HomeMy WebLinkAbout0045 VILLAGE LANE - Health 45 Village Lane (Lot #1)
.W. Barnstable
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`dF AAYs, CERTIFICATE OF ANALYSIS Page: 1 of 1
Barnstable County Health Laboratory (M-MA009)
Report Prepared For: Report Dated: 12/1/2015
Peter Lomenzo
Old Cape Sotheby's .
Order No.: G1591177 i~
623 Route 6A
Dennis, MA 02638
Laboratory ID#: 1591177-01 Description: Water-Drinking Water
Sample#: Sample Location: 40 Village Lane West Barnstable, MA Collected: 11/,•2-�/2015
Collected by: Received: 111123/2015
Routine
ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE
Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 LAP 11/23/2015
Copper 0.14 mg/L 0.10 1.3 SM 3111B LAP 11/25/2015
Iron ND mg/L 0.10 0.3 SM 3111E LAP 11/25/2015
pH 6.8 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 11/23/2015
Sodium 10 mg/L 2.5 20 SM 3111E LAP • 11/25/2015
Total Coliform Absent P/A 0 0 SM 9223 RG 11/23/2015
Conductance 130 umohs/cm 2.0 EPA 120.1 DCB 11/23/2015
Water sample meets the recommended limits for drinking water of all the above tested parameters. ✓ r
A ^
Attached please find the laboratory certified parameter list. Approved By:
(Lab Director)
ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605
- ., CERTIFICATE OF ANALYSIS
U M Barnstable County Health Laboratory (M-MA009)
Recipient: Peter Lomenzo Matrix: Water-Drinking Water
Old Cape Sotheby's Sampled: 11/23/2015 11:00
623 Route 6A Received: 11/23/2015 11:15
Dennis, MA 02638 Collection Address: 40 Village Lane West Barnstable,MA
Order#• G1591177 Sample Location:
Lab ID:. 1591177-01 Description: rkt
Date Analyzed: 11/30/2015 @ 9:58
Sample#: Analyst: yn
Method: EPA 524.2 Dilution Factor: 1
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 Result MCL MDL
Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L
Dichlorodifluoromethane ND 0.50 Chloroform ND 80 0.50
Chloromethane ND 0.50 cis-1,2-Dichloroethene ND 70 0.50
Vinyl chloride ND 2.0 0.50 cis-1,3-Dichloropropene ND 0.50
Bromomethane ND 0.50 Dibromochloromethane ND 0.50
1,1,1,2-Tetrachloroethane ND 0.50 Dibromomethane ND 0.50
1,1,1-Tdchloroethane ND 200 0.50 Ethylbenzene ND 700 0.50
1,1,2,2-Tetrachloroethane ND 0.50 Hexachlorobutadiene ND 0.50
1,1,2-Tdchloroethane ND 5.0 0.50 Isopropyl benzene ND 0.50
1,1-Dichloroethane ND 0.50 Methylene chloride ND 5.0 0.50
1,1-Dichloroethene ND 7.0 0.50 Methyl-tent-butyl ether ND 0.50
1,1-Dichloropropene ND 0.50 Naphthalene ND 0.50
1,2,3-Trichlorobenzene ND 0.50 n-Butylbenzene ND 0.50
1,2,3-Trichloropropane ND 0.50 n-Propylbenzene ND 0.50
1,2,4-Trichlorobenzene ND 70 0.50 p-Isopropyltoluene ND 0.50
1,2,4-Tdmethylbenzene NO 0.50 sec-Butyl benzene ND 0.50
1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50
1,2-Dibromoethane(EDB) ND 0.50 tert-Butylbenzene ND 0.50
1,2-Dichlorobenzene ND 600 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 0.50 Total xylenes ND 10000 0.50
1,3,5-Trimethylbenzene NO 0.50 trans-1,2-Dichloroethene ND 100 0.50
1,3-Dichlorobenzene ND 0.50 trans-1,3-Dichloropropene ND 0.50
1,3-Dichloropropane ND 0.50 Trichloroethene NO 5.0 0.50
1,4-Dichlorobenzene ND 5.0 0.50 Trichlorofluoromethane ND 0.50
2,2-Dichloropropane NO 0.50 Surrogates %Recovered QC Limits(%)
2-Chlorotoluene ND 0.50 p-Bromofluorobenzene 77% 70 130
4-Chlorotoluene ND 0.50 1,2-Dichlorobenzene-d4 77% 70 130
Benzene . ND 5.0 0.50
Bromobenzene ND '0.50
Bromochloromethane ND 0.50
Bromodichloromethane ND 0.50
Bromoform ND 0.50
Carbon tetrachloride NO 5.0 0.50
Chlorobenzene ND 100 0.50
Chloroethane ND 0.50
Attached please find the laboratory certified parameter list. Approved By-
(Lab Director)
NO=None Detected RL = Reporting Limit MCL=Maximum Contaminant Leve
3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 1 of 1
;�1# TOWN OF BARNSTABLE ��3,7 L
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LOCATION G/ //,�l� T � � SEWAGE # 3
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VILLAGE ASSESSOR'S MAP& LOTZLC /cF
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY l S v o
LEACHING FACILITY: (type) r C—zc+�./:el (size) .I—d-0
NO.OF BEDROOMS . //
BUILDER OR OWNER �/r�v 22•
PERMTTDATE: Z•,� COMPLIANCE DATE: G�z 5:
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) r Feet
Edge of Wetland and Leaching Facility(If any wetlands exist n
within 300 feet of leaching facility —J 7 Feet
Furnished by r
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No. / Fee
`P 7 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
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' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
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Zipprfcation for Oiopozal *p6tem Cow4truction 'Permit
Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) ❑Comple e System ❑Individual Components
Location Address or Lot No. / //ct V,-t 404 y)r— Owner's Name,Address and Tel.No.
w < A. a-", eve rf W� urrr i/c�.. lvj 7G Z G Z�!
Assessor's Map/Parcel L /
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Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel No.
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Type of Building: j
Dwelling No.of Bedrooms / Lot Siz� 2 sq.ft. Garbage Grinder( )
Other Type of Building f, _If 5;g No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow U gallons per day. Calculated daily flow *KZ- *3 3 gallons.
Plan Date 14 Z 9_' Number of sheets l Revision Date
Title rr
Size of Septic Tank / _nc Type of S.A.S. r.•� .-J
Description of Soil l6 4 ..-_ -_4� T
Nature of Repairs or Alterations(Answer when applicable)
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 BoW of Heal
Signed Date !
Application Approved by Date
Application Disapproved for th following reasons
Permit No. 7 a'Z Date Issued
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LOCATION Gi,S �/,/l�� t SEWAGE # r 3
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VILLAGE 4/,eS�i7G✓r� ASSESSOR'S/MAP & LOTIS.r °'�&'�
INSTALLER'S NAME&PHONE NO. �5`�� /✓�/r-�/ �L Z G Zf�'
SEPTIC TANK CAPACITY l s
LEACHING FACELn Y: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: Z COMPLIANCE DATE:C4Z zz
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) l Feet
Edge of Wedand and Leaching Facility(If any wetlands exist
`.within 300 feet of leaching facility ?? j 7 Feet
Furnished by
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No. G 7 - Fee ,&V
97 ,96 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
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PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS !
Zipprication for Mi5po.5ar *p!tem C,,onztruction Permit
Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components
Location Address or Lot No. //Q v �/�' Owner's Name,Address and Tel.No. /
V. !hoc y .L Gc.�>/-f- ,r✓{f f ,"S Ct.,".•r/ C.r/�y,/�r",Gt v /Vf �C� z G Z%f' ',.,.
Assessor's Map/Parcel / /
Installer's Name,Address,and Tel..No. Designer's Name,Address and Tel.No. 7 7 LJ
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e of Building:�'P g
Dwelling No.of Bedrooms Lot Siz Z, 7 —sq Garbage Grinder( )
.Other Type of Building A F,r No. of Persons Ss Showers( ) Cafeteria( )
Other Fixtures v
Design Flow gallons per day. Calculated daily flow //U K 7s 3 3 gallons.
Plan_ Date !/2 / Number of sheets f Revision Date
Title /.c r
Size of Septic Tank / S G t� Type of S.A.S.
Description of Soil 16 G .1e
Air
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Nature of Repairs or Alterations(Answer when applicable)
e
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 Bo�d of Healt
Signed c—, / /!� Date / Z
Application Approved by Date 7
Application Disapproved for the folio ing reasons
Permit No.9 7 — 15":). Date Is sued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Di s osal System Constructed ( '1)Repaired ( )Upgraded
Abandoned( )by /. C /6 1
at 4D ,f/j,,t-+ 4ee %J— //, s e L gn-, T I has been constructed in accordance
with the provisions of Title 5 and the for Dis osal System Construction Permit No. dated
Installer _tea i. i✓< r v ? a, Designer
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date 42 or`/ Inspector
------------------------ --- ---
No. Fee ZOO
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
Mi.5pont 6potem Construction Permit
Permission is hereby granted to Construct( Repair( )Upgrade( )Abandon( )
System located at Ila t P5 L,—j— s, �crs�e
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date: S" Approved by 1�. 7
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4
iw Department of Environmental Management/Division of Water Resources r
f WELL COMPLETION REPORT 6
µ.w-
FAddress-
ATION GEOGRAPHIC DESCRIPTION
j CDT / /G(./1�r' ./ )
N S E W of
(feet) (circle)
40. �ARiYSTL�r`3Lt�
l
Well-owner
�. Address > d &aj �U7 Nroadl S E W of
r may,
(ml.in tenths/ (circle)' i
Board of Health permit obtained: yes IQ" no El //'rersect. w/ (coed)
WELL USE WELL DATA
GDomestic 0-Public❑ Industrial ❑ Total well depth ft.
Monitoring❑ Other Depth to bedrock ft.
Water-bearing rock/unconsolidated material.
Method drilled !w
Date drilled / 0?7 7�
Description
Water-bearing zones:
CASING 1) From To
Type �'C-4 ,lj f/�
2) From To
Length-fi2 ft. Dia(.I.D.) ` in.- 31 From To
Length into bedrock R. -
Gravel pack well: dia.
Protective well seal:
�. Screen: dia.
Grout-0 Other Slot+'_Z4L_length a from-5O tc .
STATIC WATER LEVEL(ail wells)
Static water level below land surf ace _'ft. Date !
WELL TEST(production wells)
Drawdown` ft. altar pumping Iv.�min.at Z gpin
How measured Iiecovery 9�,37J1 of er_ r. min.
0
LOG of FORMATIONS COMMENTS 2
Materials From To
Gt
Driller �•
a5r
/!1r'�iG,rri
Dmf elj q Firm
Address
City/Town /� Ge✓'./�if/ /�
Supervising Driller Reg.#
Sr nature o mpervisln rE istered well driller
Please print firmly
BOARD OF HEALTH DOPY
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t
No.- -` = -- Fee------ -
t BOARD OF HEALTH
TOWN OF BARNSTABLE
Applitat ion-*r Veil Congtructionpermit
Application is hereby mad or a permit o Construct ( ), Alter ), or Re/pair ( ")an individual Well mat- f
Location —'Address Assessors Map and Pa '
ner ddress
_� � - --------- ----------------------�-�-�---- -.J'
z- ----------------------------
Installer Driller Address
Type of Building
Dwelling-----—------ Z--------e/ '
Other - Type of Building--------------------------------- No. of Persons-------------------------------------------------
�r
Typeof Well- --- ------ r------ Capacity---------------------------------------------------------- -——
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— ---� --�1=� ��-
-- — ———Li date
Application Disapproved for the following reasons:-----------------------------------------------------------------------------------------
--------------------------------------------
date
PermitNo. Issued----------------------------------------------------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certifitate ®f �Compriante
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( )
bY-----------—-------------------------------------------------------------------------
---------------------------------------------------------------------------------
Installer
urX-4 _
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 No. W-7W--Z--3----Dated-----------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-------- ------- — ------- Inspector------------------------------------------------------------------------
q * 7
No.-W--` -=1e ,� r t 1 Fee-----V-.}'---=_
BOARD OF HEALTH
TOWN OF BARNSTABLE
0pplication-for Melt c ootru(tio Virmit
Application is hereby made or a permit to Construct ( ), Alter ( ), or Repair ( ")an individual Well at- f
-
L/oacation�—'Address � Assessors Map and Par / t
00,
ner Address
------- --------
Installer -
Driller Address
Type of Building
Dwelling ------
.� -`-------7
Other - Type of Building---------------------- - `
----------- No. of Persons----------------------------- ---------------------
----- - ----------------------------------------
- -—-- '
y Type of Well- --- - -- Capacity-- ;-
Purpose of Well------------------------�r-`-���"-----�ryw-
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 beW by the Board of Health.
G
Signed -- ------ -- -- ------ - ---------------------------
date
j Application Approved �= L( �
— — date
'. Application Disapproved for the following reasons-i ----------------------------- -----------------------------------------------------
--------------------------
-- - -
a' date
Permit No.
Issued----------------------- - - ------------------------------
date
1
MM MW MW-CAA" fame==MW 4M=A=*,= A=* -ANM
BOARD OF HEALTH
TOWN OF BARNSTABLE
a
Certifitati Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( )'; Altered C or Repaired ( )
a{ --- -- -- -- - - - -- =-- -- ---- ------- -- ------------ - ------
bY— y r Installer
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 No. W-74 ----Dated-------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------------- - - ---- - -- Inspector--------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Vell Con$truct ion Permit
W- -=-- -- -----
No.
--- Fee
---- - ---
Permission is hereby granted --- - ------------—----------------------------------------------------------------------------------
------
to Construct ( ), Alter ( ), or Re r ( ) an I dividual Well at: / 1
Street
as shown on the application for a Well Construction Permit
p,
II - - Dated ----- ---------------------------------------
} ------------------------------------- .... ._.-_...-
p/ Board of Health
DATE
.r"
3 i
Y .
ENVIROTECH LABORATORIES, INC.
MA Cer. No.: M-MA 063
449 Rte.130
Sandwich, MA 02563
(508) 888-6460 1800-339-6460
FAX(508) 888-6446
CLIENT: Larry Nickulas LOCATION: Lot 1
ADDRESS: Village Lane
West Barnstable, MA
COLLECTED BY: Desmond Well Drilling SAMPLE DATE: 1-27-97
SAMPLE TIME: 1:OOPM
WATER SAMPLE TYPE: New Well DATE RECEIVED: 1-27-97
LAB I.D.#: 971353/971322
WELL SPECS.: 53710'
RESULTS OF ANALYSIS:
Parameters Units Recommended Results Method
Limits
Coliform bacteria /100ml 0 0 9222 B
pH pH units 6.0-8.5 6.25 4500 H+
Conductance umhos/cm 500 279 120.1
Sodium mg/L 28.0 24.4 200.7
Nitrate-N/Nitrite-N mg/L 10.0 <0.04 4500-NO3 E
Iron mg/L 0.3 0.06 200.7
Manganese mg/L 0.05 0.013 200.7
Volatile Organics ug/L See attached report. none detected 601/602
Date 2 3 f
Ronald J. Saa
Laboratory Director
<=less than
>=greater than
TNTC=too numerous to count
- cNVLhUTECH
508 759 4475; A
GRDUNDWATER
ANALYTICAL
EPA METHODS 601 and 602
Volatile Organics (GC/PID/ELCD)
Field ID: 97-1322 Lab ID: 15619-01
Project: Larry Nichuias/Lot 1,Village Ln./W.Barn. Batch ID:
VI1002-W
a
Client: Envirotech Sampled:
01-27-97
Cont/Prsv:- 40mL VOA Vial/HC1 Cool Received: 01-27-97
Matrix: Aqueous Analyzed: 01-29-97
PARAMETER CONCENTRATION REPORTING LIMIT
(u9/L) (u9/L)
Dichlorodifluoromethane BRL 5
Chloromethane BRL 5
Vinyl Chloride BRL 5
Bromomethane BRL 5
Chloroethane BRL 5
Trichlorofluoromethane BRL I
1,I-Dichloroethene BRL I
Methylene Chloride BRL I
trans-1,2-Dichloroethene BRL f I
BRL
.1,1-Dichloroethane 1
cis-1,2-Dichloroethene * BRL 1
Chloroform BRL I
BRL 1
1,1,1-Trichloroethane
BRL 1
Carbon Tetrachloride
BRL 1
Benzene
1,2-Dichloroethane BRL 1
Trichloroethene BRL 1
1,2-Dichloropropane BRL 1
Bromodichloromethane BRL 1
2-Chloroethyyl Vinyl Ether 5
cis-1,3-Dichloropropene BRL 1
Toluene BRL 1
trans-1,3-Dichloropropene BRL 1
1,1,2-Trichloroethane BRL I
Tetrachloroethene I
BRL
Dibromochloromethane BRL 1
Chlorobenzene BRL I
Ethylbenzene BRL I
meta-and para-Xylene * BRL I
ortho-Xylene * BRL 1
BRL 1
Bromoform
BRL I
1,1,2,2-Tetrachloroethane
BRL 1
1,3-Dichlorobenzene
1,4-Dichlorobenzene BRL I
BRL I
1,2-Dichlorobenzene
QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS
f a,a,a-Trifluorotoluene 30 29 97 % 87 - 113 %
1,2-Dichloroethane-d4 30 31 103 % 83 - 117 %
BRL n Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable
Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986).
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