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HomeMy WebLinkAbout0771 SEA VIEW AVENUE - Health 771, sea lew AveV-),-U Osterville A- 113 —005 - 004 4 o 0 a R J � No........................ All SUBJECT 'ro App Finc.. 5d. NSWNLE . . ROVAL 3� ............... .......... THE COMMONWEALTH OF MASSACHUSE P-0 CONSERVA commiss,01', �Tlc fV BOARD Of HEAL . ALTH OF............ . .... ��3 m ppmP liration for Big r a 605-_co f P6 Application is hereby 4nade for a Permit to Construct or Repair an Individual Sewage Disposal 5-tem a_-, SY a-,Se- �P_ - 0 5; ................................................... ..................................................................................................1/ 4 Location.j)djress or Lot No. stp-4.46.................................... .................................................................................................. az l9wrier Address P.O.C. ...... .................................. Installer Address Type of Build' Size Lot............................Sq. feet U "Lo. of Bedrooms...........�/ Dwelling ......--------------------------Expansion Attic Garbage Grinder (*X �4 P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria P4Other fixtures ---------------------------------------------------11--------------------------------------------------------------------*-------------*------------ Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity.61W.gallons Length................ Width............_._. Diameter.-----__--__-___ Depth_..._..._....... Disposal Trench—No- ----------------_- W/ith.................... Total Length......._._.......... Total leaching.area....................sq. ft. -.17.Z0....sq. ft. Seepage Pit No.--_____----___-- .4 Diamet V. Depth below inlet................., Total leaching area. Z Other Distribution box Dosing tank Percolation Test Results Performed by ct!<............... Date......r/7/A/--------------- Test Pit No. I________________minutes per inch Depth of Test Pit----!_.k--------- Depth to ground water.. Test Pit No. 2.........;? ...minutes per inch Depth of Test Pit___- ....... Depth to ground water ...w6t Pd ............................................................................................................................................................. 0 Description of Soil. A.tS...... ----------......... ........ ..................... ............Irm.,44Z.....ra......4g, ......0. .... ----------------------------------------------------------------------------------------- U r ......................................................................................................................................................................................................... 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 T' TL_,L- 5 of the S'tate Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boa of health. S, ...... . . ...... ....... ........ ........... at .1:2.15.. ......... Application Approved By. ........... T Date ... ......................4fc�. .................. Application Disapproved for the following reasons:................................ .... _. .. ---a..- V A,7, ....... ......................................... .. .................. ate PermitNo......................................................... Issued ...................................w................... Date - � � NO................-....... S .� . FEB...........................„ THE COMMONWEALTH OF MASSACHUSETTS ` w � BOAR® 2:,��T Appliration for UhipwiallUorkg Tonotrurtinn Vamit Application is hereby made for a Permit to Congq.uct ( ) or Repair ( ) .an Individual Sewage Disposal System at i ............................... ................. ................................................................................................. / CG Loc»t�on ress y:, or Lot No. Xf/ ._.... ......!_........ILA..................................... ._.............__......-----•----....... • .............................................. Owner < Address a 4 .........W=•- ......I .._. P a- `...... . __�.. 5.................................. Installer Address + Type of Building t y Size Lot............................Sq. feet U h e . rBuedr No. of ersonsnsion Attic:,( ;) Garbage Grinder-:(k ) Other erin •Typ o. ,, Bedrooms. •-•-------- . p rs a ------•---•----•-•-....... Showers ( ) — Cafeteria ( ) g� P a' Other fixtures ----------------------- ----- W Design Flow__________ _r:........._......._..__..gallons per person per day. Total daily flow............................................gallons. WSeptic Tank-Liquid capacity6 42._gallons Length................ Width---------------- Diameter---------------- Depth................ Disposal Trench �Lo I�}th __________________ Total Length.................... Total leaching area.....................sq. ft. Seepage Pit N.......... __ ____ ________ Diamet � h-_____. Depth'below inlet_....._..._.... Total leaching area..3�ZO......sq. ft. z Other Distribution box ( ) Dosin .tank ( ) - aPercol4tion Test Results Performed by..�_� t j"51.±. ` __ k�+fie t�? ________________ Date._. �171_ r__....__.____..: Test Pit No. I................minutes per inch Depth of rTest Pit-- ; �___._____ Depth_t ground water_ is ktl«!'' f=, Test Pit No:,2................. minutes•per'inch Depth-`of!Test Pit__/! ........ Depth to ground waterwa__-Ws 7.0v_' •-- ......-•....----•------- ------------ ......... O Description of Soil 6l''5 1 f ... _%° d 50-- " Lads�•� -C�g tx-� --••••---- . Kam- Q �4�,tI�rn Q e ' - s_t.. t 1'"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 provision oftf•'1I/•1'•-� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until c ertificate of Compliance has been issued.by the bo of health. ('•.�. w - _ _____ _ _____ _________ ...... . ..................... - A hcation Approved B PP PP Y ._... ' t F ........................................Date �+ Application Disapproved,for the following reasons:.............in._..._... rt �. Date ; d/�Perrrrif No------------------------------------------------ -- Issued-.................................................... r Date ' t 4THE.COMMONWEALTH OF MASSACHUSETTS --BOARD OF HE H ' ,r• t i P ... r..t!�"..............OF::... .�'��!......Z/...�''. ... ............................... K Trrtlfiratr of ''foutplianr THA IS TO C R` Y ifhat the Individual Sewage Disposal System constructed ) or Repaired ( ) by....:=A,7_ . ...........* lived. at....................................... ------- - ----•------ ----------------.------ -••- ---- ••-•---•••--------•---- -•-••••------------........_..._...-•-•--•---------.. has been installed'in accordance with the provisions of Tj e State Sanitary Code scr> in the - application ��� application fo Disposal Works Construction Permit No.................... da.ted_.............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE-THAT THE SYSTEM WILL',FUNCTION SATISF CT RY.-DATE........._•............... � GZ0 -- ////Instor THE COMMONWEALTH OF MASSACHUSETTS "'444€_ ,:.BOARD"•'O HEAL 4' 7d, 7 ; .�.� , OF..... L d rf, ....................................... ...._.........................._'...:........_........ No._-----•-----....._-_.... FEE...................... `Bioposal. or 51 � inn rrnti� µ� Permissiok..1i&by granted.............. =» +.. -•---------------------- ........................................... to Constru ) or. air In Indiv al Sewage Disposal System atNo.. e.................... ............................................................... treet ..L:. as shown on the application for Disposal �t�orks Cronstruction it Dated--------- ............................. . 4 � » . f� Board of Healt DATE....---•-Y---. /•---•--- ................................................. FORM 12259'. HOBBS & WARREN, INC.. PUBLISHERS e z 4 SAR & o Asa BARNSTABLE COUNTY HEALTH DEPARTMENT SUPERIOR COURT HOUSE J BARNSTABLE, MASSACHUSETTS 02630 Lr)g N=be' �JASO PNOHo XG"51I cxT. say DRINKING WATER LABORATORY ANALYSIS Client: -Ted Costello Name of Collector R & S Wells Sample Location: 4 Seaview Lane Affiliatinn: well drillers . Osterville _ Time and date of collection: Type of Supply: well water March 1981 Date of Analysis: March 10. 1s81 Parameter Sample Result Recommended Limits I Coliform Bacteria (organisms/ml 0 0 pH ; 6.1 Iron i .03 0.3 Nitrate-Nitrogen (prm) .13 10 Conductivity (micromhos/cm) 370 500 i Chl,)ride (pFm) �50 Water sample is of excellent quality and meets the recommended limits of all abet e tested parameters. Water sample is drinkable but may present aesthetic problems to users. g Water sample is drinkable but has higher than average levels of conductivity, Future monitoring is re.enmended. Water sample is of poor quality and should not be usod fir human consumption. Resampling and retesting is suggestod to verify these results. Resampling and retesting is suggested. Results only. REMARKS: f cc,: Mr. John Kelly, Director Barnstable Board of Health R & S Wells Box 301 East Falmouth Analyst: N. ------- ------ - Fee--------------------- BOARD OF HEALTH TOWN OF BARNSTABLE ZippCicationArVell Con5tructionpermit Application is hereby made for a permit to Construct Alter ( ), or Repair ( )an individual Well at: -711 S-e� v►e,w aveivikg Location — Address Assessors Map and Parcel Owner L- Address TL�vVT[(� LI/�LL 041LLUVC' 4 DVc ------------------------- - _ - ------ - - - - - - -- - Installer Driller Address Type of Building Dwelling 2e s den 12 ------------------- ,. ietz t 1=1-10IV We-, L L Other - Type of Building---------------------------------- No. of Persons------------------------ YP of Well --- — --- Type --- LI 'I,O�A W -- i i_ 7L ---- -- - Capacit ------ - ----Purpose of Well---- 4,Fjr-L- 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 -- /� date Application Approve B - date Application Disapproved for the following reasons:----------------------- -- ----------_-------__---------_—___—______________ --------------------------- - ----------------------------------- ------------------------------------- date i(/�J Permit No. --- - --� ----- Issued------------- --___=_------�- ---------------- date • ••�►{-�-5�+1�-•�r•-h..+,:�,,-•w-.r,l;;�--yn"`�'�•s•'r•�,^"✓;�`..�+�r+'■`'"�!r'v-�.1.iy,p�M'+�f"lJP"ta'',,t..�`�'„�`�".�'�� '"�'�rb..�k�r� ..,�•, .... ` at.. �" ,�.+ �e.L . *eol It No.-- ------- Fee--------------------- BOARD OF HEALTH TOWN OF BARNSTABLE AppliiationArVell Con4tructionAgermit Application is hereby made for a permit to Construct ()6, Alter ( ), or Repair ( )an individual Well at: 7 71 • Spa VOt c.rJ �tVPNGi�Q ------—----------—---- ----------------------------------------------- ------------------------------------------------ Location — Address Assessors Map and Parcel ------------------------------------------------------------- ----- ---------=--------------------------------------------------------- Owner LI nCtd1 %t- "` q Address �IrNTt(, i4/�61. 4RlL��N(>e• Z�V� 1 Installer Driller Address —Type of Building ' F i Dwelling �e t d e�vc,`P- ----------------------- Xk t �t to ty� w/b 1.r4, -- - - - Other - Type of Building---------------------------------- No. of Persons-----------------= ,-------- 4 A WVL Typeof Well-----------y-----}--------------------L--------------- Capacity----------------------------------------- Purpose,of Well----atr�IC�,q.TO-oly----- ---- 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 -� - ---- - '21��`�--- - - --------- ------ date Application Approved -- !�=--70 � r% ` date Application Disapproved for the following reasons:------------------------- ---------------------------- ------------ -- —-- - ------ -- — --- - - --- -- ------- i ---------------------- —-- - - date Permit No. --��`✓ � - -------------- Issued ---- -- --- date BOARD OF HEALTH TOWN OF BARNSTABLE Certifitate Of ComPliance THIS IS TO CERTIFY, That the Individual Well Constructed 00, Altered ( ), or Repaired ( ) ��'� `� °f 7/6 N by-- 7 - T I e_ W I-L -� !�-c. �_ "ct�C Ltc. 7 ' -----_---Installer at- � R Rg t�---- has od oo, - -- —V/��2.—--- ° ".- ------------------------------------------------- been installed in accordance with the provisions of the Town of Barnstable Board of HealthPrivate Well Protection Regulation as described in the application for Well Construction Permit�``/ko t9-- - -YjQted .x THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTIONSATISFAC/T/ORY. A° DATE 7--- Inspector ,r BOARD OF HEALTH TOWN OF BARNSTABLE Well (con5truct ion Permit No. 's'-=---f - Fee--_----------- Permission is hereby granted--�T� G � '�" �R p P P B4�T to Construct ()4, Alter ( ), or Repair ( ) an Individual Well at: � No. --717h- - 'i�1 G1 V.-e ev 4c fl _-----------------------�--' v!`l�+e -- - °-'------------------------- street as shown on the i` a ,�lica`tiooa Well Construction Permit N - D 0. ated-- 45;1= ------ _=------------------ 'Board of Health DATE--- M4 Si r- Ai c 7 g . ry � i f AQUA TEST 1653 MAIN STREET PO BOX 526 WEST CHATHAM,MA 02669 508-94 -5 5895 DEP LA BORATORY NO. M-MA102 DRINKING WATER LABORATOR�ANALYSIS LAB NO.: 12855 DATE OF SAMPLE: 07/29/94 1:00 pm DATE OF ANALYSIS: 07/29/94 DATE OF REPORT: 08/01/94 CLIENT Atlantic Well Drilling ADDRESS PO Box 339 North Eastham, MA 02651 PHONE 255-1211 SAMPLE LOCATION 771 Seaview Osterville, MA Dr.Chiotellis WELL DEPTH: 25 FT BOTTLE NO: 120D COLLECTED BY: Gerard Hill SEE REVERSE SIDE FOR EXPLANATION OF RESULTS PARAMETER SAMPLE RESULT MASS RECOMMENDED LIMITS TOTAL COLIFORM/100ML PH 6.8-8.5 CONDUCTIVITY (MICROMHOS/CM) 500 IRON (MG/L) .2 0.3 NITRATE-NITROGEN (MG/L) 10.0 SODIUM (MG/L) r 63.0 (See Reverse Side) REMARKS: LABORATORY DIRECTOR ATLANTIC WELL DRILLING, INC. Weir Road P.O. Box 339 NORTH EASTHAM, MASSACHUSETTS 02651 (508) 255-1211 77J S Gat Vf-e-W OrvLy� a� ry ,M/4S. f'r ll 4,5 T ' pro ty e/c C • 14 1p NoUsz 3 ` P,�- `wk►Gh � ,Mew' JJT 7 I y} i • I • i ,.....,_ »:-_._ .,... ... ._.,. _.. -_._. .. -,.,,,.. ,.-.,. .._:.... :.:,.: :a--.:r:- :--,.._,.--r.�_-•.•-..a--�..._ '..,,....�..._:r7^,-.--�•-.�,.'y�ry',y s+rr.-x-^-:�^,C-r� 9.er--_.�g^F- ",r.':?1r"!. _ -''.>.�.a+s_�!F.^'F*' w"„�r-rv,..,::.,,.n,..,-••. .. .. .. JAvrs v ���Q� , 2, L EF'G'r�/lN��.• / l/T.� i4'�"Q 1. . _ . r!'�.1.%/ir/sri .t ram-/r',. ;ils`,�frlt -^•.,, I • '., Av r .. ..._-.... _....�.. -y r; r r:'`�,Q/.4 r�J4"'i'P/✓e".'/1c•/!./A i 1 ♦� i i'�'f•k /Y�..:r�•w.''c j'i :;.e iJJ:Aii�?r:" "". �'.'ij!..i,%/?.rx' !/�-fig�.';%a=.RAJ /ae I'}'1// " CO y E~iQ : a •. 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