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HomeMy WebLinkAbout0015 HEZEKIAH'S WAY - Health 15 HEZEKIAH'S WAY, BARNSTABLE A=109-001.001 o No. 1 7 Dj --T)® f ° V o l Fee 1 OOOJ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _L._� Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for poear *p6tem Construction Permit Application for a Permit to Construct( epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /'J�/�Z�Ki��rf �� t/ Owner's Name,Address and Tel.No. Assessor's Map/Parcel /o ! 13'/1 ` ' 9 po/, o b f Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building VdO(- F•2 No.of Persons —,? Showers(,2—) Cafeteria( ) Other Fixtures Design Flow //O -k gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of !�,� V " Signed Date �j ' Application Approved by P Date ' Application Disapproved for the following reasons Permit No. TrI —302 Date Issued TOWN OF B ARNSTABLE _ 1 QCATION 1t,l.t_15 "A SEWAGE # _ VILLAGE irl �0.�j'e ASSESSOR'S MAP& LOT INST, J /� &EkR� ZE PHONE NO. ©l�.✓ (.•D �C SEPTIC TANK CAPACITY I �� -�L a n 5 LEACHING FACILITY: (type (size)(size) 40 1L NO.OF BEDROOMS R OWNER e h BUILDER EERMITDATE: COMPLIANCE DATE: Separation Distance Between the: /� .Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Prvate:Water Supply Well and Leaching Facility (If any wells exist J" ISO Feet n site orwithin 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leach-infacility) Feet Furnished by �� ' + J rn 1 p. L0 ;7ry 0 09 00 141 �M 1 , J t�� C?7,302- DI --,00 i . o b I Fee • 'No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: i.G'''� Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS i 1 Rpprtcatton for "' potal 1ipotem Congtructton Permit Application for a Permit to Construct( epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. .5 Owner's/��J W9 Owner's Name,Address and Tel.No.Assessor's Map/Parcel /O �//j / 'c Ako,,d -7-75 / 9 001, 061 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 0 6 _ 3, Dv4 y3� 5`3d �� A SPA ,MR Type of Building: Dwelling No.of Bedrooms Lot Size y7sq.ft. Garbage Grinder((/' Other Type of Building CiJoO'r, FddA-JM(, No.of Persons Showers(.2,4 Cafeteria( ) Other Fixtures Design Flow ��O X T � gallons per day. Calcula;ed daily flow' yy� gallons. K Plan Date -4 Y 7 Number of sheets Revision Date Title Size of Septic Tank dt7 �- Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last,inspected: Agreement: The undersigned agrees tos't2rre a construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of G Signed Date 7 Application Approved.by Date Application Disapproved for the following reasons Permit No. Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired( )Upgraded( ) Abandoned( )by at /.S q z-a ���} /.tJA'N has been constructed in accordance with the pro ions of Titje 5 and the for Disposal System Construction Permit No. :::) 7-30 Z- dated /ly I?T "I Installer O�� 13 (�/J2 Designer The issuance of this permit shall not be cons rued as a guarantee that the system will function as designed. Date "` Inspector No. l� ��Z -------------/� l Vv � �—�� /---Fee 00 JJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwf6pooar *p!5tem Con0tructfon Permit Permission is hereby granted to Construct( r )Re' )Upgrade( )Abandon( ) System located at is ZG� X/A hf �1: + and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction_-inust be completed wi&g three years of the date of this permit. Date: J Approved by C3 Y' • ENVIROTECH LABORATORIES, INC. MA Cer. No.: M-MA 063 - 449 Rte.130 Sandwich, MA 02563 (508) 888-6460 1800-339-6460 FAX(508) 888-6446 CLIENT: Aqua Jet LOCATION: 15 Hezekiah's Way ADDRESS: 135 Route 130 W. Barnstable MA Mashpee MA 02649 COLLECTED BY: Client SAMPLE DATE: 6/11/97 SAMPLE TIME: 4:00 PM WATER SAMPLE TYPE: New Well DATE RECEIVED: 6-11-97 LAB I.D. M 97-6242 WELL SPECS.: 160' Deep RESULTS OF ANALYSIS: 100'to Water Parameters Units Recommended Results Method Limits Coliform bacteria /100ml 0 0 9222 B pH pH units 6.5-8.5 6.97 4500 H+ Conductance umhos/cm 500 194 120.1 Sodium mg/L 28.0 18.5 200.7 Nitrate-N/Nitrite-N mg/L 10.0 0.08 4500-NO3 E Iron mg/L .0.3 0.89 200.7 Manganese mg/L 0.05 0.028 200.7 Volatile Organics See attached report. Chloroform ug/L 100 0.8 524.2 COMMENTS: Iron level is not a health hazard, but may cause taste and staining problems. YES WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Date Ron Id J. Saa Laboratory D ector <=less than >=greater than TNTC=too numerous to count (4 _ 1 6 13-97 15 r45 ti GROLJNDWA1'E Al GROUNDWATER ANALYTICAL EPA METHOD 524.2 Volatile Organics (GC/MS) Field ID: 976242 Lab ID: 16940-01 Project: Aqua Jet/15 Hezekial Batch ID: V142-1630-W Client: Envirotech Sampled: 06-11-97 Cont/Prsv: 40mL VOA Vial/HC1 Cool Received: 06-11-97 Matrix: Aqueous Analyzed: 06-12-97 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 0.5 Chloromethane BRL 0.5 BRL 0.5 Vinyl Chloride BRL 0.5 Bromomethane BRL 0.5 Chloroethane BRL 0.5 Trichlorofluoromethane BRL 0.5 1,1-Dichloroethene Methylene Chloride 0.5 BRL 0.5 trans-1,2-Dichloroethene 1,1-Dichloroethane BRL 0.5 BRL 0.5 2,2-Dichloropropane cis-1y2-Dichloroethene BRL 0.5 Bromochloromethane BRL 0.5 Chloroform 0.8 0.5 BRL 0.5 1,1,1-Trichloroethane BRL 0.5 Carbon Tetrachloride BRL 0.5 1,1-Dichloropropene BRL 0.5 Benzene • BRL 0.5 1,2-Dichloroethane BRL 0. Trichloroethene 5 BRL 0..5 1,2-Dichloropropane BRL 0.5 Dibromomethane BRL 0.5 Bromodichloromethane BRL 0.5 cis-1,3-Dichloropropene BRL 0.5 Toluene B trans-1,3-Dichloropropene BRL 0.5 1,1,2=Trichl.o,roethane BRL 0.5 1,2-Dibromoethane (EDB) BRL 0.5 Tetrachloroethene BRL 0.5 1,3-Dichloropropane BRL 0.5 Dibromochloromethane BRL 0.5 Chlorobenzene BRL 0.5 1,1 ,1,2-Tetrachloroethane BRL 0.5 Ethylbenzene BRL 0.5 m+p-Xylene BRL 0.5 o-Xylene BRL 0.5 Styrene BRL 0.5 Isopropylbenzene BRL 0.5 Bromobenzene BRL 0.5 Bromoform BRL 0.5 1,1,2,2-Tetrachloroethane BRL 0.5 1,2,3-Trichloropropane BRL 0.5 n-Propylbenzene BRL 0.5 (Continued) Page 1 of 2 ___ -- ----------- 6-13-97 15:45 :GROUNDWATER ANALYTICAL ENVIROTECH ------- 508.759 4475:1t 3/ c SRO`DW ASTER EPA METHOD 5242 AN,A Volatile Organics (GC/MS) Lab ID: 16940-01 Field ID: 976242 Batch ID: V142-16304 Project: Aqua Jet/15 Hezekial Analyzed: 06-12-97 Client: Envirotech CONCENTRATION REPORTING(ug/L� PARAMETER (ug/L) BRL 0.5 2-Chlorotoluene BRL 0.5 5-Trimethylbenzene BRL 0.5 1'3' BRL 0.5 - 4-Chlorotoluene 0.5 tert-Butylbenzene BRL 0.5 1;2,4-Trimethylbenzene BRL 0.5 - sec-Butylbenzene BRL 0.5 1,3-Dichlorobenzene BRL 0.5 4-Isopropyltoluene BRL 0.5 1,4-Dichlorobenzene BRL 0.5 1,2-Dichlorobenzene BRL 0.5 n-Butylbenzene ane DBCP BRL 0.5 1,2-Dibromo-3-chloroprop BRL 0.5 1,2,4-Trichlorobenzene BRL 0.5 Hexachlorobutadiene BRL 0.5 Naphthalene BRL 1,2,3-Trichlorobenzene MEASURED RECOVERY QC LIMITS QC SURROGATE COMPOUND SPIKED 98 % 86 - 118 % 10 98 % 88 - 110 % Toluene-d8 Dibromofluoromethane 10 10 10 101 gg - 115 % 4-Bromofluorobenzene 10 Reporting Limit. Method Reference: method 524.2 - Measurement of Purgeable Organic Compounds BRL Below p mass Spectrometry,. methods for the Determination of in Water by Capillary Column Gas Chromatography/ Organic compounds in Drinking Water, US EPA EPA/60O/4788/039 (1988). D arta 2 Of 2 _ - 2D f h1ir7. — fop o f fo u-n7 all, c t f Gor7c. covers �� t in" casro or �•` ' � � � z%' /aye r of / Sch. 40 pVr- �8 - 2 15T l7)L^-. tE, Ae(x-x,-j t� pip e r ul rn i r7. �i aX „� w a she d ` �STQW�C• j�Zt.-i1�1�'T�} . pitcf7 I/q"perpeaS7t017e Sc%7. 20 PVC Pipe 33 rain. P'tch /8' per f t c/eCLn S0-n c�" 4 -Flow line •m`n LXX n inv. a/. A'� �, ' \ 1 :z.ZJ — --- Precao /oowd; uOSor1. AP a ED Sf one bctSP_ _ :• • • ° ° ILI inv. e I. 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