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Home My WebLink About0015 PIONEER PATH - Health 15 pioneer Path West Bamstable % 129 1 11 KOO, rj P�dM,�1 p TOWN OF BARNSTABLE LOCATION 121Y QS+: W, 3g_P,15;jtje M, SEWAGE # VILLAGE QAfftKC-u? llt'c' ASSESSOR'S MAP & LOT Ia$®/7--601 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 1.600 LEACHING FACILITY:(type) (size) !moo NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER fil rLWJ L BUILDER OR OWNER �,�, I I l 7i S Cc,�-L-I S /h Y L DATE PERMIT ISSUED: _ DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No a " s W i each► pgpq- u e ..l No...&Y" ....I..5 `1 �- Fx$..... .,G......... r , 2 -11 COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' - i�i ..............OF.... ��.e �................................. �� A liration for Disposal Work, Tonotrnrtion amit 1 Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: ..................Zoz-•••.- .... ,1 �. .-..�-►! s,, � c�.. �_...t l!.��✓_............. Tocation-Address or Lot Nq �C1,l�i.S-----•------.....-•----•-----..... � �._�'✓_ A�/!?..�4_ kl! .�,?�e 1�f�'� er �Ad•res ....176- Type ......................... • . ..........-- aller ' �7 Address �C��C�of Building Size Lot......�".3�......-4. feet U Dwelling—No. of Bedrooms............ ...........................Expansion Attic ( ) Garbage Grinder k%q Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures ................................ w Design Flow....................../.*..........__gallons Septic Tank—Liquid capactty,/DO.Ogallons Length_,K%...... Width 1b..... Diameter................ Depth..- ... ........ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------/........... Diameter...... y....... Depth below inlet.s5,Es.... Total leaching area &.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `" ................... a Percolation Test Results Performed by..�..�T�T ^.1. ...IIfIsF�.................... Date.___II Test Pit No. I...........minutes per inch Depth of Test Pit....../..�.�..._.. Depth to ground waterwvm,---------__. Gi, Test Pit No. 2................minutes per inch Depth of Test Pit...../�.`..... Depth to ground waterE.coetIZ ..._.....-•------•-•-•..................................•-----•-.-•-- '/ O Description of Soil...�.�•.��.--:....Q.._.-..'�a..__..Noe►?�p,q:�.� .rL,:.,,.._'�.�.........-•-•------1!'�S�^'-�-- x u ..FrEs iQ.'�.. Q.c�C•r. a2�..;..._... �' � ''...w�,o�a4� n .......... w UNatu'r of e rs or Alterations—Answer when applicable.................................................................................... greemen The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITA U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n is d bAtoard of health. Sitied `'�' ........................• .......................... Date f Application Approved By......... — ..... . .. . . .................................. -•--- ••-----• Date Application Disapproved for the following reasons:.. .........................................................................................................•-- ......................................_.................................................................................................................................................................. Date PermitNo.......................................................-- Issued....................................................... Date {� r No..-�Y-....1..5 Fss.......... ................. E COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... if�Is........ ....OF..... '/✓ "` .............................. Apli iration for Uiopoottl Workii Tonotrurtion Frrutit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: .................. ic: ,5.�?2 ..... .... Sit", l�> .f'.` 1%<£ % .c •-- ... 2'�............. ?ocation-Address ••.- or Lo7 No. kr✓�11� .. .ter. ............ ---•- \ W j ��-•� 'o. t Ad r e;swn r - ? ............................... nstaller Aess � Type of Building Size Lot.......�_�,�_ U Dwelling—No. of Bedrooms______________4e_...........................Expansion Attic ( ) Garbage Grinder Other—Type of Building ____________________________ No. 'of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .............................. Design Flow______________________/I _ gallons _ er day. Total dally flow.. ___ _.. __gallons. WSeptic Tank—Liquid capacity}4.0.Ogallons Length_ __' ,z_'_'__ Widthy11P_-`__ Diameter________________ Depth___ _._� x Disposal Trench'No_ ____________________ Width.................... Total Length.................:__ Total leaching area....................sq. ft. Seepage Pit No.......I----------- Diameter._._../4....... Depth below inlet.-'A. ...... Total leaching area &r.�.'"_•i ._sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.. F74r7, M^.):....f....Z......:............. Date....1lr)W- ____________-- Test Pit No. 1......... •.___minutes per inch Depth of Test Pit....../0___..... Depth to ground water ___ __ Gz, Test Pit No. 2___.............minutes per inch Depth of Test Pit.....A2__.____. Depth to ground watereeo a*V2.P.-2 - _---• •-_... ..----•••-••............... O Description of Soil Q '" K� � ��' " /24" •-- x v u�' ��" _ . ado 0��1�1'- o r� ,s "1 _ �" _._ - �✓o��i� �_......... U Nature pa• s or„Alterations—Answer when applicable_______________________________________________________________________________________________ r lien 1 n eel"a The undersigned agrees to install the aforedescribed. Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitar*eissued Code—The undersigned further agrees not to.place the system in operation until a Certificate of Compliance has b t d of health. Si ned. Date Application Approved By-••••••• Date Application Disapproved for the following rea ______________________________________________________________________________________________________ ---------------------•-•_--_.._._....----•--•------•---------•------------....--•-•--•--•._._............._._._.._...........-----•------•---•--••••--•••-•--•---•---•-•••-•--••-•••••••...--•--....--•-- Date PermitNo......................................................... Issued........................................................ ` Date ` J THE COMMONWEALTH OF`MASSACHUSETTS , ti BOARD OF HEALTH ;t .............. ....... .... 1,..� OF...... .,... A....................................... �rrttf trtt of untpltttnrr , TH S IS TO E�T hat the Individual S Di sal System constructed ) or Repaired ( ) by------. ..... .... .... .... ......................................� G..'/4 t 1r` ' �� - �-In alley ............................................ ........................................... at.•--•••-•••-••-•••. ----------------•----•--- f ,e... has been installed in accordance with the provtsionls of TITLE 5 of The Mate Sa tary Code-as described in the application for Disposal Works Construction Permit No........ ye!.__ _S__/___. dated_............................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................... .. -...................... ............. Inspector..... f t s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH R NO... '.� .T...! FEE... .............. io 00 1 �unoirnrjtUa p Permission is hereby granted. s -•--•••. .. -••-•-----••----••••••.....'••••-••••-•-••-••••••••••--•...:A............................ to,Construct ) or Repair ( ) ndi Flu 1 ew e s osalt ternrt ,,.. at, No ------...•----•--•-�, L__ y r treet as shown on the application for Disposal Works Construction Permit No____________________ Dated.................. / oard of Healthy" DATE............. ............................. FORM 1255 A. M. SULKIN, INC., BOSTON 4��, I Log Number4_. B Date: 12 $4 BAk LE COUNTY HEALTH DEPARTh1ENT n SUPERIOR COURT HOUSE v V BARNSTABLE, MASSACHUSETTS 02630 t DRINKING WATER LABORATORY ANALYSIS PHONE: 362- L hje�.g$ 2511 � #'- EXT. 331 Client: B i I Zissulus Collector: T. E. Desmond Well Drilling Mailing Address: 49TW. YarmouthAffiliation: W. Yarmouth, Time & Date of Collection: 4/10/849 4:00 p.m. Telephone: 89b-lobb Type of Supply: well water Sample Location: Lo Well Depth: s ervi I I e- es arns a gd• Date of Analysis: F Barnstable Parameter Sample Result Recommended Limits Total Coliform Bacteria/100 ml 0 0 pH 5.8 Conductivity (micromhos/cm) 64. 500.0 I Iron (ppm) ! .24 0.3 Nitrate-Nitrogen (ppm){ < .04 10.0- Sodium (ppm) I -- 2.0. Xx Water sample meets the recommended limits of all above tested parameters. r Water-sample has higher' thanlaverage levels of nitrate. Future monito-ring is recommended (2-3 times per year) . t The low pH of the water may shorten the useful life of the house's plumbing. i k Water sample may present aesthetic problems due to } Water sample has high levels 0 ,sodium. Persons on low sodium di"ets should consult their doctor. r Water sample is not recommended f Human. consumption due to .Retesting is suggested REMARKS• CC: Barnstable Board ofHealth T. E. Desmond -Well! Drilling Labr Director . 11/7/83 n _ 1 c/ No. ---------------- Fee BOARD OF HEALTH TOWN OF BARNSTABLE Ion 5t UCtion�itat r erY �tCon r rm � ,�10 e [t Application is hereby ade for a vermit to C nstr ct ( ), Alter ( - , or Repair ( an in 'viduaI ell at: �Sd 17- - - � -" �G.,Y6�1 ' I�' - l�Q�o _ -------- Location — Address Assessors Map an Parcel ------------- - ------ - ------------------------------------------------------------------------------ Owner Address e s ri �is---- - --— - - -- - - -- - Installer — Driller Address Type of Building / Dwelling ------------------ - Other - Type of Building--1�° - No. of Persons-----�-------------------------- Typeof Well- ---1 ,1J - --- --- -- Capacity----------------------------------------------------------------— Purpose of Well-------orl 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 Certifica of Compliance has been issued by the Board of Health. Signed- =_- - - - - 7I1_ f date Application Approved By" � ---------- ------------------------ - 1� �� date Application Disapproved for the following reasons:-------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------=----------- p� date Permit No. -------- ------------------------—__ Issued--------------- f- 'b - ----------- - - date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) —----------------------------------------------------------------------------------------------------------- In�yaller PN at --- — - -t-7------u 1 ---G—`-u(fi\- - - - -- -- - -- - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protec 'on Regulation as described in the application for Well Construction Permit No. V-)g�a z-3-----Dated-----`�- ��-4� 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 . �.��Yication,�or�efY �Cort�truction�ertnit ` Application is hereby ade for a ermit to Construct ( ), Alter ( -); or Repair ( j)-i- dividual Well at: Location i re/ � �o_�,�'_ 11ar�t��'<<.�I�_ --��t�t^l��t� l__ - Assessors Map and Parcel Owner Address ------------------- ------------------------------------------------------------------------------- Installer — Driller Address Type of Building DwellingG ^--- -- �-----�----- ----- � - =T:XT:i=7l" Other - Type of Building— ------ -- =_________ No. of Persons-----�/------- -- 1 F_�________ Capacity Type of Well-----------�-----1- � -------------------- ---------------------------- --- Purpose of Well---------t�2 1,11-IF 5 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 = - 'a —��' "�= _ i - `/ Application Approved By= mac ` -------------------------- date -- Application Disapproved for the following reasons: date Permit No. Issued-— __— / / ! _ -- � date — BOARD OF HEALTH k TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY-------- -�----------w�-e------------------------------------------------------------------ ----------------------------------------------------------------- .�7 Installer at 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 ermit No. AL v 23---Dated— �.-- -1 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 Veri Con5tructionVermit No. ---------------------- / Fee------------------- Permission is hereby granted------- :____GU�_�__-__ to Construct ( ), Alter ( ), or Repair (L-)n ndividual Well at: No. --`' f- -7 - --1 01'-'0J, - ------------PnAll - Street as shown on the application for a Well Construction Permit �'� 7 C7---- 2 �`---------- - ------------------- Dated---------- r'- rid---------------------- - ------ No. =� -------------------- _ ---------- --------------------- -� -- -�7 - Board of Health DATE----__!—/�l?—J-__—_--------_—_-------- Nc� WIV V O 40 ___ ------= ------- r i ovw �w --- ^� AY pp l 5�, � o- •.L �t.a� •�r.� Rol 1 \t� i 77 `" ice+/ � `� _ � - _ � 'i �•�` .: - � .� t�ti • / M - N Y rv.Y1 y i I 5 wr s ..� "'� :y.. 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S 66 S4 •.f cam' -. / Ply M z• Y� _Pap tads per. 19- Ibf ; 7 - 1 k kE P Of FOUNDATION C ncrRETir C N'_a CONCRETE COVERS i CAST IRON: 12 MAX. -E (OR 4°ORANGEBURG(OilEQUIV1.UIV.)— MIN. PIPE- MIN. iLEAI fHCH 1/4''PER. PITCH 1/4"PER..F'T. PiT -�� PR£CAST c o • � - I�f,I-111i"ri INVERT .- PIT OR o ELs3�jj"... INVERT. SEPTIC TANK ELc. #ST E4?UI ' A, EL-52 � ?r�- •, o INVERT 80X /.409.. GAL. iNVERT ':, ? 3/4"TO I L/'2. INVERT tt f Le -.. f WASHED o e EL.S�.b ?;® STONE o '. °',` °' t 2Otl liY ZiT& TABLE PRORILE OF SEWAGE DISPOSAL SYSTEM NO SCALE' SOIL LOG WiTi ESSED BY' l . .- ��eaeS'I. . _ BARD OF I�i:Af�Ti!i DATE ..//��.7 '... TIME./,l:`.0o A!°? . . TEST HOLE I TEST HOLE 2 . �E EWNEER {{ELEV. . .6Q.3 . . . ELEV. :aS 7./. . . E �✓000G � ►'✓O Dt � DESIGN DATA '. a �txdiG _ } ;�� s.�.6. • ,NUMBER, Of 'BEDROOMS TOTAL 'ESTIMATED FLOW GALLONS/DAY ME�7 .SAn��y /Y7cG �S NCs' 'BO TOM LEACHING AREA ' .SO.FT. /PIT f%�►/ S F'�✓ES SIDE'LEACHING AREA /53. 4 SO.FT./ PIT 3" T GARBAGE -DISPOSAL (50% AREA INCREASE) ROCKS?' LEACHING AREA ... .3Q7; SQ-r_T- PERCOLATION RATE . . . . . . . _ . MINI INCH - — — — — LEACHING.AREA PER PERCOLATION RATEl- ,5,!K- 4.FT/7.�� .,/O) WATER ENCOUNTERED NUMBER OF LEACHING PITS APPROVED BOARD OF HEALTH DATE . . . . AGENT'.OR INSPECTOR y,�a�SH OF dfAss LL QlSTV- - SANIlAR�aN PETITIONER r ;96 93 0.5 f,3.7' ri • 4 Jv n - Am As" '4h( Z440-3' J-17 r �, � � ,, - *. `fir � ,�., it V� C.'es, Noy 7":e' ov Sl T PLAN 'A CF OF EDWA E. VI m R.HAS so LEY 0.26100 <11� GISTO& OISTCIS T V. -7/-1--7 45� #0 AIL VV L L A M ZISSULIS