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HomeMy WebLinkAbout0130 BERKSHIRE TRAIL - Health 4,30,BERKSHIRE 'TRAIL kV 6§t'Bam§table 109 - 015 - 007. p I 0 I No._ -_�.... d FES....... o o......_. THE COMMONWEALTH OFiMASSACHUSETTS 3arrtSiab$PP13OVED BOARD OF HEALTH ..., ru , ppliratinn for Disp asal Works Tonstrur#inn rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at issue� ,®, . .... ............ J:!'—---- —� t.i ----.( G T/�_-__---__-•--••----•---- ....... ...... Loca'oi -Add re r or Lot No / Owner Addr ss a ................... / /. 4a__---____----•---_____---•----------------•-----___ T. /."2y1.��!'�n��£ 1........................... Installer Address Type of Building 3 Size Lot...47 �_,�.7y ..... feet ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) �` 4 Other—Type T e of Building No. of ersons________________________ Showers YP ng ---------------------------- _P ---- ( ) — Cafeteria ( ) Other fixture - ---•...................................•-- W Design Flow.............. .......................gallons per person per day. Total daiil�l'' flow........ ..___.. _......_....gallons. WSeptic Tank—Liquid capacity/e!o_.gallons Length._._..I....... Width:__; ..__ Diameter________________ Depth__........ x Disposal Trench—No. .:.................. Width___._ _._..____..._ Total Length.................... Total leaching area_____._:___....._...sq. ft. 3 Seepage Pit No......../_.......... Diameter_.._/a......... Depth below inlet..... ........... Total leaching area--- �17...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-__�<.Of �u-�� /_ ��_ ���'�r1 3 /�7/9 Z- AA 1 i� -•�--` ---.. Date---.!_...........J....-,/_.---/--• �� Test Pit No. 1____..."....minutes per inch Depth of Test Pit....15 PSepth to ground water.:._ 42. _. Gz, Test Pit No. 2.... ........minutes per inch Depth of Test Pit__./1........... Depth to ground water...__�lY ............--- O ' Description of Soil.-----_•itit�e...S_. t. ..... --- .........................................................-__-.•--------___ ---___- U -------------- ________• -•••••-----•----••-• --•---•-•----__-__------------------------ _------------------------ ------ -------•-- --•- ..... •---•-------- VW ----•-----------•--------- -•-----...---•--------•---------••---------•-----•-•••-•-------••..__._.._..-•---•----•----- ----•-_•••-----•••-••---------------------•--------...-•-...--•-•-•-•••----_.... 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:ITI U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee iss ed by the board of health. Signed u� ... ....... .......................... . ' - Date Application Approved By............. .._ .....__._... ---------... .........e_:. ..�i'`�..... Date Application Disapproved for the following reasons:............................................................................................................ . ...................•--•------•--•-------......------•--------..............:------•-••--••-•-----•--•_••_.__..._..-•--......._.__...•--•-•-•-...-•-•-------•-..__.._..----•----....-----......-•-......_ Permit No....... ................... Issued..........................................Date...... Date it No... FEs......1`...........1-113 ..... THE COMMONWEALTH OF MASSACHUSETTS 77 BOARD OF HEALTH r !� 91 tr (AJ.(IJ...............OF.......B.A...R..KISTA.�...............-- _Appliration for Diopoottl Works Tonotrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: , ................ .................. ..-------•-•••--••---•-..._..4.....--- GGT-� ------......._........... ---••••--•-----------.................... � Loca io3 •Addre ° ...._.__....... ......... a / -Owner Gissr4 Address ...._...----••••.: --................................................ ... ...---•-- ... ....... %` .....-------_.. Installer Address Type of Building Size Lot..' 7r.7y�......Sq. feet .-� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons...........................\Showers ( ) — Cafeteria ( ) QOther fixtures .....--•...............•-•----••-----------•-----......-----•------ ..... W Design Flow............. 5— ............................. per person per day. Total daily flow..........3 ..............gallons. WSeptic Tank—Liquid capacity,lMLgallons Length.....y....... Width_...6�7.._...... Diameter................ Depth-..A....... x Disposal Trench—No. .................... Width.................... Total Length......_._......... Total leaching area..................... ,ft. 3 Seepage Pit No......../........... Diameter.....4 ......... Depth below inlet..... ........... Total leaching area..�... q, ft. Z Other Distribution box ( ) Dosing tank ( ) / aPercolation Test Result Performed by.... _�.c`-f"...... tJ/j q,p: /u�h y Date.����7/9. 9��G./g/ Test Pit No. 1................minutes per inch Depth of Test Pit......!... --- ....... Depth to ground water. .... .4,7 (z. Test Pit No. 2..../I.......minutes per inch Depth of Test Pit.. . e. ...._.. Depth to ground water.....Z'?'V 9 --•...............................•--'.............-----••-•.......---........-••-••-•••--•-•-................. ..A...................................... Description of Soil..........0- p.... ...... i.e.------. °'f' V .............................•------------.......---------=�------------.._.............................-•--......-----.... 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 A ITL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by the board of health. Signed------.-...............Cl? g- �-J - C7 ............................................................. .•---- ••.................... p Date Application Approved By......-�,a-�..1.....a_ _ _ a . P_..-./ �.el - ii •--•---•-- •••... Date Application Disapproved for the following reasons---------------•--------•----------------------._....._....----••---------------...-•-----•----.............. ..........`.....................•-----•-••---•-•------•-----------------.....--------.....-•--------......-•-•-----...........................................................................•_•.-.•••••.. Permit No. .a: �D L) Date .... ..- . r ................................................. Date r .- --„------ ------------------------I----------- --------------- -..__..-- -----._-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........;17 ..........OF.......... , •a:���,X�...................................... Trrtifiratr of Tompliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.......................... ...... :_�.�..�:•.'................................................................................................................................. p n Installer at._.....---•-.._ �.P.:..__.�.. ..--- =mod- = '... has been installed in accordance with the provisions of TIT j 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-------- .... dated.............___......_. ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL jFUNCTION SATISFACTORY. DATE.......................1_; t� GI^ ---•-----••--•-------•-•....._. Inspector........ :.-__,�-------------------------•-----•-----................ �oM•ti-M.wWOttrOMW T+----------e -♦----- ♦T TwiF Ff�- lV .---- ----- 4...�—.--...a—rw.e.�.,...s .. .ry r—�.1 s..n......e f• . .ems ee......w.r wM•'ra.ww_...w.s.-..-r .•� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............�.�.. !�?.............OF.........1 ! .......................................... NO......,...!^:.'.�2�.� FEE.... Disposal Works Tonotrurtion Permit Permission is hereby granted.. �1.. y, �rd,�.�.oa'' to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No............... a7" /� ., ate.; 'd u�a-+�Q. U ..... ,!�a �?..... ~• • ..... . Street / as shown on the application for Disposal Works Construction Permit,No4_2:-4Y ... Dated.._.-... ..._..z:....9 Z' /15' Z1_ -••••-Y Board of health DATE...... 1.................................................. ti TOWN OF BARNSTABLE to LOCATION 1mr F �j-a./ SEWAGE # %2 i VILLAGEM ASSESSOR'S MAP & LOT 6 INSTALLER'S NAME PHONE NO. A. A I*, SEPTIC TANK CAPACITY /2017 y I LEACHING FACILITYAtype) f (Size) X 112 I NO. OF BEDROOMS 3 PRIVATE WEL R PUBLIC WATER ,,/4 rp BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED; VARIANCE GRANTED: Yes No , � v I s o � ?� TOWN OF BARNSTABLE LOCATION /c F � SEWAGE # %2 � VILLAGE ASSESSOR'S MAP-6r LOT INSTALLER'S NAME PHONE NO. A A SEPTIC TANK CAPACITY �1 LEACHING FACILITY:(type) / (size) X NO. OF BEDROOMS 3 PRIVATE WEL R PUBLIC WATER Zr,,,,, BUILDER OR OWNER /y! Chu �G f DATE PERMIT ISSUED: �— 02 �/' JoZ• ba DATE C0MPLIANC'E ISSUED: 6 a— VARIANCE GRANTED: Yes No o ..A - TOWN OF BARNSTABLE LOCATION? y ��%��'S�•i e ��q, SEWAGE # -,o2 - (71 VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 1,2 r; LEACHING FACILITY:(type) . f NO. OF BEDROOMS 3 PRIVATE7WE�L --' R PUBLIC WATER ri, ,c rp BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 0 Ab 0 3 i r ENVIROTECH LABO,cRATORIES Mass. Cert. #:MA063 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 CLIENT: Larry Nickulas LOCATION: Lot 19 Berkshire Trails ADDRESS: W. Barnstable, MA COLLECTED BY: T,_ W;1 e SAMPLE DATE: 5_l_3_g2 TIME: DATE RECEIVED: 5_13_a2 SAMPLE ID: ZS87 JOB #: New Well WELL DEPTH: 180/137' 4"PVC 10 Gal/ Min RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units 6.0-8.5 6.10 Conductance umhos/cm 500 214 Sodium mg/L 20.0 31.0 Nitrate-N mg/L 10.0 0.25 Iron mg/L 0.3 0.37 Manganese mg/L 0.05 0.11 Hardness mg/L as CaCO3 500 21.6 Sulfate mg/L 250 12.2 Potassium mg/L 20.0 0'.8 Alkalinity mg/L 200 14.4 Chloride mg/L 250 49.2 Turbidity NTU 5.0 29.0 Color APC units 15.0 10.0 Background bacteria COMMENT: Sodium level is not a health hazard. Iron level is not a health hazard. EPA Method 601/602 VOC y ug/L Below Reporting Limit M NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARR TERS TESTED. KRX ❑ See attached report DATE �1 G GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Z-587 Lab ID: 3110-01 Project: Nickulas Batch ID: VHA-0987-W Client: Envirotech Laboratories Sampled: 05-13-92 Cont/Prsv: 40ml VOA Vial/MCI Cool Received: 05-14-92 Matrix: Aqueous Analyzed: 05-19-92 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (u9/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloroproppane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL l Tetrachloroethene BRL 1 Dibromochloromethane BRL i Chlorobenzene BRL 1 Ethylbenzene BRL 1 m*Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1, 1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY`• QC LIMITS Bromochloromethane 30 30 100 % 83 - 117 % Fluorobenzene 30 30 100 % 87 - 113 % ".. BRL - Below Reporting Limit. `Ion-target compound. "irace" indicates probable presence below listed Reporting Limit. 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