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Home My WebLink About0259 GOSNOLD STREET - Health 77 259,G0_SNOI D,;ST,YHYANNMIN 8,;� A=306 475 I o p 08/18/2009 TUE 10: 34 FAX 5083627103 Barnstable CTY HealthLab --- Barnstable Health ®001/001 CERTIFICATE OF ANALYSIS Page: 1 ¢ Barnstable County Health Laboratory �?ssq�H,yy Report Prepared For: Report Dated: 8/18/2009 Ben Fagin Order No.: G0953958 259 Gosnold St. Hyannis, MA 02601 Laboratory ID#: 0953958-01 Description: Water-Drinking Water Sample#: Sampling Location: 259 Gosnold St.Hyannis,MA Collected: 8/11/2009 Collected by: B.Fagin Received: 8/11/2009 Test Parameters ITEM RESULT UNITS RL MCL Method# Analyst Tested Note a Chlorides f8 mg/L 2.0 EPA 300.0 LAP 8/11/2009 Nitrate as Nitrogen 4.9 mg/L 0.10 10 EPA 300.0 LAP 8/11/2009 Copper 0.15 mg/L, 0.0010 1.3 EPA 200.9 LAP 8/12/2009 Lead ND mg/L 0.0010 0,015 EPA 200.8 LAP 8/12/2009 Chlorine 0.61 mg/L 0.010 EPA 330.5 AF 8/11/2009 pH 7.8 pH-units 0 SM 4500 H-B DCB 8/182009 pH was analyzed in the outside of the holding time due to a lab error,and its retesing without charge is recommended Attached please find the laboratory certified parameter list. Approved By: (Lab Manager) `v7 E t1 i i I i I ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 �9 JS-t�d f pC' LOCATION SEWAGE PE`�T N0. VILLAGE INSTA Ll E i DDRES ,6 S C 1611 e U I L D E R -OR OWNERSEWLH . / c� ,�•C/ DATE PERMIT ISSUED A42 g;�Z DATE COMPLIANCE ISSUED �/_ 9- C� i 1 � F -0 T Ile 0 �1 a � i No.-r .i 7 'THE COMMONWEALTH.OF MASSACHUSE77S BOAR® OF HEALTH ...........................................O F.......................................................................................... Applira tion for DhipasFal Morks Tnnstrnrtinn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ... __..._.._ � ......s ......... y. ........ ............................................................................. Location_Address or Lot No. ................................................ -:.----------------------------•------......... owner Address •.............. ....... .................................................. ---•----•-•----...........----•-•. -••--------................---•--------•--- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms._.._._._.' __ .. Expansion Attic ( ) Garbage Grinder l 4) - --- '4 Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures .----••---•-------•---•---•--•-• . W Design Flow............................................gallons per person per. day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity../.S gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.....................Total leaching area...................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by..----•---...-•---------------•---------------•--•---•-------- Date......................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i Test Pit No. 2............:...minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .............................. .............................•----•---------------•------...--...--------....•--••-••-•........_....--------------------------- 0 Description of Soil----------------------•-----•----........................-•---....-•---•-----...----------------------------------------------•-------------------------........--••---- x c, ........................................•••---•-•••-••--.....••••-•-------••-••••--............------------••-•-•--•••--•-•••---•....--•-...------------•---------------••-----•----•------•-•---•••••••. w ............................ .............. .......... UNature s.o nsns r e ..... _ .......KZ........---- .......... ....... -•--- ---------------------------------• ... ...............%........... Agreement: The undersigned agrees to install the afo de ibed Individual Sewage Disposal System in accordance with the provisions of TITI.1; 5 of the State Sanitar Code=The undersigned further agrees not to place the system in operation until it Certificate of Compliance has een issued by the oard of health. Si ne ----------------•-•_..... ....� � . g_- -----.... Application Approved By............ ...... ... .... ......... . Date Application Disapproved for th owi g easons:-----•---------•----•-•---------------------•--.._.......----------------------•-......._...-•-•--------------. .......................................•--•---••................ ..........••--•--•----....................---------•-----------•------•---•---..............................---... ---•-•........ Date PermitNo......................................................... Issued......................................................... Date b , No.- ..._:....: % FEs............:°.............. THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH ....................:......................O F...........................................--............................................. Appliration for Dispoiial Works Tontrurtion trrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage .Disposal System at: qz ............................ ..........-•---_____.....---...--•---•---__- ...--------•------•------•----••--••----•• ovation-Address or Lot No. ..__... 1.1�............................................... --•---------------.__-------------------_---•----_____-_---.._.._:......_.. .......... ... Owner Address ................. Installer Address Type of Building Size Lot..............•....._.......Sq. feet Dwelling—No. of Bedrooms........ -----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity......_.....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 tank ( ) aPercolation Test Results Performed bY--•••••-••••••••-••---••••••••-•-•-•-••••-••••••••••..................•••• Date........................................ 14 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------- -......................................................................................................................... 0 Description of Soil........................•--------------...........................-------------•--------- -----=----------------------•-------...----------------------------------••••- U ---------------------- --------------- -------------------------------------------------------------------------------------------------------------------------------------------------------- WQ ----------------------- •••••• •... ..._ .._... ..•- x Nature f�Re a s or Alterations f`nswer when4 pp cables _. } ,, _ ,►- �. Agreement: The undersigned agrees to install the afore de ibed Individual Sewage Disposal System in accordance with the provisions of TITU 5 of the State SanitarlCode—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has lien issued by the and f health. 4"- �� h Signed, .. :. ......-- •-••-.. �� _-- :�-R « Da e Application Approved B ............................................................. ---•--•--•••......•....._..........••--• PP PP Y - =�) •�. Date Application Disapproved for t�f ollowing -reasons:----------------------------•--•-----------------•-------•----------------•------------------------............_ ........................................................ - Date PermitNo......................................................... Issued--•--...---------•------------.........-•-------••-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..........................................I..........!............................... V rtif iratr of f�ontplianrr _� T'NIS 0 C RTI'FY, That;he Individual Sewage Disposal System constructed ( ) or Repaired / �'T. frl...: .......----' -----------------------------------------------------------------------------------------------••----•-------....--•-----•••- bY................ Installer at..........••-• ........ F•--••- --------•-••••••-•••-•---••••••-••••••••••••••-•-•-•----••-•-•--••••-•••••............••-•• +! f has been installed in accordance1with the provisions of TI -E 5,.,f:'he State Sanitary Code aside . i ed in the application for Disposal Works Construction Permit ivo...� �� dated._..5�:-37�................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................ .................................... Inspector. "..... . --------------•---._---------------_-_-.-_•-___-_----•---•-•------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF..................................................................................... No.�............ .... FEE........................ �i��o��tl �rk� ��n,strn�tion rrnti� Permission is hereby granted. 14-2..-•••••••••••••-•••-----•..---...••••••-•-•••••-•••-••-••••••••-•-••••-••-•••••••••••.............•-•..............._..._ to Construct ( ) or Repair ( n Individual Sewage Disposal System Street ' as shown on the application for Disposal Works Construction Permit No.._�.:__:.._f__. Dated.......................................... ............................ ............................................................ DATE Board of Health `. .. - FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TOWN OF BARNSTABLE ,-7 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME ADDRESS ��y, ��SN�f-� �� VILLAGE ��y� LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL /2t6147- SyDE �G i-fr�rJs� •�y® Z �= 0 �i/�-✓ �S7F�, n/ExT To F�r/ni/��4Tionl (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2.: 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS bj CD o b c p t2J c-1 d o _ ty m � m µ OC�QT10 &/eWSEW&C,E , PERMIT UO. blimen 1W5-TQ/LLERS ► WE ADDRESS BU1LDE 5 Q &MF- ADDRESS DATE PERMIT ISSUED — — —� DATE COMPLI &MCE ISSUED : � 1 1 . T.� �" - �. O � �. "O 4` � �. 'r °� �� gyp,�,:r�J � � 3. o � � � --�._� �; Ak 130 No....../0 ---.... ..................... THE. COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEAL H' uJ.2�..._. .oF......... lr.. .�....... ..�................ . . ....... 4 , pphrFatinu -for Difipoii at Works Tomitrurtiou Vrrnift Application is hereby made for a Permit to Construct ( ) or Repair (P507an Individual Sewage Disposal System at: Qca..on ddress. --- o. Lot .... 19 uFIL:..p W { _ � COwner f ` c Address 1..(� c, Wes. i e cui J Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms......................... .............Expansion Attic ( ) Garbage Grinder ( ) Other—Type a of Building .�I\�*S.�.______ No. of persons..�__________________ Showers ( ) — Cafeteria ( ) dOther fixtures ........................................................................................................•--------------------------------••---------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity-.--__--_--gallons Length................ Width................ Diameter..........._..... Depth................ xDisposal 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 tank ( ) aPercolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water......................... L14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-._-.---_---_-..-_--. Ix --.... ... ...........••---•-•-•--•-•--......_...........-•----•••............................................................ Descriptionof Soil. --•--------------------------------------- ----------------------------------------------------------------------- x U •-•-------••-••-•----------------------•--------••-•---•••••••••-•••-•-•••••-•.......•--••••----•-••---••-••-------•---•-••--------•------•--------•-----------••-------•----------------------•-------. W ---------------.......................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable.................................. ---._.--. ------------ LIV --------------------------------------------------- -----------------------------------------C-'�-S1�kV5. .-----tu-Q-O `� .--•`et�C--- Agreement': The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by the board of health. Sig .._ . .•. •-- --...C�.........................•-----------�-------- -------------------------------- Dat Application Approved By........-�- -••--•• ••-• .... •. •. . ••-•-•••--- ---�� ---- ✓-- Application Disapproved for the following reasons:............ • ............... -•--•------------------------------------•--........-•••••......•...........--- .. ---------------------------------•-•-•••-•••••---•--•---------•-•••.......••-•------••-•-•••••-••---•-•--.••••-•-•-•••••••-•-•---•--•-----•----•-••--•---••-•----------------------••-••••••-----------•- Date PermitNo......................................................... Issued-- -----------...Y......... Date No......I_/0.10..... atL�l� THE COMMONWEALTH OF MASSACHUSETTS 1� BOARD OF HEALTH . ..........OF......... '� r ..ns Applirtt#ion -for R_gpmal Works Tong#rnr#ion Vrrmi# Application is hereby made for a Permit to Construct ( ) or Repair (110<an Individual Sewage Disposal System at: - f = ........................ .__.....••---•---•--•....-••--•._..._--•••- �`±cation ddress or Lot No. -•-----•-••---- ---------------------•----•-------•---------•--------------••---•-------------------•-----•------ Owner '.. Address Installer Address UType of Building Size Lot----------------------------Sq. feet �-, Dwelling—No. of Bedrooms..... ...................................Expansion Attic ( ) Garbage Grinder ( ) a`L4 Other—Type of Building �'( �S' Showers — Cafeteria g �-=--,�.i.i_ ' __...._ No. of persolis--• -------•---•----._.... ( ) ( ) Q Other fixtures ------------------------•••••-------•---•-••--•--------_----- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------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. It. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date-----_----------------------------- Test-Pit•i\1o.MI________________minu"tes per inch Depth of Test Pit.................... Depth to ground water------------------------ 44 Test Pit No. 2_`:`",! _minutes per inch Depth of Test Pit____________________ Depth to ground water........................ O Description of Soil..............•--- ": . •= W --------------------------------------------------------------------------- ---------•------•--- -----------------------------------•---------------------------------------------------------•----- U Nature of Repairs or Alterations—Answer when applicable__________________________________ ________ _______r____._____-- -------------------------------------------------------------------------------------------- =� Z 4�;C-----� _�__ _ � aS_-+t-� i�--•-----•-•••---. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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. ,s ' Sig __• -=- ' - -- -____ _ - -•-- --- -------•-• •---------•---•-•-------••--•-•- Date Application Approved By......-- ;- ... 40 ��t" Application Disapproved for the following reasons------------------------------ -------•- . -------------------------------------•-----...-•-•----•-- ..••••••-•-••••--•-••-------•--•••----••••••••-•••••••••••--•------------•-•••--•-••---•••-••••••--------•••-••--•••--••--•-•-••••••-----•-•••---••••... •---•--------••-•-••••••••--------••-•-•----- Date Permit No......................................................... Issued.-•-6-o — �, ` f Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . . ..r. A0:-)4.1...........OF............. �.�,.. " .. .... ......... �rr#ifiratr of f111mpfianre �THI-• IS TO CE IFY, That the In ivi Sewa isposal System constructed ( , ) or Repaired bY� ' L " i --------- •------------- ... G-Q S ; staller f f -(�[ rr has been installed in accordance with the provisions66f Article XI of The State Sanitary Code as described in the a. appljacation for Disposal Works Construction Permit No.......... _________________ dated_ --- /:............... ATHE ISSUANCE OF THIS CERTIFICATE SHALE. NOT BE CON RUED AS AGUARANTEE THAT THE SYSTEM WILL FUNC O ISFACTORY. I . J* DATE......1_® Inspector:_ , - f. a THE COMMONWEALTH OF MASSACHUSETTS Y BOARD OF HEALTH. k OF No.... , FEE_. :�� ,j r. Binvo al ork,i Long#rix `#io,t Vrrm'# I Permission hereby'granted_ _ a_ _ j„_.__ ._._.. �3l{ter- fly_ .__.._ .............................. to Construct,,( ) or Wa,ir j an Individual Sewage D''posaI System at No"'----= j , ,Q k ' - . �{... ,/�,i�/� ------ -----...................6_ / Street as shown on the application for Disposal Works Constructi Permit N ............. Dated._.. ._ .._ ?--• ------• f;- ---- - ---•----- • u t. '� Board of H FORM 1255 HOBBS & WARREN. INC... PUBLISHERS f-