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Home My WebLink About0290 FLINT STREET - Health � a�-�o�-o�� - m- mL� � TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE rS ONt a ASSESSOR'S MAP 6z LOT I q r �r INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /, ®® h LEACHING FACILITY:(type) (size) DOD NO. OF BEDROOMS_ PRIVATE WELL Fll BLIC WATER BUILDER OR.OWNER � Q r DATE PERMIT ISSUED: Y DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No � ovse ,_ . � � , � � � � � � t :��; �. � � � � � . .. . � . . ., No... FR$.../� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .........7 .............OF.............. ........... , pplira#iun for Bispoii al Works Toustrnrtiun 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .......... ..................................................., a. ......./...----........----------- ation ddress r o Lot No. Owner /�/_A?. �.. f� 7................. #/4.#/4. 5. �/e�.r.�f - Installer Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms............... ....................Ex Expansion Attic� g— � t p ( ) Garbage Grinder ( ) aOther—Type of Building�,¢At I&---f OWE To. of persons............7............ Showers ( f ) — Cafeteria ( ) Otherfixtures . ------ ----------------•---------•---------•---------------------------------------------------------------•--•••••--••--------•----------- W Design Flow............./1�..........��0.0..gallons per person per day. Total daily flow.............!Q............_.......gallons. WSeptic Tank—Liquid capacity allons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.-/00.0- /Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box C ) Dosing tank ) Percolation Test Results Performed b .- ............. �° �.-.---.�n9 Vie!3 Date..... fC Y1-«4 --------/----------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..---------.--.----.--.. Test Pit No. 2................minutes per inch Depth of Test Pit............--...... Depth to ground water.-----...--.---._.-.---- f� ----•---••---•--..... --•-••---•-•--•-----•---......-•-----•--.....•-•-=-........•-•-•-•-•••----------------•------•-•-•--•••------------•--....••----...--- ODescription of Soil...........R.S.........pe.r.........phalv....................................................................................................... U •••--•-•---•....•-•----••-•------•••-•---•----•-•-......•-•--•.........-••--•-•...............•-----•••-------•-••••---••---•-•-•••-••--•--•--••---•---•••---.....--•-••-•-•-----•••------•-•••----•---- 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 provisions of TA!TL,i: 5 of the State Sanitary Code— The undersigned fu :er agrees not to place the system in operation until a Certificate of Compliance has su e b d of lth. S Signe -._ 7.. /J ••� Date Application Approved BY-----••--•-••-• - ........................•----•-- -----------� l-- .......�a Date Application Disapproved for the following reasons---------------------•-----------------------•--•-------•------...---------------•-•-•--••.......••••...-----•--- ....................................................................................................................................................................................................... Date Permit No....... y!.:._. .y��..................... Issued_....................................................... Date :: 4 No...g .:: y. F.R$..., ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ctiL.... OF......... ------------------------------------- Appliration for Disposal Works (futtstrurtiuu Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Coe ..... Q----------------------------------••-•-- LGeation''4�rrddress . E>N... .o..� _......r t....1 N�q* s....-•----•-•--...... _ 01 Gaose o rr ..._ .. �y Owner Installer Address UType of Building Size Lot............................Sq. feet .a Dwelling—No. of Bedrooms.................... ....................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building 51N ��._ � !! 1o. of persons............. --_.._...... Showers ( ► ) — Cafeteria ( ) Q•1 Other fixtures .----•-••--••......-----•-----•=-- - --- - W Design Flow.............110......................gallons per person per day. Total daily flow........... ---------------- Diameter---------------- Depth................ x Disposal Trench—No. ......:............. Width..__.........._._.. Total Length Total leaching area____..........._._._s ft. Seepage Pit No._/0.00 A/Diameter................... Depth below inlet.................... Total leaching area..................sq. ft. g g q• i Z Other Distribution box ( ) Dosing tank ) __ `-' Percolation Test Results Performed b 5'4x Pe -6 N i=N e e r s W y----••... •---••• ..........Y---••-•....(•••--45..•----•-- Date �' 1 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-._-_---.---_--_____-_-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-__-___---_--___--___--_ 9 ............................................•-............................................................................................................... xDescription of Soil...........,4-`•..........62jg. ......... l�p!v.............................................................=......................................... U •--•-----•-••••-••-----•-••••-••••-••••-•••--••----••-•-•••----•-•••••------•-----••-----------••••••....---•••••------••--••-••---••------•••---•-•-•---•------•-••---•---•-•--•--••--................ 0 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'IE p 5 of the State Sanitary Code— The,Aindersigned fuVlier agrees not to place the system in operation until a Certificate of Compliance has n su e bmi of lth. C e' Date Application Approved By.................. ` -`�--`�-" -----------�� Date Application Disapproved for the following reasons-------------------------------------------------------------•-----------•-------•-------- ...................... ......................................................................................................................................................................................................... Date Permit No........ .:.... � �........----•-....... Issued ...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ...C..r ell 74............0 F.......... ��T Tnxtifirate of Tuutpliattre THIS IS O CERTIFY, That the Individual Sewage Disposal System constructed �) or Repaired ( ) by-------------------------------------h- ....... .......................-------------------•--•-----•---•---..........---..........------.............---.......---------------- r^— Installer has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._._.....F-8_-- _J�_�.�j_.... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS QQ f " BOARD OF HEALTH L� ._ j ....��..:,r�, ..........OF..................................................................................... -- No.... .. FEE...7.3........... Disposal, Works �uuu Wien rrutit Permissionis hereby granted..........._.....P.......... .................................................................................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.............. v'-T.......... ••... .... Street as shown on the application for Disposal Works Construction Permit Nje:!i/ 5_ Dated.......................................... ........................................................................................................ DATE Board of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS y l Log' Number: Bottle # D342 1jabe:-December 24, 1986 HAR�� BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE ` v BARNSTABLE, MASSACHUSETTS 02630 o • SASO DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511 Ext. 337 Client: Randy Harnois Collector: F. Clifford Mailing Address: 67 Weathervane way Affiliation: well driller Marstons Mills, MA 02648 Time & Date of Collection: 12/22/86 4:00_ p.m. Telephone: Type of Supply: well Sample Location: Off Flint Street Well Depth: 45' Marstons Mills, MA Date of Analysis: 12/23/86 9:20 a.m. PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 0 H 5.3 Conductivity (micromhos/cm 500.0 Iron ( m) 0.3 Nitrate-Nitro en ( m) 10.0 Sodium ( m) 20.0 I . X 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. 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 plumbii-ig. 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 =I human consumption: A. High Bacteria B. , High Nitrates The Barnstable County Health and Environmental REMARKS: Department shall not endorse any statements, interp tahons or conclusions made by anyone else c cerning these.results without written consent CC: Barnstable Board of Health CC: Clifford Well Drilling 1 /7/85 La oratory Director 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 alkalinityof 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 inicromhos./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 ,r+ay 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 r r on Cape Cod copper tends to leach from pipes. This normally does not Due to the acidic nature of the Ovate pp p p Y p 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 on 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 "ar�Uier'6i:"'MMn ct'their` doctor to'dotermine'if consuming the water is advisable. Concentrations exceeding 50 ppm iifdicate that there may-be ocean 'water ,br,road salt runoff water getting into the well. tt•tO`, r� �"� E.,F� late .. _ .. ?1*;'..�, :.��f� � a Y, � 2.17 Zee .t tea: r s �3�A►��C�i.d�-�; ; ;3.x.:11�7 X = 330 G�t�D � �- S t I o x ►1Fo90 O �A?pGCrf " I VA S: .57 = 385 ar'p N ►� oT v� 'PRGRY 1.0 t �PL�H OF �o PETER Z98 % RICH ,... . �. 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