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Home My WebLink About0036 INTERVALE LANE - Health 36 Intervale Lane Martsons Mins A= 043 — 019 I W Lane , is Mills P All llll UPC 12943 No. 53LY POST• 0 C hRSTIfJGS, fez ' I Page: 1 CERTIFICATE OF ANALYSIS ti Rt� . ..c>;,. Barnstable County Health Laboratory Report Prepared For: Report Dated: 8/7/2008 George Shalian Order No.: G0848461 36 Intervale Ln, Marstons Mills, MA 02648 Laboratory ID#: 0848461-01 Description: (water-Drinking Watcr Sample#: Sampling Location: :26 Intervale Ln..Marstons.Mills,-MA-7 Collected: 8/6/2008 Collected by: G.Shalian Received: 8/6/2008 I Test Parameters ITEM RESULT UNITS RL MCL Method# Tested Total Colifo-m Absent p/A 0 0 SM9223 8/6/2008 - -------- -------...— -------- --- -- -- _ 1 -- --- - ----- -- ----- ....._ --.-.. Approved By 11"MIL ector) w to + rn ca Y O __, Q1.) t --'-) iC.) -¢ .� o 0 cv ND None Detected RL = Reporting Limit MCL Maxinnun Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 IFF �CA � F (3r Ali AIL SAS" Page: 1 0 . ; Barnstable County Health Laboratory rtciat5 � Report Prepared For: Report Dated: 8/l/2008 George Shalian l� jY // / Ot'drVr No.: Gt�84f3251 36 intervale Ln. l fJ l I Marstons Mills, NivA 026(8 Laboratory ID#: 0848251.-01. Description: Water-Drinking Water Sample#: Sampling Location 36 Intervale Ln.Marstons Mills,MA Collected: 7/30/2008 i Collected by: G.Shalian Received: 7/30/2008 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen 0.30 mg/L 0.10 10 EPA 300.0 7/30/2008 Copper 0.20 mg/L 0.10 1.3 SM 311113 7/30/2008 rfun ND mg/L U.i U 03 SM 31 118 7/30/2008 Sodium 9.5 mg/L 1.0 20 SM 311113 7/30/2008 Total Colifor n Present P/A 0 0 SM9223 7/30/2008 Conductance 80 umohs!cm 2.0 EPA 120.1 7/30/2008 pH 6.6 pl-1-units 0 EPA 150.1 7/30/2008 'Reeomrnenidcd maximum contamination level exceeded due to Coliform.Bacteria. Retesting is recommended. e Approved J ��✓✓✓ 'F Jj �_--_ —---- /j (Lab Director) �S e C= c < C ft > N CO r M ND-None i)r•,U"cle.d RI = Rep,-)rting i.,imit MCL M:u;innu111 Contanninar,t Level Superior Court House, PO.Box 427, Barnstable, ',V.I,k 0 030 Ph: 508-375-6605, � i } i i i°t. ' � rye i �!' f + i . i i 1 cx: 1,^ � ., � �� -� :,-: i CERTIFICATE .OF ANALYSIS Page: 1 Barnstable County Health Laboratory �ssy My i` Report Prepared For: Report Dated: 12/14/2606 George Shalian Order No.: G0639039 36 Intervale Ln. Marstons Mills, MA 02648 Laboratory ID#: 0639039-01 Description: Water-Drinking Water Sample#: Sampling Location 236 Intervale Ln.Marstons Mills,MA Collected: 12/13/2006 Collected by: G.Shalian Received: 12/13/2006 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen 0.19 mg/L 0.10 10 EPA 300.0 12/13/2006 Copper 0.13 mg/L 0.10 1.3 SM 3111B 12/14/2006 Iron BRL mg/L 0.10 0.3 SM 3111B 12/14/2006 Sodium 8.9 mg/L 1.0 20 SM 3111B 12/14/2006 Total Coliform Absent P/A 0 0 SM9223 12/13/2006 Conductance 80 umohs/cm 2.0 EPA 120.1 12/13/2006 pH 6.6 pH-units 0 EPA 150.1 12/13/2006 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By- _ (Lab rector) f �7E rV vF C,-I MCL=Maximum Contaminant Level RL = Reporting Limit Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 /� �-e.�S � �' �� if L 1 of ate , CERTIFICATE OF ANALYSIS Page: 1 i 4 Barnstable County Health Laboratory Report Prepared For: Report Dated: 12/3/2003 i Order Number: G0323400 George Shalian MAP 36 Intervale Lane PARCEL, Marstons Mills, MA 02648 LOT Laboratory ID#: 0323400-01 Description: Water-Drinking Water Ss.mple#: 23400 Sampling Location: 36 Intervale Lane,Marstons Mills Collected 11/3/2003 Collected by: G.Shalian 043-019 Received 11/3/2003 Routine ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates 0.3 mg/L 10 EPA 300.0 11/4/2003 LAB: Metals Copper 0.3 mg/L 1.3 SM 3111E 12/1/2003 Iron 0.1 mg/L 0.3 SM 3111E 12/1/2003 Sodium 9 mg/L 20 SM 311113 12/1/2003 LAB:Microbiology Total Coliform Absent P/A Absent P/A 11/3/2003 LAB: Physical Chemistry Conductance 71 umohs/cm EPA 120.1 11/3/2003 pH 6.1 pH-units EPA 150.1 11/3/2003 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. i Approved By: (Lab Director) .4 i!', +.e`' rat i`,-3`•.t2�: 1 t Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 LOC_Q_T_I.ON 5EW C;E PERMIT UO, .UI-L-DER-S A,T E C.O M- -RL.1_Q.t�l '� _ � .. � � is ,,.. ,� ,, �� _ �_. _ d; , . `.K .. q } Ole No.. ......... f .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---...oF..6#9.R ,5TR8Lr.......__--------------------------- Appliration -for IN-s aaiitti Worka Ta witrurtiaan Vrrnift Application is hereby made for a Permit to Construct (+/) or Repair ( ) an'Individual Sewage Disposal System at: ...........�_4h%---e—R-V 6L E..--4.1911Y ------------------ ..............0-T...1 g:R------------------AEM,5..Tq Locati n-Address i Owner Address Installer Address E1 d Type of Building Size Lotto/>-� . --.Sq. feet U Dwelling No. of Bedrooms,--.. .. ..-------.Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building 2.1. -.- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) QOther fixtures ------------------------------ _ W Design Flow............... L---..-..-.--.--.--..gallons per person per day. Total daily flow........---- -_. --. .gallons. R; Septic Tank:—Liquid capgcity� --gallons Lengthy-tom-.. Width.` . ....- Diameter----n-------- Depth.!�, Disposal Trench—No-------------------- Width.................... Total Length------------_------ Total leaching area.._...------------Sq. ft. Seepage Pit No....I-----.-_ ..�-_- Diametern._ri- z -/---- Depth below inlet..' -.c D..?J _4. ," ...... Total leaching area/ ', _ t. Z Other Distribution box ( ) Dosing tank ( ) 0h 4 /0 612h aPercolation Test Results Performed bY---------- -------=---------------•------------------•--•----------•-.... Date--------------------------------------- Test Pt No. 1----------------minutes per inch Depth of Test ... Depth to ground water.. -Z(!!9--- ---. Test Pit No. 2----------------minutes per inch Depth of T st it.....-........."th to ground water.-....-..-..._ ---------- 0 Descri tiQn of oil - L:�t 5 �5 p ,/ x , ..d.=� =' _ Z�{ --- ----ate �.� � /- -- .... ..{ . w -- �- G - 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 Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b the board of hea th. _�1gnC�--•--•-,- - ----�-��—/ -•�---•--•------------------- - Date' l•-/-..� Application Approved BY ,a. --•--- l�`' ...... 7�' Date Application Disapproved for the following reasons------------------------------------------------------------------------------------------------------------- •-••---------••-•--- -------------••-------------------------•-----------=---•---......-.--•---------..-.-•--•-----••-••---------------------------------------......------------------. ---------- Date Permit No......................................................... Issued..--- 2----- l r `� f Date ��,_---_--- ------------- ----------- -- - T No.--- d Finc... 1J................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..................................... ................................................ Appliraatioat -for Disposal Vurks Cnonstratrtion Vrrmft Application is hereby made for a Permit to Construct 44 or Repair ( ) an Individual Sewage Disposal System at: --------------------------------- L ddresj �V Owner J I Address Installer Address r — �� , > S feet Q Type of Building Size Lot_-__ _.�_.._. �.�... q. Dwelling No. of Bedrooms................................ ........Expansion Attic ( ) Garbage Grinder ( ) p-t Other—Type of Building _Zllj .. No. of persons................. ...::::.. Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------4------------------------------------ W Design Flow-------------- __________________•__gallons per person 1)erday. Total daily flow...........4-__ -W......^"...._gallons. WSeptic Tank—Liquid capacitv��Z gallons Length t__f__= . Width6 ..�._ Diameter................ Depth._6_7_-__�_ x Disposal Trench—'= o...................... Width.__.--_._-_-__:_-__ Total Length.................... Total leaching arc a_____-_-�-___�._�__y yy��A ft. Seepage .Pit No.....�.......__.. Diameter...O_.�F'.. Depth below inletl—o.1 Total leaching area_�C1`9'//_._G��r— Z Other Distribution box ( , ) + Dosing tank ( ) ®b 0 e /d -,X ct_ 7y. aPercolation Test Results Performed by------------------------------------------------�--------------------- Date---------------- -- Test Pit lo. 1________________minutes per inch Depth of Test Pit.-�l = J. Depth to ground water- (� Test Pit No. 2................minutes per inch Depth of Test Pit____-__.._..___ _ th to ground water...................... `...... --- = - : ,�,, � a. -------------------------------------------------------- (�K�'� - D Description of Soil_`C! ~� _ `L! _.�-. - -_-. F -,-•-•--- - w �• -------------------------------------------- UN tur*`o?Repairs or Alterations—Answer when applicable------------------................................:............................................. ------------------------------------------------------------------------------•---•------•---------------------------------------------------------------------------------------------------•--- Agreement:. The-undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the:provisions of Article XI of the State Sanitary 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. - tee- 1 `' i i ___ ___________________ _ Iva tgne _ Application-ApprovedBy____- :. Da y� { — {("` L..Datee Application Disapproved for the following reasons:............ -" -----------------• ------ ------------------....---- Date Permit No..................................................... _ . .. issued..... �`'--6--/--�-:::--�•�--•--- Date THE COMMONWEALTH OF MASSACHUSETTS rt BOARD OF HEALTH � w 'Z .........OF.......... .... .............................. Trrfffivaate -of T I TO at:the.Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-.- -- - --- .... =is- . Installer at....... -- ---`�--rl-------- ----- --- .--- .- .• -f_ - •-•- .'.- has been installed in accordance with the provisions, of Article XI of The State Sanitary Code.as described in the application for Disposal Works Construction Permit No-------- ' �_.. A............ -------------------- dated---. .J-_ 7 THE. ISSUANCE OF THIS CERTIFICATE SHALL'NOT'BE CONSTRU SAG. RANTEE THAT THE SYSTEM-WILL FUNCTION SATISFACTORY. DATE..........�--�---�.__...1----•�----------- •--------- ....{.... Inspector............ .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH NO..#�CC �+, �j°u,�1-i........O F..._.... --------------------- .r-D...,. � ......... FEE..... -•- ....... Bi pupalAd� k t ilaat Prr'ti# Permission is h reby granted-_ to Construct ( o Rep r ( ) an I Sew e Disp al Sys jl at No Street as shown on the application for Disposal.VV;orks Construction/�P No__.._ : ... _. Dated_/�.-_ yT ............. oard of ealth FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS DATE-----='��..�....-/----....�- ---------=------=-------------•---- per. ' /O /I • `s No. Fee--- --=—'----- BOARD OF HEALTH TOWN OF BARNSTABLE 01pp[ication,forVell Con0ructionPermit N3 p 19 Application is hereby made for a permit to Co struct ), Alter ( ), air ( )an individual Well at: - - � - -S- ' --------—- -- ---- Location — Address, Assessors Map and Parcel ------------ caner Address ...... ��-----wner — —-----—------------------ -------------- Installer — Driller Address Type of Building Dwelling-------------------------------------------------------------- Other - Type of Building--------------------------------- No. of Typeof Well— -—- -� —p---A - -— - - - 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-- - - -- --- - ��-�— v V -- —— —— date Application Disapproved for the following reasons: ---------------------------------- -------------------------------- ---- ------- --------------------------------------------------------------- date Permit No. ----— — Issued--- -- - - -—--------------- — ate-------------—�---�-- ------ ---- --date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTI That 21V ual Wel Constructed ( ), Altered ( ), or Repaired ( ) by------------- �-- �`�--�-- --- - —-— --------------------------------------- Installer at------ --- — cam-- �� - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection t�-Regulation as described in the application for Well Construction Permit No. --%1= -d--Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ——--— — - ---— —-- Inspector---------------------------------------—-- - --— ....`ab•+t,,,,•r„f•�---•.ry..s'rwl«v � �s' yir,t`Y''^`�'-�n`�+;'7,,,�y'�,+�.i"rS<J'"'�"�iY'�t�`�1rf++"7-•sr �7�K•.1�.'tt�i..•',..-.il'i},';.,, i No.- -I-V--- Fee---a-77----•"'_----- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*r Veit Con$tructionPermit o�r�) � „- Application is hereby made for a permit to Construct O[) ),'Alter ( ), or air ( )an individual Well at: Location — Addres� Assessors Map and Parcel �� wner Address ` ----------j'�-----------'!- l /' — —----------------------- --------�` — ' /fit —�/��w{r fs elf'00 Installer — Driller Address Type of Building Dwelling------------------------------------------------------------ Other - Type of Building ----------- No. of Persons---------------------------------__________ /s Type of Well- -------- --------- - --- - Capacity------------------- Purpose of Well-----�1 --— ----- - --—,n ------- - �1�� `-'" --- - -- 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-- - Application Disapproved for the following reasons:------------------------------------------------------------------- - —-- ----_ ------- ------------- ----------------------------------------------------------- ---------------- date PermitNo. -- _d_ - --------------- Issued--------------------------------------------- -------------- - —--- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY,, That the Indivi ual Well Constructed ( ), Altered ( ), or Repaired ( ) ------------ :�_-�-�" - ----by-- ------------------------------------------------------------------------------- Installer at------ - r _-�Div�iq_j +� ------ B ' ��- 6'�'�— -- -- 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 No. -� --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 Vell Construct ion Permit No. t'-'--- f) / Fee Permission is hereby granted-- / f7 A1��-- to Construct ( ), Alter ( ), or Repair ( an Individual Well at: No. ------------------------------------------------------------------------------------------------------------- Street as shown on the application for a Well Construction Permit No. L -------------------------------------- ------------------------ Dated--�1---�-�-'---_-_-_--- -—----------------- ----------------------— -! ------------------------------ and of Health DATE---- -�1- - - -- THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR i QUALITY ORIGINAL (S) IMF DATA J \L , ---------------- 1 k -- e