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Home My WebLink About0160 BOG ROAD - Health 1.60 Boa;Foad 1 bt4 n y'-"K A°p y Marstons Mills 3 A 045 .017003 ` Agostinelli, Joan Ir From: Agostinelli, Joan Sent: Tuesday, November 16, 2004 11:47 AM To: Health Office; Stanton, David Subject: Three (3) address issues -certificates of compliance and certificate of occupancy 160 Bog Road David and staff: I am giving you the following street files and information that I pulled from HMT: 160 Bog Road - No Well Completion Report 354 Lakeside Drive - Engineers letter ? 163 Bay View Circle - Engineers letter ? These files are in your IN-BOX. When you were in staff meeting there were several requests for certificates of compliance. I have put the files on your desk. They will be coming into the office or calling you. Both were rather insistent that all requirements were met. I printed HMT information for you. JA 1 117 U'lf L:JUY ��.+r v.+•+��ev-..r•+., __—___—.— ... .. B0ti 19 222 Ps 22 ru�� T) STRICTION i ,PRaa&Lg12pbnBook451 l 5S1tarstoms Mills MA WHEREAS,Melvin N. t IV,of 1676 Sot*Newtrown Rom,COMit,AAA 02635,is the owner of 160� Road,lvlatt m mills,MA,aid l;>eing shown as Let 2 on Surd able Co"Rqistry of Dee&Plan 453,Page 50; Wes,Melvin N.Didmap TV,as$0 owm of seed lot has agmed with the,Town of Barnsmble Board of acaM to a restriction as to the number of bedroom which can be imUided In any tome butt an said kk as a pro- condition to obtainiag a variance from the 310 CMR 15.214 State Env modal Cod,Title V,MhOo m Rquiremmais for the Submtm Dmoml of Sanitary SewaM.Wd to obtabmg a building permit for this WAEREAS,1t Town of B=sW*Bid of HeaW as a pr itiott to granting the variance fMmm 310 CMR 15,214,State'I~atvirotkmental Cow,Tide V,Nrmimmu R"*ett M.for ft Subsm*m OiVOW of Sanitary Sewage,and auducizsog dw ismrmwe of a baUdiug permit for the conshuctioO of a single f2 OY home on this lot. is req&b7g tbat doe agnesest for The roil oo the timber oftedroom in any buss cormmd on the lot be put on record with flee Barnstable County Registry of Deeds by rung this doceu=4 NOW,TH.EMOM Melvin N.DWmmm,IV,does hereby place the following resizWoa on the above retnvnee land in wmdmm with their agreement with tho Town of Saramble Board of HcaW w"mricdm shall run WM ON lazed and be binding qW all summom ire title: 169MMM hNs A may bve construcud upon the lot a house containnog no more tlian tlm(3) bedrootus. l►+lelym N.DishM I'V.hereby agues that this shall be a petmmmem deed restriction affecting 16f1 BOA Road. soars M&MA.and g shovrm.as.Lot 2 on.Damsta le C M fisdft of Plan Book In Pane SO For title mfermas am the deed recorded berewith at a mstable Cwnty Registry of Deeds Book Executed as a sealed boftmacut this 314(day of Novermber,2004. Melvin N.Disbcaan,IV I ayC, ,CAI : -cam �. ► . . . ; KATHLEEN H.GRANLUND Notary Public t 9, rj '` +h" Commonwealth of Massachusetts y'A My.Commission Expires A nl 10,2009 , BARNS TABLE COUNTY REGISTRY OF DEEDS ATRRU�UE COPY,ATTEST <ZSC4 JOHN F.MEADE REGISTER SARNSTASLE REGISTRY Of 1*06 'r"C:E 01 �11/16/2004 10:49 5088966232 A F 4 OW SON NO/000.nodeWPMAnWIC-M MmIld-00 so<�� Iv)(assachusm Department of Enviroau,xtental Maa Meu"t 123, 47 6 Office of Water Resources TYPE OR PRINT ONLY Well Conweti on Report 7SubAdd,,vss at Well Location:_ I6c) 4 C. � Property Owner. 0 1 Lam;sh�M division Name: kmO 32�� Mailing Address: - --- City Town: N Ara5'tmas %Aj S City/Town:r a Z14 Xt% LA 1 ---- — ---� Assessors Map Assessors Lot#: _— NOTE: Assessors Map and Lot#mandatory if nt> �X ii Rjs available Board of Health permit obtained: Yes 21 Not Required ❑ Permit Number w• 1. ��e EVew Well ❑ Abandon mestic ❑ Irrigation ❑ Cable Auc0• ❑ Deepen ❑ Reewdttion ❑ Monitoring ❑ Municipal i❑ Air Ha Ai*.:- Din",;: ?.ash ❑ R lace ❑ Other ❑ Industrial ❑ Other ❑ Mud ❑ Othe; ----- -- 71 CC Unconsolidated Consolidated a:. y m �imY Fir rn (ft) To(ft) ►nyn iow N a c� Other Rock Type yt, M�a ya To:al Depth Drilled From (ft) To (ft) Casing Ty ::and Material Size O.D. (in) 1hl1,-11 590 Typ Da to Drilling Complete ' `� � `'�• ,��,' 'f717�•e�1: t °✓i` s iyy.l�...e�.yttPP }} �. SEEM Fr)m(ft) To(ft) Slot Size Screen Type and Material _ Screen)ia.rne;er �► 5 4q 01 Z ell, Developed? es C� No Fr (ft) To(ft) Material D ription Purpose Fracture Enhancement?' ❑ Yes [I No Method Disinfected? tires 1:1 No Inmae' Yield 'Pumped Drawdown to Time Recovery to Depth 8elo'w Date Method (GPI A '&min) (Ft. SGS) (hrs&min) (Ft. BGS) Date Measured_ Grn.ind Surface; (FT) • r Pt mp Description ( !EAC.-v'►A Horsepower Z �LL -- Pt imp Intake Depth Nominal Pump Capacity t 0 (gPm) Ba i2od, This well was drilled and/or abandoned and my supervision accordinl tr,1 , pF licable rule- and regulations, and this report is co�rr plea correct to fl� best c f my 1,nowledge, D iller: 1r1 ° T a Jgl6upervising Driller Signatur Registration t: Fin: Date= R' .YOT,E: ►iReo Completion,Reports must be Bled by the registered well driller 30 days of weU COMP CERTIFICATE OF ANALYSIS Page:e Barnstable County Health Laboratory Sq�N54.. Report Dated: 0628/2004 Report Prepared For: Shaun Harrington Order No.: G0425988 All Cape Well Drilling P 0 Box 126 Brewster, MA 02631 Laboratory ID#: 0425988-01 Description: Water-Drinking Water j S€mple#: 25988 Sampling Location 160 Bog Road Marstons Mills MA Collected: 06/24/2004 Collected by: Harringon Received: 06/24/2004 Routine ITEM _RESULT UNITS RL _MCL Method Tested j LAB: IC Lab Nitrates BRL mg/L 0.1 10 EPA 300.0 06/242004 LAB: Metals Copper BRL mg/L 0.1 1.3 SM 3111 B 06/25=04 Iron BRL mg/L 0.1 0.3 SM 3111B 06252004 Sodium mg/L 1.0 20 SM 3111E 0625/2004 LAB., Microbiology Total Coliform ABSENT P/A 0 Absent 309 06/242004 LAB: Physical Chemistry I Conductance 95 umohs/cm 1 EPA 120.1 0624/2004 PH 7.1 pH-units 0 EPA 150.1 06/242004 I jEPA 524.2- Volatile Organics by GUMS ! ITEM RESULT UNITS RL MCL Method# Tested ` I LAB: GCJMS j 1,1,1,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 06/25/2004 i 1,1,1-Triehiloroethane BRL ug/L 0.5 200 EPA 524.2 0625/2004 1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 06/25/2004 1,1,2-Trichloroethane BRL ug/L 0.5 5.0 EPA 524.2 06/252004 i 1,1-Dichloroethane BRL ug/L 0.5 EPA 524.2 0625/2004 1,1-DichIoroethene BRL ug/L 0.5 7.0 EPA 524.2 06/25/2004 1,1-Dichloropropene BRL ug/L 0.5 EPA 524.2 06/25/2004 1,2,3-Trichlorobenzene BRL ug/L 0.5 EPA 524.2 06/25/2004 1,2,3-Trichloropropone BRL ug/L 0.5 EPA 524.2 06/25/2004 RL = Reporting Limit MCL•Maximum Contaminant Lnvel Superior Court House, P0.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 b0iZ0'd 20T229280ST 20T229280ST Oe:VT b00Z-80-nON CERTIFICATE OF ANALYSIS Page: 2 Barnstable County Health Laboratory Report Datrd: 06/28/2004 Resort Prepared For: Shaun Harrington Order No.: G0425988 All Cape Well Drilling P 0 Box 126 Brewster, MA 02631 1,2,4-Trichlorobenzene BRL ug/L 0.5 - 70 EPA 524.2 06/25/2004 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 0625/2004 1,2-Dibromo-3-chloropropan BRL ug/L a's EPA 524.2 06125/2004 1,2-Dibromoethane(EDB) BRL ug/L 0.5 EPA 524.2 06/25/2004 1,2-Dichlorobenzene BRL uU/L 0.5 600 EPA 524.2 06/25/2004 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 524.2 06/2512004 1,2-Dichloropropane BRL ug/L �0.5 EPA 524.2 06/25/2004 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 06/25/2004 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 524.2 06/25/2004 1,3-Dichloropropane BRL ug/L 0.5 EPA 524.2 06/25/2004 I 1,4-Dichlorobenzene BRL ug/L 0.5 5.0 EPA 524.2 06/252004 2,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 06/252004 J 2-Chlorotoluene BRL uZ/L 0.5 EPA 524.2 06252004 I 4-Chlorotoluene BRL ug/L 0.5 EPA 524.2 061252004 Benzene BRL ug/L 0.5 5.0 EPA$24.2 06/25/2004 i Bromobenzene BRL ug/L 0.5 EPA 524.2 OW25/2004 Bromochloromethane BRL ug/L 0.5 EPA 524.2 06/25/2004 Bromodichloromethane BRL ug/L 0.5 EPA 524.2 06/252004 Bromoform BRL ug/L 0.5 EPA 524.2 06/25/2004 Bromomethane BRL ug/L 0.5 EPA 524.2 06/25/2004 ! j Carbon tetrachloride BRL uUJL 0.5 5.0 EPA 524.2 0625/2004 Chlorobenzene BRL ug/L 0.5 100 EPA 524.2 062512004 i Chloroethane BRL ug/L 0.5 EPA 524.2 06/25/2004 Chloroform BRL ug/L 0.5 EPA 524.2 06/25/2004 Chloromethane B12L ug/L 0.5 EPA 524.2 06f25/2004 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 06/25/2004 i 1 cis-1,3-Dichloropropene BRL ugtL 0.5 EPA 524.2 06/25/2004 Dibromochloromethane BRL ug/L 0.5 EPA 524.2 06/25/2004 Dibromomethane BRL ug/L 0.5 EPA 524.2 0625/2004 I ! RL = Reporting Limit MCL=Maximum Contaminant Levcl Superior Court House, PO.Box 427, Barnstable,. MA 02630 Ph: 508-375-6605 b0i20'd EOTLE9280ST 20TLZ9280ST TZ:VT b00Z-80-nON b0'd -1d101 IF CERTIFICATE OF ANALYSIS page 3 Barnstable County Health Laboratory Report Dated: 06/28/2004 Pre aired For: Order No.: G0425988 .r, Shaun Harrington All Cape Well Drilling P 0 Box 126 Brewster, MA 02631 '- Dichlorodifluoromethane BRL ug/L 0.5 EPA 524.2 , 06R5/2004 ,. EthylbenZene BRL ug/L 0.5 700 EPA 524.2 06R5/2004 HeXachlorobutadiene BRL ugtL 0.5 EPA 5242 06/25/2004 Isopropylbenzene BRL ug/L 0.5 EPA 524.2 06/25/2004 Methyl-tert-butyl ether BRL uglL 0.5 EPA 524.2 06/25/2004 ; Methylene chloride BRL ueL 0.5 5.0 EPA 524.2 06/292004 n-Butylbenzene BRL ug/L 0.5 EPA 524.2 06/25/2004 n-Propylbenzene BRL ug/L 0.5 EPA 524.2 06/25/2004 Naphthalene BRL ug/L 0.5 EPA 524.2 06/25/2004 I p-Isopropyltoluene BRL ur/L 0.5 EPA 524.2 06/25/2004 Sec-Butylbenzene BRL ug/L 0.5 EPA 5242 06/25/2004 Styrene BRL uglL 0.5 100 EPA 524.2 06/25/2004 tty ert-Bu ]benzene BRL ug/L 0.5 EPA 5242 06/25/2004 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 524.2 06125/2004 Toluene BRL ugtt 0.5 1000 EPA 524.2 06/25/2004 Total xylenes BRL ugtL 0.5 10000 EPA 524.2 06/25/2004 trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 524.2 06/25/2004 I trans-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 06/2512004 Trichloroethene BRL ug/L 0.5 5.0 EPA 524.2 06/25/2004 Trichlorolluoromethane BRL ug/L o.s EPA 524.2 06/2512004 Vinyl chloride BRL u&fL 0.5 2.0 EPA 524.2 06/25/2004 Water sample meets the recommended limits for for drinking water for all the above tested parameters ) Approved By: o'er Director) RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 t70ib0'd 2OTLE9280ST 2OTLE9280ST TZ:bT b00Z-80-nON BOARD OF HEALTH TOWN OF BARNSTABLE melt Con$truct ion Permit 3 Fee- �— �/ �^ Permission is hereby granted- - -4— � �' � 'mil ------ to Construct � ), Alter ( ), or Repair ( ) a n n�al Well at: No. — 7-- ?— Street as shown on th application for a Well Construction Permit No. no—L/ —01-3-- —___�_�__ Date r Boar of Health DATE— ! .L'A Fee— BOARD OF HEALTH TOWN OF BARNSTABLE ZpplirationArVell Con5tructionPermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address N&Isessors Map and Parcel Owner Address InstP-7Drill€r Address Type of B ' Dwelling-------------------------------------- Other - Type of Building--------________ No. of Persons_3 '� o Type of Well t- _ -- — ----— Capacity-- -� ---— ——— Purpose of We11- ` -- Q�------ 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 ' to of Co" o iance has been issued by the Board of Health. Signed ----- -- — C)� dat Application Approved By ` — —--— `5 u ate Application Disapproved for the''following reasons: -------- ----- —--------- --------- — -- -------------------------------------- -- date Permit No. — - L- — Issued daatete l-a�-U-L-- -- — ---- BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate Of Compliance THIS is TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) y — Installer at- -— ----------- -- -- — --- ------ 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--— — - -- --------------- I f 4 t � ' F No---f-d��------/ Fee---------v - ---- BOARD OF HEALTH TOWN OF BARNSTABLE Application-for Vef[ Contruct ion Permit Application is-hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: wkjLocation -.Address. . sore Map and Parcel rtr5 1 clYl S i ---��L— �t s1n•nn a1n-- Owner J a Address t ` 17Q�AY►— �L V--1� 6 r —�� Q.�` ---�'-�=X �Z —"Address s ��— Instillir — DrillIr Type of B ' ' Dwelling -------- —--`- `".- f t f Other - Type of Building No. of Persons-=3= - a 0 1 -------- ' Type of Well--4 Capacity--- Purpose of Well- '}a.�C?`2-- wc� °- ''r=" - �•- r • y j 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 Certif•c to of Co pliance has been issued by the Board of Health. Signed — - ------__—_ — � da4 IAN Application Approved By `, ��-- ate Application Disapproved for the following reasons: ----------- - i - ------- — � � date '�. Permit No. ��_ U U . - - -- IssuedL- v ---- -- j date BOARD OF HEALTH f 4 TOWN OF BARNSTABLE (Certificate Of ICOMP iance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by-----------------— - -- ------- ----- -- --- - -- - -- -- --------- Installer at- -— — -------— - -- -- -=- --- ------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection i Regulation as described in the application for Well Construction Permit No,. ----------------Dated-------------- j THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL i SYSTEM WILL FUNCTION SATISFACTORY. DATE----- — — - -- Inspector-- --- - - ---- ----- BOARD OF HEALTH TOWN OF BARNSTABLE Yell Coh5tructionPermit No. G Fee- � I Permission is hereby granted-�� , �I _ • �' �e � t't-L` ', �� -,----�C-f-�L'�-_________— to Construct ( ), Alter ( ), or Repair ( ) an Individual Well at: ✓ ` r o • V!• y y, , street { as shown on th -application for a Well Construction Permit �. �a fNo.--� ��) - `l•/ 3 Date -� --� ------------------------------ - -- -- —, ---y---------- - _ 4 Boar a of Health DATE— �. t� -- Sea"rch for Map/Parcel, ... )45017003 .... Town;of Barnstable , •, .gip y For Parcel Number 045017003 Rental Property(Y/N): Business Name Zo a of Contribution Y/N) / Area" Numb r /qy a� Contaminant Rel(Y/N) f Phoe � `Fuel Storage Tank Permit Card On File y Disposal Works 7 ` Con� stnzrL ction Perc Test Well Permit FilelPermit No 2003028 i9/ f i r , '� Issuance Date: "~ 1 3 01/15/200 Completion Date x ��., 05/21/2004 of$S ptc Type/SizeofSAS: leachfield(40 x 16 x6 ) Tank 1500 Comments: 3 beds only.*"HOLD FOR WELL COMPLETION REPORT"'PKM mappar 045017003 Owners CUDDY BRIAN C TRS pro plgc 160 BOG ROAD FMAPaz Innouatrve/Alternative Techno gy Septic Systems Single orb nr 0 r � ustered� s f/ 1/AType 1/AService Type T / add deletexrecords=� h wa',... '�....... x .. Massachusetts Department of Environmental Management 121476 Office of Water Resources TYPE OR PRINT ONLY Well Completion Report 1. WELL LOCATION GPS (OPTIONAL) LATITUDE LONGITUDE Address at Well Location: Property Owner: Subdivision Name: IE,,5 Mailing Address: �~ City/Town: t ' �V%A I c CitylTovirn: Assessors Map Assessors Lot#: NOTE: Assessors Map and Lot# mandatory if no street address available ti Board of Health permit obtained: Yes Not Required ❑ Permit Number DateLlssued' 2.WORK PERFORMED 3. PROPOSED USE ; 4. DRILLING METHOD C.;,M�ew Well ❑ Abandon Ej.Bbmestic ❑ Irrigation ❑ Cable , , Auger ❑ Deepen ❑ Recondition ❑ Monitoring ❑ Municipal ❑ Air Hammer `\❑ Direct Push ❑ Replace ❑ Other ❑ Industrial ❑ Other ❑ Mud'Rota �, ❑ Other 5. WELL LOG a: Unconsolidated Consolidated 6. SITE SKETCH (use permanent landmarks with distances) W Permeability H D a, \ t > From (ft) To (ft) > High Low ") ca m Other Rock Type101 ru .� c t 7. WELL CONSTRUCTION 8. CASING Total Depth Drilled From (ft) To (ft) Casing Type and Material Size O.D. (in) Well Seal Type.. Date Drilling Complete 9. SCREENi= �..: From (ft) To (ft) Slot Size Screen Type and Material Screen Diameter 10. FILTER PACK/GROUT/ABANDONMENT mMAIAC 11. ADDITIONAL WELL INFORMATION Developed? ELA�s ❑ No From (ft) To (ft) Material Description`�,P • , .,• Purpose Fracture Enhancement? ❑ Yes ❑ No Method -s J`✓, Y ? Disinfected? ❑ No 12.WELL TEST DATA(PRODUCTION WELLS) 13. STATIC WATER LEVEL(ALL WELLS) Yield `Time Pumped Drawdown to Time Recovery to Depth Below Date Method (GPM)� (hr`s`&min) (Ft. BGS) (hrs& min) (Ft. BGS) Date Measured Ground Surface (FT) 14.PERMANENT PUMP(IF AVAILABLE) 15.NAMEIADDRESS OF PUMRINSTALLATION COMPANY, Pump Description 1 A�' Horsepower l�-� Pump Intake Depth <�"� ` (ft) Nominal Pump Capacity 1 ) `(rg'pm) j 16. COMMENTSi.. O Zb 3 17. WELL DRILLER'S STATEMENT IThis well was drilled and/or abandoned under my supervision, according to applicable rules f ,d and regulations, and this report is complete 'ci correct to the;best of my knowledge. Driller. �` � L 1 upervising Driller Signature: ` Registration #: tu._' rur\ Firm: � 1 � _ i _ 041 Date: ej ..Rig Permit#: I I --J r-,I l NOTE: Well bompleawn Reports must_be filed by the registered well driller wit n 30 days of well completion. BOARD OF HEALTH COPY TOWN OF BARNSTABLEL LOCATION BCxr R7 SEWAGE # -2a) '"dol9 VILLAGE MAf,,S-@ ASSESSOR'S MAP & LOT 4q 17-.� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1,�;D Q /U LEACHING FACILITY: (type) PER ej?l 12 (size) NO.OF BEDROOMS - BUILDER OR OWNER N4 r14-M AM PERMITDATE: I-I'S'—( -3—COMPLIANCE PATE: R i 6 L . 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 V 1 v 4 V No. , Uy 3 Q Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Mizpogar 6potem Construction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon Complete System O Individual Components Location Address or Lot No. ® �ln� Owner's Name,Address and Tel.No.. ,rl�11 S Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Q /vet Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building l No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 7.3 d gallons per day.//Calculated daily flow SZ7.3 gallons. Plan Date 2` G 2 Number of sheets? 'O Revision Date Title Size of Septic Tank�L�IJD Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 provisi s of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has ee d by this Board of Health. Signe Date Application Approved by - ` Date Application Disapproved f the following reasons Permit No. 4 UO3— Q_e Date Issued ———————————————————————————————— /00 No. �/ v 1 -.f Fee Entered in computer: _r L. THE COMMONWEALTH OF MASSACHUSETTS= iYes r , PUBLIC HEALTH DIVISION'- OWN OF BARNSTABLEs MASSACHUSETTS . 2pprication for Migpoml *p5tem Construction Ivertnty Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( . ) Zcomplete System ❑Individual Components Location Address or Lot No.l A 0 6�� !/s Owner's Name,Address and Tel.No. fAssessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. •, r �p- fmBuilding •-•- � U a :p lhng'`: 'No:of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) of Building psi , ,.�No.of Persons Showers( Cafeteria( ) Other Fixtures . Design Flow .3.3 Q gallons per day. alculated daily flow S/7.3T gallons. Plan Date 314,2 Number`of sheets ZAImoo Revision Date '` Title Size of Septic Tank /WO Type of S.A.S. Zr- i ii Description of Soil Nature of Repairs or Alterations(Answer when applicable) -' 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 Certifi- -ate of Compliance has eee ued by this Board of Health..- r •Z Signed a, w� ./ f %�l Date r Application Approved by ,, 1I '1.j. S , Date 1 Application Disapproved fo the following reasons r`. i le, Et Permit No. o?FW 3— U,2 A Date Issued ��is� u' -------------------------- S THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE MASSACHUSETTS Certificate of Compliance &-# THIS IS TO C4R'IFY, that the On-site Sewage Disposal System Constructed ( paired ( )Upgraded( ) tt� I� Abandoned( )by � << M at ,D eg Zv has been constructed in accordance r. ;.. with the pr visions of Title 5 and the for Disposal System Construction Permit No. ?UU 3- 02 dated /du 3 Installer -f K_n-,. 00,\4Y-.cAyit Designer l The issuance o this Permit shall not be construed as a guarantee that the s m will€u tion as signed. Date S� .I OL/. Inspector k,, No.7 U o O 2 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Digpoar *p.5tem Construction 3permit Permission is hereby granted to Construct Repair(i )Upgrade( )Abandon( ) System located at 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. Provided:Construction must be completed within three years of the date of thisperm,. p Date:_ I I I C I O Z Approved by /N - TOWN OF BARN$TABLE LOCATION SEWAGE # 2 ) -Oa VILLAGE C ( ' S ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. I9k'-M. 13 5� S E9 SEPTIC TANK CAPACITY F ( i c ,► LEACHING FACILITY: (hype) � (size) ��X](I k NO.OF BEDROOMS BUILDER OR OWNER M E• .PERM TDATE: J—I C; .COMPLIANCE PATE: (1 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 C, ZZ .6 C` 7 g ' JD F � 0 NOTE. NO SEPTIC WITHIN 150 FELT OF'WELL i ' RACE CANE Il I SITE & SEPTIC PLAN 40. .r LOCATED A T #160 BOG ROAD T �. VACANT A45/1 LOT MARSTONS MILLS, MA. �� S� o LOCUS AlL PREPARED FOR: MEL DISHMAN N4 1750"W 2 I `\ NO VEMBER 23, 2002 M IVER 8. 98 lz All CRANBERRY BOG LOCUS MAP PLAN REF 453150 cfl\\ cry 34 ZONING "RF" N \ \ w 9n 1 TOP OF BOG GPOD= GP ,. " EL = 44.2 FLOOD ZONE: C may\ 56�g. `\ 12 0_ 0.0 \ `,po ems' \ \ COMMUNITY PANEL f 55.9 \ \� 2' A. M. 45j`�7-3 !y 250001-0015-C \ `b PROPOSED '� �`� AUGUST 19, 1985 o AREA=43,5t�0 f S.F. v \4 `� \ '� ,BEDROOM �^Wv` .\ DN'ELUNC IL T.O.F. EL=57' OG , o W Nat1 0 � � 5g.3 � 4 b 59 . sZaa GARAGE W W p _ c_\i / 163.5' 6,Qo�6anneaeaeaeQo®oe OF \ _ TP 1 —— PROPOSED \ �, Aa t't`OPOSED ee••��.Q�� .` '�S`S-90 m'> d 56.2 TP #2 _ DRIVEWAY WELL 1 PAUL A 015 98 • <� e� L W051 o BRUCE y�� \ � `\ \ PROPOSED �\ A.M. 45117—4 ,� ��' �� SCALE 1" = 30 FEET G. cC>a MURPHY v, \ `� '' ` `� `� ,�' �g P'x \ / YANKEE SURVEY CONSULTANTS No. 749 `\ \\ a o `\ \\ DWELLING �� , / UNIT 1, 40B INDUSTRY ROAD \� P.0. BOX 265 9fCrS1E4� a f MARSTONS MILLS, MASS. 02648 SAjNIT ARP `\ �, `\ ` �Ti'' TEL• 428-0055 FAX 420-5553 �, SHEET 1 OF 2 JOB NUMBER__ 53269 EL. =_5_7' _ TOP OF FOUNDATION 20 MIN. 10' MIN. CONCRETE CO VERS 4" SCHEDULE 40 P. VC 2'LA YER OF MIN. PI7rH 1/8 PER FT. 1/8"-1/2" CONCRETE COVER WASHED STONE y / • • / / �" MAX , / i i / / / i i �6" MAX / / / i 4" CAST IRON PIPE 6" P�7L^H�/4, PER MINIMUM FT CLEAN SAND 9 MIN. PIPE PITCH 1/16" PER FT.= 0.005 MIN. FLO W LINE EL=53.0' INVERT 110„ 14" —20-_ o 0 0 0 0 0 END CAP MIN. EL.=54_0-- INVERT LEVEL 0 03 0 0 0 0 ° ° o o °0 0 00 0 00 0 0 �� °o 00 00 GAS _5325' 6 SUM o ° , o ° o000 ° 06 ° 00 ° 0000 INVERT BAFFLE EL _--_ IN INVERT 0 0 o0 0 o $ o o o c�° 0 8 ° o 0 o L.=52.0' WALKOUT EL=49' EL.= 53.5' EL.= 53.0 _ EL.= 5_2. 75_ (TO BE PLACED ON FIRM BASE) DISTRIBUTION INVERT f MECHANICALLY COMPACTED OR 6" OF STONE BOX EL. 52 5 40'x 16'x 6" 1500 --GALLONS TO BE WATER TESTED FIELD FORMATION C� SEPTIC TANK IF MORE THAN ONE OUTLET O PLACE ON 6" STONE 3/4" TO !_1/2" SOIL ABSORPTION PROFILE 0 F DOUBLE WASHED STO E SYSTEM (SAS SEWAGE ' DISPOSAL SYSTEM LOW POINT IN BOG ROAD BETWEEN CRANBERRY BOGS EL. =45. 7 _ NOT TO SCALE NO OBSERVED WATER TABLE (11122102) ELEV.=45.0_ <. OBSERVATION HOLE, 1 ELEV=_56_ TOP OF BOG EL = 44.2 PERCOLATION RATE �2,_._ MIN./ INCH AT _36" INCHES OBSERVATION HOLE 2 ELEV.=_ 56 — DEPTH HORIZ TEXTURE COLOR M07T. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 0—4" 0 -ORGANIC 0—4" O ORGANIC 4"-15" A SANDY LOAM IOYR 5-1 4"-15" A SANDY LOAM 10YR 5-1 GENERAL NOTES 36"-132 B LOAMY SAND 10YR 6-6 1 MEDIUM SAND IOYR 8-4 PERC 3 "- 0 B LOAMY SAND IOYR 6-6 & GRA VE^L 6"-12120' Cl MEDIUM SAND 10 YR 8-4 & GRA VEL 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF —RARN TABLE--__ RULES AND NO WA TER ENCO UNT ERED NO WA TER ENCOUNTERED REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO SOIL TEST WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 10" DATE OF SOIL TEST 11122102 SOIL TEST DONE BY BRUCE C MURPHY, R.S. 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF DA VE STANTON WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN WITNESSED B`=' 5 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE P#10351 DESIGN CALCULATIONS- USED UNDER OR WITHIN 5 FT. OF DRIVES OR PARKING AREAS. NUMBER OF BEDROOMS . 3 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL . NO BE MORTERED IN PLACE.5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH LEACH FIELD 40' X 16' X 6 TOTAL ESTIMATED FLO W CALIDA Y DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO INSTALL LEACH FIELD IN MEDIUM ( 110__GAL/BR./DAY x �`_3_ BR.) � � OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. HORIZON REQUIRED SEPTIC TANK CAPACITY 1500 GAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR SOIL CLASSIFICA TION . . . . . . . . 1 IS TO CALL "DIG— SAFE" AT 1—800—322—4844 AT LEAST 72 HOURS DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN. PRIOR TO COMMENCING WORK ON SITE. EFFLUENT LOADING RATE . . . . . . . 74 GALIDA Y/S.F. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS LEACHING CAPACITY (AREA X RATE) 473 GALIDA Y SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. J RESERVE LEACHING CAPACITY . . . 473 GALIDA Y 8) PARCEL IS IN FLOOD ZONE __"C" . 9) LOT IS SHOWN ON ASSESSORS MAP _45_ AS PARCEL _17=3_. (40x16x. 74) SHEET 2 OF 2 JOB NUMBER__ 53269 ______ r Fk ! - ! t i r -- , f l -�� ! _ 5�--.I �-r._ �' !:f ki n.` S !:Y t.. Y .4 y.: �.b•t�e -- rH . ! : Y. $ .:ra"r h+` � '.n`�n •ss' "�' t. `X Y �:,'s k UUx .. r .. "�.+ _ 6 A., i �'{( � :.• s �• � n,; w?' dbj ,,,-�1 .(� y�,�_ -tea- _ I ..:i � '... •.^,� J�_:n. i T,. .�. ;'.' :., .., �._ .a.. ,.. -� � �(/J�y:.�.� SCALE ,4DAT i c•.r^v r wit' } :.il •1 =.T' ._..:.__ ,: � .. w,. .. --•-�—r a.�' :: '� - a �, 1x: r.�.: ._� - I' 50828 6191 .. .. :: :: �. .. i., Y3: .:. - ':� ,. � ., �i>: .''r ''' :�9t� pp •✓'., fl'eE2R0C:7( WA"LLS'B:CEI11Nd.- i �. ..._ '-•.,:. ` :: '.`:; .,'.q :: :. 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D Mel« , V a �r)0 N rgg:• L:. w �l. .n- . Alt y y is ctr ♦ y Preliminary plains and layouts by D-C.D.are for the use of their customers only An other use ic.! prohibited : _ _,... ._ w_ . _ - ri _ ._ . ._ • - -'• � .,..-�-,�. ..... ..,., -:....._ -_.- a...-L e.._<3+._.aEr...u.uu...+:�.4- aAa...wr_.r.�. '<.t"�,.u._....._....: ..�:.�..<.. .. `- :R.::ue..., �_