HomeMy WebLinkAbout0361 PARKER ROAD - Health (2) 361 Parker Road, '
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No. c Fee 445
BOARD OF HEALTH
TOWN OF BARNSTABLE
2pplicatiou jfor lVell Con5tructiou 3permit
Application is hereby made for a permit to Construct( Alter( ), or Repair( ) an individual well at:
3c�r Packer P.�, ;tit b( y'Z1
Location-Address Assessors Map and Parcel
Owner Address
�Q.Sw,bn� \No, cV Aw- Q.0 gbt. Z11b3, Ocl insYM
Installer-DrilleJ Address
Type of Building /
Dwelling d
Other-Type of Building No. of Persons
Type of Well yn SC-\4o p4C, Capacity
Purpose of Well
Agreement:
The undersigned agrees to install the afore described 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 Certi Cate of Compliance has been issued by the Board of Health.
Signed 012-113
2
Date
Application Approved By Y)W6 d7
ate
Application Disapproved for the following reasons:
Date
V V Permit No. � Issued
to
--------------------------------------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
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 Barnsta e Board of He 1 Private Well Protection
Regulation as described in the application for Well Construction Permit No. ated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
No. 0 Fee 445
l i
BOARD OF HEALTH
TOWN OF BARNSTABLE
0(ppYication jFor Vett Construction Permit
Application is hereby made for a permit to Construct(�, Alter( ), or Repair( ) an individual well at:
'YA PaN'tr 1�x ,W'B 0-2 1
Location-Address Assessors Map and Parcel
Owner Address
WQ\\�c,\\<n�t ��`R�- ?•u-%-K 2�1�3, OcLeMYYAort,63
Installer-DrilleJ Address
Type of Building
.Dwelling
Other-Type of Building No. of Persons
Type of Well LV' S(-W-j o ,V4 C. Capacity
Purpose of Well IV bveAk ,
Agreement:
The undersigned agrees to install the afore described 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 t
well in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed 1011113 -
0 Date
Application Approved By D
ate
Application Disapproved for the following reasons:
Date
Permit No. / Issued
BOARD OF HEALTH
TOWN OF BARNSTABLE `
Certificate of Compliance
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 Barnsta a Board of Heal Private Well Protection
Regulation as described in the application for Well Construction Permit No. / Dated +
� E
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
+
BOARD OF HEALTH
TOWN OF BARNSTABLE
�j lVerr Construction Permit
No. VV�� )kl'-J _0 Fee
Permission is hereby granted to ''7� ! " 01)VIJ-11 l 37-
Installer
to Construct Alter( or Repair( an individual wel t:
No. n
Street �,
as shown on the app ication for a Well Construction Permit No. VV � snO) Dated
Date Approved By
61
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection
Well Completion Reports
Well Driller
Please specify work performed: Address at well location:
New Well Street Number: Street Name:
361 PARKER ROAD
Please specify well type: Building Lot#: Assessor's Map#:
Domestic
Assessor's Lot#: ZIP Code:
Number Of Wells: 02668
City/rown:
Well Location `,r, BARNSTABLE
In public right-of-way: vvvv GPS
zJt Yes a�x No North: West:
41.69392 70.36666
Subdivision/Property/Description:
Mailing Address:
Iel click here if same as well location address!
Property Owner: Street Number: Street Name:
JOHN JENKINS 78 PO BOX
City/Town: State: ® d O
Engineering Firm: W BARNSTABLE MASSACHUS�TFS ``'
ZIP Code: 7
02668 C,-)1 I� 0
Board of health permit obtained:
5i�T Yes Not Required
Permit Number: Date Issued:
N
W2013 002 110/2/2013
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Massachusetts Department of Environmental.Protection
a Bureau of Resource Protection—Well Driller Program
' Well Completion Reports(General)
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
Auger Choose Bedrock WELL LOG OVERBURDEN LITHOLOGY
From(ft) To(ft) Code Color Comment Drop In Extra fast or slow Loss o
drill stem drill rate fluid
0 20 ISilty Sand 113rown _� rjiYES ,jti.Fast rjaSlow €jetLo
20 40 SiitySand Brown 7ji YES ,j4i Fast ij.i Slow 1ji Lo
40 60 Silty Sand Brown 1j41 YES ,jo Fast ij,i Slow ijn Lo
60 70 ISilty Sand Light Gray ,jai YES €jn.Fast iju Slow
70 90 ISilty Clay Light Gray ,jn YES r,ju Fast 1j'ISlow Jji Lo
90 100 Silty Clay Light Gray � ,j;i YES JA Fast ijn Slow [iLo
100 110 Fine To Coarse Sand grown �tjti Fast tjn Slow Doi.Li
WELL LOG BEDROCK LI HOLOGY ---JJJ
. Visible
From(ft) To(ft) Code Comment Drop in Extra fast or slow Loss or addition of Rust.
drill stem drill rate fluid
Stalnin
�JChoose Code €ja Fast €j41 Slow ijn Loss ijo Addition e
ADDMONAL WELL INFORMATION
Developed Disinfected jiYes ij,No
Total Well Depth 110 Depth to Bedrock
Fracture
Surface Seal Type lNone Enhancement €j1 Yes ij1 No
CASING I b Is Casing above ground. From: 1 To: 0
From To Type Thickness Diameter Driveshoe
0 106 jPolyviAyl Chloride Schedule 40 4 , Ye
SCREEN No Scree
From To Type Slot Size Diameter
106 110 IStainless Steel Well Point 0.012 4
WATER-BEARING ZONES DRY WEL
From To Yield (gpm)
22 110 12
K
Massachusetts Department of Environmental Protection
�) Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
PERMANENT PUMP(IF AVAILABLE)
2 Wire Constant S eed
Pump Description Submersible Horsepower 3�
Pump Intake Depth(ft) 65 Nominal Pump Capacity(gpm) 10
ANNULAR SEAL/FILTER PACK
From To Material Weight Material Weight Water Batches M
_ (gal)Choose Material Choose Material C
WELL TEST DATA
Time Pumping Time To Recovery (ft
Date Method Yield (gpm) Pumped Level (it Recover
(HH:MM) BGS) (HH:MM) BGS)
1 0/1 812 01 3 Constant Rate Pump 12 1:30 23.5 0:01 22
WATER LEVEL
Date Measured Static Depth BGS (ft) Flowing Rate (gpm)
10/18l2013 22 12
COMMENTS
WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete a
knowledge.
THOMAS E
Driller DESMOND III Registration# 764 Monitoring[M] Supervising Drill
DESMOND WELL
Firm DRILLING INC. Rig Permit# 023 Date Job Compl
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
Lr
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
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; ` CERTIFICATE OF ANALYSIS
_ m Barnstable County Health Laboratory (M-MA009)
Recipient: Sally Desmond Matrix: Water-Drinking Water
Desmond Well Drilling Sampled: 10/18/2013 12:15
P 0 Box 2783 Received: 10/18/2013
j Orleans, MA 02653 Collection Address: 361 Parker Road,W Barnstable
O
Sample Location:
rder#: G1377574
Description: Lab Analysis
Lab ID: 1377574 01 Date Analyzed: 10/18/2013 @ 13:49
Sample#:
Analyst: yn
Method: EPA 524.2 Dilution Factor: 1
I Comment: Water sample meets the recommended limits for drinking water of all the above tested parameters.
EPA 524,2 - Volatile Organics by GC/MS
Result MCL MDL r� Result MCL MDL ;
Parameter ug/L i ug/L i ug/L Parameter ! ug/L ug/L ug/L
!Dichlorodifluoromethane 1 - ND - I - 0.50 I Chloroform 2.8 80 0.50
Chloromethane _ _ ND ! 0.50 ! J
_ _ ___ !cis- ND 70 0.5o i
�Vnyl chloride ! ND 2.0 0.50 cis 1,3 Dichloropropene ND 0.50
IBromomethane ND f 0.50 Dibromochloromethane ND o.50
_............._ _ u -- -'---
,1,1,1,2-Tetrachloroethane ND 1 0_50 IDibromomethane ND 0.50�
,1,1,1-Trichloroethane ND 200 0.50 ,;Ethtylbenzene ND 700 0.50
:1,1,2,2-Tetrachloroethane ND _ -0_50 :'.Hexachlorobutadiene ND I 0.50
1,1,2-Trichloroethane ' ND 5.0 0.50 Isopropyl benzene ND 0.50
1,1-Dichloroethane ND 0.50 ;:Methylene chloride I ND ; 5.0 0.50
!1,1-Dichloroethene ND 7.0 0.50 jlMethyl-tert-butyl ether i ND 0.50
1,1-Dichloropropene ND ! j 0.50 Naphthalene i ND 0.50
1,2,3 Trichlorobenzene j ND 0.50 ;!n-Butyl
0.50
1,2,3-Tdchloropropane 11 ND n-Pro i 0.50 - pybenzene ND
- _...
1,2,4 Trichlorobenzene ND 70 I 0.50 !jp-Isopropyltoluene ND I I 0.5o
11,2,4-Trimethylbenzene i ND 0.50 ! sec-Butyl benzene ND 0.50
1,2-Dibromo-3-chloropropane I ND 0.50 ;'Styrene ND 100 0.so
L,2 Dibromoethane(EDB) j ND T 0.50 ;tent-Butyl benzene ND 0.50�
j1,2-Dichlorobenzene ND 60o 0.50 �Tetrachloroethene ND 5.0 0.50
1 2-Dichloroethane ND- 5.0 0.50 ;Toluene ND 1000 0.50
1,2-Dichloropropane ND j 0.50 ;[Total xylenes I ND 10000 I 0.50
11,3,5-Trimethylbenzene ND i o.50 ..trans-1,2-Dichloroethene 1 ND 100 0.50
11,3-Dichlorobenzene ND I 0.50 l
trans-l3-Dichloropropene i ND 0.50
il,3-Dichloropropane j ND j 0.50 !Trichloroethene ND 5.0 1 0.50
;1,4-Dichlorobenzene ND 5.0 ; 0.50 !Trichlorofluoromethane ND 0.50
!2 2-Dichloropropane ! ND 0.50 /o
-- - o
_._-__-... . Surrogates Recovered I QC Limits
12-Chlorotoluene ND I 0.50
! p-Bromofluorobenzene 1 74% 70 130 j
14-Chlorotoluene ND 0.50 ! - --- ---r- -- -
1,2-Dichlorobenzene-d4 710/a 70 ! 130
:Benzene ND 5.0 0.50 - - - - -- ` -- --� ..._
IBromobenzene ND 1 1 0.50
'Bromochloromethane ND 0.50
1Bromodichloromethane ND 0.50 !
Bromoform ND 0.50
;Carbon tetrachloride ND 5.0 o.so
!Chlorobenzene I ND 100 0.50 !
iChloroethane ND 0.50
Attached please find the laboratory certified parameter list. Approved By: ._._....... __..-....._.�_
(Lab Director)
ND=None Detected RL = Reporting Limit. MCL=Maximum Conraminant Le+¢I
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 1 of 1
p°F R�- CERTIFICATE ®F ANALYSIS 9
,..y V , Page: 1 of 1
{ Barnstable County Health Laboratory (M-MA009)
,
Report Prepared For: Report Dated: 10/21/2013
p
Sally Desmond
Desmond Well Drilling Order No.: G1377574
P O Box 2783
Orleans, MA 02653
Laboratory ID#: 1377574-01 Description: Water-Drinking Water
Sample#: Sample Location: 361 Parker Road,W Barnstable Collected: 10/18/2013
Collected by: Received: 10/18/2013
Routine_M
i
ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE j
Nitrate as Nitrogen 0.50 mg/L 0.10 10 EPA 300.0 LAP 10/18/2013
Iron ND mg/L 0.10 0.3 SM 3111E LAP 10/18/2013
Manganese ND mg/L 0.10 SM 3111B LAP 10/18/2013
pH 6.4 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 10/18/2013
Sodium 10 mg/L 2.5 20 SM 3111E LAP 10/18/2013 I
Total Coliform 0 /100ml- 0 0 MF-SM9222B RG 10/17/2013
Conductance 95 umohs/cm 2.0 EPA 120.1 DCB 10/18/2013 !
i
Water sample meets the recommended limits for drinking water of all the above tested parameters.
Approved B ti�� 4-Q--kAttached please find the laboratory certified parameter list. Pp Y•
;Lab Manager) /
ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605
DUNNING, KIRRANE, McNICHOLS & GARNER, L.L.P.
COUNSELORS AT LAW
MICHAEL A.DUNNING* EMAIL ADDRESS
KEVIN M.KIRRANE SHELLBACK PLACE mdunning@dunningkirrane.com
ELIZABETH A.McNICHOI.S 133 ROUTE 28
BRIAN F.GARNER BOX 560 WEB SITE
MASHPEE,MA 02649 dunningkirrane.com
CHRISTOPHER J.KIRRANE
SUSAN SARD WHITE
508-477-6500
PATRICIA McGAULEY, FAX 508-477-7633 *Also admitted Minois Bar
OF COUNSEL
March 17, 2008
Department of Public Health
Town of Barnstable
200 Main Street
Hyannis, MA 02601
Attention: Dr. Wayne Miller
C/o Tom McKean
RE: 361 Parker Road, West Barnstable, MA
Property Owned by Peter Jenkins et al
Dear Dr. Miller:
Please be advised that I represent the applicant with reference to the above-entitled
project, which came before the Barnstable Board of Health on Tuesday, March 1 lcn
As you may know, I was unable to attend the meeting, but spoke to Thomas McKean
this morning to review the Board's findings.
Mr. McKean had indicated that the Board would require a shared innovative/alternative
septic system. While I understand the need for an innovative/alternative system, given the small
number of lots, I would appreciate reconsideration of the Board's decision so as to permit
individual on-site innovative/alternative septic systems for each of these four new lots to be
developed,which would have the same net effect as one shared system.
I understand concerns with respect to testing and monitoring issues, but suggest they
could be addressed as follows:
• incorporation of conditions requiring mandated testing and monitoring on the approved
subdivision plan;
• incorporation of conditions in each individual deed; and
s incorporation of conditions in the homeowner's association documentation.
� • 4y
Request is hereby made that the matter be placed on the agenda for consideration of this
matter for your April 8th meeting,which Mr. McKean indicated would be the next open meeting.
Thank you for your attention to this.
Very truly yours,
Michael A. Dunning
MAD/jmd
w:\dk8\winword\mad\clients\jenldns-board of health-miller ltr.doc
II� —
TOWN OF BARNSTABLE
LOCATION 36( T?Vkme SEWAGE #
VILLAG ASSESSOR'S MAP&LOT/ 00,;�O
INSTALLER'S NAME&PHONE NO. AA B C t�fQ
SEPTIC TANK CAPACITY 14
LEACHING FACIL TY: (type) M1k " (size) AAG 'lv IS
NO.OF BEDROOMS
BUILDER OR OWNER 1,P—h ic,2 5
PERMITDATE: lL9"/ / 7 Y6/1 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 leachin facili Feet
Furnished by � ��
�+ 2
0
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No. / Fee Q9
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
2ppiication for Oiopooal *pztem Construction Permit
Application is hereby made for a Permit to Construct( )or Repair(Xan On-site Sewage Disposal System at:
Location Address or Lot No.3 Q( a&-e r 2-cQ. &Wd owner's Name,Address and Tel.No. 4
�e� Esc-e-r Jev����5 n
Assessor's Map/Parcel (��o Oak ( V , �1 �j�� 6 7 1 W (L
Installer's Name,Address, deMifin Street Designer's Name,Address and Tel.No.
W. Yarmouth. k^A n2673
Type of Building:
Dwelling No.of Bedrooms 3 Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Ir1S Fa — /SOU G fr(
+0 1 0- boy- +v '4- r.►LIr-P! 4r� (I7ftx', ,,her5 ) Q1 3o�.�r &J-6rr-10
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 Board of Health.
Signed Date 16 - /) - 9 6
Application Approved by Date
Application Disapproved for the following reasons
Permit No. 96 - S�l 2 Date Issued to 1,2
———————————————————————————————————————
No. - Fee
- THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLES MASSACHUSETTS
ZippYication for ]3igpo2;a1.*pgtem Cottgtrurtiott permit
F _41
Application is hereby made for a Permit to Construct( )or Repair(y/j an gvsns'te Sewage Disposal System at:
Location Address or Lot No.3(Q ( "a_r-4r a Cx . &r4, Owner'sName,Address and Tel.No. 4 J
,tfer 3 evt(x, ,AS .
Assessor's Map/Parcel 0a t3 U 6�, 6 7/ .gQ fd,)/A 2^4L
Installer's Name,Address,and Te1..No. DOigner's Name,Address and Tel.No. �
'` = ,14/
Type of Building:
Dwelling No.of Bedrooms 3 Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures r
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
TitleI
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 7 0S Fa 1 /S 0 0 R(, �c��-c 4,4 Alk
+0 � P- &,y �o W' 3: J, /4 r� (A1A)c;A 2erS_) 01 3' Jta��c a-fall,,
Date last inspected: J
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system a
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 Board of Health.
i
Signed Date /0 0 - 9 6
Application Approved by Date
Application Disapproved for the following reasons J
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Permit No. 96 , 5 Date Issued X�l
---------------------------------------
I
' THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
a
THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced( ✓)on
by C//'ANC o Installer CANCO
at 3&1 lar'tl e T /ZV. Gtl . - f,%r b 4- has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Constru Permit No. — -2 dated /6—/ - ZG .
Date Inspecto���
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYS-
TEM WILL FUNCTION SATISFACTORY.
7 __ {
-- � Fee=s�—--------------------------
I No. 7
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION . BARNSTABLES MASSACHUSETTS
Zigpoot bpgtem Construction 3permit
Permission is hereby granted to
to construct( )repair( )an On-site Sewage System located at No.# 3(a I Kr ,e r / d &u 14s{,q
Street
and as described in the above Application for Disposal System Construction Permit. -�`� /U
No. Date
The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions.
All construction must be completed within three years of the date below.
Date: /7 ' 9� Approved b
PP Y
Board of Health /
7
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CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS)
I, � , All dy1 , hereby certify that the application for o disposal works
construction permit signed by me dated to l ) , concerning the
property located at 3Co( Pae�' 12�1 ���xJ. _ meets all of the
following criteria:
• There are no wetlands within 300 feet of the proposed septic system
• There are no private wells within 150 feet of the proposed septic system
• The observed groundwater table is 14 feet or greater below the bottom of the leaching facility
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
r SIGNED : �1 G �� DATE: /0
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
[Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].
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VACANT \ �' J� u�2 •�
SO } / PR OPOSED WELL LOCA TIOAr
Z 300 9 SF, / LOCATED IN
WEST BARNSTABL_E.A"SS.
VACANT PREPA RED FOR
JOILNP.JEAKINS
DATE.SEPT.30,2013 SCALE.-1 " = 50'
FILE: 419BA parkerrd
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1 AV,- CAPE & ISLANDS ENGINEERING
o c:i1AxLL ° 800 FALMOUTHROA D SUITE 301 C
MASHPEE;MASS.02649 [5081477--7272 I
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