The URL can be used to link to this page

Home My WebLink About0021 LEONARD ROAD - Health 21 L�o��rd, Rd 268-019 Hyannis 0 0 OFa � � Page: 1 M CERTIFICATE OF ANALYSIS ,(�' Barnstable County Health Laboratory 's'S�CHV'S Report Prepared For: Report Dated: 12/3/2003 Order Number: G0323536 Dennis Connors P O Box 85 West Hyannisport, MA 02672 Laboratory ID#: 0323536-01 Description: Water-Drinking Water Sample#: 23536 Sampline Location: 21 Leonard Rd..Hvannis Collected 11/14/2003 Collected by: D.Connors Received 11/14/2003 Test Parameters ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates L4.2 mg/L GO SM 4500 11/14/2003 Note: Sample has higher than average levels of Nitrates.Monitoring is recommended(2-3 times per year)to establish and upward}' trends: a Approved By: a Director) Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 =' CERTIFICATE OF ANALYSIS Page: 1 3�ss�cttus Barnstable County Health Laboratory Report Prepared For: Report Dated: I1/6/2003 Order Number: G0323182 Dennis Connors POBox85 West Hyannisport, MA 02672 Laboratory ID#: 0323182-01 Description: Water-Drinking Water Sample#: 23182 Sampling Location: 21 Leonard Rd.,West Hyannisport Collected 10/14/2003 Collected by: D.Connors Received 10/14/2003 Test Parameters - ITEM RESULT UNITS MCL Method# Tested LAB: Metals Manganese 0.15 mg/L SM 31 11 B 10/27/2003 Routine ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates mg/L 10 EPA 300.0 LAB: Metals Copper 0.2 mg/L 1.3 SM 31 i iB. '10/29/2003 __.. ..___-_.-_..._.. .__. _.._.. ._ Iron_.. ...L0.1`...._...._.._,_.. .m�L. ._._.. ...,.._.. .______. _0:3_..._.,...._.._SM"3111B4.' r ._ .....,.. .10/24/2003........__.,_.._.._. Sodium . 39 mg/L 20 SM 3111B 10/24/2003 LAB: Microbiology r Total Coliform Absent P/A Absent 309 10/14/2003 LAB:Physical Chemistry Conductance 272 umohs/cm EPA 120.1 10/14/2003 pH 7.0 pH-units EPA 150.1 10/14/2003 Note: (Sodium level above the average. Those on low sodium diet may wish to contact physician. ' z Approved By: . t i (Lab Director)i `). r f t Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 TOWN OF BARNSTABLE LOCATION O SEWAGE VILLAGE9)e/ �/l//�/1rtSJX ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NOR- r4lo*- dod SEPTIC TANK CAPACITY LEACHING FACILITY:(type) PAS ��. (size) X NO. OF BEDROOMS PRIVATE WELL C�I P BLIC WATE j BUILDER OR WNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No a 1 �, a c v �® r_ 2,68 No... = j Fizz.....7.v.. ..... THE COMMONWEALTH OF MASSACHUSETTS ..// BOAR® OF HEALTH _.r TOWN OF BARNSTABLE Appliration for Biti-pw3al Wor1w Tnnfitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (p4 an Individual Sewage Disposal System at: W , �s o�r C--••....•-•----•- •----.................P.......................... ..........---- ` ---------. ...----------------..-. .^ .............. �^� ' �o Location-:�dj}rc�ss `U �sCJSL L or. Lot Ci7..J`Al l.5 .v AJ t�l f//`3 _ Owner Address ................................. Installer Address Type of Building Size Lot............................Sq. feet U ...........Dwelling— No. of Bedrooms... 1..------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------------------------------- ------- ---- W Design Flow-------------- ..............gallons per person per day. Total daily flow................� ifD..............gallons. WSeptic Tank—Liquid capacitvls a gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length---___-___----_-__ Total leaching area....................sq. ft. Seepage Pit No.......... Diameter--------f0-._.... Depth below inlet.......6.c__._.. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------- ---------------------------------------=------------------------- Date.................................... Test Pit No. I----------------minutes per inch Depth of Test Pit----------------.... Depth to ground water........................ (X Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...._--_------__._--___. 9 ----•-•---------------------••----....._........-•----•--------............_----------------•-............................................................... ODescription of Soil........................................................................................................................................................................ x U --•--•-•-•-------------•----•-••-•---•-••-----------••-----------------------------•••-----•--••---•--•-•--------------•---------•---•-----------------•-••--•-----•-•••---•-•--•--•-•--•--------------- W UNature of Repairs or Alterations—Answer when ap licabl ------- ............. SC Agreement: L--C46*`►- /2 rT 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 ComplianYs b n issue by e board of health. c------- Signed ---------- -------------------- - ..... ...? Dare................. ............................................................... Application.Approved By .......... .ca .�.-...,�:.� -0.-.-... Q .(11'.� Uaw Application Disapproved for the following reasons: . .... ..................................... . .. .. ................. . ---------------------------------------------------------------------------------------------------------- ------------ ------ ----------------------------------------------------------------- -------------------------------------- Dace PermitNo. ...9 ._.,........�)A t------------------ Issued .................................................................... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphratilan for Dicipuiu1 Wnrk.6 C omitrnrtilan ramit Application is hereby'made for a Permit to Construct ( ) or RCpair (r>f an Individual Sewage Disposal System at: L �G._.J/�,/C.... _�...---------•-•---•-•.w--` .................... ,.. .S�U Li---•--•------------------------•--•----------•-----••-. Location \d ress or Lot No. _ ...---• -----....•. - ----•------ ----- ----------------------------• .................... Owner Address W O �i Uu1-s;1 Ct10,37 jcar'1Y�J �7�5. `r�G'� y .......................................1 S Installer Address UType of Building Size Lot_.........................Sq. feet Dwelling—No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------------------------------ W Design Flow...................S ..............gallons per person per day. Total daily flow...___.-____-_-_ Septic Tank—Liquid capacity.,�J5�_gallons Length---------------- Width---------------- Diameter---.------------ Depth................ W Disposal Trench—No. ----------'........ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------/....... Diameter--------Z4__..... Depth below inlet-------�n......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed by-------_--- ------------------------------------------------------------- Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit_----------------- Depth to ground water......................... ri Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-----•--•------------------------------------------------------•-------------------•--•------------...................................... ..-----------.----- Descriptionof Soil......................................................................................................................... .............................................. ' x V W V Nature of Repairs or Alterations—Answer when applicabl .__._.. ___.. .._ 5�_C1__s`t, .._.r /J r`t .............. F............................................ -----/66OC.- . iT-v`1� .-- . ..............r.....---xt i...... 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 y p p I e board of healthg s stem in o erasion until a Certi icate Si Codm lance ,tissue.-- -/�� . ��..�, -(/// F Dace Application,Approved By ---------- .. _�--,.. ------ ------- ------ ------ ----------------------------------- `�j.-... Application Disapproved for the following reafonf: .......... ..... --_..----------...-------------....._--------------- ---------------......-------------...._.--------- -------------------------------------------------------_------°------------------ --------------Dace --------------- j Permit No. ...g. .............�c�- ------------------- Issued ......�....'.......... • Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ClTez#tf rate of GarayliancE THIS IS TO CERTIFYJhat. the Individual Sewage Disposal System constructed ( ) or Repaired (XJ y Lc, » CQ nJ.s?� CJoJ ca-1 Insri Ile r at .....---------------.......--------------------------------.. -------- __ �l d,�C✓ .. ...��nn....� ......_GJ..' `a/ 2.:. l�-'� has been installed in accordance with the provisions of TITLE S of The State Environmental Code as described in I application for Disposal Works Construction Permit No. _�'.}".-.—..Z./_.__...._---- dated ......._......__------.__---------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ` DATE...... �..-^.---.vim` ._9.... tom.. -- Inspect rl _ .. .. _______._,__.__,_ K�'� �_..o�_ Z6� o�q THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q _ ''')) l TOWN OF BARNSTABLE No...�.. .- .041.. FEE........................ _ i n��t1 ii Tuni#ru#ion 11amit Permission is hereby granted.................: ...... '' U .!.'__...____.-___ J -... ----------------------------------------- to Construct ( ) or Repair .(;,2—) an Individual Sewage Disposal System at No------------------------------------------ > L E-o�A&-O -----/------- f `� IrV1.S r�UtL�............... Street as shown on the application for Disposal Works Construction Permit No?S_3Z------ Dated..-.- ......... --=--------------------------- t .......................................................... DATE.................. �n - � �� --------------------------- V Board of Health FORM 36506 HOBBS 6 WARREN.INC..PUBLISHERS -