HomeMy WebLinkAboutFrancis Ave. #9 - 4/8/2002MANSFIELD BOARD OF HEALTH
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APPLICATION FOR PERMIT TO DRILL WELL
Name
Address:
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Location:
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Registered I I
Well Driller: W�y�S CJ�Lt_ 7
Address:' lc�Ft /ill ( ST �,i_A•t��_ C >�'ti� ✓t% 0o2_3-k
TYPE OF WELL:
Domestic Potable (for household use)
Domestic Auxiliary (for watering, pools, etc.)
_ Industrial/Commercial Potable (for human consumption, including food processing)
_ Industrial/Commercial Auxiliary (for manufacturing, etc.)
Agricultural (for irrigation of land -in -the business of agriculture)
Fee: -._*-Domestic $10.00 _ Industrial/Commercial $"100.00 N/C Agricultural
Date: "i F- cPCOa Applicant Signature:" C-1
61
PERMIT TO-D- RILL WELL
The above applicatipn has been approved and permission is granted to drill a well for the
following use at (l/ r 4� �//3, r�c� i
}Domestic Potable (for household use)
_✓Domestic Auxiliary (for watering, pools, etc.)
_ Industrial/Commercial Potable (for human consumption, including food processing)
_ Industrial/Commercial Auxiliary (for manufacturin , etc.)
Agricultural (for irrigation of land in the busi Jof agriculture) .
Date: `1 ' �'�� Approved by:
For the Board of Health
NOTE: Electrical permit required, underground cable trench must be inspected
Upon Installation of well, call Department of Public Works office at
261-7331 to be added to well list
CLIENT:
ADDRESS:
COLLECTED BY.
WATER SAMPLE TYPE:
RESULTS OFANALYSIS:
FNVIROTECHIABORATORIES, INC.
MA CERT. NO.: M-A A 06,7
449 Rte. 1,10
Sandwich, MA 02.563
508 (888-6460) 1-800-119-6460
FAX (508) 888-6446
Waynes Well Drilling LOCATION:
Client SAMPLE DATE:
SAMPLE TIME:
Irrigation DATE RECEIVED:
LAB I.D. #.
WELL SPECS.:
The Village at Mansfield Depot
Well # 2
6/10/2002
5:50 PM
6/11/2002
0206247
m
Parameters
Units
Recommended
Results
Method
Date Analyzed
Limits
Coliferm bacteria
/100ml
0
0
92226
6/11/2002
PH
pH units
6.5-8.5
7.31
4500 H+
6/11/2002
Conductance
umhos/cm
500
152
120.1
6/11/2002
Nitrate-N
mg/L
10.0
0.05
300.0
6/11/2002
Nitrite-N
mg/L
1.00
< 0.004
300.0
6/11/2002
Sodium
mg/L
28.0
7.9
200.7
6/11/2002
Iron
mg/L
0.3
< 0.1
200.7
6/11/2002
Manganese
mg/L
0.05
0.170
200.7
6/11/2002
Potassium
mg/L
20.0
0.7
200.7
6/11/2002
Calcium
mg/L
N/A
20.8
200.7
6/11/2002
Magnesium
mg/L
N/A
3.4
200.7
6/11/2002
Hardness (as CaCO3)
mg/L
500
66.0
200.7
6/11/2002
Alkalinity
mg/L
200
59.0
2320 B
6/11/2002
Sulfate
mg/L
250
6.2
300.0
6/11/2002
Chloride
mg/L
250
12.3
300.0
6/11/2002
Color
APC units
15.0
< 5.0
2120 B
6/11/2002
Turbidity
NTU
5.0
1.02
2130 B
6/11/2002
Free CO2
mg/L
50
29.8
4500-CO2 D
6/11/2002
COMMENTS:
Manganese
is not a health hazard,
but may cause staining
problems.
WATER MEETS EPA STANDARDS
AND IS SUITABLE FOR DRINKING PURPOSES
FOR PARAMETERS TESTED.
<=less than
>=greater than
TNTC=too numerous to count
Date dZ
Ro laid J. Saa
Laboratory D ctor
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