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Home My WebLink About2370 ROUTE 149 - Health a3�o Ro�4e �4q r II low 3 No. 4210 1/3 BLU [A�MfCZNSAK � ESSELTE 10°Io 0 0 0 0 J N THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tc ..�...........oF......... — ,................................ Appliration for lliopoiial Workii TottstrWiort Vern fit Application is hereby made for a Permit to Construct (\/,) or Repair ( ) an Individual Sewage Disposal System at: ..ter..z .... ......149.4.-- = x --------------.............................................................._......._.. Location-Address or Lot No. �hs�..... ...................•--••--...........---•----•- .....sue-....... "�w�a,......... • �Suw....... ......�.....�. ..... ..... Owner Address a +�1 `<r............... .... ................ Installer Address Type of Building Size Lot...ZZZ4QZ.,1.Sq. feet .. —No. of Bedrooms................Dwelling ........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers a yP g ------------------•-•---.... p ( ) — Cafeteria ( ) QPa Other fixtures ----------------------------•--------_. ._...__..... . .- -------- --------------- .......................... W Design Flow.................U-D.................gallons per person per day. Total daily flow..............4+6 ...............gallons. WSeptic Tans Liquid capacity.1�WA.gallons Length.._U.". Widt :5..6_u.. Diameter______ _________ D h.. �.�..... x Glis��xeucli—No. ................. Width..._....e.......... Total Length......?-4_.....Total leaching area.._ -Q?..sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft. Z Other Distribution box (X) Dosing tank a Percolation Test Results Performed by........... f.. :............... Date...........1Z. .-- .j_ r!*..... .a Test Pit No. I.....42�..minutes per inch Depth of Test Pit.......1.8....... Depth to ground water........................ GL, Test Pit No. 2.._....5 Lniinutes per inch Depth of Test Pit........� _�.... Depth to ground water........................ a Y.............................. ----•---_-..... .... ------------- --....... ..------- .............. ....... O Description of Soil. C. .�' i._�......?J G�':...�'1!-� ... ..................................................... - 6` ......5_cU'...C L..._.�1-1�.... ----•........................... W .........................•-- ............ ------------- ---------------------------------•-------------------------------------.....------------..........----•--------=------------.......................------................................ U 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:ITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance: been issued bZ�hbo f healt Signed -•---`......... .............................. \.........._.... Date Application Approved By... _. .... .. �1 ��` ............ ........•---............................_. .......... ....... ate Application Disapproved for the following reasons:-----•----------------••----•--....-----------•----:............---•----•---....................._.............. ...................................:...........••--------•----................................--•---...............................-------•----.........-•----....................._ .............. Permit No.( Date 1 �� ... ............................ Issued.....---•--•-----•-•-----•-------....................... Date f //fiY`„•Y'11 �' THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH J...........OF_.......� �� ................................ :=- Appliratiun for Disposal Works Toustrudiun f rrutit Application is hereby made for a Permit to Construct (\/,) or Repair ( ) an Individual Sewage Disposal System at: ..2_. ::::: -r _ .................................... ••-•------................................ / Location-Address or Lot No. Re • ._.^"+._....� " Owner._..._.....^-••..................•..... ..........................Address ..... :.. .............................•-•-•--•-•...............-------------•-•-----•--------- ------------------ .----------- •-•--••---.....----................ ._........ ............ Installer Address Type of Building Size Lot...&ZZ,gin: Sq. feet ..� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria p' Other fixtures --------------------•-...--_....- . . -_...._... Design Flow.................�._t_0.....__..........gallons per person per day. Total daily flow.............. ................gallons. WW _ Ot S .. __... Septic Tank Liquid capaclty.� r�_gallons Length.._.�....�R". Width:....;� _.._._ Diameter________________ Depth.5.1. "... x Disposal,'french—No..........4:...... Width.......R.._._.... Total Length....... ___._. Total leaching area... :tA..sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area...................sq. ft. Z Other Distribution box (x) Dosing tank ( ) `'' Percolation Test Results Performed by........... .....:� . 1'- _.5.:.......... Date........... ,Wa Test Pit No. 1.....1--minutes per inch Depth of Test Pit.......! K....... Depth to ground water........................ (i, Test Pit No. 2.......47-minutes per inch Depth of Test Pit........15-.._... Depth to ground water........................ .- ----------------------•--•--•-••---•--.......................•--...........-•-•-•............................................................... Description of Soil...:.�a f i ._ U .. ................•-------- 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 TITL; 5 of the State Sanitary 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. I Signed... r ��Z \� Date Application Approved By..•-:-. .:��....._.........................•.........................---•--•---••--••-- -•----. I Date Application Disapproved for the following reasons:............................................................................................................. •---•---•-••.......................... ..�:�a�...._..-•----------- ......._.......•----•.._...------...- ••-----••-••------..................----..._--•--------------••-•••-...._•------•---•----•-•--•--... --•......._ .Q „ .# Date PermitNo.� ••--•--•-•-.. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................OF.... rt.v�?`...................................................... tf Trrtifiratr of T-am lianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by.......... -Q -%- Ps,eK" «, •Installer J at......&-6-T------•-2.•---•- ---I.11A..-------.--.1Y1._----------J'`':. r ! !V...............•---------------•----•-••-•---••----------•--................................ 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.__3q_:AE.................. dated_...,5 /2,r.Y4_._._._._•...._.__... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. '} DATE................. ..'• �� ........................................... Inspector-------•U"_.............................. ...................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ! ..... �iI � NO ` )� o. . ......... oF.....: K J. rr FEE..... ......... V Disposal Works Tunstrudiun Permit Permission is hereby granted.......... !� ......H! ! ...............�i '.dwst� .... ..-----•-••..................•-.---•- to Construct ( �)'�ror Repair ( ) an Individual Sewage Disposal System at No...... °' ......... .....?_ (z t............................%`-'�`\ 4). � G?-'{�7y �lS.�- Street as shown on the application for Disposal Works Construction Permit NoA R 2RK. Dated..t_r-;=X"3-9................. �� ,• 1 ----------------••-•-------.................. .............••-•---._.....--•-•--...---------....------ Board of Health ., Department of Environmental Management/Division of Water Resources WATER WELL COMPLETION REPORT WELL L,OCAT1 N� Address /t•r -- ��1/ (� rj✓ City/Town�A�A '. l8A� rA1�1& �/A G.S.Quadrangle Map Grid Location D Address �-� ,� /'I FfiA/�i- /Mils/� h"A� )41 WELL USE CONSOLIDATED WELL Domestic Q Public ❑ Industrial ❑ Type of Water-bearing Rock A Other Water-bearing Zones Method Drilled -71- 1) From To 2) From To Date DrilledA10 3) From To 4) From To CASING /�� Depth to Bedrock Length /�1.► Diameter 11 Type Z/1/( . UNCONSOLIDATED WELL Y STATIC WATER LEVEL Water-bearing Materials Feet below land surface 410 Send: fine❑ medium❑ coarse❑ Date measured /X Gravel: fine❑ medium❑ coarse Scree GRAVEL PACK WELL n: Slo . length from 41, to.19 Yes ❑ No I Split Screen (or 2nd screen) WATER QUALITY TESTS MADE Slow lenqth from to Chemical E/ Biological Depth To Bedrock /r' PUMP TEST Drawdown _feet after pumping days hours at a?6 GPM. How measured 1-401'%_ Recovery / feet after_hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To m /lf �11a. _r [ 4sA '! Firm ) ^ DRILLER r Addressrr.nAA eAt.AAAfCitrAA; Registration No- 41 /Ir . V I Aerator's signature Please print um v BOARD OF HEALTH COPY. 25M-10-85.807101 t. ti OFFICE LABORATORY 1498 HIGH STREET 176 PLYMOUTH STREET BRIDGEWATER, MA 02324 ' BRIDGEWATER, MA 02324 OLIVEIRA ENVIRONMENTAL LABORATORIES, INC. FOOD- DAIRY PRODUCTS-WATER-WASTEWATER CHEMICAL&BACTERIOLOGICAL ANALYSES (508)697-2650 May 4, 1989 L. Wile & Son Drilling Co. 11 Annasnappitt Drive Plympton, Mass. 02367 Source: Well Water - Drilled Well - 6 inch PVC Well - 70 feet deep - producing 20 gals/min. Located on the property of Mr. Don Perkins - Lot 2 - Meeting House Way - West Barnstable, Mass. Coliform Count /100 ml @ 35 C 0 Membrane Filter S.P.C./ml @35C 17 Color (APC units) 10.0 Sediment none Turbidity (NTU) 5.00 Odor none Taste satisfactory pH 7.20 Specific Conductance 110. micromhos/cm m9 /liter Total Alkalinity (CaCO,) 16.0 Free CO2 1.57 Total Hardness (CACO,) 30.0 Calcium (Ca) 7.20 Magnesium (Mg) 2.93 Sodium (Na) 10.3 Potassium (K) 1.33 Total Iron (Fe) 0.28 Manganese (Mn) 0.05 Silica (SiO2) 16.0 Sulfate (SO,) 5.00 Chloride (CI) 24.5 Nitrogen - Ammonia 0.29 Nitrogen - Nitrite 0.007 Nitrogen - Nitrate 0.67 Copper (Cu) On site collection made by Mr. L. Wile - 5/l/89 at 10:00 A.M. Sample delivered to laboratory by Mr. L. Wile - 5/2/89 at 11:30 A.M. Bacteriologically, this well water is of a satisfactory sanitary standard and is suitable for drinking and domestic purposes. Chemically, this well water meets the standards for all of the chemicals tested. Director u The Standard Plate Count indicated the general bacterial population of the well at the time of collection. ' Coliform Group Bacteria: Significance The coliform group bacteria includes organisms found in the intestinal tracts of warm blooded animals, birds, decaying organic matter(hay, leaves, wood, etc.), the top 2 to 3 feet of the soil, lakes, ponds, brooks, rivers, drainage and types of vegetation. Because the organisms can cause some illness; because the presence of coliform organisms in the water suggests that other more harmful organisms may be present, water containing one or more coliform group bacteria per 100 ml of sample should not be used for drinking or cooking purposes unless boiled 5 minutes or disinfected by other means. This bacteria is of animal origin (intestinal tract)and may be considered as closely associated with disease causing organisms.On this factor, none should be present. Color — APC Units- Ground water ought to be practically free from color. For attractive water - color should not exceed 15 units. Turbidity — NT Units- Recommended limit not to exceed 5 units. Odor Er Taste — For water to be of high quality, the water should be odor free and taste good. pH — The pH value defines the concentration of free hydrogen ions in solution. Expressed on a scale extending from 0 or very acid to 14 or very alkaline with 7.0 being neutral. Specific Conductance — Conductivity is a good criterion for measuring the degree of mineralization and assessing the affect of diverse ions on chemical equilibria. Total Alkalinity — The alkalinity of this water represents its content of carbonates and bicarbonates. Free Carbon Dioxide — Well water having a low pH and a Free CO, level in excess of 50. mg/I will be corrosive to iron, bronze, brass and copper tubing and fittings. Total Hardness — Standard not to exceed 50. mg/I. Waters having a hardness level of 50 to 100 are in the medium hardness range, over 100 very hard. Calcium -- Calcium contributes to the total hardness of water.Appreciable amounts of calcium salts break down on heating and form scale in boilers, pipes and cooking utensils. Magnesium — Magnesium is a common constituent of natural water. Magnesium and calcium ions are principal contributors to water hard- ness. Concentrations in excess of 125 mg/I can exert a cathartic and diuretic action. Sodium — Recommended limit not to exceed 20 mg/l. Potassium — Potassium concentrations in drinking water seldom exceed 20. mg/l. Total Iron — Standard not to exceed 0.3 mg/I. Manganese — Standard not to exceed 0.05 mg/I.The principal reason for limiting the concentration of manganese is to reduce esthetic and economic problems. Silica — Silica content of natural water is most commonly in the 1 to 30 mg/I. Silica in water is undesirable because it forms difficult to remove silica scales. Sulfates — Standard not to exceed 250 mg/I. Chloride — Standard not to exceed 250 mg/I. Nitrogen — Ammonia is present in variable concentrations in many surface and ground waters. Its occurrence in ground water is generally a result of natural reduction processes. Nitrogen - Nitrite — Nitrite in water poses a health hazard, but fortunately seldom occurs in high concentrations. Waters with a nitrogen - nitrite concentration over 1 mg/I should not be used for infant feeding. Nitrogen - Nitrate — Standard not to exceed 10. mg/I. Nitrate, in high concentrations can and do cause methemoglobinemia or so-called nitrate poisoning in infants. Water with 10 or more mg/I of nitrate is unsatisfactory and is not considered safe for drinking or cook- ing. It is especially dangerous to children and should never be used in infant formulas. Copper — Standard not to exceed 1.0 mg/I. i TOWN OF BARNSTABLE LOCATION.a?1?0 bL SEWAGE # 8j- Z2-b VILLAGE M, � �t��aa�� O � OASSESSOR S MAP 6& LOT INSTALLER'S NAME & PHONE NO. �i\QYQ2Z 00 SEPTIC TANK CAPACITY i ,S-0d LEACHING FACILITY:(type) f'CS t,� NO. OF BEDROOMS RIVATE WELL OR PUBLIC WATER BUILDER O OWNER DATE PERMIT ISSUED: (L DATE COMPLIANCE ISSUED: `7 l `Z VARIANCE GRANTED: Yes No y� i:� .J J f o �6 0 i uvv _ N U1- rii1ici;c� BOARD OF o satisfactory •, 2. Printers �� i Q unsatisfactory- 4. Auto. 111 Shops COMPANY°V 1 f I�lanufecttrrers "r- � - �� C (see"Ordersof S. Retfill Stores ADDRESS- `i-' �� 6. Fuel Sup f•1 iers Class L �. Mist; llaneous QUANTI IES AND $101tMg (IN-indoors, O6froutda, 41AJOR AIM GRIAO • Case lots Drums AbgveTanks Undetgtouad Taark-s Fue)ss �L �T_ �� oUf R b QE11ona Gasollne, Jet Fuel (A) Diesel, Kerosene, NZ (g) — Heavy Oils waste motor oil (C) — M? motor all . (C) transmission/hydraulic - Synthetic; Organics: degreu�r:is ___. Miscellaneous: sPUMA1, H U I 1. Sanitary sewage jtiV�RKSt Z. Water Supply Town Sewer Public 0n-site T}� Private ' 3. Indoor Floor,Usainss YES ' NO 0. 1folding ta.rrkt,'FiUC O Catch basin/Dry wel! oOn-site system . Outdoor Surface drains.-yes NO . . U lfuldin`• tanks Mc O Catch basitr/Dry well44, o On-site sys tem Waste Transporter Name of Nautpr � Llcensed7 1 .Waste Produr+ YFS �{� �► 7 nt.ery ewe r "Spector ... .�. Ua t e