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HomeMy WebLinkAbout0036 BAILEY ROAD - Health 36 BAILEY ROAD, COTUIT l I i f CERTIFICATE OF ANALYSIS Page: 1 ' Barnstable County Health Laboratory Y`s,cHUS� ' Report Prepared For: Report Dated: 8/16/2007 H.G.Lloyd Order No.: G0742762 P O Box 221 Cotuit, MA 02635 Laboratory ID#: 0742762-01 Description: Water-Drinking Water i . Sample#: Sampling Location: 36_Bailey;-Rd,Cotuit,MA�. Collected: 8/14/2007 Collected by: E.A.Lloyd Received: 8/14/2007 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 8/14/2007 Copper ND mg/L 0.10. 1.3 SM 311113 8/14/2007 Iron ND mg/L 0.10 0.3 SM 31111 8/14/2007 Sodium 13 mg/L 1.0 20 SM 3111B 8/14/2007 Total Coliform Absent P/A 0 0 SM9223 8/14/2007 Conductance 83 umohs/cm 2.0 EPA 120.1 8/14/2007 PH 5.6 pH-units 0 SM 4500 H-B 8/14/2007 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By: (Lab ector) 6` /7/s7 . s {^ i CD • tN y� - .. CO ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Thomas&Betts Corporation 452 John Dietsch Blvd. c0 P.O. Box L Attleboro Falls, MA 02763 (508) 699-9800 S EP 4 199g Facsimile(508) 695-8111 �� a ti ThOMSW efts August 10, 1998 Mr. H. Gates Lloyd,III c/o Fritz Dietzgen 250 Vineyard Road Cotuit,Massachusetts 02635 f Dear Mr. Lloyd: Attached please find the laboratory results of the analysis of your well water, which we recently sampled at your property located at 36 Bailey Road in Cotuit, Massachusetts. The water sample, designated as RW-22, was collected by GZA GeoEnvironmental, Inc. and analyzed by the Mitkem Corporation laboratory. No Volatile Organic Compounds (VOCs) were detected in your well water. The Department of Environmental Protection has been provided a copy of these results. As you may recall,the contaminants of concern at the 106 Falmouth Road Site were industrial solvents and cleaners potentially related to historic operations at that facility. To test for such materials, the laboratory analyzes for the range of VOCs specified by the EPA's testing method. That is why the Laboratory Analysis Report covers such a long list of organic compounds. Beside the list of compounds are two columns of data. The first column shows the concentration of the compound in parts per billion (ppb) found in the water sample. The letters "ND" mean the compound was not detected. The second column shows the lowest level at which the laboratory could accurately quantify the compound. We appreciate your allowing us to come in and test your water. If you have any questions, please do not hesitate to call Mike Powers at GZA(401421-4140, ext. 3404). Sincerel William O. Frigon Attachment: Laboratory Analysis Report cc: Town of Barnstable Board of Health Mark Wood,DEP MITKENl I GZA GeoEnvironmental, Inc. JUL O 119% June 29, 1998 140 Broadway Providence RI 02903 Attn: Ms. Hilary Fortune RE: Client Project#: 31751.13, Residential Well Sampling Lab Project#: E0963 Dear Ms. Fortune: Enclosed please find the data report of the required analyses for the samples associated with the above referenced project. If you have any questions regarding this report,please call me. We appreciate your business. Sin ely, Edward A. Lawle Laboratory Operations Manager 175 Metro Center Boulevard • Warwick,'-Rhode Island 02886-1755 • (401) 732-3400 • Fax (401) 732-3499 email: mitkem@worldnet.att.net MITKEM CORPORATION Client: GZA GeoEnvironmental,Inc. Client Project: 31751.13, Residential Well Sampling Lab Project: E0963 Date samples received: 6/22/98 Project Narrative This data report includes the analysis results for five (5) aqueous samples that were received from GZA GeoEnvironmental, Inc. on June 22, 1998. Analyses were performed per specification in the Chain of Custody form. For reference, a copy of the Mitkem Sample Log- In form is included for cross-referencing the client sample ID and laboratory sample ID. All of the analyses were performed according to method specifications. No unusual occurrences were noted during sample analysis. This data report has been reviewed and is authorized for release as evidenced by the signature below. Edward A. Lawler Laboratory Operations Manager 00 r Analysis Report: Purgeable Volatile Organics Client: GZA GeoEnviron mental, Inc. Analysis Date: 6/25/98 W-22 Concentration in: u Client ID: R 9/L Lab ID: E0963-01 Dilution: 1 Analysis: Method 524.2 Reporting Analyte Results L MA Dichlorodifluoromethane ND 0.5 Chloromethane ND 0.5 Vinyl chloride ND 0.5 Bromomethane -ND 0.5 Chloroethane ND 0.5 Trichlorofluoromethane ND 0.5 1,1-Dichloroethene ND 0.5 Methylene chloride ND .0.5 trans-1,2-Dichloroethene ND ' 0.5 1,1-Dichloroethane ND 0.5 2,2-Dichloropropane ND 0.5 cis-1,2-Dichloroethene ND 0.5 Bromochloromethane ND 0.5 Chloroform ND 0.5 1,1,1-Trichloroethane ND 0.5 Carbon tetrachloride ND 0.5 1,1-Dichloropropene ND 0.5 Benzene ND 0.5 1,2-Dichloroethane ND 0.5 Trichloroethene ND 0.5 1,2-Dichloropropane ND 0.5 Dibromomethane ND 0.5 Bromodichloromethane ND 0.5 cis-1,3-Dichloropropene ND 0.5 Toluene ND 0.5 trans-1,3-Dichloropropene ND 0.5 1,1,2-Trichloroethane ND 0.5 Tetrachloroethene ND 0.5 1,3-Dichloropropane ND 0.5 Dibromochloromethane ND , 0.5 1,2-Dibromoethane. ND 0.5 Chlorobenzene ND 0.5 1,1,1,2-Tetrachloroethane ND 0.5 002 Pa ge e 1 of 2 E0963-01 MITKEM CORPORATION Client ID: RW-22 Lab ID: E0963-01 Reporting Analyte Result Limit Ethylbenzene ND 0.5 Xylenes (total) ND 0.5 Styrene ND 0.5 Bromoform ND 0.5 Isopropylbenzene ND 0.5 Bromobenzene ND 0.5 1,1,2,2-Tetrachloroethane ND 0.5 1,2,3-Trichloropropane ND 0.5 n-Propylbenzene ND 0.5 2-Chlorotoluene ND 0.5 4-Chlorotoluene ND 0.5 1,3,5-Trimethylbenzene ND 0.5 tert-ftylbenzene ND 0.5 1,2,4-Trimethylbenzene ND 0.5 sec-Butylbenzene ND' 0.5 1,3-Dichlorobenzene ND 0.5 4-Isopropyltoluene ND 0.5 1,4-Dichlorobenzene ND 0.5 1,2-Dichlorobenzene ND 0.5 n-Buhylbenzene ND 0.5 1,2-Dibromo-3-chloropropane ND 0.5 1,2,4-Trichlorobenzene ND 0.5 Hexachlorobutadiene ND 0.5 1,2,3-Trichlorobenzene ND 0.5 Naphthalene ND 0.5 QC Batch: V1 B0625A Surrogate Recovery: Bromofluoro benzene 106% 1,2-Dichlorobenzene-d4 102% ND= Not Detected 003 Page 2 of 2 E0963-01 CORPORATION Analysis Report: Purgeable Volatile Organics Client: GZA GeoEnvironmental, Inc. Analysis Date: 6/25/98 Client ID: Trip Blank Concentration in: ug/L Lab ID: E0963-05 Dilution: 1 Analysis: Method 524.2 Reporting Analyte Results Lima Dichlorodifluoromethane ND 0.5 Chloromethane ND 0.5 Vinyl chloride ND 0.5 Bromomethane ND 0.5 Chloroethane ND 0.5 Trichlorofluoromethane ND 0.5 1,1-Dichloroethene ND 0.5 Methylene chloride ND 0.5 trans-1,2-Dichloroethene ND 0.5 1,1-Dichloroethane ND 0.5 2,2-Dichloropropane ND 0.5 cis-1,2-Dichloroethene ND 0.5 Bromochloromethane ND 0.5 Chloroform ND 0.5 1,1,1-Trichloroethane ND 0.5 ' Carbon tetrachloride ND 0.5 1,1-Dichloropropene ND 0.5 Benzene ND 0.5 1,2-Dichloroethane ND 0.5 Trichloroethene ND 0.5 1,2-Dichloropropane ND. _ 0.5 Dibromomethane ND 0.5 Bromodichloromethane ND 0.5 cis-1,3-Dichloropropene ND 0.5 Toluene ND 0.5 trans-1,3-Dichloropropene ND 0.5 1,1,2-Trichloroethane I ND 0.5 Tetrachloroethene ND 0.5 1,3-Dichloropropane ND 0.5 Dibromochloromethane F ND x 0.5 a- 1,2-Dibromoethane ND 0.5 Chlorobenzene ND 0.5 1,1,1;2-Tetrachloroethane ND 0.5 4 Page 1 of 2 E0963-05 L CORPORATION Client ID: Trip Blank Lab ID: E0963-05 Reporting Analyte Result Limit j Ethylbenzene ND 0.5 Xylenes (total) ND 0.5 Styrene ND 0.5 Bromoform ND 0.5 Isopropylbenzene ND 0.5 Bromobenzene ND 0.5 1,1,2,2-Tetrachloroethane ND 0.5 1,2,3-Trichloropropane ND 0.5 n-Propylbenzene ND 0.5 2-Chlorotoluene ND 0.5 4-Chlorotoluene ND 0.5 1,3,5-Trimethylbenzene ND 0.5 tert-Butylbenzene ND 0.5 1,2,4-Trimethylbenzene ND 0.5 sec-Butylbenzene ND 0.5 1,3-Dichlorobenzene ND 0.5 4-Isopropyltoluene ND 0.5 1,4-Dichlorobenzene ND 0.5 1,2-Dichlorobenzene ND 0.5 n-Butylbenzene ND 0.5 1,2-Dibromo-3-chloropropane ND 0.5 1,2,4-Trichlorobenzene ND 0.5 Hexachlorobutadiene ND 0.5 1,2,3-Trichlorobenzene ND 0.5 Naphthalene ND 0.5 QC Batch: V1 B0625A Surrogate Recovery: Bromofluorobenzene 114% 1,2-Dichlorobenzene-d4 102% ND= Not Detected Oil Page 2 of 2 E0963-05 CORPORATION Analysis Report: Purgeable Volatile Organics Client: GZA GeoEnviron mental, Inc. Analysis Date: 6/25/98 Client ID: Concentration in: ug/L Lab ID: Method Blank, V1B0625A Dilution: 1 Analysis: Method 524.2 Reporting Analyte Results Limit Dichlorodifluoromethane ND 0.5 Chloromethane ND 0.5 Vinyl chloride ND 0.5 Bromomethane ND 0.5 Chloroethane ND 0.5 Trichlorofluoromethane ND 0.5 1,1-Dichloroethene ND -0.5 Methylene chloride ND 0.5 trans-1,2-Dichloroethene ND 0.5 1,1-Dichloroethane ND 0.5 2,2-Dichloropropane ND 0.5 cis-1,2-Dichloroethene ND 0.5 Bromochloromethane ND 0.5 Chloroform ND 0.5 1,1,1-Trichloroethane ND 0.5 Carbon tetrachloride ND 0.5 1,1-Dichloropropene ND 0.5 Benzene ND 0.5 1,2-Dichloroethane ND 0.5 Trichloroethene ND 0.5 1,2-Dichloropropane ND 0.5 Dibromomethane ND 0.5 Bromodichloromethane ND 0.5 cis-1,3-Dichloropropene ND 0.5 Toluene ND 0.5 trans-1,3-Dichloropropene ND 0.5 1,1,2-Trichloroethane ND 0.5 Tetrachloroethene ND 0.5 1,3-Dichloropropane ND 0.5 Dibromochloromethane ND 0.5 1,2-Dibromoethane ND 0.5 Chlorobenzene ND 0.5 1,1,1,2-Tetrachloroethane ND . 0.5 G Page 1 of 2 E0963-MB MITKEM CORPORATION Client ID: Lab ID: Method Blank, V1B0625A Reporting Result Limit Analvte , Ethylbenzene ND 0.5 Xylenes(total) ND 0.5 Styrene ND .0.5 Bromoform ND 0.5 Isopropylbenzene ND 0.5 Bromobenzene ND 0.5 1,1,2,2-Tetrachloroethane ND 0.5 1,2,3-Trichloropropane ND 0.5 n-Propylbenzene ND 0.5 2-Chlorotoluene ND 0.5 4-Chlorotoluene ND 0.5 1,3;5-Trimethylbenzene -ND 0.5 tert-Butylbenzene ND 0.5 1,2,4-Trimethylbenzene ND 0.5 sec-Butylbenzene ND 0.5 1,3-Dichlorobenzene ND 0.5 4-Isopropyltoluene ND 0.5 1,4-Dichlorobenzene ND 0.5 1,2-Dichlorobenzene ND 0.5 n-Butylbenzene ND 0.5 1,2-Dibromo-3-chloropropane ND 0.5 1;2,4-Trichlorobenzene ND 0.5 Hexachlorobutadiene ND 0.5 1,2,3-Trichlorobenzene ND 0.5 Naphthalene ND 0.5 QC Batch: V1 B0625A Surrogate Recovery: Bromofluorobenzene 108% 1,2-Dichlorobenzene-d4 102% ND= Not Detected 013 a Page 2 of 2 E0963-MB CORPORATION Analysis Report: Purgeable Volatile Organics Client: GZA GeoEnvi ron mental, Inc. Analysis Date: 6/26/98 Client ID: Concentration in: ug/L Lab ID: Method Blank, V1 B0626A Dilution: 1 Analysis: Method 524.2 Reporting Analyte Results LlmiY Dichlorodifluoromethane ND 0.5 Chloromethane ND 0.5 Vinyl chloride ND 0.5 Bromomethane ND 0.5 Chloroethane ND 0.5 Trichlorofluoromethane ND 0.5 1,1-Dichloroethene ND 0.5 Methylene chloride ND 0.5 trans-1,2-Dichloroethene ND 0.5 ' 1,1-Dichloroethane ND 0.5 2,2-Dichloropropane ND 0.5 cis-1,2-Dichloroethene ND 0.5 Bromochloromethane ND ; 0.5 Chloroform ND 0.5 1,1,1-Trichloroethane ND 0.5 Carbon tetrachloride ND 0.5 1,1-Dichloropropene ND 0.5 Benzene ND 0.5 1,2-Dichloroethane ND. 0:5 Trichloroethene ND 0:5 1,2-Dichloropropane ND 0.5 Dibromomethane ND 0.5 Bromodichloromethane ND 0.5 cis-1,3-Dichloropropene ND 0.5 Toluene -. ND 0.5 trans-1,3-Dichloropropene ND 0.5 1,1,2-Trichloroethane ND 0.5 Tetrachloroethene ND 0.5 1,3-Dichloropropane ND 0.5 , Dibromochloromethane ND 0.5 1,2-Dibromoethane ND 0.5 Chlorobenzene ND 0.5 1,1,1,2-Tetrachloroethane ND 0.5 014 Page 1 of 2 E0963-MB CORPORATION Client ID: Lab ID: Method Blank,V180626A Reporting Analyte Result Lima Ethylbenzene ND 0.5 Xylenes (total) ND 0.5 Styrene ND 0.5 Bromoform ND 0.5 Isopropylbenzene ND 0.5 Bromobenzene ND 0.5 1,1,2,2-Tetrachloroethane ND 0.5 1,2,3-Trichloropropane ND 0.5 n-Propylbenzene ND 0.5 2-Chlorotoluene ` ND 0.5 4-Chlorotoluene ND 0.5 1,3,5-Trimethylbenzene ND 0.5 ` tert-Buty[benzene ND 0.5 1,2,4-Trimethylbenzene ND 0.5 sec-Butylbenzene ND 0.5 1,3-Dichlorobenzene ND 0.5 4-Isopropyltoluene ND 0.5 1,4-Dichlorobenzene. ND 0.51 1,2-Dichlorobenzene ND 0.5 n-Butylbenzene ND 0.5 1,2-Dibromo-3-chloropropane ND 0•5 1,2,4-Trichlorobenzene ND 0.5 Hekachlorobutadiene ND 0.5 1,2,3-Trichlorobenzene ND 0.5 Naphthalene ND 0.5 QC Batch: V1 B0626A . Surrogate Recovery: Bromofluorobenzene 112% 1,2-Dichlorobenzene-d4 r 106% ND= Not Detected J Page 2 of 2 E0963-MB MITKEM CORPORATION Lab Project#: E0963Ml OEM Client Name: GZA GeoEnvironmental, Inc.. Client Proj#: 31751.13 Logged In By: Client PO#: 3-02043 Project Name: Residential Well Sampling Reviewed By: Date Due: 6/26/98 Total Price: $ - Date: 6-2y—`1$ Time: j yd Project Mgr: PAS Salesman: PAS Del Req'd: 1Std `&Rawh `Data Completed?: YES Lab ID Client ID Matrix Analysis Price Sampled Received TPH IR B A Herb I'P Wet Ike V- C V-AIS Sys¢ -01 RW-22 AQ 524.2 6/19/98 6/22/98 1 -02 RW-21 AQ 524.2 .6/19/98 6/22/98 1 -03 RW-16 AQ 524.2 6/19/98 6/22/98 1 -04 RW-2 AQ 524.2 6/19/98 6/22/98 1 -05 Trip Blank AQ 524.2 6/19/98 6/22/98 1 TPH Ili 13NA Herb P/P )yd Met V-GC V-MS 5.uh O E sRlDehverabl added '0 0 0 0 0 0 0 0 5 0 ORIGINAL REPORT GOES TO: INVOICE GOES TO: ADDITIONAL REPORT GOES TO: GZA GeoEnvironmental,Inc Attn: Hilary Fortune Same None 140 Broadway Phone: 401 421-4140 Providgnce,RI02903 Fax: 401 751-8613 C" 6/24/98 1:28 PM Page 1 of 1 Lab Project M E0963 WHITE COPY-Original YELLOW COPY-Lab Files PINK COPY-Project Manager W.O. O ` 6 CHAIN-OF-CUSTODY RECORD (for lab use only) ANALYSES REQUIRED Sample Date/Time Matrix u z _ ? I.D. a 7i, m tti s sn 7 � m g e Total (Very Important) GW=Ground W. $ a3 a V1pot Note SW=Surface W. 7 WW.Wasre W. "'. o 0 0 7 (7 9 OW=Drinking W. 7 ,`" e'u a m n $ o �j�{{ (U __a (S j a m N Cont. p Olher(pecX ] 2 (U7 1 1 1 1 1 is d F- a F IL 2 RW- Zl Ufa 2 A /� 1-3 VO Z no Z /7sS Z r PRESERVATIVE (CI-HCI,N-HNO,,S-H,SO.,Na-NaOH,O-Other)* CONTAINER TYPE (P-Plastic,G-Glass,V-Vial,T-Teflon,O-Other)' RELINQUISHED BY: Affiliation), DATE/TIME R BY:(Affiliation) NOTES:Preservatives,special reporting limits,known contamination,etc.: Unless otherwise noted,all VOA vials have been preserved w/1:1 HCL.) RELINQUISHED BY:(Affiliation) DATE/TIME R IVED (on) �) RELINQUISHED BY:(Affiliation) DATEITIME RECEIVED BY:(Affiliation) //�I/y- �L PROJECT MANAGER: A/ ' TURNAROUND TIME:❑Standard ❑ Rush V_Days,Approved by: GZA FILE NO. `� 7f/ P.O. N.O. GZA GEOENVIRONMENTAL, INC. ENGINEERS AND SCIENTISTS PROJECT 140 Broadway' PROVIDENCE,R1.02903 LOCATION (401) 5 a0 / FAX(401)1)751-8613 � COLLECTOR(S) L r SHEET Of MITKEM CORPORATION Sample Condition Form Page_of Received By: Reviewe Date: MITKEM Project: Client Project: Client: Sample ID Preservation(pH) Comments/Remarks/ Condition: Lab Client HNos H2SO4 HC1 NaOH Corrective Action* 1)Custody Seal(s) Present/Absent Coolers/Bottles Intact/Broken 2)Custody Seal Number(s) 3)Chain-of-Custody Present/Absent 4)Cooler Temperature Coolant Condition 5)Airbill(s) Present/Absent Airbill Number(s) 6)Sample Bottles Intact Broken Leaking 7)Date Received 8)Time Received 9)Project Due Date * See Sample Condition Notification/Corrective Action Form yes/no U�8 TOWN OF BARNSTABLE •LOCATION �,41�f'�/ R� SEWAGE #e J VILLAGE �"�, ASSESSOR'S MAP & LOT �M ® —OU_ ZJ3 INSTALLER'S NAME & PHONE NO. cr u SEPTIC TANK CAPACITY 5 0® LEACHING FACILITY:(type) j 3��w�i. c�s�kC (size) NO. OF BEDROOMS S PRIVATE WELL OR PUBLIC WATER / BUILDER OR OWNERIV DATE PERMIT ISSUED: 11ij19171 r ; DATE COMPLIANCE ISSUED: A—� VARIANCE GRANTED: Yes - No i /SoI ' R04--°?CT-OWN OF BARNSTABLE ?,OCAY'ION SEWAGE # .� VILLAGE Qy�'V,� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. .��, SEPTIC TANK CAPACITY / LEACHING FACILITY:(type) ,��ud �_SI°DPS(size) NO. OF BEDROOMS S PRIVATE WELL OR PUBLIC WATER'PRJVATC- BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No .� �, .�j :. � a � ^� � CJ' w .,; . _ y,, � � � � � �. �� � o � r ��.� t �� � ` a �/ 4 �®x .- ,� 3 - _ a fi `Q^V^` 0 " No...�..�_.�......::�j�� �— U'�" ✓ Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH LMJ...V:..............OF..... ..................................... , pphration for DhipmFai Works Tonstrnrtinn Vamit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ;1�1 ocalieli- bd"e;�S_ or I of No. ...... _..----------------------�...c � ..--- � ��.. . ...................................................... .. Address Installer Address ��¢S Type of Building cc�i Size Lot . r_i.__........S}--#eet Dwelling 9o. of Bedrooms______________________41___________-.._.._Expansion Attic �l`! Garbage Grinder Other—T e of Building No. of persons____________________________ Showers — Cafeteria p-' Other fixtures _ __ W Design Flow.......................... R_�_____..gallons per person pjr day. Total day flow......._��___�_ .....................gallons. R: Septic Ta —L _iquid capacity_15&gallons Length_ b.___..___ Width___�T____._.... Diameter________________ D p`t�h.... �� Disposal Uh—No............1!:____._ Width____ ...... Total Length._.__...... Total leaching area_.__Z_`#'C�---Sq. ft. Seepage Pit No_____________________ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosin tank ( f� Percolation Test Resul Performed by. __ Date___________________________ _ Test Pit No. i. _____..minutes per inch Depth of Test Pit------9---------- Depth to ground water_._ 1_-5;_______-- lx, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ i•-••---•--••-•---------•--•••--••••- ---•••••-•-------------••-••--------------...._•-•••••-_-•--•--•••-•-•--------------•---•----••--p-.........� Description of Soil © .•-•--- -- ,`iC? ��G.�-.. ......-� �� U �M�� t Lam = =7 ---------------------------............................................................................................................................................................................. 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance s been issued by pthboard of health. Signed ... r1A--- ------------- ---------���....--7.`. Da Application Approved By .. - - ... `¢-' ' . Date Application Disapproved for the following reasons: ................................... ................................................ --------------- --------------------- ,�-� / Dace Permit No. *--''�_- � // ``�/ Issued l� --........- --�----- ------ ------ - --------- --------.-----.---.. ....--------- -- Date f � F.; A- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..0.............OF.....�.j...-.. �.n:.. .? 'C t Applirattiun for Disposal Works Tonstrurtiun Prrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at —U (( Locatied- Address i or Lot No. W ----•-...i+�t/ �,1:!-:_Y ._ C! �/ u - ...... Addres— ,-� -I'•-- Installer Address Type of Building Size Lot----�f1•�•_�_.......... et �-, Dwelling"'No. of Bedrooms............................................Expansion Attic 04> Garbage Grinder Q—�6 `4 Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures r... ________________________ W Design Flow........................... __.4J__.....___gallons per person pqr day. Total daily flow....... ......................gallons. W Septic TaUK Liquid'capacity.l-?-W_�-gallons Length.W .-......•.. Width.. __-_-____ Diameter................ Depth_._� � x Disposal —No. ...........I........ Width....1�--...... Total Length___•A....... Total leaching area___6.44)___sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( i 1 Dosing tank '-' Percolation Test Resul Performed by.__ `f13;�=_.' _ _.`fi:__.r: �r '_s.__i Date.___._t..........�{'___��.. --•-• - ' „a Test Pit No. 1. ___..Z-•__minutes per inch Depth of Test Pit------Z--__---_-_- Depth to ground water.__;,41__.._.__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ....-•----•------------•--•-------------------•---•---•------•--------•-------------•--...-----..............-••-••--••-•..... .... ,� D Description of Soil-- `2L g----- �"vZr'!y�... ,_' C (3`.a1 L 1— 4 Met `;,A,PQ.__�5vyPcv ���"t�,�Ca f........................•_.._ ._ _...._. _ ............... U --- ••----•-:---------•-••-----••-•---•-•-------------•---•--•-•---•-•-••••••••-•.......-•-•••••-•••-- W 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance s been issued by th board of health. Signed . .. .. / -- -------------------- -- ------ ` V/ 9---w .. Application Approved B 21 I?ate Application Disapproved for the following reasons: ..................... /-........:--- --.......-- ....---- ..------.....-----. -- --- --------. ........................................................ Date Permit No. �'. �0. Issued -------------�,1 '�'/ ���------- D�w THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH .............................CA- ...-- Terlifi ate of (Eantlatianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( " or Repaired ( ) by .............................. ................ .......... ........................... ................ ..........................- ....------14------..............-...--------.....--------------------------------------------------- Y � I Installer at -----YMP.11...----..�.....J�f..f . l'.f. .(.:.f /,/) ...........................................` '/ ----- -------------------------------------------- --- ------ has been installed in accordance with the pr visions of TITLE 5 of-The State Environmental Code as described in the application for Disposal Works Construction Permit No. '..-,., " ...... dated �...� '" ," -t,7 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........L... ---...�. ............. Inspector .... = ... .......................... 11 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / a ,r��r ..OF ► � 'P'0 No. FEE. Disposal Works C5unstrnrtiun rrmit Permissionis hereby granted.............................................................................................................................................. to Constr ortepatr ) at Indivual Sewage Dis osal Sy tem _ .� i r r -u at No.. ..._. _.. C 1........ :........... . ----- ._... - ....................•• . •......... Street as shown on the application for Disposal Works Constructi itj°. ated. '. r Boa o Health DATE ----•----- 1.11?4-------•----•--------------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -------- BOARD OF HEALTH TOWN OF BARNSTABLE Appritation,forW1 CootructiodPrrmit Application ' here y made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: -- -- L anon — A dress — Assessors Map and Parcel Owner 0 Address ------—------------- ---- Installer — Driller Address Type of Building Dwelling—----------- - - ----- -- - Other - Type of Building-------________—__ No. of Persons-----------" —-- Type of Well--------- ----- -- ------------___—__ Capacity------------------- --- Purpose of Well--- —=------ —----- -- — 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—-- -- ---- — - - - - - - - - -—_—-_----- - date Application Approved —_—— — date Application Disapproved for the following reasons:------------------------------------_____—__—_________ ----------- date Permit No. f --------------- Issued-------_ date BOARD OF HEALTH TOWN OF BAR-NSTABLE C ertif hate ®f compliance , THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) - ---- ----- - --- - - - — ---------------—-------------------- - ---- Installer at- - -- - — -- —— - --- -_—__--—----_ —— ---------------- has been installed I 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. ?3=Z /Dated--------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------------------------------------------------------------------- Inspector----------------------------------------=-- -- -- - - � r No.-------- Fee--------------------- BOARD OF HEALTH TOWN[ OF BARNISTABLE 2.ppricat ion-*rVell Con0ruct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: I . -— --- --------- - "xG'—! - -------0--te'-C�------- -- -- --' �Jo -- -- r L cation — Address Assessors Map and Parcel ----------k 3/-� � '� F --------- ------------------------------------------- r/� Ownerr �� 4_______________________ -------------- — Address -----------z---------�—Q �.,+- Pam_-------------------------= - d ----- ---------------------------------------------------------------------------------------------- Installer — Driller Address Type of Building Dwelling------------------------------------------------------------------ Other - Type of Building-------------------------------------- No. of Persons--------------------------------------------------------, Typeof Well-------------J----- - ---- ------------------------------ Capacity---------------------------------------------------------------------------- Purpose of Well----------------- - - -- -------------- 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---------------------------------------------------------------------— ------------------------ date Application Approved By---(-- ----------- date Application Disapproved for the following reasons:--------------------------------------------------------------------------_-_----------------------------_ ------------------------------------------------------------------------------ ------------------------- date PermitNo. ------------------------------------ Issued - ---:- --- - - _ -------------------------------- date BOARD OF HEALTH TOWN[ OF BARNISTABLE F E (Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) 1 by----------------- -'(<<�""'' -------------------------------------------------------------- Installer � � — ------------- �GJ C_ _-----_--------------- ------ has been installed ilk accordance with the provisions of the Town of Barnstable Board of Health Private Well Protectioh Regulation as described in the application for Well Construction Permit No. - -=��--` ---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 BARNISTABLE ' Veil (Con5truct ion Permit No.�N_1 3_ ---- Fee - -r--. Permission is hereby granted-- = ------------------------------------------------------------------------ to Construct (y) A Iter ( ), or Repair ( ) an Individual y ell at. No. ------------- L�' - - '----G Z----------- ----------------------------------------— --- — s----_= - ----------- -------——- ------ Street as shown on the application for a Well Construction Permit No.- — — ------------------------------------- Dated--------------- == �' _ -��------------------------------------- --------------------------- ---------- ------------------------------- oard of Health DATE------------------------------------—----------------------------------------- RECEIVED E ROTECH LABORATORIES �� vI-S j' J A N 6 1994 Mass. Cert.#:MA063 449 Route 130 Sandwich,MA 02563 • (508) 888-6460 ;. TMOF009ABIf CLIENT: ur�an Rogers /& Marney LOCATION: Lot 15 off Bailey Rd. ADDI�-* Cotui t, MA COLLECTED BY: D. LaJoie SAMPLE DATE: 12-22-93 TIMES:00PM DATE RECEIVED: 12-22-93 SAMPLE ID:B26 JOB#: New well WELLDEPTH: RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units 6.0-8.5 5.26 Conductance umhos/cm 500 116 .. Sodium C,. . : .mg/L 28.0 14.5 Nitrate-N_' mg/L 10.0 0.02 ' r . -mg/L' 0.3 _. . . _ 0.09 .... 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 _624 . _ . __.. .___._ -. _ ..._ _ug/L._ COMMENT# See report attached. -;ow pH-'indicates'high-"corrosive"characteristics �7.". YES ^•- NO ax WATER IS SUITABLE FOR DRINKING PURPOSE R 4 P RS TESTED. DATE I L d APUCK LABORATORIES, INC. 50 Hunt Street CHEMICAL ANALYSIS Watertown,MA 02172 BACTERIOLOGY I617 923-0 00 WATER ANALYSIS( ) 3 FOOD ANALYSIS REPORT SPECIFICATION TESTING LAB. NO. 42681 Client I .D.-Project Rogers & Marney Volatile Organic - EPA Method #524 in ppb (ug/L ) RESULT MCL DETECTION LIMIT Benzene LT 5 . 0 0 . 5 Bromobenzene LT 2 . 0 0 . 5 Bromochloromethane LT 2 . 0 0 . 5 Bromodichloromethane LT 100 . 0 0 . 5 Bromoform LT 2 . 0 0 . 5 Bromomethane LT 2 . 0 0 . 5 n-Butyl Benzene LT 2 . 0 0 . 5 Sec-Butyl Benzene LT 2 . 0 0 . 5 Tert-Butyl Benzene LT 2 . 0 0 . 5 Carbon Tetrachloride LT 5 . 0 0 . 5 Chlorobenzene LT 2 . 0 0 . 5 Chloroethane LT 2 . 0 0 . 5 Chloroform 10 2 . 0 0 . 5 Chloromethane LT 2 . 0 0 . 5 2-Chlorotoluene LT 2 . 0 0 . 5 4-Chlorotoluene LT 2 . 0 0 . 5 Dibromomethane LT 2 . 0 0 . 5 1 , 2-Dichlorobenzene LT 2 . 0 0 . 5 1 , 3-Dichlorobenzene LT 2 . 0 . 0 . 5 1 , 4-Dichlorobenzene LT 75 . 0 0 . 5 Ortho-Chlorotoluene LT 2 . 0 0 . 5 Dibromochloromethane LT 2 . 0 0 . 5 1 , 2 Dibromoethar_e (EDB) LT 0 . 10 0 . 5 Dichlorodifluoromethane LT 2 . 0 0 . 5 1 , 1 Dichloroethane LT 2 . 0 0 . 5 1 , 2 Dichloroethane (EDC ) LT 5 . 0 0 . 5 1 , 1 Dichloroethylene LT 7 . 0 0 . 5 Cis 1 , 2 Dichloroethylene LT 2 . 0 0 . 5 Trans 1 , 2 Dichloroethylene LT 2 . 0 0 . 5 1 , 2 Dichloropropane LT 2 . 0 0 . 5 1 , 3 Dichloropropene LT 2 . 0 0 . 5 2 , 2-Dichloropropane LT 2 . 0 0 . 5 1 , 1-Dichloropropene LT 2 . 0 0 . 5 cis-1 , 3-Dichloropropene LT 2 . 0 0 . 5 trans-1 , 3-Dichloropropene LT 2 . 0 0 . 5 i Consulting & Testing Services for over 20 Fears... This report is rendered upon the condition that it is not be be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our name without special permission in writing.Total liability is limited to the invoiced amount.The results listed refer only to tested samples and/or applicable parameters. LA-PU- LABORATORIES, INC. 50 Hunt Street CHEMICAL ANALYSIS Watertown, MA 02172 BACTERIOLOGY F - (617) 923-0300 WATER ANALYSIS FOOD ANALYSIS SPECIFICATION TESTING LAB. NO. 42681-Project Rogers and Marney - 2 - Volatile Organic - EPA Method #524 RESULT MCL DETECTION LIMIT Ethylbenzene LT 2 . 0 0 . 5 I3exachlorobutadiene LT 2 . 0 0 . 5 Isopropylbanzene LT 2 . 0 0 . 5 p-Isopropyltoluene LT 2 . 0 0 . 5 Methylene Chloride LT 2 . 0 0 . 5 n Propylbenzene LT 2 . 0 0 . 5 Styrene LT 2 . 0 0 . 5 1 , 1 , 1 , 2-tetrachloroethane LT 2 . 0 0 . 5 1 , 1 , 2 , 2-tetrachloroethane LT 2 . 0 0 . 5 Tetrachloroethene LT 2 . 0 0 . 5 Toluene LT 2 . 0 0 . 5 1 , 2 , 3-Trichlorobenzene LT 2 . 0 0 . 5 1 , 2 , 4 Trichlorobenzene LT 2 . 0 0 . 5 1 , 1 , 1 'Trichloroethane LT 2 . 0 0 . 5 1 , 1 , 2 Trichloroethane LT 2 . 0 0 . 5 Trichlorotrifluorethane LT 2 . 0 0 . 5 Trichlorofluoromethane LT 2 . 0 0 . 5 Trichloroethene LT 5 . 0 0 . 5 1 , 2 , 3-Trichloropropane LT 2 .0 0 . 5 1 , 2 , 3 Trimethylbenzene LT 2 . 0 0 . 5 1 , 2 , 4-Trimethylbenzene LT 2 . 0 0 . 5 1 , 3 , 5-Trimethylbenzene LT 2 . 0 0 . 5 Vinyl Chloride LT 2 . 0 0 . 5 Total Xylene LT 2 . 0 0 . 5 Recoveries of Internal Standards % Fluorobenzene 110 P-Bromofluorobenzene 86 1 , 2-Dichlorobenzene-d4 105 LT = Less Than Detection Limit Analysis Date - December 28 , 1993 D.E..P. MA -061 Consulting& Vesting Services for over 20 Years... This report is rendered upon the condition that it is not be be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our name without special permission in writing.Total liability is limited to the invoiced amount.The results listed refer only to tested samples and/or applicable parameters. _ b 0 go Lo c us M,� P Lo-[- 4110 5CAt E It 2S0oo \ i �lSS� �oc2S MAC 3 ► 1 o`T"r 1. /�e.EA 0 ►= Z07S 4C,I �� $ � 5 = 8 ,-7o AC,-i i 1 3 10-4 S,3 ! j v e �v TH 2- � / 2So.2 1 r 34q. S S7,S 3 ' y' S /0•40 10 f 'Fux-t2 T 4 i r _ VJo ' _— 1 I ?--OKACA PC-Ad rn/iiL, _ t2 aLaP, T E M A, 7A QF_-L.. 2'ZOr-?5 V /\I— •DA i LY F L o v.1 �s o 6. P I]• � 5EPT)C_ 7-AQti S25 G, P C). C (D -TAk.)K DISj osAL t=�c _A� — V. C (.a) cE,' ;=Lo-� DlrFuSowS i ! r?Cip / sl � C� w= 3 �2 L FI7 >< k(5 Its 5 F• SG4� as � � OCT ►S D vonU_ TL , I`��3. • E s 1? /23- 1 a i y S3 t Z s 2 = .Ca c . 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