HomeMy WebLinkAbout0765 OLD POST ROAD (CT & MM) - Health (2) f 765 OLD POST R%COTUIT l
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TOWN CV,F, BARNSTABI.E
LOCATIQN. � l�G�' ��f CQ l 1�,� SEWAGE
VILLAC7E_____� �: ASSIsSSC)F.'S MAPt I.OT���_
i- S TA LLER'S NAME & PHONE
SEPTIC TA14K CAPACITY
LEACHING FACILITY:(tyge) -_ & 2 (Size)
NO. OF LEDRO0?dS -3 _PRIVATE WELL OR PUBLIC: WATEIt.M_._
BUILDER OR OWNER
]DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED__
VARIANCE GRANTED: Yes ,_____�_�No _
d4-?of
Massachusetts Department of Environmental Protection
Bureau of Resource Protection
Well Completion Reports
I
Well Driller
Please specify work performed: Address at well location:
Street Number: Street Name:
765 OLD POST RD
Please specify well type: Building Lot#: Assessor's Map#:
Irrigation --——� 073
Assessor's Lot#: ZIP Code:
Number Of Wells: 026 02635
City/Town:
Well Location BARNSTABLE
In public right-of-way: GPS
G Yes i^No North: West:
41.62863 70.41663
Subdivision/Property/Description:
Mailing Address:
click here if same as well location addres
Property Owner: Street Number: Street Name:
PETER FIELD PO BOX 16
City/Town: State:
Engineering Firm: (O Q� BA€tNSTAUff MASSACHUSETTS
ZIP Code:
02635
Board of health permit obtained:
t:YesCNot Required
Permit Number: Date Issued:
W2021057
L
Massachusetts Department of Environmental Protection
Bureau of Resource Protection-Well Driller Program
Well Completion Reports(General)
n
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
uger Choose Bedrock-
WELL LOG OVERBURDEN LITHOLOGY
Fromn)
To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition
stem drill rate of fluid
0 20 Bro
YES NO � Loss Addition
20 30 Fine To Coarse S�[�` Brown — {` Fast{ Slow r
YES N0 Loss Addition
30 45 Medium Sand sew Brown { _ C C"
(- Fast! Slow
--- YES NO __�__� Loss Addition
........
45 55 Fine To Coarse Si!' (�Brown r
YES lW "Fast Slow Loss Additron
WELL LOG BEDROCK LITHOLOGY
Ero
- - -..........._... .. .._........ ..... ....... . ....Dropin Extra fast or Loss or Visible Rust Extra
m(ft) TOM) Code Comment addition of Large
drill stem slow drill rate fluid Staining Chips
( C r
C-1 C Choose Code i Yes ) Yes
— YES
— 'NO Fast Slow Loss Addrhon
ADDITIONAL WELL INFORMATION
Developed I r Yes(7 No Disinfected t Yes t hb
Total Well Depth 55 Depth to Bedrock
p p
Surface Seal Type None racture Enhancement `Yes C No
CASING I�Is Casing above ground?
From To Type Thickness Diameter Driveshoe
51 Polyvinyl Chloride C Schedule 40 'Yes
SCREEN No Screen
— -- --...__...... _._..................—-..-.......-.._.._.__....- ---.-...._...._.................__.............................._..—....._............................ ............................_......................................
From To Type Slot Slze Diameter
51 55 Stainless Steel Well Point j 0.010 (4��
.- .,,.._ ......... ................. ............. _ .... . . -.. ....._.-_..
WATER-BEARING ZONES I-DRY WELT
From To Yield(gpm)
36 55 12——
PERMANENT PUMP(IF AVAILABLE)
Wire Constant Speed
Pump Description Horsepower
Submersible 1�
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
Pump Intake Depth(ft) 50 Nominal Pump Capacity(gpm) 20
ANNULAR SEAL/FILTER PACK
From To Material 1 Weight Material 2 Weight Water Batches Method Of
(gal) (count) Placement
Choose Material Choose Matenal — J`Choose One l-
WELL TEST DATA
Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft
(HH:MM) BGS) (HH:MM) BGS)
10/29/2021 {Constant Rate Pump ) g777] 01:30 38 __ 00:01 36
WATER LEVEL
Date Static Depth BGS(ft) Flowing Rate(gpm)
Measured
— -- -- .
.-
10/29/2021 �36
COMMENTS
WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete
and accurate to the best of my knowledge.
WILLIAM Supervising Driller DESMOND,
DrillerURQUHART Registration# 877 Monitoring[M] Signature PATRICK,
DESMOND WELL
Firm DRILLING INC. Rig Permit#, 0551 Date Job Complete 11/09/2021
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
ENVIROTECH LABOR,4 TORTES, INC.
MA CERT. NO.:M-MA 063
• 8-Jan Sebastian Drive Unit 12
Sandwich,MA 02563
(508)888-6460 1-800-339-6460
FAX(508)888-6446
Client Name: Desmond Well Drilling Location
Address: PO Box 2783 765 Old Post Rd
Orleans, MA Cotuit,MA
02653 Lab Number: DW-215248
Collected By: Desmond Well Drilling Date Received: 11/02/21
Sample Type: irrigation Well Specs: 55/36
�-Location source � �� i Date ColiectedP b
1,1101121
Antdysts Requested Units Recommended Limits 'Analysis Result Method ,Dat eAna4vze.dj Analyzed Ay
a
Total Coliform CFU/100mL 0 0 SM9222B 11/02/2021 CF @ 1445
_ .•.•m r�. M .,.: .:
pH pH units 6.5-8.5 7.43 SM 4500 H B 11/02l2021 SD
.....__ ........ ..._ ;._ _
Specific Conductances umhostcm 500 69 EPA 120 1 11/02/2021 SD
Nitrite-N mg/L
._.., 1.0,0 0.006 EPA 360.0 11/02/2021 ' SD
.....
Nitrate-N mg/L 00 0.04 EPA 300.0 11/0212021 SID _
_g - <0.01 EPA 200.7 11/04/20
Sodium m /L 20 0 9.3 EPA 200.7 11/0412021 KB
Total ... mg/L 0,3 21 `KB
_ _,,_..mm _..m _.- �- .
Manganese mg/L 0.05 <0 005 EPA 200.7 11/04/2021 KB
Comments:
All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met,
unless otherwise noted at the end of a given sample's analytical results.
We certify that the following results are true and accurate to the best of our knowledge.
Water meets EPA standards and is suitable for drinking for parametersi tested.
Date 11/9/2021
... -
Ronald J.Saari
Laboratory Director
I
BRL Below Reportable Limits *See Attached Page 1 of.1
taCertification is not available,%or this analyte for potable wati:r sarrtples..
OF B;ril��
sa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
,Z SUPERIOR COURT HOUSE
0 BARNSTABLE, MASSACHUSETTS 02630
J
e PHONE: 362-2511
�tAS`� November 2, 1989 EXT.330
LAB 337
George Hallis / CLINIC 340
765 Old Post Road
Cotuit, MA 02635
Dear Mr. Hallis:
The purpose of this letter is to relay results of soil vapor
analyses done on the monitoring well near your 500 gallon oil tank.
Unfortunately, it did show trace signs of soil contamination.
Although we were not able to determine the exact source or
extent of the contamination, we feel the situation needs further
investigation. As a start, I would recommend excavation to the tank
surface to check the pipes and fittings and to get a better idea
of the source and extent of soil contamination. At that time, the
contractor may be able to give you an assessment of the overall
condition of the tank itself and make a recommendation relative to
its removal.
Since the tank is 12 years old, it does need to pass a
tightness test to stay in service under Barnstable Board of Health
regulations. Since the results of the soil vapor test were
inconclusive, you would need to have a "precision" test performed
to prove the tank's soundness. You might also consider just
removing the tank - this would then eliminate any future threat.
Since the house is now empty and up for sale, this may be the most
convenient time to replace the tank with one in the basement. For
your use, I have enclosed lists of companies who do tank removals
and precision testing.
If I can be of any further help, please give me a call at
362-2511 extension 334 .
Sincerely,
Charlotte Stiefel
Program Coordinator
Underground Storage Tanks
enclosures
cc. Barnstable Board of Health i
Cotuit Fire Department
�yoF,THE To�o TOWN OF BARNSTABLE
OFFICE OF
DAB39TABL ' BOARD OF HEALTH
� p 39. 367 MAIN STREET
HYANNIS, MASS. 02601
November, 7 , 1989
Mr. George Hallis
Hollis Corporation
21 Amble Road
Chelmsford, MA 01824
Dear Mr. Hallis :
The Town of Barnstable Health Department is in receipt of
your 2000 gallon #2 fuel oil underground tank soil vapor
analysis results performed by Charlotte Stieffel of the
Barnstable County Health & Environmental Department , at the
location of 765 Old Post Road, Cotuit. The results of the
test indicate that there are trace signs of soil
contamination possibly indicating a leak in your tank.
You are directed to have your. underground tank tested
by a "precision" test to prove the tank's soundness .
If the test indicates the tank. is leaking then you are
directed to remove it immediately.
You are directed to have this testing performed by
November Z.$, 1989 and to provide the Town of Barnstable
Health Department with a copy of the test results .
You may request a hearing before the Board of Health if
written petition requesting same is received within seven (7)
days of receipt. of this notice.
We have also been made aware of a discrepancy in the
size of the tank . When it was initially registered by Nancy
Cruckshank we were informed that it's capacity was 2000
gallons but, LCR and the County Health Department have it
listed as a 500 gallon tank.' Would you please verify the
size and indicate to us where brass valve •tag #670 is located
since at the time of testing it was not attached to the fill
pipe of the underground tank..
PER ORDER OF THE OARD OF .HEALTH
l/
Thomas McKean
Director of Publ�Health
cc : Chief Paul Frazier, Cotuit Fire Department
Tank .Testing Information
TOWN OF BARNSTABLE .`
LOCATION_ 7( 5 6L J I"a S ' j«Q SEWAGE #_ 9 3 3 t p
VILLAGE . ,.�Cj �- v T ASSESSOR'S MAP & LOT 0,7 3 - ®16
INSTALLER'S NAME & PHONE NO. l� �j4(1/I kt s J�� D / "
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size) v2 cov t�
NO. OF BEDROOMS PRIVATE WELL Olr g WATER
BUILDER OR OWNER �. lie �So►tiJ
DATE PERMIT ISSUED: 3
DATE COLIPLIANCE.ISSUED: 50 / ,3
VARIANCE GRANTED: Yes -,No
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No. -- FEs......1W.........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
--%®-!r.?.._.................OF.....
�- '4
Appliratiun for Uiipuual Vorkti Tonutrurtiun rautit
Application is hereby made for a Permit to Construct (9( ) or Repair ( ) an Individual Sewage Disposal
System at:
tion- ess �or I�LNo. T
.......---•---------
Owner Address
a .. G_v-o- ...�.................................................. �5------
Installer Address
Q Type of Building Size Lot__S t__.._Sq. feet&P-M-~%.
Dwelling—No. of Bedrooms.______________________________________Expansion Attic ( ) Garbage Grinder (AjQ
Other—T e of Building ............................ No. of persons____________________________ Showers — Cafeteria
C4 Other fixtures -------------------------------- -
W Design Flow______________�5_....................gallons per person per day. Total daily flow____` x.�!G_-_ `��_____..gallons.
R: Septic Tank—Liquid capacityA gallons Length---!�9........ Width__. . _._ Diameter------
-------- Depth__S_'-S__--
Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No-------Z---------- Diameter._._...i6®_`__._. Depth below inlet...... Total leaching area.... 7....sq. ft.
Z Other Distribution box ()<) Dosing tank ( )
Percolation Test Results Performed by..._<67r'_P_µ ? .......AOV4*!-56_______________- Date_____:71el-____________-
iz_Test Pit No. I.:..............minutes per inch Depth of Test Pit_..._�`1'_____ Depth to ground water____ _._-_____-
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
0 Description of Soil--•---•-•--••_.....® z'. ...............................................................P� ' ma's.L
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 ii'I':,. 5 of the State Sanitary Code — The undersigned further agrees not to place the s stem in
operation until a Certificate of Compliance h:.�b%ed by the bo o h th.
Si ne
Date
Application Approved BY c/ U -• ................................. ---------
Date
Application Disapproved for the following reasons:.................................................-.............==...............................................
••-•----------------•-----........---•-•--------•------------•----------•-•----------•-•---•---......----------....•••-••••---•------•--•--•---••----•--•••••-••------•--•----•-----•--------•••-_-•-•-
q
Permit No ._.. I
Date
---- `���i.............. ssued.--------------�=--�-�'-�� �-
-•-•-• ---•---- -------..
Date
w. f
No..••••--••-•••.......... FIc$..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-------------- ..............._OF.........................................................................................
Appliration for Disposal Works Tonstrnrtian ramit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at: j
Location-Address or Lot No.
......................_.......................................................................... ..........--......................................................................................
Owner Address
W
Installer Address
d Type of Building Size Lot_-erg `_=......Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (tiFo)
a�W Other—Type of Building
---------------------------- No. of persons............................ Showers Cafeteria
Otherfixtures ..................................-- -------- --/----- ---------------- -- ---------.---� -l���-- � - ----•-- _( --)--
Deign Flow..............`. ._.. _- -_.-. allonserPersonPr day. Total daily flow____ �x . � �� ..____��ns.-.•------
� Septic Tank—Liuid caPacrtyl_ _gallons Length...... Width... Diameter----- _........ DePth..S.._b..__.
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No._-___.-Z----------- Diameter......i�!?........ Depth below inlet.......3:.;�...... Total leaching area._3 __j_....sq. ft.
Z Other Distribution box ()( ) Dosing tank ( )
Percolation Test Results Performed by... .....:.........................................................:.. Date-----_-- -----.__.._._.•--_--...
W ,
,.1 Test Pit No. I...�' '.._._minutes per inch Depth of Test Pit.....1�........ Depth to ground water..../-__'`-__----_-__.
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-•-------------- -- =---------------- -------------------------------------------------
--..-.--------•---•-----.--...--•--------•----------•-•-------------..---••----
OxDescription of Soil---------- � .,
---• ..... --- ----••-•-•-••---- -•--
..
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 TITI—I. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has tbee�ued by the boar-,I
oar `of-he lth.
Signed------ .. ===.="-------------- i
Date
ApplicationApproved BY � ................................................ ........................................
Date
Application Disapproved for the following reasons:---•-•---•-----------------•----...------------------------...--------------•-------------------•-----------•---
---------••-•-•-•••...........•-----------------•-••-••---•-•-------•---....-•••--------•....--•---....-•••--••----•-••--••••---•-------•-•-•-----••••--••-----•-----•-----••••--------••-••--•---------
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.1..0--.............0 F........
................................................
wrtif iratr of Tuntpliatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( O or Repaired ( )
bY------------------•----••----------•-------•----•-------------------------•- ------•----------------•---.-...----------•-------••---•---------- •-•-----------•--••---••-----------------•-
Installer
at-."f'.C&_S. z � �c- s ✓—' ...�; e_<�^z s�` -
-----••--••••-••---• •-••------------------------- ------•--•--•--------•----------•---•-----•-••••----•-------•-•-••----•-----•••-•--.....-•--••••-•---•--
has been installed in accordance with the provisions of TIiIE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......................................... dated............................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............. .•�.. ....................................... Inspector Inspector.......
-- -----------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
',der: _ O F.....� yrt ........S?"• �i
........ ..................................
No.-- ••=� � FEE..... .,
Disposal Works Tnnntrnrtiott rrntit
Permission is hereby granted ---- ---------=--- •--•-• =
to Construct ( ) or Repair ) an Individual Sewage Disposal System
at No' �`�........ .�-..._..� 'ST -�....:... �c..--z.....y-7^' ------•---------------••---•--•--------------------............
....... ...................••• .._.. e-•- -----
Street
as shown on the application for Disposal Works Construction Permit No. Dated..........................................
.r
tabard of Health
DATE-................. e = .
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
,� I
GENERAL NO TES :
_ 1 . THIS PLAN IS FOR THE DESIGN AND
p O S T J�O A D CONSTRUCTION OF THE SEWAGE DISPOSAL
OLD R-609•66 SYSTEM ONLY.
L. 20.00
N 84 05.10-E N
15 •00• 2. ALL CONSTRUCTION METHODS AND
ZONE : R F MA TER I AL S FOR THE SEPTIC SYSTEM
SETBACKS: FRONT - 30 ' SHALL CONFORM TO MASS. D. E. P.
m LOT SIDE - 15 ' T/ TL E 5 AND LOCAL BOARD OF HEALTH
'm I co
1 . 33f ACRE UPLAND Lo REAR - 15 " REGULA T/ONS.
` 3. ALL SEPTIC SYSTEM COMPONENTS LOCATED
c co
�` c^�, UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC
coOR GREATER THAN 3 ' IN DEPTH SHALL BE
CAPABLE OF WI THSTAND I NG H-20 WHEEL LOADS.
4. ALL SEWER PIPE SHALL BE SCHEDULE 40
i� — OR APPROVED EQUAL .
765
I EXI ST I NG 4 BDRM DWELL SN
I S T FL EL. 107P , _ _ _ SOIL TEST PIT DA TA 5. BEFORE CONSTRUCTION CALL "DIG-SAFE
GARAGE 96 I -800-322-4844 FOR LOCATION OF
L E 95.r o / _ _ _I—
/ � �sr�T � 9s.s< � � gyp; INDICATES V _ INDICATES UNDERGROUND UT1L I TIES.
/ _ fbd PERCOLATION = OBSERVED
,f—f 39'/-����� s p�POSED POOL HOUSE ADD 1 T(ON / ` 149 TEST — GROUNDWATER
/'f e�y %•�_ - 6. VERTICAL DATUM /S: ASSUMED
6 �f--- ✓ - Ti - P8.07 E3
lw
/' PATIO 23'Z, -"' GRND EL, 96
HOT TUB • • w G.W.EL. -r 7. FOR BENCH MARKS SET. SEE SITE PLAN.
DECK jo
-
:.�s /TP /�o i ✓ i ola a 8. EXISTING CESSPOOLS TO BE LOCATED. PUMPED
/PIT DRY AND BACKF/LLED.
4• PIT D-eo
3 V12• slim
o
4 / Rom•:.. ' _ _ ---- DESIGN CRITERIA :
IDES 1 GN FLOW:
_Y_BEDROOMS A T /l rr'
G. P. D. PER
s ItI >>j BEDROOM EQUALS YL G. P. D.
'' // r ' ' '' ' •'' � ' -" __-- .�=GARBAGE GRINDER
SEPTIC TANK REQUIRED:
BZ ` y� G. P. D. X 150X - �c
GAL .
DA TE:___L�f y SEPTIC TANK PROVIDED: S e``'' GAL .
TEST BY:
WI TNESSED 8Y: fA"} SIZE OF LEACHING FACIL I TY REQUIRED:
PERC RATE: Z MIN/INCH G G. P. D.
DESIGN PERC RATE - MIN/INCH
PROVIDED: 2 y "P1 TISJ W/ Z "STN.
SIDEWALL : S. F.X ? S - SSA GPD
TT M: S. F.X L - IS7 GPD
TOTAL : _ZZ GPD
', ",' � — � _ — ' / � . •• ��-����,%�.' 7� S. F. �
,� � / Q.✓i•i ��� iii -%��'
SLOPE CAL CS :
�v„��.- -" � ' � � � � � �ii✓.iii✓.�
"- ✓i i iii✓���PASµ 94.0 - 89.0
-- - --1• � � � M x 150 - 20'
T ..�
\ �1 � � ' •''iii✓ijj� / OF 37
`✓�.� r _ i�i✓� ii✓ G� ELEV AT 20' - 91 It
\ +- i��i�✓ EID BREAKOUT ELEVATION -
i 90.5 0.5 - 91.0 O.K.
SALT MARSH
EL . - 65. 0
ACCESS COVERS MUST BE WITHIN
FIRST 2' TO 12" OF FINISH GRADE
/ BE L EVEL
// t 8 • M. TOP L . C. B. 4' PVC r-MIN. 2' OF
SH!EDULE 4 '� PEASTONE
EL . - 75. 93 ,sE7
93.
93.t� 9/•x 9.0 S 3 S 3/4' - 1 1/2' D/A.
1 3 OUTLET WASHED STONE
ID I /0' MIN. /Soo GAL D-BOX --
1
m SEPTIC TANK 2- LEACH PITS
v
PROFILE : NOT TO SCALE
1 `v
Lnn a y?�; FRA 149t
WHITING a
0 No 28f�s9f-91 3
S / 7 L P L A /V O F— L A /V O
/ /V
coTU / T . "ASS .
SALT MARSH '
PRE-PARED FOR
I '
CRA / G B EP GS 7TR OM
SCAL iE : / — 3O .JUL Y 9 . / 99 .3
SP
I NG , I NC .
RR J O 5*6, cz 6 o cz rcz� L cz Z2 e
hrycznn t s , Mcz , 02 60 I
432 — 5333
0 15 30 60 JOB NO: 93-25/ FIELD: CFW/SAH CAL C: CFW/SAH CHECK: SAH DRN: SAH/CFW