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HomeMy WebLinkAbout0062 HALLETTS LANE - Health 62 HalleO Dane Marston Mills A= 064 - 010 INN4 p �1 Q^"SEME%IT FINISHING SYSTEM" rn L O A T ION SEWAGE- PERMIT NO. ZA1Vf as 16.$Pd VILLAGE C�('04 -ON �SS7_dAfS AI Z _S INSTALL R'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED _ 0- W t �Jc o® r No ... .` 1. Fims....��®:.............. THE COMMONWEALTH OF MASSACHUSETTS �1 C BOARD OF HEALTH V" .--•......... ...,t.......................OF_........................................................................................ Applirdlion for Disposal Works Tonotrnrfion Prrmit Application is hereby made for a Permit to. Construct (X) or Repair ( ) an Individual Sewage Disposal Sjstem at .... ----------------- ------------------- t[t s d L°.s�r�drss� / i �� Ass H Address . a ......-----t/. -om I..Ft=....Owner-Al v -. -------•........... ..................••(---••••-•••••.•---••. -•--...............---••-•-•---•----....... Installer Address Type of Building Size Lot.V j9A --------Sq. feet 37 Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (---a '4 Other—T e of Building No. of persons-----------------•---______- Showers — Cafeteria P4 Other fixtures --------------------------------------- - Design Flow....... ...i1.0...............gallons per person per day. Total daily flow...............E3-.3.Q.................gallons. WSeptic Tank—Liquid capacity.f...&allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length........._......... Total.leaching area--------------------sq. ft. Seepage Pit No__________ __________ Diameter......4........... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-� Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' -•--------•-----•-••---•-•--........•--•----------••...............•----------------•......-•--••---......................................................... ODescription of Soil................--•----•--------------------------------------------------•----.--•-------------------------••--•-----------------•---•---•------...-•--•------•------ U ------••-•---------------------•---•--•--•-----------------------......._.....------------------••--•-•-..-----`......... ••--------------------------- •------- -•------------------------- •............ W x --•-••---------------------------•--•----•-•-•-----------•------------------------- ----•----•------------•-•--------.......---•-----------•--------......--•-•-....................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi i� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation u '1 CC��ertificate f Compliance has be ssued by the d of health. Gsi > ned.... .. ... ..... --- Zia/. ....................... 44*1&0� Da e Apation Approv By...... .---- ......------ ---------------------------•--...-------------•------•---------. ........................................ Date Application Disapproved f r t e following reasons-------------•------------------•-•-•--•---•-•--------•......•---......-------•----•-------------............._ ....................••-••------------••..••-_._....•------------••-------•••••--•.....---------........•.------------------------------•-•------•••---------•---•----•---------•----•--••••------....-•- Date Permit No........ !a__ _ ---- --`----------------------- Issued................ ....----... Date C� D$partment of Environmental Management/Division of Water ResourIles WATER WELL COMPLETION REPORT + DG WELL LOCATION Address City/Town /v✓1 /dLT i • G.S.Quadrangle Map Grid Location Owner .e �w Address WELL USE CONSOLIDATED WELL Domestic Public ❑ Industrial'❑ Type of Water-bearing Rock Other Water-bearing Zones Method Drilled $d 11 From To 2) From To Date Drilled ( 3) From To -- 4) From To �/,(CASING it Depth to Bedrock Length �J Diameter __ A TypeG ± LL UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materi als Feet below land surf ce . Sand: fine❑ medium❑ coarse❑ Date measured EV Gravel:. fine❑ medium❑ coarse❑ GRAVEL PACK WELL Screen: f / Slot#Alength3 from ell to Yes El No ❑ Split Screen(or 2nd screen) WATER QUALITY TESTS MADE slot length from to Chemical Biological 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 ` hA Cb m DRILR Cb Firm C>dV•y 4 0 a Aadressol/' city v?Y�• /Yia-yi Ga-�t v Registrat� 0AP& 3Y3 Operator's Signature Please pant firmly CUSTOMER COPY 15M-2 84-176471 e'er OFFICE LABORATORY 1498 HIG}?.STREET 176 PLYMOUTH STREET r1 BRIDGEWATER, MA 02324 BRIDGEWATER, MA 07324 t OLIVEIRA ENVIRONMENTAL LABORATORIES, INC. FOOD- DAIRY PRODUCTS-WATER-WASTEWATER CHEMICAL Er BACTERIOLOGICAL ANALYSES 697-2650 July 6, 1984 i Pioneer Pump Co., Inc. 21 Spinnaker Drive Plymouth, Mass. 02360 Source: Well Water - Bored Well with well point - .producing 6 gals./min. Located on the property of Mr. D. Maxcy - Lot 6 - Hallets Lane - Barnstable, Mass. Coliform Count /100 ml @ 35 C 0 Membrane Filter S.P.C./ml 210 @35C Color (APC units) Sediment ` none Turbidity (NTU) 9.35 Odor none Taste satisfactory pH9— Specific Conductance micromhos/cm 95. mg /liter Total Alkalinity (CaCO,) 2.00 Free CO, 11.0 Total Hardness (CACO,) 24.0 Calcium (Ca) 4.00 Magnesium (M ) 3.4- Sodium (Na) 10.0 Potassium (K) .60 Total Iron (Fe) 0.06 Manganese (Mn) L 0.01 Silica (SiO,) 5.80 Sulfate (SO,) 12.0 Chloride (CI) 16.0 Nitrogen - Ammonia 0.35 Nitrogen - Nitrite 0.016 Nitrogen - Nitrate 1.65 Copper (Cu) _ L = less than On site collection made by Mr. David Klein of the Pioneer Pump Co - 7/2./84 at 9:30 A.M. Sample delivered to laboratory by Mr. David Klein - 7/3/84 at 9:00 A.M. Bacteriologically, this well water is of a satisfactory sanitary standard and is suitable for drinking and domestic purposes. Chemically, this well water is very acidic and will be corrosive to iron, bronze, brass, and copper tubing and fittings. All other chemicals tested meet the standards. s—� Director r� `Ilk . The Standard-Plate Count indicated the general bacterial population of the well at the time of collection. Coliform Group Bacteria: Significance The coliform group bacteria includes organisms found in the intestinal tracts of warm blooded animals, birds,decaying orgar :matter(hay, leaves, wood, etc.), the top 2 to 3 feet of the soil, lakes, ponds, brooks, rivers, drainage and types of vegetation. Because the organisms can cause some illness; because the presence of coliform organisms in the water suggests that other more harmful organisms may be present, water containing one or more coliform group bacteria per 100 ml of sample.should not be used for drinking or cooking purposes unless boiled 5 minutes or disinfected by other means. This bacteria is of animal origin (intestinal tract)and may be considered as closely associated with disease causing organisms.On this factor, none should be present. Color — APC Units- Ground water ought to be practically free from color. For attractive water- color should not exceed 15 units. Turbidity — NT Units- Recommended limit not to exceed 5 units. Odor&Taste — For water to be of high quality, the water should be odor free and taste good. pH — The pH value defines the concentration of free hydrogen ions in solution. Expressed on a scale extending from 0 or very acid to 14 or very alkaline with 7.0 being neutral. Specific Conductance — Conductivity is a good criterion for measuring the degree of mineralization and assessing the affect of diverse ions on chemical equilibria. Total Alkalinity — The alkalinity of this water represents its content of carbonates and bicarbonates. Free Carbon Dioxide — Well water having a low pH and a Free CO., level in excess of 50. mg/I will be corrosive to iron, bronze, brass and copper tubing and fittings. Total Hardness — Standard not to exceed 50. mg/l. Waters having a hardness level of 50 to 100 are in the medium hardness range, over 100 very hard. Calcium -- Calcium contributes to the total hardness of water.Appreciable amounts of calcium salts break down on heating and form scale in boilers, pipes and cooking utensils. c Magnesium — Magnesium is a common lconstituentof natural water. Magnesium and calcium ions are principal contributors to water hard- ness. Concentrations in excess of 125 mg/I can exert a cathartic and diuretic action. Sodium — Recommended limit not to exceed 20 mg/I. Potassium — Potassium concentrations in drinking water seldom exceed 20. mg/I. Total Iron — Standard not to exceed 0.3 mg/I. Manganese — Standard not to exceed 0.05 mg/l.The principal reason for limiting the concentration of manganese is to reduce esthetic and economic problems. Silica — Silica content of natural water is most commonly in the 1 to 30 mg/I. Silica in water is undesirable because it forms difficult to remove silica scales. Sulfates — Standard not to exceed 250 mg/l. Chloride — Standard not to exceed 250 mg/l. Nitrogen — Ammonia is present in variable concentrations in many surface and ground waters. Its occurrence in ground water is generally a result of natural reduction processes. Nitrogen - Nitrite — Nitrite in water poses a health hazard, but fortunately seldom occurs in high concentrations. Waters with a nitrogen - nitrite concentration over 1 mg/I should not be used for infant feeding. Nitrogen - Nitrate — Standard not to exceed 10. mg/l. Nitrate, in high concentrations can and do cause methemoglobinemia or so-called nitrate poisoning in infants. Water with 10 or more mg/I of nitrate is unsatisfactory and is not considered safe for drinking or cook- ing. It is especially dangerous to children and should never be used in infant formulas. Copper — Standard not to exceed 1.0 mg/I. No Fim..5...�.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....OF........................................ ... -ApplirFatton for UiupuuFal Workii Tomtrnrtion "truth Application is hereby made for a Permit to Construct (;X,) or Repair ( ) an Individual Sewage Disposal System at: _ _ ,;,° t r -7 e ---_---•----••----........::............. ...........:......•-.........• ................ ------•---••••--•-•-•---•--•------------•--•---•--••-•---••-•-•---••--------•-.........---___----- l r Location--Address <of,,Lot No. ..... ._ .................._._... ........................... ...... ODA v' tt Address Installer Address Type of Building Size Lot... ........`.........Sq. feet Dwelling—No. of Bedrooms.......... .................... _::Expansion Attic ( ) Garbage Grinder (—) a'4 Other—T e of Building No. 'of• ersons____________________________ Showers YP g --------------------------- P ( )--- Cafeteria ( ) 04 Other fixtures ............................. =--------_.... --•--•-•- --•----••-•-•••••-••-•--•-•••--------•.....--•-• ------ W Design Flow_______t"•__�. i�_E)...............gallons per person per day. Total daily flow____.___.____.__..._....................gallons. WSeptic Tank—Liquid capacity;;(.)..�?._L gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width...._............... Total Length.................... Total.leaching area....................sq. ft.' Seepage Pit No--­---------------- Diameter._...3............ Depth below inlet.__..`:......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) F Percolation Test Results Performed by•••-••--•••••••••--•••----•--•------•-•••---•--------••--•-••------•---_. Date.................. aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -------------------------•-•---------•-•------------------.......-------.........---.._..-•--•-•---•......................................................... 0 Description of Soil....................................................................................................................................................................... x W UNature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------------------------------------•-..--------------------------------•••-••-----------------•-•-•-••------••----•-•----•---•-•--•--•---••••-•••-•-•-•-•--•-•----------•••---._....-•-••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operati > �C,ertifi e f Compliance has been issued by the board of health I. ned_ !e\ 1 Orll(r,A F , P '..fJ ''( f < ............ ...... ......... ....... ___ Date APPlication Approved By. ............................................................ ' Date Application Disapproved r t e following reasons:-•----•••••-------••--•-••-•--•--•-••--••-----•--•••---••••--•-••---•........................................ ...............................•-•-••-------•-----••-•-•-••--------------••••-•-----------••------------------------------------------------------------------------------------------------------------ Date Permit No......... ............................................. Issued......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF....................._......................._........................_.............. CnertifirFate of TomptiFanre r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( ) by == ----------------installe ------------------------------------------------------------------------••-••---•••----- } Installer al---- --••-•-•-----------•---------•-----------------------1---•------v . has been installed in accordance witli:.:tl}e provisions of T ;E t:# : State Sanitary �escribed in the application for Disposal Works Construction Permit No._S.T__,�._� _�__._._e' '� dated______ _______________________________________ THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNC ION fATISFACTORY. DATE,.... 1_ ..- Inspector ... -•- .S THE COMMONWEALTH OF MASSACHUSETTS 6 � BOARD OF HEALTH I —v No....... 0 ........ FEE........................ Disposal Y#ion l�rani# Permission i eby granted__ �-::--- ------------------------------------------------------------•-- to Const -- r,Re itaDis osal S stem P - L P Y atNo.---...-•••----•-------- ----- • -•- # -------------------- Street_ p as shown on the application for Disposal Works Construction Peer - o_____________ ___ Dated.......................................... •-------� .................................................-----------------------•••---•-•- 1 -1p Board of Health , DATE.................. -FORM 1255 A. M. SULKIN, INC., BOSTON ' HALLETT'S LANE conc.bd. N 5602710"E conc.bd. 138.58 LEACHING I - PIT ` Q , o I 15.5 24gp+ o o 0 0 CIO S. G&� G Ion o w .., I L o srf I � o CARPORT EXISTING 17 0 26.6 DWELLING 0 o 42.45' DECK ; _r HSE.NO.62 LOT 6 20,700 SF. conc.bd. conc.bd.I N ti 0 Kt� i N � O tr1 01 J, [�.I( NOTE:SEPTIC SYSTEN AS SHOWN IS FROM"AS BUILT"PLANS 9FGISTF�4%'S�': kg REV.DEC.15,2005 ADDED CARPORT PLOT PLAN OF LAND LOCATED IN MARSTONS MILLS,MASS. PREPARED FOR DR.HERBERT BROFSKY DATE:NOV. 17,2005 SCALE: 1"=30' CAPE & ISLANDS ENGINEERING MASHPEE,MASS. ro ,.sr�Yn. K:fe «.... -- .r, i"y"..'i.RYuu•a.vum•�i` , t , L.. ^.{ e>; -e• �.�:w..0 R I ,, n - ._ - - ! - , SECTION - SEWAGE J�. • ' . -SEPTIC TANK'- _ ,?Q'•BOX,- -LEACH i�I a �� .• y. . � • ,v���i" �,. , , � - F i:. < < TOP OF FON , ?�Q (MSL)yI t .+a+.OF118TOV2 „ .!�•�i `c { . , ,e WASHED STONE I N• OUT, hIV• \� t 1 1 ^1`+ } [�C� .OUT I{tl.. � + a f. �• `j _ G. • T ' 1 - !\p .. a€` - �,�•� "7(.,�-,lp SEPTIC ��•��j •� - a'y!'� "'.a-, TANK` ELEV. ELEV ELEV. V �. ELEV. ELEv: r�.• ,.I'a`, � � \ r may' ti vJ,. � '.�.. �4`� (J - r ''�� .R -�('�i4b�- • Zr0 p•Q- t( \� \ / i..� '*t �` l - Apt ' _� k r 09 WASHED ST,OIt1E >' .�.t CPS" TEST MOLE LOG • �•\ct•\iJ„Q.eea - . -. - . '• - '. .'p\T ,,• '"`.,,.r :r �Q••..y 1,��' ..�pl-��'' r„r:�'�('(� .y? ,. :x i y I ,'1 .�,,r,f'. 7S tt2 WY_Z?>c r J.. SLAC CJS�}` 'a:�b L 14. r t TEST$Y + P ti ' $ ��1{G:.` .! ! ,.- +y 35� 4^. WITNESS x. TEST DATE' �+ E R a ' d L SIGN:: B OOM MOUSE ` T.M. it 1 T.W. `" r ,, . a '�' •�� ' T.H. M t t �(, �t�C, /� pQ� ELEV. ELEV. 7 y. 1 Y4S� Tr', yr' .' •Y a a �` ,,, f: V4 y . } `r`a. '2 ISD S€R DISPOSER f „� \ oc\` P RC-RATE M.IN/IN: .-' • l„pAa,A Sugatl.. - , '3J, .b 0', '�f` r:-•'/' - ,�r: ' '� .. :�,' ," - 7 ,, p. - 'FL:OW RA"fE �3'�.(caL.JDAv�:j> '� � '� �;� _„� :�`• , .�' f >� ::. 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