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HomeMy WebLinkAbout0340 HOLLIDGE HILL LANE - Health 4(3 r i'l .d ,e Hilltan_e, 7VMarstons Mills A= 081 —010 ff I �i I PC 12834 ((.9-r4 WAITING$,MN I -75 mbv �. �. . e I -�,f' Cn 0'(�r �d vie. I �/�u N► , �+n �(�C ((o�f v �p t`y N��,�j (/��r( , - i EI I I I 1 f SENDER: o ■Complete items 1 and/or 2 for additional services. I also wish to receive the 'y ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ai ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. d ■Wdte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery to r ■The Return Receipt will show to whom the article was delivered and the date fl delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Number d _N� L 4b.Service Type 0 .� �) ❑ Registered ertified ¢ n MA) 5 M US) . O� ❑ Express Mail ❑ Insured LU N c Return Receipt for Merchandise ❑ COD I c .Date of Delivery w ,z �5 ��r 0 5.Receiv d By: (Print Name) 8.Addressee's Address(Only if requested �.j1 , and fee is paid) g 6.Signat :Iddressee orAgen / ~ o �?<. y PS Form'3811^, December 1994 Domestic Return Receipt I i UNITED STATES POSTAL SERVICE Mp t=_Class Mail--' �O Gy Pao tage-&_F__Pees Paid w p M �� IJSPS a. o ,.��„�„ Per o 1 JAW • Print your In�m9 rgss, and ZIP Cade`4Ltbijsbax-*-�g-m—..o� � D, 2�5 Mr I D_ � e Town of Barnstable P# Departi rent of Regulatory.Services > nrtsT�� k Public Health Division Date r�a 200 Main Street,Hy naffs MA 02601 % Date Scheduled ` Time e r �Da U(J � e Pd. i Sol Su i ability .Assessment far Se Lisp®sal d 0 � Perfornted By: Witnessed By: s/ �i LOCATION& GENE,�•AI�INFORMATIO1mT Location Address /V i(�� `� e �'/ / _ Owner's Name e eta /`tp�, (—�1 / Address - Assessor's Map/Parcel: p ���(� Engineer's Name V) (2— NEW CONSTRUCTION ((( REPAIR Telephone# S��) 6 (/ % �/ Land Use: L k K/tt/j iG— NG Slopes(96) �� Surface Stones Distance's from: Op on Water Body >00 It Possible Wet Area ft Drinking Water Well >/ $ Drainage Way ft Property Zinc > ft Other ft SIMTCH:(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands•in proximity to holes) 93 i-t'dd I e P�,,�} \ • �b 0 Z e4� b Q1 (V Parent material(geologic) Depth to Badrocl� Depth to Groundwater. Standing Water in Hole: �� - Weeping from Pit Roe VIA Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL 10GH WATER TABLE ,Method Used: Al G 1 Depth Observed standing in obs.hole: la, Depth to Sall moulas: _ Depth to weeping from side of obs,hole: In, Groundwater Adjustment fI. Index Well# Rcading Date: Index Well lcYal Adj,Actor— Arj,Groundwater Level , tv PERCOLATION TEST Date- Timm___^_ Observation Hole# ``-- Tinto at 9" Depth of Pere U Time at G" � Start Pre-soak Time @ �vr) Time(9"-6") End Pic—soak Rate Min./Iach L C 17 i n/L G site Suitability Assessment: Site Passed Sitq Failed: Additional Testing Needed(YIN) /V Original: Public Health Division Observation Hole Data To Be Completed on Back-------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\S EFT 1C\PERCFORM.D 0 C DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders, • o i ten w.96'Gravcll r s 6 y C, L S toYR C� S-Y DEEP OBSERVATION HOU LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, L �O YR�// onsis en 90 Drove 10 ][SEEP OBSERVATION HOLE LOG Hole#. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. v o -iuten Y.7i Cr a DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Conslstrnrvj�Gravel) Flood Insurance Rate Map: I / Above 500 year flood boundary No— Yes "Within 500 year boundary No V!,, Yes Within 100 year flood boundary No.7 Yds _ Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in a]]areas observed throughout the area proposed for the soil absorption system? y S If not,what is the depth of naturally occurring pervious matorlal? C_ertification I certify that on �/r (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and'experience described in 10 CUR 15.017. l/ Signature Datb Q:\S.PPT1aPERC17oRM.DOC TOWN OF BARNSTABLE LOCATION CS �t LL--Li,(. SEWAGE# JOl Z_ q4:7 VILLAGE ASSESSOR'S MAP&PARCEL - -16) INSTALLER'S NAME&PHONE NO. 2c =:O L 6 s IJ 6>0 S 97 I t- _3" SEPTIC TANK CAPACITY �L- LEACHING FACILITY:(type) (size) I.J-91kAL NO.OF BEDROOMS 3_snan — ;v OWNER PERMIT DATE: 1/—e ip—14-f COMPLIANCE DATE: 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) Pelt* Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY L :j - ��7v ������ �� �, �� O .. 8/�'' h�'' r�6 �� .: �,, �� .�;: `4 �. /�fy 1 No. �/( 7 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for BispoBal 6pstem Construction permit Application for a Permit to Construct( ) Repair A Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3V6 , / Owner's ame,Address,and Tel.No.6/7` 2?-9- 3 y-3o r rN+ ' ► .i�� ic+S 4 d �Assessors Map/Parcel MQS , / fi , � Oe ,4 lo !v VX- Installerii's Name,Address d el.No.,$029, a - �9�,- Designer's Name,Address and Tel.No. S- •C�/Sf/� (�Orw Y�S{Yt�C csl 1 �5' US F6�f 1�U i 7 �IQ- 023;'� llB � `vl��• mar ' is a Type of Building: /C Pr T-4-1 ' �� Dwelling No.of Bedrooms Lot Size �° Q,�/ut sq.ft. Garbage Grinder% Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 7 70 gpd Design flow provided y gpd JPlan Date Jij ( . , .b 1 Number of sheets Revision Date 11 Title T;d 6 A 1c •1 r is Size of Septic Tank Q Type of S.A.S. j qa0 Soo - 3 „SX 1,;?.83 Description of So' Nature of Repairs or Alterations(Answer when applicable) /` _ Date last insp cted: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Co t to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date l � / Application Approved by yl? Date f Application Disapproved by Date for the following reasons Permit No. Date Issued C y No. U( z Fee�— THE COMMONWEALTH OFMASSACHUSETT$ Entered in computer:1-1 Y es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for ]Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(OK Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3�V /"7�=�f i' 9� i��C J I, Owner's Name,Address,and Tel.No. / . a?9- 3 V 3f Assessor's Map/Parcel f1WC«'Sfu)'W mt (�du+'I �OnncLit�+ht"c..s Installer's Name,Address,Ad Tel.No., ih- %28-- &9a G Designer's Name,Address,and Tel.No. Qvo!�he E�?�ir�r�r`rr rag iv'n5�• n�1urs KIls. / p , Type of Building: (� 0/( !� T✓-' O T -2) J— 3 Pelrv� ) b- ' yS�� �'� Gu �I, # t Dwelling No.of Bedrooms Lot Size J•U1 Q /9-4—sq.ft. Garbage Grinder(MU Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow(min.required) 7 7(iI gpd Design flow provided ysls gpd Plan Date JuT, r (S ,�(� Number of sheets J Revision Date Title - Size of Septic Tank Type of S.A.S. P"K'a d ,-3, d-u`j(x�, r_ C°�,.�nY��.�)3�-$j( ��•b3 Description of Soil Nature of Repairs or Alterations(Answer when applicable) -f7S/.:i � 7 /�j/w/�/, riia DI> C A .C� i5 ire / Dade last inspi'ted,- Agreements- .,.,,, ..-.- -,The undersigned agrees to ensure the construction and maintenance of the afore.de cribed on-site sewage disposal system in i accordance with the provisions of Title 5 of the Environmental Code-and1lot to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by a Date Application Disapproved by 1 { Date for the following reasons f PermitNo. d �1 7 -7 Date Issued j �J % L--------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( i ) Repaired( Upgraded( ) Abandoned/( fL/,ta 2s j4L,r15 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. .7 U/`/- Y dated Installer Ar k,to e6,&5?6a,c 7" Designer 6 dliae � i rPli Y -1n #bedrooms Approved desigri flow I gpd The issuance of I this p rmit sh'll n be construed as a guarantee that the system wi ncti as designed. Date Inspector --------- ------------------------------------------------ No. )-o 1 u - 7 Fee � �(J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair(1 1 Upgrade( ) Abandon( ) System located at lel ll" lk 6i 5 67 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe Date I r '(G' (L Approved byf) )n ';U � u�J f ilpvt , DEC-24-2014 04:16 From: To•15087906304 Pa9e:1/4 FROM :down cape engineering inc FAX NO. :15083629eg0 Dec. 23 2314 02:47PM P2 r awli of Barnstable SAM fthife Health Division A ,� b ';•go��as�'.�e�e�,�fmrrcY�r. �� '�1 n �9 Tlaoffiats McKmA,jj9 wedor .7,00 JVL,ftt 6trmt,EE7e10163,M,0260i 5084624644 Fac 5Q6-7')t7-63t}4 Date: � �! Se.wago'Permit# 40J .a0.,n4easup's l�a�il�'ancel g� ✓`� ®B� Qti�a t V W � On • / /y � S �ZY.W'Lj,"issued a ptrmrtto i00 a septic fdyst m it—3—yo �`N i I i +` based.ono,a design timwa by ���(F-dd'Cess) � dated e✓. Jl � l 1 cezfz y Est the aeptio System xefere),%=d tLhovc;Was i��t"yd slibstartitinnY acaordi'ng to " thi: cie�igt?,•wl�ch jptiy iaoludc-,wi=P 9proved changes Micky as ltatffkt reloualion of thY diebra tiars,box twr.Uai septic t G uy t�1at� 5(;0.0 �StCM TUfi�xteed Rbaw TWI Mstflllyd YnAL UWJ01• da'090� eal,s IbRn.t0° 12 Leal mlnca• .on,sa,�'�h, SAS or auy vertical naacsition u£any cou�uarir:�t of the selrlic spslem)hti1t at arroYclRur.�:w.it�i.,kale 8 Lur,Al,F;.eN►sInticri,s. °.lam religion eT certiftrd.,u-}imRt by designer,to HIDW DANIE L k -- pdAlA ,v�tL �i CIVIL Cn RNo,46902� G1 aSir�� SIONAL ti� - i� � etaxraJ Affixll as"i 09 r 'rU�l 2i t�LT . _--ar nz uiyl,�iapNt .. C4"rFi�Or C��rdw�, 't�ULJ F_'� $� i� o�� rJ[�. .$crc3i_� � � X.M.AND �3 EvaY,r�Fir�a �._.��•a�;fira.,,a,l wTa 9.7.G.b4.dor. NDV-17-2014 21:32 From: 7o:15O879O63O4 Paee:2/2 11/16/2014 22:23 FAX 6172323887 �001 To ,, oY-} 1 v+ -i c6rSI-'ue Xd Z I I -2,z q rya ) n ; 04- ce- I'ry-ipi ay-e� F/V . sve-- yzf- 9 3 K 3yo Hvlh �i1 Gee , r `Mats. 1 Ste' _ r- wu"rW7 GI u'tn.3U �1'f�l kleaer - — Ate`d ► - roc N2014 02:51 From: To:150879063 4 Pa9e: 1�2 Phone: (508) 428-8926 P.Q. Box 704 Fax: (508) 428-9399 Marstons Mills, MA 02648 email: bortolotticonstruction 10ORTOLOrri @verizon.net CONSTRUCIVO FAX#: DATE: REPLY BY TO_ _HAND DELIVER ATTN: C � _ _ AS SOON AS POSSIBLE RE: [j ' NO REPLY NECESSARY FROM: HARD COPY TO FOLLOW TOTAL NUMBER PAGES v`- INCLUDING COVER SHEET COMMENTS: } C�C/Z• r a r 7�M VZ a aS s Providing siteworh solutions since 1985 t -2014 02:52 From: To:15087906304 Pa9e:2,2 349 Hollidge Hill Lane,Merstom Mills,MA a•''i ��c P'' ,I�+, ILA° Y ` St.dv First Floor e ' aku 41 are .b .' LL• C• r�h.RF++,H'1' .•y: Y _• 0 '�IY°^ B�°'a d . '&•;.�i. 9A ,l: ' . e .FIn%v Roam 4„Di P _ Second Floor r 6'`• '.� w s treaty • � fi—tlr.s rr�.. :. ,�_,�'.� _ �+ i �_i ., �'. • +t. 1'4 r"1,r°..1'.a 8,dt o °a -r,f i ` r.�r, y,'® ,°`re��•,; `n h •i.;`- r.- a' 'd r A4arier,Bdlh °�' v �,,, INastor Bedroom o�d'Cem°; _ ', ,gin ;. 'i:: `*'• _-'^� = : `"s i�'! � ,� ..n� ,`�_> Az oil -o t ,✓ 0CA`j10 SEWAGE PERMIT NO. kpTy -1-S5 VIyLLLAGE ME, 0 INSTA LLER'S !LAME & ADDRESS U I- D E OR OWN ER IE 1 DATE PERMIT .ISSUED DAT E COMPLIANCE ISSUED i i(COOAJ. 31 r i _ b,. 'No w_�� FEB.. ........... THE COMMONWEALTH OF MASSACHUSE175 BOAR® OF HEALTH ...........fir.......................OF............. :. :... ...................... Apptira#ion for DhipauFal Workii Tnnitrnstinn Vamit Application is hereby made for a Permit to Construct (YQ or Repair ( ) an Individual Sewage Disposal System at: � j y® A _{-4oL�.�p C 1 t L . tS.l:.11.�.{��.............l c©TA............................................. n ^ Location.Address or Lot No. .................... .!!i:.._�� .GBi................................... ......... - ......---....... ----- R�. owner Address ............. ...�- ....:�. - �✓......--------....--•--------•--.........: Installer Address PQ Type of Building Size Lot.. ,t ...Sq. f -t U Dwelling—No. of Bedrooms__.....................................Expansion Attic llAO Garbage Grinder Other—Type T e of Building No. of persons............................ Showers � YP g -------------------------•-• P ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------•-----•---------------•---------------------............----------....... ...._.. _.gallons per person per day. Total daily flow._._. ........................ Ions. w Design Flow....-t_..�:��F.......- g P P P Y• Y ----- 1� a: Septic Tank—Liquid capacity.LSQQallons LengthA0~.C4?.. Width. .=-.5_. Diameter_......__. Depth5-1... Disposal Trench—No. .................... Width — Total Length............. Total leaching area....................sq. ft. 3 Seepage Pit No... —__.____._.. Diameter...10.......... Depth below inlet.....G......... Total leaching area..��----sq. ft. z Other Distribution box 6' 9 Dosin tank (� `-' Percolation Test Results Performed by. A 7E�4_4.... X�........ Date..5."2©::2)------ Test Pit No. 1...�.2,_.__minutes per inch Depth of Test Pit-----t......... Depth to ground waterA1_0T-:&k00-,kT-r=Crz),D GL, Test Pit No. 2.LZ_..._minutes per inch Depth of Test Pit.....`.. ........ Depth to ground water. ® kL).t_tRF(7tn9 a t O ........................................................•- Description oo ...._.. sue?..•-- ..... c ------...--•------- 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 TL 1'L i: 5 of the State SanAee ' The undersigned further agrees not to place the system in operation until a Certificate of Compliance h of health. Sig .............. Date APPlication Approved BY---••---••-� ... ....................................... ........ ' ... Date Application Disapproved for the following reasons:.............................................................................................................. ..........................---•-•------------------•-•---------------.................................................... Date PermitNo.---••.........--••--•................•-•••-.----• Issued_...........-------i� ----------------•.........Date No................--... ' ..W.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH oV,., ..............oF................... ..... ... 1..+ BL ...................... for Disposal Works (fnnstrurtiun Frrutit Application is hereby made for a Permit to Construct (V\) or Repair ( ) an Individual Sewage Disposal System at: R,5-c Yb - �_ _ ..:4.0��. oG-scam... ....!� ..._... "- 5 '�S ! ............. o� \ ----- .- ............................................. np - Location-Address or Lot No. 4lA /1.... -,t.r—A................................... .....................•-----•-••--•-......... ............----.._......................._..... Owner Address .....................................r ,--... ---•-----_____ ... --•------------__-_____.......----...-----..__-•---___----------_.........-•-----...... Installer Address d Type of Building Size Lot__4 .S.QC)._Sq. f t U Dwelling'—No. of Bedrooms__Z_______________________________ __Expansion Attic A 0 Garbage Grinder ( 5 '4 Other—T e of Building No. of ersons____________________________ Showers — Cafeteria a .yP g P ( ) ( ) Q' Other fixtures ------------------------ : w Design Flow___. ,? ___S da..........gallons per person per day. Total dail�Y,flow_..___59.5________________________gallons. WSeptic Tank—Liquid capacity_I 11ons Length_.�Q"_ ._ Width._��=_Ate_. Diameter._.__—"...... Depth�'__j... x Disposal Trench—No_ ____________________ Width___._ ' -_______ Total Length.._-_...f•____._.__ Total leaching area....................sq. ft. Seepage Pit No....L-------------- Diameter._.1,0......... Depth below inlet...... ?......... Total leaching area___-7...sq. ft. Z Other Distribution box (ya, Dosin ank (0)0 '—' Percolation Test Results Performed by. Ps C --r .___ .._� C--..._____ Date__,,,.J`'__."20,1.'.2) aTest Pit No. .__._minutes per inch Depth of Test Pit.... 2......... Depth to ground water..�,1 = 6_nJ�a iLL�fl Test Pit No. 2_:L:Z.___.minutes per inch Depth of Test Pit.....�.�________ Depth to ground water_I`!os:_ kSQc�adr6:Z-&0 �+ •-------------------------------•- •-_ _...-� •---------•---••-••-------------•----------••-----• � ---------_---- •--••••-- Dw Description of Soil_... ' _w1_ ._.-----------!Z--- -- ------------- ..---------------------.......----------------------------------------------------...._......•. UNature of Repairs or Alterations—Answer when applicable............................................................................................... •----------------------------------•----•--•••-••••---•-•••---------••-•••._...-••-------•--_-•-••••-•--•....------•---•--•-------_._...-••---------•-•••----•-•-•-••------------------•..........•---- Agreement: E The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b d ar f health. Signe ...... ............................................................. Date Application Approved By . C � 63'"••____at Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------_ -------•---------------------•----------•---------------------•----------------------------•---------•---------------•••--•--•••-•-•-----••••-------•-----••------•---•---------•---•-••-•--•••...------ Date PermitNo........................................................ Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD CIF HEALTH ..........................................OF......................................I.........___._................................ uprrtifiratr of Toutplinurr _ THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------ y c nflc►g U----•--------- ^ Ins ll at / -- - ------ ----- ---------•------ ------------- --------- -•-••------- ----- has been installed in accordance with th1provisions of TITI �5of The', Sanitary Code as di c�i the application for Disposal Works Construction Permit No_____________ ........______.___ dated-...._--_-._-_. /__._________ .............. THE ISSUANCE OF THIS CERTIFICATE"SHALL NOT BE CONS RITE® AS A GUARANT E T AT THE SYSTEM WILL FUNCTION SATISFACTORY. f — F DATE............... ...I.... .............................. Inspector............. --••----- ' -•-•----------------•---•.................. THE COMMONWEALTH OF MASSACH SETTS BOARD OF HEALTH tO F..-----•............................................................................. �J.= No.......... s'�.?'S'"................................. FEE........................ Disposal Works Tonstrudion. Upivrmit Permissionis hereby granted..........f.-CA_c=..... ' ^ ---------------------------------------•---•-------.....-•------...-•---•---.........._. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System- - at No...........1-14.....-1: L = ►�!1------------------- Street 4as shown on the application for Disposal Works Construction Permit No______ _________ ed_____r�'1 -- - Board of Health DATE,:............ ----..............0 9J 1 I FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ' Log Number: - Bottle # n,-Ana Date:— A/Mr , Y v - ,�°f $ARCS BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT a 7 SUPERIOR COURT HOUSE v BARNSTABLE, MASSACHUSETTS 02630 Aso, DRINKING WATER LABORATORY ANALYSIS PHONE:,362-2511 EXT. 331 Client: Haskell Construction- Collector: Joseph A. Cappello Mailing Address: P.O. Box -1488 -Affiliation: Jos. A. Cappe '{o WeIl Urill Hunards bafy; -MA- UZ532 " Time'&"Date of Collection: ` a " 8/l/85, 7:35 a.m. Telephone: 8W-8881 Type of Supply: well water Sample Location: Lot 14 -Holfrldge Ln. Well Depth: 4 "arstons Mills Date of Analysts. - 8/1/85, IU:45 a.m. PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 (3 background) 0 H 6.0 Conductivity (micromhos/cm) 65. 500,0 Iron ( m) 0.4 0.3 Nitrate-Nitro en ( m) 0.12 10.0 Sodium m) 9. 20.0 I . Water sample meets the recommended limits for drinking of all above tested parameters. II . xx 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•xx Water may present aesthetic problems (taste, odor, staining) due to hiah iron 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 The Barnstable rnimIg up Ith aRJ €nvirenmentel REMARKS: Department shall not encl3rse any statements, 411-erpWations or conclusions made by anyone else concerning these results without written consen& CC: Barnstable Board of Health CC: Jos. A. Cappello Well Drilling '._ , '`yve 1 /7/85 Lab6oratory'Director 7 a r 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 the sample bottle through improper sampling methods. For this reason, it would be advisable to retest 4 7n well water that is not approved. pH 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 pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5. 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. 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 may be ocean water or road salt runoff water getting into the well. 4 E/'/-7 C_iAN!_' = 330 USE /.Soo "AL. /_ c�hd�4LPi%^USE /,roc d4L /u5I• ��.. � .��'���� �yt - \ W4LL A•L'E.4- ru 077oi+ AZc-A- - 77 S/GN pEeGOLA—/ow/Z4,,: T i '/z;/ /SL ��• //v 2 /�'j/n/• -rz 4E 55 vim,Flo y •y ' LAI e d-t;.\ 0 3 117 AP _ �• ram•- • !dam� /�� � �F /07 � l ./� Z ®:5 76. ID 7-, 4 - _- ---., Tye 'TEST /foLC n' U ti SU�T/�UL-b `A.bi�t-i1_�Y� / fL Vd tcv�sip �1r=.+ . /o _ 1ELE�I_/oZ.o 30 — /�' '•'G4C-��. ��/� ( /a>a SAL- /c�o �z rSl�\.</.4TOZ-D i 14.4 i 7/•!E �uu�/I�:/o✓SNG l*/t/ ��I,/ /fit=��2�� _ 1 '. CEan/ COnzj•S b �G't3.tt-�/�c4' - �, •''1a GF M��•.• j�f11•✓�-•rY.'L--- Z-- ws,/ut=/�jd/CA/5�.4>� ,4,'/p/5 .✓u r rJ`�H qF.��,L� ��Ea` as•f9c '�^�` �� �. G.aZr7 Ll/i /i✓ Tf/L- �I7/Xd/✓ %r WILLIAM �, ` PFTER C. �(n SU LIVAIi N Y E '^I Iu Va.29733 Nc.1 �lcd`iTCrL`-� ,��/�i��� { 9334 �—/ � lL.�il1� .. i f Norte THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH Appliration for Dispoiittl 10ork i Tunstrixrtion remit Application is hereby made for a Permit to Construct (X\) or Repair ( ) an Individual Sewage Disposal System at: �-{ # 3 D n Loeation-Address or Lot No. . ..........--....__.._............_...._.__-_—-------- ._.-. ` I0�y �_ _.___._._—Address Installer Address �- Type of Building Size Lot-` 4� ...Sq. fept U Dwelling—No. of Bedrooms-_�----------------------------------_Expansion Attic "o Garbage Grinder S Other—T e of Building No. of persons---------------------------- Showers —Cafeteria wOther fixtures -------------------------------------------•------•---------------••----.._-.------•-------------•-------- --•---------------_--------------- d , Design Flow___-SS ----------gallons per person per day. Total daily flow------A947__-------------------•....gallons. PSeptic Tank—Liquid"capacity-LSCCilallons, Length__�Q-.fc_.Width_ -F—L_Diameter- ------Depths-`#:.. xDisposal Trench—No---------------------Width_--.-_-_Total Length--------- _ a Total leaching are ..----------------sq.ft. Seepage Pit No._-1-_.... Diameter.__-k�---------- Depth below inlet.... -.- a____Total leaching area ....sq. ft. z Other Distribution box gll5 Dosin tank Percolation Test Results Performed by (�---------- Date_ .'7-Q^1::_!E1 __.. 1� Test Pit No. 1---/___Z_____minlltes per inch Depth of Test Pit-.-_t2......... Depth to ground water._ czT a o� �14 Test Pit No. 2:.LZ____minutes per inch Depth of Test Pit-----1_ ......... Depth to ground water.AA_1 EUtilL; t&kTU;Z:t70 a' ----••------------------------•-..----•-- _ -._.-------•-----------_ -- -- ------ P ._...... -----••-•�--=_Z-----� `''� -- - O Description of Soil__._.. wl=.._ .__._ !cam_ - - - 1-2 L_ -&-�----•-�� ! ---------------- -------------------- c ------------------ 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 —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has a of health. Sid... .......... ................ ------------ Dae ...---•"_.(el Application Approved B _ Date. Application Disapproved for the following reasons:_----------------------------------------------------------------------------------------------•-------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- > Date PermitNo...................-............--...-...-_. — Issued._........................... Date �.a THE.COMMONWEALTH.OF-MASSACHUSETTS BOARD QF HEALTH Tertifirate of Tnmplittnrr 'V THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by-._------------- --------------- --- -----------•-- - --------------..................................................-...... - I"It s Iler // __(_/ qa h,� at................�.. z- 4------_L-q....-_ i �c�`-j� -`-� 1-)t\- has been installed in accordance with the'provisions of TITIE 5 of The Sanitary Code s the application for Disposal Works Construction Permit No_________________ / THE ISSUANCE OF THIS CERTIFICATE.SHALL NOT BE CONS RUED AS A G-UARANT T AT TIME SYSTEM WILL FUNCTION SATISFACTORY. DATE. ._..._....-� -'-1----� ...__....---- Inspector.. THE COMMONWEALTH OF MASSACH SETTS BOARD OF HEALTH NO.......... .......................................0 F..................---.......-----................................. yT�=75� Disposal 19arku Tnnstruaion lfrrmit Permission is hereby granted---------- C:-_._I� _ nnFl_ ...----•-••------- ------•------------------__....--••---......._.........-•---• to Construct ( ) or Repair,( ) an Individual Sewage Disposal System- at No.---------- q-.-.---1: .I ---- street ,—,- as shown on the application for Disposal Works Construction Permit No �� .................... DATE__-- 29 j.IC1 Board of _ F1:eZlth.,• ___._.__.___-.__ -.- --•---------------------•------------ FORM 1255 HOSES & WARREN. INC.. PUBLISHERS rtl� r AC dG� ziL�✓�E/� - I "//aX 3 --._L .7_�=.✓ _.g�;o- �oCRD. X/5D � la3 3- - �/�d11L/�i-^lJSC- /,mo GdL /oSl: ��;'� �/� _/oZ •/j�n.J� ��� �`•� G�way- SfS 5.s=. X �TAL G£5/6✓ = 541/ G/�D /:Zr -+2 LESS v Z •Z -j j l J TN. 1b Ji 9$•� fin/ •�` /oz®/ ` -� , tq� j d , 75 93 7 z s U 7. TEST �JoLc IEC1lOJG qcl, u�ssuTJ�'�Lb n\KT1uaL //-U //S/3 �nfL�c1 AZOusep 5YS G1t-\« ` <f i-a»r ctu�2 ICLE�/_/oZ-o /w41'/o/Z 1AA1 e-1 FA E L 2S � 71447-7PE /�✓5f/Gk/�/ ��/y, ,-v� _`2G^• . ZEo / W,7.CLTHF SOL-u/E -k/Ui-/te a .41/O/5.✓U 1,�of ��c` r a���,n�F n ." T�f�✓��r.t_ ��Us caZa1�/,7W/,t/:T7/E /z WILl1AM PiTER � C. M�� �� SULLIVAH N E fto.29733 Gti�TElZ�� _ I j '7 -- �/C ,DEN&1933340 o �d V7 QfSTEP.04� � SYSTEM PROFILE MALL AR ED WITH COMPON NTTAPSHALL E OR BE NOTES COMPARABLE MEANS FOR FUTURE LOCATION. 9�� a PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) 1. DATUM IS ASSUMED ` ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE FCONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS EXISTING AT LOCUS TOP FOUND. EL. 75.5' FILTER FABRIC OVER STONE \ \ MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 66.0, - 67.0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Mystic Lake NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST osP� PRECAST H-10 BLOCKS OR THICKNESS REQUIRED UNITS TO BE AASHO H- ( Locu RISERS (TYP.) PRECAST RISERS 2'0 4"0SCH40 PVC MORTAR ALL H-10 . . PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. + PROP. TEE 4' (TYP.) 4' TING ENDS SIDES 61 .0' e 10" 1500EXISGAL H-10 14" P a 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE TEE SEPTIC TANK** TEE *� °o°°°°°° ODD® 0��� O°��� ���� °°°°°°°° WITH 310 CMR 15.000 (TITLE 5.) 66.35t °°°°° ° o00000000 � 0 0000 � 000000 ,°°°°°°°° fiddle Pon o 0 0 0 0 0 ° o ° ° 00000aaoa�a 0000�aoaooa ° ° °°° 7, THIS PLAN IS FOR PROPOSED WORK ONLY AND 00000o MIN 6" SUMP p , ° ° ° ° , ° ° ° 0 0 0 0 0 0 " �a0000aoo�a oo�oaoaa�oa ,°°°°°°°° GAS BAFFLE .." MIN. 12 INT. DIM. °o°o°o° oaaaoao�oo� oaaoaao�oao °o°o°o° NOT TO BE USED FOR LOT LINE STAKING OR ANY 60.37' 60.2' ° ° ° ° ° ° ° ° 58.0 OTHER PURPOSE.°°°°°°°° ° °°°°°°°° a L H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (3) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR �\ ALL AROUND PRECAST STRUCTURES p� �Q, 6" CRUSHED STONE OR MECHANICAL ALL DIMENSIONS TO OUTSIDE OF STONE: 33.5' X 12.83' CONCEALED WITHOUT INSPECTION BY BOARD OF ,�, COMPACTION. (15.221 [21) HEALTH AND PERMISSION OBTAINED FROM BOARD � OF HEALTH. ( 12 SLOPE) ( 1 SLOPE) 10. CONTRACTOR CALLING D GSA E (1 SHALL BE 344 720 3) ANDNSIBLE LOCUS LOCUS MAP EXIST 50' , LEACHING 53.0' BOTTOM TH-2 VERIFYING THE LOCATION OF ALL UNDERGROUND & FOUNDATION SEPTIC TANK D BOX 12 FACILITY NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE WORK. **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT ASSESSORS MAP 81 PARCEL 10 *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL 11. ANY UNSUITABLE MATERIAL ENCOUNTERED UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE SHALL BE REMOVED 5' BENEATH AND AROUND THE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON H-10 SEPTIC TANK IF NOT SUITABLE. PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN TEST HOLE LOGS SAND. ENGINEER: DANIEL E. GONSALVES, SE #13587 WITNESS: DONNA MIORANDI, RS VACANT DATE: 7/15/14 � o° c� RATE _ < 2 MIN/INCH � SYSTEM DESIGN. PERC � �o GARBAGE DISPOSER IS NOT ALLOWED (TO BE REMOVED) CLASS I SOILS P# 14421 0 EXIST. 4 BEDROOM DWELLING ELEV. ELEV. DESIGN FLOW: 4 BEDROOMS ® 110 GPD = 440 GPD O'o 66.0' O" 65.0' USE A 440 GPD DESIGN FLOW A A BENCHMARK: C. BASIN AT __ ----___ \ SEPTIC TANK: 440 GPD (2) = 660 ELEVATION 60.T >> /71.20� 80.28 �--160' OFF WELL \\.�_N 7+JL **RE-USE EXISTING SEPTIC TANK /LS LS , i 8 10YR 4/1 8 10YR 4/1 �0.31 \? 1 B B .74 69 \ 9.97 \ /�73.97 �. LEACHING: PA / / EXIST. SIDES2 (33.5 + 12.83) 2 (.74) = 137 GPD /LS LS 6 . 7 DRI AY 7 .59 // DWELL. /V, 10YR 5/4 10YR 5/4 6 22 6 66 1 69.03 // TOP FNDN. EL. .73.6s i N ��\ BOTTOM 33.5 x 12.83 (.74) = 318 GPD • 3. 3 �X 0.85 Y! 2.81 75.5' TOTAL: 614 S.F. 455 GPD 15" 15» i •70.8� .73. 8.,-7 76 �'�9.57 / • 73.62 /// 7 . 7.34 USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) C1 C1 `� 6 .46A 9// �' WITH 4' STONE ALL AROUND (H-20 LOADING) /LS F�LS \\62 5 / 7.88 9.86 O O 67 72.47 .0 F 72. 72� 64" 1OYR 6/8 60.7' 60" 10YR 6/8 60.0' (+\)0.66 \ gym.' 2.0 s IST. 1x.89 �-\ \ \ \\ \ 67.9 X .26 4 71.51 TO LAWN �1/ PERC C2 C2 \� \\\ /S/O 816 TH2 p P 68.9 . 70. .771 .2 / \ \\& LO TI0 LA 68. 69.57 M/CS M/CS \\ F \ A7 o MA 66. APPROVED DATE BOARD OF HEALTH ' 144» 2.5Y 6/4 54.0' 144» 2.5Y 6/4 53.0' \\\ \`\\ << � � �\ 65. � � 6a�� � 66 5.89 TITLE 5 SITE PLAN 6 f �44' NO GROUNDWATER ENCOUNTERED � �� F� � i 6 66 6j� OF \ \\ I 90 ��\ `S _ 4 VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE ��\ I EXIST. WELL 340 HOLLIDGE HILL LANE IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR BY HEALTH INSPECTOR I HYDRANT of i ��� MARSTONS MILLS PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED BY THE BOARD OF HEALTH REVISED DURING A PUBLIC 01 �'" 8--_____.__- PREPARED FOR M PROP. VENT WITH CHARCOAL FILTER HEARING HELD ON AUG. 4, 2009 r_I CONTRACTOR WITH(FINAL HOMEOWNERMENT BY ; BORTOLOTTI CONSTRUCTION/COREY 1) FAILED SYSTEMS ONLY SAS TO PRIVATE ONSITE WELL � CONSULTATION) ` •65.28 SEPARATION DISTANCE VARIANCES, IF LOCATED IN THE SAME ; �\ r`u REV. 11/20/14L(NOTE, VE T IN PROFILE) GENERAL LOCATION AS THE OLD SAS AND MORE THAN 100 r "� OF MjScgC off 508-362-4541 FEET SEPARATION IS PROPOSED BOTH FROM ON-SITE WELL AND tN ANY AND ALL WELLS ON ADJACENT AND NEIGHBORING PARCELS. I ' DANIELA DANIEL times fax 508-362-9880 � \\ ,LA G � \�, I 3) FAILED SYSTEMS ONLY SOIL ABSORPTION SYSTEM flJA A. downcape.com\ OJALA 1 U INSTALLATIONS PROPOSED MORE THAN THREE FEET BELOW / \ 71510 L a No 40980�l down cape e# Ifleering lac. GRADE WITH PROPER VENTING PIPED TO THE ATMOSPHERE / \ �' 1 �° �� ( ) \ o, F ��ss�o / EXIST. WELL �� tsT> t e (�` civil engineers AND WITH H-20 LOADING, BUT IN NO CASE SHALL THE SAS / �� ss,o �,` suRv ! >. BE LOCATED MORE THAN SIX FEET BELOW GRADE. % Scale: 1 = 30 �\ C �` I NAL E � � land surveyors - 9J9 Main Street ( R to 6A) !/ o 15 30 45 60 75 FEET \`. DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 > 4- 149