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0019 JASPER ROAD - Health
Ver Road lls I 033 �J I l i �I i RECEIVE® µ CERTIFICATE OF ANALYS S Page: 1 Barnstable County Health Laboratory APR 1 6 2003 Report Prepared For: Report Dated: 4/10/2003 TOWN OF BARNSTABLE Driscoll,Ronald&Kathi Order HEALTH DEPT. Numb Ronald Driscoll 19 Jasper Rd. Marstons Mills, MA 02648 Laboratory ID#: 0319288-01 Description: Water-Drinking Water Sample#: 19288 SamMin¢Location: 19 Jasper Rd.,Marstons Mills Collected 4/1/2003 Collected by: Ronald Drisc 047-033 Received 4/1/2003 Routine ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates 1.9 mg/L 10 EPA 300.0 4/1/2003 LAB: Metals Copper 0.2 mg/L 1.3 SM 311113 4/8/2003 Iron <0,1 mg/L 0.3 SM 311113 4/8/2003 Sodium 13 mg/L 20 SM 3111B 4/8/2003 LAB: Microbiology Total Coliform Absent P/A Absent 307 4/1/2003 LAB: Physical Chemistry Conductance 117 umohs/cm EPA 120.1 4/2/2003 PH 6.2 pH-units EPA 150.1 4/2/2003 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. r , Approved By: h 11 `6/l ZV Z�3 (Lab Director) f, �%.., { Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 5.08-375-6605 0 33 SEW.AGE PER N0. Lt0"'CA T - � �-SNffRrt M ILLAGE G.INSTALLER'S NAME ADDRESS BUILDER, OR OWNER c fz. P Y 3pATE PERMIT U ISS ED: i l �/ 7g 0MPLIANCE ISSUED g y DATE '- ..-,.-' \�. ©.•,� ,, may. _. .._ _ .. i Illy CW) ,�� ! rl - L 7 r� 3 _ N0 EWAGE' PER O-IC ST10N_ A 4 r V:I LPL A G E n f it :u a. , y 9 1. r ,}=rAp:DRESS BUILDER > OR �0WNER t s' E s.u . r�s T. f a s'. M 1. ;:E R .DAT-E Pit 77. r' � �MPLIANCE ISSUEDf E .,� - 4 �Y• h I 4 F h.. . f� �'1 �FH'f^wws-w� t ..., +4 �\ �i. rl�M,.� t •- '� t fE �+Y'anv yam?' IF ''ll 1HT ' .t.h.a,.. ,a.�e�++--e+,�..•�.}w=-,«sue z. �� �R,J'�f{ .I/l/r=+ � i�� �� A .. - � 5 , //II <-. 1'} 'an J /t �,4� TEST MADE vON :-' - //- 7/well ry je N ....... d 3 r . � GE . BA 4 ISM"?35r •.tir.t� .., • , � \� C F,. Ex�s�r n� '— lr} 39 ry •u N f\ i (41 !� �h Av T 9: ''1 G yf IZ W P,,t �CS r/-7P-S 0 "1 '7,- b 33 LOCATION SEWAGE PER NO. VILLAGE IN.STA LLER'S NAME & ADDRESS B U IL D EjR/ OR OWNER f'�oG G l/ 52 CC, DA T E P ERMIT I S S U ED 1 / 4,17K DAT E COMPLIANCE ISSUED. /�� y � IS`S. t n No.... ..�'!'`.3✓.....� v �_ s,. FEE. .:.^...�................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF .jHEALTH . .................OF..... % y'!�S./-rt�. ................................................ Appliration for Disposal Work.6 C oustrurtiurt Permit Application is hereby made for a Permit to Construct (1-l'or Repair ( ) an Individual Sewage Disposal System at:: ................A Location-A^ess or Lot No. Owner Address h.....-------••------------------------------------------------------ ------------------------------------------------------ ---------------------------•--------- Installer Address dType of Building Size Lot..26,00..........Sq. feet U Dwelling—No. of Bedrooms........... ................ .Expansion Attic ( ) Garbage Grinder Q1_1 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ................................... 16rrrtvc�isi • W Design Flow..............I/0.....................gallons per-pepe®k per day. Total daily flow.............3,3 '................._gallon s. WSeptic Tank—Liquid capacityJ5,60..gallons Length.11 �-k... Width.. 'Q._..._ Diameter................ Depth.4_' ....... x Disposal Trench—No..................... Width................. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......I............ Diameter:..jv.`_�..._. Depth below inlet...��:�_._.... Total leaching area---Z6.7....sq. ft. Z Other Distribution box (;✓j Dosing tank C, '-' Percolation Test Results Performed by-_. C1.�.-l!�Y.:4��G ;...\�i-.........._......... Date_. �TsiJ��1���........ a Test Pit No. 1.._4.5d.......minutes per inch Depth of Test Pit.....5,0_....... Depth to ground water.... ............. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wa .................. Ri ....................................................- ...............................................--•......------. PtiN-Pf-.Afiq• -•--••. O Description of oil. - - 3.-- l� =;----•••... --•--•-- // �• Jj�}',� .... .y. =.L... <l �l1� - •••E31=Iu1lYlCK.._.yG� = pp B' �`J-._._... n. .. CHAPMAN U< Nature of Repairs or Alt rations—Answer when applicable................................................... ..A .;v N 2765 p--� Agreement: T The .undersigned agrees to install the aforedescribed Individual Sewage Disposal System ce with the provisions of L IT?u 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sied••... .. ........................................................................ ............Date.............. Date Application Approved BY L/. Ll�!f .• �'���....zw.......----- Date Application Disapproved for the following reasons:................................................................................................................ -•-•--•--•-•--•••-•-•--•-----••-•-•-••..................•••-•---••-••-••••-••-•-•---------•---•.....------••---••••-••-•-••-•-•--••-•-•-••-•-•-•-----•••-.............................................. Date /! . PermitNo......................................................... Issued.... F3�.___.�.�.........---._...... 1 Date No..........'1" :.. �- % FEic..........................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0W.».................OF.....r Y.! a`. I�IQ•.----------•-•-•--.............................. XPOratfimz;for 15isvuiiFal Works Toustrurtilan Prrmit Application is hereby made for a Permit to Construct (ij or Repair ( ) an Individual Sewage Disposal System at .. _ er. . �. //$. ..............................�........•. ••...--.-----•---•........................ .... ..............�... ......__.... ........... .- l q�t�on- ddr�s}• /d � or Lot No. ..!C..� -. .........---•••.............................. ..•-....................................... ..........-•-^----.........................__..... . ...o _ Owner Address W • Installer s Address Q Type of Building Size Lot.• PW...-.:..Sq. feet V Dwelling—No. of BedrooTs.............5...•........-.._ .Expansion Attic ( ) Garbage Grinder (k U aOtheir—Type of Building ------.------------------- No. of persons.....-..................... ShowersCafeteria ( ) QOther fixtures ----------------------------.....................--•---------.....-•--•--•----•--------.--. ------- WDesign Flow.............: .....................gallons•per peFsex per day. Total daily flow...............330.................. r lons. WSeptic Tank—Liquid capacityJ5W..gallons Length.10.- . 5... Width__ _0.... Diameter................ Depth. ........... x Disposal Trench—No, .."----------------- Width..................... Total Length....../........... Total leaching area....................sq. ft. Seepage Pit No.......I............ Diameter...V----0..._. Depth below inlet...lJ'�of ....... Total leaching area...247_...sq. ft. Z Other Distribution box, Dosing tank ) Percolation Test Results' Performed by..._ �1 !4�. 1 .•.......................... Date..d...tt�L 7.._•-_... aTest Pit No. I...1#5..._..minutes per inch Depth of Test Pit.....J,0.'...... Depth to ground water.I...Z•t........... Test Pit No. 2................minutes.per-inch' Depth of Test Pit.................... Depth to ground wa z .............. i D Description o oil... +e'. _, _ t �U " � ------P 1�f� ... - U .� ...'`. ...... .. --•• •.. ��� ... ...................... .......... RENWICK .. W -- -------- -Q••••• ..t Ux Nature of Repairs or Alterations—Answer when applicable...................................................... y �. ��F art'--- • .............................................................°..........._................................................_....... Agreement The I'dersigned agrees to install the aforedescribed Individual Sewage Disposal System i e with .Fthe provisions of=YLE 5 of the State Sanitary Code—`The..un'dersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Si d '" � /�/,j( --------- --------------------•--•-Application Approved By••••• -----••......---•------ Date Application Disapproved for the f ollow-ing,reasons:.... -•-•-•-•••••••....•••••-••------•••....................•---•••••••-•-•-•••----•••......---•......--------- i .............•.•.................-•.•................._...•...............':':'_... __.................................._.........._....................-_.--...---...._......---:-.----_----------••------- Date PermitNo......................................................... Issued.--•-----...---•-------------------•......•--•----•---. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT ................ ........... Trrtifirttte of TomptiFanrr THI T EIRTIFY, That the Individual Sewage Disposal Slstem constructed ( ) or Repaired ( ) by............/:-N �!!.. •----------------- ----- ---•....................•-•--------------......-----•----••......--•••----........_..... at........'aV I' '1' �fs--------------- ------- ------------------ has been installed in accordance with the provisions of TIT1 jt3&The State Sanitary Code as described in the application for Disposal Works Construction Permit No....................... ................ dated....... ..2.�"'_7.�•._._._._........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE a SYSTEM WILL FUNCTION SATISFACTORY. ,,tt :rG..DATE................. .......................... Inspector.--.... - - -- ... .- - -........._...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. tt ......OF..... ...... '. ....................... No............. � FEE.........._............. . Utsposa1 orko nntrnr#ion rrmit Permission is hereby granted......... d !elr_'�,. piki.,..-.. to Construct R ai ) an Individu S,wa e t posal ystem 1' Street 4K.Z_ . as shown on the application for Disposal Works Constrtction Per, No.......... ....... Dated.......... %�.G--7� •-......-.... G�9�f ... Board of th DATE.........................................•------....••••....•-••....-•--•-_..... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 4j '6. 9011 LOO \Xk l<J.l II i,Y�\V v-r!/M bra ii..0 �Iwvi..�/i�/�UI� • 2';.PEAS TONE LOAM B FILL 12" MAX. / I a I( f 0 f i — BOX ♦I P.S 2C "i'.'�7. ,34i o /O•MIN. 1500 —I D2, eIN a 1000— GAL. - d GAL. I' ° PRECAST OR ° ° _ 114 I - SEPTIC 6 Ip o° BLOCK ° e TANK I;°,` ° o SEEP,.A,.GE pPIIT o A (o° naov Bmot r 77 » 0000 I 201 MINIMUM lo,° 0 - 'l = ` FOUNDATION I � I /z 11 WASHED STONE I c r herpb9 corn f f T 1 b0l JIX 41rUC-Aare s 60V,7 I i � ct}AF 7'E`a. lhemon was /ocafer/ d' o u,7/ ic%5c�� vpy Ltl7 1_201974 Zilly t o PB�C. RATE[ 8yawo eac �a / � r9� b� rrde' .3f rwo �159�uldble,/7d-eS T BY : TES ak ARso�' t F r�iz =,•� 1 14orovidezI=126 s-F TOWN INSPECTOR P'aL ,--ji.•2,,,,,Ay BACKHOE OPERATOR , TEST MADE ON xi J A 5 P E, SQL),_ �< 1 l 3�.v .S' " 3i 1 • G 7 ` G,, i Z S. o a +��*i7,`G., �3`jr / Ex)6h nz Go.rcn2iL_ 7ZS (-1 J 40 iSDo- 139 3 t, . � , SePtr•G t n -.,. � o 1 I t 4b N Area 141 \ • t�� /�•/ SS o ,s Z ' q +�-r / 2�3. c?a> r! RENWICK t42 F� cHAPilAIN w ELEVATION SCHEDULE Qry PROPOSED SITE PLAN I. INV. AT FOUNDATION SEVAGE 9YQTVrJ DESIGN 2. INV. INTO SEPTIC TANK �38'6� IN 3. 1 NV. OUT OF SEPTIC TANK W D (� J/{ ��~ At//L J .5, � Sr 14. 1NV. INTO DI.STRIBUTION BOX = 13b°25 SCALE: I".=10' Jan 19-7s 5. 1 NV OUT OF DISTRIBUTION BOX 6. INV INTO SEEPAGE PIT = CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF PIT = ��� HYANNIS, MASS. r, A DIVISION BOSTON SURVEY CONSULTANTS, INC. B. BOTTOM OF STONE LAYER = 2' ' _ i (La SOIL L'06 rya / f[r.• <( , 2'.PEASiONE LOAM 9 FILL 12"MAX_ -7 S / I ° •/ Jr°I 4 C. I. DIST. BOX I• "° ° ° J� `�,. ���s� , L I"',� �,� /U MIN. Ig OO �I, 29"MIN. _ — I, o, ° 1000— GAL. d , of <',•..:�� GAL. PRECAST OR SEPTIC 6I, o ° BLOCK ° I ---- -- ----- TANK �j0 'o ° ° SEEPAGE PIT o'' o 7 f r- x OQ P-L)Lp� J� � S • 20' MINIMUM (o,° '° °o TDJri/I - _b�SF C °� .I J-1 h.17 II 7 1 FOUNDATION t 1 I V2" WASHED STONE -7, �. r' 10' PERC. RATE /z .`::/�>��I✓ r c.. [ 1!. '? , ' [�l��r�}/�y7. ��. 1�1�7<a7 CJ!1?a P %�I!.,-"i 1,98T------ TEST BY a+" �YpVI `t'1/= w%s• TOWN INSPECTOR �. BACKHOE OPERATOR : (<<' ; ' /• <, r" TEST MADE ON 13 lWclt-4) �/!_/.. 37 i .5vi�� �z.'.11.� 0 � •,r l3$ Exi94r n ! I '!/ �. z 139 i ! v �y SPAi� f r7 i �1 46N 1 fI1 I Q ELEVATION SCHEDULE p l PROPOSED SITE PLAN I. INV. AT FOUNDATION 2. INV. INTO SEPTIC TANK SEWAGE SYSTEM DESIGN IN .3. 1 NV. OUT OF SEPTIC TANK = a��a ` • - / , 4. INV. INTO DISTRIBUTION BOX = 13&2 /y�/� /�� `'''/ `'/ 1i '/�" !- '`• ' /811 �j -J. SCALE 111=�-o a r 'I % , 19' 5 I NV OUT OF DISTRIBUTION BOX = J C— f1'D 6. INV INTO SEEPAGE PIT = 13"7,25 CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF PIT = 1 ,� HYANNIS, MASS. A DIVISION BOSTON SURVEY CONSULTANTS, INC. I 8. BOTTOM OF STONE LAYER =