HomeMy WebLinkAbout0091 CEDAR STREET - Health . ... 91 CEDAR STREET
o WEST BARNSTABLE I
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BOARD OF HEALTH
TOWN OF BARNSTABLE
0[pplicatiou ifor Vern Cougtructiou Permit
Application is hereby made for a permit to Construct,( Alter( ), or Repair( an individual well at:
Location-Address Assessors Map and Parcel
Owner Address
f-CL(A I RA,-r 2?, O V lea),,S
Installer-Driller Address AA AA
KA 0-z -
Type of Building.
Dwelling
Other-Type of Building No. of Persons
Type of Well y l� SC-A 40 P V C,, Capacity lot,
` QA
Purpose of Well 11 0
Agreement:
The undersigned agrees to install the afore described 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 Certi ca Mofom liance has been issued by the Board of Health.
Signed
Date 1 ¢
Application Approved By a 1 1 U
Date
Application Disapproved for the following reasons:
fir n 1 Date
Permit No. a � D ''C Issued "l� �—
Date
--------------------------------------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed 1/1 Altered( ), or Repaired( )
by MeSWMO nA 1n!�) InC,
--� Installer
ICat __Lr
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Welk Prot ction
Regulation as described in the application for Well Construction Permit No. A/3rA -0--q Dated !�,
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
No. df/ � . Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zipplicatiou _for Yell Cougtructiou Permit
,
Application is hereby made for a permit to,. Construct�(l), Alter( ), or Repair( ) an individual well at:
qi OPccz r Shreg.+ W . Txc Yrs-76 Lt 01 C-)-�'-I
Location-Address Assessors Map and Parcel
Eel h ik, Q I Cer-Ict r S-1- - t '-). v o S.I ! u'
+ Owner Address
Installer-Driller Address
• 1~i r V�1-j`� J
Type of Building
Dwelling V
Other-Type of Building No. of Persons
Type of Well H 11 SC1`k 440 P V C Capacity n f �Qyv'
QA
Purpose of Well —DY t 00 n cl
-j
Agreement:
The undersigned agrees to install the afore described 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. t�
Signed `/
y Date
Application Approved By
Date
Application Disapproved for the following reasons:
Date
Permit No. \r.) p�� Issued
Date
moo----- -----moo.---mess--.sae..--...---- ----------...--------------------- -----m..®mm---------- .-----------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed(/), Altered( ), or Repaired(
by 17>SrVVeld 1,10 L r1G
` ' Installer
at 4 C-0E CA.r' �. i/��� i Y L V I-)
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. h= l "A Dated `1 j :2� 1 ! }
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
BOARD OF HEALTH
TOWN OF BARNSTABLE ,
- _ Yell Construction Permit 3
No.'Q Cs "" (J c�~ Fee
Permission is hereby granted toct'Y�(�r'1 {.� � ('
Installer f
to Construct((/), Alter( ), or Repair( an individual well Si:''
No. q I C- n.
Street
as shown on the application for a Well Construction Permit No.hl -ated
Date C� 1 -� r� Approved Br
0
CEDAR STREET
59.49 N 45'20'40"
59.17 58.62 W 58.27 edge of pavement 57.76
59i9 S8.73 T5.
_629 `� .�39.59\ �. 59.38
t �r \ \ �� \\ \ \ •'+Se.9 l /
16
6.61
ti 1 t
}07 1\ 70.35 l t : PROPOSED WALL
9.
INSDUI
CL�AN'vUT 64.4
U77LIY POLE
11 t U ''//f 66.12 '1
1 \ - 71.38 k"— x .+ i
`( x
sP E 70.91 UN cARAc ge, I'�sffWG WELL /
DER r
1 1�� 71. ZQ.---'70 BE ABANDONED
12
SEWER-1
5 71.6 INVV..=/69.f791
r it 72.6; ` EXISTING HOUSE( 91)
wp ; SEWER-2, INV.=66.40f
Y 1 1 STP
t , 72�}8 72.5 CK ;
t `\
72.4 x 70.SO
r f 71 F S\� `�\ </"� 1
r SgIKE SET -� lI� 100 WELL
t 1 n.19 \ \ > 7 Y�ADIUS\\� `\ �� 1-4 N
�Ln
' 1 r J`16,9.14 , 6G46`\ \\ \i \ - rO 0
I ' i \\ \ 0 66.04 \ \ \\ r W 0
'1,05'
+16 P OPOS D `. it
� SEPTIC )qNK .�` '
r t S�ED
r
1 67.3511 ' TP.=1 )§0' ALL
r `
' t+ i it it i , _ _ \ RADIUS
r r Ir
I i i i i i o ° 0
t
r61167 it =3 -yam\ Pt-2 ;
`\ `\ `\
�6�71 +63.ib 7 62 t �` ` PF
2-
\\ 1`` 1 f %(1•r �SPIKEIABI�65.301\�..•___r-"'r.'iX�3.i7 `�
LEGEND ►
N
--72-- DOSTING CONTOUR > 3
—�— PROPOSED CONTOUR
74.22 EXISTING SPOT GRADE cT
DRINKING WELL
® PROPOSED WELL ^�
—W—PROPOSED WATER SERVICE LOCUS r
—$—PROPOSEDSEWER
--0.H.W—OVERHEAD WIRES may_ hor`h st
A TEST PIT rf
BENCHMARK q s""''Qp B
qd
w
CEDAR STREET LOCUS MAP
NOT TO SCALE
45'm40" W
sam edge of pavement >s
�54.01�'
/L_ p3.56j---
CAARM f 1 t1 �` 10
UNDER I .:.,_r�'0\`` �`�r `\ '�. .+ae?a
rQl` o. + j 10
PROPOSED WELL LOCATION \ lea`\'`c8\ \ A
+7aor \ 1
1 G'�` >an\ I i r:::'tSI•,`�.: r OPOSED WELL
INSTALLi
SPIKE SET 1 y'1 ' CLf=ANO UTIUY POLE/
EL=73'.12 1 '1jj��� 0 11,1 �.��� '.' .a•ae' �� .(dfl
c EX75I79IG tf£LL
EA7S7/NG CESSPOOLS � ii� i cQ.,--'PO BE ABANDONED,1%1'-
(APPROXIMATE) mn 9 7
CONTRACTOR SHALL LOCATE, -
PUMP&FILL WITH SAND
i EXIS77NG HOUSE(/91) L = axe
tn'11 T.O.F. , ., /���
7BM-3 I > ` SEWER—Y,INV=66.+03
SPIKE SET BY MAILBOX
EL-71.19
a710 -2
r ;• ri;s,\ `. C COR./BOIT. STEP
W _
n EL=7250
WELL r ' N
c 1 ro 'RADIUS`, ,L;
T 11 \ \ \\ \ r"I u ro
0 0
1
P(�OPOSffD ` '105'
t I 1L1o�I 'SEPTIC TALNK`° `� b
4ED Tp_�c ca V
1,�D, WELL
1
RADIUS\
,.
µ l �•O O O
n 1 211 \
I ' t mli t 1 +61ia'• i `
I t }a», •` i._ Rr 1 `\ PROPOSEDS.A.S.
2-50GA
LLON CHAMBERS
I ,k.L �t � v .' a � \ �\ `�\ ` SURROUNDED
GA SURROUNDED W/4'STONE
iL aS1�
(I
1 \
ads awa%d"°
PARCt ID\, 130-02'I`, `\.J rG8
\90,617t S.F.
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`2.Oa± Are `�\1.,F` l
zc CP ` '`384.22
N 5S59'10" N
PROPOSED SEPTIC SYSTEM UPGRADE PLAN
91 CEDAR STREET, WEST BARNSTABLE, MA
Prepared for: Richard White, 91 Cedar Street, W. Barnstable, MA 02668
OWNER OF RECORD Engineering by. SGLE DRAWN JOB.NO,
WHITE, RICHARD P Engineering Works,Inc. 1"=40' P.T.M. 175-18
91 CEDAR STREET 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED I SHEET NO.
WEST BARNSTABLE, MA 02668
(508) 477-5313 9/14/18 P.T.M. 1 Of 2
lu
CERTIFICATE OF ANALYSIS�y? Barnstable;CoUnty Health Laboratory (;M-MA009)
Rec.iprenC' ;Sally Desmond, Order No;c G98110628
Desmond Wdll Driliin.g Report Dafied': 1 0/2312 018
p O.Box 2783 Subrnitter:. Weil.Driller'
Orleans, MA D2553 " Descr..iption:' 2 ay us -91 Cedar St
LaboratorylD# ,181106281.01 Mat�lx Water-DrinknglNater
Sample#: sdrvi pled 10/18./2018 12 16° By: OWD
.Collection Address;.'91 Cedar Si W,Barnstable,MA: Recewlcl:; 10/1812018 1`2 45'
. _ By Palmei-P
;:Sample Location: Turn Around:,. 72 Hrl ush
Routine M
ITEM RESULT UNITS RL MCL METHOD# ` ,, NA"ALYST TESTED TIME
Nitrate as`Nitrogen 0:20 mg/L Ojo 10 EPA3004 LAP; 10/1812018 ,10:40
Iron 0'22' _ +ng/L 0.10 0.3, EPA200,8 -CL y 10/23/201$ 13:43 I
Manganese NU Mb/L 0.025 0.050; EPA 200.8 CL 10/23/2018 13:43 i
pM' 6.6 PM AT25C NA 6 5 8 5" SM 4500-H=B[ DCB 101181201$ 15.4.7 j
Sodium 49 mg%L 2 5 20` EPA 200.8 CL 10/2312018 13 44
Total COIif mn Absent P/A 0 0 SM;9223' RGs 10/21/2018 15 31
Conductance 310 Ornohs/cn 2 0 -SM 25106' ' DCe: 10/18/2018 15 47
Sodium level.-Is,above the mkldm contaminant level. Th.oso:on a low sodium'dtet may wJsh to consulto physician:; f
Attached please find the.laboratory certified parameter list.
Approved' By:. .�.:�
(La..b Director) .
t
ND=None.Detacted RL = Reporting Limit MCL,. Maximum:Contaminant Level: '
3195.Main:'Street :P.O. Box 4`27, Barnstable; Mk 02636' Ph:'508-316�:6606 Pager 1' of 1
i
of, nR
CERTIFICATE Of ANALYSIS
Barnstable C,,ounty Health Laboratory (M-MA009)
�SACHu`?b
" Recipient: Sally Desmond Order No.: Gi"811062$:
.Desmond:Well Drilling'. Report Dated: 10j23/2018'
P O Box 2783 Sabmitter; WOLDHIle'r
Orleans; MA 02553 Descrlption; 2'Day Rush-91 Cedar St
..................
Laboratory:aD#:: 18110628=d1 Matrix: Water ,06i ing Water
Sample#: Sampled:; 10/18J2018 12;15 sy: DWD
Collection Addr: 9i Cedar St W..Barnstable MA: Recel.Ved: 10/1812018 12:45' By: PalmerP
Sample Location: Turn;Aroundi. 72 Hr Rush
Analyst: yn Method" EPA 524.2 Dilution: 1:. Date Analyzed: 'Id MIA, :@ 10;36
EPA 2, 4,2- Vo/atr/e'Otganics by`i�
es it -MEL M i Result: MCL MC
Parameter ug/L u97L i4x Parameter u9/L ug/L ug/L
Dichlorodifluoromethane NO 0 5o Chloroethane NO 0 50
Chlorome'thane NO 0.50, Chloroform, 1.9: 80 0;30'
Vinyl chloride NO � 0 0.50 cis-1,2-Drehlor6ethdne: NO 70 0.50_
Brbrh etha..rie ND. 0.5o cis 1,3 gichloropropene ND 6.50
1,1,1,2-Tetrachloroethane ND o:50 Dibromochloromethane: NO
1,1;1=Trichlorbethane NO 200 0;501 Dibromomethane ND 0.50
_.
1,1,2 2=Tetrachloroethane ND 0 50` Ethylbenzene ND 700,: 0,50'
1;1,240chloroethane NO, 5 0 `0.50.. Hexachlorobutadiene ND: 0..W
If 1-Dichloroethane: _ NO 0.50 Isopropyibenzene ND p50'
1;1-Diehloroethene ND TO o.50 Methylene chloride NO 5:0 0.50'
j J-Dichloropropene ND 0;50 Methyl tort butyl;ether NO 0 50,
1,2,3=Tdchlorobenzene ` NO 0..5o Naphthalene' _ NO o;50
1,2,3=Trichloropropane NO 0.50 n Butyibenzene` NO Oao
1,2,4-Trichiorobenzene NO 70 0.50' n Propylbenzenec NO 0.50
1,2,4. Trimethylbenzene: NO 0,50 p-Isopropyltoluene ND 050
1,2-Dibromo-3-chloropropane, NO 0.50` sec-But Thenzene NO 0.50
ty
1,2-Dibromoethane(EOB) ND Q.50 Styrene:: NO 100 `0.50
1,2 Diehlorobenzene NO 600: 0.5o' tort Butylbenzene; NO o•50`
1,2 Dichloroethane;: NO 5,0 0.50. TetracFiloroethene ND $,,0 Q SO
1,2-Dichloropropane ND. 0,% Toluene NO
io00 0.:50
_..
1,3,5=Trimethylbenzene. ND 0.50'. Total xylenes
- p000
ND o:50,
1,3=Richlorobenzene: ND U:50 trans-1,2-Dichloroethene NO 100 0 50
1;3-Dichloropropane ND 0.50 trans 1'3-Dlchloropropene ND 0.50`
1,4 Dlchiorobenzene NO S;Q - l).5o Tnchloroe. ene.. ND 5;0 o.so
2,2-Dichlpropropape ND. "4 5Q Trichlorofluoraniethane NO 0 50
2-Chlorotoluene NO 0:50
Compound %Recovered CIC Limits(%)
4-Chlorotoluene NT) 0.50 --
1,2-Dichlorobenzenwd4 118% 70 130
Beniene ND 5i0 _____.- _ _.�
0.50.
p-Bromafluo[abenzere 96% �70 130
eromobenzene NO
0 50 -- —
Bromoehloromethane ND 6.50
Bromodichlorometham ND 0.50
Bromoform NO U.50.
Carbon tetrachloride NO 5,0: 0.50:
Chiorobenzene ND 100, Oso,
Approved B ,
Attached please find the laboratory certified parameter list.
4
(Lab_6i tor)
ND'=.None Detected RL Reporting Lunt MGL= Maximum Conta inant-e
3195 Main'Street PG.,Box 427, Barnstable, -MA 02630 Ph! 508 375:-6605 Pagea.of 1