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Home My WebLink About0045 JOSIAH'S PATH - Health 45 JOSIAH'S PATH, WEST BARNSTABLE A=109.094 r No. 4210 1/3 BLU ESSELTE 10% 0 0 o a t TOWN OF BARNSTABLE LOCATION ,� � �'�, SEWAGE # VILLAGE �,() , � Q/�. ASSESSOR'S MAP & LOT 1,01 - 014- INSTALLER'S NAME & PHONE NO. _�Q� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) j (size)!oX NO. OF BEDROOMS _PRIVAT ELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No `-- i �_ 3,' f Fsa... .1 ..._ LTH MASSACHUS 10 THE BOARD AOF FHEALTH TS *k ......oF.............. !�1.. ' ' .............-..: Appliration for Dispnsttl WorkB Tontitrurtion rami# Application is hereby made for a Permit to Construct .} or Repair ( ) an Individual Sewage Disposal System at / /dd�ress ............. _ t .- �os- s•--.Pf�........... ---........_........_.........�...--•- o non- _ or Lot No. .._...... .___.. . .� �:�.. ...................................... ._..................... ....._...._._..... wner Address a ....... .. .... � ............................................... ................................................... _-____--_.................:......... ......_.... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.......... ..........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............... No. of ersons__....._...._.._............ Showers Gv YP g ------------- P ( ) — Cafeteria ( ) G4 Other fixtures ----.....--••••••-•..............•-•-- Q f -gallons per Bwn•---•da . Total da•----flow.......................•-...........--•----•-•-••------ W Design Flow............ Q•-------------•-• g P P� P7 ay. Uy .t �S--•c2..................gallons. WSeptic Tank—Liquid capacity)�llgallons Length.�3..fa•__ Width:. ._(_s2. Diameter................ Depth _ . xDisposal Trench—No..................... Width_._.....)_......_.. Total Length......._._... .... Total leaching area_ ...................sq. ft. 3 Seepage Pit No........' ---------- Diameter......./. �.:._. Depth below inlet...... ...... Total leaching area, sq. ft. Z Other Distribution box ( ` ) Dosing tank ( ) ►� a Percolation Test Result- Performed by............... JR,1..... ......_� Date..:.......jdV.1 �......1. Test Pit No. 1. .....minutes per inch Depth of Test Pit...•.t_(y...C,,Depth to ground water.... .. f%4 Test Pit No. 2...'- ):—.minutes per inch Depth of Test Pit.....].`f 4(_... Depth to ground water.... v.". 7-- O Description of Soil......... ..........................•••--•-..........••--..................... ................... V .•••••...............•-----•--------•-•----•---•-......................---------------------••--------•--------•---•----•....•--..._----- . ...• -------- •--- UW ....-•-••-••-••--------•••--•••••••...-•---•••••-•-••-••-•••-••-•-••••••-••-••-••-•---••••••-•-••--•--••-•-•-•--••...-•--•-......••••........••-••----••--•.........................................•••. 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 LITLZ 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 bv the board of licalth. Signed............ .........41........................................................ .........................._.... Date Application Approved B ------------------------------ Date Application Disapproved for the following reasons:--•...........................•-------•-------•-.........--•--__-_-.......-----•--•......................._�_..�•" �— - ................. .... Date _ Permit No.... �'1.....-- -�-----•------------------- Issued.............................................................. Date NO3.L3J_ cr r`' FFB..... ....... THE COMMONWEALTH OF MASSACHUSETTS `70 BOARD OF HEALTH .....O F............. I--17!sJ�........................... Applirtttion for Dhiposttl iftr-Wtonstrurtion Permit Application is hereby made for a Permit to Construct �(aC�) or Repair ( ) an Individual Sewage Disposal System at• /r•j� ............ - _ - ----�: ... , -......_.. �s.�: f s . '� f... Location-Xddress � l J� !/!/LL or Lot No. ........... ! �_ :�� c.J.-� ...... ...................................._........ awner Address.. •---._.......a _._... ......•........................ pq Installer Address VType of Building Size Lot............................Sq. feet .-� Dwelling—No. of Bedrooms.......... ..........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons............•............... Showers a YP g -•...............•--•-•----• P ( ) — Cafeteria ( ) d Other fixtures -----------------•-------•-•........._:aa ... W Design Flow............ ...................gallons per person pe� day. Total daily flow............. `-' ....._........ gallons. WSeptic Tank—Liquid capacity)�. ,gallons Length._`__t ..k Width:.�..t c?. Diameter................ Depths _(..�. .i x Disposal Trench—No..................... Width..........3.......... Total Length................... Total leaching are .................... ft. 3 Seepage Pit No.........�_...__._. Diameter....... ..... Depth below inlet...... ...... Total leaching area�!:t:�Z...sq. ft. z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Result. Performed by................ � +2......C-1 .................. Date..........l6-.. t A...-............. Test Pit No. I..:� .....minutes per inch Depth of Test Pit..._1.V v P_ Depth to ground water.e..y. J' 44 Test Pit No. 2---'S z-..minutes per inch Depth of Test Pit......f..`.� .... Depth to ground water.... t P4 '"',",',.-_... .... ................................................................................................................... O Description of Soil..........,�V ............. � - -------•...................«--------«---«----------.............................---•-••-•-•-•........----...... Wt ..................................•--•----•-...---.......---•--...._.......--•-----..._.....--••--•-•......--•-•-•-----..._..----.......-•---•......•-•-••----............. . .......................-- 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 TAI T LZ 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 boardof health. Signed... .-•!.....:.":f....'.-----•....it .......................... ............................... Date Application Approved By.............. �:��------ ----•--•----•--------------•--- � ......-,7— e�.. Dat Application'Disapproved for the following reasons:---..:-••-----•--------------------------------------------«---------------....:--••-..........---•--•-•-..._.. . -•••-••--•--•••.............•----•-----.......--•-------..........---•-----•----•---------••----........................-•-.........•-••------•------....-•----•-•------....--••-•••........._........._ 3 . Permit No..... ------------------------- Issued..�------------........----------••--.......a�...... Date y...pa+_I......n_....e.-....-...... ----.--- ------_ P _----.•-.o...-. ;.-.,.._.....--...-----_------ ._-- ---------.- ..T __..w..._...>�........-v.-.-_._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH w u!as.. OF.........u. rt� Qn .{.......................................... .«J,�.......... Tnrtifutttr of Tomplittnrr THI ISMS TO CERTIFY, That the Individual Sewage Disposal System constructed (>.r-) or Repaired ( ) ,�•` d .............'.................---•---•------••-•---......................-----•-•-•-----...........----.....-•-•-----.........._..... V^ .......... Installer at......._.......?�.. �1 .......... .. .- 6..� ►;_ __ ._ .0'-y t..... - ��.. '►'---............................. has been insl�-tlled in accoidan e with the provisions of TITLP, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....... o.....!_Z>5__L/..... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............... t�-F Inspector... I ector........•--- 4 --_ _ --, w ---- - - ,» ..,.„<--------,_, _._,_ ..- --.- .:.. .......,, ..--_--_-__- THE COMMONWEALTH OF MASSACHUSETTS BOARD r�OF HEALTH < ✓l ............OF. l -ram-!! .. No.. ..: .? ................................... FzE.... ........ Dispoli forks Tonstrnrtion Permit Permission Is hereby granted. -----•................ to Construct (>e) or Repair ( ) an Individual Sewage Disposal System at No............1.. 2 i.......... -- - .sSt --.-------------- A._.(.,:; fly� /�1. ._ �• f ................................................ Street as shown on the application for Disposal Works Construction Permit No..��%�?�.��Dated.......................................... .....................................= ' . DATE.. _ Board of Health f `- ENVIROTECH LABORATORIES Mass. Cert. #:MA063 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 CLIENT: Larry Nickukus LOCATION: Lot 15 Berkshire Trails ADDRESS: W. Barnstable, MA COLLECTED BY: L.Wile SAMPLE DATE: 6-23-92 TIME: DATE RECEIVED: 6-23-92SAMPLE ID: Z629 JOB #: New Well WELL DEPTH: 160'4" RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units 6.0-8.5 6.96 Conductance umhos/cm 500 304 Sodium mg/L 20.0 42.5 Nitrate-N mg/L 10.0 0.27 Iron mg/L 0.3 0.13 Manganese mg/L 0.05 0.08 Hardness mg/L as CaCO3 500 46.6 Sulfate mg/L 250 5.8 Potassium mg/L 20.0 0.7 Alkalinity mg/L 200 12..0 Chloride mg/L 250 12.1 Turbidity NTU 5.0 15.9 Color APC units 15.0 3.0 Background bacteria COMMENT: Sodium level is not a health hazard, but if on a low sodium diet, consult physician before drinking. EPA 601/602* ug/L Below Reportin Limit ,Es No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PA METERS TESTED. XU ❑ * See Attached Report DATE ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) i Field ID: Z629 Lab ID: 3362-01 Project: Nickulas Batch ID: VHA-1014-W .Client: Envirotech Laboratories Sampled: 06-23-92 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 06-26-92 Matrix: Aqueous Analyzed: 07-01-92 PARAMETER CONCENTRATION REPORTING LIMIT j (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL I trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL I Benzene BRL 1 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 2-Chloroethylvinyl Ether BRL 1 { I trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1, 1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+pp-Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPICED MEASURED RECOVERY QC LIMITS • i Bromochloromethane 30 31 103 % 83 - 117 % Fluorobenzene 30 30 102 % 87 - 113 % BRL = Below Reporting' Limit. Hon-target compound. "Trace" indicates prcbable presence below listed Reporting Limit. Method References: Method 601 - Purgeable kalocarbors and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). r No.--------------dada-- � Fee---------------dada-- BOARD OF HEALTH TOWN OF BARNSTABLE ZipplicationforlVell Cootruction ermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Zocation — Addres Ass�s�ors Map and Parce)� -rc - pl��G_�5--�11 -�1 - - ----- -- wner Address f -- W- --- -- ——— ------------ ----------------------------------------------------------------------------- Installer — Driller Address Type of Building Dwelling-------------------------------------------------------------- Other - Type of Building--------dad - ------------------- No.'of Persons------------------=-------------------------------------- —W-— v Type of Well- �� = - - ---- py---------------------------- Purpose of Well---.VA-de - ------------------------------- 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 Compliance has been issued by the Board of Health. Signed — - — - --------------date----------------- ` date �r c , Application Approved By date Application Disapproved for the following reasons:----------------------dada-- ------------------------------------------------------------------------------------ -------------------------------------------------------------------------- �! date Permit No. 1 �'----��-- <�' /' - Issued - - --------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THI$ IS TO CE TIFY, at the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) F r by�`]�� ------------------------------------------------------------------------------------------- -- staller a _�� . a----- -dada--- ------- ----------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection t- Regulation as described in the application for Well Construction PerNo - Dated- L'-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------------------------------------------—------------------- Inspector-------------------------------------------------------------------------- ---- Fee-------------------- Nj��jlz T BOARD OF HEALTH TOWN OF BARNSTABLE ZippYicat ion-for Well Con5tructionpermit Application is hereby made for a permit to Construct ( ), Alt r ( ), or Repair ( an individual Well at: Location — Addres ss ors Map and Parce caner Address — —— �_ —=-------------------- — -----—-------------- ——-------------------------------------------- Installer — Driller Address Type of Building Dwelling--------------------------------------------------------- Other - Type of Building------- - ------- No. of Persons------------------------------------------------------ Type of Well __� �'`!- -- ---------------- Capacity----------------- -- —- --- ------------------------------- Purpose of Well— Agreement: --- ---- - — 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 Certificate of Compliance has been issued by the Board of Health. Signed -- -- date Application Approved By v date Application Disapproved for the following reasons:-------------------------------------------------------------------------------- --- -- ------------------------- - -___ _ ------------------------------------------------------------------------------------------ �,� date Permit No. --fir— --------------- Issued------------------------------- N date BOARD OF HEALTH TOWN OF BARNSTABLE + Certificate ®f Compliance THIS IS TO CERTIFY,,T'hat the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) --- ---- ------ --—-- — - - -- --------------------------- --------------- �' staller ( a � at��, 6` 1- -- = - /- -` - A - T"1 --------------------------- �r 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 Pe -'��l�o. �az- g-e---V fDated 40 �111 AOV ----------- --------- - - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------------------------------------------------------------ Inspector-- —------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Well Con5truct ion permit - _ No. -- ---- Fee--�----------------- H � Permission is ereby granted -- ` -"�. - — �� - ------------------------------------------------------------ to Construct-( -), Alter ( ), or Repair an Indi ' ual-We 1 at: NO ' ?— �- — —— ��1 -y --- C-�-----a---- I�ed � �.i/�=� —�------------------' as shown on the application for a Well Construction Permit No.- -r�--�'- -; ---------"�-----�;'� '� - - - --- Dated ——--- F - ------- r j . DATE----- _'`�/ _ -----------—------___ Board of.Health ITS7 jut4E Lt t,:n TTroe II 4- C, UQ 3. i me-0 I#gT UQ Lr- c7rerp_e:7,T4S2 14 A" epee-Agr L44rrsp A" -44 t4i TR FLAad T:;bC PVcWOS-e-P Woev_ Ot4ul( Alt-49 PoT-To _SCA�_F_I T T0 L el Ci W Ae.�A 6-p.5T*j-'AC_I L(TY-FT 7 'irm t r->C' GAL dSV_ GALLC*4 17-0 L9 AC C, '78> IA-tat) 1.�34.C=7e IGrp j c,CL t-- 1: A, �AA Ae cc 40 IAtA' VA:T f�l & cer 14 Tr_ I