HomeMy WebLinkAbout0016 JENKINS LANE - Health 16 Jenkins Lane
W. Barnstable P
A = 128 004006
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TOWN OF BARNSTABLE
L3!AtION 401AS AM. i-D T SEWAGE #
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VILLAGE &-J. (/t r ASSESSOR'S MAP& LOT "066
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY /On
LEACHING FACILITY: (type) � Q & isize)
NO. OF BEDROOMS .3
BUILDER OR OWNER�/ � CrMAl1
PERMIT DATE: COMPLIANCE DATE:
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 leachi g facility ) Feet
Furnished by�—rl SD e) �rC.
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COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
RECEIVED
OCT 10 2002
TOWN OF BARNSTABLE
TITLE 5 HEALTH DEPT.
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 16 Jenkins Lane
West Barnstable, MA 02668
Owner's Name: Wayne Sherman
Owner's Address:
Date of Inspection: September 28, 2002
Name of Inspector: (Please Print) James M. Ford
Company Name: James M. Ford
Mailing Address: P.O. Box 49 Map: 128
Osterville,MA 02655-0049 Parcel. 004-006
Telephone Number: (508) 862-9400
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
✓ Passes
Con 'tionally Passes
Needs Further Evaluation by the Local Approving Authority
Fail
Inspector's Signature: Date: October 1, 2002
The system inspector shall sub ' a copy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving
authority.
Notes and Comments
****This report only describes conditions at the time of inspection and under the conditions of use at that
time. This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page 1
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Page 2 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 16 Jenkins Lane
West Barnstable, MA
Owner: Wayne Sherman
Date of Inspection: September 28, 2002
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass" section need to be replaced or
repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please
explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
2
Page 3 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 16 Jenkins Lane
West Barnstable, MA
Owner: Wayne Sherman
Date of Inspection: September 28, 2002
C. Further Evaluation is Required by the Board of Health:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health,safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the
system.is not functioning in a manner which will protect public health,safety and the environment:
_ Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
_ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
_ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well". Method used to determine distance
"This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
3
Page 4 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 16 Jenkins Lane
West Barnstable, MA
Owner: Wayne Sherman
Date of Inspection: September 28, 2002
D. System Failure Criteria applicable to all systems:
You must indicate either"yes"or"no"to each of the following for all inspections:
Yes No
✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow
✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
of times pumped_.
✓ Any portion of the SAS,cesspool or privy is below high ground water elevation.
✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
✓ Any portion of a cesspool or privy is within a Zone I of a public well.
✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this form.]
No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large System:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd•
You must indicate either`yes"or"no"to each of the following:
(The following,criteria apply to large systems in addition to the criteria.above)
Yes No
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped
Zone 11 of a public water supply well
If you have answered`yes"to any question in Section E the system is considered a significant threat, or answered
"yes"in Section D above the large system has failed. The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304. The system owner should contact the appropriate regional office of the Department.
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Page 5 of I 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 16 Jenkins Lane
West Barnstable, MA
Owner: Wayne Sherman
Date of Inspection: September 28, 2002
Check if the following have been done: You must indicate`yes"or"no"as to each of the following:
Yes No
✓ Pumping information was provided by the owner,occupant,or Board of Health
✓ Were any of the system components pumped out in the previous two weeks?
✓ _ Has the system received normal flows in the previous two week period?
✓ Have large volumes of water been introduced to the system recently or as part of this inspection ?
✓ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A)
✓ Was the facility or dwelling inspected for signs of sewage back up?
✓ Was the site inspected for signs of break out?
✓ _ Were all system components,excluding the SAS,located on site?
✓ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition
of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ?
✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenance o subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes No
✓ _ Existing information. For example,a plan at the Board of Health.
✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance
is unacceptable)[310 CMR 15.302(3)(b)].
5
. Page 6 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 16 Jenkins Lane
West Barnstable, MA
Owner: Wayne Sherman
Date of Inspection: September 28, 2002
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: 2
Does residence have a garbage grinder(yes or no): No
Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required]
Laundry system inspected(yes or no): No
Seasonal use(yes or no): No
Water meter readings, if available(last 2 years usage(gpd)): Private well
Sump Pump(yes or no): No
Last date of occupancy: Currently occupied
COMMERCIAL/INDUSTRUL
Type of establishment:
Design flow(based on 310 CMR 15.203): Vd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):
Industrial waste holding tank present(yes or no)
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings,if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: Never Pumped per owner
Was system pumped as part of the inspection(yes or no): No
If yes,volume pumped: _gallons--How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
✓ Septic tank,distribution box,soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system(yes or no) (if yes,attach previous inspection records,if any)
Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Tight Tank Attach a copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information:
7116198
Were sewage odors detected when arriving at the site(yes or no): No
6
Page 7 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 16 Jenkins Lane
West Barnstable, M4
Owner: Wayne Sherman
Date of Inspection: September 28. 2002
BUILDING SEWER(locate on site plan)
Depth below grade:
Materials of construction: _cast iron _40 PVC other(explain):
Distance from private water supply well,or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
SEPTIC TANK: ✓ (locate on site plan)
Depth below grade: Approx. 12"
Material of construction: ✓ concrete _metal _fiberglass _polyethylene
_other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions: 1000 gtal.
Sludge depth: 1"
Distance from top of sludge to bottom of outlet tee or baffle: 30"
Scum thickness: 2"
Distance from top of scum to top of outlet tee or baffle: 10"
Distance from Bottom of scum to bottom of outlet tee or baffle: 12"
How were dimensions determined: Measuring stick
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
Tees were present. The liquid level wcu even with the outlet invert. There were no signs of leakage.
Recommend pumping every 3 years.
GREASE TRAP: None (locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _fiberglass _polyethylene _other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on Pumping recommendations,inlet and outlet.tee or baffle condition, structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
7
Page 8 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 16 Jenkins Lane
West Barnstable, MA
Owner: Wayne Sherman
Date of Inspection: September 28, 2002
TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan)
Depth below g-ade:
Material of cogq,"ction: _concrete _metal _fiberglass _polyethylene _other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: I Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: Even
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.):
The D-bcz wat level. Clean no solids present. No sio of backup or failure from leach field.
PUMP CHA I BER: None (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no)
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
8
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Page 9 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 16 Jenkins Lane
West Barnstable, AM
Owner: Wayne Sherman
Date of Inspection: September 28, 2002
SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching pits,number:
✓ leaching chambers,number: 2-500 gal, chambers per as-built
leaching galleries,number:
leaching trenches,number, length:
leaching fields,number,dimensions:
overflow cesspool,number:
Innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.):
The leach field was located but not dug up. No sign of failure in D-Box. Bottom to grade was approximately 6.
CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum JfIyer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no):
Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
PRIVY: None (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.):
h
9
' Page 10 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 16 Jenkins Lane
West Barnstable, MA
Owner: Wayne Sherman
Date of Inspection: September 28, 2002
Map:
Parcel:
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.
a
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a 30 3F
3 33 Yl
10
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Page 11 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 16 Jenkins Lane
West Barnstable, MA
Owner: Wayne Sherman T
Date of Inspe4on: September 28, 2002
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water feet
Please indicate(check) all methods used to determine the high ground water elevation:
_ Obtained from system design plans on record- If checked, date of design plan reviewed:
✓ Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:
Checked with local excavators,installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
The bottom of the leach pit to tirade was approximately 6'. Using Barnstable Topographic Map and water contours map. Maps
are showing app. 75'+/-to groundwater.
This report has been prepared and the system inspected and passed as of the date of inspection. This report is
not a warranty or guarantee that the system will function properly in the future. There have been no warranties
or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report.
11
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CERTIFICATE OF ANALYSIS Page. 1
Barnstable County Health Laboratory
Report Prepared For: Report Dated: 09/24/2002
Century 21 Cape Assoc. Order Number: G0217431
Susan Larson
938 Route 6A
Yarmouthport, MA 02675
Laboratory ID#: 0217431-01 Description: Water-Drinking Water
Sample#: 17431 Sampling Location: 16 Jenkins Lane W Barnstable MA Collected: 09/18/2002
ollected by: S Larson 004/006 Received: 09/18/2002
Routine
ITEM RESULT UNITS MDL MCL Method# Tested
LAB:IC Lab
Nitrates 1.8 mg/L 0.1 10 EPA 300.0 09/19/2002
LAB:Metals
Copper 0.1 mg/L od 1.3 SM 311113 09/23/2002
Iron <0,1 mg/L 0.1 0.3 SM 311113 09/23/2002
Sodium 16 mg/L 1.0 20 SM 3111B 09/23/2002
LAB: Microbiology
Total Coliform Absent P/A 0 Absent P/A 09/18/2002
LAB: Physical Chemistry
Conductance 170 umohs/cm I EPA 120.1 09/19/2002
pH 6.6 pH-units 0 EPA 150.1 09/19/2002
Note: Water sample meets the recommended limits for drinking water of all above tested parameters.
Approved By: �.�
(Lab Directs
S-I�,00 Z
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Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
�4 Page:
CERTIFICATE OF ANALYSIS
A Barnstable County Health Laboratory RECEIVED
Report Prepared For: Report Dated: 2/5/2004
Order Number: GE 0959 2004
John W.Ferine TOWN OF
16 Jenkins Lane AR
HEALT NST48LE
H
W.Barnstable, MA 02668 DEPT.
Laboratory 1D#: 0424095-01 Description: Water-Drinking Water_
Sample#: Samoline Location: 16 Jenkins Lane,W.Barnstable Collected 1/27/2004
Collected by: Customer Received: 1/27/2004
Routine
ITEM RESULT UNITS MCL Method# Tested
LAB:IC Lab
Nitrates 0.9 mg/L 10 EPA 300.0 1/29/2004
LAB:Metals
Copper 0.3 mg/L 1.3 SM 3111B 2/5/2004
Iron <0.1 mg/L 0.3 SM 3111B 2/5/2004
Sodium C -:16 mg/L 20 SM 3111B 2/5/2004
LAB:Microbiology
Total Coliform A P/A Absent 309 1/27/2004
LAB:Physical Chemistry
Conductance 155 umohs/cm EPA 120.1 1/27/2004
pH 6.6 pH-units EPA 150.1 1/27/2004
Note: Water sample meets the recommended limits for drinking water of all above tested parameters.
Approved By: 0"9
( Director)
3
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Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
TOWN OF BARNSTABLE
LOCATION J4 Te-A t h- LO SEWA E #
VILLAGE 6t r t��-��a i.� }ASSESSOR'S MAP & LOT 11 8 6001-604
INSTALLER'S NAME&PHONE NO. 4t"e. -7-)E' ,-M
SEPTIC TANK CAPACITY 1000 "
LEACHING FACILITY: (type) 14'90 C A aM ikr-$ (size) 5000.4 )
NO.OF BEDROOMS o/
BUILDER OR OWNER /!4��A� i S
PERMTTDATE: - 11092 COMPLIANCE DATE:
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
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TOWN OF BARNSTABLE
LOCATION I� .1c� )K+ n S La SEWAGE
VILLAGE G ar'mhab IQ ASSESSOR'S MAP & LOT J -OOy-W6
INSTALLER'S NAME&PHONE NO.VJ,t .9 h:`ntn -76
SEPTIC TANK CAPACITY 1000
LEACHING FACILITY: (type) 4-1G C h e.rn Jw tJ (size) _ 45c)
NO.OF BEDROOMS
BUILDER OR OWNER YA IcAn S
PERMIT DATE: Ill b)q.7 _COMPLIANCE DATE:
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
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No. / `7 ��.' Fee $5 0 .0 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓/
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpplication for Migogar *pgtem Congtruction Permit
Application for a Permit to Construct( )Repair(x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 16 Jenkins Ln Owner's Name,Address and Tel.No. 4 2 8—4 9 3 9
Assessor'sMap/Parcel W Barnstable MA Costas Yalanis 16 Jenkins Ln
W Barnstable 0266
Installer's Name,Address,and Tel.No. 7 7 5_8 7 7 6 Designer's Name,Address and Tel.No.
W E Robinson Septic Sry
P O Box 1089 , Centerville 02632
Type of Building:
Dwelling No.of Bedrooms 2/3 Lot Size sq.ft. Garbage Grinder(no)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
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 xxxxx clay
Nature of Repairs or Alterations(Answer when applicable) Title 5 Leaching consisting of
2 H2O precast leaching chambers (deep system)
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 thi Bo of Health. ,
Signed , Date
Application Approved by z Date 7-4—
Application Disapproved for the following reasons
I
Permit No. a Date Issued :2—ler
No. Fee $50 00
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes PUBL HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
01pplication for Miqool *pStem Conttruction Permit
V
Applicaiionfor a Permit to Construct )Repair(X)Upgrade( )Abandon( ) El Complete System 11 Individual Components
Location Address or Lot No. 16 Jenkins Ln Owner's Name,Address and Tel.No. 4 2 8-4 9 3 9
Assessor's Map/Parcel W Barnstable MA Costas Yalanis 16 Jenkins Ln
r- co., - Barnstable 0266 �/ W1.
Installer's Name,Address,and Tel.No. 7 7 5-8 7 7 6 Designer's Name,Address and Tel.No.
I ERE Robinson Septic Sry
� P 0 Box 1089, Centerville 02632
Type of Building:
Dwelling No.of Bedrooms 233 Lot Size sq. ft. Garbage Grinder(no)
Other Type of Building No.of Persons Showers Cafeteria(
Other Fixtures
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 mandx clay eb'
Nature of Repairs or Alterations(Answer when applicable) Title 5 Leaching consisting of
2 H2O press*! leaching chambers (deep system)
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 thi Bo,4d of Health
Signed
Date
_/� , j - 1
'Application Approved by j;;c _.e Date 7ne!K 2oe�
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Application Disapproved for the following reasongo"
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Yalanis Certificate of (Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Repaired (XX) Upgraded
Abandoned( )by
at 16 Jenkins Ln, W Barnstable has been constructed in accordpce
with the provisions of Title 5 and the for Disposal System Construction Permit No. !R?-Zr7t< dated 7 IK-"
Installer R Robinson Sr Sepi- Sry Designer I
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date ::7 - 11 Inspector
—————————————————— ———---—— -
No. - Fee $50 00
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BAR NSTABLE., MASSACHUSETTS
Yalanis Miooal *P-5tem Construction Permit
Permission is hereby granted to Construct Repair(x )Upgrade Abandon
System located at 16J Jenkins Ln
W Barnstable
Installer: W E Robinson Sr Septic Service
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 within three years of the date of this pe p4it.I,Date: 7—//
Approved by
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, William E. Robinson, Sr. ,hereby certify that the application for disposal works
construction permit signed by me dated �--&G `2 2i� concerning the
property located at 16 Jenkins Lane,W Barnstable, meets all of the
following criteria:
* There are no wetlands 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 with 250 feet of any wetlands,the bottom of the
proposed leaching facility will not 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) — F�
B)Observed Groundwater Table Evaluation(according to Health Division well map)
SIGNED: �� J ✓ DATE
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 20-1998
(Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted).
I f
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!� . ✓��iNs �i� 1
• TOWN OF BARNSTABLE
LOCATION L.o _�'-PL +Is Cq ke SEWAGE #
VILLAGE ASSESSOR'S MAP 6z LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (-ewe+" 1p } (sue) GO0
NO. OF BEDROOMS PRIVATE WELL R PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED: 1'2- z I - �9
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................ ...04�.......oF.......�' :-N..`. -Z' ............................
Apphration for Binpoii ai Works Tonitrnrtion V, rruti#
Application is hereby made for a Permit to Construct (Y) or Repair ( ) an Individual ,Sewage Disposal
System at:
..............-- -----------------------------------------
J� Location-Address Ior t
'n - ...................................
Owner Address
---------------------------------------------••--
Installer Address
U Type of Building Size Lot____T.J� J Sq. feet
Dwelling—No. of Bedrooms_.....3.................................Expansion Attic Garbage Grinder- VO)
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ._................................
W Design Flow..............................5.:3 gallons per person per day. Total daily flow........_.____.__..____.3.3�.......gallons.
WSeptic Tank—Liquid capacity.100---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..........................................
aTest Pit No. 1......__..2minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
....--- --•-••------ -••--•-•--- .. ..............{.__---•---------••---.......-•-•--•---....-----•--•----•------••--------------------•---.
Description of Soil Q.:.�...�: .........
.. j�V - ------------ ---------------------------
v --- -------- -1._:. ��........•.�= �� 4,' �M .......--•,- -------------------------•••..............
W ..........................-.............................................................................................................................................................................
UNature 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 TITf..i� 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been�issued by the board of health.
Signed---..... cely................................. ....... -----------
Application ate
A roved B ...._.._.._
PP Y Wit'•-._'> -•-•---------------------------
`•„ Date
Application Disapproved for the f o lowing easons:_...
.........................-••------........--•-•....-••------------------------------.......---•--••--•----------------•--•-•---•-----•---•---•--•----•••-•-•--••-•---••------••---•--•-•••------------
Date
L'
PermitNo.....�..�............,1...-- Issued_.......................................................
Date
rr •::, i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..---- --...�G.cN.!J.......OF...... -/+,1..�....7�'.�'._/I-:��...............................
Appliratiou for Disposal Works Tonstrurtiun Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
..f:...:1: d f ...... f n��.. .............. .
Location
Owner ................Address ......------...._........................
a n Address o t�No:
- 't-t . !l/ --------
Installer Address
Q Type of Building Size Lot..._t:3..7 I Sq. feet
U Dwelling No. of Bedrooms_______ ________•__-_.-_-_.. .. _Expansion Attic (''1G) Garbage Grinder (i1G)
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures - ----------------------------------------------------------------------------------- ------------------- -••-••..............---..............
Q ...---- .__..._gallons.
W Design Flow.................................. -,-..gallons per person per day. Total daily flow........................ ga �I
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...................
44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 •---•--•••---•----....-•-•--•-•••••-----••...............•-••••--------.............---•------.._..........--•-•----••----•-•••----•-•----•-.._...........•.
O Description of Soil........... = `= ��- -�!A.4 �t
- --------------•-----------------------------------
W
x •---------------------•---------•---._..---•-----•--------------------------•---------•--•-•-------------------------------------•----------•-•------•-----•--------•-----•---••-•-•---•------....--•-•-
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 TITU 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certiiicate of Compliance has been issued by the board of health.
Signed------F�I'T....... f ................................................... ................................
'Date
Application Approved By............. -_ . -• �_Lti ....... ........Xs�-- X. S
Date
Application Disapproved for the f o,lowin easons--------------•---•-----------•------•-•----------------•----•••••-------••-------------------------..........---
Date
Cr
Permit No.... . .. . , Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........�FJtJ�h .........OF............. #� :.+ .�� .1`.:. :.........
Trrtifiratr of Tuutplia are
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( k) or Repaired ( )
by.. .. e.L............................................• -
. Installer ! -'
atat.-•---•... �' -'---• -------- ! ...•------� ._....r.-! Ins
.......... ... fi �=-�7���a....................................
has been installed in accordance with the provisions of 111 T� 5 of The State Sanitary Code as described 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 P NCT , N SATISFACTORY.
DATE...--... - ... �.P r......._..••------------------------- Inspector-- ..-A
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
(/���)//, 7ll,// i rJ......0 F.......... .: ." "< -.(...................
No. - -= -- _---•-- FEE...
Disposal Works Tnnu#rttr#iun Prrutit
Permission is hereby granted....... r.... . 3-. '' - = !l`
to Construct (y) or Repair ( ) an Individual Sewage Disposal System
..-.-.---- ...........7 -----•----•---------------------------------------------------
• Street
as shown on the application for Disposal Works Construction Per 't No.l _:7z__-- Dated...... .................................
-1 --• •- -
Boarri of Health
DATE------------ ------------------------ .......................................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
No. -��----- -��- Fees==--------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Applitation-*rlftl Con5truct ion Permit
Application is hereby made for a permit to onstruct ( Alter ( ), or Repair ( )an individual Well at:
� � , f r !' g
GS�---1__------/'jV" e r —�u ......j_N N` 1 iJ — 11_ `� y— — P-C'---`S- �'1_-`3�---------------------------
I' Location — Address Assessors Map and
Parcel/
�e_ve%1, .e,7- -Ca-�! —
Owner Address
/
A.S�4NNe >llr-e_l_-- ---ll w _ ^' _
Installer — Drill e Address
Type of Building
Dwelling--- °us C
Other - Type of Building --— -------------------- No. of Persons-----------------------------------------------------
Type of Well--y��P`'-e, - ;— - -- -- —- - Capacity------------------
-------------------------------------------------
Purpose of Well-AW 1e EL---------------------
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 Com I nce has been issued by the Board of Health.
Signed '"` c S� 1 �__- - - - - - —// JD
date
Application Approved B
J
Application Disapproved for the following reasons:--------------------------------------- ------------------
----------------------------------------------------------—------------------------------------------------------------------------------------—--------------------------
f date
Permit No.------lJ �- F Issued- -��� �' — - ---------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate ®f Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( 1
-----------------------------------------------------------------------------------------------------
Installer
at-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
has been installed 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—----------------------------------------------------------------------------
Gf
No. - — � Fee------ ------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zippfitat ion-for lVell Conkructionj9ermit
Application is hereby made for a permit to Construct Alter ( ), or Repair ( )an individual Well at:
------------------------------------------------------------ --------------------------
Location — Address Assessors Map and Parcel
r. lair.,/'/iv/ e C o pX -S ` n
L � j
a_--- -
Owner f Address
I�_JL4.vn,C f r�C ! 1 !��(_�- I"�� �G,�OX �60
Installer — Dnlle Address
Type of Building
Dwelling
Other - Type of Building----------------------------------- No. of Persons----------------------------------------------------------
Typeof Well- -- `' ------------------------------------ Capacity ----------------------------------------------------------------
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 of Com li nce has been issued by the Board of Health.
Signed. JZho jf l-----------
�� date
Application Approved By----------_____________________
�� 2- --------------------------- -------
ate
Application Disapproved for the following reasons:-----------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------ ---------------- -----------------------------------------------------------------------
date
Permit No.----- ��--�----------------------------- Issued---------------- -r Z � - -----------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate ®f 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 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 7,
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-------------------------------------------------------------------------------------- Inspector----------------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Yell Con5truct ion permit
No. --`----�-- Fee--- ----��-�--_
Permission is hereby granted---� ------=- =-------------------- --------------�� ----------��i__ s '�'' - ,�t�-------------------------------------
to Constr ct (11),'ter ( )�or Repair ( ) an Individual Well #t: 1�
No. - - s ------- � -"'� �'11eJ/'_i?J�_
Street
asjshown on the application for a Well Construction Permit
No.--------/A /---- —��`' s `------------------------------------- Dated------------��f � � q----------------------------------- --
------------------------------------------
c7 ' C Board of Health
DATE------------ - - -------------------------------------------
nra 3 �
BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT
VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS
Client : GREENBRIAR DEVELOPMENT CO Collection Date: 11/21/89
Mailing Address :ROUTE 28 Date of Analysis : 11/27/89
CENTERVILLE, MA 02633 Type of Supply: WELL
Well Depth (FT) : 100
Telephone :
Sample Location:LOT #4 PIONEER PATH, WESTLAT. (DDMMSS) : Not Given
BARNSTABLE LONG. (DDMMSS) : Not Given
Collector: SEAN O' BRIEN Map/Parcel :
Affiliation: BCHED
Analytical Method: 502 . 1=1 , 502. 2=2 , 503 . 1=3 , 504= 4 , 601/602=5
Contaminants Anal . Result MCL Detection
Meth. ug/1 ug/1 Limits (ug/1)
------------------------------- ------------------------------------
Benzene 1 0 . 20 5. 0 0 . 5
Bromodichloromethane 1 3 . 00 0 . 5
Chloroform 1 190 . 00 0 . 5
Dichloromethane (Methylene Chloride) 1 0 . 20 0 . 5
Tetrachloroethvlene 1 0 . 50 0 . 5
0 . 5
0 . 5
Only those compounds listed above were detected . Attached is a list of
chemicals which the method is capable of detecting .
Detection limits listed are our normal limits of detection.
If we report a smaller result , then our detection limit was lower
for that analysis (ug/l = micrograms per liter = Parts Per Billion)
The Environmental Protection Agency has set Maximum Contaminant Levels
(MCL) for the following compounds . This sample compares as follows :
COMPOUND MCL (in PPB)
Benzene 5 . 0 * level not exceeded *
Carbon Tetrachloride 5 . 0 * level not exceeded *
1 , 2-Dichloroethane 5 . 0 * level not exceeded *
1 , 1-Dichloroethene 7 . 0 * level not exceeded *
1 , 4-Dichlorobenzene 75 * level not exceeded *
1 , 1 , 1-Trichloroethane 200 * . level not exceeded *
Trichloroethene 5 . 0 * level not exceeded *
Vinyl Chloride 2 . 0 * level not exceeded *
Comments or additional compounds found:
• �• GYM`�l./L�
Bernard• E :B ` tel-S,Ph . D aboratory Director
i
FM raw`r""•".+Sa'°`x.Yr!+y`„s':'_'Ft"`w°4.:??"•1.-:�?+,..4•..:fw�+*an. r. A•.e-,...i.,,yT7:y rl,4n.. � ,,1,:-r � �, ��n �,�,.,45 3k' ,�_ .� r.•,"4�{.; d,.y nt q ,:�AN�6vR, ' 1!y;." '}�'
Log Number: Bottle # BC217A Date: flov • 4 , 1989
sa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
.,� SUPERIOR COURTHOUSE
O
BARNSTABLE, MASSACHUSETTS 02630
V
�iAMP DRINKING WATER LABORATORY ANALYSIS PHONE:362-2511
Ext. 337
Client: D. A. Scannell Collector: Sean O ' Brien
3 Mailing Address: P . 0.' Box 760 Affiliation:
Aashpee , MA 02649 Time & Date of
Collection.: 11/30/89 12 : 00 Noon
Telephone: 477-2811 Type of Supply: vie I I
Sample Location: Lot G Pioneer Path Well Depth: , UZ I
s_ W. Barnstable , MA Date of Analysis: 11/3U/89 1 : 40 p .m.
a4
PARAMETER j SAMPLE RESULT_ RECOMMENDED LIMITS
Total Coliform Bacteria/100 ml 0 0
pH 6 .6
Conductivity (micromhos/cm) 1 a1 500.0
Iron ( m) < • 1 0.3
Nitrate-Nitro en ( m) 10.0
n-
Sodium ( m) 21 20.0
I . Water sample meets the recommended limits for drinking of all above tested parameters.
II . X X Based only on results of the parameters tested for this sample, the water is
suitable for drinking but may present the problems checked below:
A. Water sample has higher than average levels of Nitrate. Future monitoring is
recommended (2-3 times per year) to establish any upward trends.
B. The low pH of the water may shorten the useful life of the house's plumbing.
C. Water may present aesthetic problems (taste, odor, staining) due to
D. X Water sample has high levels of sodium. Persons on low sodium diets should
consult their doctor.
III. Due to one or more of the reasons checked below, this water sample is unfit for
human consumption: A. High Bacteria B. High Nitrates
REMARKS:
CC: Barnstable Board of Health
CC: Greenbriar Dev . Corp . ' ''�'
� �7�85 Laboratory Director
F
Explanation of Test Results
Total Coliform Bacteria
Coliform bacteria are an indicator of the sanitary quality of a water supply. Water'supplies may .become
contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero
indicates that your water supply is safe and approved for human consumption. A total.coliform count of greater than Q
zero is most often the result of accidental contamination of the sample bottle through improper sampling methods.
For this reason, it would be advisable to retest anv well eater that is not approved.
PH
pH is the measure of acidity oralkalinitvof the water. On the pH scale,the number 7 is neutral,less than 7 is acidic
and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5.
Conductivity
Conductivity is a measure of the dissolved salts in solnxion. Amounts in excess of 500 micromhos/cm are generally
considered unacceptable and may have'a laxative effect upon users.
Iron
The presence of iron in water in concentration of .3 ppm or greater may: give.the water a bittersweet astringent
taste,'cauw an.unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain.
The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may
cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron
removal system.
Nitrate-nitrogen
The Massachusetts Drinking Water Regulations havc set a maximum contaminant level for.nitrates at 10 ppm.
Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form
potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes.
Copper
Due to the acidic nature of the water on Cape Cod, copper tends to leach from.pipes. This,normally does not
present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a
bluish-green stain on porcelain fixtures.
Sodium
A concentration of sodium over_20 ppm is only of concern to people who are on a low sodium diet. If the water
supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking
water or contact their doctor to determine if consuming the water is advisable.._,Concentrations.exceeding 50 ppm
indicate that there may be ocean water or road salt runnff.water getting:into the well.,.
BARNSTABLE COUNTY HEAI..TH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT
VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS
Client : DENNIS A. SCANNELL Collection Date: 11/30/89
Mailing Address : P . 0. BOX 960 Date of Analysis : 12/01/89
MASHPEE , MA 02649 Type of Supply.: WELL
Well Depth (FT) : 122
Telephone : 477-2811
Sample Location: LOT #4 PIONEER PATH, WEST LAT. (DDMMSS) : Not Given
s� B:ARNSTABLE LONG. (DDMMSS) : Not Given
Collector : SEAN O ' BRIEN Map/Parcel :
Affiliation: BCHED
Analytical Method: 502 . 1=1 , 502 . 2=2 , 503 . 1=3 , 504= 4 , 601/602=5
Contaminants Anal . Result MCL Detection
Meth . ug/1 ug/l Limits (ug/1)
------------------------------- ------------------------------------
Chloroform 1 20 . 00 , 0 . 5
Only those compounds listed above were detected. Attached is a list of
chemicals which the method is capable of detecting.
Detection limits listed are our normal limits of detection.
If we report a smaller result , then our detection limit was lower
for that analysis (ug/l = micrograms per. liter = Parts Per Billion)
The Environmental Protection Agency has set Maximum Contaminant Levels
(MCL) for the following compounds . This sample compares as follows :
COMPOUND MCL (in PPB)
Benzene 5 . 0 * level not exceeded
Carbon Tetrachloride 5 . 0 * level not exceeded
1 , 2-Dichloroethane 5. 0 * level not exceeded
1 , 1--Di.chloroethene 7 . 0 * level not exceeded
1 , 4-Dichlorobenzene 75 * level not exceeded
1 ,.1 , 1-Trich1oroethane< 200 * level not exceeded
Trichloroethene 5 . 0 * level not exceeded
Vinyl Chloride 2 . 0 * level not exceeded
Comments or additional compounds found:
Bernard E .' Bar s , Ph Laboratory Director
+
cc Greenbriar Development Corp .
Department of Environmental Management/Division of Water Resources
WATER WELL COMPLETION REPORT Af
WELL LOCATION K GEOGRAPHIC DESCRIPTION
AddressjT ?CN e,aS L.y
Q S E W of
(feet) (circle)
City/Town L, //tom.. Te..,�`eN_C LN
Well owner 6J-"N/�iltr lJr✓e/wy0/4r. (o•/� hoed)
Address po Bey( S/0 N S d) W p0�.
(mi.in tenths) (circle);
_�/°^'per &
Board of Health permit: yes Er no ❑ intersect. w/ (road)
WELL USE WEL"'L:DATA
;1 Domestic Public❑ Industrial ❑ Totalt well depth ft.
Moniitoring ElOther Depth to bedrock—ft.
Water-bearing rock/unconsolidated material:
Method drilled
// Description
Date drilled����L�
Water-bearing zones:
CASING 1) From To
Type S'c:� �o po c.
�' r1 2) From To
Length_ft. Dia(.I.D.) �� in..
3) From To
Length into bedrock—ft.
Gravel pack well: dia.
Protective well seal:
Screen: dia.
i
1: Grout-Er Other Slot lengthy_from
PUMP TEST ,�
Static water level below land surface ,�'6ft. Date Z/%4 �&
Drawdown Jj ft. after pumping fir. min.at �� 9Pin.
How measured /t' Recovery '�� ft, afterhr. min.
LOG of,FORMATIONS COMMENTS
c ,
Materials From To-
;N x
Loo/Se r�L, ��k Driller z �
Mt �i�4v Q64, Mass. Registration +,..�� m
iti! Firrn-OA-E& .+.c.[f�✓2511�Q'i �rrr` !/^'�'° ` °"p.,
r Address, b •lJcu 7�a1 t .` r
1,1A
tt t J"1 f
_.5'nature.of.supervising re atemO well�d/ller �y
i
Please Print firmly '
BOARD OF HEAL TH COPY
a �
_..,_._..n.N _.w„s "uei•��',Y kticz+S..;4a' "a+r'-1ce`. ;e.rYr .
F -.... � �r.....,a,+«..ter...+:-'"'...Y.-.p.•*�..t:,dKy .h.ck....�_ ..cv.�, wt�..%.:rv0:.i ..4i� .rt�'t .�i �,.,.�,..�,4,.;v,z,�C,�•,....RY--'-.,.:.sr•...w'.r..,..,x�s,y....y..,a.�,t - .,�„a+-r`.«P+e:-.,,.
Log Number: Bottle # BC598 Date: Nov. 24, 198�
BA n
�pfc R,�, � J sa BARNSTABLE COUNTY HEALTH.AND ENVIRONMENTAL DEPARTMENT
7 .1' SUPERIOR COURT HOUSE
v " BARNSTABLE, MASSACHUSETTS 02630
x �lAs`✓ DRINKING WATER LABORATORY ANALYSIS PHONE:362-2511
Ext. 337
Client: Greenbri ar Devel opmentCollector: Sean 0 ' Br i en
_ Mailing Address: Route 28 Affiliation: other
Centerville , MA Time & Date of
02G33 Collection: 11/21/89 1 : 50 p .m.
Telephone: Type of Supply: well
Sample Location: Lot 4 Pioneer Path Well Depth:
West Barnstable , MA Date of Analysis: 11/21/89 2 : 25 p .m.
PARAMETER SAMPLE RESULT RECOMMENDED LIMITS
Total Coliform Bacteria/100 ml 0 0
pH 6 .7
Conductivity (micromhos/cm) 162 500.0
Iron ( m) . 0. 3 0.3
Nitrate-Nitro en ( m) 0 . 1 10.0
Sodium m) 2 3 20.0
I . Water sample meets the recommended limits for drinking of all above tested parameters.
II . XX Based only on results of the parameters tested for this sample, the water is
suitable for drinking but may present the problems checked below:
A. Water sample has higher than average levels of Nitrate. future monitoring is
recommended (2-3 times per year) to establish any upward trends.
B. The low pH of the water may shorten the useful life of the house's plumbing.
C. Water may-present aesthetic problems (taste, odor, staining) due to
D. X Water sample has high levels of sodium. Persons on low sodium diets should
consult their doctor.
III. Due to one or more of the reasons checked below, this water sample is unfit for
human consumption: A. High Bacteria B. High Nitrates
REMARKS:
CC: Barnstable Board of Health
117185 Laboratory'Director
Explanation of Test Results
Total Coliform Bacteria
Coliform bacteria are an indicator of the sanitary quality of a water.supply. Water':supplies. may become 4
contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero
indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than
zero is most often the result of accidental contamination of the sample bottle through improper sampling methods.
For this reason, it would be advisable to retest any well water that is not approved.
pH
pH is the measure of acidity oralkalinityof the water. On the pH scale,the number 7 is neutral,less than 7 is acidic
and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5.
Conductivity •
Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally a
considered unacceptable and may have a laxative effect upon users.
Iron
The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent •"
taste, cause an.unpleasant odor. often gives the water a brownish color and cause staining.of laundry and porcelain.
The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may
cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron
removal system.
Nitrate-nitrogen
The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm.
Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form
potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes.
Copper
Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not
present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a
bluish-green stain on porcelain fixtures.
Sodium
A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. 1f the water
supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking
water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm
indicate that there may be ocean water or road salt runoff water getting into the well:
BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT
VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS
Client : DENNIS A. SCANNELL Collection Date: 11/30/89
Mailing Address : P . . O. BOX 960 Date of Analysis : 12/01/89
MASHPEE , - MA 02649 Type of Supply: WELL
Well Depth (FT) : 122
Telephone : 477--2811.
Sample Location: LOT 44 PIONEER PATH , WEST LAT. (DDMMSS) : Not Given
BARNSTABLE LONG. (DDMMSS) : Not Given
Collector : SEAN O ' BRIEN Map/Parcel :
Affiliation: BCHED
Analytical Method: 502 . 1=1 , 502 . 2=2 , 503 . 1=3 , 504= 4 , 601/602=5
-------------------------------- ------------------------------------
C_ontaminants Anal . Result MCL Detection
Meth. ug/1 ug/l Limits (ug/1)
------------------------------- ------------------------------------
Chloroform 1 20 . 00 0 . 5
Only those compounds listed above were detected. Attached is a list of
chemicals which the method is capable of detecting.
Detection limits listed are our normal limits of detection.
If we report a smaller result , then our detection limit was lower
for that analysis (ug/1 = micrograms per liter = Parts Per Billion)
The Environmental Protection Agency has set Maximum Contaminant Levels
(MCL) for the following compounds . This sample compares as follows :
COMPOUND MCL (in PPB)
Benzene 5 . 0 * level not exceeded *
Carbon Tetrachloride 5 . 0 * level not exceeded *
1 , 2-Dichloroethane 5 . 0 * level not exceeded *
1 , 1-Di.chloroethene 7 . 0 * level not exceeded
1 , 4-Dichlorobenzene 75 * level not exceeded *
1 , 1 , 1-Trichloroethane 200 * level not exceeded *
Trichloroethene 5 . 0 * level not exceeded
. . Vinyl Chloride 2 . 0 level not exceeded
Comments or additional compounds found:
Bernard E .' Bar s ' Ph Laboratory Diroctor.
+
cc Greenbriar Development Corp .
. ,pO�O
NOTES: C�'� INTERCHANGE
' 5
-- -' 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. S�AgLE RD
20' MINIMUM OR As INDICATED ON PUN TITLE 5 • THE TOWN OF __aABNSIAB_�E RULES AND LLE�W' BARN
f11 pcTERVi I REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; WHITE BIRCH WAY
10' MIN. AND THE REQUIREMENTS OF THIS PLAN.
x to• MINIMUM PIONEER PAT
2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO LOCUS
{ eACKFILL WITH cc2.O WITHIN 12" OF FINISHED GRADE.
I, T.O. FOUNDATION 8' MIN. CLEAN SA WO CLEAN
"
,i'o —IDS �5 ' MASONRY 3 SHAMLBENRY MORTAITS REDUtNED TO PLACE. RING COVERS TO GRADE ODSID
Nsl 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE
PITCH 4' SCH. 40 PVC PIPE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR
I 1/4- PER FT. ri MIN. PITCH 1/8' PER N <v
3 MIN. 2, U, WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADINGER OF
P QQ
FLOW LINE 1/8" - 1/r SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR R v
10" PARKING.
STONE WASHED �j�PGE p
.� � pL0
s-o- a 5. CAST IN PLACE CONCRETE TEES ARE SPECIFICALLY DISAPPROVED.
.- 2' MIN LEVEL
i
SANITARY TY'S WHERE INDICATED ARE REQUIRED.
LIQUID (a2.2 G2.O 3/4- — 1 1/2
LEVEL WASHED STONE l
DISTRIBUTION 6, EFFLUENT PIPING FROM DISTRIBUTION BOX SHALL ENTER LEACH PIT
BOX THROUGH SIDEWALL OR TOP ONLY. ENTRANCE THROUGH MASONRY LOCATION MAP
W 5Z'a EXTENSION WILL NOT BE ALLOWED.
7. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED
1 I Cy00 GALLON SEPTIC TANK
RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL
1 IZI J ' OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY.
SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF TEST HOLE -4f,0 1 8. HORIZONTAL AND VERTICAL CON�50L, SEE LEVY, ELDREDGE
NOT TO SCALE v
k OR USGS PROBABLE HIGH WATER LEVEL & WAGNER FIELD NOTEBOOK
To 4' FjF►-L>W I'�e�'D 5 I� �T'/�GktC i UT ,
ANC, tF NUJ WaTI �. 4;> Frsc�auNTrr°a, DESIGN CALCULATIONS
CURRENT ZONING INTERPRETATION:
SiIll,LL I t LL FX U\VAC Ic^� -rb 1jE:.07TOMA csr �
'FA--lLrrY W ITN C I'l Olt• �.(L - MIN. FRONT SETBACK -o FEET NUMBER OF BEDROOMS 3
i
KwIr1� q "PC' C. 1'�.TE oP 4. 2 1II`.i- /I� MIN. SIDE SETBACK 15 FEET GARBAGE DISPOSAL UNIT NON
MIN. REAR SETBACK I� FEET TOTAL ESTIMATED FLOW
L ( 110 GAL./BR./DAY X 3_ BR.) 330 GAL. /DAY
i REQUIRED SEPTIC TANK CAPACITY ` �GAL.
` ACTUAL SIZE OF SEPTIC TANK +occ GAL
trTl\l<xx3TLof iTC:x3R.
LESIDEIWALL AREA REQUIREMENTS25 GAL./S.F.
t
PERCOLATION SOIL TEST BOTTOM AREA �_o GAL./S.F.
LEACHING CAPACITY (BOTTOM + SIDEWALL) ` `�O GAL.
V %��:�� /I ;� `` ,i j, ✓� l` i� � DATE OF SOIL TEST 7-z4 - 8� 2IT( IZ /2)( ` - )(2.5) +7T ( 12. /2)' (1.0) q~'a GAL.
, , , / / r !.. .. 1 1 r '- WITNESSED BY Eti1►-111-1Cx ` •73C�(c RESERVE LEACHING CAPACITY
, / , '� 2� �. i ` \ ` SAME
r , PERCOLATION RATE MIN./INCH
A0 Q'RA r
W O �,' r r 70 / I , ;v i ' ` i i i �\ `�\ 1 Ayr""E /
w W o o, / , / I �\ ,1�\ OBSERVATION HOLE 1 OBSERVATION HOLE 2
0 ,' ,` /� ✓ / n ; i I 70 ` I '. RI 60 r � �• I /� / ELEV.= '15.0__ ELEV.=------
a r 11 l l l ✓ f ,I , (T.I I I �� �., 0.00 0.00
/ b'dT/ 4
/ BREAKOUT CALCULATION: F:L • ,�•`�
43,17�9 �sq% f�t.t � (7�
�► 1, I I I I v I I r, � �, �� _29.38
( A
LEGEND:
so
�` ''���'� �����•� �`- / ; > �____ 60 EXISTING SPOT ELEVATION OOXO
t 0� EXISTING CONTOUR-------00---
0D FINAL SPOT ELEVATION 00.0
� c�r`� �•- ! CoI,O FINAL CONTOUR
WO WATER AT ELEV.-------- WATER AT ELEV.- SOIL TEST PIT LOCATION------ 'p
?�\ - --- -/
; 70 . \� �____--- 70 TOWN 'WATER W W
SEPTIC TANK O
f tee, DISTRIBUTION BOX ❑
7 -X �_ �� WATER LEVEL ADJUSTMENT: ►�li,�
PRIMARY LEACHING PIT 0
'\ RESERVE LEACHING PIT JR
_ _ - L TEST DATE — WATER LEVEL
INDEX WELL io- a-S'D iAovF� bUlUX,,X1 pFF CUI.DtT t�llS
0� ..
- - ```` + DEPTH TOWATER VWATER ZONE
FOR INDEX WELL 1 `J-z�_B� INITIAL ISSUE a+`-�L-
I 4-100 NO. DATE DESCRIPTION BY
(Sp- �, - I �\ FOR THIS MONTH ,
4. F� 3+00 , _.. _ _ SITE PLAN & SEPTIC DESIGN
NE WATER LEVEL ADJUSTMENT
70
DEPTH TO HIGH WATER — LOT 4 JENKINS LANE
IN
A
BARNSTABLE, MASSACHUSETTS a
FOR
k s ' GREENBRIER DEVELOPMENT CO. INC. {
i APPROVED: BOARD OF HEALTH SCALE: 1" = 40' JOB NO. 1120 / 1120-4
SITE PLAN
LEVY, ELDREDGE & WAGNER ASSOCIATES INC.
DATE AGENT ENGINEERS LANDSCAPE ARCIIPP 0 PLANNERS LAND SURVEYORS
889 WEST MAIN STREET CENTERVILLE MA 02632
t
: _ f
r :
t
:
.p
i •
. NOTES.,
INTERCHANGE
s
R
o
5 ,
y LE
WORKMANSHIP AND MATERIA S SHALL CONFORM TO D. . AB
20 MINIMUM OR AS INDICATED ON PLAN
1. ALL L E Q E RNST
TITLE 5 THE TOWN OF _BARN5_TA5j RULES AND LSE
0
5� ,
,
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE,
WHITE BIRCH WAY
10 MIN.
AND THE REQUIREMENTS OF THIS PLAN.
F PIONEER PATH
10 MINIMUM
V T SANITARY UNITS ALL' BE BROUGHT...
2. ALL COVERS 0 S A N SHALL TO
.a u LOCUS
�7
> �,
ACKFILL WITH _ WITHIN ,12 OF FINISHED GRADE:
T.O. FOUNDATION GI/
8 MIN. /�• � N �
-7 .d 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE Op -�
�¢ S/p
E Q
� ' MASONRY p
EXTENSION SHALL BE MORTARED IN PLACE. R! s'
_ 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE:
4 scH. 4o PVC PIPE 10 OARING UNLESS THEY A E `;0 ,
PITCH OF WITHSTANDING H L N RE UNDER R
1 4 PER FT. MIN. PITCH 1/8 PER N
3 .AiiN.Ow
2INE
LAYER OF
WITHIN ,10 FT. OF DRIVES OR -PARKING AREAS. H-20 LOADING Q
' PQ
RO V
1/8 - 1/2 SHALL BE USED UNDER OR WITHIN 10 FT. OF ,DRIVES OR "
PGA'
10 , WASHED STONE S�1 � PARKING. p a I
7/,d7 jr
-2-o
OL
I CONCRETE ES ARE SPECIFICALLY DISAPPROVED. _
?o•� 5. CAST N PLACE CO R E TEES L
2 MIN. LEVEL .
- SANITARY TY S WHERE INDICATED ARE REQUIRED.
4 0 '70.D � Q
7a. d.2 s 4 1 1/2
ucuro 7 /
W ONE
LEVEL
WASHED STONE - 6. EFFLUENT PIPING FROM DISTRIBUTION BOX SHALL-ENTER LEACH PIT
DISTRIBUTION 6q �
LOCATION MAP {
W OR TOP ONLY. ENTRANCE THROUGH MASONRY
BOX; � THROUGH SIDE ALL
I
65"b - ,
,
EXTENSION WILL NOT BE ALLOWED.
N MA AS T COMPLIANCE WITH DEED
Z 7: NO DETERMINATION- HAS BEEN DE 0 L ,
000 GALLON SEPTIC TANK �j I I _ I
/ 1 (_ RESTRICTIONS OR ZONING 'REGULATIONS. OWNER" APPLICANT SHALL
OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. /
Y SEWAGE DISPOSAL SYSTEM PROFILE i o /
BOTTOM OF TEST HOLE 8. HORIZONTAL AND :VERTICAL CONTROL, SEE LEVY, ELDREDGE
NOT TO SCALE
OR USGS PROBABLE. -HIGH WATER LEVEL & WAGNER FIELD NOTEBOOK
DESIGN CALCULATIONS :
I, CURRENT ZONING INTERPRETATION: .:.
3
MIN. FRONT SETBACK ` FEET 3 ,
- NUMBER OF BEDROOMS ------
No/vE
MIN. SIDE .SETBACK FEET.. GARBAGE DISPOSAL UNIT
/ MIN. REAR SETBACK _FEET -
TOTAL ESTIMATED FLOW ,
.. .r� 11O X ,' 33a GAL.
--...GAL:/BR./DAY �— BR ) /DAY
GAL
o REQUIRED SEPTIC TANK CAPACITY �
�i ;
3
0 .
_ ACTUAL SIZE OF SEPTIC TANK
60,
70 � f LEACHING AREA REQUIREMENTS ;
Q� � i\` � LEA H Q . I
70 , i
I 60 / > � \ 2,5
i / -- _ SIDEWALL AREA --- GAL./S.F.
r I .. BOTTOM AREA GAL./S.F.
� \
PERCOLATION SOIL TEST
\ , < + I WALL 49 .GAL
, ! / LEACHING CAPACITY BOTTOM S DE
i I / 50
/
I Z _ 2?T Z 2 2.5 +71` 12 2 1.0 �9
, � � � � DATE OF SOIL TEST 7 . .- � / )� `,�' )� _) t / ) � )_
1 ) � l 1. � ! \ _ � \ . � .�.,. _ ----GAL I
r \
i d �!
1 J` ,er_ wN/N � 6 RESER E :LEACHING CAPACITY -
g \ i WITNESSED SAME - -
/ ��
PERCOLATION RATE IurilN. :INCH
I a r \ \ / ,
INANE
EA MEN
to / � \ � / !
� , \ ,� / OBSERVATION ' HOLE 1 OBSERVATION HOLE 2
�. GIs: Sw, G 9,
BREAKOUT CALCULATION.
43 79
.�7 b�l�
-
3 y
LEGEND:
\ \ - / -
T \ ti >
'� 11V}} SOME 1uE
, 1 ; EXISTING SPOT 'ELEVATION 00�/0
---- —.— —__-—
0 ' ... ,. ,. .� �, '\ 1 ' 'd `. ,. � / EXISTING CONTOUR 00
Y-0 yy�
0 � 14, o FINAL SPOT ELEVATION 00.0 ,
FINAL CONTOUR IP
Jr �/ O WATER AT ELEV.
oa - a WATER AT ELE .__
\ \ oo -- SOIL TEST PIT LOCATION
d TOWN WATER W W-�-----
I \ - 70 SEPTIC TANK C�
J.—
. DISTRIBUTION BOX ❑
WATER R LEVEL ADJUSTMENT.
t 60 0 � » - `. � i _ ,.' PRIMARY LEACHING PIT O
`�. \ _ ,
4 I rR
_ RESERVE LEACHING PIT .,
a
r
J TEST DATE
176
WATER LEVEL
I C` L
/ --
I IN WELL
0
,. —_ __
p WATER LEVEL RANGE .ZONE 1 _ � ISSUE �4S,tL
• ;,a: 9_ZZ INITIAL
_-. DEPTH TO WATER LEVEL FOR INDEX WELL
NO. DATE DESCRIPTION - BY
a E7 4+00
; FOR THIS MONTH
; 3
E +Q
0
IC DESIGN
SITE PLAN & SEPT
..-_ WATER ..LEVEL ADJUSTMENT
DEPTH O HIGH WATER JENKI S LANE
LAIVE
DE T H LOT 4 _N
70
I IN,
BARNSTABLE MASSACUUSETTS
FOR
r. s
9
o � � � GREENBRIER DEV
ELOPMENT CO. INC.'
4
T
n r
OVE BOARD `OF HEALTH No. ooso APPROVED: � o SCALE. 1 — -40 JOB NO. 1120 . ---
A � � � . f 1120 4
F 0
SITE PLAN s
ASSOCIATES INC.
LEVY, ELDREDGE 8c WAGNER AS
7
,. AGENT DATE EN Ii�iD6CAPB A�CHI'fEC1S _PI�IiNI�RS LIU(D SORYBYC)RS _
EIiG1>`tEIIIs
r S MAIN STREET V= MA 02632
� r 889 WEST M CENTER
,