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HomeMy WebLinkAbout0195 LOTHROP'S LANE - Health i G S (,,-I�r s (�/ �I��o�S�UU� 7 \ \� FFs- ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appfiration for UhripwSal Workg Towitrnrtion Famit O Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System l' �1. .._�. �... or Lot No. o at' n-Addres Owner Address ------------------ -ul. ..0 I.&L.10.................. ----- Pr... ',r .? 1�.?lr°L Installer Address Type of Building Size Lot............................Sq. feet �. Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ............................ No. of persons........................... Showers ( ) — Cafeteria ( ) a' Other fixtures ..................... W Design Flow--------------------------------------------gallons per person per day. Total daily flow------------:_..............................gallons. WSeptic Tank—Liquid capacitv------------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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a -----------------------------------------------------------•------------------------........------..........------------------------.......--------.......... 0 Description of Soil----------------------------------------------------------------------------------------------------------------------------------------------------------------....... x V .---------------------------------------------------••------------••-----------------------------------------------------------------------•-----•--•-----•-----------------------......--•-------....-- W -------------------------------------------------------------- ---------------------------------- ----------------------------------------------- -------- U Nat re of �epair�r Alterations—Answer when applicable... _VIC..___ ( ._.. -�------------------ - f------�®--------------------------------------------------------------------- •-- Agreement: The undersigned agrees to install the aforedes ibed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environ e tal Code— he undersigned further agrees not to place the system in operation until a Certificate of Corntle has been ed by th board of health. Signed -4 ._.-:_..-: ) S/�"�---- ............. ............ ---- Application Approved By ... _.. ..� c$ 1-- --4._- ---- ---- Application Disapproved for the following reasons: . -- ................................................................. t............... . .... ......................................... .............. . ............ ------------------------------------------------------------------- ... .............D...----------------- are Permit No. .:/...- I Issued ... �° Dace No.. ^`?-..! FE$�-�1'................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 TOWN OF BARNSTABLE Appliratiuit for Y hripmial Worloi Tonutrnrtiun 11rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ........9 " ( sJ. .... ......................... .�1 ' ' .. A r`� - ... _ /) "o,t' 11-Addresss^f'l or LootNo. .................f^ ._..r =..�!.•G !-.-/.C� �-.^_--------'....'- •--...........-ff` ....._... ..........-----_.............................. Owner t_"�Address ....................... W ------------------ ?). �._..0 IJ S ------------------ --------------------- t Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.- _-.----_--._-_-------.- Showers ( ) — Cafeteria ( ) a' Other fixtures --------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 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................... ,`41 Test Pit No. I................minutes 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........................ P4 ....•----------------------------•...-•-••..........----••-----•.....•-•------•-••••....--•-._...•••......................................................... 0 Description of Soil........................................................................................................................................................................ W V ...................... ••-•---------------•••-----•---•----•-•-•••••••---------••••-----••••••--------------------------••••••--•••••---••••----•••-...•••-•-••••••••-------..........0.....----••..•••- W ............................................................. ----.....--------------------------------------------- ------ --- -- .................t UNature of 12epairs or Alterations—Answer when applicable..�.O.V(!7----.r�_)--ls ... . ......................... --•----------------•-•..........-•••••............---------- •-••-•-- •-•-•.... .........-------•--• -•-•-••. ••....... Agreement. The undersigned 'agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environme tal Code rT,he undersigned further agrees not to place the system in operation until a Certificate of Comtvlia'vie has been issued by t 7_, board of health. 'o Signed .....�.Lc� .... ....... . . . '--\ -.......... S////...[ .. .-.. m...` .... Application Approved By .. ... -------------------------------------------. ......................................... L.. te.rr... .... /n� Application Disapproved for the following reasons. ........- - .......... ..... .................... -- - - ....... ------------------------------------------------ ----- ................ J/ ---- ----- ter^' �Y - !+�/� /�j ...................Date...-. Permit No. ."/.. -..... Issued -J f�..-...... Y f / Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE TErtifi ate of Tomplizinre THIS IS T9 CERTIFY, That the Individual..Sewage Disposal System constructed ( ) or Repaired ( J_—) by - e-.�..�. �---A..........,'�/� ..74y�- _... h,t:diet , at ..........if. F `.......... "�'t'U..r .... - - ........... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. R-�._... ...., �:... _. .... - i„_.....................- .j dated ` THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E"CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......... -----------/..... .` G/......... Inspector .......... -------------------------------- r- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.,..yfP.....•..K- � FEE......... ............. �is�rus urku �nnutr i.� ��lermit Permission is hereby granted- `'e-..................... ---------------- ---------------------------------•-•---------------•-••---............. to Construct ( ) or Repair (A) an Individual Sewage Di osal System atNo.--•-f ��� l�� j�t`'���"'' �,� � -------- ----------- tee-----------------------........................................................ st / as shown on the application for Disposal Works Construction Permit '.�.�_�------.'_. Dated_.��..�.�-;/.�r_r� •--•-..••--•�`.... 1�1 % ? � ----•--•-•----------••-•-- �j/ ....... � Board of Health C.- L� (/ DATE--------- 1 ------. ------------------------------------------- FORM 36508 H0813S&WARREN.INC.,PUBLISHERS 'l J/ i TOWN OF BARNSTABLE LOCATION ��5 �,,, („ SEWAGE # Q` -21/6 VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. . �;t� 'w'T-20ty SEPTIC TANK CAPACITY 15,00 nlAkv l LEACHING FACILITYAtype) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER L, 4?-7-&A DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: -✓�-'l '`�' VARIANCE GRANTED: Yes No �i 4� � �� �� "� � � �\ rr � N ^a � � �C7 4"` S pp j,A l Fnig...tom?_••_•=........_ THE COMMONWEALTH OF, MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Timstrudion ramit Application is hereby made for a Permit to Construct (*) or Repair ( ) an Individual Sewage Disposal System at: / 1�II __�1r__¢l garV ii' 1414,x-------- -------------------------•----------•--------------------._.............---------.........._...._. ^�oca' n-Address n I or Lot No. I-} -----•----------------------------------------------- ... ��°J�-a��-Y,WY?�i�t `Q� rO�'"'°���--------..._..---- ((�� Q Owner (� /A-d/dres LJ_ .lJ. ......_ .............................•----------........... � Q_%7 "'..... ..UU 1 _ _..... --------------------- � Installer Addr s d Type of Building Size L t............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (04 ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria 04 Other fixtures ................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 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...................-,... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to groundrwater........................ a -••---------•••--------------•-------••---•----------------•-•-•--•--•--•-------------------•-----•-..................--------------------------------------- 0 Description of Soil........................................................................................................................................................................ x U ----------------------------------- ----------------- ----------------------------- ----------------------------------------------------------------------- -------- ------ --•--------------------------- W` ---------------- -------------------------------------------------------------------------- ---- -------------- ---- ------ Naturer U �Qf epair orAlterations— nswer when applicab e7'fn ._La �� 4 ---t' -------------------------------/--------------------------------------------•-----.......--------- Wgreement: 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 Complian e has been. issued by the board of health. .Signed.--- - -5 .. ---------------------------------------- ..� qq- ce Application Approved By ------ ----- ------ -------- � �e Application Disapproved for the following reasons- ---- ..............................................................................------------------------ -------------------- ------------------- ------ ---------------------------------------- n...... Permit No. f .................................... Issued -------- �� ..��.....7 10...........I?ace...... Noll- � Fims............._............._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE v�111T&4`1 ApPliration for Disposal Works Tonstrudion rrrntit Application is hereby made for a Permit to Construct (-Y.-) or Repair ( ) an Individual Sewage Disposal iSystem at: rns � �......... -•......................•-- -- ---• ---- -••---------_..._ ..._................./0Ta ....... r•• ---- \\ Loca�on-Address / ( or L No .......................................... 7¢tltS{�b�o:._..........__.... Owner Addres n �Y O �D Installer Addre ,,. Siz,!Ldt_____...•............... ..S feet Type of Building ;f �q., e V Dwelling No. of Bedrooms.............................................Ex anion.Attic Garbage Grinder" Other—'Type of Building No. of persons................'=....._._ Showers — Cafeteria P4 Other fixtures -------------------------------• - W Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Li uid capacity............gallons Len --------------- 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. I----------------minutes per inch Depth of Test Pit.................... Depth to,ground water-___--_______•_-__---__. Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... .Depth to ground water........................ a ------------------------------------- •------------------------------------------------------------- ------------------•--------------•------------------------ 0 Description of Soil.............................................................................................................•-----......--•---------------------------....------...... x �., W ---•••-•---•-------•-•-•-----•--•----•------•••-•••----•-•----------••--•-------•-•--•------••••---•-•-••---------•--- .......................................... UNature of pairs or Alterations—Answer when applicab a-1+z --l ��m�_g5,? ft'�_ �,_. ! �___R_CAW � .Q_ �� sue`"' �� -- ------------------------- - _ . 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 been issued by the board of health. -7 � dSigne --. �.. . ; .�. ce .f..n{q_ �' ---- . Application Approved BY Application Disapproved for the following reasons- -------- ------------------------------------------------------------------------------------------------------------------- -- ------------------------------------------------------- -------------------- -------------- ....---- .-- ----...........----.....-------------------------- -------- ----------------- ........................................ n �,,/ Dace Permit No. �/i�5-<--------------------------------------- Issued -----.._... -'--ro---------------------- .............✓------ Dare G�(rcd THE COMMONWEALTH OF M SSACHUSE17S r' BOARD OF HEALTH TOWN OF BARNSTABLE &r#ifirutt of C ampliattre THM IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( qL ) or Repaired ( ) by----------IAI- 9`--- �-...--.... ......................................................-----------------------------------------------------------------------------------------................... ------ /'} ) Insmller has been installed in accordance with the provisions of TITLE 5 of The State nvironmental/Code as described in the application for Disposal Works,Construction Permit No. ..fO_n _-a�./9/1.. L dated`... ......................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS T UED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------• -------- .---------- II ------------------------------- Inspector ------------....-----•�- ;r. -�-'---�.1.'�� ------.. ..................... G II�QrrI Z� THE COMMONWEALTH OF MASSACHUSETTS /r hal BOARD OF HEALTH �� TOWN OF BARNSTABLE No.....:.... ........ .. FEE...Zoo....— Disposal Works Tons#r ion "permit Permissionis hereby granted.............................................................................................................................................. to Construct (__)4)—or Repair_( ) an Individual Sewage Disposal System atNo... _ . -• ... -- _1•-•-•-•• -• --------------------•-•...........-•-- •••-••-••-•-••--•--•-•••......•-•-.-_..._ _ .. / Street as shown on the application for Disposal/Works Construction Permit �' �No.gd.'z2 it Dated.... ............. Board of Health DATE._ -----------------------•- FORM 36508 HOBBS h WARREN,INC.,PUBLISHERS TQWN QF BARNSTABBLrE LOCATION L/d ft etc SEWAGE # VILLAGE ( moo Zaj-,,KJ55,4 ASSESSOR'S MAP 6z LOT` INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY � f LEACHING FACILITY:(type) r) -G (size) f NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �( C� G` DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ ♦T r j 3' f t No. - ---� BOARD OF HEALTH Fee--------------------- TOWN[ OF BARNSTABLE application-ArlDeYr Con!5tructionVrrmit Application is hereby ma a fora permit to C nstruct ( ), Alter ( ), or Repair ( )an individual Well at: ¢ a -r''��a'a --------------------------------------------------------------------------------- Location — Address / !_Assessor and Parcel 5�---- -- .g .--------- ---------- --------------------- ----- - Owner Address — —� — —--— —----—----—------------------ ---— -- —— —----------------- Insta er — Driller Address Type of Building Dwelling----------------------------------------------------------------- Other - Type of Building ------------- No. of Persons-------------------------------------------------- Type of Well---------—------ ------ - ------------------- ------------------------------------ Capacity------------------------- --- --- Purpose of Well------------------------- ------------- Agreement: f The undersigned agrees to instal 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 ApplicationApproved By- - ----------------------------------------------------------------- ate-=---------------d ----------------- ate Application Disapproved for the following reasons------------------------------------------------__---------------------------—---------------------------- date d ssue — -- - -- - -- ----------------------- --- - Permit No. I ---------------------------------------------- - date BOARD OF HEALTH '\ TOWN OF BARNSTABLE (f,rrtif irate ®f Compriancr 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 SYSTEM WILL FUNCTION SATISFACTORY. DATE -- --- - — -- -- - - -- Inspector-------------------------------------------------------------------- — BOARD OF HEALTH TOWN OF BARNSTABLE VrIl CongtructionPrrmit No. ---------------------- Fee------------------- Permissionis hereby granted------------------------------------------------------------------------------------------------------------------------------------------- to Construct ( ), Alter ( ), or Repair ( ) an Individual'Well at: No. --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Street as shown on the application for a Well Construction Permit No. ---------------------------------------- — Dated---— -- - — - -- -- - -- —---------— Board of Health DATE - - - -—------------------------------------------------ Ott?Ti1?titttTti?t?TttT?STTitT'iTTittitTTTt'Ti'iriT?i??t'iTMft,??TnTf{+{{?{{{{{{{{{{{{r{{:?nt?ff,J,nitrrT??iTTTt?IT"t,t?!???TMTUM11t{ft???111"IT?'?M M1????t?tTl??tt?????T???a?T?tt?t?t['iT1Tt[t?i(iTTIT?{itT11"TTTTtTTM 11 I t11��� EN`IIROTECH LABORATORIES -- F: 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 F = CLIENT: Thomas B. O'Hara LOCATION: . Lot 29 Lothrops Ln. In. Barnstable Jared Inc. Box 470 W. Barnstable, MA ADDRESS.:� - z: W. Barnstable, MA 02668In =' r:: COLLECTED BY: Desmond Well SAMPLE DATE: 7/9/90 TiME: 10 AM DATE RECEIVED: 7/9/90 SAMPLE ID: 29 JOB #: WELL DEPTH: In RESULTS OF ANALYSIS: = _ Parameter Units Recommended limit Result F: Coliform bacteria/100 ml (MF Method) 0 - In PH pH units 6.0-8.5 Conductance umhos/cm 500 Sodium mg/L 20.0 - Nitrate-N mg/L 10.0 Iron mg/L: _ 0.3 In: Manganese L 0.05 - mg' c: Hardness me/L as CaCO 500 3 BE Sulfate mg/L 250 Potassium mg/L 20.0 F _ Alkalinity mg/L 200 F- Chloride mg/L - 250 Turbidity NTU 5.0 F -- s Ir Color APC units 15.0 EE Background bacteria F> Trace to low levels of chloroform are occasionally detected in ground water in coastline areas, Concentrations detected in samp e do not suggest COMMENT: a spill or an accidental release of hazardous materials. EPA Method 601/602 UG/ml (See Attached Sheet) YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS T TED. i` UX DATE C� riiliiiiliii"ili alli,11 111111llil,a ll11iitil,'iilliallwaii1111ii11i11111IUiliiii11:c1ulii:iiiiliiiiiciiiiilluiiiiiIiilii:iiaiiiiiiliil::a:iiii:iiiilP 'iiiWiii1wilii1wiiiilii lililll11,iU111iiiiii Will 1iultialiil�� 13ROU1113WATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) P O Field ID: # 29 Lab ID: 019114 Project: Barnstable Jared Inc QC Batch: VGA-571 Client: Envirotech Sampled: 07-09-90 Cont/Prsv: 40ml VOA Vial/Cool Received: 07-10-90 Matrix: Aqueous a Analyzed: 07-16-90 PARAMETER CONCENTRATION DETECTION LIMIT (u9/L) (ug/L) Dichlorodifluoromethane BDL 5 Chloromethane BDL 1 Vinyl Chloride BDL 1 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 tertiary Butyl Ether * BDL 10 Ji 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 trace 1 cis-1,3-Dichloropropene BDL 1 1,1,2-Trichloroethane BDL 1 Tetrachloroethene BDL 1 Dibromochloromethane 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 1 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 30 100 % 83 - 117 % Fluorobenzene 30 30 100 % 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).