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HomeMy WebLinkAbout0024 DEBBIES LANE - Health r do LOCATION SEWAGE PERMIT NO. 1-07 3S 1JESe>[ES CtNIT `34 - 1t5P VILLAGE L LS INSTALLER'S NAME i ADDRESS O B U I L D E R OR OWN ER DATE . PERMIT ISSUED DATE COMPLIANCE ISSUED13/ ' a�J �s LOCATION ,p SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME A ADDRESS B U I L D E R OR OWN ER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED f �� M i '. ,: y � cS /� ,. � � . �. i s � +�..E� � ` 1� N<6 �. ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................oF..... ..1��ST"qBl,.�.------.._...---------•------....._..-------- Alipfira titan for Dtipniial Wor ii Tonstruction Vamit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: .DE M E5 t-OJE MACSTON5 M I LL5 LOT 35 L C P .g 4 6 ... -•- ........_.- -• -... .....-- •-- ........................••-•----....•----•---- Location-Address or Lot No. .P�t fin ! ... ��.O...SAw.i�ti��-Rb= �`'! 2s ter!'�' ......... Owner Address S�:E. �1- ............. Iisjller Address Type of Building Size .......Sq. feet Dwelling—No. of Bedrooms.......3 ................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ----•------•-•-----------------------------------• -- W Design Flow..........5.5..........................gallons per person per day. Total daily flow.......3 0.__..........._..........gallons. WSeptic Tank—Liquid capacity]QQOgallons Length_$_y?r:.... Width. _y3-____ Diameter................ Depth_9'�..CFiC, x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................Sq. ft. Seepage Pit No..................... Diameter-__-.I. fF Depth below inlet.A'.EFF. Total leaching area.9"2Q:1....s(I/ft. G/n Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by---QO-W..N..CA.M...!5N6.•.......................... Date...?136 Test Pit No. 1._L_Z-....minutes per inch Depth of Test Pit....14........ Depth to ground water_&OP ......... f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........._............. O Description of Soil..Q'48. Of{l1'I S1 L?YU!3501 L �} - 144 !`'�E�.•J�4►J (,yITN . v -••-••......•BAr.� S C2 .•C..... -�ZoVEI-........EE.A?T,AGNF --I L.aty --.... W VNature of Repairs or Alterations—Answer when applicable----------------------......................................................................... •-------••------------------•------------------------------•---------------------------.....-----------------------------------------------------------•----------------------......................... Agreement: f ,- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with. t e ovisions o' : 5 of the State Sa ' a y Code— The undersi e tl:er agrees not to place the system in ance as issued by the bo d heal tion u > ficate o�omp— i ned ........ ... /�.. ate PPlicationpPr BY -.....................................................................••--'--- ................---Date------------ { Application Disapproved for the following reasons:............................. t }? ..........................................._..........-.................................................................................................................................................. 4 Date s: PermitNo--------------------------------------------------------- Issued------------•-------------------------------••-•-------- Date a> i THE COMMONWEALTH OF MASSACHUSETTS BARD OF HEALTH OWI� ...................OF.....a.A.:4.!�S.T�. Applirafinn for Uigpmal Workii Tonstrnrtuan Errant Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at UL66IES LANE MA25t0fv5 MIL(.:5 LO 35 LC:P y� 46 .. - -----------•---•-•.............•-•-----------• ------..........--•-•-•---•- .......................................... .... Location-Address or Lot No. prpo. k------ --------- ...._ (I11 >H ..1'1!.��...R'�: r-125Tr� _MI --------------------------- Owner Address aO.E............1...1.......... � I&tjler Address Type of Building Size Lot---z.l.,_7 �------Sq. feet U Dwelling—No. of Bedrooms.__.....�................. .. _Expansion Attic ( ) Garbage Grinder ( )U a'4 Other—T e of Building No. of persons............................ Showers YP g -•--•-•------•-------•------ P ( ) — Cafeteria ( ) P4Other fixtures -------------------------------•----------------------._...----------------------------------------•---------------------••••......---•••............- allons per person per day. Total daily flow.:........ ........................gallons. W Design Flow----------'�..>..-•----•---•----•--•----- g P P P Y• Y WSeptic Tank—Liquid capacity_JoO gallons Length__ _ Z... Width...9.yZ___- Diameter________________ Depth._/._C-F F7 Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No...---_--.1---------- Diameter-----1_ ------- FDepth below inlet...4 -E FF Total leaching area..4 9.O.JL•..sq,,ft. 6/0 Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by....(D_ujN._.CA.!?t...EN�?..h....................... Date....Z`3Q./8-1................. a Test Pit No. 1---:!�_7_-_-minutes per inch Depth of Test Pit.....1� ...... Depth to ground water_-- ........ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 19 -•-•-•......--•--- ..._.....•--••-.....--••••. •-•------••---•---......••••-• --•-••••••-- Description of Soil..- y-----9_5-_1.44...../!E&.5At�. ...w1TlJ V ---•-------� ►v2SL..n �25E FLNE..Ca�A�JEL 5. __/117A.41_t p ' ! )------•--...------•-----------. W UNature of Repairs or Alterations—Answer when applicable.................................:.............................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with th provisions o 11 LZ 5 of the State Sanity y Code— The undersizued f. tl:er agrees not to place'the system in r tion until Cer ificate of Compliance l'as e 'sued by the boa f healt . 1 .Signe �. , D?{.�. � . . ........... • r 1 t'o ApplicationAPPro BY •--•-.- ----------� -`•--- __ _ . ---------- ! .-...... . Date Application Disapproved for the following reasons:-----•--------•--•-------------------------------------•--------------------•------------------•-••••----.....-- -•---•••--•--•---•-•---•------•-•----•-•----••-......---••-------•-•-••-•-•-•--•...............•--........_ -----•-------•---- Date PermitNo.......................................................... Issued......................................................... Date THE COMMONWEALTH>OF'--"MASSACHUSETTS BOARD OF HEALTH ......... ...............................OF.... ............... ................:.:.�,,. Tatif irtt#r iaf Tomplian �er + , T IS TO RTIXY, That the Individual Sewage Disposal System constructed ( tY''or Repaired ( ) by....... 1-a..........................I ...-----------.........-------- nstaller at......................... -J.•--••-��--�:�.E_kf..........rA_ju-F•-----------(lti_f.;.�t w V�`! ... = has been instaiied in accordance with the provisions of TITLE 5 of The State Sanit4ry Code as desc ibed in the application for Disposal Works Construction Permit No........ ___________________ ______ dated-.------1:-:.' 2(__ .................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F C ION SATISFACTORY. DATE...............` ........................................ Inspector........... ............................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH <- .....................OF.....................: r No t t. fi FEE ... visposa1 lVarkii TDnnitrian rrtii Permission is hereby granted......:�........c1LV\-..a. �tO........................................................k . Sz. You•••••....... •••... to Construct (",�v�or epair ( ) qn Individual Sewage Di osal System ` atNo.. ).....: = ka_n_,e-----------_---- ----------------------------•----------....----•---....: Street f as shown on the application for Disposal Works Construction Per NoQ4 Jl Dated..... _ZI-7J)_ Board of Health DATE ........................................ �S FORM 1255 HOBB & WARREN. INC., PUBLISHERS r Y{i Log Number: Bottle # D074 Date; • 1/2'/84 BARNSTABLE COUNTY HEALTH DEPARTMENT SUPERIOR COURT HOUSE BARNSTABLE, MASSACHUSETTS 02630 Asa DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511 EXT. 331 Client: Wayne Paddock Collector: S. , nzenh DiM«ianin Mailing Address: 11C Sant Noll Rd. Affiliation:" . - Anua ae� Wpll Oriller5 Marstons Mills. h1A 02648 Time & Date of - Collection: - 11/19/R4, 12:nn Telephone: 426-•5183 Type of Supply: krplI ,iatpr Sample Location: Lot .35 Debbie Lane Well Depth: PMartons Mills Date of Analysis: -11/?0/8a PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml'- p 0 H C 3 Conductivity (micromhos/cm) 1,10, 500.0 Iron ( m) 0J7 0.3 Nitrate-Nitrogen ( m) 7P0 10.0 Sodium ( m) _ 20.0 I . Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results of the parameters tested for this sample, the water is suitable for drinking but may present the problems checked below: A. XX Water sample has higher than average levels of Nitrate. Future monitoring is recommended .(2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. High Nitrates REMARKS: kfC• Barnstable Board of Health CC: Aqua Jet Well Drillers Laboratory/Director 7/17/84 Explanation of Test Results Total Coliform Bacteria Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning septic systems,cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved. PH pH is the measure of acidity or alkalinity of the water. On the pH scale, the number 7 is neutral,less than 7 is acidic and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5 Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos'cm are generally considered unacceptable and may have a laxative effect upon users. Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may cause the problems listed above. it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen The.Massachusetts Drinking Water.Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes. Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are orf a low sodium diet. If the water supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm indicate that there may be ocean water or road salt runoff water getting into the well. y 'ZIECTION - SEWAGE ID/-SEPTIC TANK - to - "D"BOX - 2 2� - LEACH PIT �r TOP OF FON 1 .75_© . (MSQ# •.a..OF II$TO Vz" - WASHED STONE I ( ..� , ZCf 1` �/ �/ / +• � ! � • 1 � Nr \ d A IN OUT• IN- \oo CG OUT- IN- / 3� r{ �2 0 7J E2 SEPTIC .•v �' \ ) \� / Q ( _. 8 TANK 7I•r?S ��� ¢+ • n / ELEV. ELEV. ELEV. ELEV. 71, ELEV. ELEV. LE\I \ / ' NC _ WASHED STONE TEST HOLE LOG j TEST BY F._Faxlr=bunk. �P,e.. RoN GI FFORD P-596, TEST DATE r7'30 131 WITNESS �^ --+- DESIGN — —BEDROOM HOUSE f \•, a' 3 .� '• T.H. 1 T.H. 2 G�O� ELEV. ELEV. NO t ` '73 8 PERC HATE CZ MIN/IN. DISPOSER DISPOSER 4 B.M. �l ( ' FLOW RATE 330(GAL./DAY) 3o ELEV7Q II 35 �,f, (G9 SEPTIC TANK 33o x (%.5)= �i5 (; - "�� '� - � .� LOT.8 REO'D SEPTIC TANK SIZE 1000 d 0 LEACH FACILITY f n°Zx 4= 150. 4 _ W SIDE WALL ? � (2,5 ) � 37-70 G/D. a BOTTOM 7r'=7T'^31o_ 113.I ( 1 ) I� :t G/D. G TOTAL uIc USE. ONE LEACHING PIT I \ \ 144 Gt-115 I �Q +1 PEF_Px )2! EFF. ILIA. 64 p _ a WATER ENCOUNTERED p q \ 1 NOTES: (UNLESS OTHERWISE NOTED) 1. DATUM(MSL)+ TAKEN F OM---Y0-I U-12......_.............QUADRANGLE MAP /A� 2.MUNICIPAL WATER-----.NT 3.PtPE PITCH: V4"PER FOOT � 4.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO- -14 .44 ARN H. 5. MIN.GROUND COVER OVER SEWAGE FACILITIES: (1) FT. ��^ OJA A DISTANCE AS CERTIFIED 6.PIPE JOINTS SHALL BE MADE WATER TIGHT ca CIVIL 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. SITE PLAN STATE ENVIRONMENTAL COPE TITLE 5 LOCUS: Ilt ! R G.PROFES 1 i�"P(L NGINEER + • - 1 I - • � w "Pe f /� �i REF: « {down/ "P ew4fil/�eer/ilI�4f PREPARED FOR: t=mh,�C+yIoc..W tl CIVIL ENGINEERS _----------- CONTOURS (EXISTING). + „ BOARD OF HEALTH 816 Main SL 'LAND S REG.LAND SURVEYOR AND SURVEYOR (EXISTING)---- •---`-- � SCALE 3Q (PROPOSED) APPROVED DATE gA �K,!AgL�� MA d �. '%� ? Q -o-o- DATE SECTION - SEWAGE 7 � Y -/ Jr 10' - SEPTIC TANK - 10, - "D" BOX - 2-21 - LEACH PIT TOP-O7F FDN . /.5,P (MSL)s "2"OF aTO 1/z" � WASHED STONE I � 1 •_ , IN OUT - 0IN OOG OUT IN 71.�U SEPTIC 11.�5 � ' �i e Q \h / C1 TANK C� ELEV. ELEV. ELEV. ELEV. 71.35 /71. .> 0,4' (05 Sir) 14i ) ELEV. ELEV. _r� r �LEJ O \ Gam_ Z. - OF �."-11/:" \\ WASHED STONE / / n TEST HOLE LOG �� ,� •� ti off' TEST BY 61F-i=ORD P--596 WITNESS TEST DATE'gl DESIGN _ —BEDROOM HOUSE T.H. 1 T.H. # 2 u 00 ELEV. ELEV. ` — -?3 — PERC RATE C MIN/IN. DISPOSER DISPOSER ]m FLOW RATE 33C:>(GAL./DAY ) c> ELCV a 0 `✓ x SEPTIC TANK 33o 1.5 = `� „ 1 1 4 9.8 I REO'D SEPTIC TANK SIZE 1 0o<� � LEACH FACILITY c° SIDE WALL -lT-IZn 4 = 15O•R (2,5 ) _ 37 7 C) G/D. 1� O1 BOTTOM TfrZ-TT^aw= �13. 1 1 I ) s 113.1 G/D. Lo� TOTAL ` S.F I r �- N USE: (""It! LEACHING _I_IT —i h C) WATER ENCOUNTERED CD NOTES: (UNLESS OTHERWISE NOTED) aw -►� �)-C 1. DATUM (MSL) 'TAKEN FROM --L ......................QUADRANGLE MAP 2. MUNICIPAL WATER...... -AVAILABLE ----._.._.-......_.... I i 3. PIPE PITCH: 1/4.1 PER FOOT - 4. DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO - �_ _-44 5. MIN. GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. _• '� ..a' ---lCI-- DISTANCE AS CERTIFIED ;6. PIPE JOINTS SHALL BE MADE WATER TIGHT t / 7. CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. A " '• / �' SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 - LOCUS R G.PRO I)ON FESS 'AL ENGINEER R E F: Wes.K a 6 1=`�S i i�"`j 3'�cGc' dOW#7 cope en.0in i/!g PREPARED FOR: CIVIL ENGINEERS LAND SURVEYORS — ——— ——— ———— — BOARD OF HEALTH REG. LAND SURVEYOR CONTOURS (EXISTING) --- ------ -- -- �� �� 8t� SCALE (PROPOSED) -O-O-O-O- APPROVED DATE gftg N. T�BLE MA Y�o I DATE 8� —3E3S .eau•