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Home My WebLink About0410 CEDAR STREET - Health ►� ► /o� � ASSESSOR'S MAP NO.13/-a 1 meµ. LO CA ION / o EWA G E ,'PFRMIT �NO.' 2 VILLAGE 21,�( A- I N S T LLER'S NAME A AlADD III ESS o S UILDER OR OWNEAR wl � DATE PERMIT ISSUED 7 DATE COMPLIANCE __ .IS°SUED j.rD f. i F �� s7 _..... No. ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Al C3/�r�nlsT, c I�l lob ...... .. OF........... Appliratiun for Diupu,ial Workii Tonutrurtiun Permit Application is hereby made for a Permit to Construct (,_�r Repair ( ) an Individual Sewage Disposal stem at: �T 1,,,Z C S7- ��.s3/ �.�, T/ �-G� �... ;_ ............ T ...- -.... -- ....... - .- ...... -•tali •Address or Lot No. ..........-•••-......_...-••-•...... .-••- -- .......... Owner Address W a •.................. .......... ••--•--•--•------.....-•-...---•---•--......................._....................Installer Address 7 dType of Building .3 Size Lot..........A.�'.J_'....Sq. feet U Dwelling— No. of Bedrooms...•........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.......--................... Showers ( ) — Cafeteria ( ) PAOther fixtures ...------------------------------------------------------------------------------------- ---------•---•---•----------------------•-------------•--•--- d �..� .. 3 c� W Design Flow___________________________________________gallons per person per day. Total daily flow.........___._ gallons.:_..__.._.__.............__ W Septic Tank—Liquid capacity.d.e;,!-'.gallons Length. _ __-._. Width.4.._.. Diameter................ Depth.-__........... Disposal Trench-- No- --------------_--• Width................... ..Cotal Length.......`.....--. Total leaching area....................sq. ft. Seepage Pit No....-----/..------- Diameter.----?.. ...... Depth below inlet.................... Total leaching area.4.'. 7 .sq. ft. Other Distribution box ( ) Dosing tank ( ) JG -' Percolation Test Results Performed .... .... 4 `'G.�.._...... Date..n7 .. �.... ... Test Pit No. 1.,G.... .----minutes per inch Depth of Test Pit 3 z Depth to ground w Test Pit No. 2_ 4L2.-....minutes per inch Depth of Test Pit---....... .. Depth to ground water........-....---........ x -•-...---•---••••..........................................••• ..........--••------•-•-•••-•-•--.......--•........•.........--•...................-•--•---•- Description of Soil Q......... L ' ' ` l =s`'� j ..= -�=�r------------------------� ..................j 5 � W --- ----------- ---------------------- ------------------------ ---------------------------------------------------- --------------------•------....---------------------------------•-•......--•-.•---- UNature 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 operation until a Certificate of Compliance has been issued by the board of health. Signed...---- - --••• ----•-•--•-•-•-•- _ D Application Approved By-------•--•-=--• to - '�� - — � f �� .... - - --•--•--• -----•----••- 2�Date Application Disapproved for the following reasons-----------------------•-------------••-- --------_------_--.............................................. ---••••...-----••••••-----•••----••------••-•--••••••----------•-•••••-•••-•-•---•-----------•-•------•-•--------•------•---. •-------- -----------------------........................................ Date "- ? PermitNo........................................ ........... Issued_....................................................... Date -. on4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... ........-----.............................................. Appliratiun for Disposal Works Toustrurtiun rgmit Application is hereby made for a Permit to Construct ( -)-6r Repair ( ) an Individual Sewage Disposal System at: CG-p� ST l�c/L sT/3/�'Y�s�i57/�'13GL-' (vT'' Z. ....:.... .....___.....................°.....y..9.,.�...................--•-•------............-- ----................... ......- --- ..._...................---........................... �L-7�Z �3 i� cat/ %Address or �� C�46 4P j or Lot No. ... _.._._.__.....».................................. ................._.... . ..........S................................ ._........---• -....._...............-........_. W Owner Address Installer Address p�el Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms................ .........................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building .............. No. of ersons._.__..............._....... Showers pr yP g --------•--•-• P ( ) — Cafeteria ( ) a' Other fixtures ---------------------------------------------- ------•--.----- Design Flow............................................gallons per person per day. Total dail flow.............. 3.........................` �lons. Septic Tank—Liquid capacity._ 9.Sd gallons Length._.�_..._. Width. q._6. .. Diameter................ Depth.�?...`..... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No........../.:........ Diameter......e�e�........ Depth below inlet......4........... Total leaching area. 62....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.._...'_ .. �� E-��L......- Date......... - a Test Pit No. L.4 ._..Z....minutes per inch Depth of Test Pit..... �' ..__.. Depth to ground water.................... f= Test Pit No. 2...Z-...niinutes per inch Depth of Test Pit.......Z4¢ Depth to ground water........................ Q' --- -_----------------------••---•-•--•-•---•--------•----••------.........--•-•--••----•-•--...----..... ........................................ 0 Description of Soil-•-•-----� 0.....L°./a2:J---�•:'-/.?`-??t�_..-S�✓3..Soil 30'- /3 2 .............. ......._.. ---------------- --------••---•----------------------------•-•-•---•-•-....--------------•-•-••------•-------•-------•---------••---•--......---•-----•-•--•---•--------..................._..._..... V 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 T I T IE 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. Signed.... .._._... .... ............ ...._ ....... A lication Approved B -�.. d....... .... _._.....��f 1 j`a�. PP PP y--------------••.. ..... .------................... _... -••--------- Date Application Disapproved for the following reasons:--••..............•----------------•---••-•----.....-•-•---•----.......------------...........-••-----....--- .............••----•--.......----------...........------...------•--•----•-.......-----•--.....-----•----.....--•-----------------•---•-----.._._...............--------••-----------................-- ��' Date PermitNo....... ............... .._...._ Issued..........................................._....... ... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................1?.!^.'1^.'........OF........f-j..1�z_75�-, Lr�...G :.......................... (Irrtif irate of faumplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( -j"or Repaired ( ) by.................................................................._.......------------------• ---.._...............=---.................._......................................._.._...._ __ !! ,,ttns�tallrr at............. -.fit:.: `I z- ,( c�ctt:.... ..� tt?.. tea.._.........._......... .. ... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code de 'bed in the application for Disposal Works Construction Permit No...�_..�....`�.�:........... dated.--....... `.r�� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. ! -� -----..................... Inspector----•-------.......-�._`j ----------......... .....-•-------•--• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 70 .ci /�,5 �s S— 9 3 .....OF...............e 5.. Zz ST................................. ....................................................... D- by- No......................... F> ........------.....---.. 14sposal lVarks Tunstrudiurt f rrmit Permission is hereby granted..................................... to Construct or Repair ( ) an Individual Sewage DiU!al System s• ..... ..._. treet as shown on the application for Disposal Works Construction Permit .1.S._'_9PADated.._._7..0/f�16 ..................... ..... _:..---......-----................_ DATE............. --...• A.. ..S�.--•-•-----------..........----•--•----............ Board of Health FORM 1255 A. M. SULKIN. INC.. BOSTON Log Number: Bottle # 0362 Date: .: °f s^R�� BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT at SUPERIOR COURT HOUSE ' v BARNSTABLE, MASSACHUSETTS 02630 •�t�►s9 DRINKING WATER LABORATORY ANALYSIS PHONE:.362-2511 EXT. 331 Client: Peter Childs _... . , . . Collector: Mailing Address: C/o Cslagh & , a oorn AffiTiat'io'n:' " wel I driller F.U. Box 486 Time '& Date"of West orn, - Collection:" 9/5/35, 10:30 A.M. Telephone: - " Type' of Supply: 'weTl water Sample Location: a er Well Depth: 751 West orn► MA Date 'of Analysis: a 35, : O , . PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 0 pH 6.2 Conductivity (micromhos/cm) 100. 500.0 Iron m .1 0.3 Nitrate-Nitro en m 10.0 Sodium m) 11. 20.0 I . XX 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 • A D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. 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: r Department shall not endorse any s!ate-nents, interpretations or condwions mado by anyono else concerning these results without written consents CC: Bourne Board of Health CC: Clough i Cahoon " 1 /7/85 Laboratory Director Y .. .. ::;,. ... a , . .. Y tVr l!T f1JV AYA'.f T1FI� , . (X7NCRETE COVER ` rt I CONCRETE COVERS r , , . _. .. + fA'J1b��4T asll�- ., o, 1 # CAST �► . .. . ., _. . MAX.': I2"MAX,MAX „ 8R _ - ,., SCHEDULE 40 PVC:(ONLY) v I j P. P{ .. PIPE MlN, LEACH € PE C FtTCH !/� PEyt PITCH 1/4 PER:FT zA{T PRECASTt 3 LEACHtWO ..r. ..:. _ � few NVE11T < . I , PIT OR _ �.� f�vvEar RT i. K EL.._.. ca , SEPT'iC TANK �# DST G/, ¢: E�,tl . / + G ... > • e t- i l ♦ INVERT �- ca RT IN RTd .r• r GAL. lNVE p .> .•. 3f4 TQ I!!� WASHEr r. � STORE ,: f `.. • ,. F� to. ; 01 • PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM , , ' No SCALE , , MESSED BY ' . , LUG WIT SOIL A r �. N A 07` ,, 7lME_!. .. . . 90ARb i?F HE LTH DATE F f y . . . _ . { t" 4� �L . - t TEST H' !` I* c'�`2' EER TEST Hf3lir I . . , . .�.�. .-r? : . . _ . . Et�Gtt{ a[ ca ELEV �z . - ELEV. � f I T- C Sw J t♦ DESIGN G DATA : A . aESIGN NUMBER OF BEDROOMS . t7 TOTAL ESTIMATED FLAW : , . . . . ,-. . 'G'iALLANS/DA t ;, >..St� R�p M A A SO.FT. P!T .. tire. D , S BOTTOM LEACHING ARE ! / "tY ...,n /�� «r. SIDE (EACH NQ f I T ..R r p , a.�r < A/ , AREA NCREASE# _ GARBAGE blSPDSAL , . . . ,{'�9ro i ,vP ,.. fT - TOTAL LEACHING AREA`.. S0. ., i i M . v MIN NC }.. PERCOLATION RATE . . . . .� / f .. f T AREA PER PERCOLATION RATE C. LEACHING E E 0 Nr, _ - -. —WATER -;. -LsJr , „ 1DAI ? . . - NUMBER OF LE GH NQ I S , - (] ''�, I R OF.MEALTH > leti APPROVED . , . ,.. . . . . .:: DOA 0 , c : ,u BATE:'. . . . , , . . . . . . . . . . . . . ---__ . AGENT. OR INSPECTOR 0 3� 7 of «/ o DWG AID o s s v ,+ E. CA c. l G ,� ti � _ 1 l a � KELLEY �' !t 7 i - . 52 Ma 26100 rsf' 00 J t- Box �. a ,�,' ,SCF�G�' / = !.;. F fG1 Rio /ST ; l' J��s /Q g t ENO SANR0.81A PETITIONER ,: " �7 _ Z ( , � I , A < Q Jss c . 5'T"�9l3G �9 z. I -&stisrl C 1 .r = j /5 J7 J ✓ � " 77v S � � QM �',S'u ,�-� 40•�J/vE Ef w' rawN