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HomeMy WebLinkAbout0030 GRANMAS WAY - Health 30 GRANMA'S WAY WEST BARN STAB LE FF A = 156 024 002 1 i i Fee No. ✓ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 1� 01pprication for Mi.5pool 6potem Construction Permit Application for a Permit to Construct( )Repair�()Upgrade( )Abandon( ) El Complete System „kIndividual Components Location Address or Lot No. 3 z) G A W14,61 Owner's Name,Address and Tel.No. �f / �✓YrE� ��ier �f�✓10l Assessor's Map/Parcel v" ` _ Z -rA*X.P.. .4 aCc�-ems S' Installer's Name,Address,and Tel.No Designer's Name,Address and Tel.No. e 117 oZ6�FY Type of Building: Dwelling No.of Bedrooms -3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow MA_ 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) ReDZA-*?'e ,Y�r�D/C e"7 6d X 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 Environ ental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b s Board t Signed Date x'. Application Approved b Date .� Application Disapproved ollowing reasons Permit No. —3`7'2— Date Issued ~ f f �- r. d No. �> r Fee / THE COMMONWEALTH OF`MASSACHUSETTS ! Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Y.�,,,I es ZIPPYtcation for -Migooar *poem Construction Permit Application fora Permit to Construct( )Repair X)Upgrade( )Abandon( ) ❑Complete System Individual Components Location Address or Lot No. G� S _,i.Owner's Name,Address and Tel.No.' Assessor's Map/Parcel ��rx e. A.(c(,,e 5' Installer's Name,Address,and el.No. Designer's Name,Address and Tel.No. - O�.csFle 1 ,S4 ir,' &X Y Type of Building: Dwelling No.of Bedrooms . .3 Lot Size sq. ft. Garbage Grinder( ) r Other Type of Building No.of Persons Showers( ) Cafeteria( °) Other Fixtures I ` Design Flow /(/( 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) R-a 14 91, 29-4/C a !I 0Z?66 )c Date last inspected: �! Agreement: Tl-_e 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 Environ ental Code and not to place the system in operation until a Certifi= Cate of Compliance has been issued by this Board Health. ` Signed Date Application Approved by Date 61/20/1/1 Application Disapproved/ 0.mg rea K ns Permit No. Date Issued ———— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(A)Upgraded( ) Abandoned( )by /-4 s ILr� �6�r�efGES,C- 92 Zft.f at 5. has been constructed ' acc rdance with the provisions of Title 5 and the for Dis osal System Construction Permit No. ?.•Ot3 /_12 7 dated (0 U/ Installer .. p,s—/.-� Designer The issuance of this permit shall not be construed as a guarantee that the syste 1 funct`on s esigned Date l / ?-Try 1 Inspector --------------------------------------- No. 1— 2. Fee 2 �( 3q2 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mig osSal stem Con�t� p ruction hermit Permission is hereby granted to Construct( )Repair( )yUpgrade( )Abandon( ) 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 J mu be completed within three years of the date of this Y e Date: Approved by � Gap'+ � t' �fi•6IL '�� ��1�� ism. MHO MpRaua� � Dlllft(N . w. ALA i�• S i l: s� Nam a srF � i 72 at ;a 4 7o, ->ftr i'IT i I - � 3 x TN29r PIT �4v' , . 3 ��l1� 4 r�g► �+�J� �,�j_� OM76 (2++ rz.y�24 ,N ►,o 07,1,:70,GC Tv i N , - rg14v' MA c, INV. I!Rill t t u _ C-r.v,.o f) _ 99 aoo -- 9r4•, INS. �3.g3 I PVc. �4,B3 s 71G. IhN• RPM F960. STOWr FPoms HvRlz 1 ' ro' , v�r rIL O�� / TOWN OF BARNSTABLE LOCATION 20 4C-XAY J P O/',ay SEWAGE # S�Auljg-- VILLAGE (AID �i2-rC.�►-s }dC� ASSESSOR'S MAP & LOT 6�,G6c2 INSTALLER'S NAME & PHONE NO. e�l CG,.J�� � SEPTIC TANK CAPACITY AJPQ <zd '7ih�JiL LEACHING FACILITY:(type) �;=TFuD (size) NO. OF BEDROOMS VATE WEI..1 R PUBLIC WATER BUILDER OR WNE C�L DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED--'-?�,—2'' VARIANCE GRANTED: Yes No / l4, f � -- i - 1'7 CS6 - GZ�.�� Z No.. a---•--1 Fxs................ ...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Arptiration for. Db3p ii al orkg Tntuitrnrtion 1jamit Application is hereby made for a Permit to Construct ( ) or Repair (04' an Individual Sewage Disposal System at: ........ a--........1�- --------------------•----------------------..7------------ ..................................� ' -•'S........•--••---•--•---...............-•--•--------- ocation-Address Lot No. ........i.. ........ - ........ ...I...._ �lE /..IffQom. Owner �. Address -------------................................................ ..............................................i-------------------------------------------_------ Installer Address Type of Building Size Lot............................Sq. feet .. Dwelling— No. of Bedrooms...............—........-? ..................... Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------------I--------------------------------- ------------------------------------------------------------ W Design Flow.............. ............... per person per.day.. Total daily flow-----------------� v...__.__.__...gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................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. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ �T4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P4 -------------------------------------------------------------------•----------------•-------------------- ••----•------------------•-------------------------- 0 Description of Soil------------------------------------------------------------------------------------------------------------------------------------------------------------------------ x U ---------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------••-•-------•----•---- w x ---------------- --------- ---------------------------------------------------------------------------------------------. -----------------------------.......------------------------------••--- U Nature of Repairs or Alterations—Answer when applicable.---.--:T.,4---.-..sfg _ -.__ -[.rj .......... .. Z1. �T 'P`� z- `,�Q-- ........................-------------------------------------- -------------- Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the previsions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant has been issued by the board of health. Signed / -- Date Application.Approved By ------ � ------------ --- ------------- --------- ---------------------------------- e<, 5- Application Disapproved for the following 7 asons- --------------------.......-----...----------------------------------------------------._------------------- ...... ............................................................................. Da,e Permit No. L,7� Issued ................ . . ............................................. Dare FES... ..... ...... THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF !-HEALTH TOWN OF BARNSTABLE Apphratiou for Diti-pniial Varbi TouBtrur#iun Urrmit Application is hereby made for a Permit to Construct ( ) or Repair (plZ an Individual Sewage Disposal System at: tea........... +.1�✓r1.... r,�l tt- t--) . �,�/c.►� , Location-Address or Lot No. /lam !� 1.4-._.....< /Lu t, 7 ^�iv-r� N1�.._;...1��/( == ......................................... Owner �__ Address a . c:a..i C............................................. v�xr-.r,.�E.�-r..� �74 t�.d-�� y aD . - --•--•-------•- -- -------------------- -- ---- ------- - Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms------------------------------------------.-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixture=----------------------------- - - W Design Flow-----------------5J___..--------------gallons per person per day. Total daily flow.................t�3v..............gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter................ Depth---------------- x Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area....................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................minutes per inch Depth of Test Pit_________________... Depth to ground water......... _..-.-.-..-.__. r%, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water..... 94 ------------------------------------------------------------------------------------•--•.--•----------- •-------------------------------- .-.---- -------------- 0 Description of Soil........................................................................................................................................................................ V --•................••---••-------•-------••----••--•---•---•---•-•--------•-•••-•---•---•••--•---••-•---•-------------------------•-•----•--------------•-------------•-•-•-•--•......•---•----•-----•-- 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 Compliant F has been issued by the board of health. A� n / ��� Signed ------ --- -------------------- f- -ice e Application.Approved By -----------..... ...- � _... �..a�.�. e.-..9.�:.:.. Application Disapproved or the following afonr: .....--------------------------- PP PP f f g -_ - - -- ....- - --------------------------...._.........._..........._...----------------------......------..........--------------...----------------------------------------------------...----------- QDace Permit No. ............1.:j 5-------.......... Issued ------------------------- Dace -- — — �.,�����.�..��.—---------s..--®mm—� THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF HEALTH TOWN OF BARNSTABLE �Ljertiftrate of Ta tylia tre THIS IS TO CERTIFY, That t dividual Sewage Disposal System constructed ( ) or Repaired b .....Installer �0 _ (C.a.v,7-v�'`1`--- 1.a1, .1----.` � ,,r ------------------ has at .......... ........................................._......--------- been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ---- Wit, .....�� dated ..._----- ............._-------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �'°'� 7 DATE-------- .. ....-_,f...--_-- -- ---------_ Inspect(r-_.- -....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH GG TOWN OF BARNSTABLE No.... FEE---�o-`` ...... �i��n�tt1 ur�� �un,��r�r#uan �prmit Permission is hereby granted----------------- C!/CG t o i - ....................................................... to Construct ( ) or Repair (°C) an Individual Sewage Disposal System at No. - 0 r� nJQ.,'l : 5. !lh � ^------------- -- �/I I✓J% ...... Street qq�� as shown on the application for Disposal Works Construction Permit No._!�`? Dated------ ............. --------------------•---••---•----•-•--•--. o - ' � --••...............•-•---••-----•- 1- da d of�ealth .DATE-----•---•--.. .A._�.-... V FORM 36508 HOBBS&WARREN.INC..PUBLISHERS ALAN W. JONES & ASSOCIATES CONSULTING ENGINEERS 6 CARLETON DRIVE WEST EAST SANDWICH, MASS.02537 TELEPHONE 888-3154 22 November 1980 Mr. Scott Steeves 886 Main Street W. Barnstable, Mass. Dear Mr. Steevesa On 21 November 1980 I examined the sewage disposal system as constructed behind 886 Main Street, West Barnstable and found that the installation conforms to the require- ments of our Drawing #72649-P1 dated 15 November 1979 for a sewage disposal system to serve a single family three bedroom dwelling. Yours truly, ALAN W. JONES & SOC. 4/ 0 . t04AWJ:pmj Alan W. Jone ® THE COMMONWEALTH OF MASSACHUSETTS 5 BOAR® F HEALTH _.. - OF........ ........... . . :..d------............................................. Apli iratilan for Uiipniia1 arks nniitrnrtinn amit Application i hereby made for a P mit to Construct ( ' or Repair ( ) an Individual Sewage Disposal System at:3k 6yr- )h 1 S . , la1 .......• .. . -- -••-- � ............ - ......... Location-�1 dress /7 2 or Lot ot No. .................................................. O er Address a ............. . .R t '+ ............................................... --•-•-••--•-------------•-•---•---...-----.. ........................................... Installer Address Type of Building Size Lot__'!�40.0�.....Sq. feet U g� _..__Expansion Attic �—) Garbage Grinder Dwellin No. of Bedrooms.._.._ ........................... Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q, Other fixtures ........................................................................................ W Design Flow................i A...� .........-..........gallons per person per day. Total daily flow......3_3.0_...........................gallons. WSeptic Tank—Liquid capacity.i Q"..gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length ... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter..Z—* Depth below inlet_..jtA......_. Total leaching area..�01.�sc�-ft. Z Other Distribution box (� Dosing tank ( ) g /_ Percolation Test Results Performed by---------------------------------------------- - •-- Date-------................................. aTest Pit No. L.:�.'f....._..minutes per inch Depth of Test Pit-------- Depth to ground water....lv�e4" _. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P+ --•-•............ ..........•-•--••••--•---•---•---------••-•-•••••-•-------------•---------------------------------------------------._............------•. O Description of Soil------ e: ��oE' '�_`s�t.?. t? -........((-�-----------------------------------------------------------------------...................... ---------- ................................. .�._._I'-I/Qt�j_•- 1I3......�._�..... .........`........_._.__.... ' si I..T v xr� -- `-may--------------------- ---------------------------------------- -' - �a �ov�� Rn�z.------------------------------------------------------------------------------------------------------. V Nature of Repairs or Alteratiorls—AnaAer wh applicable--------------------------------:...........�---------------_----- -..----- ................... J ------------•------- Agreement *ofthe � �The undersigned agsta1 a ore scribe ivid l Sewage Disposal System in accordance with the rcvisions of'TT-p State anitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu, y the board of health. Signe ----- ---=- ------•--... ------•-•-------------------- D •� -Date Application Approved By....... ---. :.. E� ------------ .�''--��-......---- Date Application Disapproved for the following reasons------------------------------------------------------------------------------------------------•-------•••------ ....................•-•-•----------..........._...-•----------------------------•---•---------------•-•-.--------••-•----••------•••-------------•--------•-----•--•-------------------•....----•----•-- Date PermitNo......................................................... Issued.................. ................................ Daze .Am No......................... Fmic................. THE COMMONWEALTH OF MASSACHUSETTS BOARD qF HEALTH . ............7..01-110.1......_OF... . ....................... Appliration for Disposal Workslonstrurtitin rumit Application , h -eby d f P it to Construct or Repair an In' dividual Sewage Disposal Ima System at:j1d Sv 4 4A . ---r! 2t.......... .............X . ....................... .. -A or Lot No. -­--------------------------"----------------------------------- � � .. ..... ----- ................................................................... Location --------- ------------­--­--­ .......--------------- Address PIC 4 ..............r.. ........................................................................ .................................................................................................. Installer Address .el Type of Building Size Lot............ -----Sq. feet U %.3Dw:!,ellingl/No. of Bedrooms............................................Expansion Attic. Garbage Grinder t-*j P4 Other—Type of Building ..------- --------_------- No. of persons.... -------_ -- -- ------ Showers Cafeteria 04 Other fixtures ........................................... --- ---------------- _�Vo---- --------------­*----------- ----------- --*------------------- - - ---Design Flow........tA.....111.0...................gallons per person per day. Total-daily flow.......%.....................................gallons. 9 Septic Tank—Liquid capacity..k�?!k.gallons Length................ Width.-.,.*------------- Diameter.__..____.....__ Depth___.._______._.. W Disposal Trench—No. .................... Width..................... Total Length.__......--A----- Total leaching area...W,......sq.'ft.. �Ql D( th)belowp inlet...•0,03.9..... Total leaching area.. See pake Pit No.------------------- Diameter.A3. ........... ......... Z Other Distribution box ( Dosing tank Percolation Test Results Performed by.............................................. ----*................... Date------------------.--- Test Pit No. I...I 4A /V10",0, 6­ .....................minutes Depth of 'Test Pit._.____ Depth to ground water.......................... Test Pit No. 2................minutes per inch Depth of Test Pit._.................. Depth to ground water..__._...._._........... ........................ ------------------------------------------------------------------------------------------------------------------------------ 0 Description of Soil........ Top + 'S Y6 504 1. "T.. ................;........... .......... .. r4 0 IJ 49 U ..........................................3.................V rA.... ;:.................................................................................. ........................................... ..... L' 'Fioni, Mopipft Vo4ptz� --------­----------------------------- ------------- ................................................................................................................................................ applicable-_----------------------- I Z.................. Nature of Repairs or Alteratio' i W*, �5—A ---------- ----------- U 0 4------- ................ .......................... ............./V"j, ... .... . .49 Agreement: ;L- The undersigned agrees to install t a re esci-ibe$1 Oniv�idt7l 'Sewage Disposal System in accordance with era agrees not to place the system in 5 -Stat anitary Code—The undersigned furth the provisions of T_1 T LE of the ,operation until a Certificate of:Compliance i' ;has been b iss the board of health: no .... ................................................................... ................................ 0..2 712atbCe) Application�%pproved BY-----. . . ...... -------- --- ...4.4 --------- ...........I............................ Date Application Disapproved for the fol4owing reasons......... .................................................................................................... ................................................................................................................................................................................................... ... Date .. Permit No. ---------------7 7....................................... ",,,Issued....................................................... Date THE7COMMONWEALTH OF MASSACHUSETTS"' BOARD O HEALTH ..........�*.. � 0 F......... 9...................................................... Trrtifirab of Tompliam THIS IS TO,CERTIFY,.,Tbat the Individual eLw"Jge ie9sa1,&- _jstern corAtructed olRepaired by..... .................... ......... ..........T.......................................... L, .: Al � "st;� • tZ w X%4VA4A* jo�174 05; at....... ........ .... ......... ................................. .................................................. ..................... "'eh'K as been instaAd'in accordance with the provisions of TI fi�J_ State Sanitary C e y &s rihed,in the application for Disposal Works Construction Permit No.__.............. ................... dated-..... ...... ............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCJION SATISFACTORY. DATE.................... 92t7................................. Inspector.....-. ----------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD .OF HEALTH ..... ............ . .......... .....................................OF ............ ..it_ ......................... FEE—.................... Disposal Park T ..............Permission ip by granted_..............(V�. .. ............................ ..... .... ... !!e to Constr _ air an In e I e s is Qs Systeria Q�L'Y1 ................................................... at No....... i..... ..... ... ................. . ......... ------ .......... .................... ---------- Street as shown on the application for Disposal Works Construction Per 0....c... Wed.......................................... ----/,0 ................... DATE..............:....................... rd................ Board o�fffealth ........... ................. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS °Fz ARti CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 9/12/2008 John J Finn Finn,John J. Order No.: G0849197 32 Valleybrook Road Centerville, MA 02632 Laboratory 1D tk 0849197-01 Description: Water-Drinking Water Sample 4: Sampling Location 254'Loii�g-Po d.:Rd.Marstons Mills;R-A-3 Collected: 9/8/2008 Collected by: J.J.Finn Received: 9/8/2008 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nirrogen 3.8 mg/L 0.10 10 EPA 300.0 9/8/2008 i i Copper 0.17 mg/L 0.10 1.3 SM 3111 B 9/12/2008 i Iron ND mg/L 0.10 0.3 SM 3111 B 9/12/2008 Sodium 12 mg/L 1.0 20 SM 3111 B 9/12/2008 Total Coliform Absent P/A 0 0 SM9223 9/8/2008 Conductance 110 umohs/cm 2.0 EPA 120.1 9/8/2008 ' I pH 6.3 pH-units 0 SM 4500 H-B 9/8/2008 L Water sample meets the recommended limits for drinking water of all the above tested parameters. i Approved By•=_— -- ---------1------- (La ector) F �r -V cio ° CS —p N p Oy Ln r - t ND=None Detected RL = Reporting Lirnk MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 11h: 508-379-6605 r CERTIFICATE OF ANALYSIS g a elm' Barnstable County Health Laboratory '.;{,H�s�" Report Prepared For: Report Dated: 9/1 l/2008 John Jacobson Order No.: G0849184 30 Granma's Way West Barnstable, MA 02668 I Laboratory In#: 0849184-01 Description: Water-Drinking Water I Sample#: Sampling Location: 30 Granma's Way;.W.Barnstable;MA- Collected: 9/8/2008 Collected by: J.Jacobson Received: 9/8/2008 Test Parameters ITEM RESULT UNITS RL MCL Method# Tested Total Coliform Absent P/A 0 0 SM9223 9/8/2008 i Approved By: (Lab 'ector) 0 1_13 ' Co � to ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page: 1 CERTIFICATE OF ANALYSIS ;. Barnstable County Health Laboratory Report Prepared For: Report Dated: 9/4/2008 John Jacobson Order No.: G0849121 30 Granma's Way W. Barnstable, MA 02668 Laboratory In#: 0849121-01 Description: Water-Drinking Water Sample#: Sampling Location 30 Granmi's Way,W.Barnstable,MA Collected: 9/3/2008 Collected by: J.Jacobson Received: 9/3/2008 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen 0.95 mg/L 0.10 10 EPA 300.0 9/3/2008 Copper 0.32 mg/L 0.10 1.3 SM 311113 9/4/2008 i iron , 0.25 mg/L 0.10 0.3 SM 3.111_13 9/4/2008 Sodium 16 mg/L 1.0 20 SM 3111 B 9/4/2008 Total Coliform Present P/A 0 0 SM9223 9/3/2008 Conductance 210 umohs/cm 2.0 EPA 120.1 9/3/2008 pH 6.3 pH-units 0 SM 4500 H-B 9/3/2008 _Recommended maximum contamination level exceeded due to Coliform Bacteria. Retesting is recommended `J Approved B (Lab Director) g i � Cfs t ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 4 0 '4/2008 THU 15, 53 FAX 5083627103 Barnstable CTY HealthLab - --i Barnstable Health 0002/002 r N CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 9/4/2008 John Jacobson Order No.: G0849121 f 1S 30 Granma's Way j tsi W.Barnstable, MA 02668 �'I'Laboraiory I®#: 0849121-01 Description: Water-Drinking Water { ;, Sample#: Sampling Location 3030 Grey W Barnstable,N1A Collected: 9/3/2008 " Collected by: J.Jacobson Received: 9/3/2008 #; �$o�8�lne Et IT RESULT UNITS RL MCL Method# Tested . ,• R Nitrate aS P11trOgen 0,9§ mg/L 0.10 10 EPA 300.0 9/3/2008 copp�.•' 0.32 mg/L 0.10 1.3 SM3111B 9/412008 Y' P 3 bon 0.25 mg/L0.10 0.3. SM3111B 9/4/2008 .Sodhim 16 mg/L 1.0 20 SM3111B 9/4/2008 # a. Total.Cc,liform Present P/A 0 0 SM9223 9/3/2008 Cond.iietanc 210 umohs/cm 2.0 EPA 120.1 9/3/2008 :.p]ff 6.3 pH-units 0 SM 4500 H-B 9/3/2008 i r r cRecoreagended�aaximum con tamcnation Zevel exceeded due ta:Colfjorm°Bacteriir Retesting is recornniendeil`'' } ' Approved By: [� �f s (Lab Director) ` r i s i f TF'4• f X4;# . 'text 1 ffy xyr. `i .ki;. p=i S T}, 1 R4 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level £M f! Superior Court Douse, PG.Box 427, Barnstable, NIA02630 Ph:�50S-375-6605 t;Eig a i