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Home My WebLink About0048 GREAT MARSH ROAD - Health 48 GREAT , WEST BARNSTABLE - A = 089 005 001 1 a i i �1 TOWN OF BARNSTABLE C LOCATION _!�,►/�E�f �Q; SEWAGE # VILLAG ASSESSOR'S MAP & LOT ' 5-00i INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 LEACHING FACILITY: (type), (size) 12,X3. —X'Zh NO. OF BEDROOMS BUILDER OR OWNER Sem PERMTTDATE: COMPLIANCE DATE: moo Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by d A °D 3q {r No. Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I/2 Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for Migogar *p5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade ) �on( ) L A omplete System ❑Individual Components Location or V n 's Name,Address and Tel.No. Local � � � 5rf 10 GPI aj Assessor s Map/Parcel 16 &0 15 s ler's Name,A"andV0. Designer's Name,Address T 1.N ,pvt aim bb M4 OVA Type of Building: Dwelling No.of Bedrooms r' Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow L40 gallons per day. Calculated daily flow gallons. Plan Date a abin Number of sheets Revision Date 9� 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 i e and alth. /7`, Signed. Date [6D Application Approved by I LI Date Application Disapproved for the following reasons Permit No. —LI IS— Date Issued 712, 7,PV 0 TOWN OF BARNSTABLE LOCATION 8 C�"� Ma� �� SEWAGE # VILLAG rJ a_N3 TTvC3 i ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 Sew LEACHLNG FACMITY: (type) S ! (size) NO. OF BEDROOMS �I BUILDER OR OWNER �SeIhc PERMITDATE: z-L( —Cn COMPLIANCE DATE: Separation Distance Between the: I Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet . Private Water Supply Well and Leaching Facility (If any wells exist on site-or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i ��✓ "".�"� A° �!. } Fee 16d, .� No. IL THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for Ziopo.5al bpotem Conotructton Permit Application for a Permit to Construct(X I)Repair( )Upgrade( )Abandon( ) omplete System ❑Individual Components Location l�d �s or�-Qf�/J t/�y( (t Qi t" 0"'n is Name,Address l Tel.��No. Assessors,Lvlap/Pareel Do, {,�, '� � f), o�5 lok s er's Name,A"ando. Designer's Name, ddress T 1.N .We -. vase T��. UtnDN5 D - - ufljt6yv✓ p2irN�1�1 Type of Building: 7 SSU Dwelling No.of Bedrooms _ Lot Size 7 sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) �— Other Fixtures , h Design Flow U V gallons per day. Cal ulated daily flow gallons. Plan Date Number of sheets Revision Date =� Title Size of Septic Tank Type of S.A.S. ' \ Description of Soil �V1"�1�' ' t Nature of Repairs or Alterations(Answer when applicable) �L s s 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 i azd ealth. i1 Signed ✓lv Date r _ Application Approved by Date Application Disapproved for the following reasons Permit No. ,L�3S Date Issued 7 Z � {� --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS bv-cr7, p t th �On-site. ewage Disposal System Constructed(� )Repaired( )Upgraded( ) Abando ( ) ��;f�(, ; 2 i j at 61 --- has been constr=4 in accordance with the p visions of Title 5 e for D' sal Sys em Construction Permit No. Z- /'4t�S� dated Installer , Designer The issuance of this` y t shall not be construed as a guarantee that the s�stem- ill function as design Date 0 //:7 Inspector t A/ No.� � �l�-------------------------_ Fee IleV, _-.•'�"� _ THE COMMONWEALTH OF MASSACHUSETTS 0 S9— dds " ��I PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ]Diopooal bp!gtem Conotructton Permit Permission is hereby d ' Cgn :t )Re r )Upgr e( )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:Con7/,� on mustpleted within three years of the date of thi t. . , Approved b� . Date: GROSS SECTION — ' _P__w«• I°+* �1-- r� � WWWVI SOIEOI.LE ------- ---III r=---i- - — 0 gill"11 irwi � (;�— - ---- -< FIREPLACE i ��> _=-{5_� � -_— � n — r - --- DETAILS - ---- - — — - 3/8" =1' L -- _ ' — — CALIBER FW5H AGPUCATION (WING ROOM)42" GN.IBER INSTALLATION- I 14 a:1 c cA oanoruL eu/IRaon 71 - 5EE BUILG£R TOP VBV JI1I� n II �x II NGLER ?Y I u II Ii85 11 t II 11 �11 g 4 _ 11 II II .t 451/1 _ q� II i.,n cw.n II F� Y WLL Y '1 � tr II�O jI n� II � '1 II��111 II — DW. Q EAT IN9 6 O"TH 91 c,a mu 1 I KITCHEN BR61.1F.45T II T-———___ ——— _ �,. 3�tR G>kvE 11 FAMILY ROOM RGGM o �, ———————— L£H/STLvr N-n F,I7 . - cE Frn:R -- L 1 8 GROSS SECTION G p-, LOT]GREAT MARSH ROAD f S •: �, : .,.,. I Ell] 0 0 79 0 0 00 mon 0,1,1 11 w" .11 Al T r CROSS SECTION OB WALK IN CLOSIEr BA W"IN aOsET BATH mozom 03 .. ® BEW-10m a I BEGROOM 12 OPEN tO BELOW CROSS SECTION LOT 1 c :7AT,JAPSL-4 2,.Aq, ENVIROTECHLA$ORTQRIES,INC. MA CERT.NO.:M-MA 063 449 Rte.130 , (� r Sandwicb, MA 02563 0 508(888-6460) 1-800 339-6460 FAX(908)888-6446 �1 CLIENT: Lou Seminara LOCATION: Lot 1, Great Marsh Rd. ADDRESS: 93 Coles Pond Rd. RR3 W. Barnstable, MA S. Dennis, MA 02660 COLLECTED BY: Desmond SAMPLE DATE: 6/20/2000 SAMPLE TIME: 1:OOPM WATER SAMPLE TYPE: New Well DATE RECEIVED: 6/20/2000 LAB I.D. #: 0006504 WELL SPECS.: 1077 827 4" PVC RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B 6/20/2000 PH pH units 6.5-8.5 6.34 4500 H+ 6/20/2000 Conductance umhos/cm 500 89 120.1 6/20/2000 Nitrate-N mg/L 10.0 0.052 300.0 6/20/2000 Nitrite-N mg/L 1.00 < 0.003 300.0 6/20/2000 Sodium mg/L 28.0 10.9 200.7 6/20/2000 Iron mg/L 0.3 0.107 200.7 6/20/2000 Manganese mg/L 0.05 0.018 200.7 6/20/2000 Volatile Organics See Report. Chloroform ug/L 100 1 EPA 524.2 6/22/00 COMMENTS: pH is below recommended limit and may have corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. <=less than Ail, J Date >=greater than jkorlqld J. SFi)re TNTC=too numerous to count Laboratoryfor w " Page 4 of 7 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS Envirotech Laboratories, Inc. / Date Received: 6/21/00 Approved by: Work Order# 0006-07241 R. ��alytical Sample#: 002 SAMPLE DESCRIPTION: 0006504 LOT 1 GREAT MARSH GRAB 06/20/00 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DATE/TIME ANALYST Volatile Organic Compounds Bromodichloromethane <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Bromoform <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT Dibromochloromethane <0.5 0.5 ug/1 EPA 524.2 6/22/00 18:22 MT Chloroform 1.0 0.5 ug/I EPA 524.2 6/22/00 18:22 MT 1,2-Dibromoethane(EDB) <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Benzene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Carbon Tetrachloride <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,2-Dichloroethane <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT Trichloroethene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT 1,4-Dich_lorobenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT 1,1-Dichloroethane <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT 1,1,1-Trichloroethane <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Vinyl Chloride <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Bromobe:nzene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Bromomethane <2 2 ug/l EPA 524.2 6/22/00 18:22 MT Chlorobenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Chloroethane <2 2 ug/l EPA 524.2 6/22/00 18:22 MT Chloromethane <2 2 ug/l EPA 524.2 6/22/00 18:22 MT 2-Chlorotoluene <0.5 0.5 ugh EPA 524.2 6/22/00 18:22 MT 4-Chlorotoluene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Dibromomethane <0.5 0.5 ug/l EPA 524.2 6/22/00 i8:22 tiiT 1,3-Dichiorobenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,2-Dichlorobenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT trans-1,2-Dichloroethene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT cis-1,2-Dichloroethene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT Methylene Chloride <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,1-Dichloroethene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT 1,1-Dichloropropene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,2-Dichloropropane <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,3-Dichloropropane <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1.3-Dichloropropene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 2,2-Dichloropropane <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT Ethylbenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Styrene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,1,2-Trichloroethane <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,1,1,2-Tetrachloroethane <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT 1,1;2,2-Tetrachloroethane <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT TetrachlOrOethene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Page 5 of 7 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS Ervirotech Laboratories, Inc. J` r Date Received: 6/21/00 Approved by-," Work Order# 0006-07241 R.1. Anal-yf cal Sample#: 002 0006504 LOT 1 GREAT MARSH GRAB 06/20/00 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DATE/TIME ANALYST 1,2,3-T-ichloropropane <v.5 0.5 ug/l EPA 524.2 6/221,'0G 18:22 MT Toluene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT Xylenes <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,2-Dibromo-3-Chloropropane <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Bromochloromethane <0.5 0.5 ug/1 EPA 524.2 6/22/00 18:22 MT n-Butyltenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Dichlorc,difluoromethane <0.5 0.5 ugh EPA 524.2 6/22/00 18:22 MT Trichlorofluoromethane <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT Hexachlorobutadiene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Isop ropy lbenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT p-Isopro.3yltoluene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT Naphtha:ene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT n-Propylbenzene <0.5 0.5 ugh EPA 524.2 6/22/00 18:22 MT sec-Bury-benzene <0.5 0.5 ug/t EPA 524.2 6/22/00 18:22 MT tert-Buty!benzene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT 1,2,3-Trichlorobenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT 1,2,4-Trichlorobenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,2,4-Trimethylbenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 18:22 MT 1,3,5-Trimethylbenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 18:22 MT Methyl Tertiary Butyl Ether <1 1 ug/l EPA 524.2 6/22/00 18:22 MT n-Hexane <10 10 ug/l EPA 524.2 6/22/00 18:22 MT SURROGATES RANGE EPA 524.2 6/22/00 18:22 MT 4-Bromofluorobenzene 108 80-120% EPA 524.2 6/22i00 18:22 iv1T 1,2-Dichlbrobenzene-d4 105 80-120% EPA 524.2 6/22/00 18:22 MT Department of Environmental Manage menVDivision of Water Resources M WE L COMM,,, TI REPORT 9 Eya.MnNFFT WELL LOCATION GEOGRAPHIC DESCRIPTION 1 Address axacj N -Sf.E- W of (feet) `�.-,,(circle) City/To n 1 Well owner o (road) Address 1�� I��r,rl 1?A. R r,7? N S E W of (mi.in tenths) (circle) Board of Health permit obtained: yes no❑ intersect. w/ (road) WELL USE WELL DATA Domestic 'Public❑ Industrial ❑ Total well depth E' Monitoring❑ Other Depth to bedrock ft. Water-bearing rock/unconsolidated material: Method drilled IA a A Description Date drilled !15,'r t n Water-bearing zones: CASING 1) From To C) Type 50 st n—n beC' 2) From To Length 1 ft. Dia(I.D.) kj in. 3) From To Length into bedrock ft. Gravel pack well: dia. Protective well seal: dia. - . Screen: Grout❑ IOther Slot#_4_4Z�_length_j4—from l__!1Zto STATIC WATER LEVEL (all wells) Static water level below land surface_ ft. Date -O 0 WELL TEST(production wells) Drawdbwn_ .ft. after pumping _ hr. min. at gpm How measured Recovery �___ + ft: after, hr.—min. LOG of FORMATIONS COMMENTS 0 Materials From To N )j Driller i 6 ,,,,.n }� QP 5rnnnd - Firm Address • ba- t •� City/Town 'gq ac Supe 'sing Driller Reg.# Z Signature of supervising registered well driller Please print firmly BOARD OF HEALTH COPY .v ®� Fee--- ------- BOARD OF HEALTH TOWN OF BARNSTABLE Zipprication-*rVell Con0ructionAermit Applic do is hereby made fora permit to Construct 4,0 Alter ( Repair ( )an individual Well at: Location — Address Assessors Map and Parcel ------------------------- ----- ------------------------------- ---- -------- Owner Address Installer — Driller/ Type of Building Dwelling--------------------------------------------------------- Other - Type of Building No. of Persons---------------------- Type of Well---e-�we_ ----------------- Capacit Purpose of 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 unt' ACerlificat f o pliance has been issued by the Board of Health. Signed — --- — -- � date Application Approved By G date ---- .-- I Application Disapproved for the following reason : -------------------------_____ _________—__--______. -------- ----------------------- ----- - - .r® Permit No.� ---- Issued----- ---------- --------- ate date ------ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by--- ---- —-- — — ---- -- Installer at— - -- ----—-- --- --has been installed in accordance with the provisions of the Town of Barnstable Boa d of Health vate Well Protection Regulation as described in the application for Well Construction Permit No. ated—- -THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- -- Inspector------— -- -- -- -- —-- L No.-- - -- Fee---T--------------- BOARD OF HEALTH TOWN OF BARNSTABLE applicAtionArVetl Conkruct ion Permit ' Application is hereby made for a'permit to Construct L//) Alter ( ),,or Repair ( )an individual Well at: ------ Gk�-gig t. t, Location'.-sAddress �,• 0 Assessors Mip and Parcel, Owner/ Address j Cv t 'lsv----� "s---------- ---------------- - - Installer — Drille - dress j Type of Building u Dwelling-------------=--------------- `------------------- - Other Type of Building --------------- . No. of Persons----------------------=------- • YP g----------__ ' Cale TYPe of Well- ---- -- =- —`---- Capacity Purpose ----- ---=— --�- —= Purpose of 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*. f Compliance has been issued by the Board of Health. y Signed date Application Approved By. ---------- f., = . date 1"b — i Application Disapproved for the,following reason - _—_ _____ _— --_ r date L ...rases (J f ��— s Permit No. � � ---- Issued—_-_- -- ---- ---- date — ---- l.+it+s�.:a}ie�..e.�.deTafel.le'3+1r.9.1.!.eaP+eleli,2 ♦ K9aeapaea0i+i! uwali9®ltlasalmtieae3e.w-eal:sieasis8wi�:wieasrSaaKwaeilii.lasiwe.iliKfieifGoi9r}ifelilMwwlww.�a It BOARD OF HEALTH i i TOWN OF BARNSTABLE Certificate Of.Compliance THIS IS TO CERTIFY, That the Individual.Well Constructed ( . ),.Altered(.: ),.or Repaired ( ) • i by— - — =- —'— ---- _-- - -- - - - ----- ---- 7 Installer at- --=—=- ------ ----__�___ has been installed in accordance with the provisions of the Town of.Bamstable Board of HealthPrivate Well Protection Regulation as described in the application,for Well Construction Permit No.l�ll ated.THE ISSUANCE OF THIS.CERTIFICATE SHALL'NOT BE yCONSTRUED AS A GUARANTEE THAT THE WELL I� SYSTEM WILL FUNCTION SATISFACTORY. DATE---- -- --- =— Inspector----=- ---- -- -- -_---- liTelili!"�KliKwi}iKtiRi}iii KlilLV+Sali!i9iliwili JIi4i9iEa+i�lA'.�6461iJfYliNlaiiwAS.cTi4iBGwiwS/ll:DwieGwiwi/iwYli�iei'�-olaG'.l'iTiTti!ati?i�'e4{Ai�1Tii!a!}ei'Sd'!b!' ?al!6wil�Ai+i/ids. i BOARD OF HEALTH E TOWN OF BARNSTABLE. Vell C n5tructionVermit ../~ o _ _ '4 No.0----- _ Fee-_ Permission 's herebyranted g NC0 , o "stru ), A er ( r a ) a nd' i 1 at: - 1 Street l as showno' r the, lication for 1:Construction.Permit a f �,__ No.- _ � .�- Dated � =-----------=-------------------- -- ---...-. Board Health--- >-------_ ------ DATE �l✓ ! t 9 I own of Barnstable ('lli ✓ i 1)epal-1111"t of Ileal(h,Safc(y, and Elivil-011 III ell(11 Services UE�, PIII)lic IlcMlll Division ' t);,l(c r •^� 367 A4nln Streel,I lymmis MA 02601 u�nrrernm.e � � ► t € � I� �s i679• prfo Dale Scheduled ' � n►e g heell'd. � I� Soil Sit'fabil,M) Assessmen for Sew -re DIS7)O,S' Performed Ily: J LV 11V� Wlhicsscd BY: L(7C 'I' ON & G1 1 I,1t L INIpOIijVIAT1ON Location Address )wncr's Nnme�tynj J Z�\ ±C�0 S7, l At /// Address Assessor's NbIvI'arcel: Q oU 9-ODu� 00 1?11gincer's Nnnrc Nim CONS,II(UCIION ItITA,IR 'felephune 11 SOg—� (s�_L)!'�•Z(� } it 'I G l Q Land Use��- 7D� �� ,N Slopes(°6) 3 / o nn Surface Stones 1)istmrccs lion": Open Wa(cr holy . n It 1'ossible Wcl Ain N .l, , It Drinking\Vnler\\4,, , fl II Drainage Way i\.' II Ihnperly Hot: C 1 O It O'llier j SICETCI l: (Slice(name,dimensions oflot,exact locnlion's oflcsl holes&pure tusk,locnlc rvcllmnls in pnrxii,m'ily lu holes) i l t �� l I l It � .. fix, � � �'• i 6 I i 4 Paten(maleiinl(geologic) Depth to Iledrack .� J I; Depth to Groundwater: Standing\Valet in Itole: \Viceping from Pill face /V i Gsthnalcd Scasttnal I ligh Groundivn(ct 4'\ DET RMINATION T'QI' "WONAL IIIGII. 'V Method Used: Depth Observed standing In obs.hoic: M. Depth to soil molllu: i i Depll►to weeping from side of obs.little: ;I In. Graundwnler Adjustment Inilcx Well// _ ,. Rr.ndlnR Date: _ _ index\Nell Ievcl Adj.factor Adl.Oroundwnicr Lcvcl ``'i ( I • I'I�Li.COL�,r1'I'ION 'I'LS'I' '. <::::.ii�i(e S. I) Z��AIr�eG � 4� . s Observation tole It •hlic at 9" j it Dcplh of Pere i b S Time all 6" s' Stall 11rc-soak 1 imc n ['title(9"-6") M ) ll / Z O�/)IJ• , li fi End('rc•sonk Rate Mtn./Inch 1, Site Sallabilit Assessnicol: Site Passed i y Site Fniled: Addilioul•Puling Needed(Y/N) I Ori innl: Public l lcnlllr'l)Ivision b Obscri'a(lon Hole 1)►►Ia'I'o Ile Cn,n►))Icicd on (inch Copy: Appliennl ( I i I �. 1)1�,1?,1' 013S1t,1tV�1'1'ION I1(�1,L LOC: llole I1 1 Soil llorlum . Soil'rcxlurc :Soil Color Sail' Olhcr i t (IISI)A) (N-fullsell) hlolllioG (Shuchoc,Sloncs Ilouldcresf L �)--7-z-� _• tell 4-1 �l_I z D _ —- M�n S�An -— DKILI' OBSEWAIA'1'ION 1101.,I, Loc., Hole # Z I)cplh limn Soil Ilurir.ulr Snil'I'cxlaarc Soil Color Soil 4 Saar laee(in.) Ulhcr;; ! , (IISUAj (AlunsclU Ma1tI1nG (Shucharc,Sluncs,Iluulderes. --v-- - —� -= — L oy Q, 4 o li 1 Ul,lT OILSKAOIA`I'ION 110L.,1, 1,O(11 MIC 11 E , I)cplh Born Soil I Ioliton Soil TcxlIlrc Soil Color Soil (plhcr Smliu:c(in.) (USDA) (t`lunscll) MnIllin �f G (Shuclurc,5ttures,ILiuldcrcs. -- — - lllsh[mcY :n(il�gCl) Il I)EM'I'. 0BS]s1iVA'I'XON HOL1'r LOG Ildlc 11 of Ugrll! lion! Soil I lorizma Soil Texhnc Sail Color Soil C)Ihcr i Surface(in.) IISIIA ! 1 ( ) (t`luuscll) f`IulllinG (Slruclurc.Spuacs,1louldcres. I (i - S,J115151SJI�Y.1��ililYS1) I I 1 I t p hlo u ll sll)'_t))cc 12n-Le mat - Above 5M)year flood hounduk No _ Yes V + Wilhin 500 year boulldaily No V Yes - IVflhin 100 year(loud buimdary No Ycs ' I' Wee 11 iLNallu:Aa k ccin�Itg_ 'e 'Y'(��[1_1Llcrilgl j I)ocs ;11 Icasl filar feel of naturally occurring;pervious lj.pllcrinl cxisl in all areas observed Ihroll hoill (lie �I area proposc(I for Ille soil absorplloit system? �5 I f nut, what is 111e (1ep111 of 11,1Itn'-1Il), occultrin r pervious nlatcriill'? I 1 �c_)1Scil.litilt I I{ I ccrlify Ihal oat C�6 ((gale) I have passtxl the soil evaivalor cxantinntioil appiavecl liy'llic I 1 I)eparUncfl( of linviroli'1lcnlal Protection rind I11i11 111c al)ovc almlysis veils lmi-rormc(1 by me consislcnl;tvilll the rc(ltlirecl frainil ex�)arlise all( x icricnce(Icscribc(I in 310 CM It 15.017 i { II f _�-EL 09.0 E MOVE :A - - 0 N A -MATE, 5 V - S - ;' _ _ �a.�� . _ va 2° 6 SLOPE _. A c CE s S w f t,t 6 of-GR Z ,� 6 M rJ./3 MAX C OV E C o�ER I I I 2 LEY EL (— ToW N U At — - t Ft OTEST �� /�ccESSS 1 e • Z pf�19T�uE Pb Ty i 1500 AL Foft LEI EL ' 1 also gT':O P. C. CCNC.- 1. C �W.;, s a 4 _.. o U wnsN��sE —CD LOG U S ir1N- i O MtN De�'rk Dv- L )gvip-4 INL� T� i ' TES 1. 1�15POSI�L SYS? M �o g CO)VSTf�UCTED Sri STRICT ]�CCDRDANCE op COMM. or MASS , E11VIRDN. COD F-- TITLEZZ';. PRarl lLl OF DIS? 0SAt 5� STE. tM E, SURVE`I DATA r Ra►� FLAN OF LAND i,,, BARNSTAM .} SANDUJICH, (Norm SctitE� MAC=off SARI\ t RE$ECC-A `S LAMb CO )NC. 3v D�YLI El46`G. A'-)SOC. i - DA) 17 NdV. 30 1Jfl4 $`?c CO!?DE17@ ARNSTABI�. RECo.ar UEEDS ! lu PLAIJ 66K 39S Pr,- a4-. 3_ REMOVE PLL 1M��V1OV5 M RTET�f AL �' A�OUN D S`15T M. 4. M 1�P8g, Pc.5-I . �oNl JJ G' PC' A T E - E -F . 5.:=6ENCN MARJx" - BflSC car WELL-CASING -ELV G. U5E 3-5'xq'XZ' P.C. Cf) JC. LEACH Ci-IAMSFRSwjZl `� 'or 3/4" ro t Ve " WASKED 5TvJJE wI T 14 Z" of P'EJ'3TC2U E oj.)3P_ 7. PUT" "T'"'5 A �rD GAS B�4FFC.E /,� SEa T�lCAN1� P'gRT1TC� �. f: f;P ETA a , - 00 _ o I _ �, •,� 1 J i to E. `off .-- . � \ ru 0 Lp 1 i 0 /�O r O ,.. -_ram .• 0 LOT ' i v /oo t � - I HEALT I-1 VE I\CntNT NPFRQV1\L DNI E: jt S oN 48° - ' >v�IEL� TE Sr P, Pi c. � �- 0 ob- 59 5� G C / Z HARRY G EARL c3 7,Z L ol1M g3 O Co p No.M S ITC P L /� 1\4 g4.5 - `SZ- fl-'Y A DE516(y 5 SINI3LF F�J-'C., y' L)WEiLING W/4 F3EDRD �MS SC/-\LE - < zM,�s/,�. _ S�l�,lAG�. SY5TEM DFSI SW DAIL\I FLOW 11 b x 9- = 440 G•P.f7. 1=aR SEPTI C TANY, CVaI RF-Q' DZ 4-o eo 0 4o �?-�-� G.1�.TD. X �.t3 = S8d SENIIUI`P.A COIJST. CARP_ GALS > �N .c�i7. M cam. P_�_13oX 2 19 l500 GAL. T-IiMK - O , Y.. LEGEND �,; GR�.vF� ELV—D4 'DLNIJI-5 M� U266a L E l�Cl 11 tyG 1\Y E lX t 5 . A.SJ ,. �2�- PRQPcS2r c�: otJR I o N - U SE 3 - 8 ' 5'x Z' P.C. CON',- .._�._ t9- SToh/� LOT 1 /� -=18 GREAt MF��S1-I Rom_ C%T= ECT IVt D��T1-i = Z .0 `/ to•`- CXtSnnNG CocYloilp� k i L�SSESJD>-�'S Mi\P �� T_ E- I ' W CST S ARIJ3TA-9L.E M A pRw C�/Ay � 13x32-A 0.74 , _ — �c,, -- FItRM ?oNL � e8.o �.JoHZc� N,NZp B6.o ADVAIvCFD TI CI-i . SOLDT IDiJ S T 0T1aL. CA�AC.I i V = �}-41 GALS. ' � TE ST�L7: s/•�Joo C0NSJL-T ENS-, R . E .SANL, MA P��K>aoE: t-loL.t_ER DlaTE� 4 -2D-00 DW G.� 4'ZO-�0