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DOCUMENTS FOR WELL AND SEPTIC� 0Q 9W% WHOA 43AOUctdV d30 3DNVMdW0� d0 31V01d1AX3wr- E W2fOd •p*u6! p w m%mni Ml^ u.apAs aq1 logl 201m *aB n " Panusuoa aq te.u.}IM4s aaaa!Saaaa 9M M nucnsu 641 d C. > `? ` .. 1 ar, ...\ �apetsu j (pd8)— —.no d n9I panwddy PateP ox uoiles�Iddv of ft ulai susid 1ljnq-su/sueld Aisop ponozdda ayi put (S all_I.) WSI -dKD 04£ io suols)eoid mp 4 ur aauepurxu ui Palleisui aaaq seq ( ) Pauopuegv .l ) PapefBd(1 `( ) Pailed;)H (XS pammisuoywisRS lusods G aAvmoS oql legs djniao fgaiaq puBasiapun oq.L ma1&+Sa/ia ridw(9k1_( (s)luauodluo,j16 j!MPoT ❑ 'WoMloIm"40seQ HJ.1V3H JO Oa'd09 3J.13snmmvssVWlOHt1tl3MNOWW093H.L 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