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HomeMy WebLinkAbout0080 BERKSHIRE TRAIL - Health 80 Berkshire 'frail 09-013-002 West Barnstable ' t , r� 00 o. 5 �� V Fizs....10c 0......... THE COMMONWEALTH OF MASSACHUSETTS BOARD rOF HEALTH TOWN OF BARNSTABLE Apptiratiun for Disposal Works Tonstrurtiun jhrmit Application is hereby giade r a Permit to Construct (i/f or Repair ( ) an Individual Sewage Disposal System at: gO Wc�S� 64 _vS. C o7T *2Z ...... ....................... ...............................................Lt ........................................... Location-Address or No Si w%/er �9 00:r B ......................... Address ................................ Installer Address Type of Building Size Lot_. --7 _..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons-------------_--_.._______ Showers — Cafeteria P4 Other fixtures ...........................•-••. . W Design Flow...........-6_31. .........................gallons per person per day. Total daily flow................. 30....................gallons. _ W Septic Tank—Liquid capacity/000gallons Length..g K".. Width__4"C f'._ Diameter__-_--_.-___•__- Depth_s' x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------/._--____-- Diameter.....ZZ........ Depth below inlet....6 ------ Total leaching area--4o%A..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..-�!^!!T -a....-._.��!W.............. Date.! G--. '� �._..- ,a Test Pit No. I...G.Z____minutes per inch Depth of Test Pit... Depth to ground water.._.....--...._....-- GT4 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ P+ --------------------------------------------------------------------•-••-••-----------------•-•••-----••--•-......--•••-••...••............................. 0 Description of Soil.......0 6aWcraDLel4-iy._----- �Su -S��4 66"—/6a", Mom=----------...... -- x S ---- c.� -------�--- ---�'.�--..rat.:�----�L,__.3..2.'JP--------------------------------------------------------------------------------------- ----------------------------------------------------------- ------------------------------------- ......... U Nature of Repairs or Alterations—Answer when appli ____•------------------------------------------------------------------------------------------ --------•-------------------------------••-•--•-.----•--•••••-•-•••-----••---------•-••--...-----------------------------------••-----------------•-•-••••----•--•--•-----..................._...------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environm tal Code—The nd rsigned further agrees not to place the system in operation until a Certificate of Comp a ce has b en e t e board of health. Signed - - ----------------- .................D atete ------------ Application Approved By ---------- d J � -------------- -----7--- Application Disapproved for the following reasons- ..............------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------- ----.............................. Date Permit No. ----7/-_.33S ----------------------------- Issued Date r cp fl.._. 1.._....a a3� D_( /J Fizic 6.sue.. ._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE F } Appliratinn for Disposal Works Toustrur#inn Irani# Application is hereby made for a Permit to Construct (4,1 or Repair ( ) an Individual Sewage Disposal System at: Cj GO t wf04-n�s Si/� ZE,..4...i... W6-S?' 9A7,?,eVYI..S T Location-Address r 9/0 7 7-r n/ -------------------- ----.....-----------...... .......-----•---••-.......---•-••.. oir v'L�`osZt NT o �. .....--•-------•- for e�e Address— .......... Installer Address U Type of Building Size Lot_. feet a Dwelling—No. of Bedrooms.......:�........_..•...•...............Expansion Attic ( ) Garbage Grinder ( ) p.l Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures -•--------•-------------------------------••--------......-------------•--------.........---......--••---•----•--...---•--•--=----------....--------- W Design Flow..........S.........................gallons per person per day. Total daily flow...............a 2TO.... _..._,.:"gallons. A W Septic Tank—Liquid capacity ZO1?ngallons Length._g X Width.-'4.� Diameter................ Depth_.-s......... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..._._.�.......... Diameter.....ZA....... Depth below inlet.... ......... Total leaching area... ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.._ !^! ?�.----lkn----- '�E?- .............. Date. ,.a Test Pit No. I...''-` .Z._..minutes per inch Depth of Test Pit---Zt 8....•.. Depth to ground water..... ..........- 04 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ----------------------------------------•--•------- -----••--- •---•---• .... -----------------•------------------ O Description of Soil-----...6 -_66" llvaape64�1._.. .SuS-Sa/ tab'=/°68'. 7D: (,USAS../Q..................................'C-•a '-�A0 �'�� Ql...t a= ---------------------------------------•-----------------.-.-------•------------------- ................................................../. 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 Compliance has been-issued by the board of health. • Signedy- _ r�. •. ,r....1,, .--..,..... ..—............................:.........::._..--•.---..........-........-....-.. ....... t.- ...'---' Dace`----------- Application Approved By ..--..... J-. ..e ,�. ....... ...... '/... Application Disapproved for the following reasons: --------'-------------- -------------------------------------------------------------------------------------------------------------- k. r PermitNo. .-pl.-.. a .....................��.� �'_ Issued ------.---------.............---------------------- Date ----- i Date THE COMMONWEALTH'OF MASSACHUSETTS w BOARD OF HEALTH TOWN OF BARNSTABLE C rr#iftrate of (foutyliance THIS IS TO1C FY, T, at t. I-div' al Sewage Disposal System constructed (� ) or Repaired ( ) by Il ...... / ....... . . ...... - � b r ? Installer at ..._`.....-��. {.., --------- =. ..- ;----- ... 1 A� � : d ----------_------ 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. ...........��.-.,,�?.4. dated .................................... .,.._,_... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCIION,SATISFACTORY. DATE.................... ...............-.-.. ---........----- ---------.. Inspector .... ... - ` - ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p. TOWN OF BARNSTABLE FEE....y/�_ ........... Disposal Works Tnnstrudinn "rrmft Permissionis hereby granted.............................................................................................................................................. r to Construct (�f)or Repair CA an Individual Sewage Pisposal System at No.... -.r._ . __.. _.A�':..... sz _ - -x�'...._. .c m r E �,�/ _ �. : . .:tn�.�e.--................................. _... street Cj / as shown on the application for Disposal Works Construction Permit No.,!':,-33---_.. Drat-end'.......................................... ............................. .. ... :.. �.................... ------------- .------ -- DATE Board of Health �f DATE.......... `..��._...........:""Z ...;:� V FORM 36508 HOODS 6 WARREN,INC..PUBLISHERS r 'ATION , WG3T ff1? /STig,�l ALE . ./,._�.�. . . DATEw✓E LAN REFERENCE /�G. 3/. . �-,.ire . .�G•.�Z. . . . . . 34 /V '�V`NDS EL&/. 13v4 .4o ® � I �� ........ � i,3yt z a , / �� �3z 757 I VP \ / /` pizoposc-D 7 l�, / 7! .SQL,� �- '�. �zo, � I \ , .0 D,sr V4 144Z' /V � *44, ¢8 / A Z.4Z 78 I �ZN Of '7 "�J o. i�6S°0 G cis �=t !.F� ..� - • sNT 2 cF z SH LaT'� 7 Z L. TOP OF FOUNDATION e CONCRETE COVER •;° CONCRETE COVERS 0 4"CAST IRON 12"MAX. • I2"MAX. OR SCHEDULE 40 4"SCHEDULE 40 PVC.(ONLY) P.V.C. PIPE PIPE - MIN. � ' PITCH 1/4"PER.FT LEACHPITCH I/4 PER.FT. PIT o•° � PRECAST o INVERI o 0 Q '•;� LEACHING EL. 3y INVERT INVERT o . Q•i PIT OR SEPTIC TANK /38 8o DIST. i38.41 , • w ° EQUIV. o INVERT EL... . . . . . . BOX EL... >_ �: .•: �000 GAL. INVERT o' EL./3s3:�1�. INVERT v �' :'i: 3/4"TO II& EL!3863 ww EL! 4: WASHED v � 378a � �. . ° ° ,20� � G � —�- '• c-z_isi.Eo �4'• S70NE PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE ?!�.3°.�y��� TIME��tooA f L,L BOARD OF HEALTH TEST HOLE I/ TEST HOLE 2 E7>l.✓�2G E- �EZG�f . . . . . . . . . . . . . . . ENGINEER ELEV. . ELEV. .. .. . . . . . . �e.1w, woop�`r DESIGN DATA : sriQ•5��c. NUMBER OF BEDROOMS `3. . . . . L-Z. /34.8m T(fFAL ESTIMATED FLOW . . 33�. . . GALLONS/DAY BOTTOM LEACHING AREA ! '�.x•.0 . SQ.FT. /PITIC,P D• SIDE LEACHING AREA . . . -S. SQ.FT./ PIT/47/ Z SAW,> G.f?D. GARBAGE DISPOSAL (50 % AREA INCREASE) TOTAL LEACHING AREA �•�. SQ.FT ILB PERCOLATION RATE l-�"'= 7?'�-!7k/9 MIN/INCH p EL, /Z7 8c _ _ LEACHING AREA PER PERCOLATION RATE .. . . :.. SQ.FT/cp z .... . .WATER ENCOUNTERED ' NUMBER OF LEACHING PITS APPROVED . . . . . . . . . . . BOARD OF HEALTH �E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE. . . . . . . . . . AGENT OR INSPECTOR f A" OFop MqS Z o ED, RD' NO. 21 :, r° LL EEY �» (7 » ( No. `•6100 ca- o ink �� CIS TEP ✓ c 'E�CiST� s4nr1A1W1* PETITIONER SN 77-a,v tt11?!1!1t1tt11!!!1T1!1RIIr.ir!l111tt!mrrrrnmrrrrrrt"Imm m mmiPmt?ttnrtmmtTnrtrtttrer�ttrtntTmtmnrrr+nmrmrr++++mnr+Timm!tt}rrn mmm�rnrnnrnrr mrrnm rtr nnn +tt r :........ .. :...1.. : ... ........... ENVIROTECH LABORATORIES Mass. Cert.#:MA063 449 Route 130 Sandwich,MA 02563 (508) 888-6460 ZZ CLIENT: Tom Millar LOCATION: Lot 22 Birshire Trails _- ` ADDRESS: W. Barnstable, MA _ COLLECTED BY: L. Wile SAMPLE DATE: 6/13/91 TIME: DATE RECEIVED: 6 13 91 SAMPLE ID: 0 B c= JOB ": WELL DEPTH: r= RESULTS OF ANALYSIS: -_ t- = r: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 _ pH pH units 6.0-8 5 7.22 _' c:: Conductance umhos/cm 500 271 - `_ Sodium mg/L 20.0 26.1 Nitrate-N mg/L 10.0 - c 0.19 E Iron mg/L 0.3 <0.05 - Manganese m /L 0.05 g 0.02 Hardness mg/L as CaCO 500 3 40.8 e: g Sulfate m /L 250 z 6.0 Potassium mg/L 20.0 1 .0 Alcalinity — - mg/L --`-- 200 ----- 11 .4 - Chloride mg/L 250 -_ 68.3 Turbidity NTU 5.0 1.52 c: Color APC units 15.0 1.0 c: Background bacteria r: I E EPA Method UG/ml (see attached sheet) None Detected - COMMENT: Sodium level is not a health hazard. -- c: YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED- - �ffX ° DATE ��fiillll►l1Ii11llllUUtilt!lllllllU1t11t1U131hilalii111111111111►111111t1tiiililiali.hilaillulii;iiuliiiit;+,1[;iiM Ii;iIi;i&t;illiiii;istiilii�lii;1;+t1;1►ititli;lii;fl;!►iit►lUtaiililililtllii1;►11liitlitiiillt;iitulltiU;i1�`` No.-K -- �-- � Fee`' 5 -------- BOARD OF HEALTH TOWN OF BARNSTABLE Appriration-*rVelr Con0tructionftmit Application is hereby made for a permit to Construct (?d, Alter ( ), or Repair ( )an individual Well at: --------------------------------------------- ----------------------------------------- /Location — Address Assessors Map and Parcel—__ _ ---------------—--— —---------- --------- —— —— — — ------------ _ Owner Address ---- ------ -----------"_--'---------------------'-------- --------- ---------------- Installer — Driller Address Type of Building Dwelling------------------------------------------------------------- Other - Type of Building-------------------------------- No. of it Type of 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 W Certificate of Compliance has been issued by the Board of Health. Signe '- ►�- __—_---- — -- date Application Approved By---- - — ------- -----_— -- ^—�L= - date Application Disapproved for the following reasons:--------- -------- — — — date — f = - �_�— ---— --— Issued-----------Permit No. — ---- — --- date BOARD OF HEALTH TOWN OF BARNSTABLE (certificate ®f Compliance ` THIS T CERTIFY, Tt the In idual ell Co ucted ( ), Altered ( ), or Repaired ( ) . — - 1 - -- _- J - —_-----_-- -- by Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Prote pion 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---- f jrs �t y` y j X. No. 9-= Fee-'� --------------- BOARD OF HEALTH TOWN OF -BARNSTABLE ZIpprication-*rMelt Con4truct ion Permit Application is hereby made for a permit to Construct ( Alter ( ), or Repair ( )an individual Well at: ------------------------------------------------------------------------------------------ ---------------------------------------------------------------------------------------------- Location — Address Assessors Map and Parcel All 44 -------- -- { - - - - Owner Address _ , / Installer — Dr,l'eer j//' - Address Type of Building Dwelling--------------------------------------------------------------------- Other - Type of Building----------------------------------- No. of Persons--------------------------- -------------------------- il Typeof Well- -- - � -- ---- --------- Capacity----------------------------------------------------------------------------- Purpose of Well - ------------------------------------ r i 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 Certificate of Compliance has been issued by the Board of Health. Signe - �— �Cf -----—------------------- date Application Approved By--------- —��-°� - �- - /� date Application Disapproved for the following reasons:------------------------------------_------------------------------------------------------------------------ --------------------------------------------------------- ------------------------------------------------------ date PermitNo.- ---------------------- Issued -- ----------------------- date BOARD,OF H,_EALTH , TdWN OF BARNSTABLE Certificate ®f Compliauce 4 0 - THIS IS TO/ CERTIFY, T t the In4xidual Well Con t ucted ), Altered ( ), or Repaired ( ) bY- r t V-1 �?"� ii l ��`~-� --- 1/''' -�°�- ��------------------------------- /�, Installer at �6—�------- —--------------- k_') has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Proteqtion Regulation as described in the application for Well Construction Permit No. U1-?4'= I -Dated, !- &011 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. J f DATE---------------------------------------------------- --=----- ------------------- Inspector-------------------------------------------------------------------------------- r BOARD OF HEALTH TOWN OF BARNSTABLE �� Melt Cou5truct ion Permit , No. -- v--7- Fee---—- ------J- Permission is hereby granted- - L1 ° - � ' `^'' ------------------------------'-------------------------------------- - to Construct ( J- Alter ( ), or Repair ( ) an Individual Well at: + No. - - -------- s ,ems= - c i,f� - ----®_d------------ � �lr----------- Street as shown on the application for a Well Construction Permit No.----------jj, -----C( - - - Dated r - ` �'r �� -- k ------------------------------------------------- V Board of Health DATE---------------------------------------------------------------------------------- i J � • M J n � ! Rl ti 1 � o �r ' � �r! ��� r � � �� �� �� xA ,►. ., .. , , � _- ., � �_ ,,