Loading...
HomeMy WebLinkAbout0035 NORTH WINDS LANE - Health rthW 3:5 =ands Lane No 013 y-003.. Y kt West Ba istab'lej .. t. TOWN OF BARNSTABLE LOCATION 3 5 iy P7rA LVirnd S Lry1 i SEWAGE # AOO6 — 0 0&VILLAGE (34fn sJ-qnP-f ASSESSOR'S MAP & LOT © `D ,3`a�INSTALLER'S NAME&PHONE NO. or,.sd- SEPTIC TANK CAPACITY %C%J LEACHING FACILITY: (type) /,j/ra1y'i1C1i yc t (size) �-3 .X 2 f NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: I/</�!�(m 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 r A j3.2 13 .3 33 �-3` l TOWN OF BARNSTABLE V/'� LOCATION j SEWAGE # VILLAGE ASSESSOR'S MAP & LOT lot�3 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY `,."oo c;,4L Seri,- 7o.w i& LEACHING FACILITY:(type) ! ktrc.,4s77 (Size) c>c, 1%0 NO: OF BEDROOMS PRIVATE WE OR PUBLIC WATER c ��L BUILDER OR OWNER u ALL i DATE PERMIT ISSUED: /0��// DATE COMPLIANCE ISSUED: Z VARIANCE GRANTED: Yes No W 4ol y rl VN `�d-o No. lx6—,�T i ' Fee I / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS ZIPPrtcatton forbtz,pogar *pMem Con.�trurtton Vermtt eo Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) El Complete System El Individual Components (� O` ` Owner's Name,Address and Tel.No. Location Address or Lot No. 3S � Assessor'sMap/Parce _ (, ` G 4q � �/ Installer's Name,Adddress,,,at dd Tel.N(o..j��,J G a G D)l Designer's Name,Address andTel.No. 1- 17/ G '�� G�S L�l a['tom,! �� 0 Type of Building: Dwelling No.oCrooms a0l Size sq.ft. Garbage Grinder( ) Other Type ilding No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow :359 gallons per day. Calculated daily flow a3® gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type'of S.A.S. Description of Soil S-ee l_V Nature of Repairs or Alterations(Answer when applicable). sep S2OQ `— 5�—� 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 Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i u by this Board oVal F Signe —Datep Application Approved by ® Date Application Disapproved for the following re s s Permit No. ' Date Issued f Fee No am THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I7 Yes ` PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pprication for Migpozar *pgtem Construction Permit \� Application for a Permit to Construct( )Repair( Upgrade )Abandon O Complete System ❑Individual Components P � Pg ( ( ) P Y P Location Address or Lot No. 3 C Owner's Name,Address and Tel.No. t S ti ; Assessor's ap/Parc°� / , � �c C �j / rc Installer's Name,Address,.and Tel.No. '/ a Wi-_7 Designer's Name,Address and Tel.No. Type of Building:' v . ��] Dwelling No.o Bedrooms gx �N'S-' �Lot Size -. s ,.ft �',`:. Garbage Grinder(: ) Other Type of.B\uilding -No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow © gallons. Plan Date Number of sheets :' Revision Date ' Title Size of Septic Tank Typd of S.A.S. Description of Soil S-PP I- �l Nature of Repairs or Alterations(Answer when applicable) Se P S-PV')7 S' 1 1 v AI Date last inspected: .1 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 Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i u by this Board of 'ea.th. 1 ,� c Signe i• `Z�L- �l» Date,-l / 7 `�' Application Approved,by �7 1 1 67 1 Date v Application Disapproved for the following reas,As Permit No. ZdQ_W6 Date Issued /116,49 --_ ——————— -- ------ __--_—_—_____ - - THE COMMONWEALTH OF MASSACHUSETTS '14 BARNSTABLE, MASSACHUSETTS Certificate of Compliance , THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired O Upgraded( ) Abandoned( )by 1=1 ) �'c Tu�� (r f _ at i C/( P tA,-P S , -S,)s 6, has eefi constructs• in-`accordance with the provisions of Title 5 and the for Disp�al System Construction Permit No. dated 1111.0 In Installer j=! J a` rk4 �S C c vJ S rG Designer I-` S r2 The issuance of this permit sh 1 not be construed as a guarantee that the system wi! ct o �s designed. Date Inspector No--�� / y—�-------- ---------------- Fee __/�••,-"'^ C/j(� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Di!5pomY *p!5tem Con.5truction permit Permission is hereby ranted to Construct( )Repair( )Upgrade( )Abandon( ) System located at SS t v G r nf,4 S L-Wy L-a S 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: Construe io/n st b completed within three years of the date of pernli't• M/ Approved b Date: >/ / A �� Y , Town of Barnstable �pF I E T Regulatory Services s�vszasrs, Thomas F. Geiler,Director 94, E � Public Health Division �FD �s Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 k Office:.508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 0'� !®6 Designer: Installer: 1E11 I1 6r a"�rS C.e/n b)-, C-&, Address: (oZ (.J. 1 f z la nru ate- �, Address: o' 3 12 _ /IA bZ(,dl Vq ri -t riw T7 &Y�-✓ 4 On /////oG l=I l►) Or cTlerS Coh5i - ' was issued apermit to install a (date) (installer) septic system at . S tUCl 1 ,A/i-k Lei nff based on a design drawn by (address) ` I-J&4 LVx►S dated NbV 3 0/0 S w (designer) ® Pl v: .3I77Z LI�I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify,that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Local Regulations. Plan revision or'- certified as-built by designer to follow. N of PooS (Installers Signature) -o • . �' Ica ■ �.'%�; � 111' `� �,IrF F0 JA�\�P,``, -' (Designer's Si ature) (Affix Design p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 5/25/01 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered plan signed by me dated . 1Z( 1 1a5 ,concerning the property located at 35 t lbeTN Wi i j Ds 1_t_� W, f3A94*1S7A?kLmeets all of the following criteria: • 'This failed system is connected to a residential dwelling.only. There are no commercial or. business uses associated with the dwelling. • I • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct. preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation . +adjustment for high G.W. 3 = 52.35 DIFFERENCE BETWEEN A and B v 253 SIGNED : L�" DATE:Ll 0 V&V ,317 06 NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:percer mp THE COMMONWEALTH OF MASSACHUSETTS tBOARD OF HEALTH I _ ................ _ Aprlililiration for Uiipnsal Works Tnnitrartiun Permit Application is hereby made for a Permit to Construct (I� or Repair ( ) an Individual Sewage Disposal System at• 4 _ ................_ .,1. , .u�l i ins.......L.Al.... ..............----------•-.. ......... ................... o w .. L oc lon Address0. ................. _ 1.co s, 4 ................•.... .......------------..........---------.... . ..--•-------.......-. ...................Own r .. Address a �:. .............. ..•••-••......--......----••--•-•• ••-•........._.._.............:........... ..... Installer Address ,,//ll``�--77 Type of Building Size Lot._Y'.7...l. . ...Sq. feet �., Dwelling—No. of Bedrooms.............3..._._......_..•........Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ._... _ No. of persons............................ Showers ( ) — Cafeteria ( ) !T -•------- Other fixtures ...... _,........................ . ... W Design Flow.............. ..--.-• .--•-==-gallons per poxml per day. Total daily Qpw........... O..........--... gallgt;s. WSeptic Tank—Liquld capaci allons Length_0?._�1_.. Width:_.*!j0 m r.._ Diaete ............... x Disposal Trench—No..................... Width.......¢........... Total Length...............-.... Total leaching area....................sq. ft. 3 Seepage Pit No---------t.......... Diameter...... ,3...... Depth below inlet-as.-S....... Total leaching areaZ75+-(0.-...sq. ft. Z Other Distribution box ( ) Dosing=.. ~" Percolation Test Resules r, Performed by..... ...C-.i................. ............... Date... � t: /�0........ a 1 Test Pit No. I.-'C.. minutes per inch Depth of Test Pit...... . ____u.. Depth to ground water..NC2&)6'.... (i Test Pit No. 2--- minutes per inch Depth of Test Pit...... Depth to ground water..N !JCr... -----------------•---....-•--••......•.....•---.----- Description of Soil.... 6uk..l'/ ......... I........•------- UW ------------------------------------------------••---•--------------------------•------...............--•---------------------..............--------•---------.-- ..._..... .................... 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 LITI�. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issu�ecdlby the board of heal . Signed_._... '' ....C..... { _. .......b 1 ,y�.. Application Approved IIy_ t,7 ate Application Disapproved for the following reasons:..................................e........................................................D................. ---•-••-------------•--•-•-•--...----.........-•••-•-----.......................................---......-•------•-•................------•-------........---------........---......__.................. Date Permit No....---5•f'" ..7?.................... Issued....................................................... Date i .Xt -• - , " Flcs............................ THE COMMONWEALTH OF MASSACHUSETTS �f . BOARD OF HEALTH d AW -1 LON..........OF.........,� �P I. L=...... --`� / Appliration for Disposal Works Tonstrurtion f umit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal system at: .... ....._...--•---•-------•-- �r ............ --....__ •- ---........ ........................... Location-Address or Lot No. ................_...._.._._..._........ ;�. C .....-•----•--....... ---........................................... Owner Address a ......................... .--Ar= '<..z -�......... ---....------. ............................................... Installer Address Type of Building Size Lot............................� Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building �........... No. of persons............................ Showers a YP a1g •--•----••--,� P ( ) — Cafeteria ( ) Other fixtures .........__ ................................. . DesignFlow...............a �9� llons per -soul per day. Total daily flow..........-�BZ....................�� - ga P 1� P Y Y �. gallons. W Septic Tank—Liquid capacity,__ Length..C�1�._- __. Width:--- -�!'?.. Diameter................ Depth�'�_ x Disposal Trench—No. .................... Width..................... Total Length............--r..... Total leaching area....................sq. ft. 3 Seepage Pit No.........�._-------- Diameter...... •..... Depth below inlet.�yA.' ....... Total leaching area 7 j!?..sq. ft. Z Other Distribution box Dosing tank ( ) JJ J �". Percolation Test Results ,,.., Performed by.___Z"" .CA:�.-------..--••................... Date...:{1_/.� L..R ....--.. ai. ••.....Y Test Pit No. 1........ ',..minutes per inch Depth of Test Pit......,/.. -_-... Depth to ground water..nk ---- 44 Test Pit No..2..." ._....._minutes per inch Depth of Test Pit.....1` .... Depth to ground water.. ! ... O Description of Soil.....I L(.tf�f:--,� .. .._�'.A&I1 ......=.�(a....'..Ls....... ----- -�--- --tea............................................................ ._... ....--.... V ---.------•......................•-------.-------........_..__._....- :............. ..:.. . W --••------------------------••- -------- -••--•••••-- - �'' V k 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 TITI Z 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compli ance p ance has been issued,by the board of health. - . Signed .... i! Ie,/4 () ci j Date Application Approved By......... r) -c/_ � Application Disapproved for the�011�owinreasons:.................................................................................. t...................... ..........................................................................................••-•--••--.•.....•••---•............-----•---•---••---....-•------•-•-•-•-----......------••......_........._ -Date— - Permit No........%4/ ...... -7,?-----------•------- Issued-....................................................... Daft THE COMMONWEALTH OF MASSACHUSETTS '` - BOARD OF HEALTH 3 ' ..........................................OF..................................................................................... Tnrtif iratr of Tomplinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (�) or Repaired ( )� by................... = L . 1�'" Q. �,..._._. .......... I 3''� taller y� at....... . ' __ has been installed talled n accordance with the provisions of T1!LE 5 of The State Coe ` 1 � '� de as described in the application for Disposal Works Construction Permit No......... �.. ,7�._... datedy..........____....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SAT`IS,FACTORY. I JI ( DATE............................................. -- ... Inspector................ t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Z./�- d...� • �.. ........OF......� �^ =y"u-x_d•�-'x� No......�..._.. !..� FEE.....L/f f1 tr ...... Disposal Works Tonstrortion Prrmtt Permission is hereby granted............!-'_1�-p.M......... s ....---•-----•---••................................................•-••-- to Construct ( or Repair ( ) an Individual Sewage Disposal Systeln at No..................... r_ '?'._`?. ..... L_v d I// 1.- ^- - � ' - ' t� Strut (� � as shown on the application for Disposal Works Construction Pertnit!No.,______._._ �.,Dated.._._-- ............................... �loarl of Healz DATE............ 7Z .. .... t .... ...........-----...---- / • C / rF GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Z-358 Lab ID: 1829-01 rt Project: Cericola Lot 23 Northwind QC Batch: VGA-828 Client: Envirotech Sampled: 08-13-91 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 08-14-91 Matrix: Aqueous Analyzed: 08-16-91 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (u9/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL Y 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL I Benzene BRL 1 1,2-Dichloroethane BRL I Trichloroethene BRL 1 1,2-Dichloropropene BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL I cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY C LIMI TS ITS Bromochloromethane 30 30 100 % 83 - 117 % Fluorobenzene 30 30 100 % 87 - 113 % BRL = Below Reporting Limit. * Non-target compound. "Trace" indicates probable presence below listed Reporting Limit. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). r Y.� �tlfltltfipT(II((fllilltiififlil(Ilf(f11111f11if fil(lt!►ltijltlj(?titltft!!1►?i?S11ti111T11t?tt?i??i?jt??p(pli(T111Tf"11?1!f t?tips?titl?11?R??ttl?►1?►?tilt?tl?Tlil?f itlflifltlTlR*il?TfilftiftlT((!1?TTf 11t1?t?illtiftflililii?((11(!1?il,!� ENVIROTECH LABORATORIES Mass. Cert.4:MA063 _= 449 Route 130 Sandwich,MA 02563 (508) 888-6460 ' = CLIENT: Bill Cer' nl a _ADDRESS: LOCATION: . Lot 2 t No h W;nrli ano -' C_ Berkshire_Tra�W, RarnGts_o�h e� MA: E COLLECTED BY: Wile SAMPLE DATE: 8-1 TIME DATE RECEiVED:B_ =? 13�9�_ SAMPLE ID: 7.358 JOB #: New Well /106 40 Gal min WELL DEPTH: 143 _ / !; _= RESULTS OF ANALYSIS: y� Parameter Units Recommended limit Result e a€� Coliform.bacteria/100 ml (MF Method) p s _ _ 0 PH 753 PH units 6.0-8 5 s Conductance umh-Os%cm - 500 Sodium 355 M. -- mg!L 20.0 43.9 U.:. Nitrate-N g/L 10.0 Iron — — 0.24 .x mg/L 0.3 — ; _ 0.14 x-. Manganese mg/L 0.05 0.06 Hardness mg/L as CaCO 5U0 3 - _. Sulfate 50.8 m /L 250 =z g Potassium --- 7.8 mg/L 20.0 r- .3 � Alkalinity 1 4 — — -- ---- mg/L --- 200_ 18.8 Chloride mg j L 250 89.2 _ Turbidity NTU 5.0 � 13.7 Color APC units 15.0 <1.0 Background bacteria COMMENT: Sodium level is not a health hazard, but if on a low sodium 3 diet, consult physician before drinking. x J VOC 601/602 ug/l Below Reporting x YES No WATER iS SUITABLE FOR DRINKING PURPOSES FOR PARAMETE S TESTEDimit# _= O A � x see attached report DATE ��ilW{!I{U{{UU{UI{Ili{!UIlUIUIIIIIIU!{!f{IU{{{I!{UUU{lUll{I{lUU{Il{UiNU{lIUIINU{{IlllltltU{I�nil{{I{IiljuUl{UI{{ilUt{{tUU►1i{U{'NtIIUiI{IIIII{!NU{1{{{IIlUIINUNIUI{I{{I{U{llthflflllhlllUlilt{I1t11��` ttt?f?t??}I?ttti?tT(?ittitTtttit?ttT ttl tttttTt xttitTTt...... .. .........TiT trt�itxt}tttittxtl},itxTtitTttttitttttttixtTttt TTitxititf tTrt}if Tlttttt tttiiTt TTTrr tt i xttTtr nttTtxtt tx Jr x x rtrtxntxr :::::: ::: ::: .::.:::::L•::.:: :::::: :::.::: :,:::::.,..,..:,:::::::::,:?:::::,:.::.?::,:::•? ::::.1::::,::ln:,:::L•:1?a??:::.::a::::,:.,::??:,,!??::: ?1„tf:,:,:,,,:::::,/N' ENVIROTECH LABORATORIES -_ Mass. Cert.#:MA063 `- 449 Route 130 Sandwich,MA 02563 • (508) 888-6460 CLIENT: Bill Ceri of a LOCATION: Lot 23 North Wi nd ana z- ADDRESS: _ BPrkshi rP Trail 1 W —B.a.rnst2ble, MA; COLLECTED BY: L. Wile SAMPLE DATE: 8_1 1_gl TiME: - DATE RECEiVED:8-13-91 SAMPLE ID: 7358 = E JOB =: New Well WELL DEPTH: 143/106 40 Gal/min RESULTS OF ANALYSIS: _; c-BE Parameter Units Recommended limit Result z s I Coliform bacteria/100 ml (MF Method) 0 0 _ PH' pH units --- -- 6.0 8 5 - '3 6.84 > Conductance umhos;'cm 500 355 Sodium mg;L z — 20.0 _ 43.9 Nitrate-N mg;'L 10.0 0.24 >r Iron mg/L 0.3 - 0.14 - Manganese mg/L 0.05 - 0.06 Ir: Hardness mg/L as CaCO 500 ' 50.8 - I~: Sulfate mg/L 250 _ 7.8 _ Potassium mg/L 20.0 — --- 1.3 Alkalinity mg/L 200 18.8 _-: BE Chloride mgi'L 250 89.2 e _ _ Turbidity NTU 5.0 13.7 - > Color APC units 15.0 <1.0 Background bacteria i� COMMENT: Sodium level is not a health hazard, but if on a low sodium diet, consult physician before drinking. l~ - r: VOC 601/602 ug/1 Below Reporting -� Limit* YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETE S TESTED. i` z- see attached report DATE �rlWllllldUlUlUIIUUUIIII!lUlllllllllallllUhlt!lllltill1U1t1111UlliiU111ititiuturlluliilliiliiiiiiiiiililiiiiiiiiiiiiiiiiiiliiliii } GROUNDWATER T ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Z-358 Lab ID: 1829-01 Project: Cericola Lot 23 Northwind QC Batch: VGA-828 Client: Envirotech Sampled: 08-13-91 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 08-14-91 Matrix: Aqueous Analyzed: 08-16-91 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1 2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1.3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1, 1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene. BRL 1 Ethylbenzene BRL 1 m+P-Xylene * BRL 1 olyl ene * BRL 1 Bromoform BRL 1 1, 1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene - BRL 1 .1,2-DTchlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 30 100 % 83 - 117 % Fluorobenzene 30 30 100 % 87 - 113 % BRL = Below Reporting Limit. * Non-target compound. "Trace" indicates probable presence below listed Reporting Limit. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). 1 APPLICATION FOR PERCOLATION TESTS AND OBSERVATION PITS LOCATION: ..... .r...rN;.. .................. NO. .7�.��.: :. VJ t_sT t�0.21.1 STv�t3�-E. VILLAGE: ............................................... ........................................ DATE: ........... APPLICANT•. �l Lt_ GE t LPL.t� ..................... FEE.1D0.......... ... ................................................ (nori-refundable) ADDRESS: .�:`.�:. �:e!�-t0�?rE-4 ............ TELEPHONE NO.: ....1.3.1......LD.:k.7......... ENGINEER: .PIN3 -t.(AFF,..................... TEL NE NO : ...�J.(02`y;�? A........... DATE SCHEDULED: .... ...... .. .... .. .. ... .... ....... . ......... ... .... --------------(Applicants Signa re) ----- --------------------------- --------------------- ----- ASSESSOR'S MAP .3.R?�. PARCEL .......... SOIL LOGS GED 2 5T2F� SUBDIVISION NAME: ........�..............T... DATE:. 11�.2.�.1��..... TIME: .,l,Q 4 M.. L+)EST E!>ft2lvSTAt3L.E ����• EXPANSION AREA: Yes .X.. No ...... .G:(off...L ENGINEER TOWN WATER ...... PRIVATE WELL ... ..P . . BOARD OF HEALTH i •• Q lArl•Klu t�Cr EXCAVATOR SKETCH: (Street names, etc., dimensions of lot, locatio_n.of test holes and percolation tests, location of wetlands in proximity to-test holes) NOTES: tJ,o�-C�l �•q peer- l7 c-• � o T Z.Z • Z � 7 PERCOLATION RATE: ........5.m::^.li"N. TEST HOLE NO. O ELEVATION: TEST HOLE NO. Z yLEVATION: SAN cY u SnrtD L►PtAI L. Gt Epl l GL6"A SAND. 5�.wt� t44" 1 b - �t�lcot��tT�E� SUITABLE FOR SUBSURFACE SEWAGE: Leaching Field .24—. Leaching Pits ..}�. Leaching Trenches .V,' UNSUITABLE FOR SUBSURFACE SEWAGE: Reasons: ................................................... .............................................................:....................................................................... Note: Engineering plans must show number assigned on perc test application. ORIGINAL: Completed in entirety by a Professional Engineer and returned to Board of Health COPY: Retained by applicant VIA of ARNE H. OJALA CI IL a f 0 t � No--------------------- BOAR APPR0vETO .N OF Sarnstable Conservation Commfss oa tioor Signed Date Application is hereby made for a permit to Constru 3 ----- Hrvr�'as- G i+� cv, 3Xe Location — Address -��!� , iF °n� ✓o tom' �t. �2----------- Installer — Driller _ — Type of Bu' Other - Type of Building---------------- A r,�w p v b 3T s '? IL Fee-- ------------ BOARD OF HEALTH TOWN OF BARNSTABLE ZippYicationArlVell CoMructionPermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (X)an individual Well at: 4� - - r 9_Rah c�,1 _L - ------------------__— - --_ ___ -— —---- Location — Address Assessors Map and Parcel Owner Address ----------------------- -------------- Installer — Driller Address Type of Building c` Dwelling Qai+siA ------------- Other - Type of Building------------------------------ No. of it Type of Well ---------------- Capacity ---- —- -- - --- - -- ------------- Purpose of Well 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 Comp ' nce has been issued by the Board of Health. I Signe - - — date Application-Approved By---- -- -. --------------------------__— date Application Disapproved for the following reasons: date Permit No. Issued------------- — --_—_-- --—_--- - - date BOARD OF HEALTH TOWN OF BARNSTABLE Certifitate Of COMPliauce THIS IS TO CERTIFY, That the Individual Well Constructed, Altered ( ), or Repaired ( ) --------------------____—__------_----_____—___-------______----- Installer 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 NoVIE,���--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 OF BARNSTABLE Application-lorlVell Con5truttionPermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (X)an individual Well at: -L,,4 n 1i--------1, ,. 4'"- -------------------------------------------------------------------------------------------- Location'= Address Assessors Map and Parcel --------- — -------------------------------- ------------------ Owner Address Installer — Driller Address Type of Building•---"* n ` Dwelling-,Ram sa ----------------------------- Other - Type of Building ------ No. of Persons---------------------------------------------------- of Well- �,(��11�.�---------� - Capacity - -- - - - - ------------ P Y- -- -- - -- Purpose of Well - - 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. - SignedC 1'' --, ®_ L7A ---1�-�-`-�--1 9 ----------------- date' Application Approved By- - - 1 '�,�„` - ------------- - - - -— -- date Application Disapproved for the following reasons:---------------------------------------------------------------------------------------------------------- -------------------------------------—--------—----------------------------—--------------------—-------------------------- � ------------—-------------—---------- --------- ---------------- date+ Permit No. -------�.t/ � ., -------------------------------- Issued------------------------------------dat--------------------------------------------- /- ` - date BOARD OF HEALTH TOWN OF BARNSTA.BLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed,.(, Altered ( ), or Repaired by ---� QI�---- ' �� -�•�'�_ '�c " -i ----------------------------------------------------------— Installer at-.k-,Z, - -1�`-� r -0 \-!- �-`` 1'-'-m)• -----L-Zilo----e!A a1w-------NL s--'-------------- ------------- has been installed in accordance with the provisions of the Town of Barnstable Board o?Health Private Well Protection Regulation as described in the application for Well Construction Permit No.W-J?/--Y ,-------Dated-------------------------- 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 Vell Con5tructionVermit /- No.--ViJ_--- _`'Y�-- Fee -------- Permission is hereby granted--------Z A2. -11 z-------R&LT ^^^ - to Construct ( ), Alter ( ), or Repair (�) an Individual Well at: No. G'O L-a' 2' A/A—h V� ' ------- - -------- ,. �,,. e '•,'� ---------------------- Street as shown on the application for a Well Construction Permit No.------- -- ---- - - - - - -- Dated------------------------------------------------ ---------------------------------- -------------------------------- --� L toard of Health DATE ---------- -- 78 - . ¢,3. U lLr► ,� J ��h � 1t�yE,� ;� 9• ... .r 'fl sue, � ��. dry' 1,63f AC.PES c�v _ ev¢ t \ �h-r N3 = Vp C, a O u G�` Z9' 03 21 _ i tiS:EE ._SHEET 1 - CO QAa.N _ et— N -.�ciy ealp G� e _ I �--fD 241 Witten F r 1"C re \ 1 r' I - --- �Gv© T4KE►.1 F¢oM �.t�G�`_ �,s� .=�!r.ef �:..ar., { P+-rG u x ar.4 52taI rC'D. !4 � 4. —44 Cept FAQ �'- PEEcasr ae.ttTS AAS►h� F i 1 . , S. PIS j0HJ ►IS S AL-L BE MAC I..1.4�2TtC�4+T. r-s a Qc .' !c. � ---_ �_ � f ,\ "��-{;O c,C�.l� �P.1 i�-'• LE LJ i2.r����� �'.-�v C D' l; �QQEso A 7 p 51 t3� '� � f' •�,,� +� f' �" y �`''" � _ �°' '.� 1 \\ �� +1 �'� �� � a � _.._...,� ,, may. i � i � +�,�, �� )I \ -� ice!nsrl ED co n " i LE tic. t,�j sus' GLcurn cape crt9�Re-��r �a l�lG . �.CaLE c I IJ i L at-I,' k�EP-S y LG,r.lp SU2vE`,(�S 't��L DATE. , ZZ 4 EXISTING 1000 GALLON TANK DISTRIBUTION BOX HIGH CAPACITY INFILTRATORS - H2O CROSS SECTION LOCUS PLAN ADD GAS BAFFLE ON OUTLET NOT TO SCALE NOT TO SCALE NOT TO SCALE NOT TO SCALE 114.09 MIN 0 106.0 �� ��X��X������������ CEDAR COVERS TO BE WI HIN 6"OF ORADE \ T INSPECTION PORT TO BE WITHIN 6" OF GRADE a•scx.ao r.V.c. 3°D4nvn�It1M�\ " MIN. 12"COVER t \ 104.8 a" o� c II 3" 1/8"-1/2" WASHED STONE r--w W 105.59 13" `3�t i T NORTH /� J exi s e ow foun ion �4 5 5' V ¢ r WEST io .i 104 w 2 BARNSTABLE wr d 4.0' 103.8 103.5 1 O. 101.5 : %4"=.i 1/2". OtJB1 E GV S14ED S.'TONE•:.• :'. •.. •:.:•:.:•;. •'.• 1.08 MIlv i / / 1.=,I 25.0' I 1 4' 2.8 4' 28.0' TTOM OBS 96.2 10.83' ' SITE SPECIFIC NOTE S DESIGN CALCULATIONS GENERAL NOTES ABBUTTER'S WELLS ARE ALL >200' FLOOR PLAN ALL PIPING TO BE SCHEDULE 40 P.V.C. FROM PROPOSED SAS 90.78 M1og P13-3 NOT TO SCALE EXISTING BEDROOMS 1 0110 G.P.D.= ALL LOCATIONS OF UTILITIES SHOWN ARE AS 110 G.P.D. MARKED BY DIG-SAFE AND ARE TO BE IF S❑ILS ARE DIFFERENT THAN INDICATED, CB/SEAL/END SF VERIFIED TI INSTALLER PRIOR TO CONTACT DESIGNER li NO. OF UNITS 4 CONSTRUCTION 91.78 /� ��'� DEPTH BELOW INV, 2' THERE ARE NO KNOWN WETLANDS WITHIN INSTALLER TO N❑TIFY DESIGNER 24 HOURS �� 1 03 f ACRES INSTALLER PRIOR LE BEGINNING OF JOBSIG ER 24 HO RS WIDTH 10,83' 100' OF THE PROPOSED LEACHING FACILITY • LENGTH 48' UNLESS SHOWN. INSPECTI❑NS 9 ^'' ��P FIRST FLOOR SIDEWALL AREA 155.32 SF ERE ARE NO KNOWN POTABLE WELLS WITHIN Z BOTTOM AREA 303.24 SF 00' OF THE PROPOSED LEACHING FACILITY. �'� TOTAL SQUARE FEET 606.86 SF THERE ARE NO KNOWN IRRIGATION WELLS WITHIN 50 OF THE PROPOSED LEACHING 92 � - 04�� Bedroom CAPACITY SIDEWALL 00.74 114.94 G.P.D. FACILITY Kitche CAPACITY BOTTOM 0 0.74 224.4 G.P.D. FLOOD ZONE ASTHIS PROPERTY D SHOWN OES OON FIRM MAP WITHIN A 1`� CAPACITY TOTAL 339.34 G.P.D. v_ m THIS DESIGN DOES NOT REQUIRE VARIANCES �.. r TO TITLE 5 (310 C.M.R. 15.00) OR BARNSTABLE 10 94,56 THIS SYSTEM !NOT DESIGNED TO SUPPLEMENTAL REGULATIONS. Bat Bat ACCOMODATE A GARBAGE ALL CONSTRUCTION SHALL BE IN ACCORDANCE 9a Den Stairs Living DISPOSAL" WITH TITLE 5 AND BARNSTABLE SUPPLEMENTA REGULATIONS. F 116' r 96. ' ~ ROOM IN-LINE ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION 1�� f''' INV. ® HOUSE EXISTING PROPERTY LINE DATA FROM INV INTO TANK 105.1 TERRY A WARNER SURVEY 10/28/05 V- INV OUT OF TANK. 104.85 - 97.93 fi CB/SEAL/FWD d INV INTO D-BOX 104 PLAN TO BE USED FOR INSTALLATION INV OUT OF D-BOX 103.8 OF SEPTIC SYSTEM ONLY SECOND FLOOR INV INTO INFILTRATOR 103.5 r' , ' NOT FOR DETERMINING PROPERTY LINES - 9b ... R - o ..............' ` o BOTTOM OF INFILTRATO 102 58 �.r 98 r-_ - BOTTOM OF STONE 101 5BENCHARK ,...-- i - - -------- - - _ _ �A S HO._E 96. Bn7r•,t pc CE i a 1 i WATER TABLE NONE ENCOUNTERED R CORNER OF CON( APRON ELEV 106.48 280' FROM 1p2' �r - , ;` , UnFin. ABBUTTER'S i' �'' �-' •�.i ,.' �. i \ Drainage :� Storage Bath DATE: OBSERVED BY: WITNESSED BY: WELL i -•-.-•__ \ Easement Unfinished % ,•' '� LISA C. LYONS ,._..,_._..._._ _ �� � BedrooM SOIL LOGS .Nov �, zoo5 r ," "or,' A - ti SOIL EVALUATOR UNWITTNESSED l P UnFinishe OBS. HOLE #1 OBS. HOLE #2 • 100,00 ELEV. DEPTH ELEV. DEPTH 01` ;' `L i 101.04 PK/SFT Stairs Bedroom E07. 0" 106. 0" � FILL A \ 'L� LOAMY 3/3 \ �.._ 106.7 2" 106 5" 1 ' 7 ,rn ,, A B RR Tie`; wa!! �. LOAMY SAND LOAMY SAND l N. ` ! TGF=114.09 �'`� �_ - _ 100'79 IOYR 2/1 1 OYR 516 !Assumed) \t "' �' BASIN 14" 19" kef::ruXZ '� l06 104.9 B 1 B LOAMY SAND FINE/MED SAND �o0f07.7 ' `` / f Garage Paved ` > \ \� C1 2.SY 6/4 64" 1 OYR 5/6 tt Drive + 99.8 PIT C❑V R f{ Beck m 1 ;` 105 32 (BANDS OF LS) 80" 108.76 ..-� x.106J4 ti / - ]12.10' 1 � � 51" C2 LOAMY SAND C FINE SAND \ >>0 0 0 / y j `.� .. j� \ 2.5Y 6/3 63" 2.5Y 6/6 t QNK,,MVER =� / :' 7i� ` \ 6 GROUNDWATER ENCOUNTERED 38 96.5 120 :-� ` 11.19' e Ed' °f Ia.w,n =/ ``` % l NO U DWATER ENC ED NO GROUNDWATER ENCOUNTERED 102.86 L TE 2 N41NS /INCH 103,68 PERC RATE<2 IvIINS. INCH PERC RA < 1 `` \ �r5- ,� H f' 4�'`,�` `i ! '�` 'fit ?1 i•' e it Benchmark set i^ Right cor. conc. apron 4- �_ 4 �, t ' 108;1 QF� \ f' �' i + G/ HUTtDFF ; VARIANCE REQUEST EL=106.48 (Assumed) •.,` \•fry ; Qa •� i i i J 109.p38 1 i 0k �B/S;EALlFND! REQUEST THAT SAS BE 11 6' FROM ro N, MPN 122.!9 i e PROPERTY WELL. r 107.61 VARIANCE OF 34'. ! ♦ �� FJ . Benchmark set �\ �/ D.f �' �3<vQ'i• `. eia0 on boulder A' r� \. % j 2 EL=117.75 !assumed) % %S o : `', _ a' PLANPSHOWING: � jTA r i `A 0 ;A'; C ` PROPOSED SEPTIC SYSTEM REPAIR IN HARWfeH i Q� 71�b FOR: DRAWN BY: LISA C. LYONS j6CL III JOE&JOY CERICOLA DESIGNED & CHECKED BLISAY: YONS SCALE 1 : 30 ` - REVISIONS: DESCRIPTION:C LDATE: 200' FROM ABBUTTER'S WELL 1,� rJ �j� •.�� :::�'•���• ����♦ LOCATION: �11,'',';�♦♦ 35oNORTH WINDS IN,W. ORNSTABL VARIANCE REQUEST - WELL 3 7 06 05 111.55 M109 P13-3 LISA C. LYON , R.S. I Q I CERTIFY THAT THIS PLAN CONFORMS TO L-I S � \ C. L YO N S , R . S , (508) 790-92'70 TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS HYANNIS, MASSACHUSETTS (774) 487-1638 i h r-