HomeMy WebLinkAbout0605 POPONESSETT ROAD - Health -605 Ttj onesseTRoad
Cotuit
A= 043 —019
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Bellaire, Dianna
From:McKean, Thomas on behalf of Health
Sent:Wednesday, December 4, 2024 8:31 AM
To:Bellaire, Dianna
Subject:FW: 605 Poponessett Road, Cotuit, MA - Intention to connect to town water
Dianna
Please upload the email below to the Health Division Laserfiche file for this address:
605 PoponesseƩ Road, Cotuit, MA
-----Original Message-----
From: caroline.k.clark@gmail.com <caroline.k.clark@gmail.com>
Sent: Tuesday, December 3, 2024 4:43 PM
To: Health <Health@town.barnstable.ma.us>
Cc: Jacqueline Salamack <jacqueline.lanphier@gmail.com>
Subject: 605 PoponesseƩ Road, Cotuit, MA - IntenƟon to connect to town water
To Whom It May Concern:
We (Caroline Clark, MaƩ Clark, Carr Lanphier and Jacqueline Lanphier) are in the process of purchasing 605 PoponesseƩ
Road, Cotuit, MA 02635. We plan to replace the sepƟc and connect to town water before the home is inhabited. As such,
while we understand it is a requirement of Barnstable County to have a water quality test completed, we are requesƟng
that this requirement is waived given our intenƟon to not inhabit the home unƟl it is connected to town water.
Please confirm receipt and let us know if any further acƟon is required here. We plan to share your receipt confirmaƟon
with our bank so we can proceed with closing.
Thank you.
Caroline Clark
Cell: 703 851 1519
Pardon typos and brevity as this email was sent from my iPhone
No. DO - 0 1 GI Fee------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Application Ar Well Congtrurtion f ermi
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair )an individual Well at:
Location — Address Assessors Map and Parcel
Owner Address
-------
Installer.— Driller Address
Type of Building '
Dwelling --_---_----
Other - Type of Building-=--------_--______ No. of Persons-----------_--_—__—__—______.
Type of Well— —
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 ---- -- ------ -- 3�-��-
date
Application Approved By ------
date
Application Disapproved for a following reasons:
date
Permit No._-h l� __�- "= --- Issued--- - --------
ate
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certifirate Of Compliance
THISS TO CERTIFY, That the Individual Well Constructed (Altered ( ), or Repaired )
by__ �e f�_ �`�� =- --- --- - --- ------- ------ ——
installer
at Of
has been installed in 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. _-----_----_______Dated------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ---- - - Inspector--- -- --------------------_____—_-------
W 2_0---�----- 6 �� - 4/ram
No.----------- Fee----------------=---
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zpplication for; ell Con5tructionVermi i
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair )an individual Well at:
t• Location — Address —— Assessors Map and Parcel -- }
/_Owner -- Address
9._sc.J�✓a, !/ vim/ �, h� -- - - - -------------------------------___-- - --------
---------
'
____---- — — Address
Installer — Driller
Type of Building !
Dwelling-- -----______--
Other - Type of Building-------- ---____-_ No. of Persons----.--_-----_-_____—__-__-______.
Type of Well-- ---___. __ Ca acit
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.
4 sa
Signed --���' �r'-j�---- -
date
Application Approved By d / s'---- /`_
date
Application Disapproved for •he following reasons:
date
26 0 f
Permit No. r _ - Issued--
ate
ZQO f BOARD OF HEALTH
TOWN OF BARNSTABLE
f Certificate Of Compliance h,
THIS IS TO CERTIFY, That the Individual W�ell Constructed ("'Altered (- ), or Repaired )'
bye ,Sf:4it/✓�t� // . ---- ---
L Installer
at—__ 5.. , �c3 vrva S to%/" �ca�u i i--------------------
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
'1 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 BARNSTABLE
Ivell Con5truction3permit
No. ---- oil Fee--------�r�_
Permission is hereby granted C N N L-L
- ---------------------------
to Construct ), Alter ( ), or Repair ( ) an Individual Well at: N
-_ _0 -� _— G�/V S7
No. ---- =- -- ---------7---------------- -
Street
as shown on the application for a Well Construction Permit
No.- W 21®0G1 Dated---- - 3 --�-2 0 - -
DATE �/ �/ -- / Board of Health
� t
GZA Engineers and Principals:
GeoEnvironmental,Inc. Scientists John P.Hartley,
District Office Manager
Michael A.Powers,P.E.,L.S.P.
David R.Carchedi,Ph.D.,P.E.
John J.Spirito,P.E.,L.S.P.
Philip P.Virgadamo,P.E.,L.S.P.
Russell J.Morgan,P.E.
April 28, 1998
File No. 31751.13-C �� t ij �
r�a� �mm
S` ^ Y Y�
riz% Mrs. Bettina Sonderegger �- -�
P.O. Box 2593 MAY 1 1998 �'
VFg
Borrego Springs, California 92004
m„N OFE4RNSiABLE '�
Re: Residential Well Sampling Program ,
Cotuit, Massachusetts
140 Broadway
Providence
Rhode Island 02903 Dear Mrs. Sonderegger:
401-421-4140
FAX 401-751-8613
,Per our conversation this afternoon, attached is a revised copy of the letter report
presenting the laboratory analytical results for your well water, dated April 24, 1998, which
I understand you have not received as of today. The cover letter discussing the results is
correct, however, the attached laboratory data sheets for your well sample (designated RW-
13) had been inadvertently switched during reproduction with those of another well sample
(RW-4) being copied at the same time. We are sorry if this caused any confusion.
Thank you again for your assistance and understanding. If you have any questions, please
do not hesitate to call me at (401)421-4140.
Sincerely,
GZA GEOENVIRONMENTAL, INC.
A Subsidiary of GZA ,
GeoEnvironmental
Technologies,Inc. Hilary ownes.Fortune, P.G.
Senior Project Manager
Attachment: April 24, 1998 Letter (revised)
cc: Town of Barnstable Board of Health
Mark Wood, DEP
William Frigon, T&B
J:VOBM-VVV 1751-13.HD F\L.ETTEFS�T&B-IOL.DOC
An Equal opportunity EmployerNVFAI/H
Thomas&Betts Corporation
452 John Dietsch Blvd.
P.O. Box 2510
Attleboro Falls, MA 02763
(508) 699-9800
Facsimile (508) 695-8111
i
i
TdZ®��s� efts
April24, 1998 �0,171y� w �
G M AY
1 1998 _'E
Carl and Bettina Sondereaaer ,
ao I NN OF QATJST-kgtE
P.O. Box 2593 � \ 4FAlTN�FPT
Borrego Springs, California 92004 ,
Dear Mr. and Mrs. Sonderegger: —- --4
Attached please find the laboratory results of the analysis of your well water, which we recently
sampled at your property located at 605 Popponesset Road in Cotuit, Massachusetts. The water
sample, designated as RW-13, was collected by GZA GeoEnvironmental, Inc. and analyzed by the
Nlitkem Coloration 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
e range of VOCs spec
laboratory analyzes for the ified by the EPA's testing method. That is why the
Laboratory Analysis Report covers such a Ion,list of organic compounds.
Beside the list of compounds are rWo 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 wtuch the laboratory could accurately
quantify the compound.
We appreciate your allowing us to come in and test your water. L- you have any questions, please do
not hesitate to call Torn McShane at Thomas &Betts (508-699-9820).
Sincerely,
William O. Frigon
Attachment: Laboratory Analysis Report
cc: Town of Barnstable Board of Health
Mark Wood, DEP
c1
866L 9 18db
April 14, 1998
GZA GeoEnvironmental, Inc.
140 Broadway rA
Providence, RI 02903 Attn: Ms. Hilary FortuneRE: ClientProject#: 31751.13, Cotuit Well Sampling (IRA)
Lab Project 4: E0519 ► ° �''
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.
v
We appreciate your business.
Sincer ,
Edward A. Lawler
Laboratory Operations Manager
175 Metro Center Boulevard • Warwick,.,,,Rhode Island 02886-1755 • (401) 732-3400 • Fax (401) 732-3499
email: mitkem@worldnet.att.net
ORPORATION
Client: GZA GeoEnviron mental, Inc.
Client Project: 31751.13, Cotuit Well Sampling (IRA)
CA
Lab Project: E0519 Date samples received: 4/10/98Project Narrative � ✓
This data report includes the analysis results for three (3) aqueous samples that were receive
from GZA GeoEnvironmental, Inc. on April 10, 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
G
0 0 :�_
CORPORATION
A \
Analysis Report: Purgeable Volatile Organics k
MAY 1 1998
Client: GZA GeoEnvironmental, Inc. Analysis Date: 4/11/9. TOWN 0i?Aev,raBLF
Client ID: RW-13 Concentration in: ug
Lab ID: E0519-01 Dilution: 1 r� ;
Analysis: Method 524.2 ' - tf
Reporting
Analvte Results 03A
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
Chiorobenzene ND 0.5 fl
1,1,1,2.-Tetrachloroethane ND 0.5 G U {
Page 1 of 2 E0519-01
�� 1_j_ 13
A , 4
Client ID: RW-13 Lab ID: E0519 0�� �rej����1 \
eJ
Reporting of MCA 1998
Analyte Result TOINN(1FBr.a, r,gFE
Ethylbenzene ND 0.5 �' '!
Xylenes (total) ND 0.5 "'6 1 i
3
Styrene ND 0.5 "
Bromoform ND 0.5
Isopropylbenzene ND 0.5
Bromobenzene ND 0.5
1,1,2,2-Tetrachloroethane N D 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
4-1sopropyltoluene 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
1,1,2-Trichloro-1,2,2-trifluoroethane ND 0.5
QC Batch: V560411A
Surrogate Recovery:
Bromofluorobenzene 90%
1,2-Dichlorobenzene-d4 103%
ND= Not Detected
003
Page 2 of 2 E0519-01
i
ITKE
Analysis Report: Purgeable Volatile Organics
~ REC�VEO
Client: GZA GeoEnvironmental, Inc. Analysis Date: 4/11
Client ID: Trip Blank Concentration in: u / MAY 1 1998 "
Lab ID: E0519-03 Dilution: 1 e TOWN OFBARNST.ABLE
Analysis: Method 524.2
Reporting
Analyte_. Results UMA
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 1 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 0.5 0.5
cis-1,3-Dichloropropene ND 0.5
Toluene 1 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 0.5 000
Page 1 of 2 E0519-03
I
MITKEM
Client ID: Trip Blank Lab ID: E051(9" M
rll\,
11 RECEIVED
Reporting 1 1998
Analyte Result t WN Of BAA�;i1BlF
Ethylbenzene ND 0.5 HEAITH
Xylenes (total) ND 0.5
Styrene ND 0.5 ,
1 ;-
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
te rt-B utyl benzene ND 0.5
1,2,4-TrimethyIbenzene 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-Trichlo robe nzene ND 0.5
Naphthalene ND 0.5
1,1,2-Trichloro-1,2,2-trifluoroethane ND 0.5
QC Batch: V5B0411A
Surrogate Recovery:
Bromofluorobenzene 95%
1,2-Dichlorobenzene-d4 104%
ND= Not Detected
OV /
Page 2 of 2 E0519-03
1 2L,1�
�V
Analysis Report: Purgeable Volatile Organics MAY 1 1998 11 ,
Client: GZA GeoE Y nvironmental, Inc. Anal sis Date: 4/11/JS TOWN OFBABNST4BLE °
HEALTH I1FPT
Client ID: Concentration in: ug%L,
Lab ID: Method Blank, V5130411A 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 00,011,
Page 1 of 2 E0519-MB
CORPORATION
Client ID: Lab ID: Method ,60411A
Reporting REc_IVEO
Analyte Result Lmif MAY 1 1998
Ethylbenzene ND 0.5 TOWN OFE�IP' T`.BLE
Xylenes (total) ND 0.5
Styrene ND 0.5
Bromoform ND 0.5
IsopropyIbenzene 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
1,1,2-Trichloro-1,2,2-trifluoroethane ND 0.5
QC Batch: V5B0411A
Surrogate Recovery:
Bromofluorobenzene 91%
1,2-Dichlorobenzene-d4 105%.
ND= Not Detected
009
Page 2 of 2 E0519-MB
MITKEM CORPORATION
Lab Project#:
Client Name: GZA GeoEnvironmental, Inc. rMA�Y
Client Proj #: 31751.1.3 Logged In By:
Client Po #: 3-01096IVE®Project Name: Cotuit Well Sampling (IRA) Reviewed By:11998Date Due: 4/14/98
RNSTABLF i' l Date: _�. C, Time:
Total Price: rt
Project Mgr: PAS
Salesman: PAS I I
Del"Recl'd: NA
Completed?: YES
Lab 11) Client I Matrix Analysis Price Sampled Received '_EPH IR MA Herb P/P Wet Met V-GC V-RIS SO
4/9/98 4/10/98 1
A 5_4.2_
Ol RW-13 Q
-02 RW-4 AQ 524.2 4/9/98 4/10/98 1
-03 Trip Blank A 524.2 .4/9/98 4/10198 i
TPI1 ill BNA 1-e•b P/P Wet AW -G - L-M-S Slt12
0 0 0 0 0 0 0 0 3 0
NOTES: Add Freon 113 to list--one point calibration.
0111GINAL 12EP012T GOES TO: INVOICE GOES TO: ADDITIONAL REPORT GOES TO:
GZA GeoEnvironmental, Inc Attn: Hilary Fortune Same None
140 Broadway Phone: 401 421-4140
Providence,R.I 02903 fax: 401 751-8613
o �
4/13/98 8:41 AM Page 1 of 1 Lab Project #: E0519
WHITE COPY-Original YELLOW COPY-Lab Files PINK COPY-Project Manager W.O. ##
CHAIN-OF-CUSTODY RECORD (for lab use only)
ANALYSES REQUIRED
Sample Date/Time Matrix d z S ; s � ; of
I.D. a73m s
A=Au w ry
s=saa g s ' $ a Total
(Very Important) GW-GmunJ W. , i N '- ^�1 Y of Note
VAV=W—u>.W. �+ m = 4U J it _ m
Cont.
p
Boni(W-10E-
�/� 13 Y�i i� /3yS pW ✓
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71V 13)-aA- S Y uf�loc> ` hlt� L
PRESERVATIVE (CI-HCI,N-HNO,,S-H2SO4,Na-NaOH,O-Other)'
CONTAINER TYPE (P-Plastic,G-Glass,V-Vial,T-Tellon,O-Other)' _
RELINQUISHED BY: (Affiliation) DATEirw RECEIVED BY:(Affiliation) NOTES: Presorvalivos,special reporting limits,known contamination,etc.:
(Unless otherwise noted,all VOA vials have been preserved w/1:1 HCL.)
Eiji �l
RE I QUISHED BY: (Affiliation) DATE/TIME REC ED BY:(Affilf tion)
_ ` l
ktLt�.� <e�- %lU O� v �`�i / 4 i{. owers aG�)
r0 iLbtr.[ r•I 1' d t /ll( -L� ( sr yG �p �,l/
E INQUI HEDD BY:(Affiliate n) DATE/TIME RECEIVE BY:(Affiliation) L n '
I C: �4/ `''U— CC�7E-1L/-
PROJECT MANAGER: EXT: /
TURNAROUND TIME Standard G(Rush 0-Days,Approved by: q/
GZA FILE NO. ��!// P.O. N.O. �� O 1 U/h
GZA GEOENVIRONMENTAL, INC. PROJECT C'f)Tulr LtCL/ L Safi/Y1PL/ti-.1(, hr2060AM 6�'g
ENGINEERS AND SCIENTISTS .
140 Broadway
PROVIDENCE,RI 02903 LOCATION w
(401)421-4140
FAX(401)751-8613 COLLECTOR(S)
SHEET / OF /
MITKEM CORPORATION
Sample Condition Form Page k of
Received By: Reviewed By: Date: / IMITKEM Project: E05V'_'(
Client Project: C Client:
Sample ID Preservation (pH) Comments/Remarks/
Condition: Lab Client HNO3 H2SO4 Hci NaOH Corrective Action*
,,pper -13
1) Custody Seal(s) Presen bse �` U� LJ
Coolers/ ottles
I ntact/Broken
2) Custody Seal Number(s)
3) Chain-of-Custody resent/ bsent
4) Cooler Temperature 1/
Coolant Condition
5)Airbill(s) Present// sen
Airbill Number(s) -
6) Sample Bottles nta
Broken
Leaking
7) Date Received
8) Time Received
9) Project Due Date
* See Sample Condition Notification/Corrective Action Form yes/ o { ^
2
R
MAY 11998 �'
TOWN OF BARNSTABLE.
® HEALTH n�FT
Last Page of Data Report
1
7
LOCATION SEWAGE I ERNU N0.
VILLAGE v�
IN.STA LLER'S NA & ADDRESS
M
I,
B U I'L DE R OR OWN Ok
DATE PERMIT ISSUED
DAT E C.OMPLIANCE . ISSUED -2-6 77-
i
y°�� •
.£c
J
No Irl... ...77' THE COMMONWEALTH OF MASSACHUSETTS ........
BOARD OF HEALTH
.................. ................._0F..................I.................... ...... ............................
Appfiration for Disposal Works Tons, tion ramit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
Sy t at
... .. ..........
Location Address or............ . ..... .. .... ... ............................................ ---60.0tAx...�_/. ...................
wner Addr
ot
. . ...........W
Installer Address
Type of Building Size Lot............................Sq. feet
U
Dwelling- No. of Bedrooms__________________________________ _____Expansion Attic Garbage Grinder ( )
04 Other—Type of Building ........................... No. of persons__..._._________..__.__.____ Showers Cafeteria ( )
04 Other fixtures ......................................................................................................................................................
W Design Flow.............................J!r-----gallons per person per day. T9tal daily flow.......A!rA!t4....................._...gallons.
1:4 Septic Tank—Liquid capacity............gallons Length________________ Width._______.___._.. Diameter...•............ Depth________._.___..
Disposal Trench—No..................... Width___._._._.__._._._._ Total Length..____.....____.____ Total leaching area....................sq. ft.
Seepage Pit No.______/----------- Diameter...Ittr..... Depth below inlet____________________ Total leaching area....I.A/....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date---------------.._.....................
Test Pit No. 1................minutes per inch Depth of Test Pit__.__.______________ Depth to ground water...__.____...._._.._.__.
44 Test Pit No. 2................minutes per inch Depth of Test Pit__.__...___.____.___ Depth to ground water_._____.._..______._____
9 .............................................................................................................................................................
0 Description of Soil........................................................................................................................................................................
UW .............................................. ................................................................................................................................
.... ..
............................................................................................................... ......................................................................................
U Nature of Repairs or Alterations—Answer when applicable__.___._... moo:. ....../—------------------------
....................... .............. ................................
Agreement: Or
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TLITLIL- 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 Olealth.
Signed4g.. . 6,00w.. I.... . .....
. ............... ................... ......
Date
ApplicationApproved By..... /<........................................................................... .........
Date
Application Disapproved for ie following reasons:.................................................................................................................
.............................................. ..........................................................................................................................................................
Date
Permit No.........Sle(................................. Issued...............Y....—....�..-..Y..-..7.7-_-
Date
No..... r1q.:................ ..........
77 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..................................._......OF................ .........
Appliration for Bhnposal ]Vorkfi Tow1ruition "WrOt
Appikation,is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
Systn44A
.............. . .................................................................
.Location*--A__5 dress
-------------------
ter
0 _n
------------------------------- ----------------
Location-A dress
....................... ........................ ............ .......................... ....................... ..........................
caner
.................................................... ......... ......z..�............................ ................................
Installer Address
Type of Building Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms________________________________ _____Expansion Attic Garbage Grinder
Ak Other—Type of Building ............................ No. of persons............................ Showers Cafeteria
QI Other fixtures -------
;W..........................*---------------------------------------------------------------------*------------ ---------------*.........
Design Flow.............................0*1........gallons per person per day. Total daily flow______!---A.ej
................................gallons.
1:4 Septic Tank—Liquid capacity............gallons Length________________ Width__._..________.. Diameter._.-_-________-_ Depth_______.____._..
Disposal Trench—
_3o..................... Width_________.__._______ Total Length..__._._____.___.__. Total leaching area....................sq. f t.
Seepage Pit No.......I------------ Diameter___!- -k- ..... D9pth beltw inlet___.___._._......... Total leaching area....X01.....sq. f t.
Z Other Distribution box Dosing tank
Percolation Test Results Performed by.......;1................................................................... Date........................................
Test Pit No. I..................ninutes per inch' Depth of Test Pit_.__._________._.___ Depth to ground water_.____..__.______..____.
Test Pit No. 2................minutes per inch Depth of Test Pit_..___.____.____._.. Depth to ground water.....___.__.___.___.__..
.............................................................................................................................................................
0 - --
Description of Soil........................................................................................................................................................................
• ................. ......................................................................................................................................
--------- - .....
................. .......................................................................................................................................................................................
U Nature of Repairs or Alterations—Answer when a pplicable----------
............................be 0 jer;f....../ao.......................
le-t Flow V
00_t..............171.....j....................................................
Agreement: oil"
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T I T iE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of.`Co lipliance has bee issued by the board health.
? ft�lr
Signed--•••---•��_':�"!e+!... ...... ...... ...f-_ -I......
Ove Date
Application"m.Approved ----------_ A 41 0-7 '7
_pr�q��d 1�_y ---------------------------- ---- ---
.................... . ............................4
Date
Application Disapproved for ie following reasons______________________________________________..................................................................
........................................................................................................................................ ................................................................
Date
Permit No......... ........................ Issued_............................................7.1-1.
Date
THE-'COMMONWEALTH OF MASSACHUSETTS t,
BOARD OF HEALTH
............. iUa ........OF......... 111A e_
............................
T-5rdifiratr of Tompliaurr
THIS IS TO CERTIFYjh That the Individual Sewage Disposal System constructed or Repaired
A -
by-------------------- !.......................................................................
i �..........� ........................r....e.v..,.,..r.................................................................
er
... oatA$ ...................................................................................
has been installed in accordance with the provisions of 4TI-TILE 5 5 of The State Sanitary Code as described i the
application for Disposal Works Construction Permit No,, ............... dated_--.._ _. `' r. c ....................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
............
DATE.--- .. ..... ... .. -- ------............ Inspector.... ................ .........................
1%
THE COMMONWEALTH OF MASSACHUSETTS w.
fr BOARD 0 4-11XIETH ftdL
..........OF.......................
..........................
NO._...._... FEE.... ........ ......
Biquisal Workii Ton.6trudion rrmit
Permissionis hereby granted.........:i_..................................................................................................................................
to Construct j�- ).,or Repair an Individual Sftrage disposal S;il. T&stern
g" .
at No........"ft.........4.0-4............. ------fo----- .... c.... ......................................................................................................
street
D s T Works Constructidft.ZP6 ............... 77
as showff-Zr�the application forDispo'� o J#of 4/rl Dated__.__
............
....................................................... ...
Board of ea th
DATE____
........ ....................................
FORM 1255 HOBBS & WARREN- INC., PUBLISHERS
v",
FILE NO. 31751.13-C
TO: EDW ARD _BAR Y,BARNSTABLE BOARD OF HEALTH
FROM: HILARY FORTUNE,GZA rMA
DATE: 4/29/98RE: COTUIT WELL SAMPLING 1998
TOWN OF BARNSTABLE
�;c;ir Ocpr
PLEASE DISCARD YOUR PREVIOUS COPIES OF THE RESULTS LETTERS `-,'TED APRI�' 14, 1998-
(SONDEREGGER AND ZIMBLER WELLS)AND REPLACE THEM WITH THES iN' YOUR FILES.
THANK YOU
}1 `J
TOWN OF BARNSTABLE
THE Taw
mWQ °� OFFICE OF
BARa9TABL : BOARD OF HEALTH
MAIL
039. ��' 367 MAIN STREET
�D MPY k'
HYANNIS,MASS.02601
August 9, 1993
Bettina Sonderegger
605 Popponesset Road
Cotuit, MA 02635
Dear Ms. Sonderegger:
You are granted a variance to continue to utilize your existing
onsite sewage disposal system at 605 Popponesset Road, with the
following conditions:
( 1) The cesspool shall be replaced with a septic tank
which meets Title V, the State Environmental Code
within five (5) years or immediately upon the sale of
the premises, immediately upon the transfer of the
premises to an individual or entity other than the
petitioner, or immediately upon the permanent vacation
of the petitioner, whichever occurs first.
(2) The attached Variance Decision shall be recorded
at the Barnstable County Registry . of Deeds within
thirty (30) days.
Sincerely yours,
oseph C. Snow, M.D.
Board of Health
Town of Barnstable
JCS/bcs
TOWN OF BARNSTABLE
y F?HE TOE
OFFICE OF
BOARD OF HEALTH
Mb 9• �� 367 MAIN STREET
HYANNIS,MASS.02601
August 9, 1993
BOARD OF HEALTH VARIANCE DECISION
On or about August 3, 1993, the Petitioner, Bettina
Sonderegger applied for a building permit to construct a
handicapped bathroom at her premises located at 605 Popponesset
Road, Cotuit, Massachusetts, listed as Parcel 26, Assessor's Map
6. The Department of Environmental Protection and the Town of
Barnstable Board of Health requires all septic systems to meet
Title V, the State Environmental Code at the time of application
for a building permit. Due to her limited income, the Petitioner
has applied for a variance to waive the requirement that her
cesspool be replaced with a septic tank which meets Title V, the
State Environmental Code. Based upon the application for a
variance and other information submitted, the Board of Health
finds as follows:
1. The Petitioner stated that the on-site sewage disposal
system located on the subject premises is currently
functioning properly.
2 . The petitioner is currently experiencing financial hardship.
3. If the Petitioner is required to incur the costs attendant
to replace her cesspool with a septic tank, she will be
forced to forego basic necessities causing her severe
hardship.
4 . Based on the representations by the Petitioner that her on-
site sewage disposal system is functioning properly, the
Board of Health finds that the risk of environmental damage
will be acceptable if the Board of Health temporarily waives
the requirement that the cesspool be replaced with a septic
tank, until such time as said premises are sold, transferred
to an individual or entity other than the Petitioner or the
Petitioner permanently vacates the premises.
WHEREFORE, the Board of Health, grants the Petitioner a variance,
waiving the requirement for the aforementioned Petitioner that
the subject cesspool located at 605 Popponesset Road, Cotuit, MA
be replaced with a septic tank, subject to the following
conditions:
l. . This variance shall expire within five (5) years from the
date of issuance.
2. Immediately upon sale of the premises, the transfer of the
premises to an individual or entity other than the
Petitioner or the permanent vacation of the premises by the
Petitioner, this variance shall be rendered null and void
and the order that the cesspool be replaced with a Title V
septic tank which meets Title V, the State Environmental
Code shall be in full force and effect.
3. Nothing in this variance shall be construed as limiting the
Board of Health's power to revoke this variance should it
determine that the on-site sewage disposal system is
malfunctioning.
4. The Petitioner shall record this variance at the Barnstable
Registry of Deeds within thirty (30) days from the date of
issuance of said variance and shall provide the Board of
Health a copy of the recorded variance.
BARNSTABLE BOARD OF HEALTH
Joseph C. Snow, M.D.
Member
Barnstable, SSG:
On this 10th 'day of August, 1993 personally appeared the
above-named Joseph C. Snow, M.D. , of the Town of Barnstable Board
of Health, and acknowledged the foregoing instrument to be his
free act and deed.
NoGiVlrurli
er
My commission expires m2 9 /999
oMc+u six
ANN G.BURUNGAME
VARI DEC I NOTARY PUBLIC-MASS.
My Comm.EvIms._—
Y
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OY
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