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Home My WebLink About0043 HIGH POPPLE ROAD - Health (2) 43 HIGH POPPLERRD. W. BARNSTABLL A=105-005 _ t �,I —-—------- Fee— BOARD OF HEALTH TOWN OF BARNSTABLE Application-ftlVell Cootruction3permit Applicptio is 4ere made fo a permit to Construct (4"6, ter or Repair ( )an individual Well at: 413 f Cotation - Address Assessors Map and Parcel 0 er Address g5ey --- S6 VIOZ,74W1��" ---Installer - Driller Ado;s Type of Building Dwelling Other - Type of Building No. of Persons-------------------------- Type of Well Capacity Purpose of Well----- G �?-�---- -- Agreement: The undersigned agrees to install the aforidescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health PrivjateW 11 Protection Regulation The undersigned further agrees not to place the well in operation UE 217icate nce has been issued by the Board of Health. Si -d� date 0 Application Approved By date Application Disapproved for the following reasons: date Permit No. 3 Issued date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of COMPhance THIS IS TPL-CER 7 IFY, That the Inoividual Well Constructed (A hatRepaired by------ C J;:�rvzd Installer at has been installed"in accordIncte with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector No.-�-�=�----- _ Fee------=----- BOARD OF HEALTH TOWN OF BARNSTABLE ZIppttcation-*rVe1[ iong truction Permit Ap licat o��is hereby made for a permit to Construct (4,-rAlter ( ), or Repair ( )an individual Well at: / �_o&tion - Address, Assessors Map and Parcel Owner Address Installer - Driller Ad ss Type of Building Dwelling --- -- - —-- - Other - Type of Building--- ------ No. of Persons------------------------------ �al-�G. Capacity- / -�� -- --- Type of Well - G !tiv --- --- S 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 r place the well in operation until 'icate f ' m ance has been issued by the Board of Health. jS Lle ---------- — - — date --- Application Approved By ---___—_________— a�/O E date Application Disapproved for the following reasons:---------- - —- --- - ---— 4 _ date Permit No.-- - — Issued-------------- ------- i date �..-tea c ._ ----•_.-_.,.,„ .__.. .-�_ _ -..__...»._-- �__<__..�,._._` -�......j _�__. �>��.. ._. :—,--• �- _ -. . BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of COMPU nce THIS ISTO-CERTIFY 'at the In ividual Well Constructed (6) Altered ( ), or Repaired ( ) c{�" ------ ----- -- ---- - -- - --—-- ---------- --- y ma Installer at- -C�`3 7-/ k !C C! ----- --- --- --- ----------- ----- has been installe in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------=---Dated----- ------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----------- --- - Inspector----- - - ------- --- I BOARD OF HEALTH TOWN OF BARNSTABLE Yell Con$truct ion Permit No ______________-- Fee- r ` Permission is hereby granted — to Construct (LI/lt ( �j, or Repair ( ) an Individual Well at: No. _- � a1✓ 2 - -------- -—--- - -- - - - -� street as shown on the application for a Well Construction Permit O l O No.---- — — Dat d-- -- --- -- - l i �/ JD 3 Board of Health DATE-- — -- r i .! CERTIFICATE OF ANALYSIS Page. , Barnstable County Health Laboratory Report Prepared For: Report Dated: 09/07/2001 Holzman,Robert&Karen Order Number: G0111636 Karen Holzman 43 Y igh Popple Rd. West Barnstable, MA 02668 Laboratory ID#: 0111636-01 Description: Water-Drinldng Water Sample#: 11636 Sampling Location: 43 High Popple Rd.,West Barnstable Collected: 09/05/2001 Collected by: Karen Holzma Received: 09/05/2001 Routine ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates 0.5 mg/L 10 EPA 300:0 09/06/2001 LAB: Metals Copper <0.1 mg/L 1.3 SM 3111B 09/06/2001 Iron 1.4 mg/L 0.3 SM 3111B 09/06/2001 Sodium 19 mg/L 20 SM 3111B 09/06/2001 LAB:Microbiology Total Coliform Absent P/A Absent P/A 09/05/2001 LAB: Physical Chendstry Conductance 193 umohs/cm EPA 120.1 09/06/2001 pH 6.2 pH-units EPA 150.1 09/06/2001 Note: Based on the results of the parameters tested,the water is suitable for drinking but may present aesthetic problems(taste,._a' %odor,staining)due to iron. j Approved By: (Lab Director) 7 /7/Zo®j l Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 e I , I � I Qh/ y O TOWN OF BARNSTABLE LOCATION Sf ` 14'e,/2,0/e dQM M R O SEWAGE # VILLAGE Wz4L ASSESSOR'S MAP & LOT /0,5'' INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type)3—Mrs 'S (size) NO.OF BEDROOMS y BUILDER OR OWNER 0 Jqb .,-+ p PERMIT DATE: 6 -I9-q f? COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 H!yh TOWN OF BARNSTABLE ill LOCATION � �f�/��j� 1YQ7r1',0.M RO SEWAG�IE! # 37 --Z VILLAGE W i.guy ASSESSOR'S MAP & LOT INSTALLER'S NAME& PHONE NO. .A4 AC a/i I�FCl d i. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) &1C'fi1/ *1,0VCR S (size) dsA NO. OF BEDROOMS BUILDER OR OWNER /..�,.�-ewe, ..c�►�, PERMIT DATE: -19-R EE COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 1 A � v V V 9� I \ � I � B No. �7 97- � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Mi.5pozat *patent Cow5truction permit Application for a Permit to Construct( )Repair XX)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.Lou i se O'Br i on Owner's Name,Address and Tel.No. 7 7 5—5 2 6 7 43 High Popple Road 292A Route 28 West Dennis,Mass. As€essor's ap/Parce est Barnstable,Mass. 02670 Louise 05'Bf on Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass. 02632 Box 66 Centerville,Mass. 02632 Type of Building: DwellingXXXNo.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder NO) Other Type of Building Res No. of Persons 3 Showers( ) Cafeteria( ) Other Fixtures Design Flow 440 gallons per day. Calculated daily now 4 x 1 1 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1000 Type of S.A.S. 3-500 gallon chambers Description of Soil Loamy sand to boney medium sand. Nature of Repairs or Alterations(Answer when applicable)Adding three 500 gallon chambers packed in 4 ' of stone. Existing system has tank box pit. Date last inspected: 6/1 8/9 8 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 iss ed by this B d o Health. (; Signed Date ,P Application Approved by Date 6—/9�9� i Application Disapproved for the following reasons 01 Permit No. / 7 3 7 Z Date Issued (V No. 7 y s Fee ery vv THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH`DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mioogal *pztem Construction Vermit Application for a Permit to Construct( )RepairXX)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.LOu i se O'B r*ihn Owner's Name,Address and Tel.No. 7 7 5—5 2 6 7 43 High Po�pple Road 292A Route 28 West Dennis,Mass. Assessor's ap/Pazce,djtWest Barnstable Mass. 02670 ., Louise ®Bot6tin Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centervtlle,Mass. 02632 Box 66 Centerville,Mass. 02632 Type of Building: DwellingXXXNo.of Bedrooms 4 Lot Size sq. ft. Garbage Grinder CIO) Other Type of Building Res No. of Persons 3 Showers( ) Cafeteria( ) Other Fixtures Design Flow 440.,,t; gallons per day. Calculated daily flow 4x1 1 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 000 Type of S.A.S. 3-500 gallon chambers Description of Sou Loamy sand to boner medium sand. Nature of Repairs or Alterations(Answer when applicable) Adding three 500 gallon chambers packed in 4 ' of stone. Existing system has tank box pit. Date last inspected: 6/18 9 8 Agreement: r 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 o d of ealth. a Signed Date Application Approved by .r Date 6-&-9001- Application Disapproved for the following reasons - Permit No. 7 Z Date Issued (9 — - ———————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired;{X)o Upgraded Abandoned( )by J.P.Macomber & Son!Inc. at 43 High Popple Road West Barnstable,Mass. has been constructeo in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 91--3 7 Z- dated (9 /9 9 Installer J.P.Macomber & Son Inc. Designer J.P.Macomber & Son nc. The issuance of this permit shall not be construed as a guarantee that the system wil fun tion as designed. Date 1/2 12- Inspector No. �I��Z ————----------------------Fee $ 50.00 ` THE COMMONWEALTH OF MASSACHUSETTS r PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpo5Sal *pgtem Congtr coon vertu t Permission is hereby granted to Construct( )Repair(XX){Upgrade( )Abandon( ) System located at 43 High Popple Road West Barns tabliletiass. and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to cornply with Title 5 and the following local provisions or special conditions. Provided: Construction must-be completed within three years of the date of this t. Date: C� �' 9� Approved by . C , I i f 10/9197 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, Josel2h Mar-nmhAr -jr-. , hereby certify that the application for disposal works construction permit signed by me dated 6/18/98 + , concerning the S^1 property located at 43 High Popple Road West Barnsfahl P meets all of the following criteria: • There are no wetlands located within 100 feet of the proposed leaching facility • There are no private wells within 150 feet of the proposed septic system • There is no increase in flow and/or change in use proposed There are no variances requested or needed. • If the proposed leaching facility will be located within 250 feet of any wetlands, the bottom of the proposed leaching facility will p4.1 be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation (according to the Engineering Division G.I.S. map) B)Observed Groundwater Table Elevation(according to Health Division well map) SIGNED : DATE:6/18/98 LICE S SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). q:health folder:Bert Existing 1000 gallon tank 1 -Distribution box �I 3-50 gallon concrete leaching 0 g a g .chambers packed in,,4 ' ofstone. o b No...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN BARN ST ABLE ........... ............................OF............................... Appliration for Disposal Works Tonstrurtion thrmu Application is hereby made for a Permit to Construct �X) or Repair ( ) an Individual Sewage Disposal System at: \mac__ UT V 1 - iIIGK POPPhr, _RQAD-----------•-----•---•-----•------...... LOT �� -- G P i. tion• ddr ss Lot No W Address ...... ..... . --.................................. ------------....------...--------.......-------••------..........------------......--• ------. PQ Instal er Address U Type of Building37773 4 Size Lot................�_.._..__._Sq. feet Dwelling-Z No. of Bedrooms'-_..........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—T YPe of Building •---•--------•-•••-•-------- No."Lof persons...3_'�?................ Showers ( ) — Cafeteria ( ) Otherfixtures . --------------•-----------------•...------------.....-----------•--- W Design Flow._....50................................gallons per ipOson,per day. Total daiV flow_150-3a0._......._._...._. _ allons. WSeptic Tank Liquid capacity OQO._gallons Length __:_8.'..._. Width___.__.._____ Diameter..... ......... Depth .......... x Disposal Trench—No..................... Width___-_:_-----._-:--:Total Length.................... Total leaching area.--_._.._--------_-_sq. ft. 3 Seepage Pit No----- .............. Diameter.__8_..`6��__''"Depth below inlet_.-6.�.�0��__ Total leaching area-.�28._.___.sq. ft. Z Other Distribution box ( ) Dosing tank ) ~" Percolation Test Results Performed b .._ :- L IAM W. PERKINS MAY 24 19?3 � Y ................................-......................... Date.-- -.---•-----A.t...1----------- Test Pit No. L:.._. .......minutes per inch Depth of Test Pit.. 8 .......... Depth to ground water_ OIIEENCOUNTERE f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground watt€;:''._._.__ '4.: 3T LOAM &= STUBSLOIL O Description of Soil................... v 18" FINE ttvITH _S1;fn. TRACE OFT I,L --- .............................................. -•---•--------------------•--------------------------- -------------------------------------= 7211 GRAVEL & FINE SAND V Nature of Repairs or Alterations—Answer when applicable...................................................... ....... .. O Agreement: : i� ��t+ - g The undersigned agrees to install the aforedescribed Individual Sewage Disposal System if:: ccor the provisions of Article XI of the State Sanitary C°d1e I —The undersigned further agrees not to place the ystem in operation until a Certificate of Compliance een issued by the oa of gn , `� Si --------------------------- r D to Application Approved By..•. A --•- L�. / -------•------------- Date Application Disapproved for the following reasons------------------------••-•--------------•------------------------............................................. Date -711 PermitNo......................................................... Issued......• /- . -• . to ................... No...... .. L .._ _ FEB THE COMMONWEALTH OF MASSACHUSETTS F BOARD OF HEALTH . ............................................OF:...._.................,.....-_._.._..................................................... . ,��r1�r ��ian��r �i��1-; n�k� C��an�� i�n �rrnt� • _ r Application is hereby made for a Permit to Construct { ) or-Repair:( ,) an Individual Sewage Disposal System at AAr --- - # ion•Address � --� Lot No...... .. ^ ...----- ----••• ...... Owner Address a -- ...._....... .................................................. Installer Address U Type:of-Building , Size Lot.7TT LA_:....Sq.:feet Dwelling-XNo' of Bedrooms..... ...................:.----------------Expansion Attic ( ) Garbage Grinder (, ) a' .Other—Type of Building ............................ No. of ersons :^ _._._ Showers — �' p ( ) Cafeteria;•, ) Otherfixtures .........•----------------------- -------- --'------------------___..._•---------------- --_----- Design Flow..: ._............_ .____gallons per person per day. Total daily flow_. :5flflfl ....................dons. Septic Tank-' �,.- Liquid capacity-RQQ__gallons Length_.. '.'_._. Width _ _:____ Diameter____ _________,Depth _ ........ Disposal Trench ,; No Width __:___.Total Length____:_. Total leaching area__ sq. ft. .......- Seepage Pit No .. __ X_. Diameter._�_t .. .... Depth below,inlet_.. '` .: Total leaching area. ?g_____sq. ft. z Other.Distribution box ° ' Dosing tank ( ) Pere ation.Test Results Performed'.b T �IA.:._..�.t--- Date...- �•4_s 1973 a ' Test'Pit No. 1____ 4... per inch Depth of Test Prt: � ___..._.. Depth to ground water___Tfl�r��'�� (N7,14 c'L 2R_ wf; a. Test Pit No. 2.................minutes per;inch . Depth of Test Pit..' ... Depth to ground wate a ------------------ Description .............................. O of Soil__-_________ tr1flI�:S S�f'B�afl ZTR �n ------------- U .......................................I&ti PINE SAT�+?_•WITH � t��aTs TP�A��...�F �'�I�Ir ............................7 ......................................................... .................................. ............... _ U Nature of Repairs or Alterations Answer when applicable........................................ ru�. r ------ •----------------• Agreement •, 1 t s1'.J. i The undersigned agrees: to install the aforedescribed. Individual.Sewage Disposal System in accordance with the.provisior> of Article'XI-of the State Sanitary e—..'The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een is ed by e. ard,`of h n. -- - Application Approved By...... _" _ Date �� is 'A" lication Disapproved or the following '- PPf f 9 reasons: ;............. ...............• ..._ ................ - Hate - Z Permit No.. . ....................... Issued_... 7 ' THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH' r of .............. . :......................:OF.............::..................::.:....::..............................__.._....... To tf irtttr Of I T�mplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed g P �' (: •:) or Repaired ( . ) by , - -••-•---- -- ••. -•...............••-••------••-- " .' -Installer••- _ at !' --has been itistalled in accor ance wit a provisions of Artic o The State-Sanitary Code.as described in the application for Disposal Works Construction Permit No # •--••••------__--. dated............................... ---- •--....... THE. ISSUANCE OF THIS CERTIFICATE SHALL NOT BE`C�EI�UE® A GUARANTEE THAT THE SYSTEM MILL U C S TISFACTORY., -� ... . DATE.. ........... Inspect r. THE OMMONWEA'LTH. OF MASSACHUSETTS ' J''��- •� ,BOARD ,O ' HEA �' /f��..�''�""•'`�". ; . ., �} .............. O . ....._._ ..__.:..No......................... :FEE.........._.... �knt Permts"sion hereby granted --- --------------•--•--••••--•---• .......................................... to Construct ( ) or a•r 4 Ivtdu Sew ispo tem at No. �._. .... - --• -- -' . ?' ,r Street ' as shown on the application for Di posal Works Construction .Permit No Dated__________________________________________ �� -- •----- --- _____. _. ..... ' DATE....:.::.:. .. �-- t .---•-•••-•-• Board of Health FORM 125 HOBBS & WARREN. INC.. PUBLI HERS f• ..,: • fit:,,,:'� • ' �w U tsj 9-0 Dzv,� I1 � � yin fGi s' __ __ .�....._..._.-----•—' € a d _ _ a - 1 I 30 _.. _ C& ' c L _... z� 3 4 11.x A F Got ;Su�a — s� � Il7Il Al ;3• _ .. '_�!f 0�"nX�_ Z On ASA 20¢_W `L. W l..f (d 3 .�!.1'"_._.... __.:_.- .. __ _.-..— J � � 19<�tfit� �-.IQ � mod• � i :.2.._ `_� � D y � 1 CI � yy S v 5-4 5 2,0 r — P -...., CD `� N 3 T'0 P F �Q. tfLe_l C, ��.t-3i�1T79 APPROVED'BY: �p SCALE:�1� ( DRAWN BY L. .�- `0AH- Fs c`2 t�, —. sTt��6, rvR.� X DATE: f�• /8 . Q� M B 4 A-4 - i ID loutju ID de.'st. n Hyannis,MA DRAWING NUMBER _v _=G ��_a 1�� //_ _----. BARRYJONES-HENRY ARTIST/DESIGNER g; 4 r ED - - G { co I CIO PIP , t r._-- ., a { •70 f I ,4, `• i P 01 ! _A r' t- -7 7 { y r , A a P .S ra!Ur t- iflin5 �#�r` � 7 Cr j ( � 1' CC &'"f-}4,, LsAS!}�:�' Fc 7 tl f L. L_ 1 f} /Y1 d tPE7 . 14f AJ C, A�AA-,) 2 �„ - _ Zb l o By - - �i 7-0 _— •