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HomeMy WebLinkAbout0031 ROSE HILL - Health 31 ROSE HILLi � F l 0 0 o a 9 No. " �--s FEE f VV t COMMONWEALTH OF MASSAC14USETTS [-At 4-9 o 3 Board of Health, l MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( Repair( Upgrade( Abandon( lI Complete System ❑Individual Components Location s� t-{ 1 1. L Owner's Name Kr GL7/ jollGr— Map/Parcel# 1 3 —�® 2— Address 1 Z t; S L AoV e Lot# �' Telephone# Installer's Name C,aij�,T Designer's Name J�yC Address Address ( V 4VS7—Ay,Ie®, Telephone# Telephone# 6-p1? [,t 2- Type of Building Lot Size 7 It" '3 z— sq.ft. Dwelling-No.of Bedrooms y Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria( ) Other Fixtures �1 Design Flow (min.required) '[ K( gpd Calculated design flow Loy 0 Design flow provided 4t gpd Plan: Date 'L, _ Number of sheets 2 _ Revision Date Title 71 fLS T Description of Soil(s) t; 01-1kV-) Soil Evaluator Form No. Name of Soil Evaluator C W1 i- Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to"acee tem in operation until a Certificate of Compli4nce has been issued by the Board of Health. Signed Date b d ' O t { 5 •i / No. � ' . �d , � FEE ( Qd 1 _ � 191t 4-9 0 3 Board of Health, 9A c2 N-COMMONWEALTH Of MASSACIXSETT�­ S"T�Q Lt MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTIONARMIT Application for a Permit to Construct( Repair( Upgrade( Abandon( d Complete System ❑Individual Components Location3 R-05 Owner's Name KC 1i L y )bI/cam l; Map/Parcel# Address 1 Z L 1 S A �? I Lot# -7_.. Teleph`one# Installer's Name D� j� COdfjr/ Designer's Name MA)Kr C Sv�t,� �p�tJSUL�f�rVl Address Address Telephone# Telephone# CSO,?), Type of Building C9JS t' Lot Size 7 It, 7 3 2-: sq.ft. Dwelling No.of Bedrooms Gairbage grinder ( ) , Other-Type of Building No.of persons r Showers ( ),Cafeteria ) Other Fixtures Design Flow(min.required) gpd Calculated design flow L'b " 'Design flow provided Y 4 gpd Plan: Date ��y -! i Number of sheets 2— Revision Date Title IC/r� SToTrL ��rr�Q ,cJ [.vr' y , CST &1+s?thTt9/2'L,6 fmd Description of Soil(s) i PL VU Soil Evaluator Form I Nto\. K 14 Narht'o��) T E&Ator 50' Date of-Evaluation.- t O/Z S� DESCRIPTION OF REPAIRS OR ALTERATIONS Aj The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to of to ace th tem in operation until a Certificate of C mpfi ce has been issued by the Board of Health. D Signed .__ ate h"POO Offs-- r 10, 9- ZOZ No. COMMONWEALTH OF I�'ASSAC14USETTS FEE Board of Health, L, MA. CERTIFI E OF COMPLIANCE Descri lion of Work: ❑Individual Com onent s yComplete SP P ( ) System The undersigned hereby certify that the Sewage Disposal System; Constructed (4,Repaired ( ),Upgraded ( ),Abandoned ( ) has been installed-in' gaccordance with the pro 'sion 310 CMR 15.00 (Title 5) and th proved design plans/as-built plans relating to application No. / — 20'-dated 2 U Approved Design Flowf,J� —(gpd) f / Installer I //! l�� v /J Designer: Inspector: W ate: / w , � I . fir- The issuance of this permit shall not be construed as a guarantee that the system function as designed. No. D FEE COMMONWEALT14 Of MASSACHUSETTS -� Board of Health, MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct(-<Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at L 6-'1T 'f 1�0 5 as described in the application for Disposal System Construction Permit No. ?9`Zy dated �` Zd%./ Provided: Construction shall be completed within three years of the date of thi ermit. All 1 cgnditions must met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date y ZG 1 / Board of Health ' ! k ' ,k-3 I TOWN OF BARNSTABLE LOCATION Le" Urz f e- 14,c— te-& SEWAGE # VILLAGE �• � rs Q�LC— ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY, I�©� LEACHING FACMITY: (type) 72-fr n I C11, (size) 3� NO. OF BEDROOMS BUILDER R OWNER PERMIT DATE: -1-4 -9 ! COMPLIANCE DATE: %U!Lqq 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 0 . _ � ✓ j � � � � � � f31 � � ,a A� � (3 �_ � 61 ' 33 ��I � CC L� �' S —`-. � Fee ------------ - - BOARD OF HEALTH TOWN OF - BARNSTABLE AppticationforlVell Con0ructionPermit App ication i hereby made for a permit to Construct ( ✓K Alter ( ), or Repair ( )an individual Well at: .LoT /QosE lli�c /ASS �h P /3/ ' Location — Address As sors Map and Parcel / L/ 4 Cy � - ------ yOwner Address Installer Driller Address Type of Building Dwelling---------------------------------------------------------------- Other - Type of Building--- -------------------- No. of Persons-------------------------------------------------- Type of Well—�dh16 4 `,s46 qb Poe_ Capacity -��-/02 ----------------------- — -—-- Purpose of Well--- --------- 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:------------------------ ------------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------------------------------- d - ate Permit No. -— �- - --------------- Issued ----- r �` �_' 9 9--_ ate ------------- date 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 Barnstable Board of Health Private WellProtection Regulation as described in the application for Well Construction Permit No/"�-`-=-Y1--" - bated-�----z '�;eF THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-----------------——--- ------ — —--- Inspector-------------------------------------------------------------------------- i $yV Y No.-�`�`- -=-` ~wh} a Fee-�QS------------ BOARD OF HEALTH TOWN OF BARNSTABLE Application ffor Vell Co0truttion ermit App ication is hereby made for a permit to Construct ( ✓), Alter ( ), or Repair ( )an individual Well at: -10T--f-) ///Cc --------- .2- — ------------------------- rLocation — Address Assessors Ma and Parcel �------------------�-------------------- ------ Owner Address A&,�v3 /�i� �.c°�C-y,CfS A9.q Installer — Driller Address Type of Building Dwelling---------------------------------------------------------------- Other - Type of Building ----------- No. of Persons--------------------------------------------------- AL 7C S*/G �Q ��SGfi Qb Typeof Well- -l-�-.- -- -- - -- --------- Capacity-- -- ------------------------------------------- Purpose of Well---1 -'g� --� 'ST�STSG?�-- Agreement: - The,undersigned agrees to install the aforedescribed individual well.in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. d*$, date Application Approved By =- eel � — - --- date Application Application Disapproved for the following reasons:---------------------- -------------------- ---------------------------- -------- --------- - ------------------------------------------------------------------------------------------------------------------ —----- -----,-- date -Permit No. --- Al --f;-- —------- Issued --- "rye-- — -- -------- date BOARD OF HEALTH TOWN OF BARNSTkBLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (A)-Altered ( ), or Repaired ( ) b --------- _� _ _ �j. y Installer has been installed in accordance with the provisions of the Town of Barnstable Boo�ardd of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ----- ®" Dated ':_214 --f 7 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. . DATE----------------------- - - ------ -- Inspector----------------------Iff---------------------------------------------------- �ra�rarmcas- aa.rsax ms.arts-ems.m�aa�n�c�a mot►:e�rta�aspr:m�r�za�°�S�cs�ss BOARD OF HEALTH TOWN OF BARNSTABLE del[ Con5truct ion Permit No. � `" f_ '" /`' � . Fee-- Permission is hereby granted----t !" -'J- kfo- -r�°=` �` = - to Construct ( ) Alter ( ), or Re a'r ( ) an Individual Well`at.�,._, .� f No. - — - - �- - - - `�- - _ /` .fir' t�'f ' � ''' ------------ as shown on the application for a Well Construction Permit e� No. ' _ '� Dated--- —`"�'-` ' -—---------------------- Board of Health DATE ENVIROTECHLABORATORIES INC. 9 MA CERT.NO.:M MA 063 449 Rte. 130 Sandaich, MA 02563 508(888-6460) 1-800-339-6460 FAX(508)888-6446 CLIENT: Kelly Joyce LOCATION: 31 Rose Hill ADDRESS: 12 Lisa Ln W Barnstable MA 02668 W Barnstable MA 02668 COLLECTED BY. Desmond Wells SAMPLE DATE. 4-9-99 SAMPLE TIME: N/A WATER SAMPLE TYPE: New Well DATE RECEIVED: 4-9-99 LAB I.D. #: 994175 WELL SPECS.: 4"x 103'/70' RESULTS OFANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B 4/9/99 pH pH units 6.5-8.5 6.33 4500 H+ 4/9/99 Conductance umhos/cm 500 221 120.1 4/9/99 Nitrate-N/Nitrite-N mg/L 10.0 0.07 4500-NO3 E 4/9/99 Sodium mg/L 28.0 28.3 200.7 4/12/99 Iron mg/L 0.3 0.03 200.7 4/12/99 Manganese mg/L 0.05 0.002 200.7 4/12/99 Volatile Organics See report. Chloroform ug/L 100 1.7 EPA 524.2 4/16/99 COMMENTS: pH is below recommended limit and may have corrosive characteristics. Sodium level is not a health hazard. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Date 6 �' Rknald J. Sa Laboratory: i ector <=less than >=greater than TNTC=too numerous to count 04/16/99 15:51 FAX 401 738 1970 R.I. Analytical 1a 003/005 a Page 2 of 3 R.I. Analytical Laboratories, Inc. CERTMCATE OF ANALYSIS Envirotech Laboratories,Inc. Date Received: 4/12/99 Approved by- Work Order# 9904-03093 R. • Analytic Sample#: 001 SAMPLE DESCRIPTION: 994115 JOYCE 4/9199 @1400 j SAMPLE DET. ANALYZED PARAMETER RESULTS IM II'T UNITS METHOD DATE/TM ANALYST I volatIIc Organic Compounds Bromodichloromerbane <0.5 0.5 ugA EPA 5242 4/16/99 9:24 RAM Bromoform <0.5 0.5 ugA EPA 524.2 4116/99 9:24 RAM Dibromochloromethane <0.5 0.5 ugA EPA 524.2 4116/99 9:24 RAM Chloroform 1.7 0.5 ugA EPA 524.2 4/16/99 9:24 RAM 1,2-Dibromoahane(EDB) <0.5 0.5 ug/1 EPA 524.2 4/16199 9:24 RAM Bcnzene <0.5 0,5 US/1 EPA 524.2 4/16199 9:24 RAM Carbon Tetrachloride <0.5 0.5 WA EPA 524.2 4/16/99 9:24 RAM 1,2-Dichlorocthade <0-5 0.5 ugA EPA 524.2 4116/99 9:24 RAM Trichloroethene <0.5 0.5 ugA EPA 524.2 4/16199 9:24 RAM 1,4-Dichlorubedzene <0.5 0.5 ugA EPA 524.2 4116199 9:24 RAM 1,1-Dicbloroethane <0.5 0.5 ug/l; EPA 524.2 4/16/99 9:24 RAM 1,1,1-Trichloroetbane <0.5 0.5 ugA EPA 524.2 4/16199 9,24 RAM Vinyl Chloride <0.5 0.5 ug/l EPA 524.2 4/16/99 9:24 RAM Bromobenzene <0.5 0.5 ugil SPA 524.2 4/16199 9:24 RAM Bromomethane <10 10 ugA EPA 524.2 4/16199 9:24 RAM Cblorobenzene <0.5 0,5 ugll EPA 524.2 4/16/99 9:24 RAM Chloroethane <5 5 ug/l EPA 524.2 4116/99 9:24 RAM Chloromethane <5 5 ug/1 EPA 524.2 4116/99 9:24 RAM 2-Chlorotoluene 0.5 0.5 ugA EPA 524.2 4116/99 9:24 RAM 4-Chlororoluene <0.5 0.5 ng/l EPA 524.2 4/16199 9:24 RAM Dibromomethane <2 2 ugA EPA 524.2 4116/99 9:24 RAM 1,3-Dichlorobenzene <0.5 0.5 ugA EPA 524.2 4/16199 9:24 RAM 1.2-Dichlorobenzcne <0.5' 0.5 loin EPA 524.2 4116/99 9:24 RAM trans-1,2-Dichloroethcno <0.5 0.5 ugA EPA 524.2 4/16/99 9:24 RAM cis-1,2-Dichloroe*ene <0.5 0.5 ugA EPA 524.2 4116M 9:24 RAM Methylenc Chloride <0.5 0.5 ugA EPA 524.2 4116199 9:24 RAM 1,1-Dichlorocthene <0.5 0.5 usA EPA 524.2 4/16199 9:24 RAM 1,1-Dichloropropene <0.5 0.5 ugll EPA 524.2 4116199 9:24 RAM 1,2-Dicbloropropane <0.5 0.5 USA EPA 524.2 4/16/99 9:24 RAM 1,3-Dichlompropane <0.5 0.5 ug/1 EPA 524.2 4/16199 924 RAM 1.3-Dichloropropene <0.5 OS ug/1 EPA 5242 4/16/99 9:24 RAM 2,2-Dichloropropane <0.5 0.5 ugA EPA 524,2 4/16199 9:24 RAM Ethylbenzene <0.5 0.5 ng/l EPA 524.2 4/16/99 9.24 RAM Styrene <0.5 0.5 u9A EPA 5242 4/16/99 924 RAM 1,1,2-Trichloroethade <0.5 0.5 ug/l EPA 524.2 4116199 9:24 RAM EPA 524.2 4116199 9:24 RAM <0.5 0.5 dgA 1,1,1,2-Terrachtoroelbane , 1,1,2,2-Terrachloroedlanc <0.5 0.5 ug%1 EPA 524.2 4116/99 9:24 RAM Tcaachloroethcna <05 0.5 ug/1 EPA 524.2 4116199 9:24 RAM ­i• iu• vo 1.J.•J1 t:i:\ 4V1 IJO 10111 Page 3 of 3 R.I. Analytical Laboratories,"Inc. CERTIFICATE OF ANALYSIS i . Envirotech Laboratories, Inc. 2/99 A roved by: / Date Received: 4/1 PP Work Order# -9904-03093 R. • Analytical 41 Sample#: 001 994175 JOYCE 4/9/99 01400 1 ' SAMPLE DET. ANALYZED PARAMETER RESULTS LEWT UNITS!.' METHOD DATE/ME ANALYST 1,25-Trichloropropane <0.5 0.5 ug/1; EPA 524.2 4/16/99 9:24 RAM Toluene <0.5 0.5 ugl EPA 524.2 4/16199 9:24 RANI Xylenes <0.5 0.5 ugll; NI EPA 524.2 4116/99 9:24 RA 1,2-Dibromo-3-Chloropropanc <10 10 ug/l,I. EPA 524.2 4/16/99 9:24 RAM Bromot hloromcthane <1 1 ug¢' EPA 524.2 4/16/99 9:24 RAM n-Burylbenzene <0.5 0.5 ug/l' ;: EPA 524.2 4/16/99 9:24 RAM Dichlorodifluoroulethane <0.5 0.5 ug/l EPA 524.2 4/16/99 9:24 RAM Tricblorofluoromcthane <0.5 0.5 ug/1 EPA 524.2 4/16199 9:24 RAM Hexachlorobumdienc <0.5 0.5 ugll EPA 524.2 4/16/99 9:24 RANI lsopropylbenacnc <0.5 0.5 ug71 EPA 524.2 4I16i99 9:24 RAM p-Isopmpyholuene <0.5 0.5 ugI EPA 524.2 4/16/99 9:24 RAM \aphdiOefle <0.5 0.5 ug!/L r EPA 524.2 4/16/99 9:24 RAM n=Propylbenzene <0.5 0.5 uglfx EPA 524.2 4/16/99 9:24 RAM sec-Burylbenzcne <0.5 0.5 ug/11 EPA 524.2 4/16/99 9:24 RAM t-.-rt-Butylbcnzenc <0.5 0.5 ug/l p EPA 524.2 4116/99 9.24 RANI 1,2,3-TrieWorobenzene <0.5 0.5 411; EPA 524.2 4/16/99 9:24 RAM 1.2,4-Trichlorobenzene <0.5 0.5 ug/14 EPA 524.2 4/16/99 9:24 RAM 1.2,4-Trimethylbenzene <0.5 o_5 ug/1N EPA 524.2 4116/99 9:24 RANI 11,5-Trimethylbenzenc <0.5 0.5 ug/l� EPA 524.2 4116/99 9:24 RAM Mcthyl Terdary Buthyi Erbcr <1 1 ug/h, EPA 524.2 4/16/99 9:24 RAM n-Hexanc <10 10 ug/l , EPA 524.2 4116199 9:24 RANI StiRROGATES RANGE EPA 524.2 4/16/99 9:24 RAM 4-Bromofluorobenzcne 92 80-120% EPA 524.2 4116/99 9:24 RAN 1,2-Dichlorobenzene-d4 91 80-1207. E,PA 524.2 4116/99 9:24 RAM I I i, r' s ii I ENVIR07 ECHLABORATORIES,INC. MA CERT.NO.:M-MA 063 449 Rte.130 Sandwich, MA 02563 908(888-6460) 1-800 339-6460 FAX(908)888-6446 CLIENT. Kelly Joyce LOCATION: 31 Rose Hill ADDRESS: 12 Lisa Ln W Barnstable MA 02668 W Barnstable MA 02668 COLLECTED BY. Desmond Wells SAMPLE DATE: 4-9-99 SAMPLE TIME. N/A WATER SAMPLE TYPE. New Well DATE RECEIVED: 4-9-99 LAB I.D. #. 994175 WELL SPECS.: 4"x 103'/70' RESULTS OF ANALYSIS: - Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B 4/9/99 pH pH units 6.5-8.5 6.33 4500 H+ 4/9/99 Conductance umhos/cm 500 221 120.1 4/9/99 Nitrate-N/Nitrite-N mg/L 10.0 0.07 4500-NO3 E 4/9/99 Sodium mg/L 28.0 28.3 200.7 4/12/99 Iron mg/L 0.3 0.03 200.7 4/12/99 Manganese mg/L 0.05 0.002 200.7 4/12/99 Volatile Organics See report. Chloroform ug/L 100 1.7 EPA 524.2 4/16/99 COMMENTS: pH is below recommended limit and may have corrosive characteristics. Sodium level is not a health hazard. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. 5 Date 9 �� AorMla J. Saari Laboratory Dire or <=less than >=greater than TNTC=too numerous to count 04/16/99 15:51 FA% 401 738 1970 R.I. Analytical Q 003/005 Page 2 of 3 R.I.Analytical Laboratories,Inc. . CERTMCATE OF ANALYSIS Envirotech Laboratories,Ina. ~ Date Received: 4/12/99 Approved by Work Order 1I 9904-03093' R. :Analytical Sample#: 001 SAMPLE DF,SCRIPTION: 994m JOYCE 4/9/99 01400 1 PARAMETER Ii AMI S IMAU UNITS METHOD DATFAMM ANALYST volatile Organic Compounds ElmmodicbWomelane <0.5 0.5 no EPA 5242 4116/99 9.:24 RAM Bromoform <0.5 0.5 ugA SPA 524.2 4/16M 9:24 RAM Dikomochloromedwa: <0.5 0.5 ugA EPA 5242 4/16/99 9:24 RAM Chloroform 1.7 0.5 USA EPA$24.2 4116/99 9:24 RAM 1,2-DEbrouaedmne(EDB) <0.5 0.5 USA EPA 524.2 4/16199 9:24 RAM Bc=cne <0.5 0.5 ugA EPA 524.2 4/109 9:24 RAM Carbon Tetmehloride <0.5 0.5 ugA EPA 524.2 4116199 924 RAM 1,2-Mblomedane <0S 0.5 USA EPA 524.2 4116/99 9:24 RAM Trichloroediene 140.5 0.5 ugA SPA 524.2• 41109 9:24 RAM 1,4-Mblombenzene <0.5 0.5 USA EPA 524.2 4116199 9:24 RAM. 1.1-Dichloroethane <0.5 0.5 ug/l; EPA 524.2 41161" 9:24. RAM 1,1.1 7ticbloroed= <0.5 0.5 ugA EPA 524.2 4/16/99 924 RAM Vinyl Chloride <0.5 0.5 Q/1, EPA 524.2 41161" 9:24 RAM Bmmobe0= <03 0.5 ugll EPA 524.2 4116M 9:24 RAM' Bromometbane <10 to ugA EPA 524.2 4/16/99 - 9:24 RAM Cblorobenzenc <0.5 0.5 ug/l EPA 524.2 4/16/99. :9.•.24 RAM Chloroedaoe .<5 5 ug/l EPA 524.2 4116199. -9:24 RAM 5 ug/l EPA S?4.Z 4/16/99.. .924 RAM 2-CWorotolueoe 0.5 0.5 ugA SPA 524.2 4/1609 9:24 RAM 4fildoroaoluene <0.5 0.5 ag/l EPA 524.2 4/16/99 .9.24 RAM. Dromomedrade <2 2 ug/l EPA 524.2 4/16/99 9:24' RAM . 1,3-Dieblorobenzene <0.5 0:5 USA EPA 5242 4116/99; 9:24 RAM 1.2-Dichlor6benzeae :<0.5: 0.5 ug/l IAA 324.2 4/16J99 . 9:24 RAM t fi cOs os ugA EPA 524 2 4/16199. 9�4- pans-1. Dichloroethepe. i , ras-1,2-bichloroefiene _. <OS ''.:; 0.5 ag/l EPA 524.Z 4/16/99 .'9i24 RAM. Med►yletic Chloride <0.5 0.5 ug/l EPA 524.2 4/16/99 `924• RAM 1,1-0ichlorocchene <0.5 0.5 4/1 SPA 524.2 4/16199. 9 za RAM 1.1-Diehlompmpene <0.5 0.5 vgA. EPA 524.2 4116M 9:24 RAM 9 l,2-Dicblorcpropaue <0.5 0.5 rill SPA 524.2 4/16/99 a .•?A RAM 1.3-Dichloioprop9ne <0.5 0.5 ug/1 EPA 574.2 4/16/99 9 24 RAM 1.3-Did&ropiopene <0.5 0.5 sg Q EPA 5242 4116M9 . 9:24 RAM 2a-Dichloroprop4ne <0.5 0.5 USA EPA 524.2 4/16/99 9:24 RAM Erhylbenzeoo <0.5 0.5 agA 13PA 524.2 4/16/99. 9:24 RAM Styrene <0.5 O.S rig/l SPA 524.2 4/16/99 9:24. RAM 1.1,Z-Trichloroemaae ' <0.5 0.5 ug/l EPA 524.2. 4/1b/99 9:24 ±M 1;1;1;2 Tetraohla oethane <0.5 0.5 6g/l EPA 524.2 4/16199 .9 24 RAr? 1;1,2yTetrachlozoedtanc <0.5 0.5 vgll EPA-5Z4.2 4/16/99 ;9:?4 Tcaschloroenc�nc: 'i' <0.5 0.5 ugri EPA 524.2 4/16/99 9:2 f RAM , I U-!' 1V• Ju 1J.Jl C:f.1 iUl I JJ 1L t V IN. I .. A 1t41� L1l.G{1 - 1 ... WJUII4:UUJ • i Page 3 of 3 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS Envuotech Laboratories, Inc. j Date Received: 4/12/99 Approved by: Work Order# 9904-03093 ; . R. . Analytical ii Sample#: 001 994175 JOYCE 4/9/99 @1400 1 ; SAMPLE DET. ANALYZED PARAMETER RESULTS LBW UNITS,! METHOD DATErWAE ANALYST 1.2,3-•Richloropropane <0.5 0.5 ug#.i EPA 524.2 4/16/99 9:24 RAM Toluene <0.5 0.5 USRI,; EPA 524.2 4/1099 9:24 RANI Xylenes <0.5 0.5 ugg EPA 524.2 4116/99 9:24 RANI 1,7-Dibmmo-3-Chloropropanc <10 10 U941 I. EPA 524.2 4116/99 9:24 RAM Brornochloromc mm <I f ug¢ EPA 524-2 4/16/99 9:24 RAM a-Burylbenzene <0.5 0.5 ugR G EPA 524.2 4116199 9:24 RAM Dichlorodifluorome&= <0.5 0.5 ug4 G EPA 524.2 4116/99 9:24 RAM Tricbtorofluoromedane <0.5 0.5 ug/I�1, EPA 5242 4/16199 9:24 RAM Hexachlorobumdienc <0.5 0.5 ugli EPA 524.2 4/16/99 9.24 RAM lsopropylbenzene <0.5 0.5 ugYl` BPA 524-2 4/16199 9:24 RAM p•Isopropyltoluene <0.5 0.5 ug(1' EPA 524.2 4/16/99 9:24 RAM Naphthalene <0.5 0.5 ugVl EPA 524,2 4/16199 9:24 RAM n•ProPY(benzene <0.5 0.5 agJ1j: EPA 524.2 4/16/99 9:24 RAM sec-Burylbenzene <0.5 0.5 agA h SPA 524.2 4116/99 924 RAM 1 tort-Butylbenzene <0.5 0.5 IV EPA 324.2 4/16/99 . .9q'4' RAM za 1,2,3-Trichlorobenne <0.5 0.5 ug/1� EPA 524.2 4116/99 9:24� RANI 1.24-Trichlorobenzene <0.5 0.5 ughrl EPA 524.2 4116/99 '9:24 RAM 1.2,4Trimethylbenzene <0.5 0.5 ug/tt EPA 524.2 4116/99 9:24. RAM 1,3,5•Trime1hylbenzene <0.5 0.5 ug/'e. EPA 524.2 4/16/99 9:24 RAM 140A Terdary Buthyl Eiber <1- 1 ug/l, EPA 324.2 4/16/99 9 24 RAM n_e exanc <10 1G ugll; EPA.a ..2 4/16199 9�4 :: RAM SURROGATES RANGE EPA 524.2 4I(6/99, 9 2a `; RAM .4-Bromofluorobenzcne 92 80-120% EPA 524.2 4116/99 9 24 RA.M RAM 1,2-Dichlorobenzene d4 91 80-120% >;PA 524.2 4116/99 F t t• iS- I TOWN OF BARNSTA.BLE LOCATION S =fi (�� SEWAGE # �. VILLAGE LJ, A-�tr f;.r-•�t � ASSESSOR'S MAP & LOT 2 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I oO �^ LEACHING FACILITY: (type) �� ,n t (size) NO. OF BEDROOMS BUILDER R OWNER PERMITDATE: 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� c� WEST BARNSTABLE PLAN REF 394166 ZONING.• „RF,,, . f ASSESSORS MAP 131 d CAULEY HOUSEAr ��: o.ss1c1 `n 1 t��0�. � ,r TEgEO 5 POND �` � 1 I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE ��- IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL - �' � STANDARDS FVR THE PRACTICE OF LAND SURVEYING IN T OMMONWEALTH OF MASSACHUSETTS. / ° LOT 3 -� It \ Y LOCUS PA UL A. MERITHEW, P.L S. D TE P � / // � .0 �� 00 � O EXISTING BENCHMARK / �^ 0 0 4 .'� � �, \ 3 0 � CONCRETE TOP OF CONCRETE ;, / �� ?' � � \ ''� �� %� 3041`� ' CO VER LOCUS MAP �' BO UND W/DISK ; /, ELEv=100.0'(ASSUMED) 1'�y ti co r� \ � \ � , �� uN�ER� Ali i, G�`t• I � , 11 ��.''' l.3/�-• 0`6'7 .� kI ✓�� �� ° " �� o �� III I$I 1 SITE AND SEPTIC PLAN �;�? `CB s \` I 1 � cp �o J PROJEC T L OCA TION 0000� I "� / W �ASSESSORS MAP 131 60-2,o ii I J � // LOT 4 ROSE HILL WEST BARNSTABLE,, MA. APPLICANT• � � � ��� LOT 4 16 � � 'w 1 ASSESSORS K. JO YCE �� _ -t _ '��' I LOT so-z G - WEST BARNSTABLE o - YANKEE SUR I EY CONSUL TAN TS 100' OFFSET / " / \�� P. O. BOX 265 C.B. ! \ , UNIT 5, 408 INDUSTRY ROAD TP l LOT 5 �� MARSTONS MILLS, MA. 02648 9a 'tA5 �� PH.(508)428-0055 — FAX(508)420-5553 — _ el OLD SCA L E.• 1 —4 0 [DATE. 02104199 SAND 130-433 - °� 9¢ , \ PIT l REV.• I REV.- JOB NO. 51812 SHEE T 1 OF 2 F.F. ELEV.=102_5 O'min. ' ELEV.= 100.0 ELEV.= 100_0 4" CAST IRON OR CONCRETE COVERS SCHEDULE 40 P.V.C. 4". CAST IRON OR 4" DIA. SCHEDULE 40 PERFORATED PLASTIC PIPE END CAPS ON ALL PIPES SCHEDULE 40 P.V.C. „ A ER OF 5' ON CENTER 12 min DIST.=13_2_ SLP.= 0..02 coxcItETE covER SLP'= 0-- A 3" LAYER OF wAJSTONEINVERT '___FLOW LIxE DIST.=2.0' SLP.=0.02 DIST.=1ELEV= 97.50 - _ IxvER�' 96.78 °o°o°o°a o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°°°o°o°o°o°o° °�°o°�°�°�ELEV.= 97_24 ELEV._---- ° ° ° ° ° o o ° ° ° ° ° ° ° ° ° o ° ° ° ° ° ° ° o ° o ° ° ° °10" MIN. lg" _o_o_o_o o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_o_ _o_o_o_o_o_otj cis e�F ELEV.= 96.99 ELEV.= 96.95 �' ELEV.= 96.78 8" LAYER OF 4" TO 1-1/2" 4" CAST IROx OR OpupvpUppppppppluuOOOOU UOUOUUOSHED STONE SCHEDULE 40 P.V.c. DISTRIBUTION BOX ,00 0 0 0 0 0 0 0�0�0�0� o„o o„o„o„o„ EV.=96_0 USE STONE A 1500 GALLON SEPTIC TANK TO BE WET TESTED IF TO LEVEL THE 17.1f TO BE PLACED ON MORE THAN ONE OUTLET. BED AS NEEDED. SEE NOTE #11. 6" OF STONE OR TO BE PLACED ON MECHANICALLY COMPACTED SOIL. 6" OF STONE OR ----------------------------------=----- -- USE A TANK WITH THREE COVERS. MECHANICALLY COMPACTED SOIL. BOTTOM OF TEST HOLE OR USGs PROBABLE WATER TABLE ELEV =79.0 SOIL TEST -DONE BY: STEVE WILSON WITNESSED BY: JIM CONLON ___________ PERCOLATION RATE: __?___MIN/INCH P# 4903 s• Yex_or . TEST HOLE 1 DATE: 10199AL ELEV._QI-Q-_-_ ������. OO�OCIO 6• �►YBR OP • PRO FILE OF DEPTH HORIZON TEXTURE COLOR MOTT. OTHER SEWAGE DISPOSAL SYSTEM 4 PERFORATED PIPES NOT TO SCALE O"-6" OOD LOAM SECTION A—A FROWN SILTY SEE NOTE #11. SUBSOIL GENERAL NOTES: 42"-114" MODEIMTELY DENSE STONEY 1. THIS PLAN IS FOR THE CONSTRUCTION OF A NEW SEWAGE DISPOSAL SYSTEM. SANDY TILL 2. PLAN REFERENCE Bk 364 Pg 66 LOT 4 BARNSTABLE REG. OF DEEDS. SI TRACE OF 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM YOULDEJU 16"— DESIGN DATA: AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 114"-144" MED. SAND TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS I o H2O ENc' FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NUMBER OF BEDROOMS �'QIIB.�41____ 5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN TEST HOLE 2 DATE: 1010�8_5_ ELEV._104_0 __ GARBAGE DISPOSAL NONE W1__—_- 12" OF THE FINISHED GRADE. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW 44Q_____ GPD SAME, _UNLESS NOTED BY FINAL CONTOURS. o-B" WOOD LOAM ( 11LL__ GAL./BR./DAY X -4___ BR. ) 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR SEPTIC TANK CAPACITY J.50_0_LAL__ WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING s"3s" ROWN SILTY LEACHING AREA REQUIREMENTS AREAS UNLESS NOTED. SUBSOIL 8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL SIDEWALL AREA -0---- GAL./S.F. BE MORTARED IN PLACE. BOTTOM AREA _a0Q____ GAL./S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 36'-168" DENSE SANDY LEACHING CAP.(BOT. & SIDEWALL)_ 444_ GAL. OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. TILL 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ULDERS 15'-1 " ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. o H2O 71 RESERVE LEACHING CAPACITY _444 GAL. 11.. THE CONTRACTOR SHALL NOTIFY THE ENGINEER AFTER THE FIELD HAS BEEN EXCAVATED SO A SOIL ANALYSIS CAN BE DONE. APPLICANT: K. JOYCE DATE: 02/04/99 A STRIPOUT 9.5' DEEP AND 5' ON ALL SIDES OF THE LEACHING FIELD MAY BE NECCESSARY. SHEET 2 OF 2 JOB # 51812 v, �1ti - WEST BARN,STABLE PLAN REF 394166 ZONING.• "RF" M Qf ASSESSORS MAP 131 PAM �� oy HOUSE si'3 0� N -CAULEY . V ILL 4 No. 3510l c 5� POND LEEC1�'���C 1 CERTIFY THAT THIS SURVEY AND PLAN WERE MAD S?, IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL 9 w� t� - ���, STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN Dc � O MONWEALTH.OF MASSACHUSE ���;'� , - ° i LOT 3 ' PAUL A. MERITHEW, .L S. DATE ' m� LOCUS BENCHMARK 4 .� / � s�� r \�0 30�Op , 0 EXISTING �-- 0 �, CONCRETE TOP OF CONCRETE �;, / .,�y�j 7 � � \ �� ¢�� �q> CO VER LOCUS MAP BO UND W/DISK , /, 4��. ti , 3 4 o ELEV.=100.0'(ASSUMED) 4aCO ol , I /ice �. � 1 `C• � �' ,ol sk �9 R• „e 1 I I .� \V k. 0 ' o %" � ��c � \ ` \ I I 1 SITE AND SEPTIC PLAN CO.01� �� -. I I to A �o� �o / Z �� J I o PROJEC T L 0CA TION o I Nq I ASSESSORS MAP 131/60-2 a I / LOT 4 ROSE HILL \PROP. / ( WEST BARNSTABLE, MA. IrEL APPLICANT- K.) � � LOT 4 ;� 16• � � -JASSESSORS K. JO YCE Nc�0 _ —t _ fos I LOT 60-2 -� WEST BARNSTABLE YAWEE SUR VEY CONSUL TANTS 100' OFFSET � P. O. BOX 265 CB. UNIT 5, 408 INDUSTRY ROAD TP i31�' LOT 5 �� MARSTONS MILLS, MA. 02648 \ G 508 428—0055 — FAX 508 420—5553 o_ OLD SCALE.• 1"=40' [DA TE.• 02104199 9� o° \ ` SAND _ \ \ j PIT � REV.• REV.• Q12 JOB NO. 51812 SHEET 1 OF 2 F.F. ELEV.=102_5 O'min. ------------------ ELEV.= lO0_0 = 4" CAST IRON OR CONCRETE COVERS ELEV. 100.0 SCHEDULE 40 P.V.C. 4'F CAST IRON OR 4" DIA. SCHEDULE 40 PERFORATED PLASTIC PIPE SCHEDULE 40 P.V.C. END CAPS ON ALL PIPES 5' ON CENTER A 3" LAYER OF DIST.=13_2'_ SLP.= 0.02 0.005 12 min SLP.=____ 1/8 -1/2 CONCRETE COVER FLOW LINE INVERT DIST.=2.0_ SLP.=0.02 DIST.=1__- WASHED STONE o"o"o"o"io "o"o"O"o"o"o"o"o"o"o"o"o"o"o"o o"o"o"o"o"o o"o"o"o"o"o 0 0 0 0 0`• ELEV.= 97.50 97.24 — _ INVER'E ELEV. 96.78 0000°000Oo°O°o°O°O°O°O°0°0°O°°°O°O°O°O°O°O°O°0°O°O 0°0°0°o°°°O°O°O°°°O°o ELEV.= 10" MIN. 19" k o_o_o_o _o_o_o_o_o_o_0_0_0_0_0_0_0_0_0_0_0_0_0_0_ _o_o_o_o_o_o_o_o_o_o_ OF ELEV.= 96_99 96 95 96.78 0 0 6" LAYER /2 GAS 9AFFIB ELEV.=_ ELEV.=-__ c o /a TO 1-1/2" „ I O v v v L) u U U v U U U u O O U U U U U U O C`WASHED STONE 4 CAST IRON OR O O O O O O O O O O O O . O O O O O O O O SCHEDULE 40 P.v.c. DISTRIBUTION BOX O.,0 0 0 0 0 0 0 0 0„o�o�o� -) 0„0 0„0�0 0„0.,0� ELEV.= 96_0 -F- USE STONE A 1500 GALLON SEPTIC TANK TO BE ;WET TESTED IF TO LEVEL THE 17.1f TO HE PLACED ON MORE THAN ONE OUTLET. BED AS NEEDED. SEE NOTE #11. 6" OF STONE OR TO BE PLACED ON MECHANICALLY COMPACTED SOIL. 6" OF ;'TONE OR ------------------------------------------------- -- MECHANICALLY COMPACTED SOIL, BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV USE A TANK WITH THREE COVERS. SOIL TEST DONE BY: STEVE WILSON WITNESSED BY: JIM CONLON __________ ' PERCOLATION RATE: _-2--_MIN/INCH P# 4903 9• reR,oF TEST HOLE 1 DATE: 10109A85 ELEV._91_0 -- PROFILE OF DEPTH HORIZON TEXTURE COLOR MOTT. OTHER SEWAGE DISPOSAL SYSTEM 4 PERFORATED PIPES NOT TO SCALE O"-s" WOOD LOAM SECTION A-A 8"-42" 9ROWN SILTY SEE NOTE #11. SUBSOIL GENERAL NOTES: 42"--114" MODERATELY DENSE S7ONEY 1. THIS PLAN IS FOR THE CONSTRUCTION OF A NEW SEWAGE DISPOSAL SYSTEM. SANDY TILL 2. PLAN REFERENCE Bk 364 Pg 66 LOT 4 HARNSTABLE REG, OF DEEDS. SI TRACE OR 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM UOULDEW !s" " AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. DESIGN DATA: 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 114�144" ED. SAND TITLE 5 AND THE TOWN OF HARNSTABLE RULES AND REGULATIONS o H20 ENc' FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NUMBER OF BEDROOMS FQIL8�4�___ 5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN TEST HOLE 2 _ DATE: 1010�85 ELEV._1(L4��__ 12" OF THE FINISHED GRADE. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER GARBAGE DISPOSAL 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW 449----- GPD SAME, UNLESS NOTED BY FINAL CONTOURS. o"-s" WOOD LOAM ( 1L(L GAL./BR./DAY X -4---- BR. ) 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR SEPTIC TANK CAPACITY -MO-0- GAT+__ WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING s"-ss" ROWN SILTY LEACHING AREA REQUIREMENTS AREAS UNLESS NOTED. SUBSOIL 8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL SIDEWALL AREA 0 __ GAL./S.F. BE MORTARED IN PLACE. BOTTOM AREA -6-0(L___ GAL./S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 38"-16e" DENSE SANDY LEACHING CAP.(BOT. & SIDEWALL)_ 444_ GAL OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. TIC 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF 9OULDERS 15"-r " ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. r H2O ENCI RESERVE LEACHING CAPACITY _444 GAL. 11. THE CONTRACTOR SHALL NOTIFY THE ENGINEER AFTER THE FIELD HAS BEEN EXCAVATED SO A SOIL ANALYSIS CAN BE DONE. APPLICANT: K. JOYCE DATE: 02/04/99 A STRIPOUT 9.5' DEEP AND 5' ON ALL SIDES OF THE LEACHING FIELD MAY BE NECCESSARY. SHEET 2 OF 2 JOB # 51812