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HomeMy WebLinkAbout0019 PARRISH WAY - Health 9 �.dish 'Way st Bainst'ioole A. = 110 043 � I �i N E d 4 r A f t h a TOWN OF BARNSTABLE i LOCATION - SEWAGE # ��3OL VILLAGEa,!e-� tn.5 1,V L 4 ASSESSOR'S MAP & LOT Jl t0 "'6 j(.-J INSTALLER'S.NAME & PHONE NO. #W P SEPTIC TANK CAPACITY LEACHING FACILITY:(type) C-. 20 ize) NO..OF BEDROOMS ) PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 7- -Taiy 4x ell DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No /� C J 7 ff B /i 9 i No.- ---^----`--- " C-/ Fee--- BOARD OF HEALTH TOWN OF BARNISTABLE zippYifationforIvell cootruftionpefmit Application is hereby made for a'pe it to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ---------------------------------------------------------------------------------------------- Location — Address Assessors Map and Parcel ---------—---------------—---------------------- ------—------------------------------- -------------------------------------------------------- —------- —-------------- —---------- ------ _Owner Address G— ----------------------------------------- ---------------------------------------------------------------------------------------------- Installer — Driller Address Building Type of Dwelling-----.J/ ---------------------------------------- Other - Type of Building------------------------------------ No. of Persons------------------------------------------------------- Typeof Well------- -- Capacity--------------------------------------------------------------------------------- Purpose of Well---- ��1�� - -° Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed-----------------------—-------------------------------------------------- -------------- ---------------- date Application Approved By ------ ------ - ------! -------- - ---------__ _=_ - date _ Application Disapproved for the following reasons:-----------------_____________________________________________________________________—----_--- ------------------ date Permit No. Issued------- 6/` JF- ----------------------------------- date BOARD OF HEALTH TOWN OF BARNISTABLE Certificate ®f Compliante THIS IS TO CE IFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) Installer at------------ - - _ �-'- �_�� ��_-,�- ----- ---------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection �5ated Regulation as described in the application for Well Construction Permit Nc Y-'--�-- -- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------—--------------------------------- Inspector------------------------------------------------------------------------ i� Fee---- A R D OF HEALTH TOWN OF BARNSTABLE Zippricat ion-*rVell Congtructionpermit Application hereby made forjapermit to Construct ( ), Alter ( 'I), or Repair ( )an individual Well at: - -/ -r -�f� - � -- -----------=------------------ Location — Address Assessors Map and Parcel — — — — — — —--- — --————-- —— — — — ———— — — —-- --------------—-----------—----— Owner Address ��,,,,:�> k.fM A - ----------------------------------------------------------------------------------------------------— ---------------- Installer — Driller Address Type of Building Dwelling ------------------------------- Other - Type of Building ----- No. of Persons--------------------------------=------------ I Type of Well Capacity----------------------------- ----------------------------------------- Purpose of Well-----�+��� ' =° -----` -- --- r Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed---------------—-------------------------------------------- ------------------- ------------------------------------ date Application Approved By----- �i�_^' r _`c.��"`_ '-'� - - ��� l_�___ date Application Disapproved for the following reasons:--------- Permit No. -------------------------------------------------------------------------------- Issued-------- -/ f -'�--Z�--/ -date --------------- ci ----------------- -"-'=- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Indiv,,;dual Well Constructed ( ), Altered ( ), or Repaired ( ) ------------------------------------------------------- ----------------------------------------------------- Installer -- ------------------------------------ j 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 Noy!-----__-1fk-`_"=g_'Dated--= =I --- y THE ISSUANCE OF THIS CERTIFICATE SHALCNOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------------------------------------------------------------------------- Inspector—----------------------------------------------------------------- i BOARD OF HEALTH TOWN OF BARNSTABLE Ivell CongtructionAermit No.--------- -- -- �, Fee------------------ 6�� -- -Permission is hereby granted - - -----�x� --------------------------------- to Construct Alter ( ), or Repair ( ) an Individual Well at: . No. --— — -= - -- —�------- - ' - dam"` !a------------------------------------- Street t as shown on the application for a Well Construction Permit No. �`-n---____-'�'`___-�---------------------------------- Dated-------------- . Board of Health DATE--------'--✓---------------------------------�--------------------------------- ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 • Sandwich, MA 02563 (508)888-6460 • 1-800-339-6460 FAX(508) 888-6446 CLIENT: Aqua-Jet LOCATION: 19 Parrish Way ADDRESS: 135 Rte. 130 W. Barnstable, MA Mashpee, MA 02649 SAMPLE DATE: 6-1-94 COLLECTED BY: M. DiMaggio DATE RECEIVED: 6-1-94 TIME: 8:00 A SAMPLE I.D.: 61 JOB TYPE: New well WELL DEPTH: 120' RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100m1 (MF Method) 0 0 pH pH units 6.0-8.5 6.87 Conductance umhos/cm 500 74 Sodium mg/L 28.0 8.36 Nitrate-N mg/L 10.0 0.56 Iron mg/L 0.3 0.09 Volatile Organics EPA 502.2 * ug/L N.D. COMMENTS: * See report attached. Yes No WATER IS SUITABLE FOR DRINKINGRTP0SES T�:7Dat TERS TESTED. goat (,f 4 1 IT = Less Than r F. 1 No....74 A C/- FRs. 10. THE COMMONWEALTH OF MASSACHUSET-TS gyp& BOARD OF HEALTH { TOWN OF BARNSTABLE pplir tion fnr i It ail nrlt Towitrnrtiun re ntit AP licati n is hereby ade for a1 Permit to Coristruct ( ) or Repair ( ) an Individual Sewage Disposal Syst at: ,�- 1`�YD g � -- ..._....i ; .. -- ---- -------------------------------------------------------- W ......................-- -•-•--••.....---. .... ��J --------•-- --.-----------..---------•-------------------------------- r {ri. u .............................................caner 1 j1 rFss�y, L Installer -•-•-----------------•--•-------•-•-•---- Address UType of Building Size Lot____<. .................Sq. feet Dwelling—No. of Bedrooms.____._._ _ ._k____ _______________..Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building .f--:-1_----th�fu--- No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther 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 ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•--------•----------------------•••----•-••------•-----•---•----••-------•-------••--•------------.........•-••-----------•-•--•--------•-•-..........----- 0 Description of Soil................................................--------------------------•---------------------------------•---------------------------------------•-•--•-------.-•--- x c, - ----------------------------------------------------------------------------------------------- ----- ---------------------- W ------------------------------ - ---------------------------------------------------------------------------------- - .... ___ - �:ii4:------------------------------- V Nature of Repairs or Alterations—Answer when applicable..............: ........�_--_.-.__--.-..------.--__--__---_-_------------- ---.--.-------. •-------•---------------------------------------------------------------------------•---•---•--------------------------------------------------------------------------------...•-------....._........_. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed --------------------------------------- ------(0... .:...... Application Approved By ......Jtn ....�..ec�-u�. .......................................... . ...... ----- Date Application Disapproved for owing reasons: .............. .................. ................... . .................. .............................. .......................................................................... Date PermitNo. ...... ..y-... ....-3.0...y----------------- Issued ............ ........... .............. ._....._.. Date f r THE•`COMVONWEALTH OF MASSACHUSETTS p © A R D OF HEALTH 1 TOWN OF BARNSTABLE Alip iratiun for Di-lipuiitt1 Works Tunitrurtiun Prriitit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at ..............................fjt ........._•---•--'_V�.-.----•---_---•I--,---'-_ ...................... ...............•.•.......................-Ort.I.qb_.......................................... ktG 1 � o tiof-t\ddc�C ul t ✓ . ..........................................tl_..__. •••-•-•-•••••-•--•-•-•---•---•--•------••---•---------••-•-•-•---.._.......----------.............. G AY�r7s,Y �—1 Installer Address Type of Building Size Lot....._7.................Sq. feet U Dwelling—No. of Bedrooms........_i_ ____I______ ____ _____________Expansion Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building .J'{_�1.4-`_-T 14. No. of persons____________________________ Showers ( ) — Cafeteria ( ) al 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........................................ a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a+ •---••-••-••----------------••-••-•--•••--•••-•---•-•----•---•-•-•----•-•-•-•-------------•------•------------------------------------- ••-----------------•-- ODescription of Soil---------------------------------------------------------------------------•------------ ------....•---------------•-------------------..._....-•--•••••--...------..... x W .................................................................................................................... 1 1 / 1 U Nature of Repairs or Alterations—Answer when applicable--------------------------I-------------------------------_______________i-..................... -----------------------------------------••••--...••••••--•-••-•-••-•••-••••-••••-•--••••---..-••-••-•••--••-•••----------------••••••-•••--•-•--•••-•-•-••••--•-•••••••-•-••--•--•-•---................ 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. Signed .,,, (o�... `� ..... ............... . ...................... ApplicationApproved By ---------- .... ----------------------------------------------------------------------- ...._ Daw Application Disapproved for the ollowing reasons- ------------------------------------------------------------------------------------------------------------------------------------- ---------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------- Permit No. ----..-V..y.--.----3.0_�7/..._------------- Issued . --------------------- Daze THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifir to of TIIxtiplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .... � ....... . - ...._ �j Insr:d.e. at ..------ly G' .....�-... '---------------1- -C r �JJ-...-. �<a- ........ : ------- - ----------------------------------- has been installed in accordance with the provisions of ITLE 5 co�f The State Environmental Code as described in application for Disposal Works Construction Permit No. -.------1--.y-- ..-- --.-.--- dated .--.._--------------------------------------- the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIOf��ISFA -�RY�' i � J� tom' .DATE . .. :..... ` .. ..-... Inspector 1; ---------------- --------------------------------------- --------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE / 4 Dispufitt1 Warkii Tuno#r dwn Vrrntit -r Permission is hereby granted--------- Q'+ ^-4.. -�--n---•----......�} to Construct � or Repair ( Jan Individual Sewage Disposal Syst�th eel at No.•-•-•••.f �' L-7-----. !�^' ?�- - ?�f P r� `j ------ --- .: � QDu .t V Street qq as shown on the application for Disposal Works Construction Permit No.l_ - _5 _ Dated------- ........ - .Z4f.... --•------•-------••------------- - `�......................................................... DATE................... �� ^���f................................- Board of Health FORM 36506 HOBBS♦!WARREN.INC..PUBLISHERS GROUNDWATER ANALYTICAL EPA METHOD 502.2 Volatile Organics (GC/PID/ELCO) Field ID: M61 Lab ID: 7818-01 Batch ID: VG3-0201-W Project: Gardner Aqua Jet/19 Parrish Way Sampled: 06-06-94 Client: Envirotech Received: 06-06-94 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Analyzed: 06-05-94 Matrix: Aqueous CONCENTRATION REPORTING(LgI I PARAMETER (ug/L) BRL 0.5 Dichlorodifluoromethane BRL 0.5 Chloromethane BRL 0.5 Vinyl Chloride BRL 0.5 Bromomethane BRL 0.5 Chloroethane BRL 0.5 Trichlorofluoromethane BRL 0.5 1,1-Dichloroethene BRL 0.5 Methylene Chloride BRL 0.5 trans-1,2-Dichloroethene BRL 0.5 1,1-Dichloroethane BRL 0.5 2,2-Dichloropropane BRL 0.5 cis-1,2-Dichloroethene BRL 0.5 Chloroform BRL 0.5 Bromochloromethane BRL 0.5 1,1,1-Trichloroethane BRL 0.5 1,1-Dichloropropene BRL 0.5 Carbon Tetrachloride BRL 0.5 Benzene BRL 0.5 1,2-Dichloroethane BRL 0.5 Trichloroethene 0.5 1,2-Dichloropropane BRL 0.5 Bromodichloromethane BRL 0.5 Dibromomethane BRL 0.5 cis-1,3-Dichloropropene BRL 0.5 Toluene BRL 0.5 trans-1,3-Dichloropropene BRL 0.5 1,1,2-Trichloroethane BRL 0.5 Tetrachloroethane BRL 0.5 1,3-Dichloropro ane 0.5 DibromochloromeMne BRL BRL 0.5 1 2-Dibromoethane (EDB) 61 orobenzene BRL 0.5 Etihylbenzene BRL 0.5 1,1,1,2-Tetrachloroethane BRL 0.5 m+p-Xylene BRL 0.5 o-Xylene BRL 0.5BRL 0.5 Styrene BRL 0.5 Isopropyl Benzene BRL 0.5 Bromoform BRL 0.5 1,1 ,2,2-Tetrachloroethane BRL 0.5 1,2,3-Trichloropropane BRL 0.5 n-Propylbenzene BRL 0.5 Bromobenzene (Continued) Page 1 of 2 T 2T&No.1870iol 4INar rl l . 2003 9 45AM t»i h?�1 and Sci+�7 §7 _ t f _. 6 s.F OT 2a WT-a s®, _ = Is Corps MORT"CE * �� P LAN AA►anto96 �dort � � - 'i!i! SEPTIC TANK LEACHING PI T TOP OF FOUNDA RONEL ; FINISH &WOE OVER LEACHING PI T FINISH GRADES GRADE VARIES ,/ /2 MAX _JAI_ •1".f�•v`: LL.— 7f .�:•. ..r !. .-•1'.:. :i .-7': .,V,:;Q•:.0. .: '•,0:. 1. ::T.,. _ ..: •• 4 PVC OR E4[I/V __ ,9;•:/. ; MlIV P/TC/•! //4 PER. FOOT 3„OF //B"-//2�� RISER WASHED PEAS TONE O 4t ,� pv p p Y � o 0p°o� 4: a p0 000 0 00 ► �� �40 pop Gp. An a: 1, �,� ►- 0 v Q 0 0 W O 0000 W i p 00 no GALLON PRECAST 4: z Q p p p 000 �0 ' ? �0 D C3 Z Z. BASEMENT :4:9':: CONCRETE H- RE/NF(Ofr�'ED �' D O / d 0 , O� D O OUTLET PIPE TO BE E ; O D O Owo EL. LEVEL FOR TWO FEET O O O0 0 ► nwusT CONCRETE 06�0 O I 3 14 -///2 c� rj 0� H- REINFORCED O WASHED, ��� p D O O q.�.:v.'v• �s':A;ec:c o:A a r?o= ra:a�:A ,: :a':'. �o:a: �/ BAI_4 DICE PAN D BOX CRUShED W D O O 0 0 00. 0 TYPE -57/00 O DIMENSIONS t STONE 0 O 0 ► � D i:�. .� WIDTH S. v HEIGHT wL_ O .Z4 � y LENGTH � FEET OF .o„ 4 STONE :o / ON BOTTOM EFfECT/VE LYAMETL�R - T1 :3 �= S OIL PR OFIL ES MAX.G.W EL SOIL MORPHOLOGY -' a TP TP — DESIGN CRI TERIA NUMBER OF BEDROOW/S= � GARBAGE D/SHDSQL: YES NO ' S•CTY .9A�� a TO ;-�7�-��_� TAL E_ST/MG4TE0 FLOW= G��-`� ,rn PERCOLAT/r,YV RATE' �' M/N./IMGf% ' s ,�, y• - Z ��� y v NUMBER OF'LEACHING PYTS!_ SIDEW�A/LLAREA= 27lRHz ..�g SG _JO sl•x 2_ ` `, / 4 ' y, ''^ / O SFx-.S GRO/S F=�4' G PD. + v1 Q� X y P, — — y' � , BOTTOM AREA TfR: ' SF.x GPD./S F= � GPD' •Z oL TOT L LEAp4/NG PfUV/DEO= GPO. S3 4 —` <::; `• .c �TES : r o .A �r. °`\ ay j� 11*1��� r FLOOD PL4/N' � \ M r" 06SERVA77aV P/TS es �'�'�e.,-� '� � L J f ` ZONE: DATE G REF j \ � PERFOWED BY.- SETBACKS = FRONT 3 SIDE REAR B04RD OF HEALTH/__� �^' ASSESSORS MAP_ LOT aiKv -- ELEVATIONS BASED ON: EXCAVATOR: f ko s�- SEPTICNOTES• 5zxro EROSION CONTROL METHO1wIS I. THE SEPTIC SYSTEM SHALL CONFORM TO ALL (Min n imum) STATE AND LOCAL REGULATIONS: \ / A. REMOVE ALL UNSUITABLE MATERIAL FOR FEET IN ALL IRECTIONS AND TO AN 1 ) During construction all bare and denuded soil is to ELEVATION OF�AND BACKFILLED IN be covered with one of the fol 1 owing if the sl ope COMPLIANCE WITH, 310 CMR 15:02 (7). is less than 3-1 :a . straw mulching B. ALL PIPING TO BE2'INCH, SCH. 40 PIPE, b . wood chips OR C. 1. PIPE. . J c . straw matting laid parallel to grade and C. PRIOR TO BACKFILLING, THE/Y k�,­ 'r -' '7 held in place by metal staples BOARD OF HEALTH SHALL BC NOTIFIED. d . Lawn mi::ture to be spread , rolled , watered , and covered by either a or c . D. WATER SUPPLY PROVIDED BY, ^? During construction all bare and denuded soil with ALL DISTANCES PTO BE MAINTAINED. slope grades in EXCESS of shal l bye protected from erosion E. WATER ADJUSTMENTS BASED ON U.S.G.S . by the fol 1 owing : ­/`/ a . Lawn mixture of 607 annual rye grass , 2`0% / fescue , and 207 blue grass shall be laid over a minimum 3 t inch 1 ayer of topsoi l , rol l ed , and wratered . /J b . Seed mixture to be protected from erosion F. 1 by covering with either hay mulching which is covered and / held in place by netting , or standard straw matting or L�F geotech . fiber matting held in place by staples . c . Silt fence to be used at the toe of slope and the bottom of fence to be anchored into the ground . specifically to the •d . Measures designed s eci site . SITE PLAN 49 SEPTIC DEVGN /E ✓E 3) Protection for all ROADWAY frci)tage to consist of �" AL<" �. the fol l owing : LOT a . Gravel berms of one and one half inch washed stone to be placed around the catch basin grate . 'x v �A_7,4Lv'j_-Sq L�t.' AA "t'', �=✓j :f>7-;-d 4 i b . Galvanized hardware cloth with one inch ! ►. 314 hole to be placed over grate and anchored with bag ties . ,,^ . .Cnc��Iays i'�.t� >A.STER f'.(ti,r/ �'7 4. APPLICANT c . Cleaning of clot and reps acement of �� �;P stone to be done when conditions warrant . WP 1_1A��j d . All driveways within the Town right of UPPE CA R PE ENGINEERING way to be maintained by use of a gravel apron per Town Engineer ' s specif ications . 'c��`�4OF*, PO BOX 6/6 e . All siltation , Mud , and other debris � PAUL N. ES"DW/CH MA. caused to enter the Town roadway is to be removed at the a S. cost of the contractor . NO; 30763 DATE: DRAWN BY: �- Sty PLAN N4 OFFICE USEONLY 1