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Home My WebLink About0211 CARLSON LANE - Health a i � Cam.✓i� Un 7 �' • �' Ll �-120 0NSTABLE LOCATION'-O 15 ID 46 (fIglZ��-AJ 4/-"• SEWAGE # 93-505 VILLAGE W ABLE ASSESSOR'S MAP 6z LOT 133 (j&-0 INSTALLER'S NAME & PHONE NO.M:C • M`-Tm-7Y E 38'57- ,7407 �4 SEPTIC TANK CAPACITY 15'0 o 6 e9 L . ' r rl LEACHING FACILITY:(type) &EPCH PIT rZ) (size)6 'X6 ` s7-0,u6 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATERbJC- BUILDER OR OWNER 132 UCH' DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: Z - / - 13 VARIANCE GRANTED: Yes No X r t� j2 14� _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Diripa!ial Norkii C omitrnrtiun 1hrmit Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System at: Ll _C!ffi2L o�CD__LA.: Gta• �f�i@AD5Td481�------------------------�--�7............................................................. . Address....___.. ......................................... .....------------.._.............................................................................. �j •a o-ner Address _ Installer Address U Type of Building Size Lot._5_._7t.Z_�'; --- .-Sq. feet �. Dwelling—No. of Bedrooms._......_._��.................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ < --------- --------------------------------------- ----------------------------------------- •...... ......------ W Design Flow..............5_ .................... per person per day. Total daily flow..........5.�0_...................gallons. WSeptic Tank—Liquid capacity/ gallons Len th_ G__`____- Width__ --t...... Diameter................ Depth--_`-`----•_-- x Disposal Trench-- No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.../__0..Z..... Diameter-_-__` Depth below inlet.....6........... Total leaching areal. .9.'�_.%.(a.sT.4t.C-Pb Z Other Distribution box (54 Dosing tank ( ) aPercolation Test Results Performed by---------- _ >~. ._...eA&-G......................... Date..... ....14 .......... Test Pit No. I___:!5�.Zn__minutes per inch Depth of Test Pit._ _,4. 0..... Depth to ground watere�,�/ ..45A)'" LL, Test Pit No. 2_. ..Z_._minutes per inch Depth of Test Pit...... .1.. ..... Depth to ground water_G'��,t,�i�� a ••--••-•--------------------•-•---•--•••-•--•--------------•---••••-••••......-----•----------.--•--......................................................... 0 Description of Soil-•----.s&�....R 191(............................................................................................................................... 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 TITLE 5 of the State Environmental 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. Signed --.... ....- .,... - --- ------ -- -----------_-..--- 4' ... .. ApplicationApproved By ... ...... .... .......... ... ..... ®............ ....... ... .... . . . .......................... . Application Disapproved for the following rea.ro r .................................. .................. ........ .......... ............... ................................................ ..... 50.... .-. ....................... . ....................... .......--..-...-.. � Dare Permit No. .... .. Issued .............. ... ........ Dare �t.�,,,y=:w.�—wr•.�=a.,,h.�.,ryy...irec-.'1�,.i�--R.�akE.-.''..�"'1'"i'`.�r5.`'vZ"•`_��•'.w.-�`.-'•-.'.w..r.Je..'/' _ .. No. t .:_. O Fmc....�D. . THE COMMONWEALTH OF MASSACHUSETTS S BOARD OF HEALTH TOWN OF BARNSTABLE ppliration for Diripitial Wnrkti Cnomitrurtion ramit _ t, Application is hereby made for a Permit to Construct (�<) or Repair ( ) an Individual Sewage Disposal System at: i 1 Cl ,2L 50/t! 6A • Ct�- B19 RM 5 L� G7-�5 6 ..... ................... ................................ Fes...•. -•----•-----------....._..------••----•-----. -•.....-•-•-••-•-•---•-•---•..........••-- Location-:address or Lot No. r3rzvcc._J�l /fly L ----------------------------------------- --- p--------- O`er----•--•--- = ^�•-FJx `T. .... ress ��.1./7 ...... ��... Installer 1 Address d Type of Building _ Size Lot_._�_.7 2_7,3___..Sq. feet U Dwelling—No. of Bedrooms...........:5--------------___-.___-.-._--Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building -----1:--------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures --------------- ----'-------•---.................... -- W Design Flow..............5.?.....................gallons per person per day. Total daily flow............5.50....................gallons. Gd Septic Tank—Liquid capacity/t?.00.galIons! 'Lfength .... Width---/......... Diameter................ Depth...'....... Disposal Trench—No. .................... Width............-------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No...I..-4t.2_.... Diameter__._-_/_Q...... Depth below inlet-----4........... Total leaching area�05,.6.sq-4t.r—pD Z Other Distribution box (X Dosing tank ( ) aPercolation Test Results Performed by.......... ......cilA�......................... Date....3.')4�_.-.��.._.__._.. ,4 Test Pit No. I---5:.Z__minutes per inch Depth of Test Pit_1_4.1 N..... Depth to ground water/-V0!_...e�&J Li, Test Pit No. 2.. ..Z_--minutes per inch Depth of Test Pit.14......._. Depth to ground water_(�04.4j::F_R.F—D A+' --------------------------•--------•......•--•----•-------------•----------------------•-•------------... ---...... ---...............--......... •_•........... DDescription of Soil........ ram.......-••................•--.....••--•-------•--•-•--------••---••--•--•--------------•---••-•-----•-------•--....-------•-- c, ................... --------------- ............---------------- 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 TITLE 5 of the State Environmental 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. Signed ..` '.e....�JU .... ..,/l e.� Jll3t............ ..................... 9"Aof 7 .......54 .:...... Application Approved B � rL.' .. .�.. - _ ......_.................:.. PP PP Y :.. .................. Application Disapproved for the following rearo� ........ .................................................................. .................................................... ...................:. ....... ..................:....... ...... .�.. �1 /� Permit No. .... ..... �....�L�...t � ................ Issued .............. pCJ�/ am THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BAR((��NSTABLE (gErtifirate of Tontyliaare THIS IS TO CERTI , Th k Fh.e Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ......... ............ . . .. ..... - ... 1 . /?........ -:.... ..,._sr....�. �� — ----------4----,--- —... �1�I. 1-at .... ...........A..�....!..........,- ------------- ----------- has been installed in accordance with the provisions of TITLE 5 of TherState Environmental Code as described in the application for Disposal Works Construction Permit No. ...-....... ->_��C/� dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BECONSTRUEA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....._............. � �.....7..�. ....................................... --- Inspector ..........�. .---------................................................ .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 6� q_� TOWN OF BARNSTABLE No.....•' -... FEE.--.l... O Dispnoa1 OA-15// &mitrurtion rrmit Permissio i hereby granted---•- . / If -------------•---------------------.. .......................................... . ..- -. ••.. --..••r---d-------------••---•- to Construct _or Re it an Incli�vj ual Sewage Disposal System Q �i n (V & Street ✓� as shown on the application for Disposal Works Construction Permit No.....-- ed......- -------------------U f 9 Board of Health DATE....................1.1--`�� = - FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS No.- - ---------- Fee---- ------------ BOARD OF HEALTH TOWN OF BARNSTABLE Z1pp ication-*r)VeYC CongtructionVermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( an individual Well at: A1Q 5JrV- 4ti0 ).j5AAj,sja6/F — - -- '-- — - ----- -- Location — Address Assessors Map and Parcel Owner Address Installer — Driller Address Type of Building Dwelling------------------------------------------------------ Other - Type of Building--------------------------- No. of Persons--------------------------------- Type of Well- —_ I ---___ -----_--- 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 until a Certificate of Compliance has been issued by the Board of Health. Signed '-- /'o " r7 3 date Application Approved By - -- -------= ____ _ _ — date Application Disapproved for the following reasons:------------------------ ------__—_— __ —__ date Permit No.- - - — -_—_ _______—_—_—____-- Issued------------ - -�� — ----------- --__--_ date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired Installer �. __--�`�----------- has been installed in accordance with the provisions of the Town of Barnstable:94r�—Ipl' e t vate Well Protection Regulation as described in the application for Well Construction Permit N -Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------------------------ —-- --- --- Inspector---- --------------------------------------------- -4 No. rF."-j /� 1 Fee------=-------------- BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicationArlVell Con5tructionpermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )aindividual Well at: -------------— —-----—------------—------------------ Location — Address Assessors Map and Parcel �. C�a�� _ ----- ------- -----�o---------- G Addres - - -_-- Owner- ---- � s---- 1/yl wit/ MEL5: 1 -(/UI-4 - Installer — Driller Address Type of Building Dwelling--------------------------------------------------------------- Other - Type of Building----------------------------------- No. of Persons---------------------------------- - Typeof Well- - - ------------------ -- -- -- Capacity------------------------------------------------------------------------- Purpose of Well--- C --- --- -- - - 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 off Compliance has been issued by the Board of Health. Signed ---- -- -------- o --�I-=�U— date Application Approved By- Sd - -- -- -®- - —- - ---------------------------------- date Application Disapproved for the following reasons:-----------------------------_---------______--------___----______—________— -------------------------------- - �� - --- da-te `Permit No. j ------------------- Issued---------- date7 -—-- - a BOARD OF HEALTH r T O W-N OF B A RNSTA B L(E � ,� Certificate Of Compliance THIS IS TO CERTIFY, That,the Individual Well Constructed ( ), Altered ( ), or Repaired �o� /j'� F/ Gi�tr✓ N1 l t` �n W ft-L �_i� by---- ----------------------------- Installer -----�_a F -=y = - �� -1Q__��>r�---4/u -- -w=- -- ' !at-- - - - has been installed in accordance with the provisions of the Town of Barnstable BoaJr�dof Health Private Well Protection Regulation as described in the application for Well Construction Permit No�!-��- ---!a-Dated----------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. r � •-�r DATE - Inspector BOARD OF HEALTH TOWN OF BARNS TABLE Vern Con5truct ion Permit No. --------------------;- Fee------------------- Permission is hereby granted----- � tif.2_G�i ,•- - ------------------------------------------------------------- to Construct ( ), Alter ( ), or Repair ( 0an Individual Well at: No. --------------------------------------------------------------------------------------------------------------------------------------------------------------------- Street as shown n the application or�a Well Construction Permit COW n%- --� � [.�-- - - - --------- Dated-- _r-O ---- - -------- —- Ly - - - --- -- /� Board of Health �v DATE-------!-�-:-----r-----'==----------------------------- Bo amber: BC311A Date: 09/20/93 BA BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE VBARNSTABLE, MASSACHUSETTS 02630 �lA S& PHONE:362-2511 LAB 337 Client: CAULEY, GREG Collector: CHARLOTTE STIEFEL Mailing P 0 BOX 635 Affiliation: COUNTY Address: HYANNIS MA 02601 Type of Supply: W Telephone: 775-5080 Well Depth: 82 FT Sample Location: 6 CARLSON LANE Date of Collection: 09/16/93 Town: BARNSTABLE Date of Analysis: 09/16/93 PARAMETER SAMPLE RESULT RECOMMENDED LIMITS - ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Total Coliform Bacteria/100mL 0 0 pH 6 . 1 Conductivity (micromhos/cm) 152 500 Iron (ppm) < 0 .1 0 . 3 Nitrate-Nitrogen (ppm) 1 .0 10 .0 Sodium (ppm) 23 20 . 0 Copper (ppm) < 0. 1 1 . 3 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- BASED ON THE ANALYSES PERFORMED, THE FOLLOWING ADVISORIES ARE GIVEN: * Water has high levels of sodium. Persons on a low sodium diet should consult their. doctor. �Jr / Thomas F. Bourne, Laboratory Director' L_ 1 r • _ 1 ♦ J _1 BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS Client : GREG CAULEY Collection Date: 09/16/93 Mailing Address:P 0 BOX 635 Date of Analysis : 09/16/93 HYANNIS MA 02601 Type of Supply: Well Depth (FT) : 82 Telephone: 775-5080 Sample Location: CARLSON LANE LAT. (DDMMSS) : Not Given BARNSTABLE LONG. (DDMMSS) : Not Given Collector: C STIEFEL Map/Parcel : Affiliation: BCHD Analytical Method: 502 . 1=1 , 502. 2=2 , 503 . 1=3 , 504=4 , 524 . 1=5 , 524 . 2=6 , 502 . 1/503=7 Contaminants Anal . Result MCL Detection Detected Meth, ug/l ug/l Limits (ug/1) --------------------------------------------------------------------- Bromodichloromethane 2 0 . 5 0 . 5 Chloroform 2 66 . 0 0. 5 Only those compounds listed above were detected . Attached is a list of compounds for which this sample was analyzed. NOTE: Contaminant levels equal to or exceeding the Detection Limits are reported. MCL means Maximum Contaminant Level for EPA-regulated compounds . (ug/1 = micrograms per liter = Parts Per Billion) The Environmental Protection Agency has set Maximum Contaminant Levels (MCL) for the following compounds . This sample compares as follows : COMPOUND MCL (in PPB) Benzene 5. 0 * level not exceeded Carbon Tetrachloride 5 . 0 * level not exceeded 1 , 2-Dichloroethane 5 . 0 * level not exceeded 1 , 1.-Dichloroetliene 7 . 0 * level not exceeded 1 , 4-Dichlorobenzene 75 * level not exceeded 1 , 1 , 1-Trichloroethane 200 * level not exceeded Trichloroethene 5 . 0 * level not; exceeded Vinyl Chloride 2 . 0 * level not exceeded Comments or additional compounds found: Thomas F. Bourne , Laboratory Mirector e �L. 1oz oo - r�i�, may! j7% / mot_.9 4-.7-5 \ 92.00 lo" 14, •r, :c • �� /e ,/ __._. +�, /� �- - bth1L`� Fv�L rJo t7t��.a�; ('3�Y�eh-�..� i to cr�� = 5� Gr•� � -F / ti. � \�e L 1✓% r✓•�X7 l{�D x ISa� 82-`� G(� � \ r. Lisa - (2) G'-G' t_r- Ts' klrlll 2,e-T 6 17 OF Cl 130 if 1 \ ct Ji l y b=vCl I . •d'* RUMBA t. s��,j>✓c hl�cl-1 IG- 1�9.� - {',v�. 1?rnk, _3P� � S �LlOr ''_( , 1 j`l S 3,:::r �.0 144°