HomeMy WebLinkAbout0085 LOTHROP'S LANE - Health E10
othrops Lane
Barnstable
9—005 - 003
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TOWN OF t BARNSTABLE I U — 005 — 003
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LOCATION �- g / Fl{ , . SEWAGE #
VILLAGE i1'.-• I`,i E:.�✓` i i fZ�_i`: ASSESSOR'S MAP 6z LOT
INSTALLER'S NAME Sk PHONE NO.
SEPTIC TANK CAPACITY
{ LEACHING FACILITY:(type) u '; (sue) v`
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER ORiOWNER',. +
DATE PERMIT ISSUED:
DATE .COMPLIANCE_ISSUED-
VARIANCE GRANTED: Yes Ic No
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T WN OF BARNSTABLE 109 ®O3
LOCATION SEWAGE # / Z> f 7
VILLAGE W RA-0J5 i 8818E ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. S 69,eS
SEPTIC TANK CAPACITY ��o
LEACHING FACILITY:(type) t (size)
NO. OF BEDROOrM�S- 4 °G - - PRlVtAgW WELL OR PVJBLIC WATER
BUILDER OR 0�0WNER> l
DATE PERMIT ISSUED: — — �
DATE .COISPLIANCE.ISSUED:
VARIANCE GRANTED: Yes IJ0 No
3
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P ' APPROVED Z100
No.-
Barnstable ConservIdu C�oasi�n
THE COMMONWEALTH OF MASSACHUS T LS
BOAR® OF HEAL
TOWN OF BARNSTABLE Signed Date
Appliration for M uiial Workii Tonstrurttun Vamit
Application is hereby made for a Permit to Construct ('."/lor Repair ( ) an Individual Sewage Disposal
System at: - b
40
g 10
Location Address or Lot No.
f° •��.1----�.�1. Y1....�G✓t-C-Le -t!2.L 2...........
Owner Address
......... ...................................................
.......
.......••--••-••----•-----.....----------- .....
Installer Address
Type"of Building Size Lot_-53,00-_--.Sq. feet
Dwelling—No. of Bedrooms_____________ _____ --__----•-Expansion Attic (A4l Garbage Grinder (Alo)
a yp g No. of persons............................ Showers ( ) — Cafeteria ( )
Other—T e of Building ._.._ �,.�._�_...__..__.
Otherfixtures-tll ......_.. --•--------•-••-•.-••-----••••-•-----•••••--•................•-•-•---•-•--•-•---•--......_._.._......-----•......
W Design Flow....:.......... .S.._._............__..gallons per person per day. Total daily flow-----__-_--._.-!ZY1•................gallons.
Wtic Tank-Liquid capacity.l.�__gallons Lengthl_ Width.,t-C"__ Diameter________________ Depth_-,, ..-P.._..
x bisposal Trench—No. .................... Width................._.. Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.___-TC.o------ Diameter..___.F......... Depth below inlet...... Total leaching area.......`1P�2..sq. ft.
z Other Distribution box Dosing tank ( )
a _Percolation Test Results Performed by----------- l ...........................-................... Date..... �6..._._._.
,.a Test Pit No. 1...� Z_.: ._minutes per inch Depth of Test Pit....../a•....... Depth to ground water........................
fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ••----•-•----•.............•••-••-..................•--..._............---......._......•.
p - .-
----------- ---•-- -----• ..-- ---- /
Description of Soil......Q-'=�---....T.boP./S li.�?._..------�-�--�..----f!��---�Q-�-------------------�-�a----I���•__�4 --
x
W i
UNature of Repairs or Alterations—Answer when applicable................................................................................................
............I............................................................................................................................................................................................
Agfeement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by'thee board of health. j
Signed -... �..._GLh .... �_
Date
ApplicationApproved By ....................... .. ....... .......................... ...... ................Date-----......----..
Application Disapproved for the following reasons: -- ---..--------------------------- ------------------------------------------------------- ----------- -------- ---- --
.... .............................................. . .. . --------....--------------------------------------------------------.......... ----
Date
Permit No. ------------------j .3 -- - Issued .........fJ
- - -- ------------------
Date
/'.
No..-ql
...--- Fxs...............(............
THE COMMONWEALTH OF MASSACHUS� S \ 5�� p
BOAR® OF HEALTH ,N, 1
TOWN OF BARNSTABLE
Appliratinn for llhipoii al Works TomlrWfinn rumit
Application is hereby made for a Permit to Construct (\/or Repair ( ) an Individual Sewage Disposal
System at: `
Location-Address or Lot No.
Owner Address
d�-------------------- -------------------------------------•-----...........-----------.....------------------..........
Installer Address d
.-3,3
U Type of Building Size Lot.._._____�__0____a____0___-._Sq. feet
1-, Dwelling—No. of Bedrooms.............. ---------------------------Expansion Attic (if/0 Garbage Grinder (Alo)
aOther—Type of Building ____&�.S............. No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures ---------------------------------•-•-------------------••--•-•------------•••---------
W Design Flow...::........J .....................gallons per person per day. Total daily flow..........._..._.�yG.....__......._.gallons.
W Septic Tank-Liquid"capacity./S _gallons Length.&_'A".. Width___-�'�.. Diameter................ Depth__5.��."'
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leachingarea....._.__......___..s . ft.
s q
Seepage Pit No......7_Wb___.__ Diameter..____........... Depth below inlet.-....�.._....... Total leaching area.......`I0�2__sq. ft.
Z Other Distribution box ( (%)' Dosing tank ( ) `
Percolation Test Results Performed by----------- d ��............................................... Date.....10 l__�y 6._..._...
a
4 Test Pit No. 1...G.2-...minutes per inch Depth of Test Pit------112........ Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 •-••-•-•--•-----------------•••••-•••••--•-•----•----•-----•••----•---••._...--•-------•---------------------- -- --
Description of Soil......32.:_2.......T� 5 4 6......... ____.FC n ____�a_�.�.._..
M
-----------------------•--------------------------...------------------•----------...--------•-----------------------•---------------------------------------------------•-•-----------•-••--------•---
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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has bissued by the board of health.
Signed ------------ ( ............................... ..........................
' Dace
Application Approved BY --- ..v 11 .-- ... - - '�g=
--- ....................................
---------- -`'- ------------"Dare-'-------------
Application Disapproved for the following reasons- ------- ------- -------------------------------------------------- - --.......................................................
..................... .. .................. .. ----- ----'---.-----.--...............
Permlt No. `~ ., Issued ------..."�...�iD�e -- Dare
�t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
&r#tftca#e of Cotttlatiattre
THIS TO--C TIFY hat the Individual Sewage Disposal System constructed ( X or Repaired ( )
by .....---- 1-- -------------------------- -----------
/ �.�/ � Insr ler
at // �y� .�-- ............ ........ . .... . l ALL "� 3 !I �
f { .-------------
has been installed in accordance with the provisions of TITLE 5 T e St Aronmental od as 6re�cxibed in
the application for Disposal Works Construction Permit NO. #... '`.....�"5� dated ....`..... ../... �?-rJ.................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTg AS A GUARA T - THAT THE
SYSTEM WILL FU C N ATISFACTORY. `
DATE . -------------------- Inspector -----------------. :...:....... ......--------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE /
No......1... .... FEE..._--•--------....
;
E.kop sal?11)ork,5 Trnnstr uan intuit
Permission is hereby granted............. C- -'� -
• • - •-•-•-•--•-•-•-•••--------•-•---•---------••........ ... ..........-•- •-
to Construct >( �
or epair ( ) an,Individual Se-wage Disposal System f /
•-
as shown on the application for Disposal Works Construction erinit tNo..��!- Dated---• 1--�
�� q q _
_-- -------- Board of Health
DATE............................... ---; ------ --
FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS
��Uttfl�lifiiiilflitttiiiTj�tiTti►liitii!(ttiiitTtfiti?Rt?'I?'???ttititti"1111?t?t?ii??fTlt!Tt???tit?!???t?!tIt???iitt??ti!??I????'Titi?tt?!?!(?i?!?(????T?TtT(??[??tit?iiTTlt?I11tii?t'tTt'ti?i?tlTiitiTfR(1t1Tt?[(t[it(tt(if(?(Titi(Jill T1/y -
>
c: ENVIR®TECH LABORATORIES
;~ 449 Route 130 Sandwich, MA 02563 • (508) 888-6460
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CLIENT: Mr Lapinski LOCATION: . Lot #8 Lathrop Ln.
=` Hollow Tree Ride Rd. -
-- ADDRESS: g W. Barnstable, MA
z-- Darien, CT 0 820
COLLECTED BY: Fred Clifford SAMPLE DATE: 9-26-90 TIME: 8am
z DATE RECEIVED: 9-26-90 SAMPLE ID: ET 629
JOB #: New Well WELL DEPTH: 55'
BE'
e
RESULTS OF ANALYSIS:
Parameter Units Recommended limit Result
Coliform bacteria/100 ml (MF Method) 0 0
PH pH units 6.0-8.5
6.02 -
E Conductance umhos/cm 500 57
Sodium mg/L 20.0
6.3
Nitrate-N mg/L 10.0
<0.03
Iron mg/L 0.3 -
0.13
z Manganese
mg/L 0.05
is
Hardness mg/L as CaCO 3 500
x= Sulfate mgi L 250
Potassium mg/L 20.0
Alkalinity mg/L 200 J'
_ Chloride mg/L 250
` Turbidity NTU '
c: __,
5.0 i
Color APC units 15.0
c
Background bacteria
E
H3
COMMENT:
YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS ESTED.
DATE
iilli�lltaaill!llUllcilluUiliiUi11111i11,IilJUlluUl111ii11111i1111Lt1a1:lUlIl lii11i1iiiiiiiiiiiiiiiiiiiiIiii.iilla1 1,4,1alliliW!,It111aiiii1111111i1 wiilllllitiIa111iiiiiiiaiilliiC�`y
0\l1(HittTITMtttt(T ITT T((tttt(ptt(ttfltfTTtttT(ttTtt(tt?!tt!('tii(ti?ttitf!T(ttlt(iTltitltil(itititi?tt(1?tT(Ti(it((((!tIT!tlf il(?(!(Ttlltti'((itTit((t?tt(1(i(11 11111iititill 11!tit!iit[Ti(ti(t(Tlti(i(tPT!M(ilt(lt(Tttt[(If111tiilt��
>= ti Ai _
e' 449 Route 130 Sandwich, MA 02563 • (508) 888-6460
CLIENT: Mr. Lapinski LOCATION: Lot 8 Lothrop Lane _
- ADDRESS: 76 Hollow Tree Ridge Rd. W. Barnstable, MA
Darien, CT 06820
= COLLECTED BY: Clifford Well Drilling SAMPLE DATE: 10-3-90 TIME: 3pm
DATE RECEIVED: 10-3-90 SAMPLE ID: L-3
JOB #: New Well WELL DEPTH: SS
>
RESULTS OF ANALYSIS:
Parameter Units Recommended limit Result
Coliform bacteria/100 ml (MF Method) 0
pH pH units 6.0-8.5
c Conductance umhos/cm 500
Sodium mg/L 20.0
Nitrate-N mg/L 10.0
Iron mg/L 0.3
Manganese mg/L 0.05
Hardness mg/L as CaCO 500
3
BE. Sulfate mg/L 250 -z
Potassium mg/L 20.0
Alkalinity mg/L 200 -
EE Chloride mg/L 250
Turbidity NTU 5.0
z Color APC units 15.0
E i
c:
Background bacteria
E
COMMENT: TEST RESULTS
EPA Method 601/602 See Attached -
YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETER TESTED.
9x
z (h DATE �d d
��ililt!!!!!tililiitilil!!!!!lU!lliltiltilliiitiltlUilllJiUiliUiitliilillitiiliiilllititill���tliiiliiltitiiiiliuiiilltiittiiillUiiiiiuu;i,iililiitiiiliiifi tliiliitlillititiiiiiilllUili11111i11111i1ii111!!ll!llllillltiiiilllillitlti
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GROUNDWATER
ANALYTICAL '
EPA METHODS 601 and 602
Volatile Organics (GC/PID/ELCD)
Field ID: L-3 Lab ID: ' 027733
Project: Clifford QC Batch: VGA-631
Client: Envirotech Sampled: 10-03-90
Cont/Prsv: 40ml VOA Vial/Cool Received: 10-04-90
Matrix: Aqueous Analyzed: 10-05-90
PARAMETER CONCENTRATION DETECTION LIMIT
(u9/L) (u9/L)
Dichlorodifluoromethane BDL 5
Chloromethane BDL 1
Vinyl Chloride BDL 1
'r Bromomethane BDL 5
Chloroethane BDL 1
Trichlorofluoromethane BDL 1
1,1-Dichloroethene BDL 1
Methylene Chloride BDL 1
trans-1,2-Dichloroethene BDL 1
Methyl tertiaryy Butyl Ether * BDL 10
1,1-Dichloroethane BDL 1
cis-1,2-Dichloroethene * BDL 1
Chloroform 1 1
1,1,1-Trichloroethane BDL 1
Carbon Tetrachloride BDL 1
Benzene BDL 1
1,2-Dichloroethane BDL 1
Trichloroethene BDL 1
1,2-Dichloropropane BDL 1
Bromodichloromethane BDL 1
2-Chloroethylvinyl Ether BDL 1
trans-1,3-Dichloropropene BDL 1
Toluene BDL r
cis-1,3-Dichloropropene BDL 1
1,1,2-Trichloroethane BDL 1
Tetrachloroethene BDL 1
Dibromochioromethane BDL 1
Chlorobenzene BDL 1
Ethylbenzene BDL 1
m+p-Xylene * BDL 1
o-Xylene * BDL 1
Bromoform BDL 1
1, 1,2,2-Tetrachloroethane BDL l
1,3-Dichlorobenzene BDL 1
1,4-Dichlorobenzene BDL 1
1,2-Dichlorobenzene BDL 1
QC SURROGATE COMPOUNDS SPIKED MEASURED RECOVERY QC LIMITS
Bromochloromethane 30 27 90 % 83 - 117 %
` Fluorobenzene 30 29 97 % 87 - 113 %
BDL = Below Detection Limit. * Non-target compound. "Trace" indicates probable presence below listed
detection limit. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable
Aromatics, 40 C.F.R. 136, Appendix A (1986).
No. ---- - ------ Fee--- - --------
BOARD OF HEALTH
TOWN OF BARNSTABLE
AppCtcattonforWerr Congtruc ttonA3ermct
Application is hereby made for a permit to Construct (,,,`Alter ( ), or Repair ( )an individual Well at:
irST ---------
Location — Address— -------------Assessors Map and Parcel
U
------------------------ �1_CIQ �s1__ i�C
Owner _ Address --
, � 'S
Installer — Driller Address z — —
Type of Building
Dwelling -
Other -``T''ype of Building-----------—-------------- No. of Persons---------------------=-------_—_
Typeof Well— --------------------------------------------- Capacity--------------------------------------------------
Purpose of Well----
IIdU'—297'4161 e-��«--- --
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate f Compliance has been issued by the Board of Health.
Signed -- . l� U--
--/
•
Application Approved By---- -- -- — - - ------ --------- --____—____—__
�— date
Application Disapproved for the following reasons:-----___________----__--------------_-------_______—__—
---------- ---------------- —----- ------------------------- --------- ------ -
date
Permit No.—�/-�-�-------- -- - ------------------------- Issued---------� � ���
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate ®f Compliance
THIS IS TO CERTIFY Tat the Individual Well Co tr c�gd ( Altered ( ), or Repaired ( )
- -- --------- - - - --
Installe
at-- __- - � - --4 - -V-42760
has been Installed in accordance with the provisions of the Town of Barnstable B r of Healt Private x rote n
Regulation as described in the application for Well Construction Perr Dated - -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE------ Inspector-—-- -- - — - ------ ------
No.-------------------- Fee-----
BOARD OF HEALTH
TOWN OF BARNSTABLE
Rpphration_*r Vell Cootruction pff it
A�ppli ation is hereby made for a permit to Construct (.�), Alter ( ), or Repair ( )an individual Well at:
Lotion L Address Assessors Map and Parcel
/2521114a G ,ysk,6- - �G /r�LC�� ��n�e r2F �2 1�• �z�G,t� c��,,y
------------------------------------ -- ----------------------------- --------------------------------------�j��-__^_—__---------------_ r
Owner Address
ed -SO 9/jr/1.7ov7
---------------------------------------------------- ------------------ ----- - -----
Installer — Driller Address
Type of Buildingmoo^
Dwelling----— - -- - -- --------------------
r Other - Type of Building--------------------- No. of
Type of Well_T�6Uv� -- -------___—_- __--
YP -------- Capacity----------------_—_- -------__
Purpose of Well----�- -'S�-/ = Zv {c2'
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 4L'_�/9�
Aate
Application Approved By ! -----
date
Application Disapproved for the following
--- -—-- - ------------ -------- __-
/ date
Permit No. Issued -- — -
-�---- —/ date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certifitate ®f CoMphante
THIS IS TO C TIFY That the Individual Well Constr sled Altered ( ), or Repaired ( )
by---_La_ .--.-jo-- �- - -- '"L fit. _. - - -------
at
- -- ---- ------- ---
I sll� )10 a
has been installed in accordance with the provisions of the Town of Barnstable B4o4rd of Healt Private W "lllyyotect on
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
0� VerY Cor�5tructior�pertuit �3
-l� -- _-% ____-_
kD
Permission is hereby granted 1-1�LIrffl ----------________________—____________—_—____________C-
'Str�et ___
to Construct ( ), Alter ( ), or Repair ( an Individual e 1-at: l
as shown on the application, for a Well Construction Permit
No._4) `/_`'--+— Dated.----- - — — --— --—__
Board of Health
DATE-----— ------------- -
S 7
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