HomeMy WebLinkAbout0619 WAKEBY ROAD - Health 619 WAKEBY.ROAD
Marstons Mills
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VILLAGE
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$JILQE ON OWNER
DATE PEIT iS S DEU _
OAT E COMPLIANCE ISSUED l ��
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THE COMMONWEALTH OF MASSACHUSETTS
1 BOARD OF HEALTH
............ ...............OF........ .. J..l..il _.. =------.......------....._.......----
� .x4ly ira ion for Rapasal Works Tonitrnr#ion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Sys. at: � •�
cation- ;dre t 0 f
/J Owner / Address
Installer Address
d Type of Building Size Lot... Sq. feet
Dwelling—No. of Bedrooms............ ...........................Expansion Attic J,,Ir Garbage Grinder ( )
Pa Other—Type of Building � � !!!KNo. of persons....__2................. Showers
( ) — Cafeteria ( )
Q, Other fixtures ------------------------------•---
W Design Flow......... .........................gallons per person�er day. Total daily flow.....j_ .: __....____......____._.__gallons.
Gd Septic Tank—Liquid capacit��t�..gallons , Lengt ..' ..... Width. _ . Diameter.............. Depth...........
.....
W Disposal Trench—No. ............ Width....; .......... Total Length...__._.`........ Total leaching area............ ......sq. ft.
x .
Seepage Pit No.....1-............ Diameter........?...... Depth below inlet....41............. Total leaching area �� :_sq. ft.
'-' Other Distribution box Dosing
Percolation Test Results ) t ( )
Performed by.. .. _ ._....."---------•----•.. ............. Date.....----•..............................
aTest Pit No. 1................minutes per inch epth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
.............................0
Description of Soil `✓ ' "�.:. � .. ---------------------•-J........................................
x '
. r i
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
_A.t e provisions of TITL1Z 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operatio until a Certificate of Compliance has been i sued by the board of Health. `
l.✓ ce�•�-� J� rt Ci6 Si ed........:...... /lam' .-- . = '. _....._L�........_.. 41- /L.
Date
Application Approved BY +�� " ..... � ----------__
Date
Application Disapproved for the following reasons----------------•----•--•---•---•-------...------------••-------••-------•---------•-•-•••-=••-•-.............._
......................•---------..........................-•••--•...•--•••-••-•.......... ..••--.......-••••-••--•-•-••-•-•-••-•-•-----•------••-•--••-•••--••.. ....---•---• r--•--•••-•-
Date
PermitNo...... _..` 1 -��------------------ Issued.......................................................
Date
.............
YER.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF/ HEALT
.. ..0F... ................. ..........
..............
Appliration for Bhipoiial Workii Tomitrurtion ramit
Application is hereby made for a Permit to Construct pair Individual -Sewage Disposal
SyS
tem at 4 'A��0 / ��/—
Z.A. ............/ ..............e.�/ ..
........... ---- -------------------------------------- ......................................
..... ... . ...;.
"tion-Ad I�,s or Lot No.
.............4. ..... . ......... .......................................................................
.......... .....
Address
.....................................
......... .w .............................. ....... ......................................................
Installer Address
Type of Building Size feet
U
Dwelling— No. of Bedrooms___------- .............................Expansion Attic (6-j Garbage Grinder ( )
PL4 Other—Type of Building ............................ No. of persons..............._.._.._....._ Showers Cafeteria ( )
Otherfixtures .........................................................................................I.............................................................
Design Flow...................)...__..........__gallons. per person:�er day. Total daily flow------ <........................gallons.
y
1:4 Septic Tank—Liquid apacitv,�__ .gallons ...:.. / '.::Z��,Diameter ap Length. .. .455:. Width.......2 ------=...... Depth................
Disposal Trench—No.._/...Diameter............_._........... Width........... ... Total Length.._......6 Total leaching area----------Z,...*'sq* ft.
Seepage Pit No..................... Depth below t......... leaching.... Total leaching area........K.sq. ft.
Other Distribution box ( ) Dosing !,Pw( /"
Percolation Test Results Performed by...... ----A//....... ..... Date.......
Test Pit No. I................minutes per inch Vept of Test Pit.................... Depth to ground water.___.._.............___.
Test Pit No. 2................minutes per inch Depth of Test Pit..._........,....... Depth to ground water........._..........._-.
---------------------------------*...............**-----------*....... .... - --------------------*,*,*-"*......"----------------
0 Description of Soil.........42....— 7 ... ........... ............. ......... ...................................................
....................
.......... ....... ..........................................
-----------------------**----------
----------------_......................................................................................................................... .....................................................
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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operat- n until a Certificate of Compliance has een by the boa f health.
Signed....... ........... ........................... .............. t�a............
--- ..........
ApplicationApproved By.................................................................................................. ....f. .............
Date
Application Disapproved for the following reasons:................................................. ..............................................................
.........................................................................................................................................................................................................
Date
PermitNo.......... ---------------- Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
\ BOARD OF HEALTH
r_,. �
............I..V.V..A.J............OF.... ........ ... .....................................................................
(9rdifiratr tit Toutpliattrit
T IS TO ERT Y, 7,hat the Individual Sewage Disposal System constructed or Repaired
by.-- ......... .. ......... ........................... ............ .........................................................................
Inst#er
at... .............................. .. ......4�_;4 , ............ Z ,
..0 ............................................................................
has been installed in accordance h the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Perm/it No............z::7 /�, - 1 1 Sj dated-------7.......,--I )-" I-,(,�
.....1:7............. T
THE ISSUANCE OF THIS CERTIFICATE\SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM -,WILL FUj4j;T19N SATISFACTORY.
DATE.................. q!.[ •6................................. Inspector............i .AA................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD—OF HEALTH
..........................*.,** O ..................... ...
.... ....................
FEE........................
rk.5 notra Pa tion " mit
Permission is hereby granted......... 1Z.....4� 1�...............................................................................................
to Construct or it Individual Sewage Disposal System
at No...../Z.......
Street
as shown on the application for Disposal Works Construction Permit No.__... I I C /2..................
.......................v................................................................................
Board of Health
DATE.............................fp......... ........................................
FORM 1255 A. M. SULKIN, IN6:--BOSTON
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No. 366
/0632—
LEGEND Loy- 4
CERT ED. RLOT PLAN
EXISTING SPOT ELEVATION Ox0 V p
EXISTING-..CONTOUR - 0 -
FINISHED SPOT Q� h1. LO7- it Avi,4
ELEVATION
FINISHED CONTOUR 0 ?�°
IN
APPROVED , BOARD OF HEALTH
DATE AGENT SCALE, / � 40 DATE]S s
-DREDGE ENGINEERING CO. IN 't3 q"ffs TA Is"
CLIENTN���
I CERTIFY THAT THE PROPOSED
` EGISTERE REGISTERED JOB NO. �5��9 BUILDING SHOWN ON THIS PLAN
CIVIL LAND �, ., CONFORMS TO THE ZONING LAWS :
ENGINEER SURVEYOR DR.BY� �' OF BARNSTABLE , MASS.
712 MAIN STREET CH. BY:
H`YANN I S, MASS. 2 y9 ��' _ �%�•/�'�r . _ � ---
SHEET-L.. OF DATE REG. LAND SURVEYOR
EITHER THE SEPTIC TANN OR
j!EAcs,�/nrG P/T ARE MORE TftA/V
/+9/N. 1RAOE, f� 24'O/AMETER CONCRETE COVER
!e-- SWALL B,E BROUGHT TO 4RAOE.(.4N .EXTRA
CONGRCTE' `;'PVC PIPE 1tEAVY CAS'TIRON Co✓ER S,�V,44L ah: us
!02-0 COVER A'1/N. P/TCN
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�8p?FRET. 1 IF/N DR/VEN/AY
co VE'R' E
A :- :�— GRADE Cl-EAN SANG
4 D A.
�4`' SC)iEDvt640 "' 2 LAYER
!•O l7 D �a v o e
P/TCN. G.4L. ST • • • • • ► • • • • v o4
��';•� � p/ o yyASNEO STnNE:'
SEPTIC TANK O s • • •. • • • • • • �: a • `
• •
.. BOX v P o • I $ • • • • • . • „.
' er 11 •Ef /V • • r 31a
• ,p c • O F CT• too p •' o hVA3/IED STd/YE
" ' • EPTH
/S/ .x 2.S:- 37 7 ° • ' o • • . • r • • • • ' o p.. . . z s • o PRECAST SEEPAGE
/NVCACr 4,4RVA7/DN5 PIT cAP,4crTy �y�G� o �o ► • • • t • • r • " s o O/T OR EQUtV. •
o a s E'L
/NYERT AT B!J/LDING 9 FT
INLET. SEPTIC r.4N.,K 5 S.3 FT, 1 z FT D%41M. C C.SFg TABIlL.4770N�
Gl/TLET SEPTIC TA. 1ltC=- . 13.6 FT.:
I/V,GET D/STIq/BUTtON BOX y�• 4 FT. SECT/ON OF GROUND 147,6IT.TABLE
0&/TLETD/5TRI10OM10lylaoX 97 ZFT. .
/HEFT LEACNI off 7-0 FT SEN/AGE O/SPO�SA L SYS�'E/>? TABUL.A7lo v
LEACHING P/T
DES/61Y CRITERIA scALE %F" _ !=o.. D/MENS/oN 'A 3 xT.
NUMBER OF 6EOR04MS DiMENS/ON C FT
GARQAGED/SPOSAL!/NIr /✓ari/E SOIL. LOG
TOTAL E5'T/M.A?rEd F44vi/ 3 3. G,4L.1pgY SOIL TEST #/ SOIL 7,E'ST102 �0/1. TEST
i1l41M8ER aF LEACHING P/TS_! f^EL4eV. /0 0' 6 /-� —zoi ,DATE OF SOIL TEST
SIDE GEACH/NG PER PIT I S 1 SQ, Pp, 0 _ 3 RESL/LTS iV/TNrESSEO: BY G-WM� k�s►n/
a0T'TOM 4.$4CH/NG PER PIT $Q, FT.. T v�� '� PERCOLATION RATE
TOTAL LEACHING AREA 2-" SQ. FT. ° 5 v3 s.�/` I°WRCOLATIOH,?ATE 02
i RBSER1iE LE.4C'N!!YG AREA 2G`F S4. FT Z v
R MCD6 85
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WEIMBERG
' � Lam: "�� � �' •
No: see : EC DREDGE ENGIJNEER/1VG CO.,/XC..
fry'. 6 WZ MAIN ST., NYAJVN/9, MAS-5. .
. .
o3tU to
Y d' '�`� i � �. NOGI�OVNB YVA7,&#T eVCOIJNTg�EO CG/ENT: s+R T_ D,rT� / fZ3I
Q- GRO.UNO .Lt/QTER AT EGEt/.°
c��w ` JOe nio fps l y q sire&r_?-of�
Log Number: ``Bottle # �Z9 Date: February 7, 1986
$A4 BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
SUPERIOR COURT HOUSE
vBARNSTABLE, MASSACHUSETTS 02630
o •
�1Ase DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511
Ext. 337
Client: Barnstable Holding Co. Collector: Edward P. Meehan
Mailing Address: 100 Test Main Street Affiliation: - well driller
Wands. MA 02601 Time & Date of
Collection: 214/86 2:45 n.m.
Telephone: 771-4400 Type of Supply: well
Sample Location: Lot 11 Wakebv Road Well -Depth:
Marston.; Mills. MA Date of-Analysis: L:?0
PARAMETER SAMPLE RESULT RECOMMENDED LIMITS
Total Coliform Bacteria/100 ml 0 0
pH 5.4
I
Conductivity (micromhos/cm) 48.0 i 500.0
Iron ( m) 0.1 0.3
Nitrate-Nitro en ( m) 0.1 ' 10.0
Sodium ( m) 7.0 20.0
i
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 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.
Ill. 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:
CC: BarnstabieBoard of Health
l
CC: MeehanMefil Trilling
Laboratory Director
1 /7185
i,
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 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 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
water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm
indicate that there inay be ocean water or road salt runoff water getting into the well.
I. 0CATION SEWAGE PERMIT ' Ma.
VILLAGE
INS TA LL R'S N E & ADDRESS
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KRUILDER 6R OWNER
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DATE pERMiT iS ilEO
OAT E COMPLIANCE ISSUED
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