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HomeMy WebLinkAbout0591 SEA VIEW AVENUE - Health � 9,e-au +ems _r . J' 7 =^- NO.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..............OF.. ................................... A, Appliration for Eliipnsal Works Tonotrnrtiun Famit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: _ .......... - -------------•--.-----.---.--..--.------------ L tion-Address �`— Addreor Lot No. --------•••-••..............................•--- $waec S`W+ _..w_ ss• W Installer Address Type of Building Size Lot.....J..............Sq. feet a, Dwelling—No. of Bedrooms___....................................Expansion Attic kb Garbage Grinder �S 4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ............................ . W Design Flow............ '1: °,t�....gallons per person�per e�iay. Total dail� flow____ ______________________gallons. _ ae r A ,e�P�I c nk—Liquid capacity?. allons Lengthll._�1..,._ Widths-6__._.._ Diameter__ --_._...__ Depth. ._.._..isposaP Trench—No. It............. Width...... 0__...._. Total Length.._A'k.......... -------------------bq x Seepage Pit No............... ____ Diameter.................... Depth below inlet_................ Total leaching area._bl.Z..sq. ft. Z Other Distribution box K4 Dosin nk (W) Percolation Test Results Performed by..... O.:�.kAi.5-._1w;Vf............... Date... `_12°. 3__ ......_.. aj Test Pit No. .....minutes per inch Depth of Test Pit....l Q......... Depth to ground water-__Mar.Emr-ov4..t%rmeai Test Pit No. 2..4L&......minutes per inch Depth of Test Pit-----tO......... Depth to ground water....................... ` Pa' -----------------------------•--..........•---...........-•-•----•--• •-•-.......--••-•---••-•.............---•-------......••-----••---------••----.---•-- O Description of Soil.-K-.k.-----o.-$_._ - ............................................................ x W x ••------•--•----------------••-•-•••--••-----------...-•-••---•---•-----••-••--••••......_.....•-•---------•--•-•--•••---•••••-•----•-•--•-•--••--••-••----••-•---••--•••-••-......-••••-............... 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 Complia e has beenPy the boar o ealth. l Signed ----- --- ----------------------------- ------ ��ate Application Approved B PP PP Y 2 +�L- -� Date Application Disapproved for the following reasons: .......................... ..... ............................................. ........ ....... .......................... .... .............. .. . ....... ..................................................................... .... .. ....... ... ....... .. ... ......................................... ---- .---- --....-----....-- Date PermitNo. ..... 6. .................................... Issued --.................................--------.................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................OF.... :�ik! :1.975.0,r-'tk-?,1. ,... Appliration for 35isposal Works Tonstrurtiun ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: Lo tionl-Address � vor Lot No. Gm a a 1 i. -Lti— Address W Installer Address Type of Building _ Size Lot___ :)3....•......•..Sq. feet Dwelling—No. of Bedrooms....._._._::............................Expansion Attic Nb Garbage Grinder 5 Other—T e of Building No. of persons............................ Showers — Cafeteria 04 Other fixtures -------------------------------- • . . •..-- w Design Flow..............3 __. ° ....gallons per person,per I Jay. Total daily Pflow-__-�_��I.��- ....................gallons. � �Sel)ti'�c�.1 nk—Liquid capacitysi..i_>4allons Length!N..`�)...... Width��: ....... Diameter... .......... Depth�.`��. Uispo-sa-1'7l reach—No._...1�............. Width...--- -.._._._ Total Length--- ` .......... T >, sq Seepage Pit No-----------------_-- Diameter-------------------- Depth below inlet___..�........... Total Total leaching area.. _.__..sq. ft. z Other Distribution box ( }% Dosing tank Percolation Test Results Performed by----- i�. .....�'(._.......�.�x.Cr:................ Date.._�7r___�..•_:._. .. ......... ,aa Test Pit No. 1--- �-____minutes per inch Depth of Test Pit.... 9.......... Depth to ground water___K!_O...E-- ��`QQ-,eZ.� (i Test Pit No. 2---4- -......minutes per inch Depth of Test Pit.....1©......... Depth to ground water........................ 04 O Description of Soil.............................tl� � .. ..� .�. '�!..� .tit t...;3 Si\a u - •- . . ---- • --- v -----------------------------------� --C � i - � !M ..�'` l t� w ------------------------------------------------------------------ VNature 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 Compliapre, has been ' y the byaro ealth. Signed - ------- f! !11� -------------------------- ------ . Date Application Approved B ..../_.-r..l.!----.....G... PP PP Y -------------------------------------------------------------- 9 Dace Application Disapproved for the following reasons: ........... . ........ .. ........ .................... ......... ... ..... ..........--....... .........-------------------------------------------------------------------.....................................................------...................-----...-----.................................... ................Date-----'---------- PermitNo. ------ 6' 9.................................. Issued ....:...-------:--------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ....................--fU --..---- OF ....._+..... .....gV�............3...--- ---------------- -------------------- Gertifirate of T`1ompXian.ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( VQ or Repaired ( ) Installer has been installed in accordance with the provisions of TITLE 5 of T e State Environmental Code as described in the application for Disposal Works Construction Permit No. ............ ...�..------ .-----.-.-.---- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE ONSTR ED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------------------------- ----------------------------- Inspector ....-----......--- ....... -----------•-------------- ---- ....... -- ...........-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........P�- .A).........OF...... t1 L�U �f l>` .. No.... f FEE.J�I,J_..=...... ~� Permission is hereby granted.......... < ) !....... to Construct ( YJ or Repag ( ) an Individua,� S eage osal System atNo.........� __15 ~------. _,) zt°.. .s ........................................................ Street as shown on the application for Disposal Works Construction Permit No.X -_-19_�----- Dated.......................................... DATE.............../0....... -(P............................... Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TOWN OF BARNSTABLE � t LoClt'n,ON � 11 il+ SEWAGE VILLAGE 05 krViIt Q ASSESSOR'S MAP & LOT �_5'2 - Z INSTALLER'S NAME SY PHONE NO. �5UA XC''y, 77� SEPTIC TANK CAPACITY L s 0 �u��d 14.5 i y � LEACHING FACILITY:(type) `tx`� G^1�f 5 (size) NO, OF 13EDROOMS PRIVATE WELL O I'UBLLC WATER BUILDER OR OWNER_ DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: C® ', 70 VARIANCE GRANTED: Yes_ _No :� �(� �9� I,,1' 6•. � i� `166 �� �b K I 6 � ���Q�a i o i �z J. s. . . . .f ASSESSORSNIAPN y No.-�'"---'-~-f_g_�__J; F'" CELNO' _GSa 06 �6. �.o Fee- --------- -- - - BOARD OF HEALTH TOWN OF BARNSTABLE Application ftrVe[r Congtruct ion Permit Application is hereby made for a permit to Construct (-"' Alter ( ), or Repair ( )an individual Well at: -------('�J_r_tJ C..21 ----------------------- - ------------------------------------ Location — Address Assessors Map and Parcel - G v -------------------------------------- /t-t1'----`---------v ------------------------------------------------------------- --------------- - Owner Address "0. '-AOX- zGc� /4usy ate-4 Z,A--,�.�� r /----------------------------------------- ------------ --- ------- - - - -------- Installer — Driller Address Type of Building Dwelling------------------------------------------------------------------ Other - Type of Building --------- No. of Persons-------------------------------------------------- e� Typeof Well-y—j -- - - - ------------------- Capacity----------------------------------------------------------- ------ Purpose of Well--- -`cf `O-""------------------------------------- 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 qmpliance has been issued by the Board of Health. \ —— — -- ——— — — ��c�C---- --- Signed ��.�.✓J---- ------- � date Application Approved By - �,. date Application Disapproved for the following reasons:--------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- date Permit No. ------------- Issued----------------------------- ----- -- --------------- date BOARD OF HEALTH TOWN OF BARNSTABL, E Certificate ®f COMPU nce THIS IS TO CERTIFY, That the Individual Well Constructed (-1, Altered ( ), or Repaired ( ) by-------------A_- ,.. �1--------------------------------------I---nsta----ller---------------------------------------------------------------------------------- —- n /_cJl/ ------------------------------------------ has been installed in accordance with the provisions of the Town of Barnstable Board of Health.PXivate 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-------------------------------------------— -- ------------ A- No. "'--'-✓-- U Sa o a Fee- s BOARD OF HEALTH � TOWN OF BARNSTABL'E ~ lication for/Veil Con0ructionpermit Application is hereby made for a permit to Construct ( ''r, Alter ( ), or Repair ( )an individual Well at: "s!l. J eCt_J. C w cr_T�!V �(n. -------------_ --------- Location - Address Assessors Map and Parcel s l 9C,C, f t G V --------------------- ------------------- - - - - - cJ -Q - -- -- ------------------------------ Owner Address ------- --------- =----------- - - ------ -------------------------------------------- --- -------------------------------------------- Installer `—Di511er. --- Address Type of Building Dwelling — — ------------------------------------------------ Other - Type of Buitzling ----------- No. of Persons---------'---------------------------------------- Type of Well—<<—--—- —- - - ---- - Capacl y�- ----------------------------------------- ---------- Purpose of Well---�l�-•4_�_%`i�- ------------------- \ 1 Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town ofiBarnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of ompliance has been issued by the Board of Health. - -- -------------------------------- t� v /?/ � ---- Signed----------�------ � ----�---1 ---- - date Application Approved By l date-------------- i Application Disapproved for the following reasons:------------------------------------------------(------------------------------------------- t i --------------------------------------------------------------------------------------------------------------------------------------=----------------------------- /,// f / date Permit No. —f ------------------ Issued ---- —r �� -- date us e �1 a CAu e BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f ComPliance THIS IS TO CERTIFY, That the Individual Well Constructed ( -1, Altered ( ), or Repaired ( ) ----------------------------- Installler 1 �' f u_�e�!—G J ---- --------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Heap,, Ei'vate Well Protection Regulation as described in the application for Well Construction Permit No- A------Iq ated/�--= � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS'_A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ---—— --- ---- —- Inspector--------------------------------------------------------------------- _. .�r..w.o.w.i�tim:...iti.Wir._�i..:�y.ssraw.+vw+r.auda�, .a�sa.+.r,.�e►,+i�+.+.saw.!.sl+liww.d�7. :..iwia. .�+ *.:}��+ :�.. '...-_ .. ._. _ .. .... ._. _. BOARD OF HEALTH TOWN OF BARNSTABLE lVell Con5truct ion Permit No. �------- � Fee---------------- Permission is hereby granted- - ----J—�a''"L'Pl� to Construct (l*f, Alter ( •), or Repair ( ) an Individual Well at: Street as shown on the application for a Well Construction Permit No. - ''a-------- ,►_'� — -- - Dated---------- r - — Lam" o --------------- DATE '� — ~- --Board of Health ENVIR-OTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 . Sandwich, MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508)888-6446 CLIENT: Mr. Sinches LOCATION: 591 Seaveiw Ave ADDRESS: c/o Scannell Osterille MA SAMPLE DATE: 10-3-96 COLLECTED BY: D. Pennini DATE RECEIVED: 10-3-96 TIME: 3:00 LAB I.D. #: E10074 JOB TYPE: New Well SAMPLE I.D. #: DP2 WELL SPECS. : 24, Deep RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100ml (MF Method) 0 0 pH pH units 6.0-8.5 5.48 Conductance umhos/cm 500 153 Sodium mg/L 28.0 15.9 Nitrate-N/Nitrite-N mg/L 10.0 0.07 Iron mg/L 0.3 0.95 Manganese mg/L 0.05 0.079 COMMENTS: Low pH indicates high corrosive characteristics. Iron level is not a health hazard, but may cause taste and staining problems. YES WATER IS SUITABLE FOR DRINKING PURPOSE FOR PARAMETERS TESTED. XXX /l�,a� Date G ? c6 R nald J. Saari Laboratory Director IT = Less Than _ 6 cf 'TI e,,r ------------- Tor Fw EL- r rz r;, ELr I A 12's 4'T-A 14 9- A A SEPTIC T4 E FF Ec-rl V e- W I iy 'SW&Lr� FAAAU�Y_ 7 IV-15 I v I TV t2115POI5 A L.�.��: .-'T- V_JjD &pr-> Z4 441ZQ 6 A U_ lo� -41 L Zr TTM m -------------- ------- ------ wy 7 ----------- t------ 5TA f;rrJ, E qZ4 "A zo -------------- ------- Pat" i�ATII_ -1 4 T>WeL L f W&__: ----------- ---------- fie) Ic -XI ........... ------- --------- ---------- ------------- NYr= IW-; r_I v I L_ E oe-,14 E�sa S-TIM\�l ILLZ MA�4- �A-OF R! HAP. PETER SULLIVAN tft ------ �24 ------ �O 4 3" Ma. 29733 T ?ST ----------------- SISA .................. -7