Loading...
HomeMy WebLinkAbout0012 GARRETT'S LANE - Health 2 ��S IDS pia- 00( No. 4210 1/3 BLU o 0 g4�0 YIO(b c o 0 417 TOWN OF BARNSTABLE LOCATIONL / f2 � SEWAGE #�=C� VILLAGE ASSESSOR'S MAP & LOT f/ L' INSTALLER'S NAME & PHONE NO. .`SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) ZNO. OF BEDROOMS IVATE WELL R PUBLIC WATER BUILDER OR OWNER , a,�a DATE PERMIT ISSUED: / DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No --�' /� 1 �2 i� s PARCEL NO... 1o7 -/ -7 Fmc THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH !WV...........OF......./ H...Re.• T 18[ ,� r lir�t�iuu for Biipusal Works" C onstrrturfiutt thrutit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: .L.P.. ..._1....ol1.PR--t.=..TT...1 S..../:'9AI .................. IV-5 7 /3�9ve.c/sTi9 P� ---------------- -----...---------------._.............. Locatio -Addres r or Lot No. --=�Y1-�AIAC----48-LD?----.��--. ... ........ d?C..._95.....-e .=�e_V. . L�...-------- i- Owner Address �•� �.... ..... ---... ........................................ ------------------ ---------- Installer Address } Type of Building Size Lot....l.._,__o.[---------------Sq. feet �-� Dwelling—No. of Bedrooms.......... ............................Expansion Attic ( ) Garbage Grinder (Alo pa,4 Other—Type of Building 40P..?9?Mr-..._ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtur s ................................................... W Design Flow.. f.......................gallons per person per day. Total daily flow....... ..........................gallons. Wr Sep�tliF a Liquid ca.pacity.1ODa__gallons Length__..�6....... Width-----4........ Diameter................ Depth...6_......... x �i—No.---A..�_... Width.....�Q_.._._._.. Total Length..f21f.__...... Total leaching area_:2574----sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date..............._......................... ,� Test Pit No. 1...4.a--___minutes per inch Depth of Test Pit.._Q.......... Depth to ground water_-_____lQ___...__._. 44 Test Pit No. 2... .a....minutes per inch Depth of Test Pit..... ..... Depth to ground water_-- 04 --------------------•--•--•-•----------•------•----------•..........------•........----•-------•-•--......................................................... 0 Description of Soill/ L 7,�11 0-30" L6tly-t 5Ug50l4- 3 "- 7a" N" 5#A16 - 3t ,D5 OF 5/v' 7.�y . .... - x �`° -?aD"•• cr'�'�e--: l--- �--`.�. ...R _�a.............. -P�Via. o= w / ,,- 16 " der Gr,�-d _. l --t�/�l-�. 4.......... 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 i T T .; p S of the State Sanitary Code—The undersigned further agrees not to place the system in o eration until as Certificate of pliance has been issued by the board of health. �J�i Signed !k ... ��Ar-�-.7---- Date plicatio Approved By............. --\ ----------------------------•---------- Date Application Disapproved for the following reasons:................................................................................................................ ..-----...••--------•------------------------------•-•-----------•----•.....-----•...---------•--.........---•----•.......-------------------•--------••------------------••------------•-•-----...------ Date PermitNo----- -7_7:...1---7-8-.................._.... Issued....................................................... Date f Y RzB THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' .y Ss1 ........14.10V.............OF......C`,���1 ?�. ! � Appliration for Diopoottl Workii Tonotrnr#ion ramit Application is hereby made for a Permit to Construct (/) or Repair ( ) an Individual Sewage Disposal System at: Locat n-Address „o or? A o �11� .... _ t.. .s�......`,� G. .................. --__ -= ------------- �- r^ Owner Address Insta:eer Address Q Type of Building Size Lot---- _ _.........Sq. feet V Dwelling—No. of Bedrooms......... ---•--•-••.•.• ._ ._.._Expansion Attic ( ) Garbage Grinder 'eo) U PL4 Other—Type of Building(*#A__r�.____ No. of persons____________________________ Showers ( ) — Cafeteria ( ) Otherfixtures ........................._...-•-••••--•-••-•--•-•-•-•••-•••••••--••-•••••••••••••••••.....•••-••--•••- •-•- Design Flow______________-? :'._..__...__....._..____gallons per person per day. Total daily flow..............................................-. llons. W i Wj.., Se tic Tank<Liquid capacityW __gallons Length...l9__�______ Width. 4.... Diameter________________ Dept_:_�______... h x =B„ p —No.___ -- ----- Width____:�!�_`_________ Total Length-f^''_! ..`________ Total leaching area�:�__:____-----sq. ft. Seepage Pit No..................... Diameter_________-___--_._-_ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ ,.1 Test Pit No. 1_..4_2..._._minutes per inch Depth of Test Pit....t-tc.�___________ Depth to ground water_.___.+�0_.___... Test Pit No. 2_4'_. ......minutes per inch Depth of Test Pit__-I._ ._____. Depth to ground water_.^��'..G./,..... P4 ----•.........................•----••---------•------•--......••_••-•-••-•-••---•-- ---•----•----•-••-••-._.._..•-• = Description of Soil !`�1C t� / ` �f�" ,�...Lt'�'"oY, C1 /�- ,........................................................�� I�9 �9 ` 'i A,v S ll�" x U t�, 's �t n` 'Tsl^e.C..?••'VKC_'J' ntl 't C /PJ.._•.•... t�.&'� 'J:'/e r r J$ r /,A-72 -Anelm_'.,� eV.,' � ''�- ............................................ z ��-� U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------_................................ Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of'TT ; of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of o piiance has been issued by the board of health. / Signed__1.;7 - _ Dp � Date ppllcatioAproved By-•-•••••--•• - --'.'`•.. ...................................----------------•----------------.. ....................Da--•.............. Date Application Disapproved for the following reasons:----•----------------•--•--.._..----------------------------•-••--------------------------------------...••---- ..-••••••-•-••-•••••---•••••-•-•-....••••••-•-•-•-....--•••-•------••--•--••--•-•-...._...--•••-•-.....---••--•-••••-••-•-••-••--•••-•--••••----••••••-•••-••-•-•••••••-••----------••---•-••-•••••...._ Date Permit No....5-7:...VIE-•-------------------•--- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l........OF.....f- `��! ✓ '��j. l � - ................ ........ ........................................................ Trr#if iratr of Toutplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (€/) or Repaired ( } by-._.l j:=---- -1 I�W'4_......-••-------------•-•---•--•-•--------•-•••-•---•-..__.....-•-•-------••-•----...-••--•-•-•_•--•••--•••-•--••-•••---....----------•-••----•--•••-- at. 4•6 '----- �--• L° J" /!d r Install "S8y F3 / a��j C ` has been installed in accordance with the provisions of T T ice': " of The State Sanitary Code as described in the \T application for Disposal Works Construction Permit o.._-�2 7_'_..4?_�___•__.___. da.ted-.------------------------...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------/�_'_._�.. 3 ................................... Inspector.....---...... .. _ ..1._1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 41 ., 7 lY oF............................. •. .. �. .......... Disposal Workii Tonotrndion rrmit Permission is hereby granted...... _._ _ _ -- ._._.. to Construct (is') or Repair w� ) Fan Individual Sewage sposal S stem s --_... Street e/p as shown on the application for Disposal Works Construc on Permit hJoU__�=_/-L_� Dated__________________________________________ ,,a r .................................. Board of Health DATE-------•--••-- - FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ti;:ss:::ssssrssssssssss:stsssssstssss::ssssss:s::srsstst ssss::ssntsssstnsss:ssstts:is:tt::st:sttnsssss ss tsttssstssss:ssss ststssstststtst ssttstts ttstst::iss::s::::stssssss:s:ss:st::ttn:sss sn•:s:::::::::t:sttstsss:ss::::ss::: €;.... a _::r Ii_ ::: . . . .. . .. ..-_.... _ . _.. _ _ _ _ - fy ENVIROTECH LABORATORIES - 449 Rte. 130• Sandwich,MA 02563• (617) 888-6460 CLIENT: Bill Hyouinen LOCATION: 23 Garretts Lane 23 Garretts Lane W. Barnstable,MA ADDRESS: �z W. Barnstable,MA 02668 COLLECTED BY D.A. Scannell SAMPLE DATE: 5/18/87 TIME: 2.00 PM DATE RECEIVED:5/19/87 SAMPLE ID:ET 79A JOB #: New WP11 WELL DEPTH: RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 _ x pH pH units 6.0-8.5 6.02 Conductance umhos/cm 500 82 Sodium mg/L 20.0 8.1 Nitrate-N mg/L 10.0 .04 Iron mg/L 0.3 .14 Manganese mg/L 0.05 Hardness mg/L as CaCO 3 500 Sulfate mg/L 250 Potassium mg/L 20.0 Alkalinity mg/L 200 Chloride mg/L 250 r : COMMENT: YES NO XXX ❑ WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED AW DATE , L' 6 w ♦ .......:.:::::::::::::::::::::::::u...............:.....::u:u. - _:....::.._ - ...:::::::::::::::::..:::n:ei ..:.: .. .....i..:...iii:i::::::iii .i............... isiiii•i.i :::::«:i::iiiifiiiiiiiiiiiiii.itiiiiiiii::::::::::::::11• I _ Depgrtment of Environmental Management/Division of Water Resources WATER WELL COMPLETION REPORT WELL LOCATION Address eOC �. t✓C //1 City/Town /.je'rT 144, G.S.Quadrangle Map Grid Location Mir e ci Owner PX N z_�o v ti ti Address - )-? Kr"rI f 7'l­ WELL USE CONSOLIDATED WELL Domestic Q-Public ❑- Industrial ❑ Type of Water-bearing Rock � Other Water-bearing Zones Method Drilled 1) From .To 2) From To Date Drilled // / 7 3) From Tc 4) From To CASING ,, Depth to Bedrock Length Z/ Diameter Type X'J C UNCONSOLIDATED WELL ' STATIC WATER LEVEL Water-bearing Materials Feet below land surface -Do Sand: fine Q' medium Q- coarse❑ Date measured 5-11S 162 Gravel: fine❑ medium❑ coarse❑ lGRAVEL PACK WELL Screen: ` Slot* ,�0 length ..F from to Yes El No El Split Screen (or 2nd screen) T WATER QUALITY TESTS MADE Slot length from to 1 Chemical ❑ Biological Q Depth To Bedrock PUMP TEST Drawdown feet after pumping days 0 hours at GPM. How measured Recovery feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To Cb DRILLER Cb G r1 c� �Ca S/G Firm 4A SCE n n�o �Ie Address ,00•/ "x ' (740 ` City .l•f/�s� pc n.ru• � aGyi 4 v.1 R�Or y, ° Registration No. -" Aerator s Signature ease print rrm y BOARD OF HEALTH COPY 25M.10•85•907101 June 3, 1987 William G. Houvinen 12 Garretts Lane West Barnstable, Ma 02668 Dear Mr. Houvinen: ` You are granted a variance to install sewage leaching flow diffusers 135 Feet Prom a private well in lieu of the required 150 Feet, on a lot at the corner of Plum and Garretts lane with the following conditions: (1) One additional flow diffuser must be installed. (2) The designing engineer must supervise construction and certify in writing to the Board that his design has been strictly complied with. (3) The septic system must be pumped every three (3) years and written certification submitted by a licensed septage hauler. (4) Variance expires June 1, 1988. VL yours, Childs Chairman Beard of Health. Town of Barnstable JMK/bs MAP 19 S 1 5u fSli I o _ . \ 1 z r� 53; KAD- - sKET�� �tiL (wEs-r I�At aU, ass �oµtutc� ��� �ocAT�otiLS OF 3 t eWvLCj A b> 9EpTic. 5Y5TE1-4. r-t E PAee-o Coe down t!5�9� e 7fneert rr9 //?C-. tic_l t U.�OM OV I ►.� . GI v I L C4C- I KLEER-s LAIap GLAFNe{oeS F 1" Ja1�lE I(� Iq�1 I- TOWN OF BARNSTABLE LOCATION AGE # — VILLAGE_,, � �ASSESSOR'S MAP & LOT '2j INSTALLER'S NAME & PHONE NO. _4 EPTIC TANK CAPACITY p 'LEACHING PACILITY:(type) �f � (sue) e NO. OF BEDROOMS IVATE WELL R PUBLIC WATER BUILDER OR OWNER ` DATE PERMIT ISSUED: Z� DATE COMPLIANCE ISSUED: g 2 VARIANCE GRANTED: Yes No -� 4 i i i I i Date: 5�_Oem6et 2'? 2oba TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: S('QAC7U6 3 CorO PA011 BUSINESS LOCATION: M QA22.E�5 U-1 2A.) MAILING ADDRESS: 12 C/F2261rTS L,�l. Mail To: Board of Health TELEPHONE NUMBER: 50S- - 37�,-- 42vr L/ Town of Barnstable CONTACTPERSON: C0fbs-rbPR(-772 'T' PrZAc yG_ P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: 50e - (eS9--0(07 Hyannis, MA 02601 TYPEOFBUSINESS: PA►ryTrPJ � Does your firm store anW of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(forgasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers cca, Paints, varnishes, stains, dyes PCB's I Lacqu r thinners Other chlorinated hydrocarbons, TNEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS h ==a o l eEFEP..•EtiC.E 1�(,.At�.l ��3�! � � F�E�P1-���� � 1 lO C��';`� _ %�� !�? r�� .M,�.T�:: F= fit,_! - �►�T i+.1G-t v k Lt t.1C-t �.� L -fp,�•. �: 'Ft7 QEww6C C PD i �• �Y� = Q'�S ,� k1 i tart M L SC7�f! E10 �_ USE Li jiG- � Stu ^-T c,I �-TV E aGr-i C51,Co ( - S14L1. . D� P�7 } 1 25 t. Cn Sl 344,o USE ,Z-J QeE GAST LIB►.w C i F F_Jc,r.�c, c;*.l Sl+7Es c'E� ���E�� � It ` � � � i � `} t ; �i� � ! i - - F`-��_ ._ _ _, ''�� � !D cFF i.,.I l[?Tr x 2Q �FG �,.EN�-1TN x QQ6 E r�F. t•���'T i-� 1 "ABC TO J I \�` j , •y- .� 1 1 - Cam, TO / T�F'nF Four:. /G'v `_ - E,cI T L SAD 3 ' � eswow R. •� '.• _ ( � C . , '., ,' J� r` + •fir% . ! 1 9--V - •S"J 4 - '3t / 549 � � V i-✓ATUM }.��!_f 'A�►..4 '=�+ ;a��� ���.ESt*,.1;� Q:�a.::� - \ -�t ITS - 1,• I C) - 44• 4. LI 01?\� 'o MtaOF- ; AX-rEETpf�• '. I E. W L.�/iJ TGP-CQ1 LVt"iC ztr /�Ji t t SG!Q ��E•?'"J7 bE 6, . M U IL; Plk�- �-JbT��'E! 1S Q.''t• b.Q0.1 LAP,)LE 1 `'��� �-~.�i.�_ '�,fa''..�� '� Eel-e_c'!t._;T ?. MI�.IIML,IM �-�Ol.�► lt� CovE>✓D1'EQ. G-`��-rEt„1 = i FT t . L; Gcl+►�, t*JC� �, �T��.iG-r C �.'?•�- -t�V TAOL= ,-dM - , . �►^ - 1 i .�,r�.�.�a� of � ��Qu� Eli �'�o*1t �>�-c�.�. ' ' ► 5i,q G Ccs MG i .t SCE{`1P` �� I c�a '�..t. �• �•�_ ;4', i -' '"' �1� �Wit=J i��� ��'�I" — Z� ACO r t mac+ ;� Z w { t'eEQae�c woe �, � 44 4 ; � �'DYS+.�E. lE-•i.1!�JINGr_ G© 144 4`.4VT APNF H. WELL W 477 , 44.2 � �+ ��i.J!✓ �� C JALA ``3 CIV L °� NO t .GT�e t r28 s�8 •i Re. 3G.'r32 _ i i�►L �*�t;.�EE2S �+.,�,.�'��' f - _(•j RAJ'�� �.� LA�1 p EA.�2J�E,`iOf? S �4-0 9 �4 0�1B1.3 .S ! P-S EE , S