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HomeMy WebLinkAbout0045 WHITE CAP LANE - Health 45 WHITE CAP LANE, w boxf 1Q� a �. JJTOWN.OF BARNSTABLE LOCATION )b�_ 6, o�-< SEWAGE# ?v2 VILLAGE Gve5t 34r&61v�L ASSESSOR'S MAP&PARCEL -7 INSTALLER'S NAME&PHONE NO. c-L)t + A,,P_, hox4 g '396 SEPTIC TANK CAPACITY 16"t s ud') -+ (y,o`I LEACHING FACILITY:(type) t ty o S Oct ace((c-A (size) NO.OF BEDROOMS )1 2- OWNER .DC0 PERMIT DATE: g[W� COMPLIANCE DATE: toll h G 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 ccp Olt 7.9'a o �� 3 '� 3W VIP- i No. Zozo— '0a Fee# 6D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rptiration for Misposal 6pstrtn Construction 30Prinit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System +�Individual Components :d Location Address or Lot No. 465 v- r L j•t� Own !f's np Name,Address,and Tel.No. 5* -033•4 ((05 Assessor's Map/Parcel ��� c�1 /\" e6a�x p �• r(1 ��01 O-Ak g Installer's Name,Address,and Tel.No.U&q a►ld 1M&JtAK+- Designer's Name,Address,and Tel.No. hoy\ Rj wr v7jv3 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building (}f�i Clz No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets I Revision Date Title Size of Septic Tank aAA Type of S.A.S. Description of Soil AIAC CNature of Repairs or Alterations(Answer when pplicable) (i( al IA I 5C� t l dl ` /lRLl U 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 Certificate of Compliance has been issued by this Boar4 of Health. ned Date 3 z W Application Approved byA Date '� Application Disapproved by Date for the following reasons Permit No. 007-o— rOp Date Issued � '°• �"T.,_.,.r�t f tu�,rK r.y.� '�4v�..y.. �� � � �t , -« �i„:,{4' C�'-"�'ti,,;,C" g .. TM ,�•a 3. dy ,• t Nu HE''COMMONWEALTH OF MASSACHUSETTS Entered in comPni�`^�/ PUBLIC.HEALTH DIVISION TOWN OF BARNSTABLE,,MASSACHUSETTS Rpplitatton;for'Misposal bpstent Construction �er�ttit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components ` Location Address or Lot No. "F J� W�,{�:;.(a�, �.G v� ' F/1 Owrier's Name,Address,and Tel. No ;500`.1a s3.4 cG5 h r . ` Assessor's Map/Parcel �1 !ci- { t7X 3 �13 r>� �: PA;':;p•. d Installer's Name Address,and Tel.No Des ner's Name Address,and Tel.No:`.'` x, a���!�lI1tC� �t?rLIIGtt1 g. Type of Building: : • ikDwelling -'No;of Bedrooms.<. Lot Size sq.ft. - Garbage Grinder( ) t; Other Type of Building No.of Persori"s Showers( ) Cafeteria p Other Fixtures i Design Flow(min.required) gpd Design flow provided gpd ` Plan Date (p I?,( I 7�)(� 'Number of sheets Revision Date Title r Size of Septic Tank l_V_ nt 1 A Type ofS A.S. Description of Soil .w Nature of Repairs or Alterations(Answer when applicable) {{ (t7r yI'��A ­pr.- t(. - w - ��� It n �_ t A'V1 _ 1 'ronVap. uh � I Ah G AA Attt( I' � M t' 1�r.4• 44 11, rats .i Date last inspected: Agreement: s 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 S;of the Environmental Code and not to place the system in operation untila Certificate of Compliance has been issued by this Boar of Health. Stgfted Date y o?1) s Application Approved by ,; _ •Date 2/ �Abplication Disapproved by Date '. . + e for the following reasons "K ---------------- Permit No; &77.. /j�°} . Date Issued `r --- ----- - - -- ----------- -- - --- - - - a; { THE COMMONWEALTH OF MASSACHUSETTS. . BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired . Upgraded Abandoned( )by at u i; t o ly, 0410 /.Q I Lc has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No ,� dated Lib 1. � / r 4� Installer Designer / , #bedrooms _ ="S�""'"'"!! _ J ,a' ed design flow - - gpd v ' The ssuance of this permit'shall not be construed as a guarantee that the system will" ction as designed. Date r(j 1 Inspector No. Fe THE COMMONWEALTH OF MASSACHUSETTS 1 PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS w . Disposal 6pstem Construction Vertnit " Permission is hereby granted to Construct(' ;) Repair Upgrade(. .) Abandon( ) System located at (2 A P / Y P- A 9= t Lt and as described in the above Application for Disposal.System Construction Permit. The applicant recognized his/her 6ty'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 j' � a►ri Approved by i Town of Bairlastable pFIHE Inspectional Services. �- Public Health Division iwtidsraBM K''gS Thomas McKean,Director Argo �b 200 Main Street,Hyannis,MA 02601 Office- 508-8624644 Fax:,508-790-6304 Installer &Designer Certification Form Date: o1q �� Sewage Permit# oRo rt Assessor's MaplParcel_17 " e27 Designer: Down Ehali h.QLki nQ,.(ne. Installer: Ch.ast + M caharv* Address: ,OUit (0 A Address: 30 NQUS ho 1ZOL . 3 On Zt1 ('�l[1r?CC( Ctwas issued a"permit to install a (date) (installer) f septic system at 9' A) •'�£ b LrL IV. BQMSftbilbased on a design drawn by (address 1Dani d A MaLCL_ P dated + -025-aoO . (designer) VV I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required)was .inspected and the soils were found satisfactory. I "certify that the septic system referenced above was installed with major changes (ixe. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced"above was constructed intc fff?`U„ar ae with the terms of the IAA approval letters (if applicable) /gi 4 CIVIL nst ler's Signature); va, Al (1�.� r _ .� 'tt ,�:�✓ . � �_ is (Designer's Signature) (Affix Designer's Stamp Here) t PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC:HEALTH DIVISION. THANK YOU. \\toa\depts\HEALTH\SEWER conneeMEPTIC\DesignerCertification Form Rev 8-I441DOC a iy; 1 No. ' �b�� Fee Y-is— BOARD OF HEALTH TOWN OF BARNSTABLE 2pplication lot lVell Construction permtt Application is hereby made for a permit to Constructer Alter( ), or Repair( ) an individual well at: y5" L-Ai i4 al-e GAP p ACE. 17 6 426n Gam. ;z- Location-Address Assessors Map and Parcel Owner Address Installer-Driller Address DESMOND WELL DRILLING, INC. Type of Building 5 RAYBER ROAD,BOX 2783 g ��� OR LEANS,2 MA 02653 (508)'�+40a100A Other-Type of Building cl LZ Po-:;T 0IFF44-C- No. of Persons Type of Well :�///-/P V c Capacity pp/�' T Purpose of Well (?GT i f -R. F-6)"4C.//4 a '=-) k Agreement: The undersigned agrees to install the afore described 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 Certificat f Complianc s been issued by the Board of Health. Signed moo- IQ13 1 C)O/y Date Application Approved By Date Application Disapproved for the following reasons: '�• Jy Date v Permit No. V "I`�— 6 Issued ��—31 �y Date --------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE DESMOND WELL DRILLING, INC. Certificate of Cons Nance 5 RAYBER ROAD,BOX 2783 ORLEANS,MA 02653 (508)240-1000 THIS IS TO CERTIFY,that the individual well Constructed(Altered( ), or Repaired( ) by MfgDLU C3ZD 40ZL,(_ 'D f`�GZ•C./ Co Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protect' Regulation as described in the application for Well Construction Permit No.W0gq --0H)- Dated I A-3 f' P THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector 3 No. 011f 6H Fee `l BOARD OF HEALTH TOWN OF BARNSTABLE r 01ppricatiou _for Yell Con0truction Permit Application is hereby made for a permit to ConstructerAlter( ), or Repair( ) an individual well at: /z5' (J H r 7 l� GAP k A)4F 17 6 11-2- --p7- Location-Address Assessors Map and Parcel Owner Address �2o,U iJ l-c.)JCL..(_ Z)K(LcJi 1& S 12 64 M.14 Installer-Driller Address Type of Building );3wefl ng C 0144 P-LE V-6 1,-) �- Other-Type of Building No. of Persons Type of Well Capacity Purpose of Well `T U-T _ Agreement: The undersigned agrees to install the afore described 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 f Complianq� as been issued by the Board of Health. l� Signed �`'� �c1 .3 OLA Date Application Approved By I Date Application Disapproved for the following reasons: ,w ' 1 Date Permit No. ►w 7C)I`(- 6`' Issued Date BOARD OF HEALTH TOWN OF° -BARNSTABLE _ f Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed Altered( ), or Repaired( ) by -')e�3WOV(b 1-0E,1 .0 1�. i21.4(.,t/V G Installer at tj 141 TtF-1 I--K-N E- t,(jzg7- 13 0 Q-�,)�;7�+6 1-E— has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protect' Regulation as described in the application for Well Construction Permit NoWo ojq Dated J,,1- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE - Vell Cou5truction Permit �— No. Fee . s Permission is hereby granted to—Dr-Sfil opz( 4-0 6-74-(, -L) R IL-L//V Installer to Construct Alter( ), or Repair( an individual well at: Street as shown on the application for a Well Construction Permit No. Dated n \ r-\ Date 1 3 - \� A - �- PProved B y 4 j ;w X. l 4 ` G.O T -- O A ,,,oo �( �o � / Iqj Cz _.� D� oWf7er: -.yx ` G f-H i P A L/,x G o,e P, LAA/OSM, ANloam OTL Ate/ ' �.ocgTiow: G1E57- 6. N .cE S ✓®evv oai rs-iis IS LOCAr�-a ov rNE LQa/D TNfiT., TC AO =C.c/ A./G �:9':LgH/s Off. rI�/E TbN/N OFBf�Ie/VTABLE, r..: �SSOG/AT� � � f� t 'S 1 -- -- • ENVIRONMENTAL CONSULTANTS, PLANNERS AND ENGINEERS May 20, 1998 Chief Municipal Officer Town of Barnstable 367 Main Street Hyannis, Massachusetts 02601 RE: Environmental Studies 45 White Cap Lane West Barnstable, Massachusetts 02630 RTN 4-11201 Dear Sir/Madam: In accordance with the requirements of Section 310 CMR 40.1403(3)(d) of the Massachusetts Contingency Plan (MCP), please be advised that a Release Abatement Measure (RAM) Plan shall be submitted to the Massachusetts Department of Environmental Protection (MDEP) for the above referenced property. The proposed RAM Plan involves the removal of petroleum contaminated soils identified within an area of former aboveground heating oil storage at the above referenced site. All.excavated soils will be managed in accordance with Section 310 CMR 40.0300 of the MCP. It is anticipated that this work will be completed within two to •three working days. All work will be performed by a qualified licensed and insured contractor with appropriate OSHA training and overseen by a Licensed Site Professional (LSP). .If you should have any questions regarding the information presented herein, please feel free to contact this office at your convenience. Very truly yours, NANGLE CONSULTING ASSOCIATES, INC. i' James P. Parker Project Manager JPP:es. FileNo. 231.03 cc: rnstable Board,of Health =, - Ms. Julie Hutcheson, MDEP. NANGLE CONSULTING ASSOCIATES, INC. - 130 LIBERTY STREET - BROCKTON, MASSACHUSETTS 02401 TELEPHONE (508) 586-551 1 - FACSIMILE (508) 586-5653 Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection Southeast Regional Office William F.Weld Governor Trudy Coxe Secretary,EOEA Thomas B. Powers Acting Commissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY ERTIFIED MAIL: RETURN RECEIPT RE UESTED r cp� April 19, 1995 Joel P. Dwyer RE: BARNSTABLE--BWSC 45 White Cap Lane Property Barnstable, Massachusetts 02630 45 White Cap Lane Release Tracking # 4-11207 NOTICE OF RESPONSIBILITY M.G.L. c . 21E, 310 CMR 40 . 0000 Dear Mr. Dwyer: On March 15, 1995, the Department of Environmental Protection (the "Department" ) received an Oil and Hazardous Material Release Notification Form ( "RNF" ) which indicates that a release of hazardous material has occurred at the location referenced above . The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c . 21E, and the Massachusetts Contingency Plan (the "MCP" ) , ' 310 CMR 40 . 0000, require the performance of response actions to prevent harm to health, safety, public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions . The purpose of this notice is to inform you of your legal responsibilities under State Law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M. C. P. The Department also has reason to believe that you (as used in this letter, "you" refers to Joel P. Dwyer) are a Potentially Responsible Party (a "PRP" ) with liability under M.G.L. c . 21E §5, for response action costs . This liability is "strict" , meaning that it is not based on fault, but solely on your status as owner, operator, generator, transporter, disposer or 20 Riverside Drive • Lakeville,Massachusetts 02347 9 FAX(508)947-6557 9 Telephone (508) 946-2700 t -2- other person specified in M.G.L. c.21E §5 . This liability is also " ' several" , meaning that you may be liable for all "joint and s g Y Y response action costs incurred at a disposal site regardless of the existence of any other liable parties . The Department encourages parties with liabilities under M.G.L. c . 21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials . By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability -for costs incurred by the Department in taking such actions . You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4 . 00 . Please refer to M.G.L. c .21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L. c . 21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely. but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties . Information on file with the Department indicates that the following conditions exist relative to this disposal site : 1. Approximately 10 gallons of #2 fuel oil was released. 2 . Approximately 30 cubic yards of contaminated soil was excavated and sent to an asphalt batch plant for recycling. 3 . A RAM plan will be submitted to address remaining contamination. This site shall not be deemed to have had all the necessary and required response actions taken for it unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c . 21E and the MCP . Specific approval is required from the Department for the implementation of all Immediate Response Actions ( "IRA" ) , pursuant to 310 CMR 40 . 0410 . Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement . r -3- Unless otherwise provided by the Department, potentially responsible parties ( "PRP' s" ) have one year from the initial date of notification to the Department of a release or threat of a release, pursuant to 310 CMR 40 . 0300 , or from the date the Department issues a Notice of Responsibility, whichever occurs earlier, to file with the Department one of the following submittals : (1) a completed Tier Classification Submittal; (2) a Response Action Outcome Statement or, if applicable, (3) a Downgradient Property Status . The deadline for either of the first two submittals for this disposal site is March 15, 1996 . If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal . The MCP requires that a fee of $750 . 00 be submitted to the Department when a Response Action Outcome ( "RAO" ) statement is filed greater than 120 days from the date of notification. You must employ or engage a Licensed Site Professional ( "LSP" ) to manage, supervise or actually perform the necessary response actions at this site . You may obtain - a list of the names and addresses of LSPs from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617) 556-1145 . If you have any questions relative to this notice, please contact Dan Crafton at the letterhead .address or at 508-946-2721 . All future communications regarding this release must reference the following Release Tracking Number: . 4-11207 . Very truly yours, Richard F. Packard, Chief Emergency Response / Release Notification Section P/DC/jt CERTIFIED MAIL #Z001 192 578 RETURN RECEIPT REQUESTED Attachments : Summary of Liability under M.G.L. c . 21E CC : Town of Barnstable 367 Main Street Hyannis, MA 02601 ATTN: Warren J. Rutherford, Town Manager Board of Health Town Hall 367. Main Street Hyannis, MA 02601 ATTN: Brian R. Grady, R. S . , Chairman a s. -4- cc : Board of Fire Commissioners Hyannis, MA 02601 DEP - SERO ATTN: Andrea Papadopoulos, Deputy Regional Director Don Nagle, Regional Counsel •e Massachusetts Department of Environmental Protection i Bureau of Resource Protection Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 45 WHITE CAP LANE VII Please specify well type: Building Lot#: Assessor's Map#: Domestic Assessor's Lot#: ZIP Code: Number Of Wells: 02668 CitylTown: Well Location BARNSTABLE In public right-of-way: GPS Yes No North: West: 41.70632 70.37102 Subdivision/Property/Description: Mailing Address: click here if same as well location addres Property Owner: Street Number: Street Name: JOEL DWYER 45 WHITE CAP LANE City/Town: State: Engineering Firm: BARNSTABLE MASSACHUSETTS ZIP Code: 02668 Board of health permit obtained: Yes ) Not Required Permit Number: Date Issued: W2014 042 12/31/2014 Massachusetts Department of Environmental Protection ' r - Bureau of Resource Protection-Well Driller Program A Well Completion Reports(General) is s Well Driller -,Ge'neral Well Form _. P,), DRILLING METHOD Overburden Bedrock .......... Auger Choose Bedrock-- WELL LOG OVERBURDEN LITHOLOGY From(ft) To(ft) Code Color Comment Drop in drill Extra fast or Loss or addition stem slow drill rate fluid Organics Brown tit;! f}YES NO r Fast r Slow t� Loss G Addi 15 Clay ik Light GrayjL-A; fJ YES (J NO �� Fast Q Slow �> Loss Addi ......_....._.,. .. _ 15 35 Silty Sand -�r� Brown �' ; f��YES NO Fa=r) Slow 0 Loss r Addi __ 35 50 Silty Sand a Brown f�YES NO 0 Fast r Slow G Loss Q Addi . ,.__. .. .................... _ .......... .._ .._........._. ._. { 50 (55 Clay` Light Gray (.) Loss Addi 55 70 Fine To Coarse S Brown Fast r Slow r Loss tJ Addi WELL LOG BEDROCK LITHOLOGY Drop in drill Extra fast or Loss or addition of Visible Extra From(ft) To(ft) Code Comment Rust Large stem slow drill rate fluid Staining Chips Choose Code, f j YES NO r Fast 0 Slow Q Loss 0 Addition ❑Ye ❑Ye ADDITIONAL WELL INFORMATION Developed �'Yes r No Disinfected r Yes C' No Total Well Depth 70 Depth to Bedrock { Fracture l._...,_. _^_._..._..._....._._..__..._._...._ Yes �!J No Surface Seal Type None � Enhancement CASING FJ Is Casing above ground, From: 1 To: 0 From To Type Thickness Diameter Driveshoe 10 II67 (PPoolyvinyl Chloride Schedule 40 �' 4 _ ❑Ye I,,,,,,,._.,... _ .._._.. _ _..... .. , _._, ............................................... SCREEN ❑No Scree Massachusetts Department of Environmental Protection Ll�s- Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) From To Type Slot Size }d Diameter 67 70 Stainless Steel Well Point ' - 0.012I WATER-BEARING ZONES ❑DRY WEL�I From To Yield(gpm) �a..W................. 70._........_....._.... 12....................................i PERMANENT PUMP(IF AVAILABLE) 2 Wire Constant S eed Pump Description p Horsepower Submersible 1/ Pump Intake Depth(ft) 60 Nominal Pump Capacity(gpm) 10 ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of (gal) (count) Placement Choose Material �" ff� �Choose Materials Choose One WELL TEST DATA Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft (HH:MM) BGS) (HH:MM) BGS) 01/02/15 - Constant Rate Pump " 12 1:30 1 27.......___...__..._._._ 0:01 -- 1.18 _._.__.... WATER LEVEL Date Static Depth BGS(ft) Flowing Rate(gpm) Measured 01/02/15 COMMENTS , Massachusetts Department of Environmental Protection f Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) WELL DRILLERS STATEMENT a ` i #. n A ,, ... ., •• 1, al, ... ., -This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete~ and accurate to the best of my knowledge. DESMON THOMAS E Monitoring[M] Supervising Driller III Driller DESMOND III Registration# 764 Signature THOMAS, DESMOND WELL Firm DRILLING INC. Rig Permit# 023 Date Job Complete 01/05/15 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. ,a a. f r � CERTIFICATE OF ANALYSIS Page: 1 of 1 ' Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 01/07/2015 Sally Desmond Desmond Well Drilling Order No.: G1585134 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1585134-01 Description: Water-Drinking Water Sample#: Sample Location: 45 White Cap Ln. W. Barnstable,MA Collected: . .01/02/2015 Collected by: Customer Received: 01/02/2015 Routine M ITEM _ RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 0.15 mg/L 0.10 10 EPA 300.0 LAP 01/0212015 Iron ND mg/L 0.10 0.3 EPA 200.8 KK 01/05/2015 Manganese 0.0074 mg/L 0.0030 - 0.050 EPA 200.8 KK 01/06/2015 pH 6.3 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 01/02/2015 Sodium 8.4 mg/L 0.10 20 EPA 200.8 KK 01/05/2015 Total Coliform 0 P/A 0 0 SM 9223 RG 01/02/2015 Conductance 80 umohs/cm 2.0 SM 2510B DCB 01/02/2015 Water sample meets the recommended limits for drinking water of all the above tested parameters. Attached please find the laboratory certified parameter list. Approved By: , (Lab Manager) 1 7 Iz n ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 608-375-6605 j CERTIFICATE OF ANALYSIS -� Barnstable County Health Laboratory (M-MA009) Recipient: -Sally Desmond "'Matrix: Water-Drinking Water I Well Drillln Sampled: 01/02/2015 13:00 ` Desmond g ~ . Received: ` 01/02/2015 '13:10 n ,� P'O Box 2783 _Collection Address: -45 White Cap Ln.W.Barnstable,MA ; W Orleans, MA 02653., Sample Location: - - - - Order# ' #{G15B5134 . . _ _ - :_ ._ t. t, Description: 2day-45 White Cap Ln Lab ID:'t '":'1585134-DI _ Date Analyzed: 01/05/2015 @ 14:44 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- Vo/adle Organics by GC/MS ----- Result MCL u B�1t. _M-CL K Parameter ug/L ug/L ug/L - Parameter ug/L ug/L ug/L Dichlorodifluoromethane ND 0.50 Chloroform 1.4 80 0.50 Chloromethane ND o.so cis-1,2-Dichloroethene ND 70 0.50 Vinyl chloride ND 2.0 0.5o cis-1,3-Dichloropropene ND 0.50 Bromomethane ND : 0.50 Dibromochloromethane ND 0.50 1,1,1,2-TetrachloroethaneT ND 0.50 Dibromomethane ND 0.50 1,1,1 Trichloroethane ND 200 0.50 Ethylbenzene ND 700 0.50 1,1,2,2-Tetrachloroeth_ane ND 0.50 Hexachlorobutadiene ND 0.50 1,1,2-Trichloroethane ND 5.0 0.50 Isopropylbenzene ND 0.50 1,1=Dichloroethane NDr 0.50 Methylene chloride ND 5.0 0.50 1,1-Dichloroethene ""` ND 7.0 O.so Methyl-tert-butyl ether ND 0.50 ND 0.50 Naphthalene. ND 1,1-Dichloropropene , 50 1 23-Trichlorob ehzene ND ty 0.50 n-Bu (benzene ND 0.50 1,2,3-Trlchloropropane ND 0.50 n-Propylbenzene ND 0.50 1,2,4-Trichlorobenzene ND 70 0.50 p-Isopropyitoluene ND 0150 1,2,4-Trlmethylbenzene ND 0.50 sec-Buhylbenzene ND 0.50 1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50 1,2-Dibromoethane(EDB) ND 0s0 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 ND O.So trans-1,2-Dichloroethene ND 100 0,50 o.50 3Dhl ND 0.501,3-Dichlorobenzene ND oropropene ..........1,3-Dichloropropane ND 0,50 Trichloroethene ND 5.0 0.50 1,4-Dichlorobenzene ND 5.0 0.50 Trichlorofluoromethane ND 0.50 2,2-Dlchloropropene ND 0.5o Surrogates %Recovered QC Limits(%) 2-Chlorotoluene ND 0150 p-Bromofluorobenzene 116% 70 130 4-Chlorotoluene ND 0.50 1,2-Dichlorobenzene-d4 $3% 70 130 Benzene ND 5.0 0.50 _ Bromobenzene ND 0.50 Bromochloromethane ND 0•50 Bromodlchloromethane ND 0.50 Bromoform ND 0.50 Carbon tetrachloride ND S,0 0.50 Chlorobenzene ND 100 oso _ Chloroethane ND 0.50 Attached please find the laboratory certified parameter list. Approved By: ..., (Lab Director) 1/-7/2 v/ ND=None Detected RL =, Reporting Limit MCL=Maximum Contaminant Level" Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 608-375-6606 Page 1 of 1 tip• - � •• �e NC.. A Nangle Consulting Associates, Inc. ` March 18, 1996 R�cEi�fQ . AM I 2 0 1996 Chief Municipal Officer Town of Barnstable " 367 Main Street f Hyannis, Massachusetts 02601 9 RE: Environmental Studies 45 White Cap Lane Barnstable, Massachusetts Dear Sir: On Behalf of Mr. Joel P. Dwyer, as required by Massachusetts General Laws, Chapter 21E and Section 40.1403(3)(e) of Chapter 310 of the Code Massachusetts Regulations (CMR), you are hereby notified that a Phase I Initial Site Investigation Report has been prepared in accordance with the provisions of 310 CMR 40.0480 for a parcel of land located at 45 White Cap Lane in the Town.of Barnstable, Massachusetts. A copy of this report has been.submitted to the Southeast Region of the Massachusetts Department of Environmental Protection (MDEP) in Lakeville, Massachusetts and is available for public review. In addition, as required by 310 CMR 40.1403(6), the attached legal notice has been prepared utilizing the format established by MDEP, and will be published in a newspaper which circulates in the community(ies) in which the above referenced site is located and any other communities which are or are likely to be affected by conditions at the site. If you should have any questions regarding the information presented herein, please feel free to contact me at your convenience at (508) 586-5511. Very truly yours, NANGLE CONSJULTING ASSOCIATES, INC. z James P. Parker Project Manager JPP:es Enclosures File No. 231.02. s cc:. `Barnstable Board'of Health Mr. Joel P. Dwyer Mr. Marion Guzik 130 Liberty Street • Brockton • Massachusetts • 02401 (508) 586.5511 facsimile(508) 586.5653 NOTICE OF INITIAL SITE INVESTIGATION AND TIER II CLASSIFICATION JOEL P. DWYER 45 WHITE CAP LANE RELEASE TRACKING NUMBER 4-11201 Pursuant to the Massachusetts Contingency Plan (310 CMR 40.0480), an Initial Site Investigation has been performed at the above referenced location. A release of oil and/or hazardous materials has occurred at this location which is a disposal site (defined by M.G.L. c. 21E, Section 2). This site has been classified as Tier II, pursuant to 310 CMR 40.0500. Response actions at this site will be conducted by Joel P. Dwyer who has employed Jeffrey A. Nangle, P.E., L.S.P. to manage response actions in accordance with the Massachusetts Contingency Plan (310 CMR 40.000). M.G.L. c. 21E and the Massachusetts Contingency Plan provide additional opportunities for public notice of and involvement in decisions regarding response actions at disposal sites:. 1) The Chief Municipal Official and Board of Health of the community in which the site is located will be notified of major milestones and events, pursuant to 310 CMR 40.1403; and 2) Upon receipt of a petition from ten or more residents of the municipality in which the disposal site is located, or of a municipality potentially affected by a disposal site, a plan for involving the public in decisions regarding response actions at the site will be prepared and implemented, pursuant to 310 CMR 40.1405. To obtain more information on this disposal site and the opportunities for public involvement during its remediation, please contact Mr. Joel P. Dwyer, 45 White Cap Lane, Barnstable, Massachusetts 02630 at 508-362-8329. ALARM AND DUPLEX CONTROL PANEL TO BE INSTALLED INSIDE OR ON 4" SCH40 VENT WITH BUILDING. ALARM TO BE ON MAINTAIN CURB TO KEEP VEHICLE TRAFFIC OFF TANKS ALL SYSTEM COMPONENTS SHALL BE CHARCOAL FILTER AS SEPARATE CIRCUIT FROM PUMP MARKED WITH MAGNETIC TAPE OR SHOWN PLAN VIEW NOTES ELECTRIC PERMIT REQUIRED PROVIDE 3 MIN. 21" DIAM. WATERTIGHT FIBERGLASS COVERS W/ STAINLESS SCREWS PITCH BACK TO SAS, a' COMPARABLE MEANS FOR FUTURE LOCATION. NO LOW( POINTS. 1. DATUM IS NAVD 88 \p aka PATCH PAVE OVER CONDUIT OR CODE COMPLIANT ALTERNATE RUN PUMP LINES UP INTO RISER WITH QUICK DISCONNECTS AFTER CHECKS, WYE TOGETHER AFTER. ACCESS COVERS TO WITHIN 6" OF FIN. GRADE WATERTIGHT EXTERNAL ELECTRIC JUNCTION BOX 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE M[� moo \�o 00 2. MUNICIPAL. WATER IS EXISTING �o FILTER FABRIC OVER STONE 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. Poled s9 TOP FOUND. EL. 30.9 MINIMUM .75' OF COVER OVER PRECAST LEGEND 3Vj 0.5' COVER TO WITHIN 2% SLOPE REQUIRED OVER SYSTEM 33.0' " GRADE E E NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS 99 - EXISTING CONTOUR E E E BLOCKS OR �o *: _ E THICKNESS REQUIRED TO BE AASHO H-ZQ IlloW •• : .. d•,, 6" MIN. SUMP 4"OSCH40 PVC MORTAR ALL PRECAST RISERS _ Street X 99.1 EXIST. SPOT ELEV. t` •' • H-10 EXISTING y. a , 12" MIN. INT. DIM. PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. 10" PROVIDE INLET TEE 4' TYP. INV'S EL. 31.4 �SIDE� 41000 gal. NEW ( ) Cocos -[99]- PROPOSED CONTOUR TEE 28 50' A-too oR EO. ENDS 32.4' SEPTIC TANK 14 ZABEL FILTER a° breakout el. 31.75 3 DETAILS O BE IN ACCORDANCE WITH 9 . 4' LIO. LEVEL TEE EXISTING 28.00 10" 27.75 ®®�� OO�O ���� �DO� > ° ° ° ° CONSTRUCTION I T 8.4 • ➢o�oa�oaoo�o ] PROPOSED SPOT EL. • j o 0 0 0 0 0 0 0 0 0 0 0 0 10 CMR 15.000 (TITLE 5.) �0 GAS BAFFLE "° TEE ° ° ° ° ° °°°°°°°°°°°° WATERTEHT D'BOX o >°°°°°°°° o o 0 0 0 0 0 0 0 0 0 0 0 o ;o°o°o°o° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO o ° ° ° ° ° ° BE USED FOR LOT LINE STAKING OR ANY OTHER 0 0 0 0 ^ FOR LEVELNESS N °o°o°o a®aa0000000 0000000�®®® ,�o�o�o�o 27.5 TEST HOLE ° ° °'oo`o o.:o•° O oo o•o'o�o.o.•o:o•o.•° ° 31 .7 ° ° ° ° ° ° ° ° 31.52 ° ° ° PURPOSE. 1000 GAL. 29..40' �.';i� .• °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°09 DUPLEX MYERS SRM4 ,o^o^o_n_^_^_o.0 0 0 0 0 0 0.�_�_�_o_o.0 0 COMPARTMENT 6.07' INSIDE DIM. 2� SLOPE OF GROUND 5.33' WIDE INSIDE, 4' LIQ. DEPTH POoc GAL. 4/10 HP PUMPS OR EQUAL 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 0 --[ d 6" CRUSHED STONE OR MECHANICAL 1/4 WEEP HOLES OVER CHECK VALVES + AT EXIT 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H 20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. er Ro UTILITY POLE COMPACTION. 15.221 2 SEE FLOAT SETTINGS DETAIL BELOW (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Pork ( [ �) ,' . •. .•:••; ., ALL AROUND PRECAST STRUCTURES BREAKOUT LINER•� .. ♦•• �' .' •.•.v •a.. a 0 c 6 CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83 WITHOUT INSPECTION BY BOARD OF HEALTH AND hUr�h S� �00000000000000000000000o0o-o000000000000000c �__� AT EDGE REMOVAL PERMISSION OBTAINED FROM BOARD OF HEALTH. FIRE HYDRANT 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o COMPACTION. (15.221 [2]) b Y ( % SLOPE) ,0000000000000�o,�on0 0 0 000� 00000�000,�00000, LOW SIDE SEE PLAN NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING EXIST. SEPTIC TANK-PUMP CHAMBER 1500G MONO H-10 DIGSAFE (1-888-344-7233) AND VERIFYING THE FOUNDATION SEPTIC TANK 18 4' LIQ. LEVEL 2" SCH401 PVC 4"SCH40 PVC LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP ACME SHOREY OR EQUAL F.M. SLOPE BACK PRIOR TO COMMENCEMENT OF WORK. *THE INSTALLER SHALL VERIFY THE TO P/C 1% MIN. ( 1 SLOPE) 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE SCALE 1"=2000'f LOCATIONS OF ALL UTILITIES AND ALL SYSTEM PROFILE SEPTIC TANK P/C COMBO 1500 G MONO H-10 ACME SHOREY 24.4' PERCHED WATE':R TABLE REMOVED BENEATH AND 5' AROUND THE PROPOSED BUILDING SEWER OUTLETS AND 45' D' BOX 12' LEACHING FOUND 4-25-20201 LEACHING FACILITY. ASSESSORS MAP 178 PARCEL 27 ELEVATIONS PRIOR TO INSTALLING ANY (Nor To SCALE) FACILITY 12. EXISTING LEACHING LOCUS IS WITHIN FEMA FLOOD ZONE X PORTION OF SEPTIC SYSTEM FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. AREA OF MINIMAL FLOOD HAZARD AS V SHOWN ON COMMUNITY PANEL #25001CO553J U DATED 7/16/2014 27 ROP. VENT WITH C L SYSTEM DESIGN. D BUGTOREE FIN L CEMENT BY T CO TRACTOR EO ER CO SULTATION) GARBAGE DISPOSER IS NOT ALLOWED DBOX ON HIGH SIDE O 5.33' WIDE X 3.0' X 4.04'DEEP P/C INSIDE DIM. = 483 GAL. TO MINIMIZE MOUND 5.33' WIDE X 3.0' X 1.83' MIN. DEEP RESERVE = 220 GAL. O.K. 2,800 S.F. OFFICE ® 75 GPD/1000 S.F. = 210 GPD �k "� 2'+ = 220 GAL. RES. � ,. ABOVE ALARM USE A 210 GPD DESIGN FLOW O / 28 3a HI ALARM ON 5' REMOVAL OF SUITABLE SOIL REQUIRED Z lO.. S �� 4„ PUMP ON SEPTIC TANK: 210 GPD (2) = 420 FIRST COMPARTMENT AROUND P I TER OF LEACHING FACILITY, O 34 4. �3'p>>> PUMP OFF DOWN TO ABLE SOIL LAYER. REPLACE 9 6'E 1.25' SEPTIC TANK: 210 GPD (1) = 210 SECOND COMPARTMENT WITH CLEA MED. SAND, TO MEET TEST HOLE LOGS SPECIFICATI NS OF 310 CMR 15.255(3) BOTTOM P/c USE EXISTNG 1000 GAL. SEPTIC TANK FOR ST1 h / USE 1000 GAL. COMP. OF 1500 GAL TANK/PC COMBO ` P/C FLOAT SWITCH SETTLNGS ENGINEER: CRAIG J. FERRARI, SE #13871 40 MIL. uN TOP AT 31.8 3:1 FILL BENCHMARK: WITNESS: DAVID W. STANTON RS '1000 GAL. > 210 GAL. OK. B T 27.8 SLOPE AFTER CATCH (BASIN: PUMP CHAMBER 500 GAL, HAS 210+ GAL. RESERVE OK LINER JUTE 28.1 NA�VD88 � DATE: 9/17/2019 & 10/24/2019 TH1 NE TING / SEPTIC TANK PUMP CHAMBER QD PERC. RATE _ < 2 MIN/INCH COMBO SEE PROFILE LOT AREA I ,�• � 41,£�16tS.F. � \ _ 142 UNSUITABLE SOIL CLASS I SOILS P# 19-173 LEACHING: 3� �� %�e <TyP� WHITE SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD < <�� y�j' �0 1 ELEV. 2 ELEV. 3 ELEV. 4 ELEV. BOTTOM 25 x 12.83 (.74) = 237 GPD EXISTING TANK TO REMAIN NEW OUT T TEE ��, ��V��' E CAP p 32.0 p' 31 p" 32 0" 32 AND GAS BAFFLE REQUIRE7ANK AIN RIB Zg T A A T / A TOTAL: 472 S.F. 349 GPD TO PREVENT TRAFFIC FROMARE �0� L lv A A 12" FILL TH2 LS �LS /LS USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) �� 18" 10YR 3/2 = 10YR 3/2 ot 21 10YR 3/2 LS l _ A WITH 4' STONE ALL AROUND - �,"� �� / �' i 24 B` �\ ,I EX)STING BUILDING / B LS 26" 10YR 3/2 / TOF=30.9 / � E LS / / / B ELECTRIC & FFLR=31.2 / /1 LS 30" 10YR •6/8 29.5' / ALARM 30 10YR 6/8 29.5 // �LS MA) COORDINATE IOYR 6/8 , Cl APPROVED DATE BOARD OF HEALTH ) WITH OWNER i C1 33 28.3 MS 36" 10YR 6/8 29' PATCH PAVE OVER CONDUIT / mo 00 o SiL 50" 10YR 7/4 27.8' C Z / o o " 10YR 7/1 24' C1 C2 SiL c) 00 9 6 0 /� W / /SiL 96" 10YR 7/1 24' C2 Si 74" 25.8' 10YR 7/1 10YR 7 1 C2 MS ZONING SUMMARY J / ° " 10YR 7/4 96" 23' C3 SIEVE MS TH3 120 22 MS a " 10YR 7/4 ' ZONING DISTRICT: WBVBD-WEST BARNSTABLE „ 144 20 VILLAGE BUSINESS DISTRICT C3 C2 102 10YR 7/4 23.5 MIN. LOT SIZE 43,560 S.F. �� ' N �S L MS C4 Sid I MIN. LOT FRONTAGE 160' /SiL / / MIN. FRONT SETBACK 30' N6 • �".�------ �50 0' 30 240" 10YR 7/1 12' 132" 10YR 7/4 20' 120" 10YR 7/1 22' 180" 10YR 7/1 17' MIN. SIDE SETBACK 30' _ Op MIN. REAR SETBACK 30' J, 44. �8tti ��� I ` �� NO GROUNDWATER ENCOUNTERED PERCHED GROUNDWATER MAX. BUILDING HEIGHT 30' �� J, \ I \ ENCOUNTERED AT 13' MAX. LOT COVERAGE 10% \ NOTE:, HIGHER FOUND AT \ - - INSTALL SEE PROFILE 30 WELL 7 TITLE 5 SITE PLAN OF 0 M � o o �(S 32 \ � #45 WHITE CAP LANE 0 mp-�' tib , - �6 \ 1�"�� WEST BARNSTABLE, MA r w�vv�� L �veSl'Iv' �n PREPARED FOR � � JOEL DWYER DATE: OCTOBER 31 , 2019 DATE: REV. 4-25-2020 (ADD P/C COMBO DUE TO PERCHED WATER) Scale: 1"- 20' NO VARIANCES NOW REQUIRED \ 0 10 20 30 40 50 FEET I \ • ` o���P�SN OF MASs9�y PLiN OF Mgss9c DANIEL G �o GANIEL A. tiG 1 -r OJALA - 1 I " OJALA `n CIVIL - off 508-362-4541 1 No.40980 fax 508-362-9880 No.46502 1 -o ��• I downcape.com 1 ( f_S10� c� �" "*C • • • 1 A"a SURVE�� S�OAtA11 dOWA cape engineerings ift. WETLAND 1 - civil engineers G 4-25 2020 g rs \ 1 land surveyors '\ I DANIEL A. OJALA PLS PE DATE 939 Main Street ( Rte 6A) 1 YARMOUTHPORT MA 02675 DCE > 9-29 > 19-291 DWYER.DWG I i I