DOCUMENTS FOR WELL AND SEPTIC� 0Q
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J(ANN&ChuSAtts Departn)ent of Conaervntion and Recreation
Office of Water Resources
3FB NarW-T-¢2 a 17.4901 QP3 Meats -72°. 43.835,
Address F 49,,' Ridge View Rd
City/Town t Northampton
&esessors Nap:
Board of Health permit obtained.y
Mork Performed
�-- Pr000aed. use
New Well Domestic
ttL�To
1.00
-20.00 Steel
M.
10-JUN-10 17:08:50
278990
Property confer/client: Saul Kuhr
Nailing Address: 6 The Jog
City/Town, 3tete:Raydenville MA
Aesenaors Lot #: permit Nombers2010-01
Date Issued: 05/26/2010
Drillino Method overburden Drilliac
Air Kammer Method He +w..k
MIND Air Rotary
179
6.00
Netbod Yield Time Pumped ..may...-,
Pump
g Level Time to Recover Recovery
(OPY) re i min}
06/02/2010 Air Blow with Drill Stem (Hre a Min) (Ft. WO)
50.00D0 1:10 420.0000
:30 80
STATIC WATER LEVEL (ALL WELLS)
Date Depth Below around PERMANENT PUMP (IF AVAILABLE)
Measured Surface (ft) Pump Descriptions
06/02/2010 8o Types
Nominal Pins Capaaitys-.Intake .Depth.
. _.._.
Horeepowert
ADDITIOI7AI, N� INFORMATIONWELL DRILLER � 3 STA'r'a��
Developede yes Fracture Rnhancemeat:Driller: Michael LaRoche
No
Disinfeateds.Yes Mall Seal es - Supervisors Kirke R. Henshaw
TYP None Total Well Depths Firm: Kirke R. Renshaw, Inc. Rig #s 187
420.000 Depth to Bedrocks 5..000 Registration #t 196
commacte: Date coapleta:06/02/2010
From To Description W�,r.oe
Color Comment
(ft). (ft) water L18e/1
.00 5.00 Till Zone of /A
Brown No
N/A
Drill
1/a
IY-11-L010 0(:74 From: ra Ne: 1'1
V-10-X LG OR! 3G FIROM: TU: t4137475� P.2
r P
BOARD OF HEALTH
T' t o 1 On1y City of Northampton
eAPPLICATION FOR A WELL CONSTRUCTION PERMIT
Well Permit Number {TO BE ASSIGNED BY BOARD OF HEALTH) Fee $50.00
This application must be accompanied by a scaled plot plan, produced by a civil engineer or
registered sanitarian showing the minimum distances required in Title 5 of the State
Environmental Code. For new construction, requiring a septic system, the septic system
plan submitted for the property in compliance with Title 5 requirements will be acceptable K
the proposed wed location is included.
Applicationishereby made to construct /Or repair ( ) a private well.
71GVflnV1�/--
Osrnra's bT4m% . .. a r I Date
Street Address
Zip Code
Location of Proposed Well
(if different from address)
For new construction:
Septic system plan complies with Title 5:
Septic system plan shows location of well:
Hi3S3
Telephone Number
Tax Map # Parcel #
yes V no ( ) n/a ( )
yes v5 no ( ) n/a ( )
For new, repair or location to leach field, Septic tank or city sewer:
A scaled well construcdoo plan has been submitted: yes ( ) no ( ) n!a ( )
Sipabire ofApplicent
Please Mail Application to:
Northampton Hoard of Health
212 Main Street
Northampton, MA 01060
On ram
Date
TO BE COMPLETED BY BOARD OF HEALTH Permit expires on: (one year from data of issuance)
Permit issued (date)
4Y iJJLYI��y,)7.r�
refz
Howard Laboratories
62 Main _
3)
WATER ANALYSIS REPORT
HEnsbaw Well Drilling
Invoice Number: 14663
Client: Saul Kuhr
Sample Location: Lot II
The Ridge
Sampled By: HWD
Date Sampled 06/08/1.0
Date Received. 06/08/10
-Pararrreter
Rp ults
Total Collform Bacteria
Omits
Comments
Absent
Present/Absent
E.Coli
Absent
Present/Absent
OK
-2 PtCa Color tints
15 PtGo Color Units
OK
IronColo
Iron
0.01 mg/L
0.3 mg/L
OK
Manganese
0.001 mg/L
0.05 mg/L
ox
Nitrate
1.5 Mg/L
10 mg/L
OK
Nitrite
0.009 mg/L
1 mg/L
OK
PH
7-36 PH Units
6.5 -.8.5 Ph Units
ox
Sodium
4 mg/L
20 1119/1-
OK
Conductivity
0.28 mS/cm
No Standard
OK
Turbidity
2.51 NTU
No Standard
No Standard
Chloride
No Standard
_._ ... _..
8 mg/L
250 mg/L
Hardhes -
142 mglL
No Standard ._
OK
< 50 soff
>I00 hard
Recommendations: This sample meets acceptable standards of potability. The parameters With
an asterisk that are Oyer the limit should 9a down Mgr a few we*ks as t
Materials Moab Ing-.in the well settle, he water and -
Analyst: R)L, SEL
Date: 06/09/10
Microbiology Certification: M-00851