HomeMy WebLinkAbout0022 INDIAN POND POINT - Health 22 Indian Point, Marstons Mills
083-010-002 Lot 2 I
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�2-, " TO �OF BARNSTABLE
LOCATION L6 ,A- :7;I6oP4rJ pv'og3 'SEWAGE #
VILLAGE /7-9 +M /UZ ASSESSOR'S MAP 6z LOT
INSTALLER'S NAME & PHONE NO. � °`��
SEPTIC TANK CAPACITY /.50"0 jaz
LEACHING FACILITY:(type) v a D s'a/Q (size) ILI U
NO. OF BEDROOMS RIVATE WELL R PUBLIC WATER
UILDEA� R OWNER 77
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETT
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Mjpoottl HIorlto Tonotrurt"tun thrmit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at: *%�L
.......... .1.....2............................................. or .... �AV'5�7 �5..•--•....--------------------
_ Loc36011 Address or Lot No. "
a f•�� O�cncr Address
.....................................
-----
- _7457-.... ..��---.--I-----14-------- ..............................
Installer Address
UType of Building Size Lot..__.SZ`� _(.._..Sq. feet
.-t 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 dail flow..____......._��..._.. ................gallons.
WSeptic Tank—Liquid capacity.._ Q.gallons Length__l�_�_�'.'�__ Width_��...`.�`_._ Diameter................. Depth_..S`$.`
x Disposal Trench—No.3._ �.o!�Width.let... _ Total Length------�� .�._. Total leaching area___-'?.2!-: sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet-................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......... .�... ._ 8`t3- ,v..........
----------------- Date....._...---........--
Test Pit No. I...G....*'-_._minutes per inch Depth of Test Pit......i.` `{ Depth to ground water....... /h
Test Pit No. 2.....`_ _minutes per inch Depth of Test Pit.._.�`f`P__.. Depth to ground water.........
�+ ---•....................................•------------------•---•---•------------------•----•-.---............................................................
Description of Soil_.. ....... ...
2 ..................-1-5 �'i --- --�--- •--M--------— --1-----�=1--S�r.-��----
U -----------• -. - --------------------- -••-- Q f --------•---------j--• ?'`� ° ` 1------`�°`'''� `r•f•-...
W .............LvP>--��.-s- ° ---- ......f----------�"`......----....... ,.ro----•--------------------•-•------•-......._..-•---•----...------....
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 Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance s een issue y board of health.
Signed ....... ......... ............... .......................................... ................ .. .
Date
Application Approved By ------.... +��-.�-�..�... ............................ .................---.................. ...../.f.: ...' .-..
JDare
Application Disapproved for the following reasons: ............................... . ... .................... ............................ ..................................
....... ............. ..................... . ................... .........:......--------.................... .... ...........................----------------- ----------. *.......................
Date
Permit No. ...73......�.I -�...................... Issued .... . ...................................................
Date
V/— L/,/ r kA
No.. ..... J ) k'�$... o...........
P �� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH E TH
TOWN OF BARNSTABLE
. pphration for .Diripwial Wnrk.6 Tomitrnrtinn ramit
t
Application is hereby made for a Permit to Construct� or Repair ( ) an Individual Sewage Disposal
System at:
� Lorttion-Addressor Lot No.
—�•��rl L�� ."�-------------------•----.
►. �Owner , Address
� .o Jw o. A
. . --------- ........................... .----- ..............................
Installer Address d G� �E^O Type of Building Size Lot.................... .....Sq. feet
V DwellingNo. of Bedrooms................•--_--_--.-... . - .Ex Expansion Attic Garba a Grinder
pa Other—Type of Building ---------------------- ----- No. of persons............................ Showers ( ) — Cafeteria ( )
G3' Other fixtures ------- ------------------------------------------ -
W Design Flow...................Sy-.--.•..-.-_...gallons per person per day. Total daily flow...-........_-3......�................gallons.
WSeptic Tank—Liquid capacity.-554-gallons Length. ?.'.'-.:".. Width-$Y.`..e..... Diameter................ Depth....S.-5_-'
x Disposal Trench— No. 'Z..EE Width-A....EffE. Total Length--..... _.... Total leaching area---- .�<-: sq. ft.
3 Seepage Pit No........... ...... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by..--.-.-��µ?"� 11G!.ct______ ____ 8
a --------••--•--•--• Date------ ...............................
Test Pit No. I...L....Z..minutes per inch Depth of Test Pit...... Depth to ground water.......N!/3
Test Pit No,2....L.Y._minutes per inch Depth of Test Pit...... ..... Depth to ground water........................
x ----------•-------------------------------------------------------------_------------....------....--.........................................................
0 . 1� p o-�2" �� -r 5�1,3 • 12' 1`-4`( !
Description of Sotl s ------- ---------- --• -------------•••--••--••----•-..
v ......�...P�.c.-S.---------- -�.....-------•0---Z`--- of...!...... ��----a------2`�---_•-��----......................................... -...---
W ••---•--••--- '3 r_.. s- ...�.---•... °'.... .......�----•------""•fin,..... ......"-------------------------•-----------------------------------.......----.....
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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance h-as been issued,'By the board of health.
:. ...;/`..fEi� .:. _ .:.::.. XeVA?lI-
.... 3
-- Dare'.
k Application Approved By .......C� _---. ...
......................... .. .................................. ...../../........
Application Disapproved for the following reasons: ................................-
......................... . ... ................................. ........................................................ . ...................................................... ......................................
»a
Permit No. ..... ��----`--- .../...... ----------------------- Issued .............................................................
e......
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
V ertifira e of Compliance
'i THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( )
b
IInstill,
..-..1 . . .- -�a.�`-......�..- �'t ..-.... ..,....j - - -
at ..._.....�_.'17�.- .....................
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. .__�..73-------5-...-c/.�/. dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
1
DATE V... .. Inspector ........ ..._.. ----- 1�., LG,>... .......
_----_------_-- - ------------- ------_,-------------- ---_•_---------•-'_�1
THE COMMONWEALTH OF MASSACHUSETTS 1
`3— O /U t1U�-
BOARD OF HEALTH
No....C1�_ � TOWN OF BARNSTABLE
.......... . � FEE...... C��,.----
Disposal Workii Towitrurtirin "rrntit
Permissionis hereby granted-----------_----------------------------•------------------------------------------------------------------------•--------------.---.-----
to Construct (�l or Repair ( ) an In ividual Sewage Disposal System
at No....................... ----.. ... .....�-� ...... .. r_..... 1
.-... ......zl ........•----•---------. •----•-•-•••..............
�St eIt po
as shown on the application for Disposal Works Construction Permit No._Z- _.—, Dated...........................................
......................... -
Q DATE............ �-------�'--=--(-----------------------•-----------...-•----
Board of Health
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS '
I
Bottle Number: B72C Date: 10/28/93
BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
SUPERIOR COURT HOUSE
�7 BARNSTABLE, MASSACHUSETTS 02630
o •
A 5e.7 PHONE:362-2511
LAB 337
Client: PRATT, NIEL Collector: C STIEFEL
Mailing NIEL PRATT Affiliation: BCHD
Address: 42 CHASE ROAD
EAST SANDWICH MA 02537. Type of Supply: Private Well
Telephone: Well Depth: Not. Reported
Sample Location: 2 INDIAN POND POINT ROAH.te of Collection: 10/25/93
Town: MARSTONS MILLS Date of Analysis : 10/25/93
PARAMETER SAMPLE RESULT RECOMMENDED LIMITS
-----------------------------=-------------------------------------------------
-------------------------------------------------------------------------------
Total Coliform Bacteria/100mL 0 0
pH 6 . 4
Conductivity (micromhos/cm) 70 500
Iron (ppm) < 0 . 1 0 . 3
Nitrate-Nitrogen (ppm) 0 .1 10 . 0
Sodium (ppm) 10 20.0
Copper (ppm) < 0 .1 1 . 3
'BASED ON THE ANALYSES PERFORMED, THE FOLLOWING ADVISORIES ARE GIVEN:
*Water sample meets the recommended limits for drinking water
of all above tested parameters .
I
Thomas F. Bourne, .Laboratory Director
i
. I
BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT
VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS
lient: NIEL PRATT Collection Date: 10/25/93
ailing Address:42 CHASE ROAD Date of Analysis: 10/25/93
EAST SANDWICH MA 02537 Type of Supply: WELL
Well Depth (FT) : 61
Telephone:
Sample Location: INDIAN POND POINT LAT. (DDMMSS) : Not Given
BARNSTABLE LONG. (DDMMSS) : Not Given
Collector: C STIEFEL Map/Parcel : LOT 2
Affiliation: BCHD
Analytical Method: 502. 1=1 , 502 . 2=2 , 503 . 1=3 , 504=4 , 524 . 1=5 , 524 . 2=6,
502 . 1/503=7
Contaminants Anal . Result MCL Detection
Detected Meth. ug/1 ug/1 Limits (ug/1)
----------------------------------------------------------------------
Chloroform 2 68 . 0 r 0 . 5
Only those compounds listed above were detected. Attached is a list of
foompounds for which this sample was analyzed.
NOTE: Contaminant levels equal to or exceeding the Detection
Limits are reported.
MCL means Maximum Contaminant Level for EPA-regulated
compounds . (ug/l = micrograms per liter = Parts Per Billion)
The Environmental Protection Agency has set Maximum Contaminant Levels
(MCL) for the following compounds . This sample compares as follows:
COMPOUND MCL (in PPB)
Benzene 5.0 * level not exceeded *
Carbon Tetrachloride 5. 0 * level not exceeded *
1 , 2-Dichloroethane 5 .0 * level not exceeded *
1 , 1-Dichloroethene 7 . 0 * level not exceeded *
1 , 4-Dichlorobenzene 75 * level not exceeded *
1 , 1 , 1-Trichloroethane 200 * level not exceeded *
Trichloroethene 5.0 * level not exceeded *
Vinyl Chloride 2. 0 * level not exceeded *
Comments or additional compounds found:
Thomas F. Bourne , Laboratory Director
Fee--- -��----- -
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zipprication-*rVell Conotruct ion Permit
pplication is hereby made for a permit to Construct ( ), Alte ( Apr Repair
�
( , i l dual ell at:
- — -nc� - ---------- D3U- �--Z' —
Location-- — Address Assessors h M p and Parcel 471 R ----- -
O er Address p
Installer — Driller Address
Type of Building
Dwelling— ------—--- — — --- -
Other - Type of Building--------------- ------- No. of Persons=--------------
-----------
-------- Capacity - _---Type of Well-------�-------------------------------------- P Y--------------------------------
-------------
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 as Certificate of Compliance has been issued by the Board of Health.
Signed- �lGr7 1�=:—llG 4 —------ —;�-4 •
date
-
Application Approved By — -----
---------- — —
date
Application Disapproved for the following reasons:--------------------------------------------------------- --
date
Permit No. ------------------- Issued------- _—
date --
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO CERTIFY, That T Individual Well Constructed ( ), Altered ( ), or Repaired
by—
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 Permit -------Dated-------------___
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE——- - -- -------—------ -- —- Inspector___ -- -- ---—-------— ---—
No--------------------- Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zpprication-*rVell Cou5tructionpermit
-application is hereby made for a permit to Construct ( ), Alte; (17),mor Repair (� )an individual �elllat:
Location — Address Assessors M p and Parcel
O ner Address
E - - 5f` ty e 1->
Installer — Driller Address
Type of Building
Dwelling--------------------------- - - ---------------
Other - Type of Building------------------------------------- No. of Persons--------------------------------------------------------
Typeof Well- --------------------------------------------- Capacity-----—--------------------------------------------------------------------
Purposeof 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—— ---— --- --- - -- --- / G-- 9�
----------------------------
date
Application Approved BY- -�^' �date
----
Application Disapproved for the following reasons:--------------------------------------------_-----_--------_----_---__-----------------_-___________-
date
Permit No.-- "9 - Issued —'f41
'�'/�-r- -----------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate ®f lCompriauce
THIS IS TO CERTIFY, That t e Individual Well Constructed ( ), Altered ( ), or Repaired
�✓� q-►✓ ------------------------
---------------------------------------------------------------------------------
Installer
at-----------0— - `y r - `'�'"`' �°C�rl c� 1� ll
has been installed in accordance with the provisions of the Town of Barnstable Boardof Health Private Well Protection
Regulation as described in the application for Well Construction Permit N6� �--" d� � ^-
-------------Date ----------------------------
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 (Cou5tructioupermit
lv" ��
No. ---------------------- . Fee-- `-��- -
Permission is hereby granted-- - - - -— — ----- - --------- — —--
to Construct, Alter( )q, or Repair ( ) an __dividu 1 Wei at-
---------------
Street
as shown on the application for a Well Construction Permit
� I y - —- —- - Dated - ��� - - -- � -
No.- �'.-- ---
Board of Health
-- - ----------
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