HomeMy WebLinkAbout0080 BERKSHIRE TRAIL - Health 80 Berkshire 'frail
09-013-002 West Barnstable '
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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
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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: --------'-------------- --------------------------------------------------------------------------------------------------------------
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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
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'ATION , WG3T ff1? /STig,�l
ALE . ./,._�.�. . . DATEw✓E
LAN REFERENCE
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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
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NO. 21
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(7 » ( No. `•6100 ca- o
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PETITIONER SN 77-a,v
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ENVIROTECH LABORATORIES
Mass. Cert.#:MA063
449 Route 130 Sandwich,MA 02563 (508) 888-6460
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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
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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----------------------------------------------------------------------------------
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