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Home My WebLink About0561 OLD STAGE ROAD - Health 561 OLD STAGE ROAD 191-002-003 CENTERVILLE �IIII ��,0.ECYCLEDC�2 1'1x ad, UPC 12543 No.53LOR co HASTINGS, MN „�`,5l ��►Gc � �''P 1T WN OF BARNSTABLE TCATION SEWAGE # ��— VILLAGE ASSESSOR'S MAP & LOTfq�-O -Oo3 INSTALLER'S NAME & PHONE NO.yi1✓1.r y�rj,—, CG/,\-�” SEPTIC TANK CAPACITY /9610 LEACHING FACILITY:(type) jai 1 - L/ (size) NO. OF BEDROOMS IVATE WELL Oft PUBLIC WATER BUILDER R OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: "� �� VARIANCE GRANTED: Yes No i 31 No...,l .r.�.�1 .... Fxs......� a............. THECOMMONWEALTH OFUASS^CHUSETTS 6170 BOARD OF HEALTH TOWN OF BARNSTABLE ApplirFation for Diopinial Work,i Towitrnrtion rnmit Application is he a y. made for a Permit to Col -truct O or Repair ( ) an Individual Sewage. Disposal tem t: Pl� cf� / � ..__ S'....h^�'--� x!< ............................................................ . — �n c- n-Address rPert�r-�e.r om�s �C • �• ® , Sax 510 " d�ii�rv, 14 -------•----....----•----- -•------••-----••-•-••--•................ ................................... dress --------------------------- 1 = ( s - -...... Installer Addre1s Type of Building Size Lot.5�51 4�..._..Sq. feet ►, Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) 44 Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ............................ W Design Flow..........6..5. ................ .......gallops per person per day. Total dail flow_.______..___._.3 3fl.._......_..�lons. WSeptic Tank—Liquid capacity__l allons LengthGl�..__�_'. Width__ .~_ Diameter................ Depth.5-'&.y x Disposal Trench--No. .................... Width.._...._._....._.___ Total Length............._...... Total leaching area_-------------------sq. ft. 3 Seepage Pit No....�............... Diameter.l_ "_Aer)Depth below inlet___l....��_.___ Total leaching area..?.Y ...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed b , ....�� _ ............ Date....Z7 3.'9 a Test Pit No. 1 Yrninutes per inch Depth of Test Pit---- ..... Depth to ground water.___...f!X..... 44 Test Pit No. 2`...........minutes per inch Depth of Test Pit--- _.. Depth to ground water--._-_../�._... a ----•----•-•---------•--•----...---•-•--•-•-•--•---•----------------••-•------------........•----------•----------••---••-••-•--.....................-•-..... . `}i 0- Z.Z T-rS 2 C. Z -(�,8 /N E/> 5 4 i�� P G t�-/S o�.7 S ff Desc on of Soil_../. �.� ------- ----- -- ---- -- --- ----- r U —................................� ....................... 5 W S- /o R Go 9 sg / .ze,v - 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com 'a lehas be ,is ued b t t b rd'of health. Signed --1 ................................................. �. Dace ApplicationApproved By ...........7) V . .. ...,.«-•- ............_..... ........................................... ..... ..... .. Dace Application Disapproved for the following reasons: ..... ............. ........................................ . ..................... ............... . . ................ ....... ................... ..... ...... ....... .................. ....--..... ......................................................... ........................................ Dare _19 Permit No. / - 11.--------e'{ ................... Issued -.-.........................-....-..-........................... Fas......�............ ....... THE COMMONWEALTH OF MASSACHUSETTS 61 76 Y BOARD OF HEALTH TOWN OF BARNSTABLE ` Appliratiun for Digpv!iul Works Towitrurtinn 11amit Application is hereby made for a Permit to Construct (lC) or Repair ( ) an Individual Sewage Disposal S r System at: .'✓ A .�� 7`9 " li.s • _L�c"ti�n-Address / �` ......-----+............................ ---k u ry} r e e,7 r,e r IGYN i s L,►�C 1T� 5 6)C 5 l G IO �l f E'r V --\\ ...... ............. ..........................------------•------•-••--- �•.; dress Address q. U Type of Building hrstaller Expansion Attic Size Lot_-U�>a GarbageS feet 04 Other No. of Bedrooms______._--- No. of ersons--------------_----.------ Showers ( ) — Cafeteria ( ) Dwelling— ; P ( ) g Grinder p., Other—Type of Building p QOther fixtures -------------------------------------------------- W Design Flow.......... ..........................gallons per person per day. Total daily flow...--..-...-..:_3. a-------------gallons. WSeptic Tank—Liquid capacitty__p gallons Length6!J.�('.'_._ Width.. -.v". _. Diameter................ Depth.. ............ xDisposal Trench—No. ................:.. Width.................... Total Length.................... Total leaching area..--...._...........sq. ft. 3 Seepage Pit No �.-.------_--- Diameter..�.?.�.�<�`.r-)Depth-below inlet.---. :•�._..... Total leaching area--- `�.......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by...-.Pej✓�....6Aoff.2�!.....4............. Date.....1_.-'::..`1..K..._..... Test Pit No. 1Y..minutes per inch Depth of Test Pit----�.��......... Depth to ground water-------^ ..... 4.1 Test Pit No. 2................minutes per inch Depth of Test. Pit. _:.. ... Depth to ground water...... - ..... .-•-•••••-•-----------------••-•-------•....----•••-•••-----•••-- ...............------•......--------•--...-•••-••-----------.....................•••...... �0 Desct-ip ion of Soil_..��r�� `�- 7:�...::--..-•-`S-- 7 � (,�.� f, t,� Sir � �.�� t3 i S �&..,..... 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli-a-a2e has beenis ued by th`e board'of health. Signed ............................. . ............... Date Application Approved By ................. .._. .. U.y d Due Application Disapproved) the ollowing reasons: .... ........................................................... . ... ........................................... .........................................................................................................................i..........................................................._......_.................. ........................................ Dare Permit No. ..... 1 ........�...�...-�f..�;....._........ .- Issued ................................. ..... Dare .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C9.ertifi ate of (fompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed O or Repaired ( ) .---------------------- - ..._...... . ..._......_............._.....................------------------------------------------ by ......................_............. . ....v...,.... k 'Q Insralla•r 7 at ................. _...tS ....... r ------P .................... ' c n. >c ,0 ............. ................................................ has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. _____7!a!-_.,1. :....__....__... dated ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU�RANTEE THAT TIME SYSTEM WILL FUNCTION SATISFA TORY. Ins ---._ , .DATE...................... .................... ....._._. ... e;�otr/..1.. . ------:G---�--�-.�.............�.. .-.-.....-.._.._.. m___________---- __a-____---_._,___- ____________ THE I COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �n TOWN OF BARNSTABLE No....-/.,y....... FEE.---- .. ?........ 11isposal World {Tomitrudion "rrmit Permission is hereby granted---_-----.� �-___..._l��-t?:!! ............................ to Construct ( ) or Repair ( ) an In( vidual Sewage Disposal System at No........... ^ ------�i---••---n t-P------=!SC rn_�-71.... ----•--- .z{_ n r V Street pp as shown on the application for Disposal ti'la'orks Construction Permit No..;(.u-.)-k77:- Dated.....--.-r�_c.��---./-��-...- \. a�. .................................----------- _ _ - Board of Health DATE...................... _-- ------ .......................... FORM 36508 HOBBS dr WARREN.INC..PUBLISHERS U6/ ENVIROTECH LABORATORIES Mass.Cert.#:MA063 449 Route 130 Sandwich,MA 02563 • (508) 888-6460 CLIENT: Greenbriar Homes LOCATION: Lot 3-561 Old Stage Road ADDRESS: P.O. Box 510 Centerville, MA Centerville, MA 02632 COLLECTED BY: D. LaJoie SAMPLE DATE:1-25-94 TIME: 12:OON DATE RECEIVED:1-25-94 SAMPLE ID: 561 JOB#: New well WELL DEPTH: 43' RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units 6.0-8.5 5.10 Conductance umhos/cm 500 126 Sodium mg/L 28.0 16.1 Nitrate-N mg/L 10.0 4.70 Iron mg/L 0.3 0.20 Manganese mg/L 0.05 Hardness mg/L as CaCO3 500 Sulfate mg/L 250 Potassium mg/L 20.0 Alkalinity mg/L 200 Chloride mg/L 250 Turbidity NTU 5.0 Color APC units 15.0 Background bacteria/100 ml (MF method) 200 EPA 601 602 # ug/L NOD. COMMENT: Low pH indicates high corrosive characteristics. #YES NO See report" attached. UX ❑ WATER IS SUITABLE FOR DRINKING PURPOSE FOR PARAM ERS TESTED. DAT4� C ' 2 4 GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCO) Field ID: 559 Old Stage Lab ID: 6890-01 Project: Greenbriar 559 Old Stage Batch ID: VG2-0310-W Client: Envirotech Sampled: 01-25-94 Cont/Prsv: 40mL VOA Vial/NaHSO4 Cool Received: 01-28-94 Matrix: Aqueous Analyzed: 02-02-94 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) - Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL 5 Chloroethane BRL 5 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1, 1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethyl Vinyl Ether BRL 5 cis-1,3-Dichloropropene BRL 1 Toluene BRL 1 trans-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 meta-and para-Xylene * BRL 1 ortho-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 30 98 % 87 - 113 1,2-Dichloroethane-d4 30 32 108 % 83 - 117 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). r No. BOARD OF HEALTH TOWN OF BARNSTABLE Applitation-ftlVell Con5trutt ion Permit Application is hereby m de for a permit to Construct ( i-), Alter ( ), or Repair ( )an individual Well at: 2- ---------- ----------- Location — Address f — -- Assessors Map an4 Parcel - -- ----------------------------- - -- -- /-- ----------------- Owner Address Z 0�c Ytj Installer — Driller Addr€ss--- __ Type of Building p Dwelling --------------------------------------- Other - Type of Building No. of Persons— r Type of Well-J_' -lL6 Capacity Purpose of Well Z-US — ---------------------- - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. c _______-- _----________—___ ______-- d/ f Signed-1_✓__�- --�� -- - -- --1��_-�—_------- date Application Approved By— date Application Disapproved for the following reasons: -- --- —__ —_ date_____------- . Permit No.— �- -`—�— — Issued_____--- ._�` date BOARD OF HEALTH TOWN OF BARNSTABLE Certifitate ®f Compliance THIS IS TO CERTIFY, What the In�vidual Well Constructed (4-), Altered ( ), or Repaired ( ) SLEI �,.(�- —— --- - —--- ------ - --- —------------—-------------- - - 6!Q Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No t' g PP �- --j --Dated-------�THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-----------------------=------------------------------------- --- Inspector n. � z Fee--- -- t BOARD OF HEALTH TOWN OF BARNSTABLE Appritation-*rVeir Con!5truttion'v* ertttit Application is hereby made for a permit to Construct ( -), Alter ( ), or Repair ( )an individual Well at: %`� - - -19� -------------------------- ----- ------------------------------------------------------- Location — Address _—`—Assessors Map and Parcel eel LI) Owner Address r d✓w P�� e � �, ---------------------- S/ s —— -- i Installer — Driller ` Addrpis Type of Building 1FF Dwelling-AL," - Other - Type of Building-----------------—------- No. of Persons------------------------------------------------------- Typeof Well-ti - ---------------------------------------------- Capacity-------- -- ---- ---- —---------- Purpose of Well-0,0 eza-:`' ----------------—-- — Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed y---------- ' date Application Approved Vol/ �� date Application Disapproved for the following reasons:------ --- ------------------------------------------------------------------------------------— _____ - -- - -- -- -- —- --------- ----- !/ date Permit No.- � �-' - ----- - Issued----------------� �-` ---- -- ----- date BOARD OF HEALTH TOWN OF BARNSTABLE II Certifirate Of Comphante .3 THIS IS TO CERTIFY, That the Individual Well Constructed (1-), Altered ( ), or Repaired ( ) by-------------------------_a _-J--CGt r�n r /_—__------------ - ,- - ------------------------------------------------------------------------------------------------- Installer Flo S'r� �� _ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No t�� Dated-- ---------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------------------------------------------------------------— Inspector----------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Iverr cootruttion3permit No. - / Fee Permission is hereby granted!� ��^--^ ------__ to Construct•( U), Alter.( ), or Repair ( ) an Individual Well at: No. - -" �� `� -,ef -�_�� t_ r, Ax'/ .� _ ----------------------------------------------------- Street as shown on the application for a Well Construction Permit r . No.------- -'�`-� � r" t' ------------------------------- Dated ,w-- �'-- ---------- Board of Health � DATE-----------------------------------�;� —-- FA-10.. OF w? 2 A v , pp ice- TF�S~ 7' _DOLE LOGS LOCATION MAP (NOT TO SCALE) O ENGINEER: Cm/D. U?d e WITNESS: DATE: BUILDING TONE: �-- 450 PERC. I.ATda z ',� , , SETBACKS: FRONTSIDE = z o ,� 3 L-1 v REAR sro sy ASSESSORS MAP a PARCEL FLOOD ZONE fr R14PH7 I, WT . g 5 ri 50 7 NOTES o . 4c' 4-t 0 1. DATUM NGVD TAKEN FROM 69- 2. MUNICIPAL HATER IS oL: A✓A�t��tit�==`- . fz' ,,�+►{'a �� ;�� ,� 3 .3. PIPE PITCH TO BE 1 \4"lff UNLESS OTHERWISE NOTED. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO-H --`�- 'y 5 5. PIPE JOINTS TO BE MADE IIA TER TIGHT. \ sV 5 4 - F 'l,C�ea �.3 , 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE MASS. ENVIRONMENTAL CODE TITLE V. 4 7. THIS PLAN FOR PROPOSED WORK ONLY AND NOT TO BE USED SEPTIC PR 0 WILE FOR LOT LINE STAKING. �"'� R. .SCH 40-4" PVC TO BE USED THROUGHOUT SEPTIC SYSTEM. ;NOT TO SCALE) -A 7 > Ztio' F e2orl i;:V4.c GF h=fsT .JAr�•,. o I 1 is, .. T ' 0 ��w 1� F RON py3,.:Tt�►1� Se r,� TEr js YIIVIYUY f' _of COYdR OYES PpicAsT IF �-� 7 _ 0 0 c.'r /� t i 5" P� J s�a� �0noo00t DEPTH OF FLOW= 4- f ss a li r TEE SIZES: INLET DEPTH = IO ZA . 6" CRUSHEDOUTLET DEPTH = ;'� NE UNDER +� 11 T"Z- F�F-7�r F-40t-A 1pc.c7 D' BOX ; - SZ,Ar FOUNDATION — i s, SEPTIC TANK I z - D' BOX - - ---- -- 1 Z' LEACHING FACILITY SEPTIC DESIGN: tjlo G,orr.�.� G��PoSE w�T ►;: ��. v DESIGN FLOW: -� BDRMS ® _?_ GPD/BR = _3 �_ GPD _----_ SI T 1J AND SEWAGE PLAN-- SEPTIC TANK: 3'-_ GPD X (, �) _ _�"�S _ GALLONS IN THE TOWN OF: down c aD- engineering, inc. USE A _1 GALLON TANK LEA CHING: CIVIL ENGINEERS SIDES' - - `' ' ' ---------- _ _!31 -t z.$) �Tq LAND SURVEYORS BOTTOM: __ 1 __ _______ _ _ii�1 s� ( �) _ _ ,�, !_&,P� PREPARED FOR: Y TOT4L: Z45 -SF 44-3 �.%-- I Rte 6a, YARMOUTH, MA USF: i �' x �- _ a ►'J'' w,�-�► 5-��;� a,..:_ ,� - ��.��_ I r -- - - - - - -- AT:— ��T U L vA �. 04 r✓ y BOARD Of HNALTR ;� �Oi �f / SCALE: DAM !� <-_ = �`2 ' MA ARNE H. OJALA, P.E., R.L.S. DATE APPROVED DATE _ ' A.