The URL can be used to link to this page

Home My WebLink About0015 ROSE HILL - Health 1.5 Rose Hill West Barnstable A= 131 060 001 ti i No .. .�0 Fmc�� 2... ......� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - - N I I(_� Tilt/IV OF.......491C�.3L .:.............................� 0 vvliratiou for Dispu�ttl larks Tonotrur#iun rrmi# Application is hereby made for a Permit to Construct (ref or Repair ( ) an Individual Sewage Disposal System at: d� �( � L I W C�C�6 _C �.. 1`'��T:-..-.t3��n!s� _7=-- ----------------------------- T...#-----------------........................ ....._- ............ ...... L ation•Address or Lot No. :..... ^�......................1�v n�,4................................... . ........�ej-- ......... .................................... Owner Address ------.....__-- R` ---/-------------------------------------------- 1-v-. T /3!�'r�!2 Tt�a3G�------................. Installer Address �� d Type of Building Size Lot...._...y-----------------Sq. feet V, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures .................................. W Design Flow................ .................gallons per person per day. Total daily flow............._..- �..0_...............gallons. WSeptic Tank—Liquid capacity.!S4�.gallons Length._8 "..�_ _... Width.. '4"._ Diameter................ Depth.s` .... x Disposal Trench—No. .................... Width.................... Total Length................,.... Total leaching area....................sq. ft. Seepage Pit No.--_____2-_._-__-. Diameter......!�e__...... Depth below inlet........2L...... Total leaching area_.-��..sq. ft. Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed b ___._L_P -� ..�s:.._ . ............... Date..: ' Z Y /............... aa Test Pit No. 1...G..z-..minutes per inch Depth of Test Pit.... ."..... Depth to ground water....................:... Test Pit No. 2.... .7-...minutes per inch Depth of Test Pit.... 3?.`1..._.. Depth to ground water........................ --------•---------------------------------------------------------------------------------------9 ,;....----......P ----•-------- Description of Soil....... 4 �- . G�!s .--• V S/ ---Lv--Tt/ ------ :' �54 •... iY ._ ID.---WiT/1---`So7Cs•.-:PocfG S.----•----•-------- ••--••-••........-------------- W ••-•-•-•••-•-------------------••- - --•---•---••--•-•--••........._...---••-----------....---------••••---•---•-----•-------•----.............._...........•------------- UNature 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 iITLL 5 of the State Sanitary Code— Th undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ed b e o rd of h lth. a Signed........... .... ---------- .......................... ... -- --- . . / ate ApplicationApproved By......... --•-•--•-----•--•-•--•--•---------••---------------•---•--•• ............. Date Application Disapproved for the following reasons------------------------•---••--•--------..._...--------•-----.....-------------•----------------....-•--.------ ----------------------------••-----..........._.......-----.................-----•---•-•---••-----.....--••..............-•-•••--•-•---•----•--•...---••----••------•----••--••-••--•----••-._.....•---- Date PermitNo......... .rv��........... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................... ..------.....OF........ ................................ Appliratiun for Disposal Works Tonutrurtiun Frrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ......................................)... ......................................1�'... �:.................................---... •Location.Address or Lot No. ................................... o �:i!�ia .....hi ss... •----.................._.�..... • Owner Address W a ..................................-t _ 1.---•-•-------•.............................. •........� /:fir:. / ......................... Installer Address Type of Building Size Lot... __ �� Sq. feet ,. Dwelling—No. of Bedrooms.......................:....................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............................ Showers a YP g •........................• No. of persons•- P Cafeteria ( ) G4 Other fixtures .........--•......................•--••._.....---- Desi n Flow.......-•------.._6_:r........ . W g gallons per person per day. Total daily flow..........................'---.--.--........gallons. WSeptic Tank—Liquid capacity..!-fegallons Length... ."... Width.. _' : Diameter................ Depth--............. x Disposal Trench—No..................... Width.................... Total Length.... Total leaching area...................sq. ft. 3 Seepage Pit No.........Z........ Diameter...-..sa ...... Depth below inlet.........6....... Total leaching area..,E .... q. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed ................. Date_-' !P 25�`� Test Pit No. 1....4...z..minutes per inch Depth of Test Pit..../ ..'.:. Depth to ground water.....-.............. .... (il Test Pit No. 2....G.a.._minutes per inch Depth of Test Pit..... Depth to ground water....................... . a .................................................................................................... ........ ...... :........ .................... Description of Soil V Soil._..... " / z '.=...............p--c•--r..�...-,--f--•...................................................---- Ar:2.ri.S.0.....S r k:1i-7.'Av. `U!%'.. uc% S r W U Nature of Repairs or Alterations—Answer when applicable....................................... ..................:..................................... ... .............••...........0••--............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIS 5 of the State Sanitary Co The.undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee d b the fd of h lth. Signed..... .... .: •Date Application Approved By....._...-. � ... ,1 Date Application Disapproved for the following reasons:.................. ...A............:.........................................._...__...........___ ................................................................................................ _. ."-........................_.............._............................................................. Date Permit No.........`.. 1 -:-.�.�.2 �........... Issued..................................................... --- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .T.I Z:!! ......OF....... / u�nfS7. ? 1 .. ............:..................... .............................. ....... Grtifirate of Tompliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (for Repaired ( ) by - L 11 t�........................................Installer ' -----.................. .......-......-.-..-......................... .. ._...._ " .. :�pa.....0_:.:..-.....�1J hca J n ...................................................0............0.................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... ..... dated............ l........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................................`,. ram. -- P.... Inspector-�........................................................•............ . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..OF..... Fn...:'"__ ,r....... Disposal Works Tunstrurtion V ermit Permission is hereby granted............. .I.......�...:-. to Construct (t/) or ReP�r�( ) an Individual Sewage Disposal System at No........j- . ? ....-••....•,`.-`a`=``-•---•.. ------------- :T.»1... Street as shown o e application for Disposal Works Construct on.Permit No....2`�-..l.<:. Dated....2.�t_i.�:::'..�.............. �' ...•-•......... ......... ......... Board of Health % DATE.... ........................... . --- - --------- .. ........-----•--•w,-- FORM 125 A. M. SULKIN, INC., BOSTON �'3 '• i = ' �d7- /O LOCATION SEWAGE PERMIT NO. VILLAGE 7� SST/ , INS A LLER'S NAME 11 ADDRESS 01, OK e U I L D E R OR OWNER • r DATE PERMIT ISSUED f DATE COMPLIANCE ISSUED l J A c- yy y y � �- Log Number: Bottle # MASH 89 Di!:. February 6, 1986 $antis BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT a SUPERIOR COURT HOUSE v BARNSTABLE, MASSACHUSETTS 02630 o • CASs DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511 Ext. 337 Client: Myron Dubina Collector: S. Solbo Mailing Address: P. Q. Box 40 Affiliation: well driller RnX,fnrd MA 01921 _ Time &-Date'of Collection: - 2/41/86 3:00 o,m, Telephone: 477..2811 Type of Supply: well Sa.nple Location.: Cadar8t. A Rnge Hill Rd, Well -Depth: 78' --- W. IRarinrtAhle. MA Date-of Analysis: .2/5/86 11:15 a.m. PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coiiform Bacteria/100 ml 0 0 pH 5.7 Conductivity (micromhos/cm) 175.0 i 500.0 Iron ( m) 0.3 0.3 Nitrate-Nitro en m) 0,5 10.0 Sodium ( m) 20,0 20.0 I I . X Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results of the parameters. tested for this sample, the water is suitable for drinking but may present the problems checked below: A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. IIl. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. _High Nitrates REMARKS: Iron and sodium levels are at the limit. CC: Barnstable Board of Health 1 '_ _ a CC: Scannell Well Drilling 1 /7/85 Laboratory� - Director � s 1 Explanation of Test Results Total Coliform Bacteria Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved. pH pH is the measure of acidity or alkalinityof the water. On the pH scale,the number 7 is neutral,less than 7 is acidic and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5. Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally considered unacceptable and may have a laxative effect upon users. Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron in Cape Cod's water is .2 .6 ppm. Although the presence of iron. in water may cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers; cesspools and industrial wastes. Copper Due to the acidic nature of the water on Cape.Cod, copper tends to leach.from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish-green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the .water supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm indicate that there inay be ocean water or road salt runoff water getting into the well. r LOCATION --� SEWAGE PERMIT N0. VILLAGE _ All +INS A LLER'S NAME A ADDRESS lei— B U I L D E R 0R 0WkER DATE PERMIT ISSUED U DATE COMPLIANCE ISSUED 4 , , TOP OF FOU14DATION . CONCRETE COVER' ' , CONCRETE COVERS F • , 4 CAST I " M 7.4w IRON f2 MAX. 12-,MAX. snrs�-, j ► OR SCHEDULE 40 n P.V.C. PIPE 4 SCHEDULE 40 PV.C:(ONLY) - • ' • • PIPE ,MIN. LEACH PITCH 1/4 PER, , PITCH t 4 PER. w / FT p17 PRECAST NVERT LEACHING ♦ EL. .� .�. .' INVERT INVERT PIT,DR T w a SEPTIC TANK sc.oi DIS 8s� S; EQUIV. -BOX .•. • INVERT ' .. ��- o• ;. t ;t5oo ''_... tiAL. INVERT �' a fl. .•. N s BG:zG INVERT :,. 3/4 TO 1 VZ mm_8ro6 , WASHED W . • STONE � �+ T G DIA. b � • i; w r PROM LE 'OF GROUND WATER TABLE oQ S �a SEWAGE DISPOSAL SYSTEM • NO SCALE SOIL LOG WITNESSED BY .Toffn/ TflcciB. 2. rG.,2 <9B4 9.3o Art` BOARD OF HEALTH TE apx. ,,,,, ..... TIME... ...... . . . , . . . . , IaA TEST HOLE ,�ezc' � � i TEST HOLE 2 . . . . . , . . . ... . . �' . . . . ENGINEER v n q, 1 ,vs 9 . n � ELEV,:8: . . .. . : . ELEV. . . . . . . . . . . G ^� Q/ wi' � I +� SaB�SorG. Z¢a. Svd'.Ss�L _ o _ DESIGN DATA , /E'er , *! NUMBER OF BEDROOMSlb . . . , . . . . . . _ . . ._. . V _ ip L / so,�o wr TOTAL,ESTIMATED FLOW 4J Q �� . . . . . . . . , GALLONS/DAY r 8 7 0 a , 3 a 4 � � BOTTOM LEACHING, ARE . . : . . SO.FL /PIT,/c.P.1�: c _ I". SIDE .LEACHING AREA , . . .;. . . : SO.FT./ PIT . oNE O 1 ,� ✓ � s.gw,o GAR6AGE DISPOSAL . . . . . . ..(50 /o AREA INCREASE) 534 TOTAL LEACHING AREA . .. . . . . . . SO.FT S 5 - r f 1 fL P Sri L�35 Tf1.9.v 7JNo P ..- �.. � N� PERCOLATION .RATE.. . . . . . . . MIN/INCH ter. 7+403 <3z ,EZ.8.2.oS" Op Tl .RAT P.� RC-0 ON E . . ._SO__T c CHINO EA_PER-PE LA �.- .. _ F_ ./� — _ 9b - _ ✓ I.EA i No 4 � ,:-. . .WATER ENCOUNTERED < \ NUMBER OF LEACHING PITS . . . . . . . . . . A APPROVED . .. . . . . . . . . . . BOARD.. OF HEALTH r t , b DATE . , . . : . . , , . , . . . . . . . . . . ... . . . . . (t 4 �P o M ; AGENT OR INSPECTOR N . .y D �..> lea• .;. ay so - R. ALL Zt,T \ IST `\ PETITIONER r c.x` a � sr. { 4� P/ IN Y gyp T` �t f 90_' l /��: ' - "�'4 v?4�-�d�+✓ �9sE err �4 3su.�-ram 7.� .�-r