HomeMy WebLinkAbout0035 GALLAGHER LANE - Health 3,5 Gallagher Lane
Marstons Mills '' I f._2A
r j 12 006 002
NO. r THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH 00
�401W� " OF &J-ASkLk� (� d
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PER I
Application for a Permit to Construct ( epair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components
Location ner's e
c� ®06
ba,p/Parcel# dress
��� 3 v
Lot#� Telepho #
r Installer.- Name ne' Name
A re Address
oaf --
Tele hone# Telephone#
Type of Building: Lot Siz 3 � Sq.feet
Dwelling—No.of edr oms Garbage Grinder�-
Other—Type of Bull,ding No.of persons Showers +--)-cafeteria-�_
Other fixtures WX
Design Flow(mi requ'red) gpd Calculated design flow 39d gpd Design flow provided, gpd
Plan: D e Number of sheets - Revision Date
Title may'►
Description of Soil(s) 0 ''.5-4 # 06A '
Soil Evaluator Form No.=�Name of Soil Evaluator / Date of Evaluation o2 >
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by.the Board of Health.
Signed && rET _ ya
II
FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
NO. / THE COMMONWEALTH OF MASSACHUSETTS FEET
BOARD OF HEAL T
OF L
F, APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Constructs(rYRep� ) Upgrade ( ) Abandon ( ) - []Complete System [:]Individual Components' t
{: Lotion ner's a -•
o ��caov6--•o ho kl.. �'lGZ4� _ ;-�Q��,� �
/ ap/Parcel# dress
Lot# Telepho #
1r
Q (Installer. Name Name 62
Add' Address
Telephone# Telephone#
Type of Building: i� / Lot Siz fS' ) Sq.feet
Dwelling—No.of edr ours Garbage Grinder
Other—Type of B *ld -- No.of persons ' Showers •()-•Cafeteria--().�.
Other fixtures - /V
Design Flow(mi required) D gpd Calculated design flow 9d gpd Design flow provided gpd
Plan: D te ber of sheets 7, Revision Date . .
Title i
,"DescriptionofSoil(s) 10 `5- n o Saja
Soil Evaluator Form No.9� 3 Name of Soil Evaluator /-�. � Date of Evaluation /XD
DESCRIPTION OF REPAIRS OR ALTERATIONS
III
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by,the Board of Health.
'f Signed v r D l ��L- " a•e C_J -. ``0 <,Ll
lJ
Inspectott
8
�rV Va�
i
FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
_�AONo. THE COMMONWEALTH OF MASSACHUSETTS FEE
I
�%e_ BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s) ](„Complete System
The undersigned-herebycertify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned
ig ( )
at / &4'n 4,v. /! t ' r '
has been installed in aVordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built
plans relating to application dated l'a / Approved Design Flow 33 6 (gpd)'
y
Installer d2) t h0.C9�
Designer: Inspelr Date
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed.
FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
_ _
THE COMMONWEALTH ✓'
No,>�t :�t-rLr74 MONWEALTH OF MASSACHUSETTS FEE
, V �'P BOARD OF HEALTH
I
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to Construct ( Repai ( Upgrade ( ) abandon ( an i dividual sewage
disposal system at -� Lly) �
P Y I t __ A� y , as described
in the application for Disposal System Construction Permit No. dated
Provided: Construction hall b ompleted within three years of the date of this >ermi Il ocal conditions,-must be met.
Date Board of Health / 41 k--__'
FORM 2 - DSCP DEP APPROVED FORM 5/96
I
FORM `1*255 (REV 5/96) H&W HOBBSB WARREN rM PUBLISHERS- BOSTON
TOWN OF/BARNSTABLE /� J/�
LOCATION . r [— SEWAGE #�V®�� Ll�
VILLAGE ASSB SOR'S & L 2 3
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY IV
LEACHING FACILITY: (type) A-Size) U
NO. OF BEDROOMS—3
BUILDER OR OWNER PO US fA PKS I
PERMIT DATE:J 0 —O E C&PLLkNCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the 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
Ca �e
n
° V's
Town of Barnstable P#
Department of Health,Safety,and Environmental Services
�,THE�y,- ' Public Health Division Date
367 Main Street,Hyannis MA 02601
BARNBGBM
KAM
y� ,�'1 t19. & Date Scheduled Ab Time o__ Fee Pd.
Soil Suitability Assessment for Selvage Disposal
Performed By: Witnessed By: At
Li� ATION & GENERAL INFORIVIA'TION
Location Address y p Owner's Name
Address
Assessor's Map/Parcel �'� Engineer's Name ,O J4U�
NEW CONSTRUCTION REPAIR Telephone
Land Use �14f fla Slopes "/o p ( ) �—3 Surface Stones 4/O N4...
Distances from: Open Water Body /( 41f_ ft Possible Wet Area A10A,E-, ft Drinking Water Well ft 1
Drainage Way YOA/et_ ft Property Line `.� ft Other It
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
r .j161�
y0 k
w11 �
Lod
Parent material(geologic)6JAC(tIL Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: N 0 Nam Weeping from Pit Face N 0 PJ
N_Estimated Seasonal High Groundwater /& /6h,(L'Y4,�
__.....
' ' V :S H
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: is in.
Depth to weeping from side of obs.ho le fin. Groundwater Adjustment ft.
Index Well tl__.___. .Rnadine Date: Index Well level Adi.factor Adj.Groundwater Level
PERCOLAT1C�N TEST nat ':.`; Ti ne e�
.....
Observation
Hole# Time at 9"
Depth of Perc / Time at 6"
Start Pre-soak Time @ Time(9"-6")
End Pre-soak ;3
Rate Min./inch
Site Suitability Assessment: Site Passed o Site Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Copy: Applicant
;DEEP OUSERVATTON HOLE,LOG IoI�# /
.. .... .
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.° Gravel)
6 M is v yay z
Lit—MO Lz Af`c5 11512-14
DEEP OBSERVA TION HOSE LOG Holo
.
Depth from Soil Horizon Soil Texture Sal Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
n ' t nc ° ravel
i
ioy,ILy6 / rracQi �W(VA
DEEP OBSRVATI.ON HOLE LOG Hole#
.
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,° Gravel)
DEEP ODERVATIO►I'1 IIOIE LO:G Ilole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.°o Gravel)
Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No— Yes
Within 100 year flood boundary No— Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? V6d---
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on JILL (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required training,,,expertise and ex ience described in 310 CMR 15.017.
Signature Date Date
l
./V�-/ � c./�
� r
No. — -- ------- Fee --��-------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Application-for Vell Congtruct ion Permit
App 'cat' n is her y m de for a perm't to Construct ((Alter ( ), or Repair ( )an individual Well at:
'07
Location Address Assessors Map and Parcel
wner Address
s- _ _
Installer — Driller Address —
Type of B /' dng /2
Dwelling --—_---------
Other - Type of Building-----__—___________ No. ofPersons----------___-___—__---_____
Type of Well 6-"-4jQ Capacity
Purpose of Well----�� -- — —
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 unti Certi 'cate Comp iance has been issued by the Board of Health.
Signed, _6(-—
date
Application Approved By ?-—0 /
date
Application Disapproved for the following reasons: ---------- -- _--- —_
date --
Permit No. — Issued-- ------------------- ---_______
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate Of (Compliance
THIS I dividual Well Constructed (Alteredor RepairedVEe
by— — -- -- --- — -- —— -- ----- -
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.VUM---DAL Dated----THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNNCTION SATISFACTORY.
DATE— ___=L� _ Inspector--------------_-__— ---------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Vell (Con5truct ion Permit
No,V-�-- ' U�--` Fee �x'--------
'j�
�&y
Permission is hereby granted r
-- — ---------------
to Const ct Alter ), or Repair,( )) an n ividual Well at:
Street
as shown on the application for a Well Construction Permit
No.- Dated--- ---- __—___—_-------------------
----------------------
DATE
_ Board of Health
�" — /
No. ------------ .. Feek-A- D-------
BOARD-OP-HEALTH
TjOW..N - OF BARNSTABLE
L . _ -.A--pp1ication_*r3Ve11 Con5tructionVerntit a
App icat'on is hergby made for a pew}It to Construct (��ter ( ), or Repair ( )an r` i-Viduil'Well at:
Ile
Location — Address _ Assessors Map `fid-Parcel _
i wner A dress
Installer.— Driller Address —
Type of Budding
Dwelling --- -- -------
Other - Type of Building------------_ No. of
Persons-----------------__—_—_______
Type of Well --._—__ Capacity--t -�'
Purpose of Well---�° --
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
A place the well in operation until- rti 'cate Comp iance has been issued by the Board of Health.
Signed _�—
date
Application Approved By A ---- �0 —
date
Application Disapproved for the following reasons:
date ----
Permit No. -- Issued--------_
date
i
BOARD OF HEALTH
} TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS w� 0_��
ividual Well Constructed (l�Altered ( ) or Repairedby 1 - --_—
Installer
at
has been installed in accordant 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.)"A k L Dated---- ---
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE— G _ Inspector ------_—__--
BOARD OF HEALTH
TOWN OF BARNSTABLE
_ Iverr Con5truct ion permit
No N_ ` > Fee L4 5
Permission is hereby granted
Ito Construct (;'Alter ( , ), or Repair.( ) an Indd`vidual Well at:
No. C�7` _
------------- ------------ ---------
street
as shown on the application for a Well Construction Permit
No. a,.
- Dated r
— ---- — -------------------------------------------
DATE 2_ Board of Health
FROM CLIFFORD FAX NO. 15093984248 Mar. 27 2001 08:03AM P8
GROUNDWATER
ANALYTICAL
EPA Method 524.2
Volatile Organics by GUMS
Fleld ID: 0103 35 Lot 3 Laboratory ID: 39621-03
Project: Cliff /Gall QC Batch ID: VM5.1446-W
Client: Enviro h Sampled: 03.14-01
Containen 40 mL VOA Vial Ramived: 03-15-01
Preservation: HCI/Cool Analyzed: 03.16.01
Matrix: Aqueous Dilution Factor. 1
Page: 1 of 2
- BRL
' .- .._.._.-_...w;....:z .tee'-=t•�?:" •-.e•'•___ �-•^' '+�. �t
75.71.8 � Dichloroclifluoromethane.- i im-
ug/L 0.5.
.. ...._ ..-_ - eth_ ne 74-67-3 hlorom
7 hloride� BRL"
"
�J
.p,
574 -ometane
1 -3 Chloroethane BRL UiS-»
-
_.
75.69� TrichlorofluuromeMtane BRL u 1 0 5
75-35-4 1,1_Dichlomethene _ i BRL ug/L 0.5
75-09-2 Meth len RFl
y e Ghloridv
156-6A-5 I•Gans-1,24304 roethene
_ •BRt. ._. uFlL 0.5 w '
1634-04.4 - Meths►pet-butt'-EI ter(MTBE} 1 ug/L 0.5 _--
8RL _
75.34.3 1_-,I-Dichlomethanp u L 0.5
590-20 7 2,2-Dichloropropane _ y 9RL ug/L 0.5
156.59-2 cis-1,2-pichlomethene i - DRL ugjf. 0,5
__..
74.97-5 Bromochlorom2thane _ I_ BRL uglL 0.5 _
67.8tr3 Chloroform BRL ug/L _
0.5
ft•55.6 _ l,t,l_TNchlaroethane BRL eig/L 0.5
54:13-5 _ Carlson Tetrachloride SKLpe up�L 0.5
' 563-38-6 1,i-Dichloro ra n --- -
_. _ _ p .e
BRL u-..-._ _- -
71-43-2 Benzene SRL
- . ...-. ...---�--- •-- -•u� , ..his.�..
10706-2 r t 2-Dlchlurvethane URI, ur�l 0.5
_....
74.01.6 Trichloroethene -
_.... . . BRL ug/L 0.5
78-87-5 ._---__.._. 1 22'-6chloroproljane - t BRL _ ua/1, 0.5
I ---• .
74.95-3 Dibromomethane RRL -Uq/L 0,.5_.
75.27•4 1 BromoJichlorutnethane BRL ug/L 0.5
10061-01-5 cis-1,3-Die oropropene, BRL I ug/L 0.5
108.88.3 Toluenes (iRt uR/L
t00G1.02-h traces•1,3•Dichloropropene RRL _ . _ u- 0.5
-.`-__
79-0o-S 1t1s3.Trichloroe±thane 8RL }ag/l _ 0.5'
72Y-14-4 Tetrachlomm,lhene I _ BRL uSIL 0.5
1A2-28A 1 3•Dichlwo ro ne BRL •�� ug(L�_ --0.5
.I
�124-48.1 Dlbrontochloromethane i RRt. V�L 0.5
106-93-4 _ 1,2-Dibror wethane _ _ BRL ug/L
108-90.7 Chlambenzene 9RL ug/L 0.5 Il
36 U_•20-fi t,1,1,3-Tetrtchloroethane _--- BRL • • � /L
---- - _ _ -.._. 0.9
100.41.4 Cthylbenzene_ _ - BRL ug/L_ 0.5
'I108•rJ8-3�1UMz-3 mel8-Xylene andpam-Xylene I _ BRL - L 0.5 i........ .. .
9547.6 ortho-Xylene BKL ug/L 0.5 _
100642-5 ! Styrene _ _ BRL _ u I. 0.5
75-25-2 Brbmoform BRI, upJl 0.5
91i-82-$ ISOprooYlbenzene BRL ug/L 0.5 -
toe�6.1
_ _.. RRL uWL
9-734-5 1r1,2,2-Tetr&chloroethane BRL 0.5 _
1
..__
Groundwater Analytical,Inc.., P.O. Box 1200, 228 Main Street,Buzzards Say,MA 02532
FROM CLIFFORD FAX NO. 15093984248 Mar. 27 2001 08:04PM P9
GRL7Uly WATER
AMLYYCAL
EPA Method 3 24.2 (continued)
gm -
Volatile Organics by GCIM5
field ID: 010313 LAboratory ID: 39621-03
Project: Cliffor QC Batch ID: VMS-144E-W
Client: Envirot Sampled: 03-14-01
Container. 40 mL VOA Vial Received: 03.15-01
Preservation! HCl 1 Cool Analyzed: 03.16-01
Matrix: Aqueous Dilution factor, 1
Paget 2 of 2
llRt9F�'sr_ 1r��r`..:a:ri� {rt {=^ ? �" _ - a p•.
9618.4 1,2,3-Trichloropropane BRL
ugh O,s
t 95.49.8 . ...•.-Pro ylbenzenQ IRRL
a-
uu L.
0.5Corotolue
L 0.s
108•b7-ri 1,3,5-Trimethyltlenzene BRL """- -
... .. ..._.__. _
u L 0.5
106.43-4 14'Chlorotoluone _„BRL u L 0.5•
98-06.6 t+t+rt-ButylbenzAne _ DkL u 0.5
5.63-6 '1,2,4-Trimeh nORL p:5 11
135.98.8 sec-Bulbenzene
BRL
541-73-1 - 1,3-Diehlorobenzenr BRL u 0.5
�.
99-87-6 A-Isojiropyltoluene BRl _Usti _0.5
! 106.46.7 1,4-Dichloroben:one __ BRL "' u L 0.5
1r2-DichlorobttrizenA BRL u L 0.4
104-St-8 n-Bu ibenrene "'
BRI.
96-12-8 1,2-01bromo-3•rmoropropstnc BRL uWL
L87-6
1 - 1.2.4-Trichlorubenzene BRL up�L 0,5
Hexachlorobutadiene t1RILNaphthaleneBRL_...._ 1,2,3-Trichlorobauena —�
aii
t,2-Dic�llvrobenzene�ls• 96 % -'$-,
70.130%
4Bovm�uorobenzane .--- 108% _ _ 70•i 30
Method It iercncet methods for the Determination of Organic Compounrlc in OrinkinP Water,SuPP10-tint 111,US EPA.
EPA-GOalR-951131 (1943). Wthod Revision 4.0. Analyre 11$1 a dorivwf hum 40 C.htt.141.40 and
40 C.F.R.141.61.and additional analyte MTSE.
Report Notattons: 8RL Indleates concentration,it any,is below reporting limit for anatytr+. Reporting limit is tM juvAnt
corimntratlon that can be reliably quantifiet)under motine laboratory operating conditions.
Reporting limits are adlutted for sample dilution and sample Site•
GroundwatorAnalytical,Inc., P.O.Box 1200,228 Main`Street,Buzzards Day,MA 02532
FROh,? CLIFFORD FAX NO. : 15083984249 Mar. 27 2001 08:03AM P7
MMR07=f LAD0RA7'0JU5S,ING ,
MA C7Fs'RT NO,:M4"Odd
449 fife.150
-qwd*dcA MA 0,'W
50e(Aw wo) 1.8004jv.r $0
PAY(AW)AM-644S
CST: Clifford Well Drilling LOCATION.
ADDRESS: PO Box 430 agher Lane
S.Yarmouth, MA 02664 Marton Mills, MA
COLLECTED BY: Clifford Well Drilling SAMPLE DATE: 3/14IM1
WATER SAMPLE TYPE: New well' SAMPLE 71ME: 8:30AMDATE RECEIVED: 3/15/2001
I.AB LD.* 0103135
WELL SPECS.: NA
RMULTS OFANALYM.
Pam Unift Recommended Results Nedtod Data Analyzed
Limits
CoNRM baderk /100ml 0 0 9222 B 3/15=1
PH pH units 8.5-8.S 5.54 45M H+ 3/15/2001
Conductance umhos/cm S00 106 120.1 3/15/2001
NI&MV-N m0/1_ 10.0 1.80 300.0 3/1612001
Nft te-N mg/L 1.00 <0.003 300.0 311 W001
8odlum "k 28.0 12.4 200.7 3/16/2001
Iron rng/L 0.3 0.123 20D,7 3/15=01
Mangenese mg/L 0.05 0.034 200.7 3/18=1
Vowle Organics
MTBE ug/L 70.0 1.0 EPA 624.2 3/16,2001
COMMENTS: Low pH indicates high corrosive characteristics,
WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES
FOR PARAMETERS TESTED
c=less than sfi9 ' a(
: greater than k1dJ.4SagAa�
TNTC=too numerous to count laboratory DiVector
• Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
s ` Public Health Division
z639
j°lEDMP'�� Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: / 1-22705
1-
Designer: Th Installer:
Address: Address: P '
1� _ .
EP--- 02bff
OJV_5 ~ " 101�i as,issued a permitto,install a
_. (date) (installer)
septic system "t �,. - based on a design drawn by
p ad ss)
datedDa o d
(designer) ,
I certify that the septic system referenced above was installed substanti ;ly acc& ing fo
the design, which may include minor approved changes such as lateral elocatiFn of tie
distribution box and/or septic tank. a% .`
CD
I ce;,ify that, the septic system referenced above was installed with m or chw%es We.
greater than 10' lateral relocation of the SAS or any vertical relocation o any cQi}poiput
of the setic system)but in accordance with State&Local Regulations. Plan reAsiorur
Zcertifiedlaos- by designer to follow.
N��441,9- DACVID 0
o �,fHULIN o No.29976 -+
er's Signature) 9 CIVIL O v'
...
r::;.t �SSlONAIENG�
--..(Designer's.Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE-PUBLIC,fIEALTH DIVISION.-CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
FROM CLIFFORD FAX NO. 15083984248 Aug. 11 2005 07:19RM P5
9N*V11?077:,C.f f LABORATORIES,IA(c .
M.. CERT.NO.:M-MA 00
8,/zn$cb cs dan Dr- Unit#12
Sandwich, MA 02563
(SOS)888-6460 1-8,90-339-6460
TAX(908)888-6446
CLIENT: Fred Clifford Well Drilling LOCATION: Lot 3
ADDRESS: PO Box 430 Gallagher Ln
So Yarmouth MA Marstons Mills MA
COLLECTED BY. Fred Clifford Well Drilling SAMPLE DATE: 6/26/2005
SAMPLE TIME. N/A
WATER SAMPLE TYPE: Existing Well DATE RECEIVED: 6/27/2005
LAB I.D.#: 0506697
WELL SPECS.: N/A
RESULTS OFANALYSIS.
Parameters Units Recommended Results Method Date Analyzed
Limits
Coliform bacteria /100ml 0 0 9222 B 6/27/2005
pH pH units 6.5-8.5 5.62 4500 H+ 6/27/2005
Conductance umhos/cm 600 124 120.1 6/27/2005
Nitrate-N mg/L 10.0 1.75 300.0 6/27/2006
Nitrite-N mg/L 1.00 <0.004 300.0 6/27/2005
Sodium mg/L 20.0 13.4 200.7 6/27/2005
Iron mg/L 0.3 02 200.7 6/27/2005
Manganese mg/L 0.05 0.080 200.7 6/27/2005
COMMENTS: Low pH indicates high corrosive characteristics.
Manganese is not a health hazard.
WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES
FOR PARAMETERS TESTED.
<=Less than
>=Greater than
TNTC=Too numerous to count
DateA 3 d 6 f
R n d J. Saari
La ratory Dire or
_ — _ /�
\ � � � � �. � � \ \ .:<.� ,. �n n- � '� ILL N In
\ —T �;. 2 t,� �9�. r p N
S
00
� 00
Lo
LOT 4 \ \ \ \ \ 7 �� 3�sn4ips
Lr
co
\\ \ \\ \ r ��lr 'z�2r `�� �> d \ f I• _ I U C N
O r7
1 OS� \ Z - \\ \ \ \ \ \ C lT•i_! I'�°' '�-.x's nan s :� �� L: p �`.+,~i �' J 00
cn
w� �j � 1p�j. \ ' \ : �• `14 c "z! Nsck .r\-� _ H 00
! i $t C'J W 00
ID SAS RESERVE \ / 10
��\ \ 4� \ \ LOCUS MAP
�y
DBE` 1 \ ASSESSORS MAP 12 PARCEL 006-002
o �� PLAN REF: PLAN BOOK 558 PAGE 56
1 - SAS \ PLAN DATE: APRIL 14, 2000
LOT 3, 43,561±SF
z �j •
DATE OF SURVEY: JUNE 1, 2005 zo
\ \� • `' LEGEND W
/ T `oa S r \
\ / 5p� — EXISTING CONTOUR En952. I y oily\ \ a ui
PROPOSED CONTOUR 0 �
EXG. TREE/SHRUB LINE o ° o
Lp x 50.0 EXISTING SPOT ELEVATION o � Low -'
Ll 0
[50.0] PROPOSED SPOT ELEVATION W = w 0 Z3 a
o U o Vl
PT 3
[.0 \ \ 1 \ \\ Q TEST PIT/PERC TEST w/ \ r
\ \\• W WATER SERVICE z c\�_
gg UTILITY POLE J zo
` - - - (6 \ WELL m a��o
Z Q ��M
\ o LOT 6 j N a�N
LOT 3 \ �� \��. \ W= Q�0,L_
1 \ N m=uN�
EROSION CONTROL il-
C � -Jo<w
\ (WQ U)NOO
185.24' \ O-1 (nNv} _j
1. AN APRON OF 3/4" CRUSHED STONE 3" IN DEPTH OR O_ Z a V)na a
IN 61*12'44" W\ \ 2" OF BITUMINOUS CONCRETE BINDER SHALL BE PLACED O� Oda�
I \ N 61*12'44" W 0' v} c�O
c \ AT THE PROPOSED DRIVEWAY WHERE IT JOINS EXISTING Q W�}
\ T 1 \ LOT 2 N�IZ �P�SH�MAS`r9 OF TH PAVEMENT.
E FOUNDATIONRNSPECTIONON SHALL BANID SHALL BE N PLACE AT THE TIME �,^ D w w
\ A ll`T+11 1 ® WO j =� DAVID CyG MAINTAINED UNTIL THE PERMANENT DRIVEWAY SURFACE IS `;J Q
40 0 20 40 80 tJ C.160 C. N CONSTRUCTED. ALL SOILS, VEGETATION AND >
m CONSTRUCION DEBRIS FROM THIS PROJECT SHALL BE
�. THULIN -i L o w
-I CONFINED TO THE PROJECT SITE DURING CONSTRUCTION.
p li=
v y v N0.39403 y PERMANENT SURFACES INCLUDING PAVEMENT, LAWN AND ~
IN FEET Qtc. CIVIL P� LANDSCAPED AREAS SHALL BE PROTECTED BY PROPER
GRADING, MULCHING OR OTHER CONSTRUCTION AS MAY BE
1 inch = 40 ft. Cs REQUIRED UNTIL STABILIZATION OF THE SITE IS
ACHIEVED.
05-016
SHEET 1 OF 2
f
1500 GALLON SEPTIC TANK DISTRIBUTIfUN"BOX' � I�
r (EFFECTIVE LENGTH) ---- ' Inn 0)7S I I o N In
• L0 O N
O
I W
Cn
00
o to I I LaJ W 00
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mg INSPECTiOPI PORT HIGH CAPACITY H-20 INFILTRATOR CHAMBER i tii J U
W Q
MOUND FOR PROPER DRAINAGE I ESTABLISH VEGETATIVE COVER ' v� I I tY � � x
`\ /, . _ _ __b: ��:::::.":_"_.� �.r�.'"�.`:;�: r:-`•;"•:_.� it I �
TOPSOIL 2'WN 1/4-to 1/Y DOUBIE WASHED STONE 8'MIN.. NON-1RAFFlC AREAS PROgOSED 48.1' I 1 U
12'MIN» H-10 LOAD AREAS Lo
NATIVE HOUSE HOUSE I U a
BACKFILL ` ,� `- 5'0 1 4 HIGH CAPACITY INFILTRATORS CV
AGGREGATE �.� -
UNOISTURBED ''"3/ E W ,.. e ,,. - ARTH - ± ----- 3.5' STONE AROUND .AND 14" STONE UNDER �_ ; N 00
EARTH ` v x "� 9.8' H DO
4'-tY 4-1 1' LENaTH OF TRENCH VARIES SEPTIC SYSIEM SECTIGN SEE .+ Q CV W 0
V-10' LIMIT OF UNSUITABLE SOIL REMOVAL PRpPE o
INFILTRATOR TRENCH DETAIL
NOT TO SCALE SEPTIC SYSTEM DIMENSION DETAIL
SEPTIC SYSTEM DESIGN DATA GENERAL NOTES
SEWAGE FLOW ESTIMATE I 4. THE LOCATIONS OF UNDERGROUND UTILITIES SHOWN ON 6. REMOVE ALL UNSUITABLE SOIL, OeA AND B HORIZONS
1. ALL MATERIALS AND CONSTRUCTION METHODS SHALL THIS PLAN ARE APPROXIMATE. AT LEAST 72 HOURS PRIOR FROM WITHIN FIVE FEET LATERALLY AND UNDER THE
SOURCE UNITS GPD/UNIT OTY GPD COMMENT CONFORM TO THE PROVISIONS OF THE COMMONWEALTH OF TO ANY EXCAVATION FOR THIS PROJECT WORK, THE PROPOSED SOIL ABSORPTION SYSTEM AND REPLACE WITH
SINGLE FAMILY RESIDENCE BEDROOM 110 3 330 310 CMR 15.02 (13) MASSACHUSETTS ENVIRONMENTAL COD: TITLE V. CONTRACTOR SHALL MAKE THE REQUIRED NOTIFICATION TO CLEAN SAND MEETING THE REQUIREMENTS OF 310CMR
DIG SAFE (1-888-344-7233)FOR VERIFICATION OF 15.255.
2. EXCEPT AS OTHERWISE NOTED, ALLI PROPOSED SEPTIC LOCATIONS.
TOTAL ESTIMATED PEAK DAY FLOW 330 GPD - NO GARBAGE GRINDER SYSTEM PIPING SHALL BE 4' DIA. SCFI40 PVC SET TO THE 7. WATER SUPPLY FOR THIS LOT IS A PRIVATE WELL
SEPTIC TANK LINE AND INVERT ELEVATIONS SHOWN. IN
THE MINIMUM PITCH 5. CONSTRUCTION OF THE SEPTIC SYSTEM SHOWN ON THIS INSTALLED IN THE LOCATION SHOWN. THE LOCATIONS OF
OF PIPES CARRYING SEWAGE OR SEPTIC TANK EFFLUENT PLAN IS SUBJECT TO THE INSPECTION OF THE TOWN OF WELLS ON ADJACENT LOTS ARE FROM BEST AVAILABLE DATA.
SHALL BE 1/8TH INCH PER FOOT IF N'OT OTHERWISE NOTED. BARNSTABLE HEALTH DEPARTMENT AND THE DESIGN THE PROPOSED SEPTIC SYSTEM IS TO BE LOCATED AT LEAST Z
TOTAL FLOW X DET. TIME = 330 GPD X 2.0 DAYS = 660 USE 1500 GALLON TANK I ENGINEER. NO PART OF THE SEPTIC SYSTEM SHALL BE 150 FEET FROM EXISTING PRIVATE WATER SUPPLY WELLS. U
3. PRIOR TO CONSTRUCTION OF THE SEPTIC SYSTEM BACKFILLED OR MADE INACCESSIBLE UNTIL INSPECTED AND
c �APPR D Y THE HEALTH AGENT. THE CONTRACTOR -
DEPICTED ON THIS PLAN, THE CONTRACTOR _,HALL OBTAIN A APPROVED B E
SHALL SCHEDULE INSPECTIONS AS REQUIRED. w
DISPOSAL WORKS CONSTRUCTION PERMIT FORM THE TOWN OF W
SOIL ABSORPTION SYSTEM BARNSTABLE HEALTH DEPARTMENT. Of
CHAMBER GALLERY LEACHING AREA CAPACITY
In 0
I BOTTOM SIDE BOTTOM TOTAL o
NO. lEN WIDTH DEPTH SIDE F to
sf d d d I-
(ft) (ft) (ft) (sf) ( ) (9P ) (9P ) (9P )
1 1 32 1 9.8 1 2.0 1 1 767 1 315 1 124 1 233 1 357
0 O_ Z CV K)
PERCOLATION RATE: 2.0 MIN./IN. LEACHING RATE: (GPD/SF) SIDE - 0.74 BOTTOM - 0.74 N ~
W W Q rj OO
Z
Lu
Q Y (n Q Z
SOIL TEST DA
TA J
110 DATE: 2/1/01 - 9933 Ld }
EXCAVATOR: WRT Z o a
3
TOP FC UNDATION 105. o B.O.H. AGENT: GLEN HARRINGTON Q
Fit ISH GRADE = I XISTING ENGINEER: ARNE OJALA PE. zo=
ES. RISER TO MTHIN 6" OF FN. GRADE zf� LOCATION: TP-1 Z m a
105 ELEV. DEPTH LOCATION: TP2 �� v~i Of
o:04
101: 3 - _ _ _ _ 103.4 0.0 OeA - LOAM/ MED SAND LLw z�� o
_ 103.0 0.4 ELEV. DEPTH < <,
101.48 100.27 100.1 - - - B - LOAMY SAND OeA - LOAM MED SAND W Q I-v
101.9 0.0 / - m w
4 PVC 100.06 TOP EFF. DEPTH 700.06 1012 07 V1/o/ff� Z)(-)
102.00r 1 s oof 100.3 3.1 B - FINE LOAM/SAND V -j=z w�
100 ._ _ t] JUQ
4�P� • I�£ i + €t s s - ( i €kt I �`. 99.4 4.0 Cl - M/C SAND & GR IWQ ���o0
s-o.o20 S-0 20 6 `4l�- I �� 98.7 4.8 PERC 2 MIN./IN Q J to Q N Q
C2 - M/C SAND a L�
97.2 4.7 0' v~i 0
'l. ,-� 4 BOT EFF. DEPTH 98. 6 C - M/C SAND aQ Q z Of
U a
1500 G LLON f ', ;` < 4 H 20 HIGH CAPACITY INFILTRAT RS w
95 IN T I SEPTIC ANK �J n ;ra < �;• iv 0 J
10" BELO W OU LE TEE �, / } q " 'o
LIQUID LEVE BAFF E 14" EL OW r j } 1 r STON
'REMOVE UNSUITABLE SOIL 93.4 10.0 E/'1Of
LIQUI LEVEL , = 1 g•> A D REPLACE 1V CLEAN SAND BOTTOM L / 0 w
NO GROUNDWATER 91.9 10.0 I� 1-
13.4' 4,fi 8 r y 3 5 ^: a _i AD BOTTOM
OTGROUNDWATER
90
re*,
-10 0 10 20 30 40 50 `_ + `•' 60 70a r -- 80 90 100 110
05-016
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ACCESS COVER TO WITHIN 6" OF FIN. GRADE LEGEND
ACCESS COVER (WATERTIGHT) TO
PROPOSED WELL
MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SrSTEM ® SANDWICH o5�
2" DOUBLE WASHED PEASTONE LOW OVER HEAD WIRES o
RUN PIPE LEVEL ELECTRIC CABLE T.V. POND
101 .61 FOR FIRST 2' \ & PHONE
- PROPOSED1 ,500 99 8 - -- EXISTING CONTOUR
SrtE LOCUS
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GALLON SEPTIC 101 .09' «, + 16.27 EXISTING SPOT GRADE
101 .3 TANK (H- 1 0 ) GAS /
100.6' 99 3 " 2' SIDES -[ }-- PROPOSED CONTOUR MASHPEE WNC RD
BAFFLE 100.77'
cn- X174 PROPOSED SPOT GRADE
\-6" CRUSHED STONE OR ME 2
DEPTH OF FLOW = 4 o �, EXISTING TREES (TYP.) BARNSTABLE
COMPACTION. (15.221 [2]) CHANICAL 14' 1J �
TEE SIZES: .-- __ ___: 97.3'
. � � UTILITY POLE
INLET DEPTH = 1Q
3/4" TO 1 1/2" DOUBLE WASr;ED STON
OUTLET DEPTH = 14' SOIL SEE TEST HOLE LOG(S) �T
POND
(2% SLOPE) (1% SLOPE) (57 SLOPE)
FOUNDATION 13.2' SEPTIC TANK - -31 .7' D-BOX 26.7' LEACHING FACILITY 5.00' >° PROPOSED SEPTIC TANK
QvQ� PROFILE PROPOSED LEACH FIELD LOCUS MAP
j� SCALE 1" = 2083'
(NOT TO SCALE)
NOT ALL SYMBOLS MAY APPEAR IN DRAWING
92.30'
ASSESSORS MAP: 012 PARCEL: 006
DEPTH (IN.) TH1 ELEVATION (FT.) DEPTH (IN.) TH2 ELEVATION (FT.) ZONING DISTRICT: RF
0 i 103.10 0" 0 & A 102.30 YARD SETBACKS:*
C LOAM WOOD LOAM
14. \ �� 3" 10 YR /1 102.05 g" 10 YR 3 1 101.80 FRONT = 30'
MEDIUM ` ND MEDIUM S ND SIDE = 15'
\\ 5" 10 Y8 B i 9z 102.68 8. 10 YR 4'2 101.63 REAR = 15'
LOAMY S ND FINE LOAMY SAND
THE 10 YR �!s PLAN REF: BOOK 430 PAGE 60
\ 37" C1 100.01 10 YR ALSO/6 COLORS IN B
M/C SAND & GAVEL 2.5 YR 6/4 REMOVE IF ENCOUNTERED FLOOD ZONE: C
R 7.5 YR 5
/ 34.g, 48' 2 5 C2'/8 99.09 56" 0 /8 97.63 GROUNDWATER OVERLAY DISTRICT: GP
24. MED COARS; SAND MED COARSE SAND *VERIFY WITH TOWN OFFICIALS
7.5 'R :/8 2.5 YR 6 '4
120" - C 93.09 120" 92.30
n t f NO WATER ENC') UNTERED NO WATER ENCOUNTERED
(-APROPC SOIL CLASS: 1 so1L CLASS: I
J CA DWELL PERC RATE: 2 MIN./INCH PERC RATE: <2 MIN./INCH
TH2 t� BOTTOM PERC: `, 7" BOTTOM PERC: 57"
TF 101 DATE: F FB 1, 2001 DATE: FES 1, 2001
�
1 ENGINEER: ARNE OJALA, P.E. P.L.S. ENGINEER: ARNE OJALA, P.E., P.L.S. NOTES:
WITNESS:((lJWN CAPE EN ,HARRINGTON,EH.D.G) WITNESS:(DOWN
CAPE HARRINGTON ENGINEERING)
TH1 I EXCAVATOR: WRT EXCAVATOR: WRT 1 . THE LOCATION OF EXISTING UNDERGROUND UTILITIES SHOWN ON
Q I THIS PLAN IS APPROXIMATE. PRIOR TO ANY EXCAVATION ON THIS
I SITE, THE EXCAVATING CONTRACTOR SHALL MAKE THE REQUIRED 72
9 � 40 00 TEST HOLE LOGS HOUR NOTIFICATION TO DIG SAFE (1 -888-344-7233) AND ANY
(NOT To SCALE) OTHER UTILITIES WHICH MAY HAVE CABLE, PIPE, OR EQUIPMENT
PK o IN THE CONSTRUCTION AREA FOR VERIFICATION OF LOCATIONS.
DRIVE 2. MUNICIPAL WATER IS UNAVAILABLE.
j SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 3. ALL SEPTIC WORK AND MATERIALS TO CONFORM TO 310 CMR
z ,,, DESIGN FLOW: 3_ BEDROOMS ( 1 10 GPD) = 330 GPD 15,00 TITLE 5 ,AND BARNSTABLE HEALTH REGULATIONS.
-J `* USE A 330 GPD DESIGN FLOW 4. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
�� o
o 4 SEPTIC TAN�: 330 GPD 2 5. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H-10.
1 ( 2 = 660 6. PIPE JOINTS TO BE MADE WATERTIGHT.
5s.o USE A 1500_ GALLON SEPTIC TANK 7. WATER TEST D-BOX FOR LEVELNESS.
LOT 3 8. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
AREA = 4�561 sF '1.o0 AC 1 LEACHING: USED FOR LOT LINE STAKING.
s>S T 6 ',1 , 2(30 + 9.83)2 (.74) = 118
SIDES: - 9. PIPE FOR SEPTIC SYSTEM TO BE SCH. 40-4" PVC.
30 x 9.8.3 (.74) - 2181 10. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
00 I BOTTOM: -- INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
T,- rAL' 454 S.F. 336 GPD FROM BOARD OF HEALTH.
W USE (4) H- 20 HIGH CAPACITY INFILTRATORS WITH 11 . NO VEHICLES OR CONSTRUCTION EQUIPMENT ALLOWED OVER
® i BENCHMARK - TAKE & ] z 3.5' STONE AT SIDES, 2.5' AT ENDS AND 14" UNDER PROPOSED SYSTEM.
TACK ELEVATION 102.69 Q 12. VERTICAL DATUM APPROXIMATED FROM QUAD
�8 \ 00
N TITLE 5 SITE PLAN
LLJ
Q
S& �f off 508-362-4541
fox 508 362-9880 OF LOB 3 GALLAGHER LANE
IN THE TOWN OF:
down cape engineering, Inc. ( MARSTO N S MILLS BARNSTABLE
AH of Af "` SITE PLAN CIVIL ENGINEERS PREPARED FOR:
cP� Of SCALE: 1 40'
LAND SLJ>'VEYORS HOUSING ASSISTANCE CORPORATION
�f �'t " =
§ ARNE H. ARNE t
C-lOCIVIL4 N o ni_A 939 main st. yarmouth, ma 02675 40 0 40 80 120 Feet
No. 30792 N0. 26348 :` r.
Armor 9FC/STEREO ?`s T ( BOARD OF HEALTH
`fsS10NAl SCALE:+ 1" 40' DATE: FEBRUARY 7, 2001 --
MA
01 -001 -1-3 ARNE H. OJALA, PE, PLS DATE APPROVED DATE