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Home My WebLink About0071 MAGGIE LANE - Health 71 Lil AGGlL 44 CERTIFICATE OF ANALYSIS Page: 1 of 1 Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 12/1/2015 rri Kim Catalano Order No.: . G1591169 71 Maggie Lane - West Barnstable, MA 02668 "C Laboratory ID#: 1591169-01 Description: Water-Drinking Water ,a Sample#: Sample Location: 71 Maggie Ln,W Barnstable, MA Collected: 11/%2015 Collected by: Received: 11/20/2015 Routine-TC ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 3.2 mg/L 0.10 10 EPA 300.0 LAP 11/20/2015 Copper 8.2 mg/L 0.10 1.3 SM 3111E LAP 11/25/2015 Iron ND mg/L 0.10 0.3 SM 3111B LAP 11/20/2015 Sodium 38 mg/L 2.5 20 SM 3111E LAP 11/20/2015 Conductance 380 umohs/cm 2.0 SM 2510E DCB 11/20/2015 pH 6.2 pH-units 0 SM 4500-1-1-13 DCB 11/20/2015 Sodium level is above the maximum contaminant level. Those on a low sodium diet may wish to consult a physician. The water may present aesthetic problems(taste, odor, staining)due to Copper. Laboratory ID#: 1591169-02 Description: Water-Drinking Water Sample#: Sample Location: 71 Maggie Ln, W Barnstable, MA Collected: 11/20/2015 Collected by: Received: 11/20/2015 Test Parameters ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Total Coliform 0 CFU/100mL 0 0 MF-SM9222B RG 11/20/2015 Water sample meets the recommended limits for drinking water of all the above tested parameters. Attached lease find the laboratory certified parameter list. Approved B P ry (Lab Director) Lam "vs ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 )0j I 2- F7 _ e+y L O -ACATION q S E Illf GE PERMIT NO. Q e V,IAL A G E I N S T A LL7'S NAME i ADDRESS I� r B U I L D E R OR OWNER O � � lcl a DATE PERMIT ISSUED — C� -- DAT E COMPLIANCE ISSUED (1) t P lee, THE COMMONWEALTH OF MASSACHUSETTS BOARD "OF HEALTH T�1 1 ...........O F_........F��t�STA��LE............. Application for Diupuuttl Works C onstrudiurt Vern fit Application is hereby made for a Permit to Construct (�). or Repair ( ) an Individual Sewage Disposal System at: Location-Address o. ..... .6 4__ . ti�..._ ..... ................................... .:�u?1 ......... _... .... .._......-----.............._..._._........ ... Owner Address Installer Address Type of Building Size Lot..7�i_/L__g.E..Sq. feet U Dwelling—No. of Bedrooms................_"5.....................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers Gr YP g -•.......:.................. P ( ) — Cafeteria ( ) p' Other fixtures d .....................•----...................._•-••-•-•...........-_........_..---......................................... Design Flow.............I-_�_CO...................gallons per person per day. Total daily flow............._..�`��d..........gallons. W 1, t t WSeptic Tank—Liquid capacrty..� allons Length._.......... Width:�.�.Q._ Diameter:�-_._. Depth...��n x Disposal Trench—No. _ . Width...... ....... ... Total Length.............. .... Total leaching area................ ..sq. ft. 3 Seepage Pit No.. ... Diameter...... ..... Depth below inlet.....6......... Total leaching area....4.0. sq. ft. Z Other Distribution box (k Dosing tank ( ) Percolation Test Results Performed b L1`A....all! 1��'r�5-...:..........I.... Date...........-o...................... - Z. Test Pit No. 1.......LZ minutes per inch Depth of Test Pit...... ..... Depth to ground water....M...1�k......... LL, Test Pit No. 11i'4....� ..minutes per inch Depth of Test Pit.......1_5..... Depth to ground water..... ....... OG ............. .•----••-••--•-_ --........-.............. ...... ............................. ..............................._................ O Description of Soil... ..... - }: ` t ls��...... ..`...:.do s ....... aQ........��.......1.`._.l Ptil_.;....4`....��..� !........ x ._..�. -c- .... ..1.a.. ......... V 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:I'U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu d by t and of Sign ......._... .... ..... ........................ ................................ Date Application Approved BYif ................................................................. -7 `4 Date Application.Disapproved for the following reasons:...........................................................................................................--- ............................................... ... .....----............................................_........._......•----.............-. ............ Date _ Permit No................- - 5--. Issued........ ..... .................................. Date L No. ....� Fxa. `='` THE COMMONWEALTH OF MASSACHUSETTS ry BOARD OF HEALTH .�1 -1Kj...........OF........... 1 -, A t,• = ......... Appliration for DiiiVasal Works Tonutrnr#ion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location•Address w or Lot ..................................... W ^ Owner Address ...........»....»... _ a .......... .... n....................?! t•..�......_---__•_•____•_•'______.......___...... ........ ....:1 .....____....... .... ....._q:....... m Iastaller Address Q�1 Type of Building Size Lot_! �--�Z-•-.`�.�.,---�.•.•.S feet ` Dwelling—No. of Bedrooms.................�......._.._._.__.___.Ex anion Attic p ( ) Garbage Grinder ( ) aOther—Type of Building ____________________•_______ No. of persons.........._...._._._._....-. Showers( ) — Cafeteria ( ) Q Other fixtures _____......_......... ..............••.-•-.....:........................... ......- W Design Flow..............__�-n_..................gallons per person per day. Total daily flow-...____________._....�_�..........gallonsi WSeptic Tank—Liquid capacity._ gallons Length..�r(a"- Widthj4; �1`%�.-'f Diameter................ Depth..-`' .�--- x Disposal Trench—No. Width.................. Total Length Total leaching area....................sq. ft. 3 Seepage Pit No.. l�__. Diameter......1.0-._._. Depth below inlet.....�.-...-_-- Total leaching area... �-�Gsq. ft. Z Other Distribution box ( 4 Dosing tank a Percolation Test Results Z Performed by P....••• ..-��........................ Date._.._....�':.................... ..1 Test Pit No. I____.____ -. minutes per inch De th of Test Pit.................... Depth to ground water..._/14......... Test Pit No. L:A....4Z._minutes per inch Depth of Test Pit..-.._.1..-�'-�.__.... Depth,to ground water...._A.7 A.---- Ix ......................••-----•----•----.........-----...-•-..................---.....---:............................................---••----.............. O Description of Soil61.3?.__._1_: 1.!( �_� RL.LS C�.,.... v 1r :.. �-�T'~a .... .....��.t� i �-' l 1 tom. i c s.. 1' -----•-•--•........................................ •--.................. 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 TITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued bytZd of 1S gne .... Application Approved B : �ST 1- -......................... E.........................._.... .. .. - .......... 7 Date' - Application Disapproved for the following reasons:................................................................................................................. .........................................................._..._......__......._.........--•-••---•---••----•---.............----.....................__ Dan Permit No..............�``.�. �.•__..._`.. . Issued......................... Date - --- - - - - - -- - --- -- _-- --. _.,..._ ...-_ r_--------- ___ - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .._.--�...,� � tv� (Irr#ifiratr of Tomplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...............I........�5 l---/ at...........................................................! 6' .......- install« .. ....................................... _ ......... -J Vj .. ..------..,�:�1- d`#cci'�............................................................... has been installed in accordance with the provisions of TITLE_ 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No... ..-: dated-....-- ... 12..1:' l� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...... � )... ... - r •_..........••_ Inspector............................................. t:�L� ............... ua.._ ._��_ �r ..N...�N . _-_--------i .• ,. . t . ;a�� .v�.. M � ...�..,..-... THE COMMONWEALTH OF MASSACHUSETTS — BOARD OF HEALTH �..a ........OF............�- - n ......-.. —��-- FEE........................ Rapasal orks Mons#r�ar#irrn rrtni -tx�- -1 Permission is hereby granted......;................. to Construct ( ) or Repair ( C)-_an Individual Sewage Disposal System at No........ '1_ .� M �,��ir�- flc N ....................................•__...._.-..... . - ..... .....................................................- ... ................................................ Street as shown on the application for Disposal VVorls Construction Permit N _.. --5- Dated.......................................... ......... ................. •......... ..................................... Board of fltalth DATE................ ---- .....-. 16 r- - _ Department of Environmental Management/Division of Water Resources i WATER WELL. COMPLETION REPORT WELL LOCATION / AddressdoT A A/ > ( ?A City/Town C1G rnr< h A, G.S.Quadrangle Map Grid Location Owner /e ��uyyC 1-6 nJ Address / 1'(� �nrvc Yip.. l / M M n 7I,� WELL USE CONSOLIDATED WELL Domestic Q'� Public.❑' Industrial ❑ Type of Water-bearing Rock Other Water-bearing Zones Method Drilled rJ(1 6) P 1) From To 2).From To Date Drilled ± /J �r� 3) From To 4) From To CASING .• Depth to Bedrock J Length ��n Diameter Type v UNCONSOLIDATED WELL' STATIC WATER LEVEL Water-bearing Materials Feet below land surface R Sand: floe❑ medium®'coarse❑ Date measured el,, S'L Gravel: fine❑ medium,❑ coarse❑ Screen: , GRAVEL PACK WELL Slot#length Y' fromC=�d toC).-I Yes ❑ No ❑ Split Screen (or 2nd screen) WATER QUALITY TESTS MADE Slot 9 length from to Chemical ❑ Biological' ❑i Depth To Bedrock PUMP TEST ` �y Drawdown feet after pumping ' days / . hours at CR GPM. How measured Recovery feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To A4 ed o S q ILG K. ^ DRILLER / lbMAc1I Firm 19,A .S jP dI `. .Address Pe>. And City 7/ 5' 17 Registration No. 0,5—c7 Aerator sSignature ease pant firmly BOARD OF HEALTH COPY 25M•10.85-807101 i e TOIJN OF.-OA - ,71A6 55E.55OR5 MAP*'_? 7:....LOT m�i��) roP of 20,MIN. t l: 1- ZONING n ,2 FOUND. G2. IO P�Ir`I. t 5ET8ACK5 FQOJVT:c I SJoES= L�(REAR s I� ��CE r la�. 1 SEPTIC TANt4�—Z5—>0I5T. E50)'LA — 171 —'-LEACHING FACILITY 4 c - 1 .rt G FZOUNO GOvE ,il — ----------� GAL ':. t i 1�11'(+�I t`1 I' OF �I�I ICED �SE�-!bVE1�1'11N5t,11'f�46t I �\ CT1�.M MA',MIAL_ WrrPlW 10' AuD h kJP VEIL \ SECTION SEWAGE �E �It Dr(10N��GoeJ . uIt<Di CO►.l�fR,i.1CTd►.1, ; I I illrQ Lc7r 1 �• i '1V 1~I _ EST OL T H E LOGS DESIG/V FOR 3 6t� tulGj- "x �� Q�N �1 4• \ TE5T 8Y PERC.Ra•TE GZ MIN.//N.. f DATE : Co- FLOW RATE 3g06AL./OAY WI TNE55 5EPTIC TANK 3,50 45) 14-IJE API"�f'I��i G56,� RE9 D. SEPTIC TANK Ci4i Eyy I LEACHING FACILITY - .4 SroE NALL ULCI �—{2•S)=4�I.ZG/D �ti ` �"' �� BOTTOM, (LV,)-Zff-- 26, TOTAL:. 26o7.0 5F U5E�I—LEACHING rT 44, is T .I _ hAaj D NOTES C 1;-70 � I20 — — I. DATUM�M 5 )tT a KEN FROM A1.I UADRaNG LEAP COA�� 2. MUNICIPAL WATER 'y ��• -- 32.73 I Gl fLj0_rAVa/CABLE S. DESIGN L 0/N OA G FOR ALL PRECAST �— R UAIITS:.hR5N0-Ip-Q4 � Cb (00 1 1ZI Ij' '7 4• PIPE JOINT5 SHALL BE MADE JJATSR TIGHT. ' D 5. CON5TRUCTION DETAILS TO BE IN ACCORDANCE J417'14 "•I: / S I CiOM".OF MASS. STATE ENVIRONMENTAL CoaE TITLE 6. THIS PLAN FOR PROPOSED /,IORK ONLY AND SFIOULD NOr ns� s'E]I uses/Fo To Ty no:N19 A IoG�:tr of 0 ' ` I�•/1� O� �!�"WLI'. . •1 . ✓11 YV�I kJ.� �Va .OF4 a- ARNE H. zz a,►Aia � /� I ,,�, ,�/; -:�1T-E__..p�ND �' ElJAGE:,_.PLAIV.:,_._._ � CiVII vc /lRNE \� �O '$`LEGEND: � �!o GcJ/7 cape er�q��eerir�q . caNTou2s cEZJsr. ----- LOCUS : . 01�5E'r7-� ti AC�GTtE ZAt�i _ CIVIL ENG IhIEfsRS i, -. REFEREI�ICE P 1. o,� LAND SUR�/EYDRS hROP T I, —o-----o--- AH ' A, L �• q2co main St.Yarmouth ►1a ''9s CONC.60UND _® CB. PREPAREDjI�OR � 7ST E KOLE . . . .Jl.+'tIt~t�l"Ii-s.'V V.61,I L_ boaret of heq/th I SCALE: I�� Co0� DATE:�I LJL-, (D 1108 NO. — + APPROVED: ZI J I-4S DATE.: MA I t