HomeMy WebLinkAbout0026 LOCUST AVENUE - Health 26 Locust Ave
West Bamsstable
A= 197-047 Y
No.W - ;. s>< Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zipp[ication for Well Con.5tructionpermit
Application is hereby made for a permit to Construct (V), Alter ( ), or Repair ( )an individual Well at:
Location — Address Assessors Map and Parcel
Owner Address Installer — Driller Address
Type of Building
Dwelling--Other -- Type of Building- No. of Persons--
Type of Well C� II Y�._�_ — Ca acit
PY—_ --- - ---—--- ----
Purpose of Well--261!b1Q----.--___ _ --
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.
Sidate
d — 6 (z=----
Application Approved B
date
Application Disapproved for the following reasons:
l r—�— date
Permit No. � ) Issued--- -` _�_I_d`- ----------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate Of (Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed (✓), Altered ( ), or Repaired ( )
by__ l� ---- ---- -
// (� Installer
�_1 ,
at___ Z b L0 1�Q�(V� Ll�fil4 — ---------- - --- — -- -
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. ----.--° Z___Dated 9--1-1 -�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---- --— --_- Inspector------------------------_---
Q-5
No. Fee
BOARD
--------------^--
OF HEALTH
TOWN OF BARNSTABLE
Zippticat ion-lot Well uCon0ructionVermit
Application is hereby made for a permit to Construct (V/), Alter ( ), or Repair ( )an individual Well at:
Location — Address Assessors Map and Parcel
``,w, ,, Owner tt Address
m� y- \. -S?
Installer — Driller Address
Type of Building
Dwelling—
Other - Type of Building—=----__—_______ No. of Persons---------.
Type of Well y ,t�3 �v�____� Capacity------------------
Purpose of Well--05o6b—d.----------__--_------
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 .,'�y�, -- -----r_ _— 611 z-
----
-*-
'date
-� ) ia---
Application Approved B —_ —,___—___—
date
Application Disapproved for the following reasons:
date
Permit No. Issued--- -- ---------
date
i
-- ---_.-_-----_ ———
BOARD OF HEALTH ¢
t
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ✓), Altered ( ), or Repaired ( )
by-- rr,tNTV
Installer
/
—........--.....-...
---- -- -— - ----------
---
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------__-_-_-_-
----------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Well Con5truct ion Permit.
No. ----- Fee ---� --
Permission is hereby granted
to Construct { A Alter ( ), or Repair ( ) an Individual Well at:
�- a �� n
No. —.2 6 -1 -t,_ M,� � _ __----- -- --- -------- - - -
Street n
N shown on the application for a Well Construction Permit
Dated------.-J � ! � )
-- Board of Health
DATE--
N
m
!
m
m
!
fU
m
Ill
'OLICY FROM 12/12/02;
0' TO WELL BUT >100' AND / N
3EP, TKW1 EXISTING. s FftOVu OF 0!OMBLE SOL W
!EACHNG FAORY I .DMW'TO OF
i surraE saL urErL SfxAa �
WIN Ctm Mmum.SM 3. O
RAVED 3
DRIVE �
Z
EA7\W9 'Utu.E �'' APPROX AREA OF U7
WELL «'• 40 SAS PER 011 ER
..FUsv cBR OWLW.
s
s
r
V
E-E'1.4.L7' �� 3 •�
Al
.•/ ��' DECK
rA MARK — TOP OF �~ '•P�' t5� ;j ' m
S4UTOFF EL. = 41 3 r s; '� ; ' + .' CD
SaT /Jer+<a1r+�u .'wp PtAotA @ lD
LO CS)
43,637 SF t > %I , r W
j
m
31.5' ADJUSTED G.W. CID
ru
-0.5' 1
m
LAI
P• f raim
O4scale: 3C.
® EMSn!.c
0 •5 30 45 60 5 FE_f qg L H.
In 2A71�� 9 �'
DATE ALA,
r i Massachusetts Department of Environmental Protection
Bureau of Resource Protection
WELL DRILLER
Please specify work performed: Address at well location:
New Well Street Number: Street Name:
26 ILOCUSTAVENUE
Please specify well type: Building Lot#: Assessor's Map#:
Domestic 1
Assessor's Lot#: ZIP Code:
Number Of Wells: 1047 102668 —�
City/rown:
Well Location BARNSTABLE
In public right-of-way: GPS
ii}Yes r �No North: West:
41.69788 --� 70.35281
fSubdi�visioNProperty/Description:
E Mailing Address:
b click here if same as well location addres
Property Owner: Street Number: Street Name:
GAGE 26 —� LOCUSTAVENUE
City/Town: State:
tEngineering Firm: 1�/� BARNSTABLE ^� MASSACHUSETTS
l I V V ZIP Code:
02668
Board of health permit obtained:
ji Yes ,j,Not Required
Permit Number: Date Issued:
�W2012 047 j9f712012 --�
- ,
W w,„t
s
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
Auger -Choose Bedrock--
- f 1
WELL LOG OVERBURDEN LITHOLOGY
From To(ft) Code Color Comment Drop in Extra fast or slow Loss;or addition of
(ft) drill stem drill rate fluid
0� 20 7 Silty Clay Brown c Ye i.J,Fast rja Slow rja Loss eji Addition
20 40 ISilty Clay Brown Ye rJi Fast rJa Slow rJu Loss rja Addition
40 50 Silty Clay Brown Ye rj,Fast 1111 Slow ji Loss i_ji Addition
50 70 IFine To Coarse Sand Brown e Ye ,J;,Fast ,,]a Slow rj;}Loss i_ji Addition
WELL LOG BEDROCK LITHOLOGY
Visible Extra
From To(ft) Code Comment Drop In Extra fast or slow Loss or addition of Rust Large
(ft) drill stem drill rate fluid Staining Chips
Choose Code u e Ye r ji Fast 1.14 Siow ,fA Loss Addition
ADDITIONAL WELL INFORMATION
Developed ji Yes ,,j1] Disinfected ji Yes iji No
Total Well Depth 170 Depth to Bedrock
_ Fracture
Surface Seal Type None --`-� Enhancement rjr Yes r ,No
CASING 1 b Is Casing above ground. From: 11 To: l0
From To Type Thickness Diameter Drlveshoe'
67 Polyvinyl Chloride --� Schedule 40
SCREEN No Scree
From To Type Slot Size Diameter
67 70 Stainless Steel Well Point 0.012 0
WATER-BEARING ZONES DRY WEL
From To Yield(gpm)
16 70 15
PERMANENT PUMP(IF AVAILABLE)
Submersible 7SpeedHorsepower
Pump Description 1/2
Wire onstant
Massachusetts Department of Environmental Protection
} Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
Pump Intake Depth(ft) 165 Nominal Pump Capacity(gpm) 110
ANNULAR SEAL/FILTER PACK
From To Material 1 Weight Material Weight Water Batches Method Of Placement
(gal)
Choose Material lChoose Material L Choose One--
WELL TEST DATA
Time Pumping Time To Recovery(ft
Date Method Yield (gpm) Pumped Level (ft Recover BGS)
(HH:MM) BGS) (HH:MM)
9/14l2012�• Constant Rate Pump 50 _ 001 +7 16
WATER LEVEL
Date Measured Static Depth BGS (ft) flowing Rate(gpm)
9/14/2012
COMMENTS
WELL DRILLERS STATEMENTtl
This well-was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete a
knowledge.
Driller ITHOMASEDESM&NDIII Registration# 1764 1 Monitoring[M] ❑ Supervising Drill
Firm I DESMOND WELL DRILLS Rig Permit# 1023 - Date Job Compl
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
Fagerl of 1
CERTIFICATE OF ANALYSIS
Barnstable County Health Laboratory (M-MA009)
'ssacrni Report Prepared For: Report Dated: 9/24/2012 V
Sally Desmond
Desmond Well Drilling Order No.: G1271163
P O Box 2783
Orleans, MA 02653
Laboratory ID#: 1271163-01 Description: Water-Drinking Water
Sample#: Sample Location: 26 Locust St.W. Barnstable, MA Collected: 09/21/2012�I
Collected by: Customer Received: 09/21/2012
Test Parameters
ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE
Total Coliform 0 /10omL 0 0 MF-SM9222B RG 9/21/2012
Water sample meets the recommended limits for drinking water of all the above tested parameters. `I
Attached please find the laboratory certified parameter list. Approved By:
(Lab Director)
94F z
.rti N
ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605
°F CERTIFICATE OF ANALYSIS Page: 1 of 1
Barnstable County Health Laboratory (M-MA009)
,aciru Report Prepared For: Report Dated: 9/19/2012
Sally Desmond
Desmond Well Drilling Order No.: G1271092
P O Box 2783
Orleans, MA 02653
Laboratory ID#: 1271092-01 Description: Water-Drinking Water
Sample#: Sample Location: 1 26 Locust Ave.W. Barnstable, MA Collected: 09/17/20121
Collected by: Customer Received: 09/17/2012
Routine I
ITEM RESULT UNITS RL MCL METHOD# TESTED I
Nitrate as Nitrogen 0.14 mg/L 0.10 10 EPA 300.0 9/17/2012 i
Copper ND mg/L 0.10 1.3 SM 3111E 9/17/2012
Iron 0.24 mg/L 0.10 0.3 SM 3111E 9/17/2012
pH 6.8 PH AT 25C NA 6.5-8.5 SM 4500-1-1-13 9/18/2012
Sodium 13 mg/L 1.0 20 SM 3111B 9/17/2012
Total Coliform Present P/A 0 0 SM9223 9/17/2012
Conductance 140 umohs/cm 2.0 EPA 120.1 9/18/2012
J
Recommended maximum contamination level for drinking water exceeded due to Coliform Bacteria. Tested negative for
E.coli. Retesting is recommended.
Attached please find the laboratory certified parameter list. Approved By:
(Lab Director)
ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605
CERTIFICATE OF ANALYSIS
Barnstable County Health Laboratory (M-MA009)
i
Recipient: Sally Desmond Matrix: Water-Drinking Water t
Desmond Well Drilling Sampled: 09/17/2012 10:30
P 0 Box 2783 Received: 09/17/2012 13:34
Orleans, MA 02653 Collection Address: 26 Locust Ave.W. Barnstable,MA
Sample Location:
Order#: G1271092 Description: 2day-26 Locust Ave
Lab ID: 1271092-01 Date Analyzed: 9/17/2012 @ 9:54
Sample#: Analyst: yn
Method: EPA 524.2 Dilution Factor: 1
Comment: Recommended maximum contamination level for drinking water exceeded due to Coliform Bacteria.Tested negative for E.coli.
Retesting is recommended.
EPA 524.2- Volatile Organics by GCIMS
Result MCL MDL Result MCL MDL
Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L
Dichlorodifluoromethane ND 0.50 Chloroform 1.0 80 0.50
Chloromethane ND 0.50 cis-1,2-Dichloroethene ND 70 0.50
Vinyl chloride _ ND 2.0 0.50 cis-1,3-Dichloropropene ND 0.50
Bromomethane ND 0.50 Dibromochloromethane ND 0.50
1,1,1,2-Tetrachloroethane ND 0.50 Dibromomethane ND 0.50
1,1,1-Trichloroethane ND 200 0.50 Ethylbenzene _ _ND 700 0.50
1,1,2,2-Tetrachloroethane ND 0.50 Hexachlorobutadiene ND 0.50
1,1,2-Trichloroethane ND 5.0 0.50 Isopropylbenzene ND 0.50
1,1-Dichloroethane ND 0.50 Methylene chloride ND 5.0 0.50
1,1-Dichloroethene ND 7.0 0.50 Methyl-tert-butyl ether ND 0.50
1,1-Dichloropropene ND 0.50 Naphthalene ND 0.50
1,2,3-Trichlorobenzene ND 0.50 n-Butylbenzene ND 0.50
1,2,3-Trichloropropane ND 0.50 n-Propylbenzene ND „!� 0.50
1,2,4-Trichlorobenzene ND 70 0.50 p-Isopropyitoluene ND + _ 0.50
1,2,4-Trimethylbenzene ND 0.50 sec-Butylbenzene ND 0.50
1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50
1,2-Dibromoethane(EDB) ND 0.50 . tert-Butylbenzene ND 0.50
1,2-Dichlorobenzene ND 600 0.50 Tetrachloroethene ND 5.0 0.50
1,2-Dichloroethane ND 5.0 0.50 Toluene ND 1000 0.50
1,2-Dichloropropane ND 0.50 Total xylenes ND 10000 0.50
1,3,5-Trimethylbenzene ND 0.50 trans-1,2-Dichloroethene ND 100 0.50
1,3-Dichlorobenzene ND 0.50 trans-1,3-Dichloropropene ND 0.50
1,3-Dichloropropane ND 0.50 Trchloroethene ND 5.0 0.50
1,4-Dichlorobenzene ND 5.0 0.50 ITrichlorofluoromethane ND1 0.50
2,2-Dichloropropane. ND 0.50 0 0
Surrogates /o Recovered QC Umits(/o)
2-Chlorotoluene ND 0.50
p-Bromofluorobenzene 77% 70 1 130
4-Chlorotoluene ND 0.50 1,2-Dichlorobenzene-d4 78% �_70 1 130
Benzene ND 5.0 0.50 -
Bromobenzene ND 0.50
Bromochloromethane _ ND 0.50
Bromodichloromethane ND 0.50
Bromoform ND 0.50
Carbon tetrachloride ND 5.0 0.50
Chlorobenzene ND 100 0.50
Chloroethane ND 0.50
Attached please find the laboratory certified parameter list. Approved By:
(Lab Director) l Z_
ND=None Detected RL = Reporting Limit JMCL=Maximum Contaminant Level
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-376-6605 Page 1 of 1
TOWN OF BARNSTABLE
LOCATION V 6 ocy alyoe,(-tf4 0l9 (.P.SEWAGE #
VILLAGE (,UST ,W-e. ASSESSOR'S MAP & LOT 4`j!
INSTALLER'S NAME & PHONE NO. l� 1�4R pod -
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) �„„ � (size)
NO. OF BEDROOMS—j--PRIV ULWUL OR PUBLIC WATER _
BUILDER OR OWNER / l/c4 a ee' J . FI-e
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED_
VARIANCE GRANTED: Yes No
Fv"/5 8 6D -p 0 w� ,
too
ao 2
A t
TOWN OF BARNSTABLE
LOCATION �� LaGyST �1/L. SEWAGE#
VILLAGE LF ASSESSOR'S MAP&PARCEL /q7 —e171
INSTALLER'S NAME&PHONE NO.SOS—W o—?'73g
SEPTIC TANK CAPACITY 1,5W /
LEACHING FACILITY:(type) (size)
NO. 33.SX �3
NO.OF BEDROOMS n /
OWNER
PERMIT DATE: COMPLIANCE DATE: —2 G —/l
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 2L ��
LvcvST !4V/;�
1
a4ek
N�,�
e
Ss
6
• No.' tlJ C/ Fee l
THE COW- ONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION':TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplicAtlon for loispo8AY Opstem ConstCUttlon 3permit
Application for a Permit to Construct(/Repair(4'�Pgr ade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. �4=- Zoe elf T f/f V/ Owner's Name,Address Tel.No.
Assessor's Map/Parcel
Instpller's Name y,Addre s,and Tel.No.SOL�-^ 'i'2d^ 9'J39 Designer's Name,Address,and Tel.No.
J ep/l b� 51q.1- c'S oaov`! �f�pC Ef'/lr'rh eer�hq �,�
7
� O
Type of Building:
Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided - gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 77ffl 6/ 1 S od XA!t�&J%iC Lily
13 o
1H/"ovlf
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 Certificate of
Compliance has been issued by this Board of Health.
Date p
Application Approved by Date p t
Application Disapproved by Date
for the following reasons
Permit No. / CODL& �� Date Issued
No. Fee
THE-CO „UNWEALTH OF MASSACHUSETTS Entered;ncomputer: Yes
PUBLIC HEALTH DIVIS-1 N*TOWN OF BARNSTABLE, MAISZ&CHUSETTS
01pplitatton for Misposal 6pstem Construction VPrmit
Application for a Permit to Constrict(Repair pgrade( ) Abandon( )> ❑Complete System ❑Individual Components
Location Address or Lot No. (; Logs r- Owner's.Name,Address,and Tel.No,
Akssessor's Map/Parcel_ �l/�sST Q4,#-4jT#b1/=`�
Installer's Name,Address,and Tel.No.,SO a— 41-0- 9'7 3 g Designer's Name,Address,and Tel.No.
Type of Building: " =
Dwelling No.of Bedrooms y , Lot Size sq.ft. Garbage Grinder( )
F
Other Type of Building No.of Persons—, Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) V ,,glid" Design flow provided 5 gpd
Plan Date Numb r of sheets Revision Date
Title
Size of Septic Tank Type of S.A.-&.�_
Description of Soil
' Nature of Repairs or Alterations(Answer when applicable) Tf� T�
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 Certificate of
Compliance has been issued by this Board of Health.
Sipwid Date /
Application Approved by Date e/C/
Application Disapproved by Date
for the following reasons
Permit No. .I~) / b Date Issued ('
----------- --
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( 6-)— Repaired( 4._ Upgraded( )
Abandoned( )by Js,7pr�2 &5ge /,�-S'
at „ �� �� /�U/, _ ,4j-z jSL n" ,bias been constructed in accordance (�
with the provisions of Title 5 and the for Disposal System Construction Permit No., , l �.Gated x � '
Installer �dsr,t0� �� ,(��/G^O_S Designer
� a
#bedrooms 5_1 Approved design flow /Q O gpd
The issuance of this permit shal not be construed as a guarantee that the syste will fun ' n a L�g�@
Date fn �) Inspector
No. 4-(O C,:)---- Fee (�
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construction Permit
Permission is hereby granted to Construct Repair Upgrade( ) Abandon( )
System located at L '
and as described in the above Application for Disposal System Con truction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local pro-visions or special,conditions.
Provided:Construction must be co m.leted within three years of the date of this permit.
Date / ) Approved by
06 / Town of BAr nstable
f Reguiatory Services
Department o
Date
• � rutwarAsr.� _ • Public IIcniLlil Division
"'A• $ 20o Main Street,llyannis MA 02601
�61p �e
rf0 IM'l 06 A.
Tillie, -- ree Pd. (v/
Date Scheduled
• • " A �essnie��t"for Sewage Ibis sal
Soil Suitability Asrs
Witnessed By:
performed BY: ^ `�
i
I.[� t�,TirnAT e, r_rNrrr.AL INFOOWllcr*RMATION
N
Name
Location Address C44t
. W. ��_�✓�'I"'a,�� I Address
lingineer's Name��✓�ti
Assessors MaplP4tcel:
NL'W CONS7R JOION REPAIR
i
i Im Surface stones
Slopes(4'n) _
Land Use i 77 ft Drinking Water Well ft
? ",7,W rt Possible wet,Area
Dislaucca from: Open Water Body_____-- I tt
Otter
Drainage Way ft Property Line -- -8 _ -
i
SI�cTCn•(Slrcct name,dimensions or lot,exact locations of, _
f n
/ a
f
t=c.t
N 3,
i.•1 r Aq Aps 32
f ..•l .90 4C-S
24
e
t 2S 47 i
.34AC 26 I=09Ar-
7 i
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9{ r y
• '' 3 3
m
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s9 3e �R- k
Acs I
iss•n
>'l
/ I� Depth Io Bedrak �N
Parent material(gcdlogic) weeping from pit False '
Uet;tu::;smundwarer.-�tauu�,b _.
�stimaletl ScasonalT{igh Groundwater
,�,'rRgMIN TION TOR SEASONAL HIGH WATJ�It TABLE ltt.
Dl 're-% l Y� in. Depth to soil lnottles: 'r, „
Method Used: -
Depth (jbaerved standing to obs.hole: In. prdundwnte AdJ•Ot'oundwnter Levnl�
i Depth tolwceping rrom side of obs.hole: _—_- Ar�,factor
Index Well N Reading Date:^ in de;: �:. -
PT;RCOLA'I'I()N �'I'S'I' Dole.
E
Tillie at 9"
Observation -------••
}hole - 01 Time at G" -- ---- _ ..------
l17`� Sl`�
Depth of I'crc -----�"- - - '
,mime(9"•0
Start Mc-soak'I''imc.Cd i � •
r:ss.)Pre-soak f i
i
Rate Min./Inch --
Additional Testing Needed(YIN)Site Failed;
�-
Site Suitability Assc smcut: Site.Passed Completed on Back-------
Original: Public 101th Division
Observation Hole Data To Be
*** coha ibu test is to be conducted within 100' of wetland,you must first notify the
If per wee prior to beginning-
11nrtlstable C40servation Division at beast one(1)
DEEP OBSERVATION HOLE LOG Xlrlle# v
Depth from Soil I lorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Stnrclare,Stones,Boulders. i
Co psi tcricy.%Gravcl)—..-
71-- 34- vS o W
5 P 811
DEEP OBSERVATION HOLE LOG. Hole# Y
Depth from soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell Mottling (Structure,Stones,Boulders.
C01!giVC1! y %OrRvel)
I L" LS a z Zip
Gj�t_r VD�tw• I�. ���✓
23' )olg�' •
I�jo�
;DEEP OBSERVATION IrOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mollliog (Structure,Stones,Boulders.
Consistency.%Oravel
I OBSERVATION I-IOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(111.) (USDA) (Munsell) Mottling (Structure.Stones,Boulders.
Mood InsuranAe RaltMaE.
Above Spo year floM boundary No___ Yes
Within 900 year boundary No D Yeses
Within tirii year t�uix9,boundary No I Yes
Depth of Na all t)ecurrin Pervious Material
Does at least fa tr feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed f r the soil absorption system -
If not,what is the depth of naturally occurring pervious material?_
Certification
I certify that on.� --(date)I have passed ti►e soil evaluator examination approved by the
protection and that th h
e abovo analysis was performed by lie consistent Wit
Department of nvlronmental
the required training,expertise and experience descriGed in 310 CMR 15.017.
Date
Signatures
Q:1SBP IC%PERCTP. RM.DOC
FROM :down cape engineering inc FAX NO. :15083629860 Sep. 02 2011 02:22PM P1
Qt 1. 1
Th om 1f.:^:F, GT<r r1Lv ,D Lrf Pe-11U)
11 % �:tnumaes I'd1ls::lf��iin, L�u1C,i'e'.9:e11i
200 It/][-dift stre 0,117MIMEds,FLA.&P-11o1)1
Off-tro: 508-3.57.-r 6j/l Fax: 508-790-6301
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down cape engineering, inc. SOILS ANALISIS 06-176 4 ONLY.xIs
DATE: 8/18/06
JOB #: 06-176
SITE: FIELD, 26 LOCUST AVENUE WEST BARNSTABLE
LOCATION: TH2
(BASED ON % PASSING#4 SIEVE PER TITLE 5)
SIEVE ANALYSIS Weight Sample(Grams): 517.6
SIZE RETAINED WT. RET. % RETAINED; 97 PASSED
;(wt on ind.sieve� (sum)
0.0 0.0% 100.0%
1/2" 0.0 0.0%: 100.0%
3/8"---------------------------- --------------a-_---------------------a
------------------ 0.0-----------0.0/off---------------100.0%
#4 0.0 0.0%; 100.0%
#10 ; 39.0 39.0 7.5%: 92.5%
-------------J------------------- ----------------- ----------------92.5-
#20 __75 5 114.5____-____22_1% 77.9%
-------------J------------
#40 258.0 372.5 72.0%: 28.0%
------------125.1 497.6---------96.1%�----------------- 3.9/o .
#200 ; ------------- -- 5 515.1 ---------99.5%�----------------- 0.5%
---------------
PAN: 2.- 517.E 100.0%; ---------------- 0_0%
SAMPLE: 517.6
RESULTS:
SOIL CLASSIFIED AS AASHTO A-3 (GRANULAR, SAND)
PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS :
#4 100%(TEST ONLY MATERIAL PASSING#4)
#50 10%-100%
#100 0%-20%
#200 0%-5%
REQUIREMENT FOR"FILL" IN TITLE 5 MET
<5% PASSING#200 SIEVE
CONCLUSION: PERMEABLE MATERIAL-CLASS I<5 MIN./IN. MATERIAL
SYSTEM PROFILE NOTES
TOP FNDN. AT EL. 43.7'
ACCESS COVER PTO WITHIN 6' OF FIN. GRADE (NOT TO SCALE)
ACCESS COVER (WATERTIGHT) TO ACCESS COVER TO Wff 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD
/F40.0-1 MINIMUM .75' OF COVER OVER PRECAST WITHIN 6' OF FIN. GRADE
2% SLOPE REQUIRED OVER SYSTEM 2. MUNICIPAL WATER IS NOT AVAILABLE �, Roilroad
40�
8'+ke► RUN PIPE LEVEL 2' DOUBLE WASHED PEASTONE ' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. oG�9 Wo{efgate �� o
* OR GEOTEXTILE FABRIC
41.0' FOR FIRST 2' Lap a a
PROPOSED 1500 � 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO e
GALLON SEPTIC, 38.71' H 10
38.96 TANK (H- 10 ) GAS 39 '
�` E 38 37'/""" 38.2 5. PIPE JOINTS TO BE MADE WATERTIGHT. Cope Cod o
G" M, Sa4/ C=
Q Q Q O Q Q .Q Q o. LOCUS Community
`� r° r73 0 0 Q Q Q ED Q Pond CoiiegeSLOPE) 6 CRUSHED STONE OR MECHANICAL 4 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITHlZ m�r�.tr►T_t05IM- O Q Q Q QI� QMASS: ENVIRONMENTAL COD€ TITLE V.COMPACTION. (15.22i [2J) $ 2 D 0 0 0 0 0 0 Q 0 c 36.5 3 <qj
� �c
TEE SIZES;DEPTH OF FLOW = 4 ( 1 % SLOPE) ( 1 x SLOPE) 4" TO 1 1 2" DOUBLE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
INLET DEPTH = 10" 3/ / LE WASHED STONE o
BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE.
OUTLET DEPTH 14" 33.tea, ` �. O A Exit
8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-e PVC. f6
LEACHING
FOUNDATION 32' SEPTIC TANK 34' D' BOX 12' FACILITY 5' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED SCALE: = 2,OOO'
WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION
*THE INSTALLER SHALL VERIFY THE OBTAINED FROM BOARD OF HEALTH. ASSESSORS MAP 197 PARCEL 47
LOCATIONS OF ALL UTILITIES AND ALL VARIANCES: 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCUS IS WITHIN AP OVERLAY DISTRICT
BUILDING SEWER OUTLETS AND ADJUSTED GROUNDWATER EL. DIGSAFE (1-888-344-7233) AND VERIFYING THE
ELEVATIONS PRIOR TO INSTALLING ANY 310 CMR 15.405(1 i)(.) - 31.5 LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES
PORTION OF SEPTIC SYSTEM LOCAL UPGRADE APPROVAL- PRIOR TO COMMENCEMENT OF WORK.
PERC TEST NOT PERFORMED
SIEVE ANALYSIS PERFORMED FROM 11. EXISTING SEPTIC SYSTEM SHALL BE PUMPED AND FILLED
TH-2, HORIZON C3 WITH CLEAN SAND -OR PUMPED AND REMOVED.'
LEGEND CONFIRIuIED CLASS "1" SOILS
12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
100.0 PROPOSED SPOT ELEVATION TOWN OF BARNSTABLE BOARD OF REMOVED 5' BENEATH AHD AROUND THE LEACHING FACILITY.
HEALTH POLICY FROM 12/12/02:
100x0 EXISTING SPOT ELEVATION SAS <150' TO WELL BUT >100' AND /
NOT CLOSER THAN EXISTING. / V REMOVAL OF UNSUITABLE SOIL
100 / LEACHING AROUND PERIMETER oR °� SYSTEM DESIGN:
PROPOSED CONTOUR
, SUITABLE SOIL LAYER. REPLACE
VNTH CLEAN MEDIUM SAND.
100 EXISTING CONTOUR // PAVED GARBAGE DISPOSER IS . NOT ALLOWED
�v DRIVE _ I -
/ DESIGN FLOW. 4 BEDROOMS 0110 GPD = 440 GPD
8 USE A 440 GPD DESIGN FLOW
TEST HOLE LOGS �� �/ �1 ?S, 4, �EXISTING
EXISTING GARAGE APPRO" AREA OF
DAVID FLAHERTY R.S. // �� WELL I (SLAB) k0 SAS PER OWNER SEPTIC TANK: 440 GPD (2) = 880
ENGINEER: V -
W / USE A 1500 GAL. SEPTIC TANK
WITNESS. DON DESMARAIS, R.S.
DATE: AUGUST 18, 2006 - EXISTING ,H_1 39 LEACHING:
4 BR DWELLING
_ / �\ o �0 SIDES: 2 (33.5 + 12:83) 2 (.74) = 137 GPD
PERC. RATE < 2 MIN/INCH :fi0P OF FNDN..- - -.
ELEV. 43 7 .% TM-2 BOTTOM 33.5 x 12.83 (.74) = 318 GPD
CLASS I SOILS P 11392 //
TOTAL: 615 S.F. 455- GPD
DECK
ELEV. ELEV. / o
d „� USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
0" 39.0' 0" 41.0' WITH 4' STONE ALL AROUND
BENCH MARK - TOP OF 8
FILL 38 0' 4" FILL 40.7 A GAS SHUTOFF EL. = 41.9 7
12"
A A LOT 5 �-I- `t3'� APPROVED DATE BOARD OF HEALTH
LS LS 43,637 SF f =
22" 37.2 16 10YR 3/2 " 39.7 10YR 3/2 TITLE 5 SITE PLAN
�^
/ / �rO OF
B
B �� / /
�, LS �� , • �� 26 LOCUST AVE.
LS
23 10YR 6/4 39.1 /
36" 10YR 6/4 36.0' \� ��
C 1 ,, (WEST) BARNSTABLE
SILT LOAM
C 1 108" 10YR 7/2 32.0' 2g123, PREPARED FOR
SILT LOAM - - - - - -31.5' ADJUSTED G.W.
132" 10YR 7/2 28.0' C 30.5'
SILT CLAY LOAM
C2 132" 5PB 8/1 30:0' MICHAEL FIELD_
SILT CLAY LOAM C3 ����OFMgss �1N0Fs
5PB 8 1 MCS C. DANIEL q�yG ��'� s�Oti DATE: AUGUST 23, 2006
156 26.0 185 10YR 5/6 25.6 `� A. -4 � OJA�
OBS. G.W. AT 156" o.40980 - c4 I o2
OBS. WEEPING G.W. AT 126" > off 508-362-4541
Scale: 1 = 30 fax 508 362-9880
z _
EXISTING I C
0 15 30 45 60 75 FEET WELL I �Q� vA H yG �� 0�� c�G� down cape en gin eerin g, Inc.
OBS. WELL INFO OJALA y IVIL Cl VIL ENGINEERS
WELL: SD,W-252 ,, a.2634 . 30792
ZONE: A LAND SURVEYORS
READING: 46.9' AUGUST 2006 � F(3 \p� 939 Main Street - YARMOUTHPORT MASS.
DCE #06-176 ADJUSTMENT: 1.0' DATE ALA, '� '
06-176 FIELD.DWG (DDF)