Loading...
HomeMy WebLinkAbout0012 PARKER ROAD - Health i r I 12 Parker Road West Barnstable ` ' I A=497 =rO061` 0 ap.� i II 0 a i I� TOWN OF BARNSTABLE ` LOCATION `� (` � �,�, SEWAGE#3Q07-D VILLAGE(j.-iaAr,c,St/k6lC ASSESSOR'S MAP&'PARCEL INSTALLERS NAME&PHONE NO. \k t C Lc V -7-71- y�o28 SEPTIC TANK CAPACITY 'SG4 G At LEACHING FACILITY:(type) O9 X 5006, (size) 3 X oZS NO.OF BEDROOMS OWNER PERMIT DATE: -7-t�00? COMPLIANCE DATE:* 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 C'1� i, . ✓ ! s �' �� ` � � �'� �/ L �� � r�� /', t R� r /� �� ����c � �- ���� _ r � 1 c ���«— c. � �� . i 1�',. �- �� � aa. . � ���� � - -- - �-- . No. r 339 y Fee THE MASSACHUSETT COMMONWEALTH OF Entered in computer: M S PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Ztppliration for �Di! ola[ �b !tern Construction Permit Application for a Permit to Construct O Repair O Upgrade O Abandon O Complete System ❑Individual Components Location Address or Lot No. 1 � Owner's N me,Address,and Tel.No, !y�j o© � Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Buitdin : Dwelling No.of Bedrooms Lot Size 4q-fr. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided .g � gpd Plan Date Number of sheets /' Revision Date Aq2 Title Size of Septic Tank -T Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 thi Board of Health. j Signer_--*- Date i Application Approved by Date $ �p Application Disapproved by: Date for the following reasons Permit No. 3 c Date Issued y. No. . 3.3 r ' _7. Fee Q .. �COMM.ONWEALTH-OF MASSACHUSETTSt' Entered in computer: Yes PUBLIC HEALTH DIVISION AVTOWN OF BARNSTABLE, MASSACHUSETTS _ ZIppYication for W9pont *pgtem Cottgtructiott Permit Application for a Permit to Construct Repair Upgrade Abandon J��.Co''m plete System ❑Individual Components Location Address or Lot No.W « Owner's Name,Address, Tel. o. Crt i No C c fw/ ld Assessor's Map/Parcel 00 Installer's Name,Address,and Tel.NO. Designer's Name,Address and Tel.No. tTr C AZV ,ST ^ /t g 8c,//1 Of Type of Building: Dwelling No.of Bedrooms Lot Size sL' Garbage Grinder ( � Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd j Plan Date / / Number of sheets�/ Revision Date A Z Title Size of Septic Tank. 0% �. Type of S.A.S. 1 —r Description of Soil 1 a Nature of Repairs or Alterations(Answer when applicable) Date last inspected: . Agreement: ,tom 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 thi Board of Health. S i g n e Date s Application Approved by Date g (0 4 x Applicat-ion Disapproved by: Date, . for the following reasons Permit No. ;Xop P3 7!? Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance - THIS IS TO CERTIFY,that the Or'-site Sewage Disposal System Constructed ( Repaired Upgraded Abandoned( )by a— i� � rC tL�i(/ �w1S►�ta.E� yaj at 1 Z NAa4aa(L_ �bj/ MO .GE— has been constructed in accordance L J i with the provisions of Title 5 and the for Disposal System Construction Permit .- � — ,3 39 dated a / Installer Ae,�-e•� � S'� Designer �cJ #bedrooms "'$ Approved design flow 3 gpd The issuance of this perPmit phall,.,o�fybe construed as a guarantee that the system ill func 'o'n a sig ed. Date �1/�O �/ Inspector i -- - No. 00 9 3 9 Fee �D THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS i$�lO�aY �p�terrY Cott Ctiott Permit Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at 12— PA I i-12_ and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. i j Provided: Construction must be completed within three years of the dat of this p Date �6 16 1 � Approve b +I �I a Town of Barnstable Regulatory Services Thomas F. Geiler,Director DAMMA & . NAM Public Health. Division ` Thomas McKean, Director 200 Main Street,Hyannis, MA.02601 Office: 505-862-4644 Fax: 508-790-63044 Installer d Desianer-Certification Form Date: / /�� SeR,age Permie, 33� Assessors Map`Parcel Des igiDer. U e Installer. 29 k Address: l Address: On Z /-7 /O-7 H\C V-C—y C'ON S was issued a permit to install a (aatej (installer) (f septic system at J�Ct�✓ wit based on a design dra-,Am by -� (address) / gat e6 0 date I ce dt! that the septic system referenced above was installed substantially according to the design. V'hich may incluae minor approved changes such as lateral relocation of the disn'Oution box and/or septic tank. I certify, that the septic system referenced above was installed with major changes (i.e. Rreater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance v,Zth State Local Regulations. Plan revision or certified as-built by designer to follow. tA OF A4gSSH DANIELA. yes (Installer's Signature) �ivi� cn No.46502 IS ONAL (Designer's Signature) (.affix Designer's Stamp ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIN1SION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc dC r Massachusetts Department of Conservation and Recreation Massachusetts Office of Water Resources Well Completion Report 31-AUG-07 10:35:26 WELL LOCATION 250519 CPS North: 4_ 0 41.891' CPS West: 700 21.352' Address: 12, Parker Road Property Owner/Client: c/o De Melo Bros Subdivision Name:Our Lady of Hope Mailing Address: 91 Flint Street City/Town Barnstable City/Town, State:Marstons Mills MA Assessors Map: 19-1 • 0ou Assessors Lot #: Permit Number:W2007-025 Board of Health permit obtained: Y Date Issued: 08/13/2007 Work Performed Proposed use Drilling Method Overburden Drilling Method Bedrock New Well Domestic Auger CASING From (ft) To (ft) Type Thickness Diameter .00 -61.00 PVC Schedule 40 4.00 SCREEN From (ft) To (ft) Type Slot Size Diameter -61.00 -65.00 Stainless Steel Well .010 4.00 Point WELL SEAL / FILTER PACK / ABANDONMENT MATERIAL `• From (ft) To (ft) Material Description Purpose WELL TEST DATA (ALL SECTIONS MANDATORY FOR PRODUCTION WELLS) Date Method Yield Time Pumped Pumping Level Time to Recover Recovery (GPM) (hrs & min) (Ft. BGS) (Hrs & Min) (Ft. BGS) 08/21/2007 Constant Rate Pump 15.0000 01:00 46.0000 00:01 25 STATIC WATER LEVEL (ALL WELLS) PERMANENT PUMP (IF AVAILABLE) Date Depth Below Ground Pump Description:Goulds 18GS10422 Measured Surface (ft) Type: 2 Wire Constant Speed Submersible Intake Depth: 60.0000 08/21/2207 25 Nominal Pump Capacity: 18.0000 Horsepower: 1.0000 WELL DRILLER'S STATEMENT ADDITIONAL WELL INFORMATION Driller: Thomas E Desmond III Developed: Yes Fracture Enhancement:No Supervisor: Thomas Desmond III Rig #: 35 Disinfected: Yes Well Seal Type:None Firm: Desmond Well Drilling Inc. Total Well Depth: 65.000 Depth to Bedrock: Registration #: 764 Date Complete:08/27/2007 Comments: OVERBURDEN From To Description Color Comment Water Loss/Add Drill Drill (ft) (ft) Zone of Fluid Stem Drop Rate .00 30.00 Fine to Coarse Sand Brown Yes N/A 30.00 45.30 Clay Brown Yes N/A 45.00 65.00 Fine to Coarse Sand Brown Yes N/A BEDROCK From To Code Comment Water Drill Extra Drill Rust Loss/ # of (ft) (ft) Zone Stem Large Rate Stain Add of Frac Drop per ft 1/1 08/23/2007 THU 15, 47 FAX 5083627103 Barnstable CTY HealthLab --- Barnstable Health �13:12/004 CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory �'' ictt+is" Report Prepared For: Report Dated: 8/23/2007 Sally Desmond Desmond Well Drilling Order No.: G0742961 i P O Box 2783 i Orleans, MA 02653 L2.boratouw aD#: 0742961-01 Description: Water-Drinking Water Sample#: Sampling Location; 4`2 Parker,St.W.Barnstable,MA Collected: 8/21/2007 Collected by: Desmond Wel Received: 8/:2112007 r PAPA 5.24.2 - Volatile Organics by GC/�S t ITEM _ RESULT UNITS RL MCL Method# Analyst Tested ]Vote Dichlorodifluoromethane ND ug/i 0.50 EPA 524.2 yn 8l21/2007 C',hlorornethane ND ug/L 0.50 EPA 524.2 yn 8J21/2007 'Vinyl chloride ND ug/L 0.50 2.0 EPA 524.2 yn 8/2I/2007 iBromomethane ND ❑&/L 0.50 EPA 524.2 yn 8/21/2007 1,1,1,2-Ti-trachloroethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,1,1-T riclrloroethane ND ug/L 0.50 200 EPA 524.2 yn 8/21/2007 1,1,2,2-Tetrachloroefliane IND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,1,2-Tric.hloroel:ha.ne ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 1,1-Dichloroethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 l,1-Dichloroethene ND ug/L 0.50 7.0 EPA 524.2 yn 8/21/2007 l 1,1-Dichloropropene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 i[ 1,:_>,3-Trichlorobenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,2,'_Yrichloropropane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,7,4 Trichlo'obenzene ND ug/L 0.50 70 EPA 524.2 yn 8/21/2007 1,2,4-Trirrethylbenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 i, -Dibromo-3-chloropropane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 I,:'-Dibromoethane(EDB) ND ugfL 0.50 EPA 524.2 yn 8/21/2007 42-Dichlorobenzene ND ug/L 0.50 600 EPA 524.2 yn 8/21/2007 1,2-Dichloroethane ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 1,'-Diehl.3ropropane ND ugfL 0.50 EPA 524.2 yn 8/21/2007 ',:3,5••'frirrIethylbenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,:3-Dichl,robenzene NDu&fL 0.50 EPA 524.2 yn 8i21/2007 1,3-Dichioropropane NDug/L 0.50 EPA 524.2 yn 8/21/2007 1,4-Dichlorobenzene ND ug/L 0.50;- 5.0 EPA 524.2 yn 8/21/2007 ?,'. Dirhloropropane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 7.-f'hlorotolaene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 -Chlorotoluene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Benzene ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 I Brorn.ob,°nzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 - I E,romochlorcmethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1:4-olnodichloromethane ND ug/L 0.50 EPA 524.2 yn 8/21l2007 Bromoforrn ND ug/L 0.50 EPA 524.2 yn 8/21/2007 NTD=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level j Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 � 08/23/2007 THU 15: 47 FAX 5083627103 Barnstable CTY HealthLab --- Barnstable Health 00,13/004 5. CERTIFICATE OF ANALYSIS Pag... 2 Barnstable County Health Laboratory Report Prepared For: Report Dated: 8/23/2007 Sally Desmond Desmond Well Drilling Order No.: G0742961 1' O Lox 2783 R Orleans, MA 02653 y Laboratory IDi : 0742961-01 Description: Water-Drinking Water l Sample#: Sampling Location: 12 Parker St.W.Barnstable,MA Collected: 8/2112007 i Collected by: Desmond Wei Received: 8/21(2007 i Elr"A 524:.2 - Volagile Organics by GUMS „ITE,M RESULT UNITS RL MCL Method# Analyst Tested _Vote Carbon tetrachloride ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 Chlorobenzene ND ug/L 0.50 100 EPA 524.2 yn 8/21/2007 Chloroethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 C`iloroform 0.76 ug/L 0.50 80 EPA 524.2 yn 8/21/2007 cis7l,2-Diehloroethene ND ug/L 0.50 70 EPA 524.2 yn 8/21/2007 ( cis-1,3-D i chloropropene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Dibromochloromethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Dibromornethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1 Ethyibenzene ND ug/L 0.50 700 EPA 524.2 yn 8/21/2007 fe x_.chlorobutadiene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Io-propylbenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Methylene chloride ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 Ntethyl-tert-butyl ether ND ug/L 0.50 EPA 524.2 yn 8/21/2007 til,aphthalene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 i?-13t1 ✓117�11Ze le ND ug/L 0.50 EPA 524.2 yn 8/21/2007 i !r-]Propylbenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 f 9-1sopropylto'luene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 ° ! u 0.50 EPA 524.2 yn 8/21/2007 se.-Butylbenzene ND l Sty,"rene ND ug/L 0,50 100 EPA 524.2 yn 8/21/2007 f .. i ten-Butylbenzenc ND ug/L 0.50 EPA 524.2 yn 8/21/2007 j Tetrachloroethene ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 Toluene ND ug/L 0.50 1000 EPA 524.2 yn 8/21/2007 I'crlal xylenes ND ug/L 0.50 10000 EPA 524.2 yn 8/21/2007 trans-1,2-Diehloroethene ND ug/L 0.50 100 EPA 524.2 yn 8/21/2007 trans-1,3-Dichloropropene ND ug/L 0,50 EPA 524.2 yn 8/21/2007 Tru:hforoethene ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 Trichlor-Ofluc-romethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 H'arer sample meets the recommended limits far drinking wafer of all the above tested parameters. Approved By: (Lab ctor)i ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court Douse, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 , , I 08/2:./2007 THU 15: 47 FAX 5083627103 Barnstable CTY HealthLab -a- Barnstable Health ZOJI/004 t 1 CERTIFICATE OF ANALYSIS Page:.:CERTIFICATE `" Barnstable County Health Laboratory '� �c�. 5 `M Report Prepared For: Report Dated: 8/23/2007 ScIly Desmond s Desmond Well Drilling Order NO.: G0742961 P D Eox 2783 Orlean , MA 02653 L� or_rt�ty IIb1>� 0742961-01 Description: Water-Drinking Water Sample 4: Sampling Location: 2I ParkecSt:W�Barnstab_I_,MA Collected: 8/21/21007 Collected by: Desmond Wel �- Received: 8%!1a7?I07 E '��E►�Il!<1E' Wa EINY. RESULT UNITS RL MCL Method# Tested N[trate.as Nitregon 0,76 mg/L 0,10 10 EPA 300.0 8/21/2007 C;o,7per NDmg/L 0.10 L3 SM3111B 8/22/2007 1170i1 NB mg/L 0.10 0.3 SM 3111B 8/22/2007 Sodium 16 mg/L 1.0 20 SM 3111B 8/22/2007 Total ColEforrn Absent P/A 0 0 SM9223 8/21/2007 Conductance 190 umohs/cm 2.0 EPA 120.1 8/21/2007 PH 6.7 pH-units 0 SM 4500 H-B 8/21/2007 FYW,?r atnNe mec-s die recommended limits for drinking water of all the above rested parameters. I Approved By: i (La irector) i V/�¢/�gt9 r•7 Q i 1 i I i i 3 i t f I i E I k I t i i fi t ?JD=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO,Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i °F Ha CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 8/23/2007 Sally Desmond Desmond Well Drilling Order No.: G0742961 PO Box 2783 Orleans, MA 02653 Laboratory ID##: 0742961-01 Description: Water-Drinking Water Sample#: Sampling Location: 12 Parker St.W.Barnstable,MA Collected: 8/21/2007 Collected by: Desmond Wel Received: 8/21/2007 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen 0.76 mg/L 0.10 10 EPA 300.0 8/21/2007 Copper ND mg/L 0.10 1.3 SM 311113 8/22/2007 Iron ND mg/L 0.10 0.3 SM 3111 B 8/22/2007 Sodium 16 mg/L 1.0 20 SM 31 1 1 B 8/22/2007 Total Coliform Absent P/A 0 0 SM9223 8/21/2007 Conductance 190 umohs/cm 2.0 EPA 120.1 8/21/2007 pH 6.7 pH-units 0 SM 4500 H-B 8/21/2007 Water sample.meels the recommended limits for drinking water of all the above tested parameters. Approved By: {La irector) 17 c� (ab -�r M 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 Page: 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 8/23/2007 Sally Desmond Desmond Well Drilling Order No.: G0742961 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 0742961-01 Description: Water-Drinking Water Sample 4: Sampling Location: 12 Parker St.W.Barnstable,MA Collected: 8/21/2007 Collected by: Desmond Wel Received: 8/21/2007 EPA 524.2- Volatile Organics by GUMS ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Dichlorodifauoromethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Chloromethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Vinyl chloride ND ug/L 0.50 2.0 EPA 524.2 yn 8/21/2007 Bromomethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,1,1,2-Tetrachloroethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,1,1-Trichl oroethane ND ug/L 0.50 200 EPA 524.2 yn 8/21/2007 1,1,2,2-Tetrachloroethane ND ug/I. 0.50 EPA 524.2 yn 8/21/2007 1,1,2-Trichloroethane ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 1,1-Dichloroethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,1-Dichloroethene ND ug/L 0.50 7.0 EPA 524.2 yn 8/21/2007 1,1-Dichloropropene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,2,3-Trichlorobenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,2,3-Trichloropropane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,2,4-Trichlorobenzene ND ug/L 0.50 70 EPA 524.2 yn 8/21/2007 1,2,4-Trimethylbenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 - 1,2-Dibromo-3-chloropropane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,2-Dibromoethane(EDB) ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,2-Dichlorobenzene ND ug/L 0.50 600 EPA 524.2 yn 8/21/2007 1,2-Dichloroethane ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 1,2-Dichloropropane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,3,5-Trimethylbenzene ND ug/L, 0.50 EPA 524.2 yn 8/21/2007 1,3-Dichlorobenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,3-Dichloropro,pane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 1,4-Dichlorobenzene ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 2,2-Dichloropropane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 2-Chlorotoluene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 4-Chlorotoluene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Benzene ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 Bromobenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Bromochloromethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Bromodichioromethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 . Bromoform ND ug/L 0.50 EPA 524.2 yn 8/21/2007 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 pF pRl , CERTIFICATE OF ANALYSIS Page. 2 Barnstable County Health Laboratory Report Prepared For: Report Dated: 8/23/2007 Sally Desmond Desmond Well Drilling Order No.: G0742961 P 0 E•ox 2783 Orleans, MA 02653 Laboratory ID#: 0742961-01 Description: Water-Drinking Water Sample#: Sampling Location: 12 Parker St.W.Barnstable,MA Collected: 8/21/2007 Collected by: Desmond Wel Received: 8/21/2007 EPA 524.2 - Volatile Organics by GCIMS ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Carbon tetrachloride ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 Chlorobenzene ND ug/L 0.50 too EPA 524.2 yn 8/21/2007 Chloroethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Chloroform 0.76 ug/l, 0.50 80 EPA 524.2 yn 8/21/2007 i cis-1,2-Dichloroethene ND ug/L 0.50 70 EPA 524.2 yn 8/21/2007 cis-1,3-Dichloropropene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Dibromochloromethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Dibromomethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Ethylbenzene ND ugfL 0.50 700 EPA 524.2 yn 8/21/2007 Hexachlorobutadiene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Isopropylbenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Methylene chloride ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 Methyl-tert-butyl ether ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Naphthalene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 n-Butylbenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 n-Propylbenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 p-Isopropyltoluene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 sec-Butylbenzene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Styrene ND ug/L 0.50 too EPA 524.2 yn 8/21/2007 tert-Butylbenzen. ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Tetrachloroethene ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 Toluene ND ug/L 0.50 1000 EPA 524.2 yn 8/21/2007 Total xylenes ND ug/L 0.50 10000 EPA 524.2 yn 8/21/2007 trans-1,2-Dichloroethene ND ug/L 0.50 too EPA 524.2 yn 8/21/2007 trans-1,3-Dichloropropene ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Trichloroethene ND ug/L 0.50 5.0 EPA 524.2 yn 8/21/2007 Trichlorofluoromethane ND ug/L 0.50 EPA 524.2 yn 8/21/2007 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By: \ ` /(L7ab ' or)! ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 No.-- --- --- Fee-----y 5---------- BOARD OF HEALTH TOWN OF BARNSTABLE Appticat ion-*r V ell Con5truct ion i3ermit 00 Application is hereby made for a permit to Construct (V), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel O0-2 C-'�4-D Q o 1PF LG4-v fib— - - --- - ---- ------------- Owner Address JD 68�ti� v t►p;filler — Driller�6-�� Address Type of Building s'�1� Dwelling------------------------------------------------------- Other - Type of Building---CAU--?" ---- No. of Persons------------------------------- --- 4`uU ---h -�T e of Well- — Purpose of Well_s _CB4uRC-f_ - - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of alth Private Well Protection Regulation - The undersigned further agrees not to place the well in operatio u it Certificate .of mpliance has been i ued by the Board of Health. Signe —---- ---- - — 8 3 D d to Application. Approved By ---- ----�� -----— --�- ° -- date Application. Disapproved for the following reasons:---------------------------------------------------------------------------------- ------------------------------------------------------- ------------------------------------------------------------------------------------- date Permit No. --� -1 --- ----- Issued—��� U --------------------- — --- date ---------------------- - -- - -------------- ---------------- -I BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (Altered ( ), or Repaired ( ) 46 q Y Installer � g a t_C�U 1^e_ I� oT 64 o PC---G ---- - -Al-- -- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well froteytion � QL►V Regulation as described in the application for Well Construction Permit No. -------------`Q-?--Dated-VI,? -v- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE -------------- - —------------------------- - -- Inspector------------------------------------------------------------------------- cNo:-- -- ------------- Fee----- -------------- i BOARD OF HEALTH - TOWN OF BARNSTABLE - Application-ftlVei[ Con0ruttion ermit 00 Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location Address C v -- -— - Assessors Map and Parcel-^ ---- - ------------------- Owner Address �� —�——42c. tS -►�_- e� - �,U,0AdIer - Driller - 4-9 e Address TypleVoVfv�Buuiil�dci-ni�g/►� !`•L:l Dwelling--------------------------------------------------------------- Other - Type of Building---C-fQs(,t-+ - No. of Persons---------------------------------- tt Type of Well—-'_----P V C- - --- Capacity------ --��- �-—— — Purpose of Well-_s—CGd_v_Q0-4 _ _ c�__ Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of alth Private Well Protection Regulation The undersigned further agrees not to ' place the well in operatio u it Certificate .of mpliance has been i ued by the Board of Health. Signed -- -- — - - - --- -- — 8� 3 — Application Approved By — ------------ ---y! ° date Application Disapproved for the following reasons:--------------------------------------------- ------------------------ --------------------- —---- -------- — ----- -------------------------—---------------------------------- date / G Permit No. -- 7^ -� --— -- Issued —ES- � U ----------------- — —- -------------- j date ,-----------------------------------------------------------------------------------------------------j- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS-TO CERTIFY, That the Individual Well Constructed Altered ( ), or Repaired ( ) q -` ----� o�u�-----------� -/ --- Installer at--;-, has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private 1,1,'ell rotection Regulation as described in the application for Well Construction Permit No.� 7-=a?-Dated- -�, �- i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. L. DATE- --- —- —---------—-------------- —--- Inspector-----------------------------------------—- - ------------ --------------------------------------- -------------------- BOARD `OF HEALTH TOWN OF BARNSTABLE Yell Con5truct ion Permit No. —Wa�-��o��' Fee---=J---/--- Permission is hereby granted - X) (ILl l/ - — t G l - aTj to Construct (--)!Alter ( ), or Repair ( ) an Individual Well at: No. a —?=— t4'°` °r s c L)VLCf*----——------ --------r-►� S 1----B-6-c2i . Street as shown on the application for a Well Construction Permit No. --------------------------- - -------------------------------— - Dated-4-1� U--------------- --------------------------------------------- i ------------ -- E Board of Health T v I f i 0 t C.I. COVERS TO GRADE SYSTEM PROFILE NOTES LEGEND TOP FFLOOR AT EL. 48.6'f RIM =RIM ALL SYSTEM COMPONENTS SHALL BE RIM EL 46.9 (NOT To SCALE) MARKED WITH MAGNETIC TAPE OROPOSED SPOT ELEVATION ACCESS COVER (WATERTIGHT) TO ACCESS COVER TO WITHIN 3" OF FIN. GRADE COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROXIMATE NGVD PR CLEAN WITHIN 6" OF FIN. GRADE2. MUNICIPAL WATER IS NOT AVAILABLE OUTS I .75' OF 2% SLOPE REQUIRED OVER SYSTEM 100x0 EXISTING SPOT ELEVATION 46.7' RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 45}-- PROPOSED CONTOUR "A"=44.7' OR GEOTEXTILE FABRIC 3 MAX. FOR FIRST 2 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO "B"=45.0' H- 20 - -100 - - EXISTING CONTOUR44.03' 43.95' :4�4.2�' GAS 6" SUMP 43.72' 43.05' 5. PIPE JOINTS TO BE MADE WATERTIGHT. er Rood ` 1000 GAL 500 BAFFLE 43.22' �� p p p p O p p p p Pork ppp0 p C� C� pp oDEPTH OF FLOW = 4 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH �6" CRUSHED STONE OR MECHANICAL Z42.912' p p p p p p p p p MASS. ENVIRONMENTAL CODE TITLE V. LOCUSTEE SIZES: PROPOSED 1500 COMPACTION. (15.221 [21) p p p p p p p p p c 40.92' CAvrem INLET DEPTH = " GALLON SEPTIC TANK 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO Pond OUTLET DEPTH = 14" (DUAL COMPARTMENT) 3/4" TO 1 1/2" DOUBLE WASHED STONE BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. *THE INSTALLER SHALL VERIFY THE " LOCATIONS OF ALL UTILITIES AND ALL MIN.( 2 X SLOPE) ( 1 X SLOPE) ( 7 X SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. BUILDING SEWER OUTLETS AND ELEVATIONS H-20 H-20 H-20 „ PRIOR TO INSTALLING ANY PORTION OF A„=26 DUAL COMPARTMENT 73� , \ LEACHInIG 5.12' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED CLEAN OUTS "B"=7' SEPTIC TANK D BOX 15 \ FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION PTIC SYSTEM \ O OBTAINED FROM BOARD OF HEALTH. LOCUS MAP # TO APpROX' 1549 \ 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING SCALE 1"=2083' 2p0 N PER' FROM HERE OWNER \ DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ASSESSORS MAP 197 PARCELS 4, 5 & 6 (1.02 ACRES TOTAL) 1-OCAT�O \ BOTTOM TH-1 EL. 35.8' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO \ LOCUS IS WITHIN FEMA FLOOD ZONE C AS SHOWN COMMENCEMENT OF WORK. ON COMMUNITY PANEL #250001 0011 C 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND DATED 7/2/92. 0 F0 Q�� 1\ REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. LOCUS IS WITHIN AP OVERLAY DISTRICT 0�.• 0 Sign \ 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED TEST HOLE LOGS LEACHING FACILITY. Ab \ ENGINEER: DAVID FLAHERTY, R.S. I.P. 5 �, 13. NO KNOWN POTABLE WELLS OR WETLANDS WITHIN 150' '�\ °, OF PROPOSED LEACHING FACI'_ITY. WITNESS: DAVID STANTON, R.S. o DULY 31, 2007 \ \ 14. EXISTING WELL TO BE RE-LOCATED TO AN APPROVED DATE: Q °II LOCATION GREATER THAN OR EQUAL TO 150' FROM PERC. RATE _ < 2 MIN/INCH I U3 PROPOSED LEACHING FACILITY (AS SHOWN.) NEUWIRTH, MARY-EL/ZABETH I m CLASS I SOILS P# 11891 54 BUND Y LANE 1�915 s � STORRS, CT 06268 1 l \i \ II o ELEV. ELEV. SYSTEM DESIGN: Olt 47.8' 0" 4 48.4' BENCHMAR/r• FILL/A A / CORNER OF CONC ��I I I GARBAGE DISPOSER IS NOT ALLOWED A T BULKH�,gD i I LS LS C.B. ' �A, 6, EL. 48.2' t I I J DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD 8f$ 10YR 3/3 1 10YR 3/3 I [ \ o USE A 330 GPD DESIGN FLOW (HOUSE ONLY- NOT FOR CHURCH) B 47.1 2vp B 'v� � 47.4 Ma mope Co �t�. \ I ��' o �, I shed `P°r \_ \ ��gn I o�` SEPTIC TANK: 330 GPD (2) = 660 LS LS o -1 Pole OagO' OPM SEES 1 LbKBPWELBELOW EL. LTO TO 20 CAP Parker R W/G�y W,re \ i \ II^moo USE A 1500 GAL. DUAL COMPARTMENT SEPTIC TANK 26„ 10YR 5/8 45.6' 10YR 5/8 , (TO BE -LOCH i Exist n9 30 45.9 NEW 3" CALIPE 22" M e story \_ LEACHING: DECIDUOUS TREE 10, '' /l PROPOSED ASPHALT PARKING '` / onout 1 1A Nou'e -�- \ f! I Q SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD h nP ''s 146J (PER PREVIOUSLY APPROVED j \ A' parish _ \ 1 p BOTTOM 25 x 12.83 74 = 237 GPD C C r PLANS-UNDER CONSTRUCTION) \ I C ( ) PERC - d LA , A /. 2�„� \ E I TOTAL. - _ . , _ � 472 S,F. 349 GPD C.B. I N ,, $, - S.F.- tvtFS ;tt; MARK: 3 / USE (2) 500 GAL. H-20 LEACHNG CHAMBERS (ACME OR EQUAL) NCN lLL \ \ \or 6, / l \ \ �} WITH 4, STONE ALL AROUND ° C 1' 4$• ; c EXIST. SEPTIC 2.5Y 7/4 2.5Y 7/4 POST E � PER DESIGN TYP B 16 s 2 r 19.2' / S \ PLAN BY LO j I MCENTEE ra o / I o ' 2 Mo j MA 20" Lo st 1g d 6 ' ,\ THI- ' / / 1 , APPROVED DATE BOARD OF HEALTH 144" 35.8' 120" 38.4' cP 0 Co ver N 10" L u - C-P,~ _ - / a` / \ N I NO GROUNDWATER ENCOUNTERED 1 _ 10 ' Lo t 10" L t �° o. / N tO j ,r { / / H-1 ° N Road area `y I�SJ �' I <,� I NII n �118 ew p rk19 �� 1 l wo ti to I o n o \ I 2 w °' 10" Loc olished� \ s ( j / N I00 �� petn \ ll 2 .9 m TITLE 5 SITE PLAN - ` 15U TO PROPOSED WELL \ NEUWIRTH MARY-EL ABETH / 3 0 �44 r 1 \ I tj• I { 1 54 BUNDY LANE 24 Lc tl `� , \ R j I OF STORRS, CT 06 8 WEL CATION p � LZ�9 I 1O' I ver o 1 s_ Q y 6r \ RE VE EXISTING \ z' 11 4 _ ' = save)Lo s [45,/ �o ,or• rJt �d�e I \ j PAR G AREA #12 PARKER RD. 10''!ocu Q - / F I 1 til/t Po/ I N w / 1 �oQ %N" / LOAM SEEID y "Chok h ry . es3 ��� �~ , ! �� s9 j 1 �o{ NV�n t I \I (WEST) BARNSTABLE, MA C THl\ ocust Jr FOR 10 , c s 43 �� / q" ocaJst o� Brick SIGHT TRIANGI/e. " Ma/ _ \ , NO PLANTINGS ��� / I ��� \ ` I N TYP. - _ _ �,.,,, _ �DEust JOSEPH GILL DO NOT ENTER SIGN i ~/ o - - _ 1 Brick 0 lsi�nd 53 3 x3 LEA HINGE 42.5 - �- L cust \ TRENCH & 6' 14' LPI I BETWEEN Sign L ey � � ~ x' / �"� \ \ OUR LADY OF HOPE CHURCH (So v 6'X6' SOLID BASINS /� \ [43SJ �\ �'\-- / DO TER SIGN � �� �.. � � �-' �-- `'r` �`e�a � •�; o \ �(0 Futter DATE: AUGUST 1 , 2007 50' TO CESSPOOL ' i .e e �� `'.iBrick C&Wrtyry REV. DATE: AUGUST 6, 2007 /MH COVER, ACREAGE) Fd9e i 0 C HSE #25 LOCATION PER OWNER to P �` ... -� ...�� .:. .: 15,� ,�gd -( � (ADJACENT ne __~ UBGIC 33, /�e�e �� �e� HOUSE AND ROAD) D£ 0� 3 J ris t \ 28 (,0 4 ^i 70' Lo 0 2 \ �a d J� \ Scale: 1 = 20 t.132•87' \�\� X 3w \o to 0 10 20 30 40 50 FEET ,S VEj \ off 508-362-4541 \ fax 508 362-9880 \ ��ZN QF Mq � �ylH OF ygss� \ o�� DANIELA. oyG� �o�� DANIEL oyG� down cope engineering, Inc. OJALA A. \ 0 CIVIL C OJALA \ N; No.40980 Cl VIL ENGINEERS /STE� � SSA LAND SUR 1/EYORS NAL tiNf �NI SURV �� DATE DANIEL A. OJALA, P.E., P. .S. 939 Main Street - YARMOU THPOR T, MASS. DCE #04-242 04-242_SEPTIC_UPGRADE.DWG (DAO)