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HomeMy WebLinkAbout0100 NORTH WINDS LANE - Health 100 North WindgLane I A= 108—002 -006 W. Barnstable II I ®� TOWN OF BARNSTABLE 111-01 LOCATION_Wf SEWAGE # VILLAGE ICl/, ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 30�ti /g �a Its v SEPTIC TANK CAPACITY . /,00O sr LEACHING FACILITY:(type) /you P (size) /0`,X o� NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �l G �t 1u �u,1pl, �q Cp, DATE PERMIT ISSUED: -- -9.2 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No !/" i . 0s r i i i r) TOWN OF BARNSTABLE LOCATION qO A w,N s 40„.e SEWAGE #4-6� VILLAGE ASSESSOR'S MAP & LOT ®3-00d-0 INSTALLER'S NAME & PHONE NO. 194 6 v SEPTIC TANK CAPACITY / 700 ST LEACHING FACILITY:(type) /000 (size) /0*,x C NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER /`I/IGI� ��s ���1�, �� ca, DATE PERMIT ISSUED:- - 9 2 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No l/y D % \ � f i i ;' 4 0 •.•••_ No..---.. ....._..... FEB....... ... ...... s THE COMMONWEALTH OF MASSACHUSETTS i APPROVED BOARD p� �yOF HEALTH barns ab18 cogs .. .N.............OF.... ! 0 1. ilattl lark C�gatrixr#innrxutit Application is hereby made for a Permit to Construct ( ) or Repairn( ,� an Individual Sewage Disposal System at: d,4,_ �d GOILNe Y IJ ..... ld 1'''1W bI ................................................Qr''t r; xo.••---.nJ=• fin-�............. ........-Location.Address... or ICIl�Vc,u L�K ---...._---•-•-••-_... ..••--••-•-•--•••••••••---••••--•................................••-__.................._........ ................_....__�...._N.ar.�:�s. ...._.....-----•-------- a �'/ Owner s �•• �-•-•-••--........•� s ��................. 6f ..�..---'� �_�1_ eg----..... ...... Installer Address Type of Building Size Lot_ .�a.?� ......Sq. feet ..� Dwelling—No: of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building No. of ersons____________________________ Showers Q, YP g -•-------------------------• P ( ) — Cafeteria ( ) P4Other fixtures .-----------••-----••-•-•-•-•--•---...-•---••-----....._.........-•................................................................................... Q W Design Flow______________..55.......................gallons per person per day. Total daily flow..........7,7 A._......_.........__._.gallons. WSeptic Tank—Liquid capacity.��.�.6---gallons' Length._�y?____. Width:1t_Y ...._ Diameter................ Depth41 E_F.F, x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area_.__._......_._..._sq. ft. 3 Seepage Pit No.........I........... Diameter.....0.1.......... Depth below inlet....6.1........... Total leaching area.5_ .......Wft.��rJ Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by..... ... c i�f Lim 7 cm .................... Date__.. _ .......................... Test Pit, No. 1...e, ..__.minutes per inch Depth of Test Pit..l_b P__....._. Depth to ground water..O ....... 44 Test Pit No. 2.___...Z.,_..minutes per inch Depth of Test Pit.-I.I.q......... Depth to ground water._W?Vf�........ Ovw _ .escrttonooil...... ..--•. .......... 4' 6. ----•--•---��--••--_ �-. C...•T4 Lt4 ._..-C�Zb= ._.. & .7S_..----- ...... tV-•----•---....---_--•�--:1-l1-l-�-1--=----.-.----�3---.-l-�-.l-�•-"-�-?-.-..•z.•_-i--�.-.-.?-..•..l.....1.L._s..`.�.'.SS.-_-._•.e-.-y_..v.....-6-�•i�---.•!�--......4.....D 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 iITL:, 5 of the State Sanitary Code— The undersi ned further agrees not to place the system in operation until a Cer -•cate of Complian e h4been issue the oai•d he Date Application Approved By________________ __ __ ......... .._. --- -•• ........................................ Date Application Disapproved r he following reasons:.........................................................:.................................................. ........................................................ - 217 Permit No. ... Issued... .X/ •D ....................... No... ---- FEB.... �.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF_ HEALTH TO kN oF.._6/1�,.N.�.:rA.9. E------------------------------------------- r' - ltra toil forMiplaiittl orki Tonitrnrtton Permit ik Application is hereby made for a Permit to Construct ( ) or Repair,( ) an Individual Sewage Disposal System at: 1 '+ L -r _4a GOILNE rL O� f0yVf H W11ADS L^t � � vr�o ..._.W:...��.:A_'.:r".............. �" ......... ---_ ......... ....... ............................... ...... ........... or. ....... Location_Address ............................................... ---•-......-••......------......_•-------------- -...................._............._.......... Owner Ad dr ss W e ,.a ..��c .�., ' f !'............................................... Installer Address f Type of Building Size Lot.__.__ 1 j.................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a'4 Other—T e of Building ............... No. of ersons.............._......__.___. Showers YP g ------------- P ( ) — Cafeteria ( ) QOther fixtures ..__.....---•----------••..............................----•--•-•••••••-----••-•---•-••--•-•--••-..........._....._...--•--........------.........__.. W Design Flow..............455........................gallons per person per day. Total daily flow.......... 311.......................gallons. WSeptic Tank—Liquid capacity.160...gallons Length.—XL.... Width;4!ha .... Diameter................ Depth4'_f_F x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area._..................sq. ft. 3 Seepage Pit No..................... Diameter..... '......... Depth below inlet----(�............ Total leaching area_.r2_!'q.......sd ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......�-��!P!9.Q�.... W.Iet :ANJ Date....� '_�' ��.............. Test Pit No. 1.._`z.....minutes per inch Depth of Test Pit.. 1d_........ Depth to ground water..A/PPVf.....__. G� Test Pit No. 2__..__.Z.....minutes per inch Depth of Test Pit.., ______.__. Depth to ground water.Alb ...._..- R', ..•O Description ofSoil...... ...!. 36, ae_t..a �_...... .....5ti ..._w7 -L---- ....q,�"`'..-. U J.... An ..�..��CS " C1.��1-!----M Y� ....! ...........................:......................................................................... `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 OP until a'Certificate..of Compliance has been issued by the board of health. Signed . ,�'/- -- �/ � / /Z t Application Approved BY ! rt � �C�. �,.3.... I f ,� ................ Date.........----• Date Application Disapproved fo�the following reasons---- -----------t-----...--------•--•----•-------------------.._....----..................................... - .................................. .........................��:. ?........ ................................................................ ........... _... ...__...__......._.._......`......... �l 1 ��� �� ' Permit No... ... .............. ---------•--._.. Issued. ..,... D ...--- Date THE COMMONWEALTH OF MASSACHUSETTS -SETTS BOARD OF HEALTH /_70 k A ..........................W4.....0 F.......... Trrtifuttte of Tompttttnre '- THIS IS},T,O CERTIFY, That-the Individual Sewage Disposal System constructed ( ) or Repaired (' ) by....... AZ........ �t���.....----................_....--- ----•-......-�--•"----------••--•--••--•/--•/-•I-•--•-•-J-�-----••-•---.::: .......................... at........ L-l' +.... l �V(/_....C(L/StJe l(/- ���••(./(-/P._U .`......._...-•......................... r v � � has been installed in accordance with the provisions of TIT Jof T -- he tate Sanitary Code as described in the application for Disposal Works Construction Permit No......,�--(-,__-••---_�C'�+,_..,......•.. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION; S ATISFACTORY. G r DATE............................... �r� ram--- Inspector -,��. �,1 ......................... P , - ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � l .............. OF..... - 1!, 1,!, .1..,:%\_1. ............................ No.. l!.`.!...---1**"_ FEE........................ Disposal Mork. Tongtruction Permit Permission is hereby granted_...__`.�........................................../ >/o E ----- -- -•--•-•---•---------.-- -------------------•----- to Construct ( r) or Repair (A 1).an Indiv.idualJSewage Disposal-System LY / , at No.......1._.f. �.../0 1'Vf �� f' it %rl A/n /�� '`1 1�.�V�✓�/'�� � l�!/ � (��...`.................. Street ,f� }( as shown on the application for Disposal Works Construction Permit No._/..r__...._(.._)._. Dated.......................................... .......................��:.o •-----••• ----------------------.••-••----•---•------ �r --•-•Y Board of Health DATE.................... -----/O.... .. ................•-- No.-- =- -= --- jFee- -=----------- BOARD OF HEALTH TOWN OF BARNSTABLE 0ppCitationforlVell Con5trurtioupffmit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: -- ----- ---- - -- - - --- - ------------------------------------------------------------------------------------------------ Location,\ Address Assessors Map and Parcel ' l - S ° - _j�----- - ' --q-6------------ - -- -- -- Owner Address - - - ----------------------------------------- ------- --------------------------------- Installer — Dfiller ^ Address Type of Building Dwelling-----------—---------------------------------------------------- Other - Type of Building -------------------- No. of Persons------------------------------------------------- Type of Well- — — ___-_ - — -- -- Capacity ---------------— -- -- Purposeof 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 unti a Certificate of Compliance has been issued by the Board of Health. Signe -------------------------- -------------------------------------- date Application Approved By — - - - -=-1 _- �- - -- — — —— _— —— date Application Disapproved for the following reasons:-----------------__________________________________—---—--------________�____________ --------------------------------------------------------------------------------------------------------------------------- C� date Permit No.-- ----#----_-=6 -------------------------------- Issued--------------------------- ----------------------------------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Comp " REP THIS IS O CER IFY, That the Individual Well Constructed ( Altered ( ), or Repaired ( ) c by - - - - - - - --------------------------------------------------------------------- _— 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 No:W-12=6-------Dated------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------—------- - Inspector---------------------------------------------------------------- .t4 ��' ------------ f -*:� No.-------- is: -_-.».,Fee------===----------- t .BOARD OF HEALTH TOWN OF BARNSTABLE V ZppYication-*rVell CootructionVermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: 5a - -- --— - - -----------------—--- -- -------- --------------------------------------------------------------- - 1 Location Address Assessors Map and Parcel— ` Owner Address-- —--- — Installer — Dariller Address Type of Building Dwelling------------------------------------------------------------------- Other - Type of Building -------------- No. of Persons-------------------------------------------------- 0 Typeof Well- th L-------------------------------------- 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 unti a Certificate of Compliance has been issued by the Board of Health. Signd -- --------------- P---------------------------- ------------------------------------ 1 date Application Approved By date � Application Disapproved for the following reasons:------------------------------------------------------------,-------------------------------*--------------- f --------------------------------------------------------------------—--- -------------------------------------------------------------------- ---------------------------------- date +'" Permit No.- - -a'= --- - -- Issued---------------------------------------------------------------------------- ----------------- -- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS fO CERTIFY, That the Individual Well Constructed (/), Altered ( ), or Repaired ( ) ----------------------------------------------------------------------------------------- + -Installer c. %f• -5------------- 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 Now -2 -----Dated---------__--_-----__-_- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE-CONSTRUED AS-A GUARANTEE THAT,tTHE'WELL SYSTEM WILL FUNCTION SATISFACTORY. f DATE---------------------------------------------------------------------------------- Inspector------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Very Con5truct ion Permit p2- �� No. ----- ---------------- !/ Fee------------------- Permissionis hereby granted-------I ------- ------------------------------------------------------------------------------------------------------------- to Construct (�), Alter ( ), or Repair ( ) an Individual Well at: ------------------------------ (� Street as shown on the application for a Well Construction Permit No.------------------------------------------------------------------------------------------ Dated----- 3 = —y�-- ------------------------------- ---------------------------- . Board of Health DATE------------- ------------------------------------------- t TM t n ! 1 7 r m i m ' t 791n mqt ENVIROTECH LABORATORIES \ § © - Mass.Ccrt.#MAO 3 ` 449 Route l3O Sandwich,MA05a . (50) sa86460 \ � \ k R � : CLIENT: _Larry Nickal s LOCATION: . tot 4 North Winds Dr. \ W. Barnstable, M\ � ADDRESS: § E % . r � R COLLECTED BY: L. Wile SAMPLE DATE: 7-7-92 TIME: k E DATE RECEIVED: 2-2-22 SAMPLE ID: #50 2 k ¥ JOB f §e Well WELL DEPTH: 210/150 y'P C IO RRm 2 KRESULTS OF ANALYSIS F Parameter Units Recommended e limit Result BEj O Cdi r b dewa/10 m! (MF Method) O . E § pH pH units +y$5 6.76 / - — � Conductance umhaZem 500 153 _ R Sodium mg/E 20.0 13.8 % � f . NayEN mg/L 10.0 0.05 k k _ % Iron mg/L . 0.3 0.28 Ha E 2 kManganese mg/L 0.05 . 0.17 E � E � Hardness mg/E as CaCO 500 35.6 \ % a _ F _ � / Sulfate mg/E 250 23.5 Potassium mg/E 20.0 1.2 \ k E Alkalinity mg/L 20 12.6 L ] R - Chloride mg/L 25 29.2 / � q Turbidity NTU 5.0 17.9 q a \ Col APC units 15.0 5.0 q Background bacteria CONVENT: Manganese is not a health hazard, but can cause aesthetic problems. EPA 601/602 VO ug/L Below Reporting Limit* k # see attached report k k a R YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS ESTED. . 4 % E DATE �f k \ E ® Y , GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Z502 Lab ID: 2638-01 -931 Project: Nickulas/Lot 40 QC Batch: VGA Sampled: 02-0808-92 Client: Envirotech Laboratories Received: 02-10-92 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Analyzed: 02-12-92 Matrix: Aqueous PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) BRL 5 Dichlorodifluoromethane BRL 1 Chloromethane BRL 1 Vinyl Chloride BRL 5 Bromomethane BRL 1 Chloroethane BRL I Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1 ,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 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 1 BRL Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene I BRL Toluene I BRL cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL I Tetrachloroethene BRL I Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL I m+Vylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL I 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 34 113 % 83 - 117 % Fluorobenzene 30 30 100 % 87 - 113 % icates nce BRL BelowLim t. thodmiReferences-tdrget Methodco601u- Purgeable Ha� probable o ocarbonsandlMethode below 602 - Purgeable Reporting Aromatics, 40 C.F.R. 136, Appendix A (1986). Mum - s.. .a - - -. TM - - / BEST t�c.�t� 1,oC 7si "; AROMAS y.itTtJ 55 ?X>ktt l�► Id gl`WM 1-73.4 17t g Tlmy MAP EL. 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