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HomeMy WebLinkAbout0015 DRUMBLE LANE - Health 15 Drumble °taneA� . Marstons Mills � ;, , A.= 048 005002 1!� TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ./Y) M ASSESSOR'S MAP LOT 6 y J-6a5_'60 a INSTALLER'S NAME & PHONE NO. !'()SEPTIC TANK CAPACITY m LEACHING FACILITY:(type) J� (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: I Lr 71 VARIANCE GRANTED: Yes No t/ . � w�i �. � J� � f l �'� . .. �' �,�� � _ � �� l � �i "6 wV,.,� e M� Fxs........1. ........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratilan for Bispvii ai Works Cnnnsirnriiun ramit pplication is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal ISyst at: J ,� . ............_.:Q.R..I�..M_..E�..l� ----Location-Address r Lot No. .... � 4 ......�Yg ---1--0 T..j...1..L Owner Address w . ..../_&Aoj 1. ..>.._... JE s1 �[�d�. Installer Address J �. U Type of Building Size Lot_SO� -----Sq. feet �., Dwelling—No. of Bedrooms........ ............................Expansion Attic ( ) G n ( ) PL4Other—T e of Building No. of persons............................ Showers — Cafeteria d Other fixtures . -. W Design Flow............. --•-•-- �-•._gallons per person per day. Total daily flow__._.3.3a....................gallons. WSeptic Tank—Liquid capacity/,00.gallons Length___.1/_l.__._. Width________________ Diameter................ Depth_...( ....... x Disposal Trench—No. .................... Width.......r........... Total Length................... Total leaching area....................sq. ft. Seepage Pit No....../-_-__-_--_-- Diameter.......AA........ Depth below inlet..,40.2.... Total leaching area..j;P,-,$._!....sq. ft. Z Other Distribution box (k_� Dosing tank ( ) / aPercolation Test Results Performed by._ b4?.Q. t�9fll/1� '��. V1..1� A/__. Date.._�,(-7. /..�18__.......__. 14 Test Pit No. I......je2.._._minutes per inch Depth of Test Pit------- ��._._.. Depth to ground water.....,/ _._F._.__. f14 Test Pit No. 2......a......minutes per inch Depth of.Test Pit...:l0...___.... Depth to ground water....//4....__._ M .-- �+ Q Description of Soil...... x W UNature of Repairs or Alterations—Answer when applicable................................................................................................ ..............................................-----------------------------•--••--••-------------..._.......------......-------------•---------------------------•--------.............-••••--••------• Agreement: The undersigned agrees to install the aforedescribed Ined ge Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Codersigned further agrees not to place the system in operation until a Certificate of Complia ee board of health. Signed --- . . .. ....... Application Approved By -------------- .- ....... - - ---------------------------------------------------------------------------- Date Application Disapproved for the following reasons- -------------------------------------------------------------------- --------.......................----------------------- ... ..................... ............................................................ . ---........---------------- --... ------...........................-------- ---------------- ........................................ Date PermitNo. ........ ...................... Issued ..........................................................--------. Date t No:-_� - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Varks Tonstrurtiun f rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ,) an Individual Sewage Disposal System at: _ Z P V t' / /v /�I o -ram ..._��--------- --� ��-����Q- .. 2 7 /0/`"! AS � !(JAI!5/l .. .... . - - r ga t No. Q TTMA -------- -- Addre a . 1.1 �G� l 1 J U-Ss--�z4.STiR lilt!¢ -�At� W Qf [ ------------------------------------ --- -- - Installer Address �D�O UType of Building ,r Size Lot_--------,�-----------"-Sq. feet a Dwelling—No. of Bedrooms---------e ----------------------------------Expansion Attic ( ) age rin ( ) Paw Other—Type of Building ------------- p ( ) — Cafeteria ( ) _______________ No. of ersons____._____._____________.___ Showers Other fixtures - - --- - ----- --- ------ w Design Flow------------- ------------------gallons per person per day. Total dais flow--------- --�o--------------------gallops. WSeptic Tank—Liquid-ca.pacity 100.gallons Length------/I. -.- Width....._5- ------ Diameter Diameter_______•-•_-----Depth-----&• ... x Disposal Trench—No--------------------- Width-------t----------- Total Length------------------- Total leaching area-------------.___sq. ft. Seepage Pit No------- ............ iameter........6-------- Depth below inlet__- f. P._7---- Total leaching area---a-J~- __sq. ft. z Other Distribution box ( Dosing tankk,(, ) Percolation Test Results Performed by___[ � !YY_ ..`_f'�__ v�-Ll v/p Date---V7.lZi 8,'X_-.. Test Pit No. 1.......A-----minutes per inch Depth of Test Pit------/Q...._ Depth to ground water__ !: . fs, Test Pit No. 2.......al-------minutes per inch Depth of.Test Pit..../Q--------- Depth to ground water-----------1__!-----_--_ x - Q-• . - ------------------------------------------------------------------------- O Description of Soil.......f_-�. ! ---"-- [ -�2�_....._J_!�y4 __•___A _•------ •------------------------------••-•-------•---------------------------------•-- x ------------------- w V 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—7Th-undersigned further agrees not to place the I system in operation until a Certificate of Compli c s?been ss by the board of health.f ' Q Signed ------ [- - --- --- A pplication Approved B - _ ----------- " ------------------------------------------------------------------------- ------�/`- - 1 Date Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------------- ------------- ---- ---------------------------------------------------------------------------- ------------------------------------------------------------------------------------------ -------------- -- C Date No. Issued ------------- Permit - - ------. Dale THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C9er#tftcr k of ('90mytiance THIS S T,�O(CER IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-------------------�,°7i---------- - --------------- �� T I� Ins/t�all�er � at ° ',-k--'------'t----I----------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5jpf The State Environmental Code as described in the application for Disposal Works Construction Permit No. -------YP-------�-3_ - dated ________________________________________________ - --------- �--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-_----------------_--- --�`. ------ Inspector ---- t ---------------------------------=------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a �3 TOWN OF BARNSTABLE G No.... ................ FF1 -A.. ........ i �rtti Irk �rrnruanrruti Permission is hereby granted--------_--- ?-- to Construct (,�K) or Repair ) an Individual Sewage Disposal System at No...........G�T--�------ L - --- Street r - ---------------- as shown on the application or Disposal Works Construction er 't I --_-o?'Sv2//Dged................./I._r_: - .- ------------ B�rd o�Health DATE----/...-------/--- 9 �.�----------------------------' FORM 36508 HOODS a WARREN.INC..PUBLISHERS Fee---- -r--- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rVell Congtructionpermit Ap lication is hereb made for a permit to Construct (�; Alter ( ), or Repair ( )an individual Well at: ---6¢ oZ - /lv�?jL� - '42 ✓19. ----------------------------------------------------------------------------- ---------- Locat n — Address Assessors Map and Parcel ------------ -- - --- ------------ ,� ��' --------- �j O net Address -- ---------------------------------- � �}, - ri - Installer ller e Type of Building � ��� Dwelling --------------------- Other - Type of Building ---------- No. of Persons------------------------------------------------------ Type of Well`---?�ae-e _ ------------ Capacity ----------------------—----------------------- Purpose of Well '��'--G -------------------------------------- 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 Approved By------- -------------------------- f-IT t-------- date Application Disapproved for the following reasons:------------------------------_-_------------------------------------------------------------------------ -------------------------------------------- ------------------------------------------------------------------------------------ ------------------------------ date Permit No. ---------IV 471, jam--- -- - - --- -------- Issued---------------------------------------------- --- ----------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired ) bY---------- --------------------------------------------------------------------------------------------------------------------------------------------------------- Installer LQ --- -------------- - �------- 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------------------------------------------------------------------------------ No. �= 7--- f. Fee----2-*-�---------- BOARD OF HEALTH TOWN 0F -BARNSTA-BLE Application-*rVell Cou5tructioupefmit Application is hereby made for a permit to Construct Alter ( ), or Repair ( )an individual Well at: 1,67' 1J/1�.rlb`e '1 Location — Address jj Assessors Map and Parcel fG,d/lU G'o�✓5�2cG 4�! co �Rn/ S 6 STI/?x/ A �u� - - - ----------- - ' - - --------------- Ownv.. A dress - ---------- -------------------------------- Installer /Driller Addr s Type of Building ���✓�� Dwelling------------------------------------------------------------------- Other - Type of Building ---------------- No. of Persons------------------------------------------------------ Type of Well=SCePc _tc>e Gi - ------------------------------------------ YP -- - Capacity— - - Purpose of Well--- �` G 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 Approved By------- --------------------------- date Application Disapproved for the following reasons:----------------------------------_---_----_----_------------------------_______________�_______--___-- ----------------------------------------------------------------------------------------------------------- date Permit No.-- �1=-1�- --------------------- Issued-------------------------------------- ----------------------------------------- date BOARD OF HEALTH TOWN OF' _. BARNSTABLE Certificate-Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired-*) by--------- ... -' ------------------------------------------------------------------------ Installer at— — — — 4 �+�"� �y— — Y' t —Y Y — — — ------------------------------------------------------- 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 SWELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------------------ --------------------------------------- Inspector-------------------------------------------------------------------------- BOARD OF HEALTH TOWN. OF BARNSTABLE lVerr Con5tructionPermit � � A�1_ N o. ---------------- a Fee---21 -- Permission is hereby granted-------{--OOJ----------- to Construct (yt), Alter ( ), or Repai�r ( ) an Individual Well at: No. -------�� .? _ `'� - = ----------I r ----------------------------------------------------------------------------- Street as shown on the application for a Well Construction Permit No.------------------------------------------------------------------------------------------ Dated--------------- -_� ` - �/ --------------------------------------- -----------= -----.k------------------------------------------------------- 91 vBoard of Health DATE----------------- /T - �S 'T_ ------------------------------- i NN V 1 N � ' C � Iry M. cu NY 7. LA 667 43 or rn i '�� Hai � � ►� t s Pit /A 3, —7F GaaxsT�eUCrc'��, re s `� •' ;� `1 as N �IrittltintnttinrnttlnirmTrrtrTrtnftinlniTfftintm '/y m�titnlTmnfnttitt�itfrr�irtimmntvTrrtttgntrtnTnntftTnn+rTmtrfrrfrrnrntttTnmrur Tr n ain n Tt/tt*itTT ttTTinlf+ t Ttrnin�n mrntnn J 4,, :. .. . . . .: ... .. ..., . 1.., .1 t:•,,:,,T::,,,:,,.a ,tiA•:::,„,L•„1:,„ .,,, r ENVIROTECH LABORATORIES Mass. Cert. 4:MA063 449 Route 130 Sandwich,MA 02563 (508) 888-6460 CLIENT: Polcaro Construction_ LOCATION: Lot 2 Drumbl_e Lane F` ll Jan Sebastian '.��a�; linit 11 itarstons Mills, MA = ADDRESS: - StlndwicI1, 14A 0 2_563 _ - _ COLLECTED BY: Fred Clifford SAMPLE DATE: 10-29-91 TIME: ipm DATE RECEiVED:10-29791 SAMPLE ID: FHD 103 = JOB New Well WELL DEPTH: 4b RESULTS OF ANALYSIS: _ > Parameter Units Recommended limit Result Coliform bacteria,,100 ml (MF Method) 0 0 _ pH pH units ---- 6.0-8.5 6.25 ;~ Conductance umhes cm 500 159 - Sodium m L 20..0 - g 17.3 - Nitrate N mg;'L 10.0 5.80 = Iron mg%L 0.3 <0.05 Manganese mg/L 0.05 = c = Hardness mg/L as CaCO 3 (` S00 c — B Sulfate mg 250 -- Potassium mg/L 20.0 Alkalinity mgi'L 200 — Chloride mgi'i `"DSO EE Turbidity NTU 5.0 E Color APC units 15.0 Background bacteria COMMENT: . Nitrate .level should be monitored periodically ? I EPA 601/602 VOC ug/L Chloroform 3 a >` see "attached reportzi � YES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETErSTED. XEX. O wl DATE n.=9 ;GROiJjiniti3lE ^.i - ^jiilRGTc H 500. ?';- ,_ L GRouNoWAT'ER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: FHD-103 Lab ID: 2177-01 r QC Batch: VGA-873 Project: Polcaro Sampled: 10-29-91 Client: Envirotech Laboratories Received: 10-29-91 ContJPrsv: 40m1 VOA Yia1JNaHSO4 Cool Analyzed: 11-03-91 Matrix: Aqueous PARAMETER CONCENTRATTION REPORTING(LIMIT Dichlorodifluoromethane BRL Chloromethane BRL 1 BRL 1 Vinyl Chloride Bromomethane BRL Chloroethane BRL 1 I BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1 2-Dichloroethene BRL 1 1,1-Dichloroethane 1. cis-1,2-Dichloroethene * 3 BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 BRL--BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropene BRL 1 Bromodichloromethane BRL 2-Chloroethylvinyl Ether BRL 1 "trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL I 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1, 1,2,2-Tetrachloroethane BRL 1 . 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS � Bromochloromethane 30 29 97 % 83 - 117 % Fluorobenzene 30 30 100 % 81 - 113 % BR L = Below Reporting Limit, * Non-target compound. "Trace" indicates probable prose ce below Furgeable Reporting Limit. Method References: listed Method 601 - Purgeable Halocarbons and Met hodAromatics, 40 C.F.R. 136, Appendix A (1986). 1. .v;,�tlf+�i�i:++n►nmmnnnntn+mnn+nm+nn►nn+mm�ntn+mnn+nnnnmm�mnn►nt►nnntnnn+n+nmrnninn+nnn+►+nm+n+tnnnnnnnmm�mnn+tnnmtrmmmnnmm�m�mmll►ttn ENVIROTECH LABORATORIES Mass.Cott.#:MA063 449 Route 130 Sandwich,MA 02563 • (508)88.8-6460 CLIENT: Polcaro Construction LOCATION: Lot 2 Drumble Lane ADDRESS: 11 Jan Sebastian Way Unit 11 Harstons Mills, = Sandwich, MA 02563 _ COLLECTED BY: Fred Clifford SAMPLE DATE: 10-29-91 TIME: 12m. DATE RECEIVED:10-29-91 SAMPLE ID: FHD 103 JOB #: New Well _ WELL DEPTH: 1 46' RESULTS OF ANALYSIS: Parameter Units Recommended limit Result . Coliform bacteria/100:ml (MF Method) 0 0 H pH units . 6.0.8.5 25 p 6. Conductance umhos/cm 500 159' Sodium. mg/L 20.0 .17.3 N Nitrate-N mg/L 10.0 5.80 Iron mg/L 0.3 <0.05 Manganese mg/L 0.05 Hardness mg/,L as CaCO 3 500 Sulfate mg/L 250 /L 20.0 m Potassium g Alkalinity mg/L 200 Chloride mg/L 250 _ Turbidity NTU 5.0 Color APC units 15.0 Background bacteria COMMENT Nitrate level should be monitored periodically. EPA 601/602 VOC ug/L Chloroform = 3# # see attached report = YES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETER TESTED. MIX 0 DATE f/1llUlllllUllllllUllUltUliUifUt{!Ul!{lt1tUlllititlUl11111UN111JUUllllUl{111ll{!1!{UUUUIIt!{tl{!!ut!{111UUlllilll{!l1111111{ltUllUilflllllll! lllttlllllllUl!llSUflU{t1UlUllIUIUlIUUQlIIlUil116dl,ifllii''��� GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/P1D/ELCD) Field ID: FHD-103 Lab ID: 2177-01 Project: Polcaro � QC Batch: VGA-873 Sampled: 10-29-91 Client: Envirotech Laboratories Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 10-31-91 Matrix: Aqueous Analyzed: 11-03-91 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) - (ug/L) :a Dichiorodifluoromethane BRLBRL 1 Chloromethane BRL 1 Vinyl Chloride .:BRL 5 Bromomethane BRL 1 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene i Methylene Chloride trans- BRL W-Dichloroethene BRL 1 1,1-Dic�iloroethane 1 BRL cis-1,2-Dichloroethene * 3 1 Chloroform 1 1,1,1-Trichloroethans BRA 1 Carbon Tetrachloride BRL 1 Benzene 1 1,2-Dichloroethene BRL 1 Trichloroethene 1 BRL L 1 ZL Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether' BRL 1 trans-1,3-Dichloropropene .BRL Toluene BRL 1 cis-1,3-Dichloro ropene BRL 1 1,1,2-Trichloroehane BRL 1 Tetra BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene 1 m+p-Xylene * BRL 1 RL o-Xylene BRL 1 Bromoform BRL 1 1, 1,,2,2-Tetrachloroethane BRL. 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS . Bromochloromethane 30 29 97 % 83 - 117 % Fluorobenzene 30 30 100 % . 87.- 113 96 BRL a Below Reporting Limit. Non-target compound. "Trace" indicates probable presence below listed Reporting Limit. Method References: Method 601 - Purgeable Halocarbons and Method 602. Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). I e Department of Environmental Management/Division of Water Resources WATER "WE.LL.COMPLET.ION:,.REPOR.T: / �f WELL LOCATION. 'Address -f .� u"rtil- L i�/ e. City/Town_,�25/�,,s ' G.S.Quadrangle Map �. Grid Location I' Ownerflrl� rio�CY.9�ir ti•� Address ( WELL USE CONSOLIDATED WELL Domestic Public.❑ Industrial Other Type of•Watermbearing,Rock '.... .. . Water-bearing Zones. Method Drilled 1) From To 2) From To fI Date Drilled r G 31 From To" 4) From To CASING Depth to Bedrock Length �2 Diameter � , Type "D c.iv o UNCONSOLIDATED WELL I .STATIC WATER LEVEL Water-bearing Materials,:, %/• Feet below land surface Sand fine❑ .medium❑ coarse Date measured b d7 Gravel: fine❑ medium❑ coarse Screen: { GRAVEL PACK WELL , M' Yes ❑ No-� Slot# &5 _length from 113 to�/(i Split Screen(or 2nd screen)` i WATER QUALITY.TE$TS MADE Slog!!. length from to Chemical [� Biological•U_ 'Depth To Bedrock , _ PUMP TEST'...:_ Dra .down _feet after pumping days hours at �(� _ GPM TT_ How measured Recovery feet after _hours. l f LOG of FORMATIONS,`- COMMENTS:.(On`we//or water! l Materials From' To 0 Firm �I 0►V iyen7777 IJIfU1 a o \ 'Address P.O. Box 43� \\ aty Se 1 uEh M7{' 02.r-AVc 77777777 Registration perator s ignature Please print rrm y BOARD IDF HEA 1- H COPY zsM to as aoilol r I30A1CH01AfRK 0,R,2 EL= 75. 45 W i ..'N.., /-Oro 00 'U 1 6 PROP. 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