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Home My WebLink About0085 MARIE-ANN TERRACE - Health 1 '®■■■■■■MEMO ■� ■�®r■■■�■■■■� _ !ES■■■ ■ ■■■■■■■■■■■ ■■■■■■■■■■■�■■�■�■■■■■■■��1 ! ■■ ■■■■■ ■■■■■■■■■■■■■�■■■■■�■�■■■■■■■�� ■■ 1 '■■■■■■■■M■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■1 ■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■��■�■■■■■� � 1 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■el i■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■i. ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■moll LOCATION SEWAGE PERMIT NO. VILLAGE ce&Tz`'�0 I- L I N S T A LLER'S NAME' i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED G� DATE COMPLIANCE ISSUED tie /OI _ I .T No.� �;i -� FEs.............../ ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................OF......... .0 ...................................................... Appliration for Mipaiial Works Tonotrurthin Vanfit Application is hereby made for a Permit to Construct (41 or Repair ( ) an Individual Sewage Disposal System at: - $ Location A. s r or dot No. ...... .................... 6 g...---•-•-•.......... ...... .C�f n.. .Vic..c..:1v�.` ..--.....................-----......-...._. Ad ess W4:rr- -••-•.�: �^n a_-�-'-------------- .,...................................... Inem*er- Address �` Soo UType of Building Size Lot____________________________Sq. feet U Dwelling—No. of Bedrooms........................................Expansion Attic (V3 Q Garbage Grinder 00 04'4 Other—Type of Building No, of persons............................ Showers — Cafeteria Otherfixtures ..................................... ..................................••.._......._..........._......._._..•••-••.....................-•-....•••... W Design Flow.........VLQ.........................gallons per person per day. Total daily flow._........_�aQ......_.___._._._gallons. WSeptic Tank—Liquid capacityk 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 nk ( ) `" Percolation Test Results Performed by....... .<3& AA_..___r..J..`. ...................... Date........................'a-8� ? a _......... aTest Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---_••••. -. ..--•-•••••.._........ ....................---- ....•-•••......•...............................•-••-....-- 0 Description of Soil...... - �`� �'........... aatA---------t..----- `� `---------------------------�. W --- -•---------------------------- `�. ..._.......----•-- .PL 0..n A UNature of Repairs or Alterations—Answer when applicable............................................................................................... ••---------•-.•.•-----------------•-----•--•----•-•---•-•--•---•-•••-•-••••---•-••-••--.......•--•---•-••....•--•••••••-•••-•...._..__._._.........•-•-...••....._..__...._--•••-•--•••---•----•--_--••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI L LL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. -:WIG'_...�iril................."................. .. a ApplicationApproved By........... ••.•........................................................................... 1 . :,l : ,I._...._ Date Application Disapproved for th f ollo ng reasons:.................................................................•------•---________.___._.___._.............._ .._••••••••••.•.••--•--•----•---.....•----•••-----•-••---•-•••--••-----••••--•-------------------•-•.._...._....---•--•-•--•--•---•-•••-•••-•••••-•••-•••••••------•--. Date PermitNo....................................................... Issued....................................................... No.1r - FI a.....��........... y / Je THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................OF..........a .sS-'�.M...... U`' ....................... Appliration for Uiipniittl Workii Totwuur#inn Vautit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: �'. '.... ' ........ ..... Location-Addc. s or• t No. ~ �E .--••--••5--••-•......••....... ........ ._ 1 +. ._ :-:�? 0..:::..........----............................ �^ Owner ` - Address ..............•- -•................-- ....... ..-- ..••-- �_ InstaHer Address d Type of Building Size Lota\.-_. v.......Sq. feet U Dwelling—No. of Bedrooms.........�..�3............................... Attic Garbage Grinder NO aOther—Type of Building ............................ No. of persons........... ... Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... ell W Design Flow........FA Q.........................gallons per person per day. Total daily flow............ d................gallons. WSeptic Tank—Liquid capacity-k .gallons Length................ Width................ Diameter................ Depth................ 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•.x nk ( ) ~' Percolation Test Results Performed b c-i&( . ....... ....................... Date. ."a 5='_5........ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •-...........................................................1 .......................................................... Description of Soil . ............::. I ' "------...-•----------------------.........----•----•-••--- V .......••--- -..... c r> . f...----•------ ►W�, t' `s_s ---------------------� = r� `= ................................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ -------------------------------------------------------------------------------------•........••-•-----•.....---••-•-------•---------•-------------•-•••••••-•..................-••.....-------••--•... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sigrie�...�.. •-•-- ................. ..............:.... ... � Dat Application Approved BY --------------------- -.......... •------- •----•------------•----------•--_--•-- ....... p Date Application Disapproved for the 0110 g reasons:......................•--------•-------------------------•--...-------•-----•---...-----•. -••--•---•-•......• ----------•----------•--------------------------------------•-------------•-----.............------.............---------•-----------------------•------------------.......--•-•----------•-••-•-•-••---- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................OF......... ..�e� ..5.. :`:: .................... (9rdif iratr of Tontpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (�or Repaired ( ) by.......... jY .5..3 .............. C. ..................................................... Installer at--••------.1F:�?.......---- -•------ CJ.1L 5..C... L��l�:Gt ca.. " has been installed in accordance with the provisions of TIF 5 of The State Sanitary Code �es ed in the application for Disposal Works Construction Permit No._h. .i:__IFK';�............... dated-- f j ... ................ THE ISSU C OF THIS CERTIFICATE SHALL NOT BE?CONST AS A GUARANTEE THAT THE SYSTEM WI F CTION SATISFACTORY.DATE....`._... ...�....--•--•..............•--•-....-•---•-•-......... Inspector -•----•----•-•-••-••---...........•--•-••-••--••--------••-•--•--- THE COMMONWEALTH OF MASSACHUSETTS -�--' BOARD OF HEALTH OF............. '1..i� .n.. 4 .. `.......---........N FEE.......................... RsVonttl Works Tono#riution rrrntit Permission is hereby granted...........-`k:- .r..�.�l ................ ............................................................. to Constrict ( �or Repair ( ) an Individual Sewage Disposal System at No.......... ... - f 1. ......... .n-�` ------�:C - , Street as shown on the application for Disposal Works Construction PermittNN� .: ............. Dated.......................................... ��... ------•--•-----------------------------••-------------••---••-------...... L �/ Board of Health DATE....... ................................................. J FORM 1255 A. M. SULKIN, INC., BOSTON / Log Number: 2970 Date: 9/8/83 W - A BARNSTABLE COUNTY HEALTH DEPARTMENT 5 SUPERIOR COURT HOUSE v BARNSTA9LE, MASSACHUSETTS 02630 Aaq So J PHONE: 362-251 1 DRINKING WATER LABORATORY ANALYSIS EXT. 331 Client: Jimmy K. Smith, Collector: Fred Clifford Mailing Address: Rte. 132 Affiliation: Clifford Well Hyannis, MA 02601 Time & Date of . 9/6/83, 10:00 a.m. Collection: Telephone: Type of Supply: well water Sample Location: Marie—Ann Terrace, Lot #8 Date of Analysis: 9/6/83 Centerville Parameter Sample Result Recommended Limits Coliform bacteria (organisms/100 ml) 0 0 pH 5.1 Conductivity micromhos/cm 136. '500.0 Iron (ppm) c.05 0.3 Nitrate-Nitrogen (ppm) 2.25 10.0 Sodium (ppm) 16. * 20. xx Water sample meets the recommended limits of all above tested parameters. Water,sample is drinkable but has higher than average4evels of This does not represent a health hazard but future monitoring is recommended (2-3 times per year). We will test for Sodium. Water sample is drinkable but may present aesthetic problems to users (staining, odor or taste). Water sample is of poor quality and is not recommended for human consumption. Resampling and retesting is.suggested.. Results only. REMARKS: cc: Clifford Well Drilling cc: Barnstable Board of Health Analyst: 11/18/81 tips ' L ! f Explanation of Test Results Total Coliform Bacteria Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater ° than zero.is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved. . pH pH is the measure of acidity or alkalinity of the water. On the pH scale, the number 7 is neutral, less than 7 is acidic and more than 7.is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5 Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are €, generally considered unacceptable and may have'a laxative effect upon users. Iron The. presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweetp astringent'taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry '> and porcelain. The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of F iron in water may cause the problems listed above, it is not-considered-deleterious to health. Iron may be removed by use of an.iron removal system. V - Nitrate-nitrogen The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes. y Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm indicate that there may be ocean water or road salt runoff water getting into the well. j �Iu GLc-. FAMILY' - :3 B QnoM h I ,J IJO 1"6A66 �jR�1.1DE2 N f4 i r-LOW z I10x 3 - 3306.PI? I t` PT%G TA►JK = 3$oxl5.o% : •4976.P P usc— l000 oi,5 3AL PI-r v5E doo GAL.. 1 I Devi AlL- Ae51& = 13 Z s.F: I 132 x 2 . 5 3 � �o-�oal AeC-A= It s.F- W+-6 n . PUP 6 P.D• T.�NK � �r Tcrra� vc5 tG i.l - Lk 43 TvTal. DA1��(Flovi= \ i, PER.COLL�TION RATE � I"IN ZMIIJ oP.l-E55 vA ALAN ti J (11 RI CHARD �� W.A. BA TER �, s.. u JONES 251 ly � \ No. 24048 BTPyOQ, 4-to Sol p3.8� I _ ToP FNU°99•'� Z/7.3 N n LF, 9/e3 I FG• '- ENV. I000 lN�lcc•//. /-c...N'/ Y' OQ V ST.I INS. CGQ�.9yG Ec?7I G c A TAN K I i • • ^ L.6,ec Al e -�� P 9 0 GP1✓EC— , '' 3/y" INV. INV. � � . sTo•vF • . 9 Y z 9� y , CEszTIFIGD PL07 PI-A-Q I1J O. 5 C A.L E rj cA L E /' = Go ..P`T a e�2 ' p L.A N R E F 1`IZE►� c,E . N A-T •T N E F,?,j orlSKo vYN ►{ER�aON GOMPI-`�5 Y�ITN ZHE S I vELIN AWP 5E'T5AGK R.G,QL)IR-EMG- oF 'fµ� :ZAl� G8G• 1,3,3 -(OWN OF f A2►dSTA%L•c AWD IS I,loT 9 LOGAT D WITNIN TN'6 F�-oop 'P DA"T E 8 s BAY. t= -C N,Y E I N C -tins pl�►.I 15 N� anSc�r� ob AN os-r-Ee.vlll� - MPSS. 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