BARNSTAB
In public right-of-way: GPS
North: West:
41.70361 170.30833
Subdivision/Property/Description:
Mailing Address:
click here if same as well location addres
Property Owner: Street Number: Street Name:
MUNSELL —7 336 `� PO BOX
City/Town:. State:
Engineering Firm: 1BARNSTABLE •MASSACHUSETTS
ZIP Code:
02630
Board of health permit obtained:
Yes ji Not Required
Permit Number: Date Issued:
013 008 6/3/2013
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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
Auger Choose Bedrock WELL LOG OVERBURDEN LITHOLOGY
From To(ft) Code `Drop in Extra fast or slow Loss or addition of
Color Comment
(ft) drill stem drill rate fluid
20 Silty Clay Brown
� Ye do Fast ;,jq Slow ijn Loss oj�Addition
0
20 25 Silty Clay �' Brown ,Ye i.Fast rjq Slow rju.Loss bjn Addition
25 42 Silty Clay Light Gray , Ye r kl Fast .r u Slo�-wJJ r a Loss z or Addition
42 55 Silty Sand Light Gray Ye rjn Fast Slow jrr lass Addition
55 70 Silty Sand Brown :Ye rjq Fast J1 Slow rjr Loss pjq Addition
70 75 Clay I Light Gray Ye rjii Fast ,j3,Slow rj,Loss tja Addition>
F7 57 85 iFine To Coarse Sand Brown Ye r jo Fast :rj Slow y j4 Loss sje.Addition
WELL LOG BEDROCK LITHOLOGY
Visible Extra
From Drop In Extra fast or slow Loss or.additlon of
(it) To(ft) Code Comment drill stem drill rate fluid Rust Large
Staining Chips
Choose Code Ye tja Fast ,jQ Slow aje Loss rjo,Addition Ye c Ye
ADDITIONAL WELL INFORMATION
Developed jji Yes i),.No Disinfected di Yes ,j,No
Total Well P
Depth 85 Depth to Bedrock
Fra
cture
Surface Seal Type (None Enhancement rjs Yes,rjrNo
CASING Is Casing above ground.
rFrom To: TYPe Thickness Diameter Drlveshoe
0� 82 Polyvinyl Chloride s� Schedule 40 Ye
r �
SCREEN No Scree
From To ' Type "Slot Size Diameter
82 85 Stainless Steel Well Point u1 0.012 4�
WATER-BEARING ZONES DRYWEL
From To Yield(gpm)
3� 85 15
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
j Well Completion Reports(General).
PERMANENT PUMP(IF AVAILABLE)
2 Wire Constant Speed
Pump Description Submersible Horsepower 3/4
Pump Intake Depth(ft) 155 Nominal Pump Capacity(gpm) 110
ANNULAR SEAL/FILTER PACK
Water
From To !Material 1 Weight Material 2 ,: Weight Batches Method Of Placement'
Choose Material lChoose Material -Choose One WELL TEST DATA
Time Pumping. =Time To.....". Recovery (it
Date Method Yield (gpm) :'Pumped : Level (it ,Recover
(HH:MM) BGS) (HH MM), BGS):
6/11/2013, Constant Rate Pump 15 1:30 0:01 0
WATER LEVEL
Date Measured Static Depth BGS (it) Flowing`Rate(gpm)
6/11/2013 IJ 15
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 a
knowledge.
Driller JTHOMASEDESMONDII Registration#. 1764 - 1 Monitoring[M] Supervising Drill
Firm IDESMONDWELLDRq Rig Permit# 1023 Date Job Compl
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
�y pE CERTIFICATE OF ANALYSIS Page: 1 of 1
�O i
..;� Barnstable County Health Laboratory (M-MA009)
. .',:
Report Prepared For: Report Dated:, 6/13/2013
Sally Desmond
Desmond Well Drilling Order No.: G1374149
P O Box 2783 r
Orleans, MA 02653 ?
- ----- --- _..-....---- ' _................._
Laboratory ID#: 1374149-01 Description: Water-.Drinking Water
Sample#: Sample Location: 3075 Main Street, Barnstable, MA Collected: 06/11/2013
Collected by: Customer Received: 06/11/2013
Routine_M i
ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE
Nitrate as Nitrogen 0.50 mg/L 0.10 10 EPA 300.0 LAP 6/11/2013
Iron 0.15 mg/L 0.10 0.3 SM3111E LAP 6/13/2013
Manganese ND mg/L 0.10 SM 3111 B - LAP 6/13/2013
pH 6.3 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 6/11/2013
Sodium 16 mg/L 2.5 20 SM 3111E 'LAP ' 6/13/2013 I.
Total Coliform Absent P/A 0 0 SM9223 RG 6/11/2013
Conductance 170 umohs/cm 2.0 EPA 120.1 DCB 6/11/2013
Water sample meets the recommended limits for drinking water of all the above tested parameters.
Attached lease find the laboratory certified parameter list. Approved By: ,
P ry p
_ (Lab Manager)
ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
Superior Court House, PO. Box 427, Barnstable, MA 02630. Ph: 508-375-6605
- TOWN OF BARNSTABLE
No 7- 1:// rjeO d f�— UNDERGROUND FUEL AND .CHEMICAL STORAGE SYSTEMS ( � �
ASSESSORS MAP N0. PARCEL NO.
ADDRESS: 3 0-7q Mau, St- VILLAGE' .rt, n
NAME! l Js! d�ct d IM► �l_✓( ., 1
CONTACT PERSON �W/kQ i� PHONE NUMBER 3 t 7 q
. LOCATION OF TANKS: CAPACITY: TYPE OF FUEL. AGE: TYPE: LEAK.
t ( c OR CHEMICAL: n DETECTION
�OJS-t, l 0� Dl l/► e4114 SYSTEM'
_ l i ` ► o
0,/
ra
�A,
.DATE OF PURCHASE OF. EACH: 1. 2. 3. 4. 5C)
DATE O`F FIRE DEPARTMENT PERMITS
..TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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