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Home My WebLink About0060 NEW LONDON AVENUE - Health 60 NEW LONDON AVENUE Marstons Mills A = 103 — 015 __ V-1 LOCATION A SEWAGE r RMIT NO. VILLAGE INSTALLER'S NAME i ADDRES-S /,S�,zT, B U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED . ............... r M- le NX Frso�QT J No..... I t FE$.....SCc.�- .:._ t THE COMMONWEALTH OF MASSACHUSETTS, BOAR® OF HEALTH f ' ........... UI.VAI.............OF............... Applira#ion for Disposal Works Tuna lrurfiun itamit Application is hereby made for a Permit to Construct ( a-)'or Repair ( ) an Individual Sewage Disposal 'System at: -- Location-Addre s or Lot No. r ..................... _.:!a2e xr E1 A!1 ...... ---- ....` . I A;.� ''f ,....... tiS Owner 41qAddress Installer Address 1 d Type of Building Size Lot______ ----Sq. feet U Dwelling—No. of Bedrooms....... ...................... .Expansion Attic ( ) Garbage Grinder (`V D pa, Other—Type of Building ............................ No. of persons__._.____________-__-___-___ Showers ( ) — Cafeteria ( ) a Other fixtures ---------------------------------------------------------•----------------•-•-----•---------•------•-•--------------------•-------------....--------- W Design Flow.......... .........................gallons per person per day. Total daily flow....... p___.........D.._e....t_h.._.__S_ga_:l�on_s... WSeptic Tank—Liquid ca acit -/ p allons Len th_ff_ ,6. _ Width...- Diameter------ ....... P x Disposal Trench—No. .................... Width_.•--___--_-______-_ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_________ ________ Diameter.......f .. Depth below inlet................ Total leaching area.__,,_'2,,Z....sq. ft. Z Other Distribution box ( Dosin tank_ ( ) '-' Percolation Test Results Performed by. .�i� ��' �� Z�LC!i__..._.... Date__��/r-I' .................. a Test Pit No. 1...i<!Z....minutes per inch Depth of Test Pit../ ___ Depth to ground water...-----�..�/rZG Test Pit No. 2......1 Z..minutes per inch Depth of Test Pit----Z.��_.. Depth to ground water.....i. :f!ll0 p+' ----•--------------------------------------•-• ----------------------••---.------------•------------------------------------ .......-----.-•--- O Description of Soil.----Q.....!g-.. TG�aro�� `Tuaro1c............... _j ¢,--------- P!yr�-`fy'va---------------- U �` �{ ...�.�(�! lD.l.6.-----•-----� / - /JJ„ v�� ................ W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -•---------------------------------------------------------•-----------------...----•--•---------------•------------------------------------------------------------------------•-..........._.....•... Agreement: 4 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITIILS 5 of the State Sanitary C e—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be is ued y the board of he Signed - 3 O -----------------•---•------------- ------•-•--------------------•-- ro Application Approved BY---------- - ----• G ` �----------------- ------------•- Date Application Disapproved for th ollowing reasons:----------•------•---------•-------•----•-•---•--••-------•-------•-•-•---------•------------------•-----..---•- ....•••••...•••••••....•-•-•-••-•------------•-•-----•--•••-----------------------------•-•-••--------------------•----•---•----------------•---------------------•-•-••-•.........-----•--•------------ Date PermitNo......................................................... Issued....................................................... Date No......................... o S Fimx.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 A",(J .........................................1...S..e rs �3�E ..................0 F....................._......... Applira#ion fa Eli-qvviial Works TomitrurtUan umit Application is-hereby made for a Permit to Construct ( e- or Repair ( ) an Individual Sewage Disposal System at: r •------... W ( Location Add s ...r Lot No ......... .... o }q r M Owner Address w " Installer Address Type of Building Size Lot.._L/ -. 5......Sq. feet "` Dwelling—No. of Bedrooms._..........................................Expansion Attic ( ) Garbage Grinder ( � � 14 aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ----------------------------- ------------------------------ ...... ---- W Design Flow..........: f.........................gallons per person per day. Total daily flow......�%�........._................gallons. WSeptic Tank—Liquid capacity A ---%`gallons Length idth... f2.. Din ~ . Depth...._....�__- x Disposal Trench—No.I........... .:.... Width..-/ . Length ......._..._- Total Len leaching area................n..sq. ft. Seepage Pit No........�._...__.. Diameter...._.�r......... Depth below inlet....6 ......... Total leaching area...?"r'....sq. ft. Z Other Distribution box (�--) Dosing tank ( ) � Percolation Test Results Performed byf�...................... _ %:....f..:`L% ✓Gyl.��%%...�%:'a�!�.......... Date.��1-_.�..�.................. 0.4 Test Pit No. 1..�=�......minutes per inch Depth of Test Pit..-!f ...... Depth to ground water.....�+�:44)_.h��G3 0:4 Test Pit No. 2...... : ._._minutes per inch Depth of Test Pit....e-,2� ..... Depth to ground water..._. .f! t� .....-------•-------------•--------------•----•----•-•-•------------.....----------...-------------......................................................... Description of Soil..... .< --- fox ------- `-"�--------....---•-................................................... ,.,>, -�-`---..._.... r V ,, .c.. _T//...Fi i'. r� `;)Jr. ti�� 9�'Jf3--------•-•----- .......................................................................................... ._._...........__..:5 _.__.............._._....... 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!T..�°' 5 of the State Sanitary Code— Jhe undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee is ue by the board of h��ealltfthh.�. Signed--- ----- - - ---------- --1% .�..�" �z •-------g"3 —gS— Application Approved By Signed -P .. . Date Application Disapproved for th follow reasons: ....................................................... ............................----------•-----....---------------------••••------------•-----•----•--------•--•-••--••......-•----••---••---------- Date PermitNo......................................................... ~'.' Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................I................OF......................................I............................................. Trrfiftrtte oaf �nntltnr�e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ............. ,Installer l LD-7 l( `(t l iJ C.6 U06 eyo (�tf at.__...... ............... (j `�......-•--•.............................................. ------=--•-•-----•--........---•--------..................--------•-- has been installed in accordance with the provisions of ',,TTIZ 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----------------------------------------- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONST UE® AS A GU RANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............10 • 3 Inspector.. t= THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH NO..IJ EE....................... Disposall nrk.5 UTnnstr ian ermit Permission is hereby granted.......... 4L .............1------------------------------------------------------------------- to Construct ) or Repair ( ) Individual Sewage Disposal System �J� atNo......................L•� ---4_,�s. l 1 Y (nL.._ LU. UI ---•--� D--- --------------------------------------------------- Street as shown on the application for Di osal Works Construction Permit rJ�d`a57 ated_... .- ..........•-' •-----•-----. --- . •......................... It . t DATE �, ] eal .......-- t.............................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS No.- -=-- � Fee------ �-�- --`-- BOARD OF HEALTH TOWN OF BARNSTABLE 2(pplication-*rVell Cong4ructioni3ermit Application is her by made for ajermit to Construct�, ), Alter ( ), or Re air an inAividual Well at:nic Location — Address Asskssors Map and Parcel �• � SI --------------b"er Address at, w&& �_ _ � �.-------------------------------------------------------------------------------------------------- Installer - Driller ` Address Type of Building Dwelling-------------------------------------------------------------- Other - Type of Building ------ No. of Persons-------------------------------------------- �J GYP g-------------------------- T e of Well Pill t ---- 0a. ----------------- Capacity --- ----— YP 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 a Certificate .of Compliance has been issued by the Board of Health. Signed — -— ------ ------- ---- date Application — date - Application Approved By---- date Application Disapproved for the following reasons:----------------------------------- -------------------------------- --------------------------- --- ----------------------------------- ------------------- date Permit No. - -----____-- _-------- Issued-------------------------------------------------------------------- ---------- �1_- date BOARD OF HEALTH TOWN OF BARNSTABLE Certcftrate ®f Compliance THIS IS TO CERTIFY, That the 1 ivtd a Well Co tr cted ( ), Altered ( ), or Repaired (V/) by�lL��_�1 � � 1. _-------11/1- DD// at- � !�! _1L�— -c ? E //00'f � - - - - - -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.V-)--T--Ltm,5--_�{__Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------—- -------------------- — - -- Inspector-------------------------------------------------------------------- e �'4--,�, Mk 7��Q�`'� .�'��1�.�"'�i�,ya�Gf�,�'�9^'w�`��!• "Y^+�+Y°Y��P!Ml�r�}�.U+.�Os./'aJ'i'k+ �i�FF��;rSi'w��FA"�-r%x�'�'6`��t�`�� . No, Fee------ -: -------- BOARD OF HEALTH i TOWN OF BARNSTABLE ApplicationArVell CongtructionPermit Application is her by made..fonr a�e it to Construct ), Alter ( ), or Repair )i nan�individual Well at: Wit-- � -— - ---- r - -- —- --- ---— Location - Address AssJssors Map and Parcel- -- �,-r1�� - � Aj -------------- pet, rI ------------------Address------------------ ' _ - - �.------------------------- --------------------- Instal Driller ^ ' Address Type of Building Dwelling---------------------------------------------------------------- Other - Type of Building---- " ------------------- No. of Persons ------------------------------------- Type of Well - ----- - Capacity-- - --——--- - — --— -= Purpose of Well-------------- --- ------------------------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Tow Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to _,op l ace the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed -- - -- - -- —-------------- ---------------------- date q Application Approved By— - -- --g=��-'-? -1��-`�''�------------- date I � Application Disapproved for the following reasons:----------------------------------------------------------------- ---------------------------- --- ----------------------------------------------------------------------------------- date Permit No. ---------��--�� -- Issued------------------------------— --- — =------------ date BOARD OF HEALTH 't - TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Ip ivid a Well Cn41ntaller cted Altered - p�lr?R-e�p�aired� � by 48 -- �� a:------�- -'a _------ at- L�o �`& -—r_11a-----------—------------------------------------------- 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 SHAWNOT 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. -- --- 10 Fee--- -,_-- Permission is hereby granted to Construe, Alter ( ), or Repair 0J'an Individual Well at: No. - — -= -�— - �— - -----—-- - -— -- --------- ---------------------------------- Street as shown on the application for a Well Construction Permit C� No. -1---- _��✓ �� _✓--- --------- - - - Dated--- -=' '-'" r- -- t ------------- - L_-------------------------------------------- Board of Health DATE---- - - -- - - -- --- ----- -- Department of Environmental Management/Division of Water Resources WATER WELL COMPLETION REPORT WELL LOCATION >-- GEftRAPHIC DESCRIPTION Ad dress�r�L!/ a- Yy��• . N S E W of (feet), (circle! City/Town /lh��' -S"Iyzd` 1!W, Well owner /1'/� )road) Address p N S E W of .(nil.in tenths) (circle! Board of Health permit: yes no ❑ intersect.'w/ ---- WELL USE WELL DATA Domestic L6 Public❑ Industrial ❑ Total well depth; Monitoring❑ Other Depth to bedrock f4. Water-bearing rock/unconsolidated material: e _ M thod drilled Date drilled 9/� 9� Description Y— Water-bearing zones: CASING 11 From To Type 2) From TO LengthAl—ft. Dia(.I.D.) in. 3) From To Length into bedrock ft. Gravel pack well: dia. f Protective well seal: Screen dia. Grout-El Other Slot length from_to STATICiWATER LEVEL - - - / Static w ter level below land surface ft. Date WELL TEST Drawdown -J fL after pumping 'lir. min.at gpm' How measured -! Recovery ft. .after—hr. min. 0 LOG of FORMATIONS COMMENTS 2 Materials From To - y Driller` Mass.Registration#' � Firm Address j City/Town_G'_-' 6_dul /•/D , Signature of sn in registered well driller - Pery rs "...Print firmly BOARD OF. HEALTH COPY. ENVIROTH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 . Sandwich, MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508)888-6446 CLIENT: Blue Rock Well Drilling LOCATION: 60 New London Rd. ADDRESS: P.O. Box 140 Marstons Mills, MA E. Dennis, MA SAMPLE DATE: 9-30-94 COLLECTED BY: John Kapolis DATE RECEIVED: 9-30-94 TIME: 8:30AM SAMPLE I.D. : ET405 JOB TYPE: New well WELL DEPTH: 61' RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100ml (MF Method) 0 0 pH pH units 6.0-8.5 6.17 Conductance umhos/cm 500 146 Sodium mg/L 28.0 20.5 Nitrate-N mg/L 10.0 0.52 Iron mg/L 0.3 0.10 Manganese mg/L 0.05 0.014 Yes No WATER IS SUITABLE FOR DRINKING PURPOSES Fr PARAMETERS TESTE . XXX / 4 Date [d 3 Ron ld J. S ri Laboratory irector LT = Less Than I iIIiOUT LE JMLET--;WMOCKOU7':4 DIA I �17�btjtLJET;KNOCKOUTS 44 7.40�r77 3.6,o 0 I '&r4Oo I4 4 fR........... AIV ice 5 7 OWE-0 0� 0 t e.77 '*7 k 4T' 0 11 aid. �i�o 0 0 0 0 ,0 i'o 0,4-,0 7 ii /2v D40 0 �o 0 ,0 ILEVEL �o 0 0,D--P1 7, _0 O'D ji 0 VAIC 0,40 I .0 0 , 0'0 0—4 rl< I 11 0 O '�0,� 0"-O 0,4=3 0 ,--O, 0 'O 4L�7 -pi(fit 407 A/ZZ 'O 0 56 -3 '.r A Z94 /7, r14-7 RWIZ&Ae ��A 41-1 "� j!�W Y AW w 6A C44--11A IC A 0111R,EO 5A C YIA j 7RO Alld r-E,0 41-C W.2 7 -,o—lCA A140 i7 tot-1,1074-6;�9 AZZ 3 7 /-A r/,::: A 15 3( �7,k3\i�;7 'I., �,� —1 . , ; , ;, I 1, I 1.......... z IN ...... A/�Z-L /,5,, M/C 'd PIP/ICA AJ 7 MA C,q61SFrr5 71 �4L."A Y 5E A PPL ICA 8Z-�jE7 Y,5 rA 115 07 AV 7.;W7. 46r, 7 IA -A BACA=- �Cokl'IAZO,ER 0111-L "A kA Li�O OAI, ' -5Y57Z 0 9A 7,E 77 ,,ORA t,,V A O- >e WA145K, -A/ . 45) 14e I7A I