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HomeMy WebLinkAbout0039 MAIN ST./RTE 6A(W.BARN.) - Health �39 MAIN—STREET,_W.BARNSTABLE A= r e I pF li�R; "M Page: CERTIFICATE OF ANALYSIS .r Barnstable County Health Laboratory ...�F113 S Report Prepared For: Report Dated: 8/26/2003 Order Numbe .22�6- Francis O'Neil RECEIVED P O Box 822 West Barnstable, NIA 02668 S E p 0 5 2003 Laboratory ID#: 0322286-01 Description: '`E1' Water-Drinking Water Sample#: 22286 Sampline Location: 39 Main St.,West Barnstable Collected 8/19/2003 Collected by: F.O'Neil Received 8/19/2003 ta'utine ITEM RESULT UNITS MCL Method# Tested LAB:IC Lab I Nitrates <0.1 mg/L 10 EPA 300.0 8/21/2003 LAB: Metals Copper 0.1 mg/L 1.3 SM 311113 8/21/2003 Iron 0.1 mg/L 0.3 SM 311113 8/21/2003 Sodium 4 mg/L 20 SM 3111B 8/21/2003 LAB: Microbiology Total Coliform Absent P/A Absent 307 8/19/2003 LAB: Physical Chemistry Conductance 164 umohs/cm EPA 120.1 8/19/2003 pH 7.5 pH-units EPA 150.1 8/19/2003 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Approved By: b Director) 2 � o � Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 fs; { Page: 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Dated: 09/11/2000 Report Prepared For: Order Number: G0007552 Francis O'Neil P O Box 822 West Barnstable, MA 02668 Laboratory ID#: 0007552-01 Description: Water-Drinldng Water Sample#: 07552 Sampling Location: 39 Main Street West Barnstable MA Collected: 08/31/2000 Collected by: F O'Neil Received: 08/31/2000 Test Parameters ITEM RESULT UNITS MCL Method# Tested LAB. Metals Manganese <0.01 mg/L SM 3111B 09/06/2000 Zinc <0.01 mg/L SM 3111B 09/06/2000 Routine ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates <0.1 mg[L 10 EPA 300.0 08/31/2000 LAB: Metals Copper <0.1 mg/L 1.3 SM 3111E 08/31/2000 Iron 0.1 mg/L. 0.3 SM 3111B 08/31/2000 Sodium 9 mg/L 20 SM 3111B 08/31/2000 LAB: Microbiology Total Coliform Absent P/A Absent P/A 08/31/2000 LAB: Physical Chemistry Conductance 81 umohs/cm EPA 120.1 08/31/2000 pH 6.9 pH-units EPA 150.1 08/31/2000 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Approved By:'/ _•�--•�-- (Lab Director) .. Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i AsBuilt Page 1 of 1 LOCATION2Z, EMIAGE P OMIT NO. VILLAGE 1e INSTALLER' N ME i ADDRESS Il u I L O E R 04 OWN ER DATE PERMIT ISSUED DAY E C0M ►LIANCE ISSUED ) THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .+� ......Ton.. ..................OF........... ......._................... C�I' ttMxP A� �> ��IYItII' THIS IS TQ„C,ER7' Y, That the I 'i�v]idual Sewage Disposal Sjstcst construe by........................ .. r.:... ...... .. e.G.s.. _..liittSLct ........__.........._............. at..... �. �" �_.. ...................... has been installed in accordance with the provisions of TITLE j of The State Sanitai application for Disposal Works Construction Permit ................. dates! THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A SYSTEM WILL FUNCTION SATISFACTORY. 'L r DATE.......... —------------_........... Itzspector._.... i _ G http://issgl2/intranet/propdata/prebuilt.aspx?mappar=l 12004&seq=1 1/16/2014 a o NoZJ�.... adl Fms , ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s ........................OF....... ..........5 ................................................. Appliration for Ili4pnsal Works Tonstrn.r#iun ramit Application is hereby made for a Permit to Construct (\/Or Repair ( ) an Individual Sewage Disposal System at . .: .__ .... ......... - . ►UA.I S��1 • ... T.... . . -....... Z.. Local s ���Ll �1 .... ....... L-•-....... .. � _.......a— Owner Address W ......... Installer Address Type of Building Size Lot. ......./......... Sq. feet v Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixture ---------------------- - - - W Design Flow...............1� -----.................gallons per person per day. Total daily flow............................................� gallons. WSeptic Tank—Liquid capacity.k;l pgallons Length...b—V.. Width._ '10.- ,Diameter................ Depth..15�_�_ ---. Dis osal Trench—No. ............... . Width.._ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.............�.____eiameter.... ------_-- Depth below,inlet...1.0........ Total leaching area_._?__ ....sq. ft. Z Other Distribution box (- Dosing tank ( ) / aPercolation Test Results Performed byl t tAcj1W__L.L LJ.... � __________________ Date..........` �_�?'J ....... Test Pit No. 1...:............minutes per inch Depth of Test Pit...... .._-..... Depth to ground water......----.............. Test Pit No. 2.... ...minutes per inch Depth of Test Pit.......J_3.'....... Depth to ground water-____�"._.......... --------------------------------/- ---•---------------------------------------f-----•--••-----•--•----•-----•--------------•-----•---------------•-- O Description of Soil............. - /��!� e l Cam.. ......�- 1 S-A Q V . ----------- --•--................-•-----•........••-••---••----•---------•---•--••---...-----•-----....------•---................----...----- W --- UNature of Re airs or Alteratio —A saver when ap livable_ �V� _�--____ - /� ...... , .. ,,:-T.-• u•�......�'---p ro - Cam` `. . Agreement: � V�6�� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I'LL 5 of the State Sanitary Code—The and signed further a no to place the system in operation until a Certificate of Compliance has been ' e y the oard of It Signed........... --•-- ......... .. D--at-- � Application Approved. BY '......._•---•---- .--•--•-• -•-•-- -------- �. Date Application Disapproved for th following reasons:........... •------•....-•-•----...----••-•---••--•---•.----...-•-------•-----•••-••--•......................._ .............................................................:-•----------•------•---.......-•------.......-•--•---------------------•-•-----•-----••..................•....-•----...Date-----••--^._ PermitNo......................................................... Issued..................................................... Date UIC, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ! .�J.J...........OF..... 7T1 ........................ Trrtifirtt#.r of TompliFanrr THIS IS �AC,,E�TeIFY, T t the Individual Sewage Disposal System constructed ( ) or Repairedif NA, ( ) by ........................................... at........... L .--- '_f.�'::-....V _R.'�R !1' G?� 1�_jj,. d----------------------------------------------- has been installed in accordance with the provisions of TIT IL-, of The State Sanitary Code j s dgscribed in the application for Disposal Works Construction Permit No..•..._ `'_�Q�7___ dated_--.....� Cf ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... TOWN.CIF BARNSTABLE r U LOCATION ta=� , T PT&,f'—/' SEWAGE VILLAGE f,<-J� ASSESSOR'S MAP & LOTZZ L Ti INSTALLER'S NAME & PHONE NO.n,\ i; `:'�� h� i�4��-' ' " e 't�•rrh`' P. SEPTIC TANK CAPACITY .ram-Y0- LEACHING FACILITY:(type) (size).6, ryo `ter NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER405?4 BUILDER OR OWNER DATE PERMIT ISSUED: � � DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ��� -_ I I c � 7J ♦��1® I �� � ,; c. �% � e '��. . � �� ?� A. ��� �� F:msd THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /c tr H SE AL TH ;C WOF...... : t_.. ........ Appliration for Disposal Works Tonstrurtiun ramit { Application is hereby made for a Permit to Construct Vor Repair ( ) an Individual Sewage Disposal . ........................................................ �{ Location Addr t� A t� ' ' or Lot INN f - S 1 Jv.a c 1 e C.� �.. lL.... P�:u.�'Q:�L:_!�. J � ._.... -..-- •••-• .....---••- ...._.. .... ....... ...... 1---- -— Owner Address W ............................ U � Installer Addrdress C�r� , //Type of Building Size Lot___.___ __ O�______________Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria 04 Other fixtures ••--•••••--•••-------------•---•----------------•---••••------•----•••-------•------------•••-•...............---------•--•................•......... W Design Flow..............._ra ..._.._._._.._....gallons per person per day. Total daily flow..__._.._.. °��� ....__.._._..__gallons. WSeptic Tank—Liquid capacityktG&9.gallons Length.- _QV.. Width. .-.(4?.._ Diameter................ Depth.._?.-.... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No............I._...... Diameter... ............ Depth below inlet..�J..c.k........ Total leaching area. _ .....sq. ft. Z Other Distribution box ( Dosing tank ( ) a Percolation Test Results Performed by�,,r1A'R.S .l_..._ �r� G -_-•--__ Date._.______`__�_f_4 � Test Pit No. 1 G_2� .....minutes per inch Depth of Test Pit.....�!.5.......... Depth to ground water...... ............. fs, Test Pit No. 2................minutes per inch Depth of Test Pit___--_1. ......... Depth to ground water.____P............. •--......--••••......-----•..... •--•......................................................... O Description of Soil.............. J }�' T - -ram........... L .............................................f. x •-••----------------- .......................................... _� .:_............---------------------------------•---------'�._---------.--------------------------.----.--------------- U W --------•-_...... UNature of Re airs or Alteratio n. Answer when applicable. 1 0.7 OR. 4 ... Agreement: a s. tl/ 2��t(: !1V s-1� 1ti f"tN P� �1 dal The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITA LL 5 of the State Sanitary Code—The un sign d further s no to place the system in operation until a Certificate of Compliance has been ' ue by th ofird o_ It . Signed-----•--- ----- -•-•-- t ----- •- -----------------• Application Approved By--------. ................... Date Application Disapproved for the following reasons-------------•----•-----•----•--•---------•--•---•---•--•----------------------------------•---•-------------_. .....................•-----.....------------'---•--'-------------'-------......--•---•-----•-•---'-•---....-----------------------------•--...'•------•--'•-•---.•....._...._.....•••---•-•-'--------•--- Date PermitNo.---' ................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1..4 ............OF....� '1 ........................ Trr#ifirab of (�lant�rli nr�e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............................................. •--------------------•--- ------....---------...---r---(-------..........•.........----'-------••-••'......---- at -^. +w ` _i. ............•---------------•---......---------- has been installed in accordance with the provisions of TIT 5 of The State Sanitary C[od� as c}escribed in the application for Disposal Works Construction Permit No._._. "._..�'�?"'7 dated '1).Cf1W ------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETT E S I e0 ilve) a,W6'NsE(z BOARD OF HEALTH D cjz(.�"11:ny IN wt11 SYSr�titn � �5"l"�S 4c�'" 1 T c L`•C� t as�iR}S fPcJ � t ;' ..............OF.....4 .......... ................................... N ........................ FEE.r .......... Uiopnsa1 nr`kii Tnnitrnrtion rrutif Permission is hereby granted.................... .�r '. __.__... .. �,.�Yd'� ' --•----••................................•--......•••....._.. to Construct ( ) or ReA r ( an Individual Sewa a Di s osal System 141........................................................ Street as slfown on the application for Disposal Works Constructii Permit N' <o�.. '__aDated...'1]9 _ ?................ DATEI. ....PD.V.:...��4.... .....--'-_.....•..... r Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS --'f '�' 1 { 1 yk: Log Number: 5457 Bottle # D001 Date: November 8, 1985 � '�A�- s BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT ;. a 7 SUPERIOR COURT HOUSE BARNSTABLE. MASSACHUSETTS 02830 ws3d 0 DRINKING WATER LABORATORY ANALYSIS PHONE: sel-as11 EXT. =1 Client: Cynthia Mantalos Collector: L. Wile Mailing Address: 452 Mashie Circle Affiliation: well dril I er- New Seaburx. MA 02649 Time & Date of Collection: 11/6/85 4:00 p.m. Telephone: 477_2073 Type of Supply: well Sample Location: tot 2 tcorton HnI Rd. Well Depth: 1001 & Rte 6A.W.�Barnstable.MA Date of Analysis: 11/7/85 1:00 p.m. PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 0 H 6-5 Conductivity micromhos/cm 500.0 Iron m 0.3 Nitrate-Nitrogen m 10.0 Sodium m 20.0 } I , X Water sample meets the recommended limits for drinking of all above tested parameters. G II. Based only on results of the parameters tested for this .sample, the water is suitable for drinking but may present the problems checked below: A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any upward trends. r B. The low pH of the water may shorten the useful life of the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: 'A. High Bacteria B. High Nitrates REMARKS: The ` 6l `'etmty Heehf e►s Department shall not endorse any statements, interpretations or conclusions made by anyone else cernino these results without written consent, j CC: Barnstable Board of Health CC: L. Wile & Sons Well Drilling boratyry Dire r - �_.._--.�....�.��_.a:Y-.._....i_+.Y.•..:..._••-�.L_ri.-.�sr .+... -Sara._. ..u._•__�..�..�-��_._._.-����-+.+.•.._..w.._.;dCi-. Department of Environmental Management/Division of Water Resources WATER WELL COMPLETION REPORT _ 1 WELL LOCATION 14 -D�DN W I- 2tE 6Ir l t� Address /►���sTg City/Town /MNr' 1N N G.S.Quadrangle Map_. 1 C 7.2 ' I Grid Location o / u Address-4sk—P& 6 Cin[_L2— WELL USE �• - CONSOLIDATED WELL �-�/-y Domestic 4V Public ❑ Industrial❑ Other Type of Water-bearing Rock . Water-bearing Zones '• led Method Dril ROA O 1) From To 2) From To Date Drilled 3) From To j { 4) From To CASING Depth to Bedrock 1 Lengt / Diameter f Type. O Vf✓ ti UNCONSOLIDATED WELL FFtl STATIC WATER LEVEL / Water-bearing Materials 9 Feet below land surface e��'T_ Sand: fine❑ medium❑ coarse Date measured Gravel: fine❑ medium❑ coarse❑ GRAVEL PACK WELL Screen: / Slot length from to Yes No ❑ Split Screen(or 2nd screen) WATER QUALITY TESTS MADE Sloth length from to Chemical LV Biological Depth To Bedrock i - I PUMP TEST ' Drawdown feet after pumping days hours at LQ_GPM. - How measured Recovery feet after hours. LOG of FORMATIONS COMMFNTt: (On well or water) l Materials From To 0 RILLERCb A y f FirmI�E �DAI DQIC,GA((a [0` AddressSdAPITI City Registr tion No. 1 c • � Aerator gnature s ° { r ease pant rrm y iCLWTOMER COPY. 15M-2 84.176471 SITE PLAN SHEET I OF 2 SCAL E: I = 40' I{ Q Es fl2 ®�ALL 170 - .... _.. �Sh 0 C . 4 � <0 G Ix� 170 L"A - \ \ PIT I r aoP� da 5M DIU / �, .� 6� ,� / BPTIG TAr..1 K. 1' , ` � -' _ __.._.__...._.- •---..._...� ..�" TEST piT#2 -� Z3 loch QA-I., FIT' — W2t-L 1 - f Al ts✓��I�S��� Et.,l6t,7 Sgl 1 / _ D Of Rqa� � - _ '/ H To i l,,'7x 6 ` �P 1 p iE v4 E..•- 17 Y 1 0�1� UitILLIAM oy� rz d P MT._:l?WARWICK J No. 19771 A �r70' .9E6Islf�� LAB®�' Oh% loe3 -__- . FOR ywT /S� . mA KIi, dL ... REGISTERED LAND SURVEYOR T ZL)` 6,A- ZONE PLAN ,REF. A''2h P—h. I-AA ' IIL LvT DATE 2/ /e& BENCHMARK DATUM_ 'M' ��`'��' GL10�2� 4JU'JD WM. M. WARWICK 8 ASSOC., INC. DOMESTIC WATER SOURCE BOX 801 — NORTH FA L MOUTH • n u �". FLOOD ZONE. C p � t: Z�C»OO1 o0!(G 8/1%/�rj MASS. 02556 - (617) 563 -2638 LEACHING BASIN S _CT/ON NOT TO SCALE shce7/ 2 of Z ' 24"C.I.A!H COVER _ I EARTH f/LL BRICK AND MORTAR COURSES AS REO'D• TO BRING ' _.r• , _ COVER TO GRADE 4" B' FLOW LINE _:• -_ _ ._ _ 2 -� TO/' WASHED PEASTONE FREE OF IRONS, P/PE FINES AND OUST /N PLACE .. T. �! ' OPENING WITH 4% 314" TO 1,k2"WASHED CRUSHED STONE FREE OF �3 ' OUTER DIAMETER IRONS, FINES AND DUST /N PLACE AND 1314"INSIDE ! DIAMETER I. CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6fix 611 NO. 6 GA. W.W.M. 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS 4,0., I-- 31--- 6'0" 3'—� 4. NUMBER OF PITS REQUIRED 42LJ•1 MIN. L IZ1 NOTE: EXCAVATE TO ELEVATION OR EFFECTIVE DIAMETER (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN TYP/CAL PROF/LE GRAVEL TO DESIGNED GRADE. IB"STO. LT. WGT. C.I.MH COVER 4"C./.PIPE 4"B/T.FIBER PIPE TIGHT JOINT OUTLET LEVEL DWELLING _ FLOW LINE TO FIRST JOINT00 rl 3Z 00 C.I. TEE 2�j,pj 1 1 0 1 0 0 1 1 STD. PRECAST CONC. Z ,OD Z 1 !A 0 0`O O 0 1 I I I D/ST. BOX TO B£ (.rjp ' 11 000 00 1 1 I I IOOOGAL.SEPTIC TANK. INSTALLED ON LEVEL 1 1 1 0 00 0 0 0 1 1 I STABLE BASE I it 000 00 1,1 1 i IJO r P l PG y�SEPTIC TANK iTO•BE 1 if 000 00 1 11 1 I,�AV�y I�f7U INSTALLED ON LEVEL ! !f 100 10 0 1 1 ; ����✓ �1 STABLE BASE. 0 00.0 1 i ! i ' LEACHING BASIN i 11100 1 A O 10 , 0 0 0 1 1 , BASE TO BE LEVEL i 1 0 O O 0 1 1 , , V' SOIL AND PERC. DATA '� '}J 17 19 . PERC. RATE : MIN. /IN. 0 TEST PIT NO. I TEST PIT NO. 2 Tol�.1-�-LJP=!vIL_ TEST BY: — WITNESSED BY JAMS C.o�JL_c>1.1 IIJ� i�'� TEST PIT GR. EL. IiRc DATE: 1z et, � srt . z� 0 13� 7��, 1✓�, Il•5 IJo c-��?oU�D�cJLt•-i ��z. D,t�M F� DESIGN DATA GENERAL NOTES BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL 00 SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL2..�GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK IOOa GAL• ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE SIDEWALL AREA�'� GAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA I GAL./SQ.FT. SANITARY SEWAGE .EFFECTIVE ON JULY 1 , 1977. LEACHING REQUIRED SQ.FT.. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. —SQ,FT. AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE iD ►AJQI.tr BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES I/q" / FT., UNLESS INDICATED OTHERWISE. t3d•t'Tan� Ah OF A's , c�Q,ty SEWAGE DISPOSA L SYS TEM o MARTIN ro P� 7-I. E. FOR._ G-Y , I f r-,A A p, J -r� L c7�� 3 MORAN � . a .p J23417� ST SCALE AS INDICATED DATE WM. M. WARWICK 8 ASSOC., INC- 8OX 801 - -NORTH FAL MOUTH MASS. 02556 - (6171 563 -2638 PROFESSIONAL ENGINEER TOWN.OF°BARNSTABLE „V LOCATION 4A; SEWAGE # " � - i VILLAGE pp -r<� ASSESSOR'S MAP Cz LOT j,/Q T INSTALLER'S NAME & PHONE NO.t«V—Q�P—;,f� �, 1? C`'•�a ''�.y' S SEPTIC TANK CAPACITY LEACHING FACILITY:(t ) 1���-�? YPe (size) ��-� r,�-� NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No f�a l( l �1