HomeMy WebLinkAbout0050 BERKSHIRE TRAIL - Health T-r . LA.) vns
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TOWN OF BARNSTABLE
LOCATION {� � `(� �'�S�•cC �L'�S SEWAGE #
VILLAGE W' �"��`S�°'�0� ASSESSOR'S MAP LOT_lQq'' �"�
INSTALLER'S NAME & PHONE NO. �. nG:SC� 771-I&JO
`EPTIC TANK CAPACITY �,�UU 5A ll�U►S
LEACHING FACILITY:(type) (,t Ae L. P4 (size) 1,000 f. Um's
NO. OF BEDROOMS ?j PRIVATE W FOR PUBLIC WATER
BUILDER OR OWNER ���s`�e 1jld v(.c)-
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No lz
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No----- F>m$....... Q. .....
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
..........T
tA2 ice........O F...........�.. Y.
0.�7`�®...c.................................
Appliratioo for Bh4pma1 19ork.6 Tonotrurtiou Prrutit
Application is hereby made for a Permit to Construct ( ✓�or Repair ( ) an Individual Sewage Disposal
tn
stem at
IZA I l�
..._.. t��r1 ..- .�.�•......................................... .....................................................`
agin,-.Ad ess �- T .Cor Lot- ---------- ---------------------�_ ....__ .......-•---.......
ner Address
a . _... ..............
t Installer Address pp
QType of Building Size Lot... t__L______ __._.�-€eet
Dwelling—No. of Bedrooms---........`3...........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ..................................
W Design Flow................ a.._.rr___.__._..gallons per person per day. Total daily flow----.........................33C>.....gallons.
WSeptic Tank—Liquid capacity.lOLO.gallons Length---------------- Width................ Diameter--.............. Depth................
x Disposal Trench—No..................... Width........t---------- Total Length.--------.--___I... Total leaching area.....................sq. ft.
Seepage Pit No----------I---------- Diameter.........AD----- Depth below inlet.........4...... Total leaching area.....�_�io_.sq. ft.
Z Other Distribution box ( ✓S Dosing tank
Percolation Test Results Performed by..... ............................ Date... 1. _I.qf................
,.a Test Pit No. 1.......(P-.....minutes per inch Depth of Test Pit---------1r'- ----- Depth to ground water........................
Gi. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
o , . --------••--•-------- ---•••----------------•--•--•--I---••••--•4-•- -----------------------•--•-••--••••-----•----------_-----
0 Description of Soil.........C2 2....... _A4..tn_........-:�QI_�-------- .... ...CL A`
x
- 1=3-----M-OPW-4-----5 r---------50-A-0------- ------------------------------------------- -
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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Complia ce"sbeen issued by the board of health.
Signed � 7W l
----'- --- "---- --------------- r ... . .......------------'--_..-.-....-......--..----.... .--......------Date.--------._.....
Application Approved By -------------- .......... _....� - ---- - e�'... /-
Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------------- ---------------------------
---------------------------------------------------------------------------------------..---------------------------------------------------------------------.................------------------------------- ----------------Date
Permit No. ----------- . �J . ....................
�� Issued ........................ - -- -- ---- -- - ---- --
Dare
No.----f/ ••9�� FEB...... 1.G ......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................. . 1: ........OF........... .A:2 f+41rl_\.rb _..............-----------------------------
ApplirFa#iou for lliipos al Works Tow3unrtinn jhrmit
Application is hereby made for a Permit to Construct ( V�or Repair ( ) an Individual Sewage Disposal
System at: _
.... _.. .�. ' f-`'� ':�f' :..._..rl l i ........... ..................... w ' r ........
r jtio 7 Ad ess ,�v ,� or Lot_ To
° .I �J is `
..
�} Ownerf/ +'� Address
Installer Address
d Type of Building Size Lot.._ :_¢_ __.
Dwelling—No. of Bedrooms..............�'.._.._.._....._.......__..._Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons_-_.-_-__________•_--__-___- Showers ( ) — Cafeteria ( )
QI Other fixtures ---------------------------------- - -•--
W Design Flow......................` ..._...........gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid*capacity- 4?( gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No. .................... Width---------f_-,_-_____ Total Length................1... Total leaching area....................sq. ft.
Seepage Pit No...........I--------- Diameter----------I_P___. Depth below inlet.........�...... Total leaching area...... �.sq. ft.
Z Other Distribution box ( Dosing tank ( ) I
'_4 Percolation Test Results Performed by..... 5A?. fF�-_ ".___.1 ............................ Date___..... .... . .___.•..........
a Test Pit No. I........��----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-------.................
a' •. .--• $..........(------------------------------------•------------•--r---•-----
O
Description of Soil �°' p_° ► ..... 1i ?t-4.." . r---t--�
U -------------------- !�r lr?1. �r{ 4_!k ij 3 1;"« t:''„� °.
W •-••••-----•------------------------------------•------------------•----•••-----...-•-•------------------••-•------------•------•--------..............................................................
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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compli% e has been issued by the board of health.
f 3
Signed ':... !.^ ...........................................
Date
Application Approved By ....--.... �� e�. .-...... ... - --...... ..�.....--It, - �1
Application Disapproved for the following reasons- ------------------------................................-------------------------------------------------------------------- ------
.... .......... ............................................................................. ........................................................ ....... ...................... ...... ........................................
Date
PermitNo. ........ ............ G ..........-....--..-.-......... Issued --------------------------------------------------------------------
/^ J Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
v -�
O '�z OF • ,--- a, l--C
... "
T.e>r#tfirate of CZoraptinurr
S I TO CERTIf , That the Individual Sewage Disposal System constructed (V or Repaired ( )
yy
b � !l - `-' J ----------------- ---- . ...------- . .... --...----------- .--.......---...... . .-------------- --- ---.-
4.+'.� ,,._ ,o ,�J ��, Install
-> ! --------------
by Gfs? �! f �' � � -G all `vT.'
f......... ..
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. ...... ..�..... ��jj�-..-....- dated -----.------......--------------..--------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SA ISF CTORY.
DATE............................._. -- _... Inspector ....-.--...- -------------------------------------------.........................-----------
THE COMMONWEALTH OF MASSACHUSETTS
`m BOARD OF HEALTH
~G ;? f �urrvI ' ,
....................................O F......................................_._. ..._........................_............
No..��__•• FEE.. ........
Elipo #Pnkv '�austrnr#inn rrmit
ap
Permission is hereby granted...
to Construct �`) �epair� (q )�an ItdividuaLSewage-Disposal Sys
atv--------•--��...................................�.."tI � !-------..-... ..�`----•-------------- -- ...� ..
Street
as shown on the application for Disposal Works Construction Pe o ..'G . ..... ..
------^-----
_ -
o Board f Health
DATE................... /-••-
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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ENVIROTECH LABORATORIES
x- 449 Route 130 Sandwich, MA 02563 • (508) 888-6460
CLIENT: B a y s i d e Building Co LOCATION: _ Lot 45 Berkshire Trail =
=` 1145 Rt 28 Bayberry S West arnsta e,
ADDRESS: y y q
z` Centerville,MA 02632
COLLECTED BY: D.A. ScannellSAMPLE DATE: 3/14/91 TIME:
4:30 P
x: -
DATE RECEIVEDIS � SAMPLE ID: 33
zi New Well 144 ft
JOB #: _ WELL DEPTH:
e:::
RESULTS OF ANALYSIS:
Parameter Units Recommended limit Result
e
Coliform bacteria/100 ml (MF Method) 0 0
e
pH pH units 6.0-8.5 6.10
Conductance umhos/cm 500 137
z' Sodium mg/L 20.0
17.3
fiZZ
g:
Nitrate-N mg/L 10.0 0.17
Iron mg/L 0.3 <0.05
Manganese mg/L 0.05
r':
Hardness mg/L as CaCO 500
BE 3
c Sulfate mg/L 250
Potassium mg/L 20.0 =
z
Alkalinity mg/L 200
E Chloride mg/L 250
_ Turbidity NTU 5.0
Color APC units 15.0
c -
Background bacteria
A
COMMENT: a
c
-x
c
YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS STED. `3
X)9 ❑ z
r:
_`- DATE
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::.......................................... ... ................... . ................... ... ... . . .. ...:.. :::: +ir
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; ..:;,;;; . ..... ..;.... ....;;,..... ..... ... .... ............ .. ....;. .........
`jiftt!!!!llUllUllUllititUl!!!!!Ui!lIllUlrllllll!!!!t!UllflitttlrllllUlitt!!U!llitltr!!!lliGl+trllrillrtiuu+riltolurji+ti:,tlrutlutllutuu,+ dii!!,ll,liflrlIll,r+tillf+!!lIllUl+lll11EiF1t11!!!!tl!!li!ll1t+!!lltUll�
'BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT
VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS
Client : BAYSIDE BUILDING Collection Date: 03/14/91
Mailing Address : 1645 ROUTE 28 Date of Analysis : 03/15/91
BAYBERRY SQUARE Type of Supply: WELL
CENTERVILLE, MA 02632 Well Depth (FT) : 144
Telephone:
Sample Location:LOT 45 BERKSHIRE TRAIL LAT. (DDMMSS) : Not Given
WEST BARNSTABLE LONG. (DDMMSS) : Not Given
Collector: C. STIEFEL Map/Parcel :
Affiliation: BCHED
Analytical Method: 502 .1=1 , 502 . 2=2 , 503 .1=3 , 504=4 , 524 . 1=51 524 . 2=61
502 . 1/503=7
---------------------------------------------------------------------
---------------------------------------------------------------------
Contaminants Anal . Result MCL Detection
Detected Meth. ug/l ug/1 Limits (ug/1)
---------------------------------------------------------------------
Chloroform 7 3 . 5 0 . 2
Only those compounds listed above were detected. Attached is a list of
compounds 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/1 = 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:
+ Bernard E. Bartels , .D. La oratory Director
t
BARNSTABLE COUNTY HEALTH AND ENVIFIONMEW'AL DEPARTMENT
SUPERIOR COURT HOUSE
BARNSTABLE, MASSACHUSETTS 02630
�:.: •�� TABLE 1. Compounds Detectable by EPA Method 502.1*
Al A S,,� PHONE: 362-2511
a EXT. 330
LAB 337
COMPOUND D.L. COMPOUND D.L. CLINIC 340
Benzene 0.5 1 ,1-Dichloroethane 0.5
Carbontetrachloride 0.5 1 ,1-Dichloropropene 0.5
1 ,1-Dichloroethylene 0.5 1 ,3-Dichloropropene 0.5
1 ,2-Dichloroethane 0.5 1 ,2-Dichloropropane 0.5
para Dichlorobenzene 0.5 1 ,3-Dichloropropane 0.5
Trichloroethylene 0.5 2,2-Dichloropropane 0.5
1 ,1 ,1-Trichloroethane 0.5 Ethylbenzene 0.5
Vinyl Chloride 0.5 Styrene 0.5
Bromobenzene 0.5 1 ,1,2-Trichloroethane 0.5
Bromodichloromethane 0.5 1 1 1 2-T t hl e rac oroetha ne 0.5
Bromoform 0.5 1 ,1 ,2,2-Tetrachloroethane 0.5
Bromomethane 0.5 Tetrachloroethylene 0.5
Chlorobenzene 0.5 1 ,2,3-Trichloropropane 0.5
Chlorodibromomethane 0.5 Toluene 0.5
Chloroethane 0.5 para Xylene 0.5
Chloroform 0.5 ortho Xylene 0.5
Chloromethane 0.5 meta Xylene 0.5
ortho Chlorotoluene 0.5 Bromochloromethane 0.5
para Chlorotoluene 0.5 . Dichlorodifluoromethane 0.5
Dibromomethane 0.5 Fluorotrichloromethane 0.5
meta Dichlorobenzene 0.5 Hexachlorobutadiene 0.5
ortho Dichlorobenzene 0.5 Isopropylbenzene 0.5
trans-1 ,2 Dichloroethylene 0.5 n-Propylbenzene 0.5
cis-1 ,2 Dichloroethylene 0.5 Sec-butylbenzene 0.5
Dichloromethane 0.5 Tert-butylbenzene 0.5
D.L. is Detection Limit in micrograms per liter or parts per billion (ppb) .
This table lists our normal limits of detection. If we report a smaller amount,
then our detection limit was lower for that analysis.
*A photoionization detector is used in series with the electroconductivity
detector, thus allowing for the analysis of most of the compounds listed in
EPA Method 503.1 as well .
TABLE 2. Compounds which have Maximum Contaminant Levels (MCLs) set by the
Environmental Protection Agency.
COMPOUND MCL (in ppb)
Benzene _ 5.0
Carbontetrachloride ` 5.0
1,2-Dichloroethane 5.0
1 ,1-Dichloroethylene 7.0
para Dichlorobenzene 75
1 ,1 ,1-Trichloroethane 200
Trichloroethylene 5.0
Vinyl Chloride 2.0
Total Trihalomethanes 100
Chloroform, Bromodichloromethane, Chlorodibromomethane, and Bromoform comprise
the total trihalomethanes.
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No.---W Fee---a—!5 BOARD OF OF HEALTH
TOWN OF BARNSTABLE
Application-for lVell CongtructionPermit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
jl�.o anon — Address Assessors Map and Parcel
f -----------------—----------- - < ��5 �'ve�rJ r/lc' ��-----—_--------------
Address
Installer — Driller Address
Type of Building ,/
Dwelling-t1_d e S:e-------------------------------------------------
Other - Type of Building ---------- No. of Persons----------------------------------------------------
Typeof Well-` —------------------------ 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 Complian has been issued by the Board of Health.
Signed--4= - ------�---G--,-"-=`--`------------------------------------- --3z5/_9j---------------
date
Application Approved By --- - - - -� = -` -----------
�— --- date
Application Disapproved for the following reasons:-------------—--------------------------------- --- - -------
----------------------------------------------------------------------------------------------------------------------------------
----------------------
date
., 1 1 - - Issued--------------------------------------------------------------------------------
Permit No.- - ---- -----------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certiftcate Of Compriarlce
THIS IS TO CERTIFY, That the Individual W�11 Constructed , Altered ( ), or Repaired ( )
bY---------10------4—�------SJ- J_ __--- - - - - - - - ---
Installer
at----------- - - - A y -has been installed in accordance with the provisions of the Town of Barnstable Board of HealthPrivate Well Protection
Regulation as described in the application for Well Construction Permit No. -- -<L=110---Dated-------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------------------------------------------------------------------------- Inspector-------------------------------------------------------------------------------
r
No.---g -=-4�=-� �'., .L.. Fe
e--- _� - --
a BOARD OF HEALTH.
TOWN OF BARINSTABLE
ZIP YationorerY Cortrutt ion Permit
t
Application is hereby made for apermit to Construct ( ), Alter ( ); or Repair ( )an individual Well at:
-------- ---- --- - - -- ----------------P------- - - - -------------
Location — Address Assessors Ma and Parcel
----�i_nzf r = ---- — — — —
Pwner I �. Address
��__�----�-�---------------
' Installer — Driller j Address
Type of Building
Dwelliny/P1-;--f-------------------------------------------------
Other - Type of Building ------------ No. of Persons---------------------------------------------------------
Typeof Well- -(-- ----------------------------- --------- Capacity --- --------------------------------------------
Purpose of Well T P�?� ------------------------
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 Re ulation - The undersigned further agrees not to
place the well in operation until a Certificate of Complian has b geen issued by the Board of Health.
1 --------------------- -
Signed����G--l�G:�==--- ---- '3 c-A
date
Application Approved By------- —�- - - ----- - 'p --- --
date
Application Disapproved for the following reasons:-------------------------------------------
---------------------------------------------------------------------------------------------------------------- . .
date ---------
PermitNo. ---------- F�-----)--d---------------------------- Issued------------------------------- ----------------- - ------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed (�, Altered ( ), or Repaired ( )
bY------------- "-� - - p° ��-�
iT- A �� ------------------- ------------------------------------�----------------------------------------------
Installer
_. ( _ ��a_ =" "„------------W------tit - � .
at-------------:y----- -----o --�------------T�,--'''l7 .T..-� -� S._,-
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. ---s��-;�,1- ---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
Very Con!5truct ion Permit
i-rl __ri ------- Fee
Permission is hereby granted
to Construct (>)', Alter ( ), or Repair ( ) an Individual Well at:
No. - - - - L_ , 4✓ 4z 0 -e �-_ �_ --------------------------------------------
T-- - - S- -t
as shown on the application for a Well Construction Permit
No.---------------------------------------------------------------------------------------- Dated----------------------------------------------------------------------------------
'-----— -7-- --------------------------------------------
oard of Health
DATE----------------, = - - ----------------------
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