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HomeMy WebLinkAbout0039 ROUTE 130 - Health 39 Route 130 Cotuit A = 010- 005 I 1 p I� k i 4 i f _ TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 2 I Z d Time: In Out Owner � �� Tenant VACIArs) Address l_ (6�C.dl.� V� i Address A9--p:5 S fo—LA1—► Vy1 Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 3V@i . 7 01Z 5. Hot Water Facilities vWa Lj 6. Heating Facilities ✓ 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities vr 10. Curtailment of Service ✓ 11. Space and Use 12. Exits �✓ 13. Installation and Maintenance of Structural Elements V 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal .r 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed AJA PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed /L)109 Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here t, v CERTIFICATE OF ANALYSIS Page: 1 of 1 u Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 1/6/2012 Robert Frazier Order No.: G1266099 33 Lincoln Avenue Buzzards Bay, MA 02532-3120 Laboratory ID M 1266099-01 Description: Water-Drinking Water Sample#: Sample Location: 39 Route 130 Cotuit, MA Collected: 01/03/2012 — Collected by.--R.-Frazier Routine ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 4.5 mg/L 0.10 10 EPA 300.0 1/3/2012 Copper 0.19 mg/L 0.10 1.3 SM 3111 B 1/4/2012 Iron a ND. mg/L., 0.10 0:3' SIN 311113- 1/4/2012- pH 4.8 PH AT 25C NA 6.5-8.5 SM 4500-H-B 1/4/2012 Sodium 9.8 mg/L 1.0 20 SM 3111E 1/4/2012 Total Coliform Absent P/A 0 0 SM9223 1/3/2012 Conductance 130 umohs/cm 2.0 EPA 120.1 1/4/2012 pH is low(6.5-8.5), and retesting is recommended. find the laboratory certified parameter list. Approved By: __ �- Attached please � -�- (Lab Director) c_ 70 - �-- ND tJone Defected- — RL-= Reporting Limii MC;L-=Maximum Contaminant Level--. Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 DEPARTMENT OF ENVIRONMENTAL PROTECTION Certified Parameter List as of:01-Dec 2009 M-MA009 BARNSTABLE COUNTY HEALTH&ENV DEPT, BARNSTABLE,MA Anal es Methods for NON-Potable Water Methods for Potable Water ALUMINUM EPA 200.8 ANTIMONY EPA 200.8 EPA 200.8 ARSENIC EPA 200.8 EPA 200.8 BARIUM EPA 200.8 BERYLLIUM EPA 200-8 EPA 200.8 CADMIUM EPA 200.8 EPA 200.8 CHROMIUM EPA 200.8 - EPA 200.8 COBALT EPA 200.8 f COPPER EPA 200.8;SM 3111B EPA 200.8; SM3111B -----IR�.)N__. ... --- - _ SM 3111E - _. ___ - ._.--- -- ---- LEAD EPA 200:8 EPA 200.8 MANGANESE EPA 200.8;SM 3111B MERCURY -- A 200.8 NICKEL EPA 200.8;SM 3111E EPA 200.8;SM 3111B SELENIUM EPA 200.8 EPA 200.8 SILVER EPA 260.8 EPA 200.8. THALLIUM EPA 200.8 EPA 200.8 VANADIUM EPA 200.8- ZINC EPA 9: 'SM 31116 PH M 4500-H-B SM 4500-H-B SPECIFIC CONDUCTIVITY EPA 120.1;SM 2510B HARDNESS(CAC03),TOTi,!. SM 2340B CALCIUM SM 3t11B SM 3111B MAGNESIUM SM 3111B SODIUM SM 3111B SM3111B POTASSIUM SM 311113 ALKANILITY,TOAL- SM 2320B SM 2320B CHLORIDE EPA 300.0 FLUORIDE EPA 300.0 SULFATE EPA 300.0 EPA 300.0 NITRATE-N EPA 300.0' EPA 300.0 ! TURBIDITY EPA 180.1 TOTAL DISSOLVED SOLIDS SM 2540C SM 2540C NON-FILTERABLE RESIDUE(TSS) SM 2540D TOTAL ORGANIC CARBON - SM 5310B CHEMICAL OXYGEN DEMAND HACH METHOD 8000 r BIOCHEMICAL OXYGEN DEMAND.. SM 5210B TRIHALOMETHANES EPA 524.2 VOLATILE HALOCARBONS EPA 624 VOLATILE AROMATICS EPA 624 VOLATILE ORGANIC COMPOUNDS EPA 524.2 1,2-DIBROMOETHANE EPA 504.1 1,2-DIBROMO-3-CHLOROPROPANE EPA 504.1 PERCHLORATE EPA 314.0 HETEROTROPHIC PLATE COUNT SM 92156 TOTAL COLIFORM MF-SM 9222E TOTAL COLIFORM EPA 1604 TOTAL COLIFORM ENZ.SUB.SM 9223 FECAL COLIFORM MF-SM 9222D MF-SM 9222D E. COLI EPA 1603 EPA 1604 E.COLI EPA 1103.1 NA-MUG-SM9222G E.COLT MF-SM 9213D ENZ.SUB.SM 9223 ENTEROC^CC!- EPA:;PsE°�-______� __ -EPA i-600 Effective Date:01 July 2010_Expiration Date:30 Jun 2012 t :x CERTIFICATE OF ANALYSIS . Page: 1 of 2 F� Barnstable County Health Laboratory (M-MA009) "�sa�Ftust.% Report Prepared For: Report Dated: 2/2/2012 Robert Frazier Order-No.: G1266308 33 Lincoln Avenue .Buzzards Bay, MA 02532-3120 Laboratory ID#: 1266308-01 Description: Water-Drinking Water Sample#: Sample Location: 39 Rte.130 Cotuit, MA Collected: 01/26/2012 Collected by: R. Frazier (standing water) _ ..., Received:._:..01/26/2012._. . Test Parameters ITEM RESULT ' UNITS RL MCL METHOD# TESTED Lead 0.024 mg/L 0.006 0.015 EPA 200.7 1/27/2012 Sample exceeds the MCL. 'ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page. 2 of 2 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 2/2/2012 Robert Frazier Order No.: G1266308 33 Lincoln Avenue Buzzards Bay, MA 02532-3120 Laboratory ID#: 1266308-02 Description: Water-Drinking Water Sample#: Sample Location: 39 Rte 130 Cotuit, MA Collected: 01/26/2012 Collected by: R. Frazier (flushed) Received: 01/26/2012 Test Parameters ITEM RESULT UNITS RL MCL METHOD# TESTED Lead ND mg/L 0.006 0.015 EPA 200.7 1/27/2012 Attached Lease find the laborato certified parameter list. Approved By: P fY (Lab Director) Z - ND=None Detected RL Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 TOWN OF BARNSTABLE LOCATION,�R SEWAGEUlmS�o� VILLAGE. ASSESSOR'S MAP&PARCEL DO O_Oos INSTALLERS NAME&PHONE NO. .,�, SEPTIC TANK CAPACITY 1 S OO LEACHING FACILITY:(type) �,OL��C� (size) 43� x.1�`X NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: a Separation Distance.Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY �. � �� ��� ��� 1� � i � � 8i `� � c+� !�� � �� �I I 0 � _ � /�'� TOWN OF BARNSTABLE LOCATION SEWAGE S -rSb VILLAGE ASSESSOR'S MAP 8c PARCEL 04 O`Oo--'S INSTALLERS NAME&PHONE NO. ..�, SEPTIC TANK CAPACITY OQ LEACHING FACILITY:(type) q Q (size) O �.16211 NO.OF BEDROOMS OWNER. RJ . PERMIT DATE: �.J � / COMPLIANCE DATE: 09, /1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY .i . , p is `- i i I h . No. _ 6 4D Fee /0© THE COMMONWEALTH OF MASSACK-USETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Apptication for �Digogal i§p.5tem cow5tructiou permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 39 Owner'_ r s Name,Address,and Tel.No. cn Assessor's Map/parcel ,per 9 C.��g '1'15433`s Instal er's ame,A ess,andd Te`l N`p �Deesigner's Name,Addressly nd Tel.No. G� t2 � PflMha • ` Cal k Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 333 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 S J O Type of S.A.S. %0 X l X L�L�ch �i A Description of Soil Nature of Repairs or Alterations(Answer when applicable) cJ �T) axA t 6 x 3© P cJh.1_� A� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. r S gned 3 r' Date Application Approved by Date �- Application Disapproved by: Date for the following reasons Permit No. C)o 110 Date Issued a-1 Y lX V� ! .-4`- Fee /QV ,THE COMMONWEALTH OF MASSACHU-S;E-T S Ent Ired in computer: WO PUBLIC HEAL H�DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTSYes ZIPPYication for M*oga[ 4p5tem Con.5truction Permit Application for a Permit to Construct( ) Repair(�fUpgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 3q �' Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Add ess,and Tel.N Designer's Name Address and Tel.No, C, 3�oC 21 5.? r�1�co+ e r- O\ADI� !D V yr 0 A 1 \ z Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures Design Flow(min.required) 3 n gpd Design flow provided 333 °­gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature-of Repairs or Alterations(Answer when applicable) (011 k L+ CZ-5,_0001S L n 3k,11 K o Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance.of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S /a I ` ' n ed r,�. Date 1 - Application Approved by Date Applicaattton:Disapproved by: Date " :gym for the following reasons f Permit No. Q CA) S �D y® Date Issued a lal THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (�) Upgraded ( ) Abandoned( )by A 40 at '? 1 t 1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Q00 5 (O y U dated a Installer Y Designer #bedrooms 3 Approved desi n flow gpd The issuance of this permit shall of be construed as a guarantee that the system ill fun o e igned. Date ls�'6 Inspector - -------------------------------------------- No. QL'2 5 t o YO Fee ZOO THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 1=i5Spoga1 ,*p!9tem Con5truction Permit Permission is hereby granted to Construct ( ) Repair ( 7\) Upgrade ( ) Abandon ( ) System located at g q�_ t, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions.'' Provided: Construction must a completed within three years of the date f this perm�it� Date Approved by r Town Of Barnstable f"E r Regulatory Services Thomas F.Geiler,Director » sABNSfhBLE. + ^� a Public Health Division ar�b � Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Bate: 10�z—/,S-- Designer: '; '"l 1 Installer: )2, OCI Q)MJnQr UA !won Address: . 0, 60X 90 / Address: , x pin ROn J ` �, 5 4 9" i;t plj was issued a permit to install a (date) (installer) 4 y'septic system at � e 130 based on a design drawn by (address) �D/qvww /uf M ated_LQ c` ,B/L6 (designer) I certify that the septic system referenced above was installed substantially,according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. _ I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' laterafreloeation of the SAS or any vertical relocation of any component of the.septic system)but in accordance with State&Local Re . nations. Plan revision or certified as-built by designer to follow. 5�1H OF Mass ARREN�ff tiN '. ez E E i er's Signature) N 0 0 s c/STF-9- /L gNITAWNN (� (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNS LE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTII, BOTH •THIS FORM AND AS- BUILT CAS ARE RECEIVED BY THE.BARNSTA.BLE PUBLIC HEALTH'DIVISION. TlrIANK YOU. Q:Health/Septic/Designer Certification Form µ '9/16/03 Notice: This Form Is T6 Be Used For the*paii`.Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEA&TION FORM hereby certify that the en eyed plan"signed by me _ t� dated T 9 concerning the'ptoperty located at _ 3 Uk 1W CbT T meets .all .of the following criteria: o This failed system is connected to a residential'dwelling only.- There are no commercial or. business uses associated wifli.the dwelling. • The soil is classified as GLASS I and the percolation rate is less than or. . . perco equal to 5•mmutes per'inch.-The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests at the site without a health agent present. o There is no increase in flow and/or change in use proposed. .There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the- maxmmm adjusted groundwater table elevation. [Adjust the groundwater table using the Frfix t method when applicable] Please complete the following: - A) Top of Ground Surface Elevation(using GIS information` s B) G.W.'EIevation�+adjustment for high G:W: DIFI~MENCE BETWEEN A and B A�MSIGNED : �. ATE: l NOT310E Based upon the above information;a repair permit will be issued for bedrooms NA maximum, No additional bedrooms are authorized in the future without engineered septic system plans. gaSepticlpercezemp.doc 9, Page: 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Dated: 4/11/2005 Report Prepared For: Order No.: G0529665 Robert Frazier 33 Lincoln Avenue D Buzzards Bay, MA 02532-3120 6 b Laboratory ID#: 0529665-01 Description: Water-Drinking Water Sample#: 29665 Sampling Locatt n, 39 R' 64tc,1300 Cotui3 MA Collected: 4/7/2005 Collected by: R.Frazier Received: 4/7/2005 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen 9.9 mg/L 0.1 10 EPA 300.0 4/7/2005 LAB: Metals Copper 0.62 mg/L 0.1 1.3 SM 3111B 4/7/2005 ,=Iron­ 0.51 mg/L 0.1 0.3 SM 311113 4/7/2005 Sodium 19 mg/L 1.0 20 SM 311113 4/7/2005 LAB: Microbiology Total Coliform Absent P/A 0 Absent 309 4/7/2005 LAB: Physical Chemistry Conductance 200 umohs/cm I EPA 120.1 4/7/2005 pH 5.4 pH-units . 0 EPA 150.1 4/7/2005 Sample has higher than average levels of Nitrates. Monitoring is recommended(2-3 times per year)to establish any upward trends. The water is suitable for drinking,but may present aesthetic problems(taste,odor,staining)due to Iron. Approved By: (�Director) t RL_=.Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i �S P :ASSESSORS MA �(0 TEST HOLE LO NOTES: GS Cahoon to! useurr PARCEL : Cj �- 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH s ZONE :: Now HAZA-�Jp SOIL EVALUATOR : 1-'�- M � R� l�Gl� THIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OFi" BOARD OF HEALTH REGULATIONS. p FLOOD Z NWITNESS : NOT Rze.i1�h,0 - -� 1911 y lid REFERENCE :F*_ OM DATE: _ 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, . ` Poll SA UIT QC� 2 12 PERCOLATION RATE: 4,zm 11,41 NCii SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO (f(-jkSS S So1(,5 LTA :O t 9�d� y INSTALLATION. 28 Sv( E = _- TH- I eL 1.41 00 TH-2 F_L: 4z,0 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION tr- ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE DETERMINATION. mc�P J � �� �L� of _I�� �__ ��•D-�No� �- 9 � �s�� ����1? , _-,y q �SA00 ��MZ 41.25 [' �t V7 q") f „�.� t � (�� 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS \J ''"S"` "-I� C, SPECIFIED OTHERWISE) 7a 1 3�1.67 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A i LOCATION MAP ZG i GARBAGE DISPOSAL. M Ea VAJ - b IM Erb v,M eoSE 2•�l�3 c CugQ 1t 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) <��D 2 b MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON �J 5// 7 ABASE OF 6 OF CRUSHED STONE. 3 P82 Tm tA) o Se4_'VGti N 4w o�SEuveD gJ I iO MOwN FW UA-i� was w//rJ 150'6F PW• l&CA SFP 1 I Ct SYSTEM DES I GN N6 Wetlands w l,J /50'0r- ftop. L•PaCG1I" - FLOW ESQ'1MATE ID NO 1 AICIA-► Cei fP4M -pR V da-� nl OF . 3 BEDROOMS AT 11 o GAL/DAY/BEDROOM - 336 GAL/DAY 4v tlon tF- DUI ac—j fob LN4 (EP , l0 1 SEPTIC ';-ANK 3:�/D GAI;/DAY x 2 DAYS - GAL + MARK USE 1 ( GALLON SEPTIC TANK— N BENCH � CW D �p ywr� / ELEVATION 0 R 140.56E J- VA =D SOIL AS�"ORPT I ON SYSTEM DATUM ASSUME LOT \ _.._ AREA - f.01 ac 1 � \ \4z S"DE AREA: N �" o'so� i \ B(TTOM AREA: 3D x i S x 0, 7 q _ ?j�j 3 � P1� m > 330 6-P0 \ 48 \z SEPT I C" SYSTEM SECTION ° 48 2� 40 U ! \ w 1,� - ---- EL,. 41. \50 ^ ! 1141_Sh 9 ro C i, t/ ry Gas 8ar'k Z If ve_r j- 2''-3/$„ /e waSlie Np �`'p a_0 r `\ i Ex►gEpRN0M I �� 3/ ase a� 0 �q oar aF 3 , �� 38 3S 1 pW�►-�FNDN I I— GAL [?0,36 wu�r./ es� d- roll- -TOP -J/2 5 SS of I SEPTIC TANK / t13,Sb fiS 71t 37. _ 4£w _ J b 4 - 44- - - SITE AND SEWAGE PLAN ' 42 40 �a�`tH OF,ygss9 LOCAT 1 ON 29UT DA E Coro/T lM�-- M c c . »400 PREPARED FOR : 7203G12-1 rig,+ZiCP # S,I 18TE� 2r kITAR+R DARREN M. MEYER, R.S. SCALE: P.O. BOX 981 DATE: /D 2 0 Z EAST SANDWICH,MA 02537 W DATE HEALTH AGENT Ph: (508) 362-2922 W Z I'