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HomeMy WebLinkAbout1095 MAIN ST./RTE 6A(W.BARN.) - Health } 1095 MAIN STREET ! WEST BARNSTABLE--: 178/11 --- - - -- - _ - - L 0 v U 0 l , dh #"A#" ��� ► pan e1, a o z LL to IA LL O �,. QVI o � O j� \,a LL e QPtc.r6s e S 7'C S3 LA.vb a�/O�y T ��S7ANe°E "r 2) 3'O.O J2naD [>9vov T pP��✓ sNv /J�.S GAivJ �/G�f.�a r. O� 110t•�e- @ !®�S f � ye s, d / r C) _'-'1 1 87 Russell A. Decont i Tovjn of Barnstable Department of Planning and Development 230 South Street Hyannis, Ma Dear Russell ; In order for the Tot,:,n of Barnstable and the people of the Tovjn and the Village of West Barnstable to make an i ntel l i gent and informed decision of the commercial subdivision being proposed by the Cape Cod Cooperative Bank , vie formally request that you and your department make a complete study of the commercial district in West Barnstable . It' s obvious that Route 6H in West Barnstable is becomm i ng a place where commercial developers ar•e turning their attention . Besides the Cape Cod Cooperative Bank sub- d i v i on (see flyer enclosed) there are five other sites that have either been built on , are in some stage of dove 1 opoment , or are in the process of being considered and •_.ubmitted +or• Tov.1n of Barnstable approva.I To make .judgements can any one alone seems silly given the complex issues that v:,oul d be a consequence of commercially developing this area (essentially from the railroad crossing on 6A North through the lights at 149 and including Arthur Sullivan's filling station) . Certainly a comprehensive traffic study, an area enviormental impact study (both for road run-off and sep tage) , and an assessment of the aesthetic and village character implications should be fully studied before the Tovin of Barnstable grants any permits for development . Needless to •_.a-.w that some of the other villages have simply grow, helter-skelter ,,.ai thout any mean i ngi y planning or overall assessment of ixihat i mpac to commercial development would have (has• had) on the health of the environment , the effect on the residents of those villages, or the safel -y and viel l being of all v.)ho 1 i ve or travel through these v i l i ages. Let's be faithful to the studies and opinions of the Tovin studies and the opinions and observations of many of the Boards and Commissions in the Town which have ALL stated that (,,lest Barnstable should retain its rural character and that the implications to the Great Salt Marsh and the fresh water ground v:iat_er supplies are fragile and serious. Let me remind you the the Great Salt Marsh is already closed to shellfishing due to contamination and that most of the people in West Barnstable dr•avi their fresh taater from pr• i gate viel l s. Obviously this request requires much work on the part of the Department of Planning and Development . But the Town and the people need this kind of comprehensive study as soon as possible . Tovin Boards and Commissions tri i l 1 soon be deluged 1x1i th requests for approval of these commercial sites in !,,lest Barnstable . In order for these Beards to make t&li •_e decisions they must have an over v i etli of information regarding that area in i.tie=.t Barnstable . Some of these proposed sites, taken by themselves, might not have a. serious negative impact ; but taken together ixtith an understanding of the collective traffic and the total •_.eptage and run-off , Board.. and Commissions wi 1 l be able to see tj:lhat any ohe of these projects might accretivel ;rov mean to the Tovin of Barnstable . yours, nn �racL Albert J . 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SYSfYw.t .LotNT/sN Cf.4 '� r? + rf' � IFIiEBY CERTtFY Tf�T THE BUILDING ` a ` i l rR �• SITE PLAN SHOWIVON THIS PLAN:IS LOd ATED ON.THE GR(1UNp/AS SHOWN HEREON&THAT IT Dot `� s LOCUS: Un r - go CONFORM TO THE ZONING BY LAWS OF"THE ��N OF 'SOWN OF 1DAtNT FI tS- DL..t= ., ,AS 'But�T '; y��cp �4y`y``� W I�S 1 J�21J ST� 'DATE It It'i 190 o ARNE A, vr�P H. -+1 `i. REF. down cape of ifteerin y° 8` ;� c �.' � r. PRE:ARED FOR: CIVIL ENGINEERS C�,O C�PL 2�-I'1�f y I 31 LAND SURVEYORS I� _ F � +,"`' Yarm outh.&Orleans MA +t''SCALE t tt " l+C7t 3 E(ATE '-F 'Tees 'mA P � • 1 f CTION .SEWAGE y a , i �� Y f i 4 JI • Y I. a i t r,. � { Y t.. _•.f J ,.�21 is r t f; a SEPTIC TANK —: ;;D"BOX LEACHING `reE1JCN I 3Z oo ► it �Yr USE ;CH. 4c: P tFPE ` (MSL)N S* BENEATH Dfy{`✓L=V�1aY "2"OFF/8T 8 O 1h" I I I NOTE: WASHED STONE REMOVE ANY UNSUITABLE MATERIAL FO A DISTANCE OF 10 FT.AROUND ENTIRE LEACH & G q AND REPLACE WITH CLEAN COARSE SAND. OUT II 1. III INS t =� TE G 5'f �� —OUT•%�t—�_IN S 8 Z 1 e ELEV. ELEV 2—1.` 3 i'v .. 4G' y^d li 1 r,►.n� 2 b ELEV x i f i „Lt s 4 i I ELEV. ELEV.. 00► O EL 21.5 F , NOTE t. „`. ! EL.=19.3 e CTPoualb Z :\ BRING ALL COVERS TO WITHIN 1 N/dTE 2 TN. ZI 2- OF 8a"-14z 4 1 FT.OF FINISH GRADE 1 F WASHED STONE rt x I I Y r t �.��sIpm� ; TEST.NOLE".LOG Y IzLciAav A:= C�A�� MUcaQ � (3a.a►.I 1 ; C3a TEST8Y 1lwlo. P.I-.' . S-0. ' of 14eAL_rw p i '1 t•.l>�. ,2t°. WITNESS: t+, TEST DATE g 'a x ' DESIGN 7\4 FI H �A°19 28 o T H # 2 I 429.3 '1'A�E�.1 1►.1 cLF r.' i= (2}5tory x 3Ad2 :F'`o . � ELEV. Q. ELEV SAw0 6 .T.�4.- 1� FL 2F.o,spac�.�'IScpJ�fDOD51 =:E9oq/ t2 gSOIt.Q La M ug501� r, NO s MIN/IN.; SPO Z PERC RATE G Z' DI SER D(SPOSEF( SI TY Ats FLOW RATE 290 (GAL./DAY) Z9O -- F SEPTIC TANK Z9C> , C-LA Y REO'D SEPTIC TANK SIZE I Co op rI � 'F►�!� 22.3 LEACH FACILITY i' SIDE WALL . Z'x 25tx G x i2.5► m 25p G �D BOTTOM 2' ,< 2°S ' x' ( 1•0 G/0. �ld8 IdJ.b I ( TOTAL ISo i-� saw 5a> w d 14�r� 1c,0 190" 14.3 USE , �� LEACHING TOLEt.rGt-I vWATER ENCOUNTERED I ZS.' loncj x 2lµllde �C 2'deep Cbe�ow 'ptpe7 It� �. 01 '. .;•NOTES '(UNLESS dTHERWISE NOTED) Ix ' ► Y '''' " Lo 4 SIS. 12�!'.�'if� ,: OATI)M(MSL)+TgKEN F OM�}(-IYitJ N 1$ ; 2.MUNICIPAL WATER .1 "` QUADRANGLE MAP i.r _—` —_AVAILABLE".. yr — CLAy Ij rgA `ZN OF,�a 3.PIPE PITCH:4j!'PER-FOOT EKCEPT aS s►Ic+wl�! t s ar S nF d°)• P k,1 4._OE51GN LOAbIN.G FOR ALL.PRECAST UNITS:AASHO L-1—Z� / "- ^�;�, �� 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT r 44 --- Z4rZ b��� JAhJI�rrC JAMES ~�� 6.PIPE JOINTS SHALL'.BE'MADE WATER TIGHT r C r�... H. _I 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WIT ..+H COMM.OF MASS_S=+`: , o .+ DOW/v1AN:" U T —•F S IgTHfNVIRONMENTAL CODE TITLE 5 4 , S 1•JD ' " u J►lAM I r •.9:.^.r. N 24040 Pt`2Ic TUS"r let -v 1 } rF`5 f✓ l a f b,M } I"`.� O'^� S7fa� tam ��Q /`� u,A�CL',2'4eNC �JR%J ! ; ! k I I` n L l wr✓ i REG.PROFESSIONAL ENGINEER Y IJ ti 7. f - s ' i " BOARD OF HEALTH CONTOURS .`(EXISTING)-_._....___ - s' t F' ,_ (PROPOSED) APPROVED DATE ����STa(tyLE i.. - MA- �j �f 'rl /7_ U DD7 Co ea#th:,of Massachusetts 06 Official- Ins ection Form _ P Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1095 Main Street Property Address Pew Robert McCarter Trust Owner Owner's Name •d information is bl t t Ba rnstable MA 02668 9/26/17 _ required for every W — -- — --------- �- ------------- page. City/Town , a State Zip Code Date of InspectlonQ 1n'sp 'Q, result§rmust be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. ry41 Important:When r�.°` ` filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Mike DeCosta Jr. use the return --- — --------- ---- key. Name of Inspector Wind.River Environmental ,�y 400 Compa�syNarnep -- — ---------- - ----..------ 4 L -Suite`10.00 ----- ----GAO"Address; Address` M k rltcough MA _ 01752 -- ---------- CftylTown State Zip Code 800-499-1682 SI 13230 Telephone Number License Number B. Certification i I certjNAh@t I have:per ooally inspected the sewage disposal system at this address and that the iriformatfoy,reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage=disposalsystems. I am a DEP approved system inspector pursuant to Section 15.340 of Title.5(1 CMR 15.000). The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority - - --�� - peies'Signature Date x- The',system inspe for shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10;000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc-rev.6/16 .y, Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 0iij Commonwealth of Massachusetts t= Title 5 Official Inspection Form �= Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,.N 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: All covers on system to grade. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than.100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/ day flow t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts ` Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .w 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Detail Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Retail Office Design flow(based on 310 CMR 15.203): 498 GPDGallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): 75 gal per 1000 SF Grease trap present? ❑ Yes ® No Industrial waste holding tank present? ❑ Yes ® No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: n/a t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: The home owner and Wind River Environmental are the sources of the information. Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? The quantity was determined by the pump truck and it was measured. Reason for pumping: To check the structural integrity of the septic tank. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of'the DEP approval. ❑ Other(describe): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts �W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street _ Property Address Robert McCarter Trust _ Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/1.7 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): All joints sealed, no leaks, vent on roof. Septic Tank(locate on site plan): 1' on risers to grade. Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10'x5'x5' Sludge depth: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 40" Scum thickness >1" Distance from top of scum to top of outlet tee or'baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? The dimensions were determined by sludge judge, rod, and ruler. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet covers on risers to grade, tees in good condition, filter installed on outlet, liquid level normal, minimal solids and sludge, tank appears to be structurally sound, not leaking. Recommend pumping tank and cleaning filter annually. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts _ W Title 5 Official Inspection Form =� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City,7own State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" — Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): H-20 distribution box on riser to grade in parking lot, box has one outlet. Liquid level normal, minimal carryover, box is in good structural condition, water tight, not leaking. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: 15ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 1 -8'x5'x2' ❑ leaching galleries number: - ❑ leaching trenches number, length: ----- ❑ Teaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Chambers on H-20 riser to grade, chambers are dry, showing no signs of hydraulic failure. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer — Depth of scum layer Dimensions of cesspool - Materials of construction --- Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions - Depth of solids - Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 V Com_,or ealth of Massachusetts Tit 0-.,.ficial Inspection Form i ' Subs urf c Sewage Disposal System Form Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name --_.—.-- -------__-.._-._ information is required for every West$ar MA 02668 9/26/17nstble: ; ty page. Ci /Tow ' :' State Zip Code Date of Inspection �ws<., �§� 3 D. S- ,m Information (cont.) Sketcf� f Sewage Disposal System: Provide a view of the sewage disposal system, including ties to �s. ' at: _„ . t.-o pirianent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate whp .blicwater supply enters the building. Check one of the boxes below: 0 hand-sketch in the area below I� drawing attached separately s utC, 4. ns 4r Bo—, r r W. t xlt. l }� i 4 15ins-doc•rev,6/16 drfitp" - rr yl 4. Title 5 Official Inspection Form?Subsurface-Sewage Disposal Sys am Page 15 of 37 11 � 4' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments H 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is required for every West Barnstable . MA 02668 9/26/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 5 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record 1997 If checked, date of design plan reviewed. Date Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Obtained from copy of design records on file at the BOH. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1095 Main Street Property Address Robert McCarter Trust Owner Owner's Name information is West Barnstable MA 02668 9/26/17 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 AsBuilt Page 1 of 1 l J075 T.OnWAMSTABLE t 78 `4611� LOCATION 1 MAIN STREET, BARNSTABLE SEWAGE# 97-78 VILLAGN BARNSTABLE .� ASSESSOR'S MAP&LOT-] INSTALLER'S NAME.&PHONE NO.. a TANK CAPACI'rl I !L LEACHINGFACIL.M.(typo :tzYW,5c (Size) .S")f QJ( KKSrc;t NO Of-BEDR0.OMS BUILDEROWOWNER CAPE GOD GOPERTIVE BANK PERMITDATE:?Jed to7 COMPLIANCE DATE: 7 Separation Distance Between the: S/ Maximum Adjusted GroundtvaterTablc and Bottom of Leaching Facility Fcet Private Water Supply Well and Leaching Facility (If any wells exist " on site orwitWn 200 feet of leaching facility) _.______Feet Edge of Wetland and Leaching Facility(If any wetlands exist i u g within 300 feet of dcaching facility) Fret Furnished by J Fizof 1 ,c:i7 ggl Lk J 'i't •J 7 1�t W Y J ram---=- 4 TE { http://issgl.-2/iniranei/p.ropdata/prebuili.asp)c?mappar=l 78004003&seq=l 9/25l2017 �— Et..... .. .. .... - NoT�— /�-GG U.v Sw TgBt.c. iy�T�� /�✓ rNE- TO? CF FOUNDATION LL }G*c/ /7�74 ,gT�D $��'�/C.ND .7b BE CONCRE i c COVERS 4. C-AS T IRON 9 r� n—r�1+ � . ..,.._. � . ,• GL�i/�i�! .56}TII�� OR SCHEDULE 40 ���_ ,,,• L-Z 4b./¢-� n 4"SCHEDULE 40 P.V.C. (ONLY) G'MIN LEACHING TRENCH (/)REO. }?V.C. P►PE ld1. —_ PIPE-MIN. -- ' 30' r.!C<X. PITCH 1/4"P=? ; I/8 - I/2 WASHED STONE INVERT CZ) C3 SEPTIC TAT Ir1vERT DIST, tNvERT ;Qa=r�'rr��C :u,'�; t_i�Ci'b; rr 24" 6.. INVERT �R/�NG- EL.......... BOX EL......... /Soo GAL.. INV_ T _>_....... EL........... Ir+`JAR; , Precast 500Go1.Lea ch 3/4"-1V2"-1 . -/r ( / ) O. camber WASHED STONE•, - 6„CRUSHED STONE RE 6O � .� Pi%0 I LE OF _ SE�,�'AGE DISPOSALGRc���r;D SOIL LOG SYSTEM EM ,—YPIC-M C� S3 S_,: ION DATE .!%�/.83. Tlyd= . 91301411;�l NO SCALE LEACHING TRENCH - TEST r.,L= I TEST HOLE 2 ELEV. . 8,! .. �_Ev. . . . . .. . ... DESIGN DATA r: ri==- _ - o.O�.il `4J _D -3S MAX. Z4n / •� c� 2 TOTAL ESTI,'.'.ATcD LOW . . .c�/. t ? r c f ri,%� cv� tv�„ L_�C-;; u A':1> ....-..-....<. _•.�.:T./ �n=.:� � G PD - ,•-'�;II��C�,� 24 it S /o SIDE LEAC;i ^ �/7 Op _ / Go IN G AREA . . . . .../. . . . So."T T-_.CH/SC - . Noti/G- of ,r, . GAR 3 AGE DISPOSAL ... . . . �.(30 is PEA INCREASE) ¢ TOTAL LEACHING AREA , .i �03 q t:s � �ERCOLAI ION FATE LL"35 7Z�A�✓�L/o�l�,flp=R,IN CH /2�S �p S/I-r/D LEACHING AREA PER PERCOL.".TION F.;;Tc +.�S a.F /C,p, 4.38./� ,� I ez- is,/¢ GROUND wi;TER T. =_L= APPROVED .. . . . . . . . . .. EOARD OF H:�.LT;i O /2oN .ATER ENCOUNT=R=.D EL. DAITc ... . . .. . . ... ^ . ._.... . . . .. . . . . . ��,sa�e��4 WITNESSED BY '. AGEEN OR Ir.SP_cTo. � e (� OF��s r q . .. BC;' OF FEALTH yS IZ4,TG- ex? � � . . . . . . . . ENGINE_.'. .WC.STBHIZNS�.9/jLE 4. ` 27 s PETIT10NER ' .nen��D-Gb-o}�.��CY��G 0°ey/�EVAW0'`:a� r- 3d r�P UA L S E 8 AG P MIT., NO. W r L0 CA .. VIL-LACE' " INSTALLER'S A M E ADDRESS l c NM. s U 1 L 0 E R :OR, OWNER cS j elu'rrA ;. DATE PERMIT ISSUED _ i DATE COMPLIANCE ISSUED, : i i a1� &UI ljlAf6r a a Ilk Iv�� 10-49 a .; �,��.. -•�—;,.-�.-�--.- da Zt f ... �� I .•.•.ilx,'. �nxYur� � �, �� .. 3 3_ - - 1 c-� C W—U-CA _ p No -�.��� Fas_. THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF` HEALTH �-�-� 14/-7 S'-f ........... at!`!. ..........OF......BL3lL /.S•Ti /3G .1....: .................... Applirtttion for Disposal Works Tonstrnr#inn Frrmit Application is hereby made for a.Permit to Construct (­T or Repair ( ) an Individual Sewage Disposal i System at: j ..»/Zc!yT�_ C�q W�sT Br4/�+vsTiyl3L6' .o.c.af.r.t..i.00....nw...n......d.........s............B..../..I..T._�.i--G....... .................I..�...�_�J�Ot/7.7�_a•.rt.e.a.Na.. o.....-.._-,.a.--...11..am�Y...--..,.�S-.. S •n_.._--..........�. 42, ve .A..d7.--...........................»-. .-•---..... ...- .................»-....... aAdcs( - -••....•- ----3 ..... .. rC: Installer ...�. ►,✓II 'type of Building Size Lot................ ..........Sq. feet Dwelling—No, ............................................Ex nsion Attic .7 of BedroomsPa ( ) Garbage Grinder ( ) c Other—Type of Building oG�Iq�of persons Showers — p, ( ) Cafeteria ( ) � Other fixtures ....................................:.:......_............_...----.....---.....----....---....----._._.._......._......._:...---......._-...---..._.. Design Flow...7S.C!'t/&Vj?-,sp t�;.gallons per person per day. Total daily flow...............9�._...... .._.._......ga----- WWW PTank—LiquidT--P Y gallons Length.A 6 ---Width.¢'G .Diameter................Depth.As 8 Septic 'ca acit ./So•• x Disposal Trench—No.................... Width..............:_....Total Length ................Total leaching area....................sq.ft. 3 Seepage Pit No .......... Diameter......./Z...... Depth below inlet .......Total leaching area.33F.3...sq.ft. H Other Distribution box ( ) Dosing tank ( •) a Percolation Test Results Performed by..._ s01.......... -f• ��GG /Z SDate--- �1 t"�.............. -�� .. .... ............•f•._......-.._.- Dl - Test Pit No. 1..�...z.....minutes per inch Depth of Test Pit...../.n--' Depth to ground water. Gq Test Pit No.2_� z....minutes per inch Depth of Test Pit.. 44.....Depth to ground water......." ai ............................................. 0 O 7.¢" r.•-So/G Still So.G 2¢ Goy ....................................................................... .......... Description of Soil....- ............................... -s.�G. �Awp .... Cfs►y a8'— ........-.'............................ V ....._......l--.....�.../¢Z"_ N�SA>✓D .... ....................................................................................................................... ! U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ................................................................................................ I Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in o r 'on til a ertificate of Compliance has been issued by the board of h , tiSi ... .... ...._ .4 .....:................... -/- ,r i /� - .. _....Date Applica on pprove ............. ..,:C-c...........-.' �— .......................... ............. ---------- Application IDate Disapproved for the following reasons: 1 ........................................................................_ ..........................................._..........-_-....--.......--........_....................................................._.. Date PermitNo..........................._......_..._.........» Issued._................................................... " Date THE'COMMONWEALTWH OF MASSACHUSE--- �s,.�I111Vp fofo,(�j., IBOARD F HEALTH,. T.k/.. /....... oF.... zl✓. TttZr�.0 ............................... ' - to of Tomplittnrr Tf�1�IS 0 CERTIF hat h I ividual Sewage Disposal System constructed (t�-or Repaired ( ) by. ... ........' ��--1..-•-A•............ .. . . ....................-.-......_...) .......................-.................-_........_..............:......-........_••---•-- �1 r/.1. ' In Il �F NO at................................................'....................................-._.. .. T7!`!f .-.......__...........--._....._._........----------- has been installed in accordance with the provisions of -IE 5 of The State oanitary Code as described in the application for Disposal Works Construction Permit No...... _1_.. dated....... {{-n. . . ..................... i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT.BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM WILL a DATE............. � -... ..... -..S ............... ._-_-._. Ins ector......-t FUNCTION SATISFACTORY. t ( THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH .............7Q!^..( /..........OF.......:8�7,.9-e.4.4........................... �j FeE ... ............. 3�is�►n ttl arks Tonstmrtion Permit Permission is hereby granted.L -.....t.................................................................................................................._...... to ct or India# �l Sewar¢e tsposq&step c .•. ............................................. ...............o r.lvt 0 . stre as shown on the Application for Disposal Works Cculstruction Perms .......�..yyyy... Dated.. 2� .................. ...:- Board of Health DATE....... .............. . ....... �... FORM 1255 A.M.SULKIN,INC.•BOSTON •Ft, C v wt m E R(-t,l L F lE [ 4'`- p LOCAT O.N _ SEWAGE P MIT NO. INSTALLER'S A M E & ADDRESS S U I L D E R 'OR, OWNER 0 Cad C� -a2s< �arUC,4 /2&V,r/ DATE PERMIT ISSUED �� DATE COMPLIANCE ISSUED. I ��, �.� •� I 1 F1�r�� FN G1 {� �.49QX A � IT q i�6 -00C/ � TOWN OF BARNSTABLE 176 -&6,5- LOCATION 1085 MAIN STREET, BARNSTABLE SEWAGE # _ 97-78 VILLAGE BARNSTABLE ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO.FI IIS PpnTyERS CON,gT rn 342 ca 7 SEPTIC TANK CAPACITY I ri o fo LEACHING FACILITY: (type) b tZ Y w s c� (size) NO.OF BEDROOMS BUILDER OR OWNER CAPE COD COPERTIVE BANK PERMITDATE:2./24/47 COMPLIANCE DATE:__ Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by IX44 �/� i'5 biowi /0C5 JI oil t�Y r n J 1 COPY Commonwealth of Massachusetts o y Executive Office of Environmental Affairs Department of CEO Environmental Protection AN 13 1997 rorm F.Weld � 3'p udy Ccx Goy Argeo Paul Celluocl �O David B.,Str U.Governor p + DTI. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A _ CERTIFICATION 0g5,M-0"N sro !_ Q Property Address 10 9 5 R T E 6 A Address of Owner. 2 2 1 WILLOW STREET , Y P Date of Inspection: 1 1 /0 8/9 6 (If different) Y A R M O U T H PORT , MA Nemeoflnrpector. REID F T � CIS BROTHER CONST . CO , 23 ENTERPRISE RD . , - Company Name,Adds ende,7gpAhN�id,b 02675 , 3 6 2-6 2 3 7 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: --. _ Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails /— 1Z7Z Inspector's Signature: ✓". Date. The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30)days of completing this inspection. If the system is a shared system or has a des#'flow of 10.,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. Theo ' should be sent to the m owneand-'copies sent to the buyer, if applicable and the approving authority. original system Y PP PP v�g INSPECTION SUMMARY: f Check A, B, C, 00 ) AI SYSTEM PASSES: _r //ly/ -. - I have not found any information which indicates that t e system violates any of the failure,criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. ; BI SYSTEM CONDITIONALLY PASSES: w ` One or more system components need to be replaced or repaired. The system,:upon completion of the replacement or repair, passes l inspection. j Indicate yea, no, or not determined(Y,•N,or NDADescribe basii of determination in all inatances. If"not determined", explain why not) The septic tank-is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is ' imminent. The system will;pass inspection if he existing septic tank is replaced with a ponforming septic tank as approved by the Board of Health. (revised 11/03/95) 1 One Winter Street • Boston,Massachusetts 021 • FAX(617) 556-1049 • Telephone (617) 292-5500 i,Printed on Recycled Paper r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ty $ t CERTIFICATION (continued) Property Address: 1-1'1095 RTE, 6A , RWEST .BARNSTABLE , MA Owner. CAPE COD''COOPERTIVE BANK Date of Inspection: 1 1,/;0'8/9 6 ' B] SYSTEM CONDITIONALLY PASSES (continued) Sewage,backup or breakout or high static ater level observed in the distribution box is due to broken or obstructed pipe(e) or due to a-broken, settled or uneven diet tion box. The system will pass inspection it(with approval of the Board of Health): broken pipe(ei are replaced obstruction is removed distribution x is levelled or replaced The system required pumping more than Aur times a year due to broken or obstructed pipe(s). The system will pass inspection if(with.approval of the Board o Health): broken pipe(s are replaced a obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE B ARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBL C HEALTH AND SAFETY AND THE ENVIRONMENT. Cesspool or privy is within 50 feet of a surace water Cesspool or privy is within 50 feet of a bo ering"vegetated wetland or a salt marsh. r 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absc rption,jgystem and is within 100 feet to a surface water supply or tributary to a surface water supply. rf( r The system has a septic tank and`sail-"' tion system and is within a Zone I of a public water supply well. The system has a septic tank and soil abscrption system and is within 50 feet of a private water supply well. The system has a septic tank and soil abscrption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well 1water analysis fc r coliform bacteria.and volatile organic compounds indicates that the well 1s,-&ree from pollution from that facility and the F resence of ammonia nitrogen and nitrate nitrogen is equal`to-,or less than 5 ppm. 3) OTHER (revised 11/03/95) 2 l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) PropertyAddreaa: 1095 RTE 6A , WEST BARNSTABLE , MA -36a t-&V Owner. CAPE COD COPERTIVE BANK Date of Inspection: 1 1 /0 8/9 6 D) SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. dDischarge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped S Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. 5.ej2-- P 11 Tz- is �-'-*-- t -v-R.- --Z�j C-0 Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. L/ Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: The following criteria apply to large systems�in dition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because o ie or more of the following conditions exist: the system is within 400 feet of a surfs drinking water supply the system is within 200 feet of a tribul ary to a surface drinking water supply the system is located in a nitrogen se native area(Interim Wellhead Protection Area (IWPA)or a mapped Zone 11 of a public water supply well) The owner or operator of any such system shall bring the i ystem and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult th e local regional office of the Department for further information. (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Addrem 1095 R T E 6 A Owner. CAPE COD COOPERTIVE BANK Date of Inspeotion: 1 1 /0 8/9 6 Check if the following have been done: pumping information was requested of the owner,occupant, and Board of Health. has been recei ving' normal flow rates of the system components have been pumped for at least two weeks and the system �8 i during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection /As built plans have been obtained and examined. Note if they are not available with N/A. -:/The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow 2 e site was inspected for signs of breakout. At system components l,w luding the Soil Absorption System, have been located on the site. 77he septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid,depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site has been determined based on existing information or 2The roximated by non-intrusive methods. facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub. Surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION PropertyAddreas: 1095 RTE 6A , WEST BARNSTABLE , MA Owner. CAPE COD COPERTIVE BANK Date of Inspection: 1 1 /0 8/9 6 FLOW NDITIONS RESIDENTIAL: Design flow: gallon Number of bedrooms: Number of current residents:_ Garbage grinder(yes or no):_ _ Laundry connected to system(yes or no):_ Seasonal use(yes or no):_ Water meter readings, if available: Last date of occupancy: COMMERCIAL. NDUS Type of esta hment: MAiti/Ja- PGaA 144 &4 Design flowlon/day Grease trap present: (yes or no)_AJV Industrial Waste Holding Tank present: (yea or no)&Z Non-sanitary waste discharged to the Title 5 system: (yea or no) Water meter readings, if available: =414 0-4 yo c .d I . 0 )m� Last date of occupancy: OTHER (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection: (yea or no� If yes, volume pumped: gallons n for pumping: TYPE F SYSTEM Septic tank/diatribution box7soil absorption system Single cesspool Overflow cesspool Privy Shared system(pea or no) (if yes, attach previous inspection records, if any) Other(explain) APP OXIM.ATE AGE of all components, date installed(if known)and of informs on: /Y �/v��%►� �v� z source�� Sewage odors detected when arriving at the site: (yea or nov �V (revised 11/03/95) b y s r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1095 RTE 6A , WEST BARNSTABLE 34-7_— V gip owner. CAPE COD COPERTIVE BANK Date of Inspection: 1 1 /0 8/9 6 SEPTIC TANK_v (locate on site plan) N Depth below grader O Material of oo on: V concrete metal_FRP—other(explain) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness:_0 Distance from top of scum to top of outlet tee or baffle: 0 Distance from bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping, ondition f' t and outlet tees or baffles, depth liq 'd level in relation to out m e , stru integrity, evi nce o 1 etc.) �' O GREASE TRAP._ / (locate on site plan) Depth below grade: Material of construction: concrete metal FRP other(ex ) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping, condition of inlet and outlet tees or affles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 11/03/95) 6 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1095 RTE 6A , WEST BARNSTABLE , MA Owner. CAPE COD COPERTIVE BANK Date of Inspection: 1 1 /0 8/9 6 TIGHT OR H0LDING TANK_ (locate on site plan) Depth below grade: Material of construction: _concrete_metal_FRP_other( plain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc. DISTRIBUTION BOX:�� Q -' (locate on site plan) Depth of liquid level above outlet invert: Comments: /� (note if leveion is equal, evide of so' ver, evidence, f leakage into or out of box, etc.) F� l an diet 'but D PUMP CHAMBER_ (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and a ipurtenances, etc.) (revised 11/03/95) 7 ��5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1095 RTE. 6A , WEST BARNSTABLE , ,MA . 6� ._- l` oo owner. CAPE COD COPERTIVE BANK" .' :. Date of Inspection: 1 1 /0 8/9 6 i SOIL ABSORPTION SYSTEM (SAS)': �S (locate on site plan, if possible;excavatio not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:! leaching chambers, number:_ leaching galleries, number: (1 1 A/* Za leaching trenches, number,length: , �vl� � � � «D u leaching fields, number, dimensions: overflow cesspool, number: Commeennts: (note condition of soil, sib of draulic failure, level of ponding, condition of vegetation,etc� J /N Q 5 A i rj I tj "r1 "�q tab(} •, eS I*A I/ Z CESSPOOLS: + 1 ,��!✓s ff � � (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of arum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level o ponding, condition of vegetation, etc.) PRIVY: _ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) (revised 11/03/95) 8 f� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) PropertyAddresa 1095 RTE 6A , 'WEST BARNSTABLE MA Owner. CAPE COD COPERTIVE BANK Date of Inspection: 1 1 /0 8/9 6 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' f - 3� 'X Y� f� P,,71 S � �.� DEPTH TO GROUNDWATER Depth to groundwater: �� ` feet method of determination or approximation: (revised 11/03/95) 8 r7 t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..................................................................................... n AG- Trr#gf irate of TootpliFattrie THIS IS TO.CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...........C:....-c° ------------------------------------.----------------------------------....----------------......-------------------------------------- ------ -----------------Installer has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..---46?•_`_ .�............... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................-•-----------•----•--•----------••••••.........--=--- Inspector..................................................................................... S EP 2 8 1982 i f o -�d J' Fss.. r ........ No. ..... --- / THE COMIMONWe-ALTH OF MASSACHUSETTS BOAR® OF HEALTH ...............OF.................:............. ApplirFa#iou for Dhipoii al Works Toutitrurtiou Prrutit Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal System at .......... !� mil/ �0......! t..�" ---•---- ---...-•------•-------------•-•--...------. .... ... ........•........---..... ......... t�t0 .. ation-Address—y{ ` /� / or Lot No. Oner ..................•--••---•---•.Add.ess Installer Address el Typeof Building Size Lot____ .....��a.-Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa,, ­V Other—Type of Building° 22i.22� of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .................................. /� ..____ .. __ allons per person per day. Tota dall flow__._...... .. W Design Flowp�` �; - g P P P Y Y .I �- gallons. WSeptic Tank—Liquid capacit}� allons Length.. 'x$�Vidt fJ amet '�,_ �..... ....._. x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (Pj' Dosing tank ( ) &-,Vc,4i1J q f/2 Y/ Percolation Test Results - Performed by.................................................... ----------- Date........................................ ,aa Test Pit No. 1.'v�09__minutes per inch Depth of Test Pit......1.4........ Depth to ground water......9�_...____. (i Test Pit No. 2... .Z.._minutes per inch Depth of Test Pit....... Depth to ground water,9,10 .1 r 40"&a ----------•----••----••-----•- -......................................................................................................................... ODescription of Soil----�� .... �" .....`� r---------------•-------------------------------------- ---------------•--------------------.x V ------------------------------------ ............ - - y-- - UNature of Repairs or Alteratiunc A *hen applicable............./v/i4---------------------------------------------------------------------- ---------------------------------------------------------------•--------•-----------•-•---•-------------.....---------------------------•-------------------------------------------------.....------•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 ......... .x.. f halth o . "-�O ire; �Sign ••.... Application Approved By...... 1 . ... . . ....------------------------------------- Date Application Disapproved for the following reasons-------------•-------------------.....----------------------------------------------------••-••••--------•------- ...............................••---•-•••-••-•-•-----••••---•-------•-•-•-----•••---•-----•-•••------•--•-•-.............-•---•••...---- -- - ---------- ---- - Date PermitNo......................................................... Issued....................................................... Date s : 8 ,...`` No.._. - Fss «.......... THE COM➢40NWeALTH OF MASSACHUSETTS BOARD OF HEALTH ��`�c/%................OF............. a.2�c,$T:y'l u . ................... Apphration for Uiopuotal Workii Tontitratrtion ami# Application is hereby made for a Permit to Construct ()0 or .Repair ( ) an Individual Sewage Disposal System a ; /J r, tion•Address or Lot Nov- l�/3 ................................ Owner + Address a `S R -------- ----------------------------------•-...__ ----- / Installer Address / tj 4C+ q Type of Building Size Lot________________-L___ .._S . feet U Dwelling—No. of Bedrooms__________________________________ _____Expansion Attic ( ) Garbage Grinder ( ) p4 —V Other—Type of Building(a of persons____________________________ Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................................ W Design Flow_2�K'_u=____...�___'Q�__gallons per person per day. Tota. daily flow............ ..............gallons. Qi Septic Tank—Liquid*capacity-,Q!?!'allons Length._r idt metes' - P " W Disposal Trench—No.____________________ Width.................... Total Length..._................ Total leaching area....................sq. ft. x Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ✓f' Dosing tank ( ) ec -0eol/ N S' e,07�/91-� 5 5/,2 )e 43 Percolation Test Results Performed b ...................................................... ................... Date........................................ Test Pit No. 1___?__ _.minutes per inch Depth of Test Pit......f_2__._____ Depth to ground water_.____.s.3__.____.. fi Test Pit No. 2...<-Z._minutes per inch Depth of Test Pit_...__.7¢_Z�... Depth to ground waterA/*7.._0S1.Cy&a x ...............=--------------- --------------------------------------------------------------------•---------.._.......----------._....-•---•------••-•-- O Description of Soil..._ zp----- '`............ --.... ..._... --- x �., U Nature of Repair Alt when applicable............. /A----------------------------------------------_______---___----------- ----------------------------------------------------------------------------------------•--•-••---•--...---------------------------------------------------------------------------...---.......••-----. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI:j 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has' y the and of health. � 1F Sign -- .t.. .......... ...... D -...-:.....s �-------•--------------------------- Application Approved By- - Date Application Disapproved for the following reasons---------------••---------------•----•------------------•--------------------------------------------------•-•••- ------••----......--•........................•--.....--------•------------•------•--......_.._.._.....------._.._..-------------------- ------------------------------•---------------------------•--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (9rdifiratr of Toanplitanrr THIS IS TO ERTIF,Y, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...........C._•---•..7_ , -----------------------•-•-----•--•-••------------------------------------------•--•-•-----•---------•--._..__..._....----....------------------------- * � Installer rat. -------- ' • ------..- has been installed in accordance with the provisions of TITIF 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.___t � �'�---�'!...------------- dated......................._._...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...--•-•--•..............................•--....:--------••••--•--••--••-----•-• Inspector.................................................................................... ; THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..OF..................................................................................... FEE.31. .............. Disposal Iforkv ons#ra ion autit Permissionerebygranted............. "------- _._ -----------••----------•-•---•....................................................••----_.... to Construct ( ) qF Repair ( ) an Individual Sewage Disposal System at No Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ------------------------------•----•----------•---» // DATE...................................glZ-7yl A:--_---- ------- Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON No .'�.....9 Fxs. ... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH c'iN N O F.......j / Tip i Aliji tration for DhipmFai Vorkg Tnnitrnrttnn ramit Application is hereby made for a. Permit to Construct (­Y or Repair ( ) an Individual Sewage Disposal System at: " 4i/&3__)' ................-••--•---...........- . -----•-----...... ...... - .._.. ._........._.... Location-Address p i / or Lot No. 0_1 —o��VLr P/�f6G y� !r` /14�—,S -..... •• —�,—�a -.... -•------------------------- —ll` ,t� .....f ----------------------- ..ep" Address MA Installer ddress dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures -----•-----------------•-------- - --- -- W Design Flow.... per person per day. Total daily flow...............97......................gallons. WSeptic Tank—Liquid capacity.!-�q__gallons Length__8J� ... Width.!"-' Diameter---------------- Depth. ��.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No._.....�-.---___--- Diameter.......f A:.,-_- Depth below inlet........ ......... Total leaching area.3s f____._sq. ft. Other Distribution box ( ) Dosing tank ( ) / `-' Percolation Test Results Performed by.....J`-7Z =r0 A/_...2:.... ..:rl .' Date..�1. ......................... Test Pit No. L.L---7.....minutes per inch Depth of Test Pit.-- .`'.... Depth to ground water----- ............. fi Test Pit No. 2. _.Z....minutes per inch Depth of Test Pit...� ` .��-.. Depth to ground water............. O Description of Soil..---o o._Z�4�. .� e S�f L .. 5�g-Bare. Z�"- for' A;-/& ---......-.•... -----------------------------•--------------•--•---••-----•••---- x ...............d3 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 TITLi, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in o r ion til a ertificate of Cbmpliance has been issued by the board of hea Si n .. C. �• �- ......... ... .•---•..............................• r Date .. Applicat on pprove - r.... '� �`7� -:...... �' Date Application Disapproved for the following reasons-----------------------------•--•--------------------------------------------•--...----------------------------- ---•-•••..............••----•--...--------•-----•----•-----•-.....•---•---•------•---•----..........-----••---...........-----------------•-----•--•--------------•----...---•••----------•-........-•-- Date PermitNo......................................................... Issued....................................................... Date }e _ 7 N �^ Fm THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH v..iRr.. �...........OF...... Appliratinn for Disposal Works Tnnntrnrtion Frrmit Application is hereby made for a Permit to Construct (i,.-) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. Owne t Address a •••• .. . ...... --••-•----------- ' ------ ------------- � Installer I Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) � Other—Type of Building 12 S�fT oF�dSI� of persons............................ Showers � YP g --------------•-_-----•-` P ( )._— Cafeteria ( ) QOther fixtures ................................_.....---------------.....-------------------•--------------------------.......--•-- --•••-•---- W Design F1ow...Z-5.G�f!ftm..,:sP.0%..gallons per person per day. Total daily flow..............97.......................gallons. WSeptic Tank—Liquid'capacity15 ...gallons Length.$.14�':..... Width 4.'�....... Diameter................ Depth_S' '. x Disposal Trench—No. .................... Width.................... Total Length.................... Total.leaching area....................sq. ft. Seepage Pit No......./............. Diameter......./_7 Depth below inlet.......0......... Total leaching area. F_. ...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed ...../Z-....I-IA.G4-l.._.2 S.% Date.�/Za,/l!3 Test Pit No. 1,�.. ..._._minutes per inch Depth of Test Pit...E_'X.''_._.. Depth to ground water----:•:'............... V4 Test Pit No. 2..G..-.�i.....minutes per inch Depth of Test Pit--- Depth to ground water.____'":............ a •---------•-•-----------••------•-------•-•------•-•--.....•-•-----•-...._•••--•-•--••=•••••---••-•.•--•---•---...•-•-•••••----•..................••----•-•-- O Description of Soil----o'" Z` --- ° _-SoiC P= Soil• 2 _-_ Via` i.�iG- r✓c ._... .. ------•------------------------••-------•--------•--------•----•------••-•----------•-•--•••--•-----••---------•--------------------•-------•--••-•---•------•----------......•-•-••••----------------- I 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 Sanitary 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. Signed-- r� - _. .:.� C.a� ` .........................f , Date Application Approv By �.�J �--'a .... ........... ............ Date Application Disapproved for the following reasons:................................................................................................................ -•...........................•-----•--------•---.....---------...........----------------...-•-------••---•--•-•----•--•-----•--•----•-•--•-•---•-•-----••-------------------------------------.......-- Date PermitNo...................................................:..... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTSl6lv�V �a� / it„"+ BOARD F HEALTH .......... ....... OF.... N.S.T. ►'d .............................. t of Tontpliattrr THIS ISVQ CERTIF 1 hat he I =vidual Sewage Disposal System constructed. (,�'or Repaired ( ) by,, _ } `^�.. l --................................................................................................ In �1C J /"-' at................................................. ...`........-•T T�u� �'•�-- ...................................................... has been installed in accordance with the provisions of Y'-IF 5 of The State anitary Code as described in the application for Disposal Works Construction Permit No.___56�151n- :'3.o.QF..... dated.......9 _1_ . .. _.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E®. BE CONSTRU AS A GUARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. ..�.. . ...` ................................ Inspector_... .......... T THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7_o!f e)..........OF.......:..... lZiil-S T/- 4.-.......................... ..-' No. ......... .... FEEL- .......... Disposal orko Twonn#rnr#ion Vprrutit Permissionis hereby granted_L.� .---- ---•-•-------•-•--...--=-.---...............••-------•-•-----•---•---•.--•--....--•-•-------......----....--•---......._.. tovot uct or ( an Indiui ua� Sewage spos s em t at i��"�� .0j U.- 1 a2 .s ,, ------•--- ••----•---•••-•--•................ .................•--------'--•------•------•----•-----•-•-----••------------•-••------------•----•-•-••---•--••........... _ ' - <79 as shown on'the application for Disposal Works Construction Permitr Stre t',1 No .................. Dated_*/;/�------------------ Board of Health DATE....... s - ---=--lJ !Fi.. ............................. FORM 1255 A. M. SULKIN, INr-.. BOSTON _,,r•"'•'""��"��N �� � �` ' c �- r . i CAPE COD PLANNING AND ECONOMIC DEVELOPMENT COMMISSION 1 ST DISTRICT COURT HOUSE, BARNSTABLE, MASSACHUSETTS 02630 TELEPHONE: 617-362-2511 October 7, 1987 Mr. John Kelly, Director Health Department Town Hall Hyannis, MA. 02601 Dear Mr. Kelly: Enclosed please find a series of three graphs showing water table elevations over the past 1 1/2 years, taken from USGS water table monitoring wells in the vicinity of Cape Cod Cooperative Bank's proposed development site in West Barnstable. The graphs indicate that- for wells AIW 294, AIW 314 and SDW. 252, water table levels approached, and in one case exceeded, record highs during the spring of 1987 . They have since subsided. To date, 1987 water tables levels have followed a normal pattern, with highest elevations observed in April and May, followed by a consistent decline, which in part reflects the dry summer experienced this year. . The fourth graph shows that in general over the past decade the lowest water table readings on Cape Cod occur in the fall, while annual maximum groundwater elevations occur during the spring months of March, April and May. This background information is particularly important when ~,,.,. performing Title V percolation tests in soils containing clay, which precludes the use of the USGS methodology. This method, developed to predict maximum water table elevations at any given location at any time of the year can only be accurately applied in areas of predominantly permeable sandy sediments, which is not the case in West Barnstable. Therefore, the Board of Health must rely _�• on the actual observation of high groundwater levels in siting of s...•,. r septic systems under these conditions. A perc test this fall at the West Barnstable site would not reveal maximum water table conditions. We would therefore recommend that the test be performed in the spring of 1988, when water table levels would be expected to be closer to their potential maximum. .y f I hope this information is of assistance to you. Please call me if you have any questions. Sincerely, Susan L. Nickerson Water Resources Coordinator SLN:bc USGS' OBSERVATION WELL A > �Y294 -10 L F A -i1 - IGHEST ON SAY 1983 9.82 E N E D T S -12 - - B U E R OA _13 w C E -i4 WEST ON SEPT. 1981 14.73 -15 Jan. 1986 Mar. 1986 May. 1986 Jul, 1986 Sep, 1986 Nov, 1986 Jan, 1987 Mar, 1987 May. 1987 Jul, 1987 Sep, 1987 DATE JUSGS OBSER VA TIOIY yl'ELL A 1 �V31 -54 -__ _ - --- -- - -- -55 F E - IGHEST ON JULY 1967 54.37 T s B U -57 E RF L A 0 C -58 E L A -59 N O�PEST ON NOV. 1981- 0.88 -60 -61 Jan. 1986 Mar, 1986 May, 1986 Jul, 1986 Sep, 1986 Nov. 1986 Jan, 1987 Mar. 1987 May, t987 Jul, 1987 Sep. 1987 DATE USGS OBSER VA TION WELL SD W252 -45 -45.5 L -46 F A IGHEST ON APRIL 1983 45.86 E D -46.5 T S -47 B U E R L F -47.5 0 A w C R -48 -48.5 -- ON DECEMBER 1966 48.2 -49 Jan. 1986 Mar, 1986 May. 1986 Jul, t986 Sep, 1986 Nov, 1986 Jan, 1987 Mar, 1987 May, 1987 Jul. 1987 Sep. 1987 DATE 22.5 Period: 1963-76 a= w Q 23.0 w U LL Well Al W 230 CL � 23.5 w U) 0 0 S Z H 24.0 2O LL w Well Al W 247 O CO z w 24.5 w w w w Z - (D — Q w 25.0 Q 25.5 J F M A M J J A S 0 N D C. Seasonal recharge pattern is reflected by high water levels in the spring and low water levels in the fall. Source: LeBlanc, Denis R. et.al . , 1986. Ground-Water Resources of Cape Cod, Massachusetts. U.S. Geological Survey. Reston, Virginia 00-01 1 el '.RIRMS7AI LL SANDWICH j +y`,' s �. Vt 47 .��.( °(B A,R>'N S T A B L E 'N� A R 0 R t ' N - A N T U C `-K .-.rE T S D 'U :N D LOC Ti6V OF u56-5 d/3SE1evA77O1V `VELLS wl 4,fV PROXIMITY OF VV. &I knSTf}6LE s 17E OF BARi`, �•� ��s� BARNSTABLE COUNTY HEALTH DEPARTMENT a a SUPERIOR COURT HOUSE v BARNSTABLE, MASSACHUSETTS 02630 PHON[1 Salt-2511 EXT. 231 Date July 2$, .19pO To: Cape Cod Co-op Bank John Crowell Rta 6A Yarmouthport, Muse. 02675 The following laboratory test(s) have been performed on a sample of water from your Well R+e„6d Uss: Location Other Location Bacteriological Analysis Chemical Analysis Total Coliform Bacteria MF/100 0 Iron 00 Fecal Coliform Bacteria MF/100 pH 6•o Other Copper Chloride 25_ Other Conductivity1 On the basis of the above results, this water is: I x T Approved bacteriologically for human consumption Not approved bacteriologically for human consumption .� Approved .for swimming ^� Not approvod for swimming �I Examined for results only COMMENTS: cc: Yr. John Kelly, Director Barnstable Board of 1?ealth PDX 534 Hyanniel Maas. 02601 Clough & Cahoon West Barnstable, Maas. 02668 jNoLl .: 9/ THE COMMONWEALTH-OF MASSACHUSETTS � BOARD .F H ALTH ,, ,4eT TO APPaunl. al ...........OF........ . CONSERVATION ISSION Appltrattott flan Dis,pnsttl parks C�ullftrurtionA Omit Application is hereby made for a Permit to Construe ( or Repair ( ) an Individual Sewage Disposal System at• � � J�� Lo lion•Ad ............ eta or Lot N �• . . .` .. ... .... .lp ......... Owne .... G/V�. • � Addresso. 1 ........ �.. .. ..T.......................................... �i ... nstaller - Address Type of Building Size Lot.............. --..........Sq. feet DwellinT No: of Bedrooms. .......................Expansion Attic ( ) Garbage Grinder ( ) G4 Othere of Building _... No. of persons..�........................ Showers ( ) — Cafeteria ( ) 4 Other fix res�. ................ -- Design Flow...7s ? ,lOY7J-- Total daily flow...... .Q�--------------•---.-----gallons. Septic Tank AIL Liquid capacity/M---gallons Length.* ------------ Width................ Diameter................ Depth................ Disposal Trench—.No...�............... Width.........--......... Total Length...-••...............Totalleachingarea...................sq. ft. Seepage Pit No..................... Diameter.................... Depth below m t P . ........... Total 1 hing area.................sq. ft. Other Distribution box ( ) Dosing tank ( ) !�l/� Percolatidn Test Results Performed by...................� .....................................................•. Date........................................ ,4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ + Test.Pit No. 2...............minutes per inch Depth of Test Pit.. � •................. Depth to ground water......................... De 'pt• of S -l r -- l......�:.. .!'`r 7;.1. �„�/.. ...... _. _.. 0 ;.._�- :. . . -� i Nature of Rep . s or Alteratio `%� tw1ol greeme t,: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the p ovisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until'a Certificate of Compliance has a iss .d y t rd of health. f Slg ............... .......... o " . Application Approved By....... Application Disapproved for the following reasons':............... Date •---•-......-....................•--•--....--•--...----•------..................._.............---•-....... Date PermitNo...............:.................................. Issued..................................... ................... Date .6 "' ^ THE'COMMONWEALTH OF MASSACHUSETTS S4 BOARD^ OZ HEALTH ..........OF. .. Gjf ......... f_rdifirtttr ,af (11jritplitturr T IS ER Y, That the Individual Sewage Disposal $stem constructed (�) or Repaired ( ) by.. t. .. .....!.... .... . . 44 has been installed in accoe wit 4-1 ................ h the rovisions of P 5 of The State Sanitary Code as described in the application for Disposal Works Construction.Permit NcS.....�t?J -- dated....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................................................... ............. Inspector.................. ........._. S w� 41tiy `r Ar �� M S.L.TTv►q }rA. aOX- -LEACH 11dG Tar Ljc 1 \ GCH. 4o 6,'a 1'l. • 1 j �ILrST1N4 EOd� bC P�V61U ENT 6C1.16ATH DE'JVGW QY 4-OI•qr0 ti^ .9'17- �seWASHED$TOME ( ''``vE AN V UNSUITABLE MATERIA I R A DISTANC ` T 3010 FT.AROUND[NTIwE LEACH \ 1�'�. ZI(r�§-�• �. ANO AEFLAC!WITH CLEAN COARSE SANG. / 1 I f 1EL►.�.H 1�s 2! �GAOInr.�`TR t1 • • • f =161 1 / 1000G 5'• _�-- �2•f—'N I \I 82t� Q1E3@RV / siJ�;T- 28.ei �i" gyp• 4� t \ T. 21 / ELEV. ELEV. - Y'Vl r�� 1 'L.=.. /,-.Y • ELEV.-2—/ ELEV. _ .2w• �� I .. .q�B a _ _ IZ / ELEV. ELEV. e!UD RL.-ZL ` ^—LIS,(►I ��• I NOTE: EL.• 3 a Gfto---o—rYZ"y' BRING ALL COVERS TO WITHIN wgT62 Tli B GI —j— ••2-•OF\^•I%- Z' ,1r'�,■ - ' I FT.OF FINISH GRADE. WASHED STONE I _ ST HOLE LOG e1CHAso t�YLu,_ A a��I_gABa.L -. . ., ._ WSLT.LOU-` _ paa O,mse3b L.•ZO.� - POT . C aaN�� / cevus� TEST Br F Ia r R PSo. •.c I-I�.L-Trl - i - e 13A►.JK. :. TEST DATE 2V WITNESS OFFICE C3LloCr. T.H_,- T.H.B 21 DESGIN e QI 38�2sFBe�' 4 .! txzv. z4.E Td>r�N,I LEAu we f.s.46ISq�(OwSc•24(N Q 4 J 0 [IEv. d ELEV Yub &-T.N. Y 19 EU2T.OS5� 12• ` 12• t e 1 PERC RATE '<7- MIN/IN. DISC ER DISiO3ER 0. •.c:c:: - S( TY o FLOW RATE 290 (GALJDAV) 2 O N / �1f' 24 ,ay _ SEPTIC TANK Z90 N (Ls�. 3G • 11 40 94•e REO•D SEPTIC TANK SIZE PLRL - - T!S TlLoSg� c-LA ✓ �. I NIIV LtD �/-•4 C 6aU Ft•1E _ LEACH FACILITY lRoParflta H��pQw�WA' 1 SIDE WALL Z•r ZS'Jt i w /Z.19) • Z50 CT/D, 'A, IA9 BOTTOM T'A 2S' NL 40 1 SO G/O. Tb Pd.K 1oa (q•e .R TOTAL 19.0?.4 300 a { - 34 ' 24 At SIL M I USE: 1 LEACHING TIZt}ICH TO Y£AR Ib.e 190' 14.3 OKIDe LAI-am 25'lon9 r 2'wldc K Z'deep(belo... plpt7 C� �' WATER ENCOUHTERED (NOTES (UNLESS OTHERWISE T T.N Los L i.G. 'IT(DNS `- �—Lt]T NO ED1 _-_ —LIM 1.DATUM(MSU-TAKEN F pY NYANd Nis QUADRANGLE MAP I.MUNICIPAL WATER V. AVAILABLE L AK ETCH,U-PEw FOOT EACE►T ki fYe .j {.DESIGN LOADING FOw ALL RE-CAST UNITS•AASHO. 1"1-` e> I. YIN.GRou.vo COVER OVER ALL SEWAGE FACILITIES+(11 FT. t�• i JAM �Y\ �_DISTANCE AS CERTIFIED ' i.NPE JOINTS SHALL BE MADE WATER TIGHT 6 y 1 / y1 I �WMµ - STATECONST UCT1ON DETAIL{TO BE ACCORDANCE WITH COMM.OF MASS. 333 ` Z�� O .; 1 HEREBY CERTIFY THAT THE BUILDING CRL' PLAN fTATE ENVIRONMENTAL CODE TITLES SITE L PIMC TIST b1 9 /STf SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON III IT LOCUS: O SURN1� CONFORM TO THE ZONING BY LAWS OF THE u v,ta B,Jc TOWN OF W/eST P�1a4�.lS�AtSL>_-n/�9s RE FEssioftACkNc&mEEw WHEN CONSTRUCTED. OAT'E I REF: L-Lnd C, Case'A 34241% Wow# cape,egh7eeimg PREPARED FOR: Cape COr) CIVIL ENGINEERS CA-c)pe alN1G- CONTOURS tEXISTING)............. BOARD OF HEALTH LAND SURVEYORS ------------ j BEG.LAND SURVEYOR (PROPOSEO)�O-O-0 APPROVED DATE S�6L�_ YA Y—uth III O/Nw,MA SCALE 1"-40' 3 ATE K. '76-I•TA SEP 2 0 1982 i; THE COMMONWEALTH OF MASSACHUSETTS BOARD OFF HEALTH ...............OF.............F6...a�.$T4c4LiT Appl ration for Disposal lVorks Tonstrurtion Permit Application is,hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal System a�J• • Add—, Lot N. AA ._..........: ._...............__........_.......__...........__... _..._.._ ._—...- ntA Add— .a __SS.. .... . .................................—......................................................... IoaWkI, Addreea Type of Building Size Lot feet Dwelling—No.of Bedrooms......................._...................Expansion Attic ( ) Garbage Grinder ( ) P. Other—Type of Buildiugn".7.72EG'-.VtO4a. of persons............................ Showers ( ) —Cafeteria ( ) Other fixtures..................................................................................................... ---- ...... ....... WW Design FlowD4_GZcF..-....%—V.6 ..gallons per person er day. To daily flow......--..I z�.�............gallons. Septic Tank—Liquid*capacity20.0-f�allons Length- 72t�Vidt �ffitamet4►i �.. � pt�a.............. x Disposal Trench—No.....................Width....................Total Length.....................Total leaching arm...................sq.ft. 3 Seepage Pit No.....................Diameter.---................Depth below inlet....--..............Total leaching area.................sq.ft. Z Other Distribution box(t/r Dosing tank( ) 6e.,s0C..4,1A1 q C/4yP-k",&-&5 f/Z X/8 Percolation Test Results . Performed by................................................ Date....................... .......--... Test Pit No. -.minutes per inch Depth of Test Pit ............Depth to ground water....-.. ............... Test Pit No.2 minutes per inch Depth of Test Pit Depth to ground waterA/.07 C.O.5-WLc _ -....... -_...............:........_----------------_-.............. 0 Description of Soil-...�5�....l�..r.r---- r'.}-_ .:_.............. ........................................................................................... DG V -.-._i. ............ VNature of Repairs or Alt�__Am.rrwhen applicable----------...A/W.-------•...............................------......---.....----- ....-.................•----......_........----............................................_........._...........-----.....--..................------------................................_.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further a rees not to place the system ip operation until a Certificate of Compliance has been issu by the and of health. Cote f Sign �.�_A.. ........ ....... Application Approved By...... l� y�'/..l _........................... .... Date Application Disapproved for the following reasons:...........:................................................................................................. _.............................................................._.,.......-_:-_...__._...._._..--_..........._..._......_..._.............................------.............................._ Date Permit No...................._......._.._._._.._ -- Issued :_._............... ... .... _...... .-...._ Date fl/14�Bti THE COMMONWEALTH OF MASSACHUSETTS - °je Uat BOARD OF HEALTH ................................................................... a"`' (Irrtifirttte of Tamplittnre THIS IS TO ERTIF,Y,That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ..............—................................................................_... IeMally at...... .i'--. .—R..........-h" �'G'"'................•-------•-.......--.._..................----------..................-----------....._.................. 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..---e6AZ..:-S.v/............ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE _. .............................................___._ Inspector. ..... .................................... .__.._...---- THE COMMONWEALTH OF MASSACHUSETTS } BOARD OF HEALTH. ..:......................................OF :.......................- ................................, ........ Faa. No� .......�I..... � .._.._.. 11ispostti works onstr�tr#ion hermit r - t, Permission�ereby granted.............�.r..---•- -- ............................_.......................................................___.. a to Con stru ) os Repair ( ) an ndividual Sewage Disposal System at street as shown on the application for Disposal Works Construction Permit No.................. Dated.......................................... A..- J ....................................._.... ••-- DATE....................................9Y"1:? . ..................... FORM 1255 A.M.SULKIN•INC..BOSTON • - '" 926 main street 362.4541 yarmouth mass. 02375 down Cope engiftlt 7,f civil engineers& land surveyors structural design James H.Bowman P.E.,R.L.S. Arne H.Ojala P.E.,R.LS. land court John W.Jalicki surveys site planning sewage system December 9, 1982 designs inspections Town of Barnstable Board of Health Town Hall permits Hyannis, Ma 02601 Gentlemen: This is to certify that the sewage system for the Cape Cod Cooperative Bank has been installed according to the plans enclosed. Sincerely, Arne H. Ojala, P.E., R.L.S. AHO/mkh Enclosures cc: John Crowell 1/ f V 1 tl �• —J9 u' (PI.0...c ao.' �3 Gig, l � f n � I Jx{ 0• \\ L 40 If Q d LP n LL ,ri ��� � r i� � pra.�� -��~� �j r• r . ' SEi rfc t-,anf,L �,j..•F a S t T� - SEW,�C E_ THAN -PIP o—pE.: t VE r—lt>�� i I F3l=f tV Cj LCT Z ptiS At��� C�u�T Pl_At�1 IV o. 34 CAn� �Gb 1�2E1_� F3O� fUtiwtD� V i� w , LOCATION �:: ,;. S E.W A-C E PF1FM/i N �3 lit AI Cl 1 N;S T,AI L E R,S NAME SAX .� f S U I L D E R OR OWN ER io 0ATE PERMIT ISSYED D-ATA COMPLIANCE ISSUED r C�'v�: -+- 70 fi my���1- � f} ry�1 er�, a. � '. � e..._, } ;•. _� lJ t t ...r.. .. yS ,..4. .1 • J� w A�;�•..; `, .x �q q ';; y 1. r4, "" �..r _y "� ` d,F _ \ •�Cf,'`i w a ,,:,.g F f i z z _ ~4 �xa. .4• +• .t y-++:ia.'.. "n 1•r1 dr. .+: r.�- R �R ,., rM!r Y, � •4' 1 `c '.�.' 'S. ,.� �lr l: .-F:+.2 ,.iS F• r. •' r �.' r ••tif.,. 5•t..,.: -4 z: > ,,, .e_,•. . u.>v 'S Y. v ,t�.st,. _�' 2t..f."'ltf}, a .*. j• r T,- '(, 'Y3 '<.. ;�`A , v i_ �. .�: :t.. '�c,- -f ,1.. � F .r� t ,a:: t" _m;r-t.Lf: a� c +•� ,J.r•u,..,_+'. a r.r..:• :Y. '%:- �pd'Zi�= .L z a.: l,'- �2` .nY i-,.a,:>ti:r �.a ":`'P f,-, r •S. ::,>r f,. '� '!.'•"l .E� .7., r Tr.:. � :L+ S. ,? !. _} .'Xiisr. k� G. 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Inv _�Q1\+a� NOW ..�i L S J lei ~`�� ^4 �.'t'�'a1 j- `Y. •.i... 017 -1 30.00 -Z9•la1 Z� �-1 Ss:oo . - �L.�,'.%`! �BF�'l':,G'^�'c,.1.+tG.. ,Y i/r s •�. - �,1o.S0 Woo n, In - t , r e r 4 y� l r ti s. �x 7•-..y,a!"rt:,Ir, " Y i -..•". r ; �. _ - - '� ,.a * s' ti 1 Z x i'`Yyi�, 's.-w'.1 AO i P x 4 PROPOSED MALL A STATEIM, % ON ROUTE 6A OF CONCERN IN WEST BARNSTABLE Cape Cod Cooperative Bank has a purchase and sales agreement with Eastward Homes and Eastward Realty on approximately 9 acres of land on Route 6A in West Barnstable.This property is most easily identified as the land behind and around the bank and post office and abutting the railroad tracks.The original proposal included 90,000 square feet of floor space in scattered buildings with parking for 300 cars.The developers have reduced their estimate of floor space square footage to 55,000 to 60,000.This square footage could permit 20 to 60 business establishments.The proposal might also involve the con- struction of 10 two bedroom apartments. x F ' F AOVTE fW, � u Z P 4�liiC U9 W. F ] tid i a f This proposed commercial venture,immediately adjacent to the`1776'parcel,would have dramatic effects on the village of West Barnstable.This information sheet includes 3 specific concerns:pollution of the surrounding wetlands,pollution of our already fragile groundwater system and the increase of traffic that can be expected. There are marshes and wetlands near or bordering the property on three sides.The sensitivity of this siting can best be dramatized by a quote from the Barnstable Conservation Commission's report to the Planning Board on the proposed `1776'development in August,1973:"This coastal wetland of approximately 3,000 acres...provides numerous aesthetic, recreational and economic benefits for its residents. ...they function as vital areas for the spawning,feeding and nursery grounds for numerous species of fish and as a breeding and development grounds for various species of shellfish....That tides and water systems which sustain the ecological processes of the Great Marsh interrelate with the surface and ground water systems of this parcel is indisputable.The question remains whether this...will because of seepage,ground water con- tamination,increased terrestrial run-off and severe vegetation disturbance contribute to the detriment of the Marsh."The Great Marsh is now closed to shellfishing due to contamination. The pollution of our groundwater supply is also a serious concern. The Planning Board in the`1776' decision of 4 August 1973,involving a subdivision neighboring the property in question,stated the"soil structure within the subdivision is not adequate to provide suitable sewage disposal...(the soil is)mostly of a type listed as 85-A called Raynham Silt Loam. This is described as poorly drained soil...".Raynham Silt Loam is a sandy,clay soil having poor drainage capabilities. The Planning Board goes on to say that since"town water is not available to the subdivision...wells are to be used.There is con- siderable risk,due to the soil structure and possible acquifers,of pollution of the wells by sewage systems....Drainage from paved roads,house gutters,etc.could cause pollution to the Great Marsh and Barnstable Harbor."The Association for the Pre- f servation of Cape Cod,in their 1985 publication"Options For Cape Cod's Future",states"Once ground water contamina- tion occurs,rehabilitation of the resource is extremely costly and frequently less effective than desired. By far the most advantageous method of dealing with ground water degradation is to prevent it from occurring at all." The pollution of our wetlands and the Great Marsh and the pollution of our ground water supply are two major prob- lems that must be addressed.With the recent closing of shellfish beds in Barnstable and neighboring towns and with the threat of contaminated water becoming a reality,these problems can no longer be ignored. \ A final area in need of discussion is the increased traffic inherent in any mall-like development.The Planning Board in August 1973 on`l776'development had this to say:"...the proposed entrance onto Route 6A constitutes a dangerous and hazardous intersection which would present a danger to life and limb in the operation of motor vehicles."We must expect the addition of traffic lights as well as a big jump in volume and tonnage of vehicles.Also to be considered is the traffic of pat- rons of the 5 other business developments of up to 100 units already in progress along this section of Route 6A including the Bridge Creek Professional Building across the street from the bank as well as the retail-office complex being planned a few lots to the west which will consist of another bank and 6 to 8 shops. A MEETING OF THE WEST BARNSTABLE CIVIC ASSOCIATION, REPRESENTATIVES FROM THE CAPE COD COOPERATIVE BANK AND EASTWARD HOAGIES AND EASTWARD REALTY, AND TOWN OFFICIALS WILL BE HELD ON THURSDAY, SEPTEMBER 17 AT 7:00 P.M. AT THE FIRST LUTHERAN CHURCH, ROUTE 6A ALL RESIDENTS OF WEST BARNSTABLE ARE'U'RGED TO ATTEND! "If Cape Cod is to be preserved,its fragile resources must be protected.Only informed citizens can wisely preserve and pro- tect their environment. Cape Cod's future depends on what we do today." Association for the Preservation of Cape Cod This statement was prepared by Friends of West Barnstable.For further information,call Al Desrochers,362-2396. 10/2 / 7 RE :Proposed Development by Eastward Homes on property owned b;: Cape Cod Cooperative Bank Dear Chairperson : H group of citizens have organized as the "Friends of West Barnstable " to represent community concerns regarding the proposed commercial development by Eastward Home_.r deve l oper. William Marsh) at the Cape Cod Coopera..t i ve Bank site in West Barnstable . Through a _search Committee , our group is engaging professional con_.ulta.nts to represent the community in the permitting processes relevant to the project . Please regard our group as an interested party . We request 1 ?notification of all fi 1 in s U not i f i ca.t i on of all mee t i.ng dates ,7coples of all communications relevant to the permitting process I:•;fe appreciate your help in contributing to the meaningful dialogue on this important project . Please send any information to me at Locust Avenue , West Barnstable . You may telephone me at 62-6549 . Yours sincerely , Lisa R i mba.c h Acting Chairperson , Search Committee c .c . Board of Health Conservation Commission Planning Beard Planning and Development Department Building Inspectors' Office Old King' = Highway Historic Commission Selectmen's Office �'095 TO OARNSTA.BLE 17 LOCATION 1095 MAIN STREET, BARNSTABLE SEWAGE # 97-78 1 VILLAGEWA BARNSTABLE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. FI I IS RR01HERS CONST: CQ 262 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) t>rtY (size) Six K�St«;% NO.OF BEDROOMS BUILDER OR OWNER CAPE COD COPERTIVE BANK PERMIT DATE:? 2 a 19 7 COMPLIANCE DATE:_-Is-- 9 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) - Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet l Furnished by a , a , .1 V� Oil No. 7� Fee THE COMMONWEALTH OF MASSACHUSETTS . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Mizpogal *p! tem tv truction Permit i Application is hereby made for a Permit to Construct( )or Repair( an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name-Addr ss and Tel.No. Installer's Name,Address,and Tel. /. �d����_ Desiign►err'ssNaam�e,Address and Te. .p 23 �w ba_.� MCmAw4 6-ou��Z7, 1,N. Cr�v Type of Building: �� � ✓� r►v Dwelling No.of Bedrooms i Garbageirinder(/ t) Other Type of Building em_k -No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Rep ' or Alterations(Answer when applicable) �PiL �f!�'✓ �q �'� Date last inspected: Agreement: The undersigned agrees to ensure the c ction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Tit a Environmental Coe ;,jto place the system in operation until a Certifi- cate of Compliance has been issue s Board of Health. nn 41 Signe DateL ZZ `'� Application Approved by _ 7 Application Disapproved for the following reasons rz Permit No. 7 J 7 K Date Issued y*A��• ,lit ,� •�p�iY � � �/"'7-}� �` � No.._ / — 1 1'1 Fee " r THE COMMONWEALTH OF MASSACHUSETTS Al s_ ,, f. PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLES MASSACHUSETTS , 01ppfication for &5poeaf *pgten� �tC ngtruction Permit ` Application is hereby made for a Permit to Construct( )or Repair.( an On-site Sewage Disposal System at: Location Address or Lot No. wner's Name Addr s and Tel.No. BAoJk- Installer's Name,Address,and Tel. 2 1p y Designer's Name;Address and Te. s Type of Building: , O ti i v1 /A i IV Dwelling No.of Bedrooms 1 Garbage rinder(/QD Other Type of Building C&;1" ,&LC-M LNo.of Persons ShoweersY( ) Cafeteria( ) Other Fixtures t , Design,Flow gallons per.day. Calculated,-a' y�flow gallons. Plan Date K Number of sheets Revision Date # ; Title tZ, Description of Soil nld �.116, 1 N n ; , Nature of Rep ' or Alterations(Answef rfapplicable) 4A57AY✓ �u �.. -` Date last.inspec�d Agreement•. w The undersigned agrees to ensure the c ction and maintenance of the afore described on-site sewage disposal system -in accordance with the provisions of Tit e5fhe Environmental Co e nd of to place the system in operation until a Certifi- icate of Compliance has been issuePfmis Board of Health. !J Signe Date ` Z7 Application Approved by Application Disapproved for the following reasons Permit No. 7- Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS Certif irate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced( )on by for as has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 7 dated Use of this system is conditioned on compliance with the provisions set forth below: No / Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS E Mt5poe al *pgtem Construction joermtt Permission is hereby granted to �� to construct( )repair(,�<an On-site Sewage System located at O and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. 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AS' 14T14;Le .:....,,•; -- .._.___ _ / LYE-�i..iG ��•!yt•:v7 APO e �--- NoTg - A4�L irfp Yio�s �p-r r�iA "o' �Ery/o•`�a 7a B� c,ynvE� ' .�•�� ,��'.�try tNr rr1 c:'LE�9'r./ re e-4 • b No 7 4 •.�'1v6'w"H ldk 3s, while's parr, PRECAST CONCRETE PRODUCTS f�.���Wl,_h, �� (501;) 760. 1070 t-800.439-0956 t` il. I i i 102" 1 PRECAST LEACHING CHAMBER 1 500 GALLON :=g 2-18A !' ', •r a /A/ 7fE TOP OF FOUNDATION LLi�G.�/ /7?ZL-74 ,g91/D '.5�8�"yv/`�D 8E CONCRETE COVERS r2E77d✓�� /�T/D .e��L�'G�-� L✓�Thr 4"CAST IRON 9'� „ . .•..,. .. . .,,: , ,. „ _ OR SCHEDULE 40 r\V.C. PIPE td1N 4"SCHEDULE 40 P.V.C. h1lN V.C. (ONLY) LEACHING TRENCH (//)REQ. } . —; . ' � PIP PITCH E- M,I/4"F� STONE IN. 1/8"- 1/2" WASHED 36" MAX. PITCH I/4"FER.r i. I I �Z/�TiIC .,,_ 2 .^-i. :. «la 4 EL ►NV::'T D1ST. ` tNVER `� / � a SEPTIC TANK cairn >�1H t� '�'��� ta,'b,. 24" INVERT ev./�N EL.......... 80X EL......... !Cd,O;Q,;I� '�= �7'C7_�j7;. "_ .t •/Soo ... GAL.. 1NV=R i =RT '• t ` - ............ . . .. INV EL........... ER// Precast 500GaI.Leach 3/4 -I/2'' _1 " • ,6"CRUSHED STONE ( / ) REQ. ChatTlber WASHED STONE �O H �'.-' •!. /'- Z�9 GROUND WATER TAaLE SOIL LOG S ENVAG E DISPOSAL SYS T ENI TYPIC•,L CROSS SECTION DATE !'/�,83 TIrnE q;3oiq� NO SCALE LEACHING _TRENCH . _ 1 TEST HOLE I TEST HOLE 2 ELE V. E_=v. . . . . .. . ... DESIGN DATA ,: / .: . JL v ?=E 6E OOt;s /Z G -sry /=T•. 1 S vt 7 35 MAX. � E _ _ TOTAL ESTI: AT FLOW .. . 7t.Z.. GALLON c DAY ��- � g" AREAVI,, QLi Pam' 4" .-7N �_� :uG P. II24G°uSIDE LE"CHING AREA . . . . .��. . 50.,T./T''.C1/SL,G 43./� No�1G oo A C' D GARBAGE DISPOSAL . ..{50 io REA INCREASE) P _ - - °�" TOTAL L ACFiNG AREA / C LS ez. 3g/.� .S.O PERCOLATION FA7,E Ge.35 T1;�r.Dyq,1,W�FE;i.1NC.i I' � r /2/0 LEACHING AREA PER PERCOLATION FATE �..'f?Sv^_r��G,P�D• I Spa 4z.38./¢ .�- Y GROUND WATER TI.BL_E /•� �. zK14 APPROVED .. . . • . . . . . . .. EOARD OF HEALT•;I /2o'J .W',TER ENCOUNTERED-/'Y 4 DAT_ ,&A AAA WITNESSED BY . AGENT OR INSPECTORP,,%►aoF�rc,� o BOARD OF HEALTH � . . . . . . . . . . . . . . . .� �_R BH2.�/ST,At3LEis� ' +I1 D •- • -... / . . . . . . . . ENGIN _ . . . . . .T �1 527 a Q . . . s ��`REpyAN�S OQ ♦� . _ .. _ . .. . . PE-i ITIONEi ' E�GD-�:�P,8 �c "►r/ FVa1�A�..' �Pwvvv� TOP OF FOUNDAi10114 LG;�JG.�f /'TJ�L7� ,g-J�/D 5���v�'D 7a 8E CONCRETE_ COVERS 2> / ,D R&pco _ �/✓�Th/ 4„CAST IRON 9' OR SCHEDULE 40 oV.C. PIPE MIN.. 4"SCHEDUL E 40 P V.C. (ONLY)) C9.+h11 N . LEACHING ACHING TRENCH (/)RE'O�. PI-CH I/4�P_Rrt PIPE- M. I/8 - I/2 WASHED STONE ' 3�0„ Mn X PITCH,a I E ............. - INVERT �1NV= ✓ q','Q CS C':CO''CI' b' b` 24" D!ST. r i a J C� SEPTIC C TA .K _ , ,- G 1 - , a-• tNVE RT IS'7 C- EL.......... SOX EL... .t /Soo. . .. ... GAL.. INVERT _ - . __.......-•---•- , lr+V= , , Precast 500Gal.Leach 3/4"-11/2"-� E_.......... rt 4�./�- _ ` 6"CRUSHED STONE - ( / ) REQ. Chamber WASHED STONE � .. _ H-za - �- P ;0 F'I LE OF f d-z- 3a.�5 Z / GROUt1D �TAZLE SENVAGE DISPOSAL SYS T ENI TYPIC.:L CROSS SECTION SOIL LOG DATE .!%�%83. „1= . 9.30.E NO SCALE LEACH I NG -TRENCH . TI t cS i' HOLE_ I T ES hOL 2 �L Ev. . �,!- .. E_=v. . . . . .. . ... DESIGN DATA , _= -= OO�,;s �Z � -?•may, /T _`. _7 7� T n 2 5v w iuiAL �S;I',!;:ic] FLOW . . .`�.7!.?-.. A � .,/•� t o 24 C PD Go SME L_'C'XING AREA �'. .�. . SQ.FT./TRENCH/8C G ¢3 / R GARaAGc DISPOSAL 50°c ARcQ INCR-EASE) � C2. d3.�¢•, . - - TOTAL Lc:,C ,NG AREA ,3Z7'3.! So.=i. PERCOLATION FATE ?eT5 7VOW'Ls/o�Jrir PER.INCH D LEAC-{IAIG AREA PER PERCOLATION P.AT= `.?SQ.riyl GROUND 'N,•TER T"FLE — — -- APPROVED .. . . . EOA::D OF VEALTi /2 ' ,;ATER ENCOUNTERED-/17% DOTE ... .. .. -- --. . . .. . . ..... . . . . . . . . . . ►►►�����4 tiYITI�t ESSED BY : AGENT OR INSPECTOROF RD of rcaLTH • •Gr . .... / . . . . . . . . ENGINEE.'. .WCS� t /ZNST.A�� � P 27 PE-,ITIONER ' .��j��oD- oP-8�G}!�//G ►r��� VAl1l��,�' • �._. EL..... .. .. .... /Y a�_ /�-� U.V Sup Ti�YBC.C. /y�YTL-`TzJ�L /../ TNE- TOF OF FOUNDATION LL= Gam/ /'TjZL ,q�A/D :5 ���vND �-0 8E CC)NCR=ic COVERS i2E77d✓G=D /�i✓D .e��LAGL� //�� `' ..4„CASTMON 9 � ,,..,. OR SCHEDULE 40n 4"SCHEDULE 40 P.V.C. (ONLY) f LEACHING TRENCH (/)REQ. ?VC. PI?E LAIN. —; 9.'MIN . ' —�—� PIPE-IM N. " 36 Po.X. ?1TC;{ 1/4� ?.r t. VzsT,v� I/8 - 1/2 WASHED STONE PITCH 1/4"P=.R.r i. ..- -> «<l —��-- 2 iNV=;:1 j U LC5 , "f EL............. SEPTIC TA�YK INVERT DIST. INVE?T ;q�;p c�,C �r�' �, ��,b; b;: L/� 24" �So N EL.......... _ BOX E' GAL.. INVEi l ='=............ EL:.......... IN' ERT Precast 500GaI.Leach 3/4"-1V2"—/ 6 CRUSHED STONE `L¢'c� (/ ) REQ. Chamber WASHED STONE ' �'• :' i Z 9 GROUND W:T=R IAEL SOIL LOG SENVAGE DISPOSAL SYSTEIIM TYPICAL CROSS SECTION 9:3o .4/y NO SCALE LEACHING TRENCH THME `T=sT -OL= I TEST Y.OLE 2 ELEV. . 4 .! .. =_=v. . . . . .. . ... DESIGN DATA ' ` '�:=�0 -36 MAX. °i, TOTAL ESTEMAT=D FLOW .. . /.�!.Z.. GALLON Y 8 L_ C=1 Nu A; z-A ............� P.D 24 Go" LEACHING AREA SIDE LE CH 43,/�L S .. GARBAGE DIS?OSAL . Noti/G (SO�a AFEA INCR=:SE) �'P•D L2. 43./¢, IUT✓.L 'LEAChI G AREA ��!'�� •.C.t1..:I. ^_ _ '' c s cRCOLATICN ?ATE �C35 A*! I/o'�V/FER.I^NCCX /Z'/o�—� D LEACHING AREA PER P=.?COLATION / .. SO.r��GPiD• �.35./rr� Y �. GROUND W:;TER T. ELE APPROVE) .. . . . . . . . .. BOARD OF FEAL11-1 /20' .WAT=R ENCOUNTERED- _ ,X&AAAA4 EL,39,/tf- D:,T� ... . . .. . . ... ►� 1 OF,y��s!� WITNESSED BY : AGENT OR r�sr=cTo. ��� �q�® . . . .. BOARD OF HEALTH ��iTG �� y ST v_ � �� r � ... . . . . _ . . . ENGINEER .j c/C5T �2NSTAt3GE �, A �'�s rFq+o sFN'�p� A' . - . . . . .. . . .. - • ► PET IT10NER � P`�EVA=�1Q.�a EL.... Nd — /�� v.VScriTgSCL NDicE TOP CP POUNDGTIOiY S B� 8 CONCR=TEc COVERS =D �. 4 CAST IRON 9 .,.��.... ., „ , L-L. 4b./,t•f OR SCHEDULE 40 rl 4"SCHEDULE 40 P.V.C. (OyLY) f LEACHING TRENCH (/)REO. t , 'RV;. PIPE MIN. —; 9."MIN . ' _—�--� PIPE - ?iIN. 1/8"- I/2° WASHED STONE 30 fAAX. PITCX 1/4-FER.F iI. I �Q < - "1 2;' PITCH f/ "Pi. 1. - r.:• . �.,. :_ 1:��.: _.:-_<.>.�. �_ �� 11 II I;QQ{�� ,�y_ ;� ipl 4' EL ISEP&T_XIC TA_�(K_ INVERT DIST. INvET F! ,qi;p p�C :Q 'Ci Ci�b'b;. 24" 6,� INVERT /.S oIS'7 //C EL.......... BOX EL......... QaIC��Q;Q.;C7 L`1-�� C���J: — o ... GAL.. INVERT - - 7•4 , 'e �L.. - _ """""" EL........... ��� �.� Precast 500Gal.Leach 3/4"-1V2"- / - EL ` 5"CRUSHED STONE ( / ) REQ. Chamber WASHED STONE _• oo —1 l /AQ t-i�0 i I L_C 0 r EZ-.3a, �•' P GROUND WATER TAIL_ SOIL LOG SENVAGE DISPOSAL SYSTEM TYPIG=L CRoSZ SECTICN DAT_ .!%�/.g�. IP�t= . 9.30�'`> NO SCALE LEACHING _TRENCH . _ •,.� - TE5T TOLE I T E 5 T HOLE 2 =-LEv. . aR,! . . v. . . . . .. . ... DESIGN DATA ' �,,,- M 1/2 IN. I/J - " � ==-=0^h: c� /T =`--ED -36 MAx. 1 TOTAL ESTIh'.:T=7 FLOYI . . . !.7t.Z.. GKLLONS/D:.Y T-=; 8 7,ti,� blil iVi.{ L=vv-ii:'J F; ✓i ...`..�....�. -'.i.. l./ l:=.iCJ f G PD ' T�;II!ca =1. 24 Gon SiDE L='CHING AR_A ¢ GAREAGE DISPOSAL . !�/o�/G .(SO°c APEA INCREASE) �'P•p L2. d3./¢' /off„ CL/3y TOTAL LZACHING AREA PERCOLAT lCN i ATi= L s g'`! o��rlP=R.INC*i �NC *AC*8ING AREA PER PF-RCOL-A ION F:Tc Y n GROUND 'N,:u ER 7-.ELE APPROVED .. . . . . . . . .. BOARD OF FEALTH /20' .Y;ATER ENCOU'NTc..EJ-/996 WITNESSED BY : AGENT OR r:SPECTO.=, �r►ac�L�µuF�gss�� . . BOARD OF HEAL]H /�y5 �ou7L �� s iv � � . . . . _ . . . ENG1NaE.'. . wC-3T�A2NS�'.9f�LE ,o,a.L = _.. . . . .. . . .. . . P=►I T I ON ERGD8�?S!�G `����/�[VAIUA�aaq.� T PROPOSED MALL A STATEMENT.4 r -. � ON ROUTE 6A OF C®11TCE IN WEST BARNSTABLE Cape Cod Cooperative Bank has a purchase and sales agreement with Eastward Homes and Eastward Realty on approximately 9 acres of land on Route 6A in West Barnstable.This property is most easily identified as the land behind and around the bank and post office and abutting the railroad tracks.The original proposal included 90,000 square feet of floor space in scattered buildings with parking for 300 cars.The developers have reduced their estimate of floor space square footage to 55,000 to 60,000.This square footage could permit 20 to 60 business establishments.The proposal might also involve the con- struction of 10 two bedroom apartments. i � x < F ROVE W ' W P Nj11TZ J ` ON w F 3 ti� This proposed commercial venture,immediately adjacent to the`1776'parcel,would have dramatic effects on the village of West Barnstable.This information sheet includes 3 specific concerns:pollution of the surrounding wetlands,pollution of our already fragile groundwater system and the increase of traffic that can be expected. There are marshes and wetlands near or bordering the property on three sides.The sensitivity of this siting can best be dramatized by a quote from the Barnstable Conservation Commission's report to the Planning Board on the proposed `1776'development in August,1973:"This coastal wetland of approximately 3,000 acres...provides numerous aesthetic, recreational and economic benefits for its residents. .Ahey function as vital areas for the spawning,feeding and nursery grounds for numerous species of fish and as a breeding and development grounds for various species of shellfish....That tides and water systems which sustain the ecological processes of the Great Marsh interrelate with the surface and ground water systems of this parcel is indisputable.The question remains whether this...will because of seepage,groundwater con- tamination,increased terrestrial run-off and severe vegetation disturbance contribute to the detriment of the Marsh."The Great Marsh is now closed to shellfishing due to contamination. The pollution of our groundwater supply is also a serious concern.The Planning Board in the `1776' decision of August 1973,involving a subdivision neighboring the property in question,stated the"soil structure within the subdivision is not adequate to provide suitable sewage disposal...(the soil is)mostly of a type listed as 85-A called Raynham Silt Loam. This is described as poorly drained soil...".Raynham Silt Loam is a sandy,clay soil having poor drainage capabilities. The Planning Board goes on to say that since"town water is not available to the subdivision...wells are to be used.There is con- siderable risk,due to the soil structure and possible acquifers,of pollution of the wells by sewage systems....Drainage from paved roads,house gutters,etc.could cause pollution to the Great Marsh and Barnstable Harbor."The Association for the Pre- servation of Cape Cod,in their 1985 publication"Options For Cape Cod's Future",states"Once ground water contamina- tion occurs, rehabilitation of the resource is extremely costly and frequently less effective than desired. By far the most advantageous method of dealing with ground water degradation is to prevent it from occurring at all." The pollution of our wetlands and the Great Marsh and the pollution of our ground water supply are two major prob- lems that must be addressed.With the recent closing of shellfish beds in Barnstable and neighboring towns and with the threat of contaminated water becoming a reality,these problems can no longer be ignored. A final area in need of discussion is the increased traffic inherent in any mall-like development.The Planning Board in August 1973 on`1776'development had this to say:"...the proposed entrance onto Route 6A constitutes a dangerous and hazardous intersection which would present a danger to life and limb in the operation of motor vehicles."We must expect the addition of traffic lights as well as a big jump in volume and tonnage of vehicles.Also to be considered is the traffic of pat- rons of the 5 other business developments of up to 100 units already in progress along this section of Route 6A including the Bridge Creek Professional Building across the street from the bank as well as the retail-office complex being planned a few lots to the west which will consist of another bank and 6 to 8 shops. A MEETING OF THE WEST BARNSTABLE CIVIC ASSOCIATION, REPRESENTATIVES FROM THE CAPE COD COOPERATIVE BANK AND EASTWARD HOMES AND EASTWARD REALTY, AND TOWN OFFICIALS WILL BE HELD ON THURSDAY, SEPTEMBER 17 AT 7:00 P.M. AT THE FIRST LUTHERAN CHURCH, ROUTE 6A ALL RESIDENTS OF WEST BARNSTABLE ARE URGED TO ATTEND! "If Cape Cod is to be preserved,its fragile resources must be protected.Only informed citizens can wisely preserve and pro- tect their environment. Cape Cod's future depends on what we do today." Association for the Preservation of Cape Cod This statement was prepared by Friends of West Barnstable.For further information,call Al Desrochers,362-2396. Fee----- BOARD OF HEALTH TOWN OF BARNSTABLE App[ication-*rlVell Congtruct ion Permit Application is hereby made for a permit to Construct (DC), Alter ( ), or Repair ( )an individual Well at: --------- Ac- ------ -- --------------------------------------------- - --- -- -- -- - Location Address Assessors Map and Parcel ---- -- ---------- -•--------------------------------------------------: Owner Address Rot A InstZ Driller Address Type of Building Dwelling -------------------------------------------------------- Other - Type of Building --- -------------------- No. of Persons-------------------------------------------------- Type of Well------�-- -a-s_tom-C ----------------- Capacity-- - - ------------------------------------ Purpose of Well-------- $_----------------------- Agreement: Q' 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 a Certi icate -of Compliance has been issued by the Board of Health. Signedd.-L ) _ Application Approved By—__(J � ----- - - — -- =1 date Application Disapproved for the following reasons:--------------------------------------------------------------- --- -------------------- ------------------------------------------- ----------------------------------- - - - i date Permit No. — 4 �- - — ---- Issued------------------------------ - date -- ------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (X), Altered ( ), or Repaired ( ) by------- > -------- r,—% ------------------------------------------------------------------------------- Install at- -1 -�-- �� -� �n_ :w_ A-r rl -� b I --------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection 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------------------------------------------------------------------------ No. ---- Fee---- ------'--'- BOARD OF HEALTH TOWN 001 BARNSTABLE Applicat ion;1oreYCon�tructortertit Application is hereby made for-a permit:to Construct'(pO,,Alter ( -), or;Repair { )an individual`Well,at.. 1 Location — Address Assessors Map and Parcel ' Owner Address go-A Instiller — Driller � ^l� r Address 'Type of Building ,. O a SCo 7s, ., . Dwelling------—------------------------=-=--------------------------- Other - Type of Building------------------------------ No. of Persons-------------------------- 4-1 Type of Well+—---� � Capaaty —- -...............1 - - --- — Purpose of -- ---- Agreement: a a. 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 a Certificate .of Compliance has been issued by the Board of Health. Signed .— -- — - - - - -1 - -= F i G datIC e. Application Approved�By -- - — -= -- 01 date Application Disapproved for the following reasons.----------= ------- :f date PermitNo. -- - - w- ----------- Issued ------------------------------------------------------------------------ date '' " BOARD OF H E A LF H 0 O-FB ._- -W'N_�.. _ : A R :S NTA`�BvL t "§ Certifirate ®f compharite 1 0- THIS IS TO CERTIFY, That the Individual Well Constructed (X), Altered ( ), or Repaired ( ) { by------ ��''`'�- - ' �'1�- -- �s -�-'-^ - ----------------------------------------- - ---—- Instal� at A ' has been installed in,accordance with the provisions of the Town of Barnstable!Board'of Health Private Well Protection t, Regulation:as described mrthe application for We11:Construction Perr it`No`.' ---- -- xDated -----'- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE.CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL,FUNCTION. SATISFACTORY: ; DATE----------------------- -- - --- -- Inspector----------------------------'--------------- - ------------ BOARD OF;HEALTH TOWN OF BARNSTABLE -n.... �.a-E'" �, apt, Con5trurtionermit No. \?-- --- - .. Fee Permission is hereby granted-- 4e�_---- - ------ -L�--1--1---A—�---------------------------------- e.p 1 a.C-e. �-rL-t . `. to Construct f,- , Alter ( ), or Repair ( ) an Individual Well at: - k Street c f as shown on the'application fora Well"Construction Permit No. ------------------ ------- --------------------- Dated---- --- ------------------- --- -- -------- - - ----- ------------------- C� Board of Health DATE-- --��3--L�- -1-- TOWN OF BARNSTABLE , MASSACH 4 • 1 ASSESSORS MAPS O a za ?a o "1 'i . v f' 17 i!� 3 9 r - 1 h 3Q , •, 19 / S 2� =i tiS •J -�j Z �4 . ''s. c i,✓s��G��' cC v lee Oi J s .� -Q Ac N� P JF� 9C _ Homeport Realty 41,K1084 Route 6A ' West Barnstable, MA 02668 {3o J q �e� .a 617.362.2226 �c t ve B 3/•Zo ` t TOP OF FOUNDATION r CONGRETE COVET .e CONCRETE COVERS /.5'8.©o r • 4 t CAST IRON 2"MAX. ''ter 12"MAX. OR SCHEDULE 4� 4"SCHEDULE 40 PV.C.(ONLY) P.V.C.'PIPE PIPE MIN. A LEACH oQdp �rn ► PITCH I/4 PER. PITCH 1/4"PER.FT. PIT PRECAST we u. �,. ;•. LEACHM I >p INVE�tT$ N-Za , ..f PIT OR EL.: Y.?. .I INVERT INVERT W ><.. SEPTIC TANK DIST. EQUIV. : INVERT. EL..;r7,t3: ' HOX 9`C:ao 5QcGAL. ' +=►- ;� 4 ,38 / . . . . .. . . INVERT N 20 INVERT 4 v a o. . 3/4 TO I V2 e; EL....7.... .. •.'• WASHEr3 ", ►., STONE C D • /O, • a, yJF.* :.. - 43--�{--WDIA. --•� Ne ; /2' DIA. PROR LE OF cRouND WATER TABLE \ aTc�`r 4C 4 SEWAGE DISPOSAL SYSTEM N A r7 �,�/ tIS h � NO SCALE !a' I ; SOIL LOG WITNESSED BY _ /o xa 63 6/F,CO/ le-S.. BOARD OF HEALTH DATE .. �. f. . . .. TIME. . . .. . . , TEST HOLE I TEST HOLE 2 STG*73"o•v _ /Z. N�tG 25.' N wezL �J EELEV. ELEV. ¢8./ ENGINEER 7vo-.Sol _ fi s� DESIGN DATA tt" /L �F,c'rcE 4?"4-D/n/a cRpt GGa t3 I ! G i � NUMBER OF BEDROOMS /Z CO-o :Y/iy7�/E O / PC 5 t (7-D e ze-,., 'rev) , SArrD TOTAL ESTIMATED FLAW 97 , . GALLONS DAY 3i h3 T /i3,1 Et �i BO TOM LEACHING AREA SO.FT. fPITlC,A ? � rzy ZZE, Z w SIDE LEACHING AREA SQ.FL/ PIT�6rS G:InD. ,A Elle. 39/ _._ GARBAGE DISPOSAL !�a'`!�. ,(•'SO°fo:;AREA INCREASE) TOTAL LEACHING AREA f. . SQ.FT o�c Cy. ,Ss►•,.Jls � , CZ�V Tup /z PERCOLATION A Less 7)14*"TWo ez. 'S=/� /44" ez. 3e t 4 PE COL ION RATE . . . . . . . . . MIN/INCH LEACHING AREA PER PERCOLATION RATE .. 7e, A SOFT, .AP WATER ENCOUNTERED Yf NUMBER OF LEACHING PITS owl PiT' ,Ct!r�/ � SEpTFG Ir l`�' � �,• r�r><- r�. a _ .����` .��T. . G'f=: SrAr�e' oti ,g�4 SiDE� ; o O APPROVED . . . BOARD OF HEALTH i TiNC DATE AGENT OR INSPECTOR 1 ( / f Z 1 3 1 4 t ��c'� OF t+ E ® / KE' I ' N Bo X f t, N R. �� a :>ztsvE PETITIONER 4 ° ► .:: '',PIT � M Z. C i /N THE" Z6-1 oxl .gr,� r4 .�..r> / '� �� �T'%1✓� $ /G S,4rirD Rec. �z> s"Aa ��ya•2 NaT� - •qu Sc.k'f"•�ek' ,E'uv-BF� Gvr� BE" G'`t./iyr-?L1q>,ir� /`1A.S5 I r NOTE - E.Z�Y�71•�� 'o.v,3 �.s�-� vv r4�.3'tr.�� :�.�-�c.�-J f ' I