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Home My WebLink About1721 MAIN ST./RTE 6A(W.BARN.) - Health ................ _ i. 1721 I aain`Street/Rte 6A (W.Barn) W. Barnstable I - 1 Qr, nn7nnR i I h i E � I „ 1 a No. 4210 1/3 BLU p sm ESSELTE 100/0 0 0 0 0 0 �- '` CERTIFICATE OF ANALYS Pig Barnstable County Health Laboratory p:'�AUG U., 2 " = WN OF BH, Report Dated: 08/15/2002 ,, •:� Report Prepared For: H{ �QLTH DL, Order Numb 16704 Tamara F.Hillard 1721 Main Street West Barnstable, MA 02668 Laboratory ID#: 0216704-01 Description: Water-Drinldng Water Sample#• 16704 Sampline Location: 1721 Main Street,West Barnstable Collected: 08/13/2002 Collected by: Tamara Hillar Received: 08/13/2002 Routine ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates 1.0 mg/L 10 EPA 300.0 08/13/2002 LAB: Metals Copper 13.7 mg/L 1.3 SM 3111B 08/14/2002 Iron <0.1 mg/L 0.3 SM 3111B 08/14/2002 Sodium 12 mg/L 20 SM 3111B 08/14/2002 LAB:Microbiology Total Coliform Absent P/A Absent 307 08/12/2002 LAB: Physical Chemistry Conductance 173 umohs/cm EPA 120.1 08/14/2002 pH 6,1 pH-units EPA 150.1 08/14/2002 Note: Based on the results of the parameters tested,the water is suitable for drinking,but may present aesthetic problems(taste, odor,staining)due to Copper. Approved By: (Lab Director) 1 � 1 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 I TOWN OF BARNSTABLE LOCATION /�f SEWAGE # Zoo2 3/Z� Vk.LAVE 1&1 e 51' RA�u1 szi¢Bl,� ASSESSOR'S MAP & LOT-1 Q 6_ea?ool INSTALLER'S NAME&PHONE NO. gu7 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) -Y-.S'oe a oL. La-"r1sg�4-Osize) Lax y6XZ NO. OF BEDROOMS 3 / BUILDER OR OWNER To,A) PERMITDATE: COMPLIANCE DATE:_6j -/— eZ 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 � � I Gfl 8 Ta 1- Z o' Z_ 2c s- 9OF y I 67 G - py® Q - ?sue � - ere i I� 31cL No. Fee X0.VO THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippYitation for �Digozal *pztem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade(X.Abandon( ) ❑Complete System rtdividual Components Location Address or Lot No.# 6A Owner's Name,Address and Tel.No. �A Assessor's Map/Parcel N OTE `I"t k1G� �/�i@W.SP'r>'� �i�. Installer's Name,Address,and Tel.No. 3'0� ??8-0�yy Designer's Name,Address and Tel.No. �'08� 36Z /8Z 51 'f' (%Roo,' j&f Ar6. Type of Building: G Dwelling No.of Bedrooms 3 Lot Size T9 6 sq.ft. Garbage Grinder(00) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3-50 gallons per day. Calculated daily flow '9� gallons. Plan Date 7 /G — 0-2- Number of sheets Revision Date Title Size of Septic Tank fir"Ja 2-coo a= Type of S.A.S. 4—Suo Gam,/ A g G Description of Soil to —9 od Q.j,a!1L ,4 Nature of Repairs or Alterations(Answer when applicable) s IM4 X "' r 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 this Bo d of H lth. Signed Date Q--R-02 Application Approved by 7PT r Date Application Disapproved for the following reason r Permit No. Date Issued N 0. 31c Fee THE COMM014WE%- LTH OF MASSACHUSETTS Entered in computer: Xes PUB/LIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplication for ;Migpooal bpftem Construction Permit Application for a Permit to Construct Repair( )'Upgrade(/Abaiidon 11 Complete System lv4lividual Components Location Address or Lot No. fil-r,(_4 Owner's Name,Address and Tel.No. I ..Assessor's c- Map/Fa'rcel f �' W 844WS7;41,� XW, 174; - oo _Onj Installer.,s,,Name,Address,and Tel.No. 5-rF 917F-ofVY Designer's Name,Address and Tel.No. eal4,j C. . k1isLtA')r. aAGI-r �17 11 k4l 9,23 .414 Type of Budding: Dwelling'-,,, No.of Bedrooms. = ^ Lot Size sq.ft. Garbage Grinder,(Wo) Other Type of Building No.of Persons Showers Cafeteria( Other Fixtures Design Flow J3 o gallons per day. Calculated daily flow 7!!5� gallons. Plan Date 17 - ZC e?_ Number of sheets Revision Date Title Size of Septic Tank era no a= Type of S.A.S. 41-_5-po ca,/ Description of Sod -6 2 6P% 13? LA4044 54,0 CAD i4iGr LV e--je414jiL Nature of Repairs or Alterations.(Answer when applicable) " c 4/- 01 r A�Q- L 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 th6 system in operation until a Certifi- cate of Compliance has been issued by this Bo : d f H It Xh V., . 1/7 Signed /7 Date 47- F_ Application Approved by Date Application Disapproved for the following reasony/2 Permit No. Date Issued Z THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Repaired Upgraded(X Abandoned( )by 6. C, at Iq B-46 JSZ4AY- has been constructed in accordance with the provis ons of Title 5 and the for Disposal System Construction Permit No. 2 ou dated Installer c.k -Designer r^ -t- -5'oo tic 0, The issuance o permit shalynot be construed as a guarantee that the SYS m will fa ction as de Date Inspector— 4V- ----------------------------- N.. Fee _'IrO THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS �Diqoal bpotem Construction Permit Permission is hereby granted to Construct Repair(/I" )Upgrade Abandon System located at /9Z b4*-r g�q i I 13 ti 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: Construct* n mus be corn feted within three years of the date of thi e t. p Date: Approved by <7_1 TOWN OF BARNSTABLE LOCATION Z/ �+yst' G' SEWAGE # Zon 3/Z- i VILLAGEJ�,�Qs� R s�ir¢8fin ASSESSOR'S MAP &LOT 007 aa/ . INSTALLER'S NAME&PHONE NO. _ 156-�642 T{1;4ii 7r 2U-o �s/l' SEPTIC TANK CAPACITY F-c a son OaL �ac� c�A,,,(�asfsize)13 y�•r2 I LEACHING FACILITY: (type)�►- I i i NO.OF BEDROOMS .' BUILDER OR OWNER t,,j k keg Vim' li PERMITDATE: 7-/9-e?_ COMPLIANCE DATE: iE!-/- e2 I . 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) O Feet Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet of leaching facility) Furnished by G B Ta A'Tb �- 1- ?/ s L0.C.AT10N - SE AGE PERMIT NO. ,( V O L L A G E ASSESSORS MAP NO: Or, t® Wesr BPS TreL PARCEL NO.: I N S T A LLER'S NAME i ADDRESS _ Rose E Ram ��=��ur�n�3_a Cc�T�-c�c��► _2r �1ti e U 1 L D E R OR OWNER j - { ►t4 DATE PERMIT ISSUED Zf DATE COMPLIANCE ISSUED iso + r' t I _ M 'PKE cYrST P►TS w j�`aE1 `6TON� Board of Health No - .9'.¢�-Town of Barnstable Fi$.........�..�............ P.O. Box ffm COMMONWEALTH OF MASSACHUSETTS Flyannis, MasRQAJRa2QF HEALTH �P P ....... .............. ..............OF.......................................-----.------..........------.._.......__•-------•- . pphrFatiun for Uiipugal Workii Tunutnutiun bran it Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: I.--•---•----..... ... sue:................... .......... ._.. ..................-------------•-...---- Locati n-Address or Lot No. - lE4` ; ._.._... ., .............. . .......... f'" !+!Sr-.-.----....................-•----..................--- wnPr Address .............�\aw_p.. __Rr S 3-..__�. a� ,: s_.._. ------------------------ ,4 Instal Address Type of Building jj Size Lot............................Sq. feet aDwelling—No. of Bedrooms........ ... :.4.............. Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) f-4 Other fix es -----------------------------------•----------•_---.---.-----•--------------•--------------------•-----------------•-------------•------------.------ d W Design Flow..........,___-•-•_________ ____gallons per person per`day. Total daily flow............ ,_ Q___..___________gallons. WSeptic Tank—Liquid capacity gallons Length___�_�...... Width..� ........ Diameter Diameter................ Depth................ Disposal Trench—No..................... Width .. Total Length............ Total leaching area....................sq. ft. Seepage Pit No........I........ Diameter........ ...... Depth below inlet.....q........... 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....................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R'+ -----•-•--•--------•••--•--••--••---........-•---•-•------•••--•----••-•--••--•...-••---......--••--......................................................... ODescription of Soil...---- 9•4-Ke-0-Y-----An± .---.....--•-----------------•---------...........---------......------------------....-•------------ x W ......................-..............................................................................................................yy -----------------.... -•--•-•-•-•-•••-_..... VNature of Repairs or Alterations—Answer when applicable.___.;�y1i� `1_..� � -�V-._:...... V..... u�-,.. z�O & ?�--------�-----&dam 12N7.5--- =.Y-/---y.......574- -..�5v eo;� Agreement: - P[� /O/P-e qC) pVc The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I'I LE 5 of the State Sanitary Code—.The undersigned ees not to place the system in operation until a Certificate of Compliance d by the bo of lth. Sign d ......----- q(� Date Application Approved By............................... -•11 ........ ... . ----•..................... ......... •2 f -1?6..... Application Disapproved for the following a ons:....----•-•••----••••-•-------•-......-•••---•------------•------•--------------•--•-----•--Da----••.._....._ ..........-•---------------•--.......•......_._.....---•----.._....---.... __.....---•-------••-••............•-•••------....-•••••..............................--------..... .............. Date PermitNo......................................................... Issued-...................................................... Date No.. Fss........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for 13iiiposal Workii Tonstrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .......I:: ._ ..l................. :... ..:�-_.................... ......... ='----�� x± .* bl ........................................ ..... Locaf n-Address --or Lot No. ............. . '.. -- .l..t�:-•- ................................ --•--••--•------••-----� V!!tr-�'..................................................... `` caner �• ............. . ...........t _---• ' .............. Instal er Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedroom s........:3_._.!?Yr...4______________Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T 'e of Building ............................ No. of persons____________________________ Showers — Cafeteria P" Other fi es •--------�_........---•----•-•------- d W Design Flow......... ............................gallons per person per day. Total daily flow............4.%"k _.____....._.._.gallons. WSeptic Tank—Liquid capacit��_gallons Length._V�__...__ Width_T______-___ Diameter________________ Depth................ x Disposal Trench—No_ ____________________ Width_.._tt_T............ Total Length........... Total leaching area....................sq. ft. 3 Seepage Pit No.___._2......... Diameter.___.!_''}.___.__. Depth below inlet..__9........... 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....................... f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Or •--•---------•.........................................•----•--•------------•-••----------•-•--•-- D Description of Soil......Gf41iy...vc_44—FL ax.--___YK"sx-------------------------•-•----------•---•----...-------------------------•-•-- W V •-------- •------------- •-------------------------------- --------------------------------- •------ •-••.........---••••----------•-•---------------------._......__._..._.__...... ----------- W --•---•••-••---------------•••----•--------••-•---•-•-••-•-•....•---•------._..._-••••-..._..._._..-------••••-•-•-------•--------- r ....-•••-----•••--•-••-• --•----._.....----_.... UNature of Repairs or Alterations—Answer when ap licable_._; y1<<„t-T1��1-_....r( ��..._.._T��......!��ik ....... :t1t1�'...........R�QtTD. .` ^t°5: _'r4w. ...._.._.11 ..`.ixk.--- -'47` .--••- ' Agreement: A11 P p'� �e.k y 0 P c. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL% 5 of the State Sanitary Code—.The undersigned ees not to place the system in operation until a Certificate of Compliance d by the tp ypea of ealth. Sign d-•-••- :.__ -==>r"' -•-• ---------•--................. ..... _..._ at ApplicationApproved By............................... ...6Y_._..-•-- •---- ..................... -------- .............. Da Application Disapproved for the following �e sons:............................................................................................................. ...._._..-•---•-----•--...--••..........................••-...---...._..-•• -•-•-•-••----........_..._.._...-•---------------••--•-•••••--•---•-••••-•••••••••-••--••••••--••••--•-•----••-•-••........ Date PermitNo...................................................- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........OF....`Bmocr, �N-ne................................. Trrtifiratr of Tompliattrr THIS IS TO GERZJTFY That the In Sewage Disposal System constructed ( ) or Repaired ( ) ,. -...� e.)V A ...............-....................................................................... ............... Installer at = has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Codebas scribed in the application for Disposal Works Construction Permit No l �! _ ___________________ dated-------___ _, e ' ._______. PP P �' rZ z ; THE'+,ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNC � f T ON PATISFACTORY. —.._ f � DATE Inspector.e______________•-----____--•--- ..! 1_ `_._...... ._.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 77 No....gb'-3�'-�.. ..:1t�.,r..........OF._......� - • �-'�=• �--`�.------••..................... FEE.......L............... M1111 Work To- ...In Permit Permission is hereby granted...... - .e° ------------- - to Construct ( ) or Repair a Individ al Sewage D sal System 7 W � ` ��at No.--••••-••--•----•-••-----•-•47� - - � ------------------•-----•----• ...... Street -.•`,' as shown on the application for Disposal Works Construction Permit No 6 9¢ Dated.........tj _.................. .............................................. ............. d '9 'Z I t DATE.............. S-•---•---•-••-----••----•--•-•------•---•-•. Boa f Health FORM 1255 A. M. SULKIN, INC., BOSTON - ` • - f F i3 V R MUST" WITHIN ACCESS CO E S BE <, 9 MINIMUM , R NOTES- :G NE A L_l IV VE T �L � VA T l 0!V S . DES I GIN CR I TER � A . �` < . . 6 OF FINISH GRADE _ R _ • 3 MAX I MUM COVER • D/O .5 !hV RT IN SEPTIC N . FRST2 TO E SEP TANK: DES J GN FLOW. , IS. DESIGN AND CONSTRUCTION l THIS P AN I FOR :T,�IE DES! A 100.25 L ' . 3 BEDROOMS AT :!l0 G.P.D. PER BE LEVEL , INVERT OUT SEPTIC TANK M! 2 OF P ASTONE N E , OF TH ` SEWAGE DISPOSAL SYSTEM ONLY S Y BEDROOM EQUALS. 330 G.P.Q. E D S Y. INVERT IN DIST BOX. 9 . D!AM PIPE ; , • INVERT U 3 BOX: 96.53 _ IN E OUT DI T. 8 X : . .; ' 3/�l l 1/2 DIA. ! A A M 5 S5 M FOR ENC MARKS , 0 2. VERT CAL Q TU I A U ED. B H I A H-CHAMBER . 96,5 ' NO `GARBAGE GRINDER o INVERT NLECH-CA ER 96.53', � 'DOUBLE WASHED STONE 2III SET. SEE S!TE PLAN. 94.5 94.5 v - � BOTTOM OF LEACH CHAMBER. /00.5 96 5 -��,- : SEPTIC TANK REQUIRED. ., ' , NIA-GAL LEACHING CHAMBERS AD JUSTE GROUND WATER. 6 60 GAL. 3. ALL C0N5TRUCT/ON fiETH0DS AND MATERIALS S AND3 OUTLET 330 G.P D. X20Qx W/4 STONE-AROUND. l2.8•X 4bX 2 OBSERVED GROUND WATER. NIA 2000 GAL D_BOX SEPTIC PROVIDED. 2000 GAL. EXISTINGMAINTENANCEOF THESEP IC SYSTMSHACL r ,r 89 5 BOTTOM OF TEST HOLE 2• M 0 AS TITLE N LOCAL SEPT/C`TANK: Q CONFORM T MASS. 'D.E P. Tl L 5 AND L AL _C H STONE R 6 CRUSHED 0 BOARD .OF HEALTH`REGULATIONS. EXISTING SOIL ABSORPTION SYSTEM REQUIRED.- B N COMPACTED BASE r DESIGN R PE C AT D MlN/IN RATE � H! C 4 A SEPTIC SYSTEM COMPONENTS L0CATED 'UNDER r # T SCALE - SOIL TEXTURAL CLASS !I ALL EP !C f R O F I NO 0 C L P LE r AREAS SUBJ CTTO 'VEHICULAR TRAFFIC OR GREATER w£Lt EFFLUENT LOADING RATE. 0.60 GPD/SF F THAN 3 !N DEPTH SHALL BE CAPABLE 0 WITH 330 GPD / 0,60 GPDISF 550 S.F. REQUIRED , STANDING H"NG -20 WHEEL LOADS A PROVIDED: 00 'GAL LEACHING ROV1 D: 4-5 A CHAMBERS W/4 STONE AROUND. A 824;S.F. -5. ALL -SEWER PIPE'SHALL BE `SCHEDULE 40 OR 824 S.F. x 0.60 APPROVE 494 G.P.D. D EQUAL d _ A SHALL REINFORCED oRivEw,ar 6. SEPTIC T NK AND D BOX LL BE ElN 0 €: N SOIL TEST P I T L.iA TA PRECAST CONCRETE AND WATERTIGHT. D-BOX SHALL INDICATES INOfCATES MORE BE WATER TESTED FOR LEVEL WHEN 'THERE 'IS RE PERCOLATION = OBSERVED THAN ONE OUTLET. f _ TEST - GR0U1VDNATER • ' D7G SAFE".7. BEFORE CONSTRUCTION CALL ,,r w P l0.271 *LOT l TP ! TP 2 I-888 D!G SAFE AND THE LOCAL WATER DEPT. FO OCAT ON OF UNDERGROUND UT L TIES. HORIZON R HORIZON R 0 R L / I ! OR1Z0 TEXTURE COLOR HOR Z N TEXTURE COLOR EXISTING THREE � . 9F> t AC. 0 100.9 0 99.5 _k BEDROOM DWELLING/ G SANDY IOYR -SANDY -.IOYR GARAG£ A 8. EXISTING LEACH PITS TO BE PUMPED DRY AND A LOAM 3/4 LOAM 3/4 , 7- ::...........................••• 100. 12' .. '98.5 BACKFILLED.` A 10 � SANDY 10YR SANDY Y YR- p p 9. AL UNSUITABLE MATERIAL I L (A d B HORIZONS) D LOAM 4/6 D LOAM 4/6 L A P8 .. ...... . .....I.........,..:.., 98 6 36 96.5 ENCOUNTERED-BELOW THE IN OF THE LEACHING .... ....... CI I TY 0 E .MOVE FOR A DISTANCE OF 5'' o£c LOAMY SAND .5Y LOAMY SAND 2.5Y FA L T B RE D R K 2 C COMPACT W/ 5/4 COMPACT W/ 5/4 AROUND AND REPLACED WITH SAND IN ACCORDANCE _ GRAVEL GRAVEL WITH Ti TLE'5 ,, cn HOT wtR ti F- N rn rus 10. THE BAFFLES/TEES IN THE EXISTING SEPTIC_TANK NcF t a A� 36 94.8 ...ARE TO BE, INSPECTED AND REPLACED/REPAIRED IF ,o o ti o REQUIRED. EXISTING -- _ 2000 OALLON SEPTIC TANK ;` .�-' � r NO WATER NO WATER , r , a € :132 89.9 /20 69.5 Cl .. DATE. JUNE 28, 2002 � s I ?EST BY STEPNEN'HAAS f WITNESSED BY: DAVID STANTON P/T: o , `PERC .RATE. ...( l0 MIN/INCH ! i W L STONE r . l 84 t TO SUN NULL Ro s D 8 �.^• , ,. , ;. ..: � r t �`,k., ram' / ) 4 S00 GALLON r / LEAGHINO CHAMBER �• � wi4 stoNE ,aRouND y f � , 5 EP 7- / 05YS TEM D;� S / G/v r / 17.21 : ROUTE 65A MAP ! 96 . PARCEL 007 ='00 / /9 PREP,Gt RED FOR . .. is �' r R4�,�''J--...UT�`BA �--�..�/RE FED / V A T E K r` IN P . O . BOX .S ! 8 , WEST BA R/VS T.4 BL E' MA 02668 -- _1 SCA L E : / _ 20 JUL Y ! 6 . 2002 � L 0 US � FRV E 'r. I N G I NC A �+ to /� o � r w � � Yar-moutll ort ', Mom, . 02675 ti , / r .•-� / � \ ( 5Q8 ) 362 8 1 32 ------ � •t /1 ( 508 ) , 4-3 2-5 3 3 3 } o _ - 0 20 _084 F l.EL D CFW/SAH CAL C. SAH/CFW CHECK: cFW ORN. SAHL OCJS M� P JOB NO00 ;