HomeMy WebLinkAbout0045 MOCO ROAD - Health (2) 45 Moco Road
West Barnstable
A= 214— 004
0
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_ TOWN OF HARNSTABLE
LOCATION t� O CO b , SEWAGE#q6®:7 — �
VILLAGE0_�'p�wm ,,5 �tc°�� ASSESSOR'S MAP&PARCEL� SS ,L- 4-
INSTALLERS NAME&PHONE NO.: U'Z h 5' C*cA yA"'r1V 6—
SEPTIC TANK CAPACITY (`rn q
LEACHING FACILITY:(type) 5, tt (size)
NO.OF BEDROOMS .
.OWNER 7t t.
PERMIT DATE: ®~' (5-7 COMPLIANCE DATE:
Separation Distance Between the: r
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Welland Leaching Facility(If any well's exist
on site or within 200 feet of leaching facility) -'� � Feet
r Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) AIA Feet
FURNISHED BY
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in co puler:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Rpplitation for nigool �&p.5tem Con0truction Permit
r
Application for a Permit to Construct( ) Repair( ) Upgrade el Abandon( ) ❑.Complete System ❑Individual Components
Location Address or Lot No. _5-AIoc o Rb Owner's Name,Address,and Tel.No.
Assessor's Map/Parc AAOCC) PD ,W , 5)q-x 5r
IXa,ler's Name Address,dress,and Tel._No. Designer's Name,Address and Tel.No.
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V,9 T ,�.vv�mesB�u Tzs
INr W S�t S .CJlr�u>ic ° 8 3 a 77
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder (-—j--
Other Type of Building / 'eA C`e No.of Persons Showers( Cafeteria(--)-
Other Fixtures
Design Flow(min.required) gpd Design flow provided 410 gpd
Plan Date s'- 30- 07 Number of�shf ets Revision Date W OC ' 2 0 7
_. Title 5 >` re(V L /1ll
Size of Septic Tank �� Cp-k I IC>Vl - b Type of S.A.S. A 1 t E,)
Description of Soil Se V1
Nature of Repairs or Alterations(Answer when applicable) LA L 6 V-000 EZ. 1 u 9eJ
L V__ a �Lati C
tom''L) LQ g /59" s �o�/^
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of itle 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued b thi of Health.
Sign C-' ® 19, Date r0 C-1
Application Approved by Date
Application Disapproved by. Date
for the following reasons
Permit No. / Date Issued
rY r."'a.•++.+d. ...r°..4.,.�•�.•.._ v^�".r-s�" � 'a / ,1 tf+k+k�.,s� •...yrtifa.y ..,�..,.._js,J/y'�,/'a ., �''$. "-Vt•`•^y-r—,•-�wk-OYes
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in PUBLIC'HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
21pprication for �Dfigpogar i§pgtem Con5tructton Permit
Application for a Permit to Construct.( _) -Repair-.( -Upgrade Abandon O ❑.Complete System ❑Individual Components
Location Address or Lot No. .S Aloe o j2 l� =�- •-- "Owners Name,Address;and Tel.No.
To►+a,) I-CH C Te y k- 7ZZ i oe- i
Assessor's Map/Par',I AOCU rZ.D , {a J
I taper's Name,Address,and Tel No. Designer's Name,Address and T I.No.
rx-ecAV gy;/VG- .zq(� - ,�rpUE/�•85 I/t) 7 5
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2 ,a 1z So j 5 0 S�7,CJu lic __.8 3 a 7 ,
Type of Building: -- - r
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder (--�--
Other Type of Building 1 e A C`E No:of Persons �_ Showers( Cafeteria
' Other Fixtures
Design Flow(min.required) / gpd Desi)n flow provided O gpd
Plan Date S''.3d- 0,7 Number of s)eets Revision DateWPl� dC
Title 5 5 Y,U-) (9-r, /
Size of Septic Tank ,5 �0. Gtt - d Type of S.A.S. CQ 4 t t Lx)
Description of Soil 5Cr C VlC?
Nature of Repairs or Alterations(Answer when applicable) "-T rA 4. 6 Mct)O ,tom A/, i .�
L R.> c2- r lln p ►L- L L cwu /C
Date last inspected:
Agreement: � •v; "'A` - .
The undersigned agrees to ensure the construction and maintenance of the afore described on-site+sewage disposal system in
accordance with the provisions of itle 5 of the Environmental Code anted not too place the system in oper tion until a Certificate of
Compliance has been issuAbbthof Health. /Sig e, / Date /O/ U
Application Approved by Date
Application Disapproved by: r Date
�. for the following reasons
Permit No. 4 Date Issued
----- z -- -- ------ �`----------- - y —L---------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
'Certificate of Compliance
THIS IS TO CER IFY,that t e,0%site Sewage Dis osal S�gm onstructed ( ) Repaired ( ) Upgraded ( )
Abandoned( )1: V
at 'Ahas been con ruct i ac ordance
- r
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
-Installer Designer �.
#bedrooms Approved design flo; gpd
The issuance of thisIs
pe it s all not be construed as a guarantee that the system �l function as des gned.
Date a Inspector / � / , �l lam'✓F'/�' ��
-- /
No. "' — — ——— Fee-- - �`^
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
1wigP6gar *pgtem Congtruction Permit
4�
Permission is hereby� nt to onstruct I Wpair ( ) Up e` )r Abandon ( )
System located at
U
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.
Provided: Construction st be c mpleted within three years of the date of thi rmi
Date Approved by
r
ENVIROTECH LABORATORIES, INC.
MA CERT. NO.:M-MA 063
8 Jan Sebastian Drive Unit 12
Sandwich,MA 02563
(508)888-6460 1-800-339-6460
FAX(508)888-6446
Client Name Meehan Well Drilling Location #45 Moco Drive
Address PO Box 616 West Barnstable MA
Forestdale MA
02644 Sample Date 10/09/07
Collected By Ed M/Meehan wens Sample Time NA
Sample Type New Well Date Received 1=9/07
Lab Order Number DW-73222 Well Specs 89 Deep
Location Source Date Collected Time Collected Comments
A 1019107 NA _
Analysis Requested Units Recommended Limits Analysis Result Method Date Analyzed Analyzed By
Total Coliform /100ml 0 0 9222 B 10/9/2007 RS
pH pH units 6.5-8.5 6.30 4500-H-B 10/9/2007 LL
Specific Conductance umhos/cm 500 98 120.1 10/9/2007 LL
Nitrite-N mg/L 1.00 <0.004 300.0 10/9/2007 LL
Nitrate-N mg/L 10.0 0.22 300.0 10/9/2007 LL
Sodium mg/L 20.0 10.4 200.7 10/9/2007 MC
Total Iron mg/L 0.3 0.12 200.7 10/9/2007 MC
Manganese mg/L 0.05 <0.008 200.7 10/9/2007 MC
Comments:
pH is below recommended limit and may have corrosive characteristics.
Water meets EPA standards a suitable for drinking for parameters tested.
Date
onald J.Saari
Laboratory Dir or
BRL=Below Reportable Limits Page 1 of 1
*See Attached
Town of Barnstable
o, Regulatory Services
tl
Thomas F. Geiler,Director
Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6 304
InstaBer_AD I el-Cer cs �orm
Data':
Deis tiler �t___--- Insurer:
Addres
s: I 'q'
�L ���._���6 V o i �._... address:On
--._. �� -A16 — -- was issued a permit to install a
date} Winstaller)septic systeera at °!o based a u a design drawn by
(address gn
dated
(desYgner)
- I certify that than septic system referenced above was installed substanbelly according to
-*ie, design, which may include; minor approved changes such as late Al ivlocation of tyre
d bution box and/or septic tank.
—�- 1 cedW that the septic system referenced above was j*&jjed with'=30r cl==gam
greater tli 10' lateral relocation of the SAS or any vertical relbOdfift of arty component
of the septi"cIF term.) but in accordance with State &Local RegdIations, Plan revislo or
r Certified s-btffi,tby designer to follow.
4.
MASON
( " airs Signah e,, e)
.FLEA SE RETURN TO B NST
RUILT
MANK YOU.
Q: f-iealkh/Sepric/Designer certification Forrip 1 .:
I � �
No. -- --� // Fee----- -=-------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
0(ppCication-ftlVell Cootruction Permit
Application is hereby made for a permit toA%C- rstruct ( ), Alter ( ) r Repair man ''dividual Well at:
Location — Add s Assessors Map and Parcel
---------------
Oerl Address
' 1- --- - -- -----------
Installer — Driller Address
Type of Building
Dwelling A ---------------------------
Other - Type of Building -------- No. of Persons-------------------------------_________
J6
Type of Well— - —- L ---— — - Capacity---------------------- -- - - — --—
Purpose of Well------J�1`.1 ------- —
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate .of, Compliance has been issued by the Board of Health.
Signed el---
G date
00,
Application Approved By y ____________
1 aate
Application Disapproved for the following rea :---- -----------------=-------------------------_---_--------_—________—_________
--------- - - -------------------------------- --
------- - - ---------------- --
---------------------------------
date- - ---- - ---
�Q � - ___-- _-
Permit No. - Issued-- --------------— — --
te
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate ®f Compliance
THIS IS TO CER IFY, That the Individual Well Constructed (--), Altered ( ), or Repaired ( )
.L
------------------------------- ---------------------------------------------
J �d Installer�' n
at--------°Z _-1'-'1-® ------ �---— --- f�- `--------1�. -
een
Res ulat oninstalled
des described n the application with
Eor1We11 Construction Permit No.o r of Hqh� ' Well Protection
P n
g - (� al
ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------------- —----------------------- — -- Inspector----------- -------------------------------------------------------------
✓O r
�./
�I
No. - - 1, Fee -
I BOARD OF Fee:
TOWN OF BARNSTABLE
���Cication,�'or�eCC �C�on�truction�ermit _
Application is hereby made for a permit to Construct ( ), Alter ( ) r Repair +-)an • dividual Well at:
�j J
Location Address_ Assessors Ma and Parcel -
-- ----- ---------- ------- ----- ------------------
Owner Address
FECA 111) GUI L L ------ - -- -- -
Installer — Driller Address
Type of Building
Dwelling 7MIPAi°'`_!, --------------------------------
Other - Type of Building g-------------------------------- No. of Persons--------------------------------------------
Type of Well— - �'- L• ----- -- - Capacity--- - - -- - -- -
-- - - -- ---------------
Purpose of Well
r ,Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
h- place the well in operation until a Certificate .of Compliance has been issued by the Board of Health.
1 A ,
i • ��
Signed -- - -- -' -p-- — - ---V---------
(� date
I
PP PP Y -(/-Application Approved B - -=-�'-��- ��-----�� ���,-•� -2-1,, -✓— �--
date
Application Disapproved for the following rea,Zs: —-----------------------------------------------------__-_ -_____—__________
r -
date
I
Permit No. JV4 - - ----- ------------ Issued--- -
i Vr --'- --- ---- -----------:ate--------------------------------------
I --
BOARD OF HEALTH
TOWN OF BARNSTABLE _
Certificate Of Compliance
j THIS IS TO CERTIFY, That the Individual Well Constructed (_)), .Altered ( ), or Repaired ( )
by- � ": --------------' -------------------------------- ` -
Installer —
at- - -- -0 -------�` ——--- f _--------- -- ----- -= �}
has been installed in accordance with the provisions of the Town of Barnstable Bo rd of Health r at Well Protection
Regulation as described in the application for Well Construction Permit No. V►�1 � ¢� D -----
--------------------
r
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A,,GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY. �r
DATE'- - -== .-----------------= --- - - _ Inspector.- - -_., - - - -
-- BOARD OF HEALTH
i
TOWN OF BARNSTABLE
1 , VeCC Con5tructionjoermit
No. ----------------- Fee--� ----------
Permission i hereby granted--- --
---------- -----------------------------------------
to Constr•ct ( ), Alter ( ), or .ep it ( ) an Individ a W!I at:
- � ? � . _,
No. - - r
i �.. ; --T — �t ; 'sn `� ;� ---------------------- - -
i
jas shown on the application for a Well Construction Permit
J/�_) Dated
No. - - -— — -- - - _-
xl�
Board of Health
DATE-- -elf -- ----------- —
VJ _ F
Q S �i f�L L ���� NOTES-
ASSESSORS WAR: Jr
,
A^� SOTL PVAtUATDR.�
PARCEL i. VERTICAL DATUM.
CT
WITNESS. N ALA?
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2. MUNICIPAL WATER y
1100D ZONE... .�/oT- ��L�C' 8 L E AVAILABLE.
% O ATE. � N � �C71 j N I ,
3. SCHEDULE 40 PVC'REFERENCE.
o, S ED LE PIPE TO BE USED THROUGHO T S TEM UNLESS
1�� , OTHERWISE NOT
J7{/Q�/i' &t�4W
Th PERCOLATION RATE. THE SE ED �a4iq 80c>*. / 3a I q 4. ALL PRECAST UNITS "TO `CONFORM WITH AASHTO:
7 a� ,
_ TH-2 _
5. 'PIPE PITCH. 1 4 PER FOOT UNLESS OTHERWISE NOTED.
- -
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TN 1 z,, / WI E . TED
Y tn '►
JpAf
6. ALL .CONSTRUCTION DETAILS TO B IN CONFORMANCE A � I� E 'WITH ;MA. ENVIRONMENTAL
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"u � CODE (TITLE V AND LOCAL'REGULATIONS. . ,
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LOCATION., t�lA � • rr D ,
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a Lb 7. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES `.TO CONSTRUCTION.
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'SEPTIC SYSTEM DESIGN (y LL
94.98
94.32 L
FLOW ESTIMATE
/UP 693/4
4.0 9 5
96.95
A- Ako2
� BEDROOMS AT GAL/DAY/BE ROOM
• C � - IP/FND -�
C�
95.43 GAL/DAY
96 fA 98.87 Or
S
/41?
9roi 97 _
121 L v
� �11.1 rkset
97
.18 q Bench _
'GAL aAY x 2_DAYS
--- _ - ro ,. , Top cone. block
/ `i s �4 5'Y� _
_ - 98 _ _. _ ao' _
El. 105. 4 (Assumed) GAL. .
4 100.00 °� lb 1�,;,,2/ fC..�: 2E v a s
? 30 1 Y USE GALLON SEPTIC TANK �
_- 100.37 i.
' ....
IL ABSORPTION SY
STEM 181:92 .:00.29
t
NOF
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103 3 ` 100.19 AVID
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103.47 1 "' J� ''�
.: 103.50 � !� o --�
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103,90 sTE
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... /' Deck �, . � X Z �( 1 G:�5 N
45 SIDE AREA. z 4H
x _
FF 107.86 x
� (INC 117
BOT1CM AREA.103.06 �Assumed� 05.51 Z
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SEPTIC/COS-o � SEPTIC SYSTEM SECTION
..
5.64 r
5
,,�• 107.83 106.88
06 Stone
107
7.56.0 rwe
x 107,Ei5
107.91 � ..,... o
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r x 107.09
1 .31 "�
0 FN /�,, 108.91 ^
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1108
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1� 41, 109.73
1F AK
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98 109.24O - b a4
i 2 T OAK x 10968 x 110.31 ` 4Z-7
09
1a�.52
.. 109.67 f-OAK _ _ •e
. v b3,63
111.68 I GAL �E V, 15'
"1 t2 ELf�•! 163,a n • . /,
,`�10 10.28 _ SEPTIC TANK ELEV, ,moo. u
109.4ZT -112 3 A '1� �- fi t t l
114.98 ,
W LL/ABUT
IT '�'f''�j •`�t'A°`MAS 'SITE AND : SEWAGE PLAN
- 12.34 � � FERRY: °�
a x 7 8
1110 .� -r WARNER" /
113.38 Nu.s872, LOCATION: 4 �
111.94 IP/FND
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Scale. 1 e ,
• - PREPARED FOR.
-20
0 20 40 60_
SCALE:
DAVID B. MASON, R.S.
DBC ENVIRONMENTAL DESIGNS DATE: a
EAST SANDWICH, MA
DATE HEALTri AGENT 508 833-2177
/ 7 _
Large Format
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