Loading...
HomeMy WebLinkAbout0091 WILLIAMS PATH - Health q� w�lip aams ea* r No. 4210 1/3 SLU ESSELTE 10% 0 o a' 0 r - - �� TOWN OF BARNSTABLE /„(./ Opp LOCATION , '7 U112LA" &i P,41 I SEWAGE # VII,LAGEW /4,r YYV&_ ✓9%.4 ASSESSOR'S MAP &LOT DEI _ 07 G INSTALLER'S NAME&PHONE NO.M,5 ,6&,4 Vdh''iA SEPTIC TANK CAPACITY LEACHING FACILITY: (type) DQ G�/ �/ >/� (size) ..?'-- NO.OF BEDROOMS BUILDER OR OWNER .Tne- PERMIT DATE:T it s9�T ri T f�1 COMPLIANCE DATE: 9-9L 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 i 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 36° 39 . -A b` -e 771 - 1 ®a?/ NO. 3 � — - , Fee�✓ 'cr THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: YeV ^ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migpool *potem Cougtructiou Permitf. Application for a Permit to Con ( ( ) p ra don( ) LJ Complete System ElIndividual Components � Location Address or Lot No. L0 T Wl 11/-AMS ®A'T I+ Owner's Name,Address and Tel.No. WE'S°r %ARw.5T1:r3t6�' _S0St11t -f fCAgg)v �cT tffa Assessor's Map/Parcel I -xAmes a ip- 1. A /l� Alu�t 31 Inst er's Name,Address,and Tel;No. Designer's Name,Address and Tel.No._ Dom°S £a VATir&- � • ViCUE-P, * A13-0� ATe-S Q > it 6 9 MAsAe /®� lkz a 03-64 7 i6q-r FAlavo&eTli Roijb eP-A;TEALh 1 i = N1l�S,tD;�6 2 Type of Building: j Z Dwelling No.of Bedrooms ``T Lot Size D sq.ft. Garbage Grinder( ) Other Type of Building WOO h STAUT44No. of Persons X Showers(,�) Cafeteria( ) Other Fixtures Design Flow *Vo gallons per day. Calculated daily flow gallons. Plan Date Ja i)r /4 1979, Number of sheets / Revision Date Title Size of Septic Tank boo_ O Type of S.A.S. J) X ��` sae6ql. Description of Soil ()' IG 10' Nature of Repairs or Alterations(Answer when applicable) 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 issuej by this Board of Heal . Signed c . Date ' '�"�5r Application Approved by Date ` Q Application Disapproved for the following reasons Permit No. 7 7 2 Date Issued - (1 w fi Fee / THE COMMONWEALTH OF MASSACHUSETT Entered in computer: ✓ ' Ye� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pprication for Migpogaf *pgtem Construction Permit Application for a Permit to Con i pjra _)�b�don( ) LJ Complete System El Individual Components Location Address or Lot No. LO TT II W/�l[A/'AS AAT#f �OTwner's Name,Address and Tel.No. —� WFsr '&ARpSTAAi[' So5fftf f AARFN $oTFtNo Assessor's Map/Parcel .� I 6 SAMN S (lp (t pA5,#p-:1 /NhSS- 0'NY MA 111 PARtfi 36 Installer's Name,Address,and Tel,No. Designer's Name,Address and Tel.No. KOM'S $'XeAVA7'1r(r I" WjrtirR t Assoe;ATFS O.0 , 116 7 NPSARPV /1h3S •:o,�d49 J6NS` FACNOuTH ROAb Pt#TFRVo U)iI TE[ 9 it 77- 01 '/Y A(S'Qtj 795- c 35* Type of Building: Dwelling No.of Bedrooms '` Lot Size 0 912 sq.ft. Garbage Grinder( ) Other Type of Building.N/�D S TRy PTurltNo.of Person Showers( Cafeteria( ): Other Fixtures p Design Flow gallons per day. Calculated daily flow 1/51 / gallons. Plan Date ILA V 1✓\./Q q 'r Number of sheets / Revision Date ' Title Size of Septic Tank /.,S•R O Type of S.A.S.(-?) ` X soo 4 / Description of Soil 0" 0*: (G S-/0 S Joe-w ld �SczK Nature of Repairs or Alterations(Answer when applicable) Date last inspected: - Agreements " 7"T f6:undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system f: 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 issued by this Board of He Signed < - Date Application Approved by . r Date S --,)0 Application Disapproved for the following reasons •`�" Permit No. 9 Date Issued O ' 2 ----- - - -- --_ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate, of Compliance THIS IS TO CERTIFY, that thSPn-site Sewage Disposal System Constructed kN<j Repaired( )Upgraded( ) Abandoned( )by AfdnS at_`�'�(JI I//a w, jc2z, A (AB has been constructed in accordance ' with the provisions of Title 5 and the for Disposal System Construction Permit No. 9- dated -,-;2 O' 9 7 . Installer Designer The issuance of this nt shall not be construed as a guarantee that the sy wilDate Z ' � Inspecto a __ __ i _ -- —T— No. � 7 � �( ------ ----------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mig;pogar *pztem Construction Permit •; Permission is hereby granted to Constryct Repair( /)Upgrade( )Abandon( ) System located at . � 1 l XWj AC 70'1I 6j 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 must be c in le w" n three years of the date of th ermit._ o e I Date: Approved by No dada-q da dada-- ., Fee-----�� BOARD OF HEALTH TOWN OF BARNBTABLE �� Applicat ion,forMelt �Con0ructionpermit 4 �/ Application is hereby made for a permit to,Construct (Alter ( ), or Repair ( )an individual Well at: Location — Address — Assessors M#and Parcel -------dada-- - — --------------dada----- Ow r Address cd e— �d �Pa ,b�, ° --dada---------dada-- --------- Installer — Driller Address 0U5_3 Type of Building Dwelling-----=-----—-------------------------------------------------- Other - Type of Building--------------------------------- No. of Persons----------------------------------------- " 90__Pve— - —Type of Well-----------------dada-- dada- 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 Certific to .of Compliance has been issued by the Board of Health. Signed ._ -- - �. to -d.3 -99L dada ------------ dada--dada------------------- date 3 Application Approved By - - --dada-- - CO - -- --- -.- --------dada-- date Application Disapproved for the following reasons:----------------------------------------------------------------------- ------------------dada-- - ---dada-- ------------------------------ ------------- =-----dada-- -----------------------—-------------- _ date PermitNo. --— — ---- Issued -- — -- ------ ----- ---------------- date---------------- date '—/ry/ j �q- ��.' r � ; /) - ti-•. .. , .. �'ti� • 3♦ Pytr.r•s � Kw3. T, �� No. ------ ---- -=`- ,` Fee------------------------- BOARD OF HEALTH TOWN : OF BARNSTABLE ApplicationArlVell Co n5truct ion Permit Application is hereby made for permit tq Construct ( �, Alter ( ), or Repair ( )an individual Well at: r // Lo�//�l"S Address' �,J— - — -�f=----C —0-7 Assessors Maf and Parcel ---- ------------------- cation — 'YDr ,GO %E'L TE2sid� ,�SO' /� /•pL 0.2 s-56 ------------------- ---------------- Ii Owner Address Installer — Driller --— Address 024 53 ` Type of Building } Dwelling � Other - Type of Building ------------------ No. of Persons-'-------------------------------------------------- 3' '� r �G,�! %a �------------------ i Type of Well--------=--=-------;-----. Capacity-------------------------------------------------------------------- Purpose of Well---c��7_C__=-57!e - ------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with fhe 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 Certificate .of Compliance has been issued by the Board of Health. t Signed - - - - -— - date — �--— — —�• Application Approved By2L ---------------------- date l Application Disapproved for the following reasons:--------------------------------------- ------------------------------------------ ` - ------- -------------------- i ------- ------------ ---------- ---- date - ----------------� Issued --- — / - ---------------------------------- Permit No. ----- `� f �te BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS S TO CERTIFY, That the Individual Well Constructed Y(), Altered ( .), or Repaired ( ) by- — ------------------------------------------------------------------------------------------ Installer • at---LG- -� -- _ � :/� -------pe-z'/A------------------------------------------------------------------- has been installid in accordance with the provisions of the Town of Barnstable Board Healt rivate Well Protection Regulation as described in the application for Well Construction Permit No. ----------' Dated-C�--- -- ------� i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. 1 DATE-------------- -------- Inspector— - - - r.. - - - �-/----- �,-� v � BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Con5truct ion Permit � , No. -------- - --- Fee----- ----------- IV Permission 's hereby granted- - ------------------------------------------------------ to Construct ( ), lter/( ), or Repai ( txLdivid IZA 7C No. - -- ----- - ------------- Street ' as sho on�t e a licati n for a Well Construction Permit l No.- 1 -� — — --------------------------------------- Date ---- - -.f - ---- 4q Board of a Ith DATE— - -- --- — - ENVIROTECH LABORATORIES, INC. _.•MA Cert. No.: M-MA 063 449 Rte.130 -- Sandwich, MA 02563 (508) 888-6460 1800-339-6460 FAX(508) 888-6446 CLIENT: Joe Botelho LOCATION: Lot 7 Williams Path ADDRESS: c/o Desmond Well Book'291 /Pg. 44 PO Box 2783 W.Barnstable MA Orleans MA 02653 COLLECTED BY: Desmond SAMPLE DATE: 6-30-97 SAMPLE TIME: N/A i WATER SAMPLE TYPE: New Well DATE RECEIVED: 6-30-97 LAB I.D.#: 976717 WELL SPECS.: 4"/120'/92' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Limits Coliform bacteria /100ml 0 0 9222 B pH pH units 6.5-8.5 6.26 .4500 H+ Conductance umhos/cm 500 133 120.1 Sodium mg/L 28.0 9.0 200.7 Nitrate-N/Nitrite-N mg/L 10.0 < 0.04 4500-NO3 E Iron mg/L 0.3 0.03 200.7 Manganese mg/L 0.05 0.036 200.7 Volatile Organics ug/L See Report EPA 502.2 Chloroform ug/L 100.0 0.87 COMMENTS: pH is below recommended limit and may have corrosive characteristics. YES WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Date o ald J. Sa Laboratory rector <=less than >=greater than TNTC=too numerous to count N x l .. t ti - Page 3 TOXIKON CORP. - - REPORT York Order # 97-07-005 - Received: 07/01/97 Results by Sampte SAMPLE 10 976717 FRACTION M TEST CODE 502 2„ NAME VOC-IN WM BY PURGE & TRAP Date & Time Collected 06130M Category VATa Dichlorodifluoromethane NO 0.50 1,1,1,2-Tetrachtoroethane j;p 0.50 Chloromethane ND 0.50 1,1-Dichtoropropene ND 0.50 Vinyl Chloride ND 0.50 Bromoform No 0.50 Bromomethane ND _ 0,5Q 1,1,2,2-Tetrachlorcethane `Hp O,5.0 Chloroethane ND 0.50 1,2,3-Trichloropropane ND 0.50 Trichtorofluoromethene ND 0.50 Bromobenzene NO 050 1,1-Dichloroethene ND 0.50 2-Chlorototuene ND 0.50 Methylene Chloride ND 0.50 4-Chlorotolueno ND 0.50 trans-1,2-DichLoroethone ND 0.50 1,3-Dichlorobenzene ND 0.50 1,1-Dichloroathane ND 0.50 1,4-Dichtorobenzene NO 0.50 cis-1,2-Dichlorcethene Np 0,50 1,2-Dichlorobenzene ND 0.50 2,2-Dichloropropene _ND 0.50 1,2-Dibromo-3-Chtoropropane NO _ 0.50 Chloroform 0.87 0.50 1,2,4-Trichlorobenzene Q O SQ Bromochloromethane ND 0.50 Nexachtorobutadiene NO 0.50 1,1,1-Trichloroathnne NO 0.50 1,2,3-Trichlorobenzene WD 0.50 1,1-Dichloropropene NO 0.50 Benzene K Q.SQ Carbon Tetrachloride ND 0.50 Toluene _HD 0.50 1,2-Dichloroothane ND 0.50 Ethylbenzene ND 0.50 Trichloroethene ND 0.50 m-Xylene ND 0.50 1,2-Dichloropropane ND 0.50 p-Xylene _ D 0,50 Bromodichtoromethene NO 0.50 o-Xylene NO M Dibromomethane NO 0.50 Styrene NO 0.50 cis-1,3-Dichtoropropene ND 0.5Q Isopropylbenzene ND 0.50 trans-1,3-Dichloropropene ND 0-50 n-Propylbenzene ND 0,150 1,1,2-Trichloroethane ND 0.5Q 1,3,5-Trimethy1benzene No 0.50 1,3-Dichloropropane _ o 0.50 tent-Butylbenzene No 0.50 Tetrachtaroethene ND 0.50 1,2,4-Trimethylbenzone ND 0.50 Dibromochtoromethane ND 0.50 sec-Butylbertzene NO _ O.SQ 1,2-Dibromoethane ND 0.50 p-Isopropyltotwene ND 0.5Q Chlorobenzene NO 0.50 n-Butylbenzene ND 0.50 Napthalene ND 0.50 Notes and Definitions for this Report: DATE RUN 07/02/97 ANALYST CMD INSTRUMENT G UNITS _ygLL DILUTION 1 ND + NOT DETECTED AT DETECTION LIMITS ENVIROTECH LABZ6RQTORIES, INC. . MA Cert. No. M=MA 063 e - 449`Rte.130 ` Sandwich, MA 0256'3}' (508) 888.6460 1800=339-6460 FAX(508) 888-6446 CLIENT: Joe Botelho LOCATION: Lot 7 Williams Path ADDRESS: Go Desmond Well Book 291 /Pg.44 PO Box 2783 W.Barnstable MA Orleans MA 02653 COLLECTED BY: Desmond SAMPLE DATE: 6-30-97 ;.SAMPLE TIME: N/A WATER SAMPLE TYPE: New Well DATE RECEIVED: 6-30-97 LAB I.D.#: 976717 WELL SPECS.: 4'/120792' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Limits Coliform bacteria /100ml 0 0 9222 B pH pH units 6.5-8.5 6.26 4500 H+ Conductance umhos/cm 500 133 120.1 Sodium mg/L 28.0 9.0 200.7 Nitrate-N/Nitrite-N mg/L 10.0 <0.04 4500-NO3 E Iron mg/L 0.3 0.03 200.7 Manganese mg/L 0.05 Via, 0.036 200:7 Volatile Organics ug/L See Report EPA 502.2 Chloroform. g ug/L 100.0 0.87 COMMENTS: pH is below recommended limit and may have corrosive characteristics. YES WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Date o ald J.Sa i Laboratory rector <=less than >=greater than TNTC=too numerous to count 3 � ti ky Page 3 TOXICON CORP. - REPORT Work order 9 97-07-005 - Received: 07/01/97 Results by Sampte SAMPLE ID' 976717 FRACTION 02A TEST CODE 502 2 NAME 1L0C_IN H2O BY PURGE & TRAP Date & Time Coltected 06130/9-r Category PATER Dichlorodiftuoromethane NO 0.50 1,1,1,2-Tetrachloroethane ND 0.50 Chtoromethane ND 0.50 1,1-Dichloropropene ND 0.50 Vinyl Chloride ND 0.50 Bromoform NO 0.50 Bromomethene ND _ O SQ 1,1,2,2-Tetrachloroethane B2 OAS Chloroethane ND 0.50 . 1,2,3-Trichloropropane ND 0.$0 Trichloroftuoromethene ND 0.50 Bromobenzene ND O.SO 1,1-Dichloroethene ND 0.50 Z-Chlorotoluene ND 0.50 Methylene Chloride ND 0.50 4-Chiorotolueno ND 0.50 trans-1,2-Dichloroetheno ND 0.50 1,3-Dichlorobenzcne ND 0.50 1,1-Dichloroethane ND 0.50 1,4-Dichlorobenzene NO 0.50 cis-1,2-Dichloroethene NP 0,50 1,2-Dichlorobenzene ND 0.50 2,2-Dichloropropane NQ 0.50 1,2-Dibromo-3-Chloropropane NO 0.50 Chloroform 0.87 0.50 1,2,4-Trichlorobenzene ND �0 SQ Bromochtoromethane ND 0.50 Nexachlorobutadiene ND 0.50 1,1,1-Trichloroethene ND 0.5Q 1,2.3-Trichlorobenzene _gyp 0.50 1,1-Dichloropropane ND 0.50 Benzene ^ ER Q,SQ Carbon Tetrachloride ND 0.50 Toluene RD 0,50 1,2-Dichloroothane ND 0.50 Ethylbenzene ND 0.50 Trichloroethene ND 0.50 m-Xytene No 0.50 1,2-Dichloropropane ND 0.50 p-Xytene _ RD Q,SQ Bromodichloromethane ND 0.50 o-Xytene _N0 0.50 Dibromomethane NO 0.50 Styrene N0 0.50 cis-1,3-Dichtoropropane ND 0.50 Isopropylbenzene ND 0.50 trans-1,3-Dichloropropene ND 0.50 n-Propylbenzene NQ 0.50 1,1,2-Trichloroethene ND 0.5Q 1,3,5.-Trimethylbenzene No 0.50 1,3-Dichloropropane o 0.50 tert-Butylbenzene No 0.50 Tetrachtaroethene ND 0.50 1,2,4-Trimethylbenzone ND 0.50 Dibromochloromethane ND Q-50 sec-Butylbenzene ND _ 0.5Q 1,2-Dibromoethene ND 0.50 p-Isopropyltoluene ND O.5Q Chtorobenzene NO 0.50 n-Butylbenzene ND 0.50 Naptha.lem ND 0.50 Notes 46d Definitions for this Report: DATE RUN 07/02/97 ANALYST CMD INSTRUMENT G UNITS DILUTION 1 ND NOT DETECTED .AT DETECTION LIMITS a q� TOWN BARNSTABLE r`. 'i(!CATION �Q ��4 A S pl,1W SEWAGE# -1 7 `1 I"-iAGE.�/ !�A/77�ST�ND _ / �l• ASSESSOR'S MAP&LOT I ? .....:INSTALLER'S NAME&PHONE NO. ,S Z Z& y 7 7—D 7 { , ':SEPTIC TANK CAPACITY 'k EACHING FACILITY: (type) 1COW Dr(Z ,E1�1 (size) Nb::OF BEDROOMS_ :'BMDER OR OWNER :10,9WIT DATE: (/yl F Tr'1T f S 7 COMPLIANCE DATE: epaadon Distance Between the: Feet :::,-:.Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ...pf w e Water Supply Well and Leaching Facility (If any wells exist site or within 200 feet of leaching facility) �Sd Feet ':FA f Wetland and Leaching Facility(If any wetlands exist .:;::within 300 feet of leaching facility) Feet shed by : . - _,� 9' '`. a-4f 7-7 C�: oD TEST DOLE LOG o• / ?.J DATE:Zv►.1F .17, 1© I SOIL EVALUATOR: I::'. HAkSoir 31 GSe WITNESS: Z+, �i�tJ►JttY1 PERC RATE: . Z r-(I1.> 14 HIV r / o» OF-I S9woy { S9,vaY lcwr/ YZ `�/3 /�y V, ~ �?S�A�s 9� CZ A'�'a sglyjp /z 27,1 1eopcsey=> ►�sT ��� i__ DESIGN DATA c _ p Z. DAILY FLOW: (�/)BDRMS.z 110 GPD=V/0 GPD r SEPTIC TANK: S//o GPD z 200%=Ss o GPD USE:/So o GALLON PRECAST SEPTIC TANK t, I LEACHING FACILITY- USE: ljJG wEc Q Lr—T �` CAPACITY: #3 4<7 _ I ci lZ fZ�S / SIDEWALL: f3 o,7v /j7.. f,, BOTTOM:13 X 33,Srca,,Y= 327,3_ / TOTAL: 5' 7 rrn�n J ,��•,o ANI El 1 y� ,n QQ V NOTES: Ell �TEVEN1Iw .ems 9FC�S7 1. ALL PIPE TO BE 4"DIA.SCII 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2.OUT OF DISTRIBUTION RUMBA BOX. „p . 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE SUBVEY�� ,,. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL. 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEE. i•LAYER OF 318"PEASTONE OVER 314•-1 1/2•WASHED STONE ALL AROUND TOP OF FOUND. [a EL. /08.C 10, 14• /0/3 SEPTIC SYSTEM PROFILE :";.- , SITE.__SEWAGE PLAN - w GENERA,NOTES _. r FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION ,.7 j{��1 ` OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR T W S �F W j �G MAC TO ANY EXCAVATION OR CONSTRUCTION. go-ol-C- 091 FA`4r-- `{el. 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR IS.00:TITLE V. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE J DETERMINATION. ° DATE: S0o1'G l l)'7 SCALE: ( �y C a ALL DISTURBED AREAS TO LOANED AND SEEDED. S. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS £ _ cz-e— AJ WELLER & ASSOCIATES Y x 1645 FALMOUTH ROAD CENTERVILLE, MA. 02632 E k`z TEL: (508)775-0735 FAX: (508)7754754 L � APPROVED BY: d