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0718 CEDAR STREET - Health
718 CEDAR - W. BARNSTABLE 'A=109-004 =Jj ,m I 1 I I { s 4 No. 4210 1 J3 BLU ESSELTE 10% 0 © O No. + - Fee 91 � THE COMMONWEALTH MASSACHUSETTS " Entered in computer: es P es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for �Digogal *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( );bandon( ) <Complete System ❑Individual Components Location Address or Lot No. I Owner's Name,Address and Tel.No. Assessor's Map/Parcel ,�y` Igstaller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. tree- svrue_� 7Z - �7 92� etc 4N �, Type of Building: Dwelling No.of Bedrooms Lot Size 4fLwc) sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow f<b gallons per day. Calculated daily flow ��� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board o ealt Signe Date111-614.7 Application Approved by Date Application Disapproved for the f owing re sons ' Permit No. V V 0. Date Issued No. - -" Fee -,:• - / THE COMMONWEALTH MASSACHUSETTS Entered in computer: Yes— PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplication for Migpogal *pMem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. � Q� Owner's Name,Address and Tel.No. Assessor's Map/Parcel 6Ult O E Se U94 y _ Installer's Name,Address,and Tel.No. iJ Designer's Name,,Address and Tel.No. �o�4ffo� CC'M5_1- e t c� $vfv�r Type of Building: Dwelling No.of Bedrooms Lot Size 4l SrctyU sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Caf�kia'('"f' Other Fixtures / Design Flow Mo gallons per day. Calculated daily flow 33� gallons. Plan Date Number of sheets Revision Date Title / Size of Septic Tank Type of S.A.S. jDescription of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: - Agreement: 1 The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to-place the system in operation until a Certify- 1 Cate of Compliance has been issued by this Board o - ealt - Signed / Date //2 Af 7 'f Application Approved by w Date ` Application Disapproved for the f owing re sons Permit No. Date Issued to QW7 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at as b n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of thi permit h P_al o e construed as a guarantee that the system w fu Iction as designed. Date �� Inspector -- -------------------------------- ,- EhlqNo. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS MiOpOjpgtem Congtruction Permit Permission is hereby granted t Constructe air( U grade( and P System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed with' three years of the date oft ' ' Date: �' �— Approved bg d No, - ---- --I---- Fee------ --------- - - BOARD OF HEALTH TOWN OF BARNSTABLE Application Ar Veil Co0tructionPermit Application is hereby made for a permit to Construct (Alter ( ), or Repair-( )an individual Well at: - 11S--------- ter_ - _-- - ^--------------- - ` Location — Address sors Map and Parcel -- -- = .r_�- 5 — -`" - -- —- ---------------------------------—----------------—------------------------------------ Owner Address ---------------ZA - e-L — ---------------- ---------------------------------------------------—----------—---------—----------------------- Installer — Driller Address Type of Building Dwelling----------------------------------------------------------------- Other - Type of Building -------------------- No. of Persons----------------------------------------------------- Typeof Well— -—--'—------------------------------------------- Capacity ------------------------ ---— Purpose of Well — gin__xuti - - -- - — 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 Cer ificate .of Corn ' ce has been issued by the Board of Health. Signed Al -4 - ®� - ---- -- -- Application Approved By ..- — -—— — - - d e Application Disapproved for the following reasons:----------------------------------------------------------------------------— --- - - ------------------------------ --------------------------------------- ----- ------ I ------ --- ----------- date Permit No. - -- -- --------------- Issued ---- -- to— - ----------------------- ate BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by----------- . - -------- ��------------------------------------------- ——- - —-- ---—- installer at- -- �--1- ------_- __-�-�r -------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable B ar f Healtl,,Private Well Protection ii'' Regulation as described in the application for Well Construction Permit No. ----- --r�'i`-3ated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------- ---- -- Inspector------------------------------------------------------------------------ BOARD OF HEALTH TOWN OF BARNSTABLE 37 eC[ CongtructionVermit No. -----? ---- Fee----/-5-------- Permission is hereby granted - ��'- to Con tr c Alter ( , or Repai�T_6 ) an IndivVUf0__II_1bA_ e aV7 No. - �, --�A��- -— — - -------------------------- street --as shown on a ication f Well Construction Permit - ---- —— - - Dated - ------------------------------ - ------------------------------- — ------- ------- --- --- - ---- --- --- -- Board of Hea h DATE--- - — ------- -- No.-,- --- --- - 3 Fee------ --------- - r BOARD OF HEALTH TOWN OF BARNBTABLE M Application for Ve[C Congtructionpermit Application is hereby:made for a permit to Construct (tom, Alter ( ), or Repair ( )an individual Well at: Location — Address A sensors Map and Parcel - ------------------------------------------------ ----------- --------------------------- Owner Address - - - - ----------- -- ---------------------------------------------------------------_____i_______� --------------------- Installer Driller Address Type of Building Dwelling------- --------------------------------I----------------- L` o Other - Type of Building ----------- No. of Persons------------------------------------'------------- TypeHof Well- - rt --- -- ----------------- Capacity-------------------------------------------------------------- Purpose of Well I ------------------------------ t 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 Application Approved By --RO�L / , - -- - -—. d e Application Disapproved for the following reasons =--------------------------------------------------------------------- - - ------------------------------------ ---------------------------------------------- ----- ------- ---------- ------------------------------ .- date c f Permit No. -- � --- -- Issued—=---- - ; f ate BOARD OF HEALTH,,' - -- -:TOWN OF, B A R N S T A.B L E T r C ertif irate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) b --------- �lr•,�(�t ------- ----------------------------------------- -., Installer —_�—-------- - at --------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable B ar f Health Private Well Protection - ,.F y Regulation as described in the application for Well Construction Permit No. -----'?--j _J Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- -------— -: ----- Inspector—__ --------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Ve[i CmtructionVrrmit } No. ---- ---- _ Fee---- ------------ Permission is hereby granted-- — -- -----------_"-5-- z -- ` * ---------- to Con tr c Alter ( or Repair ( ) an Indivi u 1 Well a . J N o. - �-7lk --�� � -— IqQ1314-6(�C>-------------------------- Street a as shown on thr,a ication f Well Construction Permit ------ ---- --=----------------------- Dated r -- ----- -- - --------------------- --- - --- ---- -- (, - -- -— ---— Board of ealth DATE---- - --� X l No.----------- --- --- Fee-----.-------�----�--..._ BOARD OF HEALTH TOWN OF BARNSTABLE Application-*r Melt CongtructionAermit Application is hereby made for a permit to Construct 00, Alter ( ), or Repair ( )an individual Well at: ----— g-GIJ ---G{------ = ---------------------------- Location — Address Assessors Map and Parcel -2 ES. - `�_V - G riMoi-,PD - Owner — Address LCA Orr V�C-cIt 6b I w 23G kyp ©Z3G - - _ -- -------------- ----p-�---- - ?------ Installer Driller 4ddress Type of Building Dwelling-------------------------------------------------------------- Other - Type of Building -------- No. of Persons----------------------------------------------------- Type of Well-— --------------------- ----------------------------------- -- - -- - Capacity-- - - Purposeof 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. Signe -- - ----- --���` -- 0 date Application Approved By -- - -- ------ - - -- -- ------ -------_-- date Application Disapproved for the following reasons:--------------------------------------------------------------------------------------- -------------------- — - -- ----------------------------------------------- =---------- ----- -------- --------- -------- ----------- / date �Permit No. --— ------ ---- —-- Issued --- 1�- -- -- -- --- ------------------------------------ d to BOARD OF HEALTH TOWN Off' BARNSTABLE Certificate ®f Compliance THIS IS TO �E IF the In 'vidual Well Constructed ( ), Altered ( ), or Repaired ( )1 — — — ———---------------------------------------------- ---------------------------------------------------- ------ -------- Installer at -- -- - — --------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Heallttth Private Well Protection Regulation as described in the application for Well Construction Permit No.0----7 1! ated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------- — - —----- - Inspector----------------------------------------------------------------------------- J N.o:-.---f f--- --- -__- " : Fee----- ----------- BOARD OF HEALTH TOWN OF BARNSTABLE App[icat ion for lVe[Y Con!5tructionpermit •. 'Application is hereby made for a permit to Construct 0e; A]ter(-- ), or Repair )an individual Well at: - ' tY Location — Address Assessors Assessors Map and Parcel _ l �ncr�e s�chSc�Vl --- ---_--- ---k �' �'`---1-4 �c.��^r�vin�c�r� ---- ---- ----- ----- ------- - - - - -- Owner / Address Installer — Driller Address Type of Building p Dwelling------- -------------------------------------------------- Other - Type of Building -------- No. of Persons--------------------------= ----------------------- j VC, Typeof Well- - -- - - - ----------------- Capacity------------------------------------------------------------------— Purposeof 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. Signe _ date Application Approved By 77i --- -- - fit - - ------------------------ date Application Disap coved for the followmg/feasons:_------=-------------------------------------------------------------------_ date --------- Issued �J Permit No. ---— ---- ——— -- - - - - =- _ _ date BOARD OF HEALTH � '1-70:IVN , OF BAfRNSTABLE C ertifirate Of totnpr�tance THIS IS TO M the In 'vidual Well Constructed ( ), Altered ( ), or Repaired (' ) by---------- LZ- -- --------------- --- --- ----------------------------------------------------------------------------------------- Installer at- --- — ------- ------------------------------------------ - ------------------------------------ has been installed in accordance with the provisions of theTown of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -' 4, --1� ated----------------`=----= THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUF-D, NTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE l 1 k Inspector - - --------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE lVell Congtruct ion Permit l �lNo. -- _�— - ---- Fee -------------- Permission is hereby granted-- -- - — /`"T--- ------------------------------------------------- to Construct ( A er ( ), r Repair ( an I id,al W a NO. --— � — - -— Sf-�f -ro - - -------------------------------------- tree as shown on the a lica p9nfioT a Well Construction Permit,/1— No.- - f — —--- —------------ Date ---- - — ---- / - -------------- -------- t DATE -- — - Board of Health ---�� !_ ENVIROTECH LABORATOPtIES, INC. MA Cert. No.: M-MA 063 w ~' 449 Rte.130 Sandwich, MA 02563 (508) 888-6460 1800-339-6460 FAX(508) 888-6446 CLIENT: Chuck Swanson LOCATION: 718 Lot 2 /��-���'� J' ADDRESS: c/o L. Wile 1, �✓ W. Barnstable MA COLLECTED BY: L. Wile SAMPLE DATE: 10-21-97 SAMPLE TIME: N/A WATER SAMPLE TYPE: New Well DATE RECEIVED: 10-21-97 LAB I.D.#: 9710384 WELL SPECS.: N/A RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Limits Coliform bacteria /100ml 0 0 9222 B pH pH units 6.5-8.5 6.62 4500 H+ Conductance umhos/cm 500 81 120.1 Sodium mg/L 28.0 7.3 200.7 Nitrate-N/Nitrite-N mg/L 10.0 0.05 4500-NO3 E Iron mg/L 0.3 0.32 200.7 Manganese mg/L 0.05 0.048 200.7 Hardness(as CaCO3) mg/L 500 15.1 200.7 Sulfate mg/L 250 3.9 375.4 Potassium mg/L 20.0 0.8 200.7 Alkalinity mg/L 200 16.8 2320 B Chloride mg/L 250 11.7 4500-CI L Turbidity NTU 5.0 6.4 2130 B Color APC units 15.0 18.0 2120 B Magnesium mg/L N/A 1.6 200.7 Calcium mg/L N/A 3.4 200.7 Volatile Organics ug/L See Attached Report Chloroform ug/L 100 0.62 EPA 502.2 COMMENTS: Iron level is not a health hazard. YES WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Date R nald J. Sa r' Laboratory Director <=less than >=greater than TNTC=too numerous to count Page 2 T00(IKON CwP- -- REPORT Uork Order 9 97-10-381 Received: 10/22/97 Results by Sample SAMPLE ID 9710384 FRACTION 01A TEST CODE 502. 2 NAME VOC IN 820 BY PURGE & TRAp Date & Time Collected 10/21M 13:00:00 Category_UATER Dichlorodifluoromethane NO 0.50 1,1,1,2-Tetrachloroethane ND 0.50 Chloromethane NO 0.50 1,1-Dichloropropene NO 0.50 Vinyl Chloride ND 0.50 Bromoform ,_- ND 0.50 Bromomethane ND 0.50 1,1,2,2-Tetrachloroethane ND 0.50 Chloroothane NO 0.50 1,2,3-Trichloropropane ND 0.50 Trichlorofluoromethane -_�ND 0.50 Bromobenzene NO 0.50 1,1-Dichloroethee No 0.50 2-Chlorotoluene NO 0.50 Methylene Chloride ND 0.50 4-Chlorotoluene ND 0.50 trans-1,2-Oichloroethene ND 0.50 1,3-Dichlorobenzene NO 0.50 1,1-Dichloroethane NO 0-50 1,4-Dichlorobenzene ND 0.50 cis-1,2-Dichloroethene ND _ 0.50 1,2.Oichlorobenzene NO 0.50 2,2-Dichloropropane NO 0.50 1,2-Dibromo-3-Chloropropane ND 0.50 Chloroform 0.62 0.50 1,2,4-Trichlorobenzme NO 0,50 Bromochloromethane NO 0.50 Nexachlorobutediene NO 0.50 1,1,1-Trichloroethane NO 0.50 1,2,3-Trichlorobenzene N0 0.50 1,1-Dichloropropene NO 0.50 Benzene ND 0.50 Carbon Tetrachloride NO q,50 Toluene NO 0.50 1,2-Dichloroethane _ NO 0.50 EthyLbenzene ND 50 Trichloroethene NO 0.50 m-Xylene ND 0.50 1,2-Dichloropropane No 0.50 p-Xylene NO _ Q,50 Bromodichloromethene NO 0.50 o-Xylene NO 0.50 Dibromomethane NO 0.50 Styrene ND 0.50 cis-1,3-Dichloropropene NO 0.50 lsopropylbenzene ND 0.50 trans-1,3-Dichloropropene ND 0.50 n-Propylbenzene -__No 0.50 1,1,2-Trichloroethane ND 0.50 1,3,5-Trimethylbenzene ND 0.50 1,3-Dichloropropane NO 0.50 tart-Butylbenzene ND 0.50 Tetrachloroethene NO 0.50 1,2,4-Trimethylbenzene ND 0.50 Dibrom ehloromethane NO _ 0.50 sec-Butylbenzone ND 0.50 1,2-Dibromocthane NO 0.50 p-isopropyltoluene NO 0.50 Chlorobenzene ND 0.50 n-Butytbenzene NO 0.50 Napthalene ND 0-50 Notes and Definitions for this Report: DATE RUN 10/24L97 ANALYST CMD INSTRUMENT GGCMS UNITS ug/L DILUTION 1 NO z NOT DETECTED AT DETECTION LIMITS II I ---___l____--�-_ � - , -�-�-- - --- -- -�-- ------- I I I - ,�1` 1. 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THIS PLAN IS FOR,THE DESIGN AND 'CONS T8 UC T-1 ON N VER T IN SEPTIC TANK: 106 5 -.J-BEDROOMS A T-L10- .�O to FIR$T��2' To OF THE SEWAGE DISPOSAL SYSTEM ONLY, c 06.25 BEDROOM EQUAL 330 .'D INVERT OUT SEP TI C, TANK: S BE LEVEL MIN 2* OF:PEAST6NE 109.0 MAX 2. :'ALL, CONSTRUCTION.METHODS Afilb�MATERIALS AND 166. 0 INVERT N .DIST. BOX:, 4' PVC 05.-63'MAINTENANCE OF THE SEPTIC SYSTEM $HALL 1 112' DIA. ' GARBAGE, GR NDER' SCII'll'EULE 40 INVERT OUT DIST. BOX: CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL 105.5 P�f RA SHED 5 TONE \J P-64.2 5 %* 107 0 05.5 BOARD OF HEALTH REGULA TfON INVERT IN L EA CH CHA 314' NO IF MBER: TANK REQUIRED SEPTIC. 8AFL 3jo 2-500 GA L LEACHING CHAMBER$ BOTT014 OF L EA CH CHA MR E -5 3 OUTLET, -660�6 ALL SEP _R l5lxl� -1 11 1 1 11 1 1 .P.,�D 200x, A l*rztww TIC SYSTEM.C014PONENTS LOCATED UNDE OUND. 12.6'X 25*X-2 DBOX NIA W14' STONE AR to* & R AREAS SUBJECT TO VEHICULAR ,:TRAFFIC OR ,GREATER- 1500 500 ZEPTIC TANK �PROVIDED:_ _C THAN,3 IN DEPTH $HALL BE APABLEF.,WITH- EPTIC TANK NIA 6' CRUSHED ,STONE BASE OBSERVED GROUND WATER: STANDING H-20 WH&L' LOADS SYS TEVREQUI E �BOTTOM OF TEST HOLE, *I : 96. 6 R D DESIGN 'rE '�SEPTIC .TANK AND DISTRIBUTION BOX70 BE :NOT TO SCALE . PERC RA ...INIINCH'i PROFILE ATERTIGHT. SOIL TEXTURAL ,CLASS PRECAST REINFORCED CONCRETE AND, W, -16ADIWRATE�' O,EFFLUENT 5�� �'ALL SEWER PlPt $HALL BE. 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