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1190 OLD POST ROAD (CT & MM) - Health
e qo i TOWN OF BARNST.ABLE LOCATION�©�; S`i ,� ✓� �`�f.��� SEWAGE # VILLAGE C' S %,' 'i ASSESSOR'S MAP & LOT c INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY U U C, L _ LEACHING FACILITY:(typ�) "' �.T 2 (size) /U a U. NO. OF BEDROOMS PRIV LL PI)BLIC WATER_ BUILDER OR OWNER DATE PERa1IT ISSUED:_____ • DATE COMPLIANCE ISSUED:)2 — �� VARIANCE GRANTED: Yes No �� t ' bc " �= 4 1S^ �No ! F$s THE COMMONWEALTH OF MASSACHUSETTS ,BOARD OF HEALTH ....... lv i' ........OF......� �. ........................ Appl ration for Disposal Works Tunstrtution Prrunit Application is hereby made for a Permit to Construct ( A or Repair ( ) an Individual Sewage Disposal System at: �� r 7— ..... O .ate- �.. .�1�.1 l.._ .l .�.........._. _....-.._. o� d r w ....�` l i BHA.? 4s �?'��•• �...11 a. ....I C:�... .................. .. Installer Address Type of Building Size Lot. -04........Sq. feet Dwelling—No. of Bedrooms.....................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Ga Other fixtures ................... .............. W Design Flow.............?75.......................gallons per person per day. Total daily flow......... .................................gallons. WSeptic Tank—Liquid capacity4-` W_ lons Length................ Width....-i......... Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length............... Total leaching area..d ®�....sq. ft. 3 Seepage Pit No......Z......... Diameter....../®....... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (x) Dosin tank76 ( ) (�i9/JIDSO.L� a Percolation Test Results Performed by... 01 .............. ......... Date... ..!.. ..... ,.� Test Pit No. 1........�inutes per inch Depth of Test Pit...../7e....... Depth to ground water.....V.X>....... Li Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ... •------...... ......................................................... o .� Description of Soil ��... ...... .. ... U �---.. -•.......................•---•--••-----....... .................. ...M. M.....o W DESIGNING EN NE MUST SIJPEf'.'................ ............ . . .................... U Nature of Repairs or Alterations—Answer when applicable..TFT 5 W S-NS AL ED S l.y •----•-•---••i..................................•-•---...........-•---....................-•----------•---7OGORDANCE'TO-PLAN............................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 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. Application Approved By--._----- -•-----•............................................ Date lication Disapproved for the f ollouring reasons:........................................................................ ...........................................-................................. ---------------•----••._..........-----•-•-•••-•-- ..... - -- Date - i a THE COMMONWEALTHiOF MASSACHUSETTS 1 BOARD OF .HEALTH r ... ..... ......0F...... J.J. S !G Appliration for Disposal Works `onkrurtion thrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal , system at: Installer Address Type of Building" Size Lot . ........Sq. feet Dwelling—No. of'_Bedrooms............... ......................Expansion Attic ( ) Garbage Grinder ( ) Other—.Type T e of Building ....... No. of persons....................... Showers (s, YP g ..................•-• — Cafeteria d Other fixtur s ............................................. } Design Flow---- - WW .......................gallons per person per day. Total daily flow...:..- ......................gallons. WSeptic Tank—Liquid_capaclty . allons Length.............:.. Width_ Diameter..,_ IE)epth................ Disposal Trench—.'�o :...... ...: Width. ._ . Total Len ..... Total leachi area-, ._. x po 4,o gth....- .._ sq. ft. 3 Seepage Pit No........... ...... Diameter.:...�P:...... Depth below inlet...... ......... To leachpig`area....._...... sq. ft Other Distribution box O. Dosin Percolation Test Results Performed.by' ,f '..... ....... ........ Date. ._.....- . ..� . Test Pit No. 1.... ...:-.-.minutes per inch Depth of, Test Pit: . ...:: Depth`to'ground:;water .._46.0. )........ w Test Pit No. 2................minutes"per inch "Depth of Test Pit..................... Depth to ground water......................... O 2Description of Soil••-•-..._.. ' .t ... � !// /�... �........:... Vt ic.. .:/;''.GG�'l� -- . -- - --- W ---••---......••••--......•.........-•- . .....: :...: - 4 U Nature of Repairs or Alterations. Answer when applicable..___- ' ,�TU1�as� ' ff�101{`}Efl� MUST- :... " l ;T' . 'tE}Pd••34NE�-�€RT'iFX-1N t�................... .......................... ...... ............................................................... I : -3 Agreement: STEM-WAS NSTALLEC R" ACCOANCE --••-=----d---r------ TO PLAN. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with " the provisions of TITLE 5 of the State Sanitary Code=The undersigned furtherJagrees;not to place the system in operation until a Certificate of Compliance has been issued by the board of Health . 6 � ! _ ......., �' i,a•.r._A?6 i t � .. ' _ sue. ,.. .. i�. �aL Application Approi�ed By.. ....'. ............--• .................................................._ ....... .. ... ..... ........ Date Application Disapproved for the f ollouring reasons: ............................................................................ ... _.._ IL Date Permit No._....... ... .... ', Issued_........... . I .. .......... •: , -Daft ; ---_.-_.__ ai -- --- THE COMMONWEALTH OF MASSACHUSETTS i , BOARD OF-"HEALTH ...ro,�... ..............OF.... = VV S i�Lf-g-- ....... t Tlertif utttr of Tamp ittnrr THIS IS`T.0 _ERTIFY, That the Individual Sewage Disposal System constructed ;or Repaired 1 �S G-t M I i by........- • -•-••........ ......... ---:...........--••-•-•---------.....a ----- ...... ...---•••...... ..._ ler has been installed in accordance with the provisions of TITIJE, 5 0 '�State 7Sanitary Code i m the application for Disposal Works Construction,Permit lvo.. .: ......... .....;•• dated....._.` ._/.... .._.. ........ THE ISSUANCE OF THIS CERTIFICATE,SHALL NOT BE CONSTRUED AS A GUA 'ANTES THAT THE :SYSTEM WILL F NCTION SATISFACTORY. pp .F DATE.....................V..e��.�'.— " .. ........... .. Ins ector........ ..+... THE COMMONWEALTH OF`MASSACHUSETTS c --------- BOARD OF HEAL':�FhiCl; ?av0 'ENGINEE13 MUST SUPERVISE�../� :ELATION,:AND CERTIFY `�- �, N .......... , �� S�'STEM WAS (NSTAl1�D::J1�.ST�IOT ;. ACCOR 'NCE T- PLAN m Dis'paoul Marks Tonstrurtibit rrut Permission is hereby granted..--.•..C= "- n'!.I. to Construct ( �or Repair an Individual Sewage-Disposal t L = at No............. c � ...........................................................................•---..........•-••....................... Street as shown on the application for Disposal Worls!Construiar�errriit , fated......_ ... .............. ......�...---------- --....... . ��' oard o Health DATE................ ..•-----�. . �� � i FORM 1255 HOBBS 6 WARREN. INC.. PUBLISHERS Zk < V Department of Envlronmontel M �1 - . m>e�ement/Dtvlifbr'+-of Watei'Aaeoureec �•�;, _" WATER WELL COMPLETION REPORT }_ WELL OCATIO ,: �ti e �.}•`' � � .'s Address Q�Q ?air City/Town a TVf '� s. & G.S.Quadrangle Map Grid Location Owner L70 pf A Ql� J y. Address - 3 A,ed A/fZ�� WELL USE --- _ :.:,,�.,::..: :_,.,•.._: ,- - CONSOLIDATED iNELL Domestic Public ❑ Industrial 11 Type of Water-bearing Rock - Other Water4;earing Zones Method Drilled f)froTo m jY 2LFrom To Date Drilled a 3) From To 4).From To �_�' 9ASING Depth to Bedrock h ' Lengt _Diameter_ a� Type '�LAdT/rG r UNCONSOLIDATED WELL STATIC WATER LEVEL r Water-bearing Materials jFeet below land surfa Qa Sand: fine❑ medium❑ coarsoQ` Date measured S Gravel: fine❑ medium❑ coarse Screen: GRAVEL PACK,IAIELL Slpt� length � from 3 t Yes No o� [� Split Screen(or 2nd screen) WATER QUALITY TESTS MADE Slott/ length from to Chemical 0 Biological X Depth To Bedrock' PUMP TEST (� / GPM.Drawdown � feet after pumping days hours at - I How measured Recovery feet after hours. i LOG of FORMATIONS COMMENTS:On well or water) Materials From To 0 DRILLER Firm 1916A14669 FuAlf CO o Address-,a'1 r' A;A K City R-y'0*4 RegistrMion NO�r -►3 7*J S;+','`��` --, h . Aerator s ignature V.��print rrm y -� CUSTOMER COPY, 15M.2 aa.ne471'1 }�, �,41 V �i �`,�,..-v. X ,'r i 1 - i.^ 1 r�+.,v'1rr TSt�- W ..'•+rw .. t OFFICE LABORATORY 1498 HIGH STREET 176 PLYMOUTH STREET BRIDGEWATER, MA 02324 BRIDGEWATER, MA 02324 OLIVEIRA ENVIRONMENTAL LABORATORIES, INC. FOOD - DAIRY PRODUCTS - WATER - WASTEWATER CHEMICAL Er BACTERIOLOGICAL.ANALYSES 697-2660 August 21, 1983 Pioneer Pump Co. 21 Spinnaker Drive Plymouth, MA 02360 Sources Well Water - Bored Well with well point - producing 10 gals./min. (2 inch PVC well) . Located on the property at Old Poet Road - Cotuit, MA Coliform Count 0 /100 ml @ 35 C Membrane Filter S.P.C./ml 100 @35C Color (APC units) _ 3.0 _ Sediment now Turbidity (NTU) -- 1.8 - _--- Odor none sat4 Taste ---------- ----- Taste - - -- 8Y�CtOr�-- ...- ---- pH 519 Specific Conductance micromhos/cm 85. mg /liter Total Alkalinity (CaCO,) 6.00 Free CO, _ -1�� --- ----- -- ----- Total Hardness (CACO,) • Calcium (Ca) .��- ---- ---- ---- -___.--._- Magnesium (Mg) � - -- --------- ----... Sodium (Na) — ------------- ----- - Potassium (K) -�.Sj----_--_-----_-_-_-----__- Total Iron (Fe) _ Manganese (Mn) L 0.01 Silica (SiO,) 4.00 _ Sulfate (SO,1 4.50 Chloride (CI) - - --- ----- Nitrogen - Ammonia • Nitrogen - Nitrite ------------—- _-0.00�---— ------ - -- - --- ----.. Nitrogen - Nitrate T.TO- Copper (Cu) L e lone than On site collection made by Mr. David Klein of the Pioneer Pump Co., 8/18/85 at 1:00 P.M. Sample delivered to laboratory by Mr. David K1e1n, 8/19/85 at 300 P.M. Bacteriologically, this wall water is of a satisfactory sanitary standard and is suitable for drinking and domestic purposes. Chamieally, this well water is acidic and will be corrosive. All other chemicals tested met the standards. Director i i The Standard Plate Count indicated the general bacterial population of th� N ' e well at the time of collection. Coliform Group Bacteria: Significance The coliform group bacteria includes organisms found in the intestinal tracts of warm blooded animals, birds, decaying organic matter(hay, leaves, wood, etc.), the top 2 to 3 feet of the soil, lakes, ponds, brooks, rivers, drainage and types of vegetation. Because the organisms can cause some illness; because the presence of coliform organisms in the water suggests that other more harmful organisms may be present, water containing one or more coliform group bacteria per 100 ml of sample should not be used for drinking or cooking purposes unless boiled 5 minutes or disinfected by other means. This bacteria is of animal origin (intestinal tract)and may be considered as closely associated with disease causing organisms. On this factor, none should be present. Color — APC Units - Ground water ought to be practically free from color. For attractive water - color should not exceed 15 units. Turbidity — NT Units - Recommended limit not to exceed 5 units. Odor Et Taste — For water to be of high quality, the water should be odor free and taste good. pH — The pH value defines the concentration of free hydrogen ions in solution. Expressed on a scale extending from 0 or very acid to 14 or very alkaline with 7.0 being neutral. Specific Conductance — Conductivity is a good criterion for measuring the degree of mineralization and assessing the affect of diverse ions on chemical equilibria. Total Alkalinity — The alkalinity of this water represents its content of carbonates and bicarbonates. Free Carbon Dioxide — Well water having a low pH and a Free CO, level in excess of 50. mg/I will be corrosive to iron, bronze, brass and copper tubing and fittings. Total Hardness — Standard not to exceed 50. mg/l. Waters having a hardness level of 50 to 100 are in the medium hardness range, over 100 very hard. Calcium -- Calcium contributes to the total hardness of water.Appreciable amounts of calcium salts break down on heating and form scale in boilers, pipes and cooking utensils. Magnesium — Magnesium is a common constituent of natural water. Magnesium and calcium ions are principal contributors to water hard- ness. Concentrations in excess of 125 mg/I can exert a cathartic and diuretic action. Sodium — Recommended limit not to exceed 20 mg/I. Potassium — Potassium concentrations in drinking water seldom exceed 20. mg/I. Total Iron — Standard not to exceed 0.3 mg/l. Manganese — Standard not to exceed 0.05 mg/I.The principal reason for limiting the concentration of manganese is to reduce esthetic and economic problems. Silica — Silica content of natural water is most commonly in the 1 to 30 mg/I. Silica in water is undesirable because it forms difficult to remove silica scales. Sulfates — Standard not to exceed 250 mg/l. Chloride — Standard not to exceed 250 mg/l. Nitrogen — Ammonia is present in variable concentrations in many surface and ground waters. Its occurrence in ground water is generally a result of natural reduction processes. Nitrogen - Nitrite — Nitrite in water poses a health hazard, but fortunately seldom occurs in high concentrations. Waters with a nitrogen nitrite concentration over 1 mg/I should not be used for infant feeding. Nitrogen - Nitrate -- Standard not to exceed 10. mg/I. Nitrate, in high concentrations can and do cause methemoglobinemia or so-called nitrate poisoning in infants. Water with 10 or more mg/I of nitrate is unsatisfactory and is not considered safe for drinking or cook- ing. It is especially dangerous to children and should never be used in infant formulas. Copper — Standard not to exceed 1.0 mg/I. I it I� \ TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS n \ 1 jM Of .,4"CAST IRON 12l.MAX. *nrr,nnr ` 7 OR SCHEDULE 40 12"MAX. tj 4 SCHEDULE 40 PV.C.(ONLY) `I q4' N P.Y.C. PIPE i L r". „' u PIPE E PIT CIRCULAR �v I , . LEACH: PRECAST s I , 1 C INV��{j�� -� Sa I 4, • ,T � N��Q :.� LEACHING INV INy ART _ �•S PIT ,y •',. SEPTIC TANK fir' DIST. V W Sti EL... �. EL: S.v� . . ,. ..� IN RT /$Off 80X �� � C \ / �� - 'a; EL `. •.Q.R, GAL. INV RT IN RT . c� ° Q. ;n .. . o V 3lWASOHED2. 7I STONE , - �4 �tl�St y/ oU �. //f�• '• ' ELy `�u ,, �: 10 MINIMUM l 6DIA. —!id A/O 20 .MINIMUM PROF LE OF GROUND WATER TABLE ✓S-S -- -- - �, SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY �l' r DATE�C�C�T.u017" TIME. , . .. . . . . . . , BOARD OF HEALTH TEST HOLE I TEST HOLE 2 � ��.•���/GSA. . eLC ENGINEER ELEV. . � . . ELEV. .. .. . . . . k Zo DESIGN DATA.: Sall. 4011 ti. i /• NUMBER OF BEDROOMS Fa4112`. . TOTAL ESTIMATED FLOW GALLONS/DAY. BOTTOM LEACHING AREA / 1SO.FT, /PIT /LoleV r SIDE LEACHING AREA �G?E?'•S SO.FT./ PtT GARBAGE DISPOSAL . /Y. . . .(50 /a AREA INCREASE) TOTAL LEACHING AREA 2(07. . SQ.FT/�ePIr PERCOLATION RATE . . wiv. . MIN/INCH LEACHING AREA PER PERCOLATION RATE//420 SO,FT. WATER ENCOUNTERED ' �k!/.� - ♦ �, NUMBER OF LEACHING PITS APPROVED . .. . . . BOARD'OF HEALTH �L� /`' cGr � _' Y,����:/ • ,�, DATE . •s . CIVIL ENGINEER (5 ` AGENT OR INSPECTOR - ���5 / �7 PETITIONER //�d GGD r��'s?'fliUrT � . J- MOWS E. KELLEY '�• ` �*,, 1,�l hG?G ENGINEER— SURVEYOR /� rt 346 LONG POND DRIVE SOUTH YARMOUTH, MASS, 02 664 - Lo7-469 - 34 576 SITE . 'PLAN SCALE: N / i _ I