HomeMy WebLinkAbout0024 COMMODORE LANE - Health 24`COMMODORE LANE
MARSTONS MILLS
-- - - A = 02 013 006 - -- - - - -
T
TOWN OF BARNSTABL'E
LOCATIONX,0/ �.� Commridge LN SEWAGE #,
VILLAGE.A aC S y dN s �1/t j/f f ASSESSOR'S MAP & LOTO/1,7`01 --,oy
rNSTALLER'S NAME & PHONE NO. ,zj< %)Q,54D11
NSEPTIC TANK CAPACITY I� $
LEACHING FACILITY:(t"ype) 4e GA �% r (size) !. at �
a
CNO. OF BEDROOMS PRIVATE WEL OR PUBLIC WATER o
BUILDER OR OWNER 4�k e e1A a k i, De Ly C J
DATE PERMIT ISSUED: f 0 11V7
DATE COMPLIANCE ISSUED: 7
VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE ®� Ll
LOCATION ask ft*\"aft E W SEWAGE # 52-66,
VILLAGE Y\,k $, ASSESSOR'S MAP & LOT �f�,-613-®°y
I
INSTALLER'S NAME & PHONE NO. j-f-jeXC-li t°9w-4 »I S/"
SEPTIC TANK CAPACITY 1.1000
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER
BUILDER O OWNER
DATE PERMIT ISSUED: 4
DATE COMPLIANCE ISSUED: '�`
VARIANCE GRANTED: Yes No f'
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LEVY, ELDREDGE & WAGNER ASSOCIATES, INC.
ENGINEERS-LANDSCAPE ARCHITECTS-PLANNERS
LAND SURVEYORS
889 WEST MAIN STREET
CENTERVILLE,MASSACHUSETTS 02632
(617)775-2244
November 30, 1987
The Greenbrier Corp.
P. 0. Box 510
Centerville, MA 02632
Dear Mr . W. Covill:
Transmitted herewith are six (6) copies of the
as-built septic system for Lot 16 Commodore Lane,
Barnstable, MA.
The septic system has been installed as indicated
on the enclosed plan.
Very truly yours,
LEVY, ELDREDGE & WAGNER ASSOCIATES
TPauA�. Levy, P. E.
PAL/mlw
88 WAVERLY STREET FRAMINGHAM,MASSACHUSETTS 01701
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF - HEALTH
TOWN OF BARNSTABLE
Apli iratiuu for BiuVatial Wurku Tuuutrur#'tun rami#
Application is hereby made for a Permit to Construct ( ) or Repair ��n Individual Sewage Disposal
System at:
Location-Address or Lot No.
......................_.......................................................................... ......•--•--•-----•----••-------•-------•--•-•--------..........---.......................-•••----
Owner Address
....._.C�b*;Q .&---_-----._.`3--_----: - ---. ....... .................................................
Installer Address
d Type of Building Size Lot............................Sq. feet
V Dwelling—No. of Bedrooms------------------------------ - - .Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building _------------------------- No. of persons--..--------.--------------- Showers ( ) — Cafeteria ( )
04 Other fixtures ............................... . .
W Design Flow............................................gallons per person per day. Total daily flow-----------------...........................gallons.
WSeptic Tank—Liquid capacity------------gallons Length................ Width-----.---------- Diameter.--.--....--.... Depth................
x Disposal Trench—No- -------------------- Width.................... Total Length......--.---....--.. Total leaching area....................sq. ft.
Seepage Pit No.s................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit....--.............. Depth to ground water...--....--...--........
44. Test Pit No. 2................minutes per inch Depth of Test Pit...........:........ Depth to ground water........................
P4 -•-•-•-•-•----------------------------••-•-•----------•--•----•--••••-------------------------.................._..........-------•-•-•......................
0.
Description of Soil•-•6. r7..........5`�------------------�-.--------------
W
U .....-•---------••---•--•••--------•••----•----.......•---•-•-•-•---•-•----------•---•--------------•--------•---•---•----------••--••---•-----------------•-•---------••------••---------------•--------
x -------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------•--
Nature of Repairs or Alterations—Answer when a licable.. 14�Ifa...-._...Lamr.' 0�6 ��-d
f PP F
U ..�1°"�-ctt�Ji� ` � . �f ....��.t��'......I '�-----------�/_�7!l�j,. � 1�,.... �
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental 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.
Signed ........... .. --......... ...... . ................... ......... �� 9.......
Application Approved By ................. ----- --------------- ....... -------&% ''q L
Application Disapproved for the following reasons:
........................... ........ .................. .
��pp Dare
Permit No. `t.LI--------- .-................ Issued .........................................................
Date
a - -
GG��L
/ THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Apphratiou for Dhjipoml Workii Tomitrnrtion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair (�n Individual Sewage Disposal
System at: ,
-7 I
------------------------------- --------------------
Location-Address or Lot No.
......................_.......................................................................... -•-...............................................................................................
Owner Address
5 ...........a_s..__JCL s 2 L h [ �` l A ....................................................."
a
Installer� Address
4 Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures ------------------------------------------------------
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—,Liquid capacity............gallons Length................ Width---------------- Diameter_------------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft.
Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date.......................................
aTest Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---.....................
C4 •---••-----•------------------------------------•--------••---------•-•-•-----•••••---------._...---..........................................................
D Description of Soil----- ...............") 3 �==�-
x _. -_. .. _. .-------•-----•----•-•------•-•-•---------•-••---•••-••-•-•----•...-•-•--_-•----
V .---------------••-•-•--•-•••----------•----•••--•-...--•-•-•---•---------•------•--••---------•-----------•----•--•••--•---•-----•------••-•-------••---•----•-........................................
UNature of Repairs or Alterations—Answer when applicable__1._Q12..-------- xJ f..`._.�4!�P••---- ....................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental 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.
Signed ........... .. ^.< ................................. ......... ,,. q. ......
Date
Application Approved B ................ Q'- �......l..i
Application Disapproved for the following reasons: ... ............... . .................................. ........................................
. ............ .................................................... .................................. . ................... . . . -:- ........ ----------------------------------------
PermitNo. - •.....:........ - - ................ Issued .........................................................
Dare
--- ---—•--——--—--—— ---.—.—..---.--.--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Gertif rate of C�ontylintre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by ..... `e��'--------- OPV3 ----------------------------------------- -----
Ins-tail.c.r. ------------------------------ --------------.-...---�---------- -----------------------------------------
at ....2X--------------ocP- ---------------- n )-- -...... C ►
- .. .......
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ..Cj..L/.-....'-YC-..-;L--------- dated ........_-------------------_....._.........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE........................ �....�.. y G -------------...-------- Inspector .... ...._.:-------._--------------------------------------
Q
------------------------------,_---------------------------- -------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C� TOWN OF BARNSTABLE
No.-_I__�` --.�(v� FEE..,5 .--�=----
Diopoottl Workii Tonotrurtion Prrntit
Permission is hereby granted_____f..\Q...C� �01r...��.....C-�
---- ---
to Construct ( ) or Repair ( ) an.•Individual Sage Dispos?j, yst
atNo...............................••-----•--------_-.--------_--•--- -------------------•-•---- --------------------
Street q
as shown on the application for Disposal Works Construction Permit Dated........ �1...........
o cL
_..__ .................................. ......................................................
•- Board of Health
DATE _.. --�----•----•...................
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS
No. - ----- --- Fee—
BOARD OF HEALTH
TOWN OF BARNSTAB6&,Fsw
Applicat ion-for Veir Confstruct ion v Rtja a��7
Application is hereby made for a permit to gCon ct ( ), Alter ( ), or Repair (,k<an individual Well at:
Location — Address Assessors Map and Parcel -
----- --- --
/� n Owner Address /
Installer — Driller — — Address
Type of Building
Dwellingo� --------
Other - Type of Building—= ____ No. of Persons--- -------------
c�
Type of Well 00 C 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 _—__-- `-- - --'!_ Erg j
date
Application Disapproved for the following reasons: -------------- ---------------
- — --- ------------------- date-------
Permit No.- �G� 1` _— Issued —
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate ®f Compliance
THIS IS TO CERTIFY, Dat the Individual Well Constructed ( ), Altered ( ), or Repaired
by---
Installer
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
99����
Regulation as described in the application for Well Construction P�fnit W.Cy 1-a Z-------Dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--- - Inspector----------- —_ —_____
`, No. - ----��- ----- � ' Fee- i
BOARD OF HEALTH ? -
TOWN OF BARNSTABLE 0/
pp[ication-forlVell con!564t ion Permit
Gomm 64® P,t
Application is hereby made for a permit to Consjxuct ( ), Alter ( ), or Repair (k<an individual Well at:
L
Location - Address Assessors Map and -Ir f M—
Owner Address
cl i _ I)w G Sly zo /v�a
Installer - Driller Address
Type of Building
Dwelling
Other - Type of!Building-=------- No. of Persons------------------------
t. i r
Type of Well p�L Ca acit --
Purpose of Well
Agreement: ,
The undersigned agre es to install the aforedescribed indi idual well in accordance with the provisions of The
d of-Health-Private-Well Protection Rep,-_t:_^ T_-)}e un ersigned further agrees not to
Town of B�'rnstable_Boar
place the well in operation until a Certificate of Compliance has been issued by the Boar o a
--
Signed AA5/0(date
Application Approved_By...
- - date
Application Disapproved for the following reasons: -----------_—_ _____�—_— —_
- ----- -----------_-----date —_--_
Permit No. . _— Issued —
date
- BOARD OF HEALTH
vs�
TOWN- O-F BARNSTABLE
Certificate Of CompUnce
THIS IS TO CERTIFY, That the Individual Well Constructed ( 1, Altered ( ), or Repaired
by—_ — A 4
Installer
at
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 PniAI�b -r—r�l~ 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
Ivell construct ion permit
NO. t/ �._. Fee- -
Permission is hereby granted
to Construct ( ), Alter ( ), or Repair ( vY an Individu Well t-
No. 07 `/ v e�. N j - -- ----- --- -
�' street
as shown on the application for a Well Construction Permit
A 6/ — rs i'7-------------------------------
No.--,�—�_��/ — Dated-� -C 1_-1�t�7
.� Board of Health
DATE ,
i
i
D
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��vv,CAf^-
Fim ..............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
77-------------r- 6. .....OF...... S T(f 29.L.1 6.........................
APPfiration for Dispaoaj Works Tonstrurtion rumit
Application is hereby made for a Permit to Construct (X) or Repair an Individual Sewage Disposal
System at:
... ......T,
.-LO-Mly)-o-Polze.....
C
L"'iZ Add— — r .......................
_13g
.... . ...L ......rla& -T
Address
............................ . ..... ......................................
Installer -------*"--------------------- --------
Type of Building Address
Size Lot__.__ b
Dwelling—No. of Bedrooms ------Sq. feet
Grinder
--------------------------------------------Expansion Attic ( ) Garbage Other—Type of Building ........................... No. of persons....._...._..._......_..____a ---- Showers Cafeteria
Design Flow..Other..fixtures ,,
---- ---------------------------*------------------------------------------"-----------------------*------------- --------*-----------
gallons per person per day. Total daily flow............e...............................gallons.
Septic Tank—Liquid capacity.... .X10-g-allons Length................ Width---------------- Diameter-_ Depth................
Disposal Trench—NO------------__--- Width.................... Total Length-_------__--------_ Total leaching area_. sq. ft.
Seepage Pit No_____________________ Diameter.___.___..__..__.... Depth below inlet.................._ Total leaching area..................sq. ft.
Other Distribution box Dosing nk
Percolation Test Results Per-formed by...... -
... Date
/
Test Pit No. I----------------minutesperinch Depth of Test Pit......_........_..... Depth to ground �kat er.... ... ......
IT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground
0 . .. ..................................................................................
Description of Soil.....................
----------- ..................................3......J.31Z........ ......
..qp-* .. . . . ...............................................................
.............................................................................................................. --------------------------------------------------------------------*------------------
U Nature of Repairs or Alterations—Answer when applicable
.................
Agreem ent ..................... .........................................................................
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'TTLE 4 or the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by he: board of 4ealth.
tSigned,...
...tt• ..............................
Application •
Approveel By....
............................................................. -------/0..... o.
Application Disapproved for the following reasons:................................................................. Date
.... ....................................
-Date e
Permit No ........e.......... Issued.
Date
No................_....... Fims ........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
..... E > '
Aplifiration for Disp.ati al nr+kg Tonatratrtiun .truth
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
Sy-steal 1 G/ 1 0{ AM MA)Z5, l' :
Cr f r °fin"Add ensi r� , Ce, oar Lot Igo -
#Z Owner Address
W
Installer Address
Type of Building Size Lot........_.t_______ ---Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures �W.- .............. . ------ -
----•- -•
30
Design Flow............................:.. 1 _..gallons per person per day. Total daily flow........._............._._..................gallons.
WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter________.___.--- Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing�ta ( ). '
WPercolation Test Results Performed b :.......:...........1._.____._......_. Date..._ . _______ .P Y---------------- -------•--
,� Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground 'water_____________•__-_-____.
0:4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground
F+.j •_••-•--6_..v:.._ - • _ water________-__•___--_-.-___
...-----_^....................................................................•------
--- ---� ---
ODescriptionof Soil................ L) cam-- ,- - ---------------------------------------------------------------
--•----------------------•-------------...----------------------------•---------...---•-•..........---
W
---------••----------------••---••-••-•••-••--••-•••-•--•.....•••--••-••••-•••••...................-------•-•--•-•-••---••••--•---•----•-••--•--.....•••--•••--•-•••--•---••---•-------•-............--
V 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'T'i r y g g p y
of the State Sanitary Code— The undersigned furtl era agrees not to Lace the system in
operation until a Certificate of Compliance has been jssedby the board o4 health.
;,,;' �d ate
ApplicationApproved By............•---------------------------------------------'-•-•----'--•----'--•------•-..._-----• ---l r�
Date
Application Disapproved for the following reasons----------------------------------------•---------------•----.....------........................................
t-5... -•---------------------•--------•---•----•--.... -------
•--------------------------------------------------------------------
Date
PermitNo......................................................... Issued.......................................................
Date
i .
THE COMMONWEALTH OF MASSACHUSETTS
BOAR., OF HEALTH
..........................................OF................................�..................................................
Cwrrtifiratr of
Toutph atta
`1I `IS I TO'CERTIFY, That the Individual Sewage Disposal System constructed+. ) or Repaired ( }
.... ..................... _Y -------------------n---.....------..--------r-----------------...-•....__.......-------_.--
f )rIns aller l
,f
at•••--••••. •---- --------------•------------------•-------------------•----------------------•---•-------------
has been installed in accordance with the provisions of TiTIE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.....................................•... dated-------------------•-------.................
:_._
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...................[ ...../............................. Inspector................ ...................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................................OF.:` ...................................................
No......................... FEELS,/
a. Map,�� 1 �r�k ��n�n��rnr#ilan .rranit
Permission is hereby granted... - ......................................................
to C�rfstru t ,( ) erG Repaj'ro(/>O),� Indi�idlual S -pgjpossaLSy St �,�_
Street" I�,�^•�
as shown on the application for Disposal Works Construction Permi -________________ D*teB`''... _ '`7._
Board of Ilealth
DATE 'try. - ...........
..FORM 1255 HOBBS & WARREN. INC., PUBLISHERS "-
Department of Environmental Management(Division of Water Resources
WATER WELL COMPLETION REPORT
WELL LOCATION
Address (26,n✓V10 rjOYLc kiq-✓I•+P
City/Town ✓*LS 1-0 A) 5 Hit S
G.S.Quadrangle MapB�O22
Grid Location 1 /�
Owner 1T✓Z`c�c.0 l�✓LI h-VL— .l \/2-10Pw1 OA T Lo��
Address-13OD( .S/0 �Mr✓i �� C��(o3�
WELL USE CONSOLIDATED WELL
Domestic rV Public ❑ Industrial ❑
Type of Water-bearing Rock
Other
Water-bearing Zones
Method Drilled G 1c'i 2Y" 1) From To
2) From To
Date Drilled 9—an ,9-7 3) From To
4) From To
CASING Depth to Bedrock
Length &0 Diameter A
Type 10✓C. UNCONSOLIDATED WELL
STATIC WATER LEVEL Water-bearing Materials
Feet below land surface_ Sand: fine❑ medium❑ coarse
Date measured T—a A- F-7 Gravel: fine❑ medium❑ coarse❑
Screen:
GRAVEL PACK WELL Slot#!_length 3 from 4?0 to 4-3Yes ❑ No
Ak Split Screen(or 2nd screen)
WATER QUALITY TESTS MADE Slot# lenqth from to
Chemical ❑ ,Biological 5Q Depth To Bedrock
PUMP TEST
Drawdown feet after pumping days hours at GPM.
How measured Recovery feet after hours.
LOG of FORMATIONS COMMENTS: (On well or water)
Materials From To
clCL
3 DRILLERCb
y
Firm O}fo►a Wen piUinq 0
d ! O. x 430
! C Address
d city 11afmout/h�./M7{ 026(r^
Registration No. .1 `t
perator's-9 ign—at ure
Please print firmly CUSTOMER C Y.
15M-2 84-176471
iN
Log' Number: 7176 Bottle #. E282A . Date: Sept. 25, 1987
BAR BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
a �j SUPERIOR COURT HOUSE
v BARNSTABLE, MASSACHUSETTS 02630
0 0
MAS'& DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511
Ext. 337
Client: Greenbriar DevelopmentCorp Lollector: F. Clifford '
Mailing Address: P. 0. Box 510 Affiliation: well driller
Centerville, MA 02632 Time & Date of
Collection: 9/24/87 7:30 a.m.
Telephone: Type of Supply: well
Sample Location: Lot 15 Commondore Lane Well Depth: 63'
Marstons Mills, MA _ Date of Analysis: 9/24/87 1:00 p.m.
PARAMETER SAMPLE RESULT RECOMMENDED LIMITS
Total Coliform Bacteria/100 ml 0 0
PH 5.2
Conductivity (micromhos/cm) 64 500.0
Iron ( m) .1 0.3
Nitrate-Nitrogen ( m) 0.4 10.0
Sodium ( m) 7 20.0
I_X_Water sample meets the recommended limits for drinking of all above tested parameters.
II . Based only on results of the parameters tested for this sample, the water is
suitable for drinking but may present the problems checked below:
A. Water sample has higher than average levels of Nitrate. Future monitoring is
recommended (2-3 times per year) to establish any upward trends.
B. The low pH of the water may shorten the useful life of the house's plumbing.
C. Water may present aesthetic problems (taste, odor, staining) due to
D. Water sample has high levels of sodium. Persons on low sodium diets should
consult their doctor.
III. Due to one or more of the reasons checked below, this water sample is unfit for
human consumption: A. High Bacteria B. High Nitrates
ThA Rnrnctnlnla CollnW,Health and-Envirommen►aL
REMARKS: Department shall not endorse any statements,
interpretations or conclusions made by anyone
else concerning these results without written consent.
CC: Barnstable Board of Health
CC: Clifford Well Drilling
117/85
Laboratory Director
`d1
'Explanation of Test Results
Total Coliform.Bacteria
Coliform bacteria are an indicator of the sanitary quality of a water supply..Water supplies may become
contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero
indicates that your water supply is safe and approved for human consumption.-A total coliform count of greater than
zero is most often the result of accidental contamination of the sample bottle through improper sampling methods.
For this reason, it would be advisable to retest any well•water that is not approved.
pH A
pH is the measure of acidity or alkalinityof the water. On the pH scale,the number 7 is neutral, less than 7 is acidic
and more than 7 is alkaline. The H of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5.
p p
Conductivity
Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally
considered unacceptable and may have a laxative effect upon users.
r y
Iron
The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent
taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain.
The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may
cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron-
removal system.
Nitrate-nitrogen
The Massachusetts Drinking Water Regulations have set a maximum contaminant level for,nitrates at 10 ppm.
Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form
potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes.
Copper
Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not
present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a
bluish-green stain on porcelain fixtures.
Sodium
A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water
supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking
water or contact their doctor to determine if,consuming the water is advisable. Concentrations exceeding 50 ppm
indicate that'there ma`"tie ocean,''water or road salt runoff water getting into the well.
Y .� g g
No. I -37T Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ZippliCatlon for Disposal 6pstem Construction Permit
Upgrade Abandon( ) ❑Complete System Individual Components
Application for a Permit to Construct,( ) Repair
Location dress cft Lot NQ. a ebx f p/ J'� Owner's Name,Address,and e
As�s�sZ p arceI A �•`�E.J b' �>
Installer'Name,Addr A jel.No... Designer's Na Address,and Tel.No.
Type of Building: n 1
Dwelling No.of Bedrooms / Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.requir ) 4 gpd Design flow provided PAL gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations swer 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 pla e the sys m operation until a Certificate of
Compliance has been issued by is o alth. I d 1Z ���
Si ed Date
Application Approved by Date id P
Application Disapproved by Date
for the following reasons
Permit No.?,0z Date Issued
^ _ .. �,' a_ 4 .r i`". - ,. .,...i "r`.. -- - ., • +Sep y.,.,. ,
No. C�(/!� Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: L10
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
0[pplitation for.MispDBal 6pstem Cunst-ti tion i3erm It
Application for a Permit to Construct,( ) Repair Upgrade( Abandon( ) ❑Complete System individual Components
Location A"ddress o`r Lot Nq. �p Owner's Name,Address,and Tel.No. '=�+
C)�ZVC)j
AssessoMap/ arcel ny (w►`��1C� `"I �v�K �. � (.�,� t�
Installer's o e drps d Tel No6D r Designer's Name,Address,and Tel.No.
th-
` TP pe of Building:
Dwelling No.of Bedrooms /V'(t Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures n
Design Flow(min.required) /� gpd Design flow provided gpd
�a.
Plan Date Number of sheets Revision Date
`d Title
Size of Septic Tank Type of S.A.S.
Description of Soil
JF
Nature of Repairs or Alterations ijAnswer 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 T�itle5 of the Environmental Code and not to pla a the system in operation until a Certificate of
Compliance has been issued by his s Board o ealth.
Si ed Date tr_)l
� �
Application Approved by � � .-- y Date /A,/�� �-2?.�
Application Disapproved by � �! Date
s
for the following reasons
Permit No,&2 1 7;9 Date Issued IQ 8/2W
-----------------
\ _ THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal s,y�sttem� Constructed( U Repaired ) � Upgraded�)
Abandoned( )by s n ) 1'^1 (� 1 d�y� ,f 1OLAJ
, YEA }
at �-� t t C)t)bo .a W. A has been constructed in accordance �
with the provisions of Title 5 and the for Disposal System Construction Permit NoZO�j _ dated Y 1�9Z.
s
Installer Nn w 6 , Designer .
#bedrooms Approved design floes gpd
The issuance of this permit shall not be construed as a guarantee that the system w('� -fu'net} h as de •gned.
Date 1 ( � !y Inspector {��iJ ,
` ? WWI- ,
_- - ------ --------------_-----------------------------------.-.__.___-_.__._.___._._____. __..------_.___.--------.___.___.___.___._______--__- ______c___________
No Inn � �p Fee .
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
MispoBal *pstrm Construction Permit
Permission is hereby granted to Construct( ) Repair(Y,) Upgrade Abandon( )
` System located at l M U OY2�,,,,,. t ,
v _
1
-� a1;.) TLk�- I 10 tz
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his er duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Conspuction must be completed within three years of the date of this permit.
Date �� ) . r Approved by
11�.
20 FT. MIN.
TOP OF FOUND. SOIL TEST
EL. _ —, 10 FT. MIN. DATE OF SOIL TEST /�t5%a i
CONCRETE F WITNESSED BY PERCOLATION RATE h.I -.; T
COVERS 4 SCH. 40 pyC p1 CLEAN SAND - MI
ri ~ N, INCH
MIN. PITCH I/8 PER FT. OBSERVATION HOLE I OBSERVATION HOLE 2
CONCRETE ELEV. = a -
4" CAST IR N PIPE
12 M'r'1 ~' `� ��F COVERS 2" LAYER OF ELEV.=
FOR EQUAL,j MIN, 1/8''— 1/2" WASHED -OP 6 J S i
PITCH 1/4 PER FT. STONE
E L E\/ 3.,o'
FLOW LINE z M M -r0
10 _ 'N COA,S E SAN D
EL = 78 MIN. -Z
EL.= - 2,O,r
EL
i 7 7 LEVEL xLl
) E L: EL. s 7(o 9
DIST EL z - ,
BOX e v o w WATER AT 3. EL.= 0� o WATER AT --- EL.= —
_9
33/4"— ! I/2 c �o° >
b G 0
GALLON WASHED STONE • c ° w C
T ° W Q EL - '=% DESIGN CALCULATIONS
SEPTIC AN K
PRECAST LEACHING NUMBER OF BEDROOMS
BASIN OR EQUIV. _ GARBAGE DISPOSAL UNIT
6 DIAM. TOTAL ESTIMATED FLOW
SEWAGE DISPOSAL SYSTEM PROFILE
GAL./BR./DAY x _ BR.) 33 U GAL./DAY
lu �! M REQUIRED SEPTIC TANK CAPACITY 49S GAL.
NOT TO SCALE _,
ACTUAL SIZE OF SEPTIC TANK !00 y GAL.` REG m s►,1
BOTTOM OF TEST HOLE EAR--t6S6S LEACHING AREA REQUIREMENTS
OBSERVED WATER TABLE / ) EL.= - SIDEWALL AREA tAL./S.F.
BOTTOM AREA _ GAL./S.F. _
CO2��1� (_FACHING CAPACITY BOTTOM+ SIDEWALL) 54 ) 7 GAL.
81 rrGv LEGEND : RESERVE LEACHING CAPACITY 549 GAL
EXISTING SPOT ELEVATION OOxO
i � - -- --
� � • '�) EXISTING CONTOUR — 00— —
�� � ��J FINAL SPOT ELEVATION
'4( � FINAL CONTOUR NOTES:
F 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO O.E.O.E.
yp� SOIL '1eST LOCATION TITLE 5 AND THE TOWN OF i . , �.;_ 's f Y RULES AND
UTILITY POLE REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
TOWN WATER W =W
2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
SQI rE ST #1 CATCH BASIN ® ) WITHIN 12 OF FINISHED GRADE .
3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME.
4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE
OF WITHSTANDING H— 10 LOADING UNLESS THEY ARE UNDER OR
WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING
Ltta plT MIN. FRONT SETBACK 3O SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING.
MIN. REAR SETBACK I 5. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE
MIN. SIDE SETBACK I ' SHALL BE MORTARED IN PLACE.
77 `' 6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH
DEEDED OR ZONING REGULATIONS. OWNER /APPLICANT IS TO
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
x `e a\x R` APPROVED BOARD OF HEALTH
L aT I L07 i
f �'cYT 14
DATE AGENT
9 - °" I 1c,
j PROJECT LmATIONr P R p P r S D S l I A IV D
s � ALA Iv LUT 15
OM M O DO 2 —7 LANE ; BA R TA 3 � � ? ,^'1A
APPLICANT
9 ?�? LAI THE GRIT—r- c R
Vt L01' t-IE NT Co2 �oKArI�N
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" Levy, Eldredge & Wagner Associates Inc.
i wEs� s ,� + � w Y 9 9
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E L. 7 7. 2 �k ' � � Engineers Landscape Architects Planners Land Surveyors
889 West Mom Street
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- '-- ,xo '� �Et 02632
R
.��g. - -- � � Centerville M a
r_77 , SD �4� - ,'7�� P R-it L PAUL A. �.
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y
SHEET OF
LOCATION MAP I
0 FT. Mft
TOP OF FOUND SOIL TEST
10 FT. M lid. .�
{ : DATEOF SOIL S " _
rON^ iETE CLEAR SA1�IC WITNESSED Y
." 4' SCH 40 PVC PIPE PERCOLATION RATE ,-4 MKT; CH ,
E MIN. PITCH 1!8 PER FT i �U�rCkl�T-rP �Nt�I.V�Y
1 ' CONCRE,
_ -- OBSERVATION HOLE I OBSERVATION HOLE 2
1 i1 1 '- CCvi.. -- "-'' 2"' LA`/tH, ELEV."' ..,�.,.,..., ,
t 4 CAST IR' N PIPE i .K � R
ELEVs
(ORS EQUAL MIN,
i�� WASHED
P'TCH t/4'PER FT 1 ��[
1
4�l _ l
f
EL 7
EL;
s ^
�.
EL Z
DIST _.
Ems. ►0 WATER WATER AT L �
w<
Bcx
- GALLON WASHE D STONE 6=ezc-Z
o0o" DESIGN CALCULATIONS
SEPTIC TA .� R
. cr EL.`- s
�. � PRECAST LEAC.; � - ,,...��..�_....�a„r..� � � CtP` BEDROOMS �
BASIN OR EQUIP .. T1_
RAEa?SPC?SAL1' IT ..�
,..__ .. TOTAL ESTIMATE FLOW
x
YS �
1 -S�.vV�:� �1 } � S3 .� .� .T ROFI
� , � _ GAt.r�l� 1CAY �� � fGA� �^ Y i
ar REQUIRE SEPTIC TANK C,�# ACITY w°� � GAL,
. LE
NOT TO SCALE ACTUAL SIZE OF SEPTIC TANK
,RBOTTOM OF T �4 E S � R �TA E- ft -z LEACHING AREA REQUIRFME.NTS �
- OBSERVED WATER TABLE I EL.= StOEWALL AREA Y _ GAL S'.F {
BOTTOM AREA w_ _.� GAL,/SF
{ LEACHING CA PAC i T Y F3CTTOM+ SIDE WALL) ." 'AL,
14
. CAL
� � RESERVE LEACHING ARACIT
` EX1•ST'ING SPOT EL VATION C � �
r . J EXISTING ;CON TOUR 00 - m m_
FINAL. SPOT ELEVATION 22NOTE :- ,
F;NAL CONTOUR b 1. ALL AlMATERIALS SHALL C iC .E- .E
" TEST I
S S L E AND THE T _. Rik f;`S a� �3
1 UTILITY POLE TITLE
Rt�GULATtO S FOR THE S uw E, D'SP ."ALc�h a� # ..
TOWN WATER W rye � 2. ALL COVERS Ti: SANITARY UNITS $KA- a BE BROUGHT TO
` CATC1� 1�,1 _
- WITHIN 12 OF Flit€SHED GRADE ,
. 3. EXISTING A�' FINAL GRADES SHALL REMAIN ELSSENTIALLY THE 4,.:
CC) SHALL� �t, ALLD A�if�C�NIrh6TS F THE SANITARY SYSTEM Alm.t � CAPABLE
SAME.
�. . '. *f THIN 10 F T OF DRIVES IR PARKING AREAS. H LOADING
I
� r .2t3
G,
? 14 N FRONT SETBACK SHALL. BE USED U R OR WITH 10 F�. f3f DRIVES OR i'l�il't1��
I t ANY ! ASC ARY UN,
•-� u '` , �, 144d1~4 NEAR SETBACK' _.. T'S USED TO BRING COVERS TO GRADE
t r MIN. SIDE SETBACK SHALL BE MORTARED P PLACE
6 NO DETERMINATION HAS BEEN MADE AS TO COMPL,,ANCE WITH �
DEEDED CAR ZONING REGULATIONS. OWNER /APPLICANT IS T '
OBTAIN N DETERMINATION FROM APPROPRIATE
AUTHORITY.
�
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LTH
APP.ROVED � BOARD OF
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Levy, Ell# Wagner Associates In d
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riw'.�J i3y
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s � 889 West Moin Street
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Centerville Ma. 02632
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LEVY
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Pita "' n No. 10517
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LOCATION MAP
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