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Home My WebLink About0010 LITTLE ISLAND DRIVE - Health v rffle l s/aol Oriv-e., IIx o93- os8-- oo� i ri ge reet i E i I i i I i S M E Aa KEEPING YOU ORGANIZED No. 12134 2-153LGN 0orMIN.RECYCLED CONTENT 10°k Aal certified Fiber sourcing POST-CONSUMER mvu�sfiprogramarg >�Di29D MADE W USA GET®ROANID AT SMEAMOM ( � , S�TOWN OF BARNSTABLE �`' u 7 - 16 7 )-bull Ca` 4 C ,I I e- �!�Lo�4'� D�(`W�� SEWAGE # o� VILLAGE 0 6+e-1-C?CUe ASSESSOR'S MAP & LOT A INSTALLER'S NAME&PHONE NO. C',, 7-5 SEPTIC TANK CAPACITY 00 o,a. LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: —COMPLIANCE DATE: 6� --/X — 9 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 1-3 15 q® No.---W-- ----- - Fee------- -----�-------�-- BOARD OF HEALTH TOWN OF BARNSTABLE 0pp[ication-*rVell Congtructioupermit Application is hereby made for a permit to Construct (t/�Alter ( ), or Repair ( )an individual Well at: <o -� -- ------------------------------ - Location - Address Assessors Ma and Parcel 7 -------------- Owner s/�-4 -Owner Address -- - - -- v �p -c-0- AA-4. ------------------------------------------- �s2_+ -------`--`--Las n- - = Installer Driller Address Type of Building Dwelling---------------------------------------------------------------- Other - Type of Building----------------------------------- No. of Persons------------------------------------------------------- Type of Well jP j C - -— - - Capacity-- - - - -——— - Purpose of Well--L✓Z 6&f ow -°°.,I-------------------- 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 Certi 'cate . f Compliance has been issued by the Board of Health. Signed�— - --- —- - -- - ------ - - - E---- -- -- date Application Approved By -- -- —— -- —-- —— -— ----- --------------- date Application Disapproved for the following reasons:---------------------------------------------------------------------------- ------------------ ------------- -- — — date ----- ------ -- -------------------- -------------_ Permit No. --- - ----- ---------------------- Issued___---- - - -- - ----------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE C ertif icate ®f Compiiauce THIS IS TO CERTIFY, That the Individual Well Constructed (LI, Altered ( ), or Repaired ( ) by---------------l1_ti_�2_SJ�Nn.e 11----------------------------------------------------------------------------------------— —-------------------------- �-f Installer 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--------------------------------------------------------------------------- %h'.-.�^P' 3 ..v1 �F s• � '.�.,-..»r _."'ku..rrn..t�,z...n.y. a� „ 1 � .t�.ar(e a-�•-. �F. •- ,� � .:-�_..f►�. r !/� No. - ----- ------ _ Fee-------.-------- - - ( BOARD OF HEALTH TOWN OFNST' � ul>. Appliratior Ar'V C �tCo� 5tructio a trait. ,� 2� f Application is hereby made.for a permit!to Coruct (r/r Al er ( ), or Repair ( an individual Well t: - -- -= - ---- -- -------------------- ------- -- Location — Address Assessors Map and Parcel -tit 1- ----S r� 7 ------------ - - - -- --— - -D- �P ,sl G --- -------------- ------------ Owner dress �1= - _ - - da S - Installer Driller i dress Type of Building Dwelling---------------------------------------------------------------- Other - Type of Building------------------------------ No. of Persons-----------------------------—— - /I Typeof Well-��_`_�v C - - -- - - Capacity----------------------- --------------------------------------;--- Purpose of Well--�r%'-60- °`" -D~'Ji{-------------------- - A 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 Certi icate . f Compliance has been issued by the Board of Health. Signed ------------------------ - date l Application Approved By ----- = - -- ---- -- -— --- ----------------- date Application Disapproved for the following reasons:------------------------------------------------------------ -- - - - -- - - -- --- `' - - - -- ---- -- --------- - ------------ --- - - ----- date Permit No. -- -—�_ — ---- Issued --- - -- - - --------------------- �� date BOARD OF HEALTH TOWN, OF BARNSTABLE Certifirate ®f Compliance .THIS IS TO CERTIFY, That the Individual Well Constructed (L''), Altered ( ), or Repaired ( ) by-------- ----------------------------------------------------------------------------------------------— ——-- —- Installer at-��7- - _�r /3 L - 1v has been installed in accordance with the provisions of the Town of Barnstable Board of- ealth,Private Well Protection Regulation as described in the application for Well Construction Permit No- -rt=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 Yell Congtruct ion Permit �J No. -------- ------- Fee------- ---------- Permiss;<on is hereby granted------ Cu ----- - ----------------------------------------------------------------------------------------------- � to Construct ( Alter ( ), or Repair ( ) an Individual Well at: No. 1 -- I S 6— - — - -------------- -------------------------------------------------------------------------------------------------- street a as shown on the a plicatio for a Well Construction Permit No. - - - - �-� -- ---- -- - - Date -- - ----- — -- ; --------- ---------------- n a - - --T- - --------- - - Board of a lth DATE--------- -f— � ------- -------- i��rl,�a7�DW u e �j /i E7VVIR0TECH LABORATORIES, INC. MA CERT. NO.: M-MA 063 449 Rfe. 130 Sondrvicb, MA 02563 508 (888-6460) 1-800-339-6460 FAX(508) 888-6446 CLIENT: Karen Smith r� LOCATION: 10 Little Island Rd.,,,,,, ADDRESS: 101ittle Island-Rd: ; , Osterville MA 02655 -, " Osterville MA�02655 COLLECTED BY: D. Pennini/DA Scannell SAMPLE DATE: 4-16-98 SAMPLE TIME: 4:00 WATER SAMPLE TYPE: New Well/Irrigation DATE RECEIVED:4-17-98 LAB L.D. #: 984391 WELL SPECS.: 23' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B 4/17/98 pH pH units 6.5-8.5 5.19 4500 H+ 4/17/98 Conductance umhos/cm 500 108 120.1 4/17/98 Nitrate-N/Nitrite-N mg/L w . 10.0.. 0.63 4500-NO3 E 4/17198 Sodium: . mg/L?,: , , -28.0 12.1 200.7 a 4/20/98 IronA lmg/L� 0.3 0.09 v:' �� 200.7n, it, ,j ,,.4/20/98 Manganese mg/L 0.05 0.343 200.7 '4/20/98 COMMENTS: Low pH indicates high corrosive characteristics. Manganese is not a health hazard, but may cause aesthetic problems. YES WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Date p Ron ld J. Sa Laboratory it ctor <=less than >=greater than TNTC=too numerous to count No. ` � O / �'�1 (. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mi$ oal *pztem Con!9truction Permit P - Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. I-O T 13 U 1 aG F 6%'• J611 V S/b9_ 6z_bc. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: .� f t9 Dwelling No.of Bedrooms Garbage Grinder 0/0 Other Type of Building e✓ ✓ll. - No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5 5 0 gallons per day. Calculated daily flow gallons. Plan Date -7` 31 — y S Number of sheets Z_ Revision Date /d t57 " q 6 Title—A-4- n V� NQ� Lw d o Description of Soil 00 R1 Nature of Repairs or Alterations(Answer when applicable) DESIGNING ENGINEER MUST SUPERVISE INSTALLATION AND eEFFIFY IN WRITING THE SYSTEM WA$ IN & T ACCORDANCE TQ per, 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 no to place the system in operation until a Certifi- cate of Compliance has been ' e y th' Board o7 a --/ Signed Date Application Approved by LZ Application Disapproved for the following reasons Permit No. Date Issued ——————————————————————————————————————— ��,.. ..,Z.r..,.q,. ... '^.... - ,,� w-.r•.,h. xs •_. ,,. /f/,h''<:-• � .. �.• „w i ., . .i- .//.rr.is,: .•*: ,. ,_y i` .�. .. _ .. , lb 1 o l f 1 No.: Fee —� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF,BARNSTABLE., MASSACHUSETTS r Appitcation for Mtoogar *pgtem Cou.!tructton Vermtt Application is hereby made for a Permit to Construct or Repair an On-site Sewage Disposal System at: �... PP Y ( ) P ( ) g p Y Location Address or Lot No. Owner's Name,Address and Tel.No. �[ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: f Dwelling No.of Bedrooms -.Garbage Grinder(Alq I Other Type of_Building& ✓tGA Nb-of.Persons Showers( ) Cafeteria Other Fixtures Design Flow 3 gallons per day. Calculated daily flow allons. Plan Date 7- 31 s S Number o sheets � Revision Date /d " 1 S - $b Title Description of Soil 1 Nature of Repairs or Alterations(Answer when applicable) Date last inspected' ,t f Agreement:,,� " The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and noZ to place the system in operation until a Certifi- ''� cate of Compliance has been ' e "y t ' Boazd of- Iea / 11 //-1 Signed r / Date O Application Approved by Application Disapproved for the following reasons i Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS r, Certif irate of CompItance - THIS IS TOCE�tTI Y,th4t the On-site Sewage Disposal System installed(✓)or re' aired/replaced( Q)on y ff�� for ?5r %� 9 �C_ as . , afP _ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.X�57- A 7r.,ldated Use of this system is conditioned on compliance with the provisions set forth below: J - --——— No. Feell i THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE, MASSACHUSETTS f wigpoar *pgtem Construction V.ermtt Permission is teby granted to b-r C 0 to construct( )repair( )an On-site Sewage System located at 40 T 13 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction u t/be completed within two years of the-date below. 2Lb Date: Approved by �:e OCT-16-1996 10:26 FROM TO 7750155 P.01 -PAT N&i t�L vlu Lq FLOW ' .�- -rrci�tl`: 5 t'�oa x Ii It� X. Lj,W 1 c.,co A 5 � To l. d4 platy fZ',c�►� f J8 r �: -1�X$ D�I'T- SoS 't3 M ..� .&ff v�-tie7w AtZ A 0=�t?; cyC-' -lsl?osb.L 171 EO> ms 1.II ,Lppt�lGAl�d At7�b► �rl� _.�_e OF OuU € 5 "I'1 t T�s? i✓1 ' c� eRauM� r,,PETER = Ifl.297 CIVIL ' as . - T RpwL* ?S1 sl Fd=Jig "ll.la 4AI p Zr 't p. 4 N ODA Ir +aa � 'Za l.►-rrc �. .. l,�,il`�tdo� �� ISC.A•sab t' 1�Y `c'I•tAT: �y ae. N Pf:� .M All," Laub G�urzr � MAr q3 � $+ Ax`c +� 14YM I ta � .JAL. �L� He. t,� ��Ult►JJ�t�+S •�dr!1-Z�'s C i S.me, � M444- ��,r.. .7 p IGNING ENGINEER MUST SUPERVISE 0 IN T '�� RTIFY IN Win+ �Nt ,.77!II>� TFI SYSTEM WA I �� _ — --- -- I —— ACCORDANCE TA PLAN. OCT-15-1995 10:27 FROM TO 7750155 P.02 5t �3ta�G*�r�s Cv life- w Ti ' MV 4-3 PGA' 46--d Ft avc> 7,o4& -4[4 - t►' esvtSe-b Dar;' sr p � ! ; o0or 1 � rr Cl CFO tub ".p' ._ .�,�I ..u.,. :•� �rt� _ -4 ti OF y, MT q �11X#�1 e•; . ��tql TOTAL P.02 s t BAXT E R INC* Professional,Land Surveyors and Civil Engineers 812 Main Street a Osterville, Massachusetts 02655 . Tel. (508) 428-9131 FAX(508) 428-3750 WILLIAM C.NYE, P.L.S.-President PETER SULLIVAN, P.E.-Vice President-Engineering RICHARD A. BAXTER, P.L.S. -Vice President March 11, 1997 Mr. Jerry Dunning Town of Barnstable Board of Health P.O.Box 534 Hyannis, Ma., 02601 Re: Lot 13 Bridge Street Dear Mr. Dunning:' This is to inform you that the septic system installed at Lot 13 Bridge Street by , Deco Construction has been installed in accordance with the plan of record dated 7-31-95 and revised on 10-15-96: Flow dif users were used to comply with the separation distance of 5 ft to the water table. Should you have any questions please feel free to call. Very truly yours, Baxter&Nye Inc. Richard A. Baxter, P.L.S. Vice President cc: Bayside Building RAB/slg .. f c ' MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS )TOWN OF BARNSTABLE ,I c LOCATION L� 1 L �[(e— T-�,L ,Ok Df ty SEWAGE # 1- Ib 7 d, c1 VILLAGE_ ASSESSOR'S MAP & LOT 3 5$ l INSTALLER'S NAME&PHONE NO. Z•e SEPTIC TANK CAPACITY 15c 0 0,a L- LEACHING FACILITY: (type) �� S (site) NO.OF BEDROOMS JBUM DER OR OWNER ''l Cn PERMTPDATE: C[L�7 - 9 f�_COMPLIANCE DATE: 3 —IX — 9 z Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 ofi h L hI 4jL � S� 4 b : THE COMMONWEALTH OF MASSACHUSETTS Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: Lot No. 4 apt --'-'-------��--__--__------��--'_--_'_-'---- __------ ............................. No......................... FEs.......................... THE COMMONWEALTH OF MASSACHUSETTS ----BOARD OF HEALTH 19L1�.�J..-----.OF.............�..�.`��7�� r �/.. ................... Appliratiun for Btupuual Works Toustrurtion Frrutit Application is hereby made for a Permit to Construct ( 1 or Repair ( ) an Individual Sewage Disposal System at: -7 r ........................•-..........- --- ------•-•---•-----........---._...•-- ..............................................................--------....._........-----•------. Location-Address // / or Lot No. ..................................................�. . Lf ............................ -�.....................Owner .......-------------•--•-----•--------•----•Address W Insta:ler Address ` fJ� �� d Type of Building Size Lot............................Sq:feet U Dwelling—No. of Bedrooms________________ ______________ _____Expansion Attic ( ) Garbage Grinder ( ) ............................ No. of ersons....___....._........._..... Showers — Cafeteria Other—Type of Building p ( ) ( ) pa Other fixtures .....------•-------------•------ . W Design Flow_______________________________ .......gallons per person per day. Total daily flow...__.._.___._-----•-_---��_`_---- _.gallons. 1:4 Septic Tank—Liquid capacity_.,'��>..gallons Length---------------- Width................ Diameter---------------- Depth................ Disposal Trench—No......... .......... Width..... :-------- Total Length.......2...... Total leaching area.......A6.1.9---sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( �)� Dosing tank ( ) '—' Percolation Test Results Performed b `+ ""' j f J.1/*� / � aY .................: =------.'f---------------------_. Date '----....----------•---_.... Test Pit No. 1......1r-"'.minutes per inch Depth of Test Pit-------Zq....... Depth to ground water------K: +�'._..__. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water__---_..-----_---_--_-_- ----•-•-------------------`............................2................................................................................................... O Description of Soil----------------- j f "....... •----',J1'Sol[_... ._________________________________________________f.s .___________-----------_............._. __............................... 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 has been issued by the board of health. Signed -- -- --------- ---------------------------------------------------------------------------------- ------------ ------------ Da[e Application Approved By ----------------------------------------------------------------------------------------------- __...._..... .........__ Date Application Disapproved for the following reasons- ------ ---- -- ----------------------- --- ------- -- ------------------------ ...................................... .........................................................--------------- .---......._._...------ ---- ---- ---....-- ---....---................ ------------------------------------------I.. .... ----....----...-- ------- r Dace PermitNo- -------------------------------------------------------------------- Issued ................................................................... Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ....................... O��/!n��/.... OF ... . 'f�,U l!��r, gr=�` ---....-------------------------------......... Certifi ate of V 0nipliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( �orpaired ( ) by.......................................--------------------------------------------------------------------------i�5-----------------------. ..-----...............----------------......---.... .----------------------------------- at ............................................ ... .. ...................................... --...._.......------ ...._...................------....--------...........--.. -----------.....--------------..... has been installed in accordance with the provisions of TITLE 5 of The State Environmental 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 ---------- ----....................----------•- -- ---- ------.. . ....--------...---- THE COMMONWEALTH OF MASSACHUSETTS rl�u/x/ BQARD�OF HEALTH �•- No......................... FEE........................ Uiulinua1 Worb C�unriun prutii Permissionis hereby granted..............................-.............................................................................................................. to Construct ( 4 ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... •--------------••----------------------------------------------------------------------••-----........._ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS I ` � 2 FAMIL`{ 4- ama-alM Pl-A" N 'BALK. 44 0 6AM3A&r- 4 Lor 4, �3rzi��t� ST L►� VIMLy FW%/ _ •4-.x ttc = o � osrL=ra-vi lswme- "MML'. ` Ado X?GAO M6X 5� _ t,tAG�}tf'Jh S��K TO pEStI.N�� LFt4 Fret So - d40 Q;D s A7 V s e $F ETA IL. t_ F C-l.D -- Appu"ToM AtZ6s► �516.N 5ctr--wau. 12c-A* O VorroM AOVA = t-z%x5o =400 6 F ZOIL w4s llr� PETER e ; SULLIVAN y. N0.29733 y. CIVIL SS�O ENS' U' -tit i�aC� El.=11D.L Ltd4t Fi y Z fie. t:•a . 't'7►MG ' n Mwo, 0-4 W47,51te • _+ �.NJp �GaLYir PL 4,876 tKrra: 3, 11,0A u� StlowrJ Pik �.�� t G'6�Ttf`! 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