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HomeMy WebLinkAbout0495 WILLOW STREET - Health 495 Willow Street W. Barnstable o e LA = 130 003 �., . U f� a e 1. e h s TOWN OF BARNSTABLE i LOCATION 5t. SEWAGE # VILLAGE 11`[ S 1a ASSESSOR'S & LOT (30—00 3 INSTALLER'S NAME&PHONE NO. La iNS rd L (t . --L'it)c. —M. SEPTIC TANK CAPACITY 1AV !D /Oda f/-;lO � tt �er�r��srrlieY LEACHING FACILITY: (type) dkM& A$ J ize) a jq/. NO.OF BEDROOMS BUILDER OR OWNER w3 A3 SO rJ `. . PERMIT DATE: I b 2 COMPLIANCE DATE: G 2 . Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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) • . 9 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by a= `7 A-D- �Z J4 -o. 8 C= 771 64 No. Fee . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes / PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Ofpprtcatton for Mtgpoga1 *ps�tem Coug uctton Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System El Individual Components Location Address or Lot No. Owner's Name,Address an Tel.No. Location Address or Lot No. qAssessor's Map/Parcel Inst , Tel.No. � f �� Designer's Name,Address and Tel.No. C- a ��Qr9ress, �t75,�/J C/C U� a�ajjtJ/ �/j�j O- �Qtr�C�Ay� �3(��re�1N���NC, I7 o L7 OAe �5(( 10A/s�osrJ b /'/r(�S !' �N *-m ft 126 x Type of Building: A fl Dwelling No.of Bedrooms /C� of Size �40 2 sq.ft. Garbage Grinder(/10 Other Type of Building lo C No. of Persons Showers(3) Cafeteria(AAA Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date e,' Number of sheets / Revision Date Title P Size of Septic Tank 1060,9L Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) DEv'v -:::- I'Y;UOT SUPERVISE IN WRITING THP Vf—rE v •.: .e s IN T irr Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainte nce of the afore described on-site sewage disposal system in accordance with the provis' it e 5 o v ro en I ode and not to place the system in operation un '1 a C rtifi- cate of Compliance has n iss s S'gned ate Application Approved by r Date Application Disapproved fo the following reasons Permit No. A '�' Date Issued THE COMMONWEALTH OF MASSACHUSETTS Entered mcomputer: V �. PB�IC HEALTH DIVISION TOWN OF BARNSTABLE., II�IASSACHUSEITS l Z(ppYication for 33i0oga�f *pgtem Cor�gt�ruction ermitg. Application for a Permit',to Construct( )Repair( )Upgrade( )Abandon( ) qcomplete System Individual Components Location Address or`Lot No.` / Owner's Name,Address and Tel.No. #_ �ji4-ft)#VAfA1ba3A4),T0+1W4( Assessor's Map/Parcel ®l Wd`+�V -S Installe�' N e, ddress, Tel.No. r „� Designer's Name,Address and Tel.No. y v.c`� � .L �. Z044 PF f� A�e�PiN6 Ir �3too'�—YSyf Type'of u ding: 4-1 1C ® ``�� Dwelling No.of Bedrooms -1 C -Lot Size ' �� `► sq.ft. Garbage Grinder(iY0 °Other Type of Building No.of Persons Showers(3) Cafeteria(J)b ' Other Fixtures -Design Flow gallons per day. Calculated daily flow { gallons. Plan,Date 7/h�/�.�. N tuber of sheets / Revision Date - ,» Title .! S SI aPL ! Size of Septic Tank IM604L Type of S.A.S. Description of Soil Ar E G \ Nature of Repairs or Alterations(Answer when applicable) 1 � . Date last inspected: "Agreement: The uridersignedagrees to ensure the consctionn mainte ance of the afore described on-site sewage disposal system in accordance with the provisi "s mit'MV v ro ent 1 ode and not to place the system in operation unt' a Ce fi- , Cate of Compliance has een IAA e�by- 's d(q . `a' S'gned Date L b Application Approved by // v •Date Application Disapproved fo the following reasons �- M v v I Permit No. r '"'' Date Issued__ --- ------- --------------I EILL———————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS # � Certificate of Compliance ff THIS IS TO CE TIF that the On-sit Sewag Disposal System Constructed( )Repaired( )Upgraded(X ) ' Abandoned( )by � ro�S-4v v e 1 0 4,j T/&3 C. ` at �S� �� ��o v S'f , _ ii) 6 A 4- s @ has been constructed in accordance ` with thelppjro ion�9f T'tIe 5 and a for Dis osal S stem Construction Permit No. 2 U 02- N (0 dated 10` Installer 1'11 �o wJ S u c� �.�./ Y Designer -D oco �A ti c et- S ' i The•issuance of this permit shall not be construed as a guarantee that the system wil function as designed. - Date 11 �)�,��_ Inspector "I �-�� __ , --- _ _ _____ —— � — -—.— — — —� — Fee THE COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS r �Dtgpogal t gtem Conotruction Permit Permission is hereby granted to Constrye ( )Repair )Upgrade()Q)Abandon System located at E - and as described i--r .e above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to X comply with TAtle 5 and the following local provisions or special conditions. Provided:(construction must be co plete within three years of the date of this pe �. • , gatte:e: hol- `7 J, f!�`'"' �, Approved b Y V ' J PP � �,' TOWN OF BARNSTABLE • LOCATION • f. SEWAGE # Ob2 `f f O VII.LAGE��.��• r�l��'11�i ASSESSOR'S MAg & LOT f30-003 INSTALLER'S NAME&PHONE NO. 7t� rdClJ it. G Air- t ate- SEPTIC TANK CAPACITY /300 0-10 /Oda sewn Ah'smipmr _ i LEACHING FACILITY: (type) _ CAC r ry S CLOorlerbize) NO. OF BEDROOMS BUILDER OR OWNER id QoLfjSO PERMITDATE: 0 2 COMPLIANCE DATE:' o Z Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 i i 47 6�� �ooSt 8•D= /3 -G 77 r � e•c= , • � i.y i r • r 939 main street rt 6a • tel.(508)362-4541 yarmouth port fax(508)362-9880 mass 02675 down cape engineering civil engineers& land surveyors ��1��� structural design Arne H.Ojala P.E., P.L.S. AUGf= 9 Q 1 Daniel A.Ojala,P.L.S. land court "� V �D�J Timothy H.Covell, P.L.S. surveys TOWN OF BARNSTA August 28, 2003 HEALTH DEPT site planning Thomas McKean, RS sewage System Director, Barnstable Health Department designs 200 Main Street Hyannis, MA 02601 inspections Re: 495 Willow Street, West Barnstable permits Dear Tom: Down Cape Engineering, Inc. performed a soils suitability inspection as required on the approved plan at the above-referenced location. This is to certify that the soils were suitable in the area of the leaching facility. If you have any questions, please do not hesitate to call me. Yours truly, Arne H. Ojala, PE, PLS Down Cape Engineering, Inc. cc: D. Johnson OF a CERTIFICATE OF ANALYSIS Page' 1 Barnstable County Health Laboratory ` Report Prepared For: Report Dated: 11/20/2002 Order Number: G0218119 Don Johnson 495 Willow Street West Barnstable, MA 02668 Lair -oratory ID#: 0218119 O1 Description: Water -Drinking Water Sample il: 18119 578 Sampling Location: 495 Willow Street W Barnstable MA Collected: 11/12/2002 ollected by: K Kumburis Received: 11/12/2002 Routine ITEM RESULT UNITS MDL MCL Method# Tested LAB: IC Lab Nitrates 0.5 mg/L 0.1 10 EPA 300.0 11/13/2002 LAB: Metals Copper 0.2 mg/L 0.1 1.3 SM 3111B 11/14/2002 Iron <0.1 mg/L 0.1 0.3 SM 311IB 11/14/2002 Sodium 90 mg/L 1.0 20 SM 311113 11/14/2002 LAB: Microbiology $ , Total Coliform Absent P/A 0 Absent P/A 11/13/2002 LAB: physical Chemistry Conductance 543 umohs/cm 1 EPA 120.1 11/13/2002 pH 5.9 pH-units 0.1 EPA 150.1 11/13/2002 EPA 524.2 - Volatile Organics by GUMS ITEM RESULT UNITS MDL MCL Method# Tested LAB: GUMS 1,1,1,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 11/15/2002 1,1,1-Trichloroethane BRL ug/L 0.5 200 EPA 524.2 11/15/2002 1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 11/15/2002 1,1,2-Trichloro ethane BRL ug/L 0.5 5.0 EPA 524.2 11/15/2002 1,1-Dichloroethane BRL ug/L 0.5 EPA 524.2 11/15/2002 1,1-Dichlor6ethene BRL ug/L 0.5 7.0 EPA 524.2 11/15/2002 1,1-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/15/2002 1,2,3-Trichlorobenzene BRL ug/L 0.5 EPA 524.2 11/15/2002 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 524.2 11/15/2002 1,2,4-Trichlorobenzene BRL ug/L 0.5 70 EPA 524.2 11/15/2002 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 r . xt CERTIFICATE g O Page: 2 F AN ALYSIS y Barnstable County Health Laboratory Report Prepared For: Report Dated: 11/20/2002 Order Number: G0218119 Don Johnson 495 Willow Street West Barnstable, MA 02668 Laboratory M#: 0218119-01 Description: Water-Drinking Water Sample 9: 18119 578 Sampline Location: 495 Willow Street W Barnstable MA Collected: 11/12/2002 Collected by: K Kumburis Received: 11/12/2002 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 11/15/2002 1,2-Dibromo-3-chloropropan BRL ug/L 0.5 EPA 524.2 11/15/2002 1,2-Dibromoethane (EDB) BRL ug/L 0.5 EPA 524.2 11/15/2002 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 11/15/2002 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 524.2 11/15/2002 1,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/15/2002 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 11n5/2002 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 524.2 11/15/2002 1,3-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/15/2002 1,4-Dichlorobenzene BRL ug/L 0.5 5.0 EPA 524.2 11/15/2002 2,2-Dichloropropane BRL ug/L. 0.5 EPA 524.2 11/15/2002 2-Chlorotoluene BRL ug/L 0.5 EPA 524.2 11/15/2002 4-Chlorotoluene BRL ug/L 0.5 EPA 524.2 11/15/2002 Benzene BRL ug/L 0.5 5.0 EPA 524.2 11/15/2002 Bromobenzene BRL ug/L 0.5 EPA 524.2 11/15/2002 Bromochloromethane BRL ug/L 0.5 EPA 524.2 11/15/2002 Bromodichloromethane 0.7 ug/L 0.5 EPA 524.2 11/15/2002 Bromoform BRL ug/L 0.5 EPA 524.2 11/15/2002 Bromomethane BRL ug/L 0.5 EPA 524.2 11/15/2002 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 524.2 11/15/2002 Chlorobenzene BRL ug/L 0.5 160 EPA 524.2 11/15/2002 Chloroethane BRL ug/1. 0.5 EPA 524.2 11/15/2002 i Chloroform 28 ug/L 0.5 EPA 524.2 11/15/2002 I Chloromethane BRL ug(L 0.5 EPA 524.2 11/15/2002 i cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 11/15/2002 cis-1,3-Dichloro ro ene BRL ug/L 0.s EPA 524.2 !y` 11/15/2002 Dibromochloromethane BRL ug/L 0.5 EPA 524.2 II 11/15/2002 � Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 , c� . aS�OF CERTIFICATE OF ANALYSIS Page. 3 �U in Barnstable County Health Laboratory Report Prepared For: Report Dated: 11/20/2002 Order Number: G0218119 Don Johnson 495 Willow Street West Barnstable, MA 02668 Laboratory ID#: 0218119-01 Description: Water-Drinking Water Sample#: 18119 578 Sampling Location: 495 Willow Street W Barnstable MA Collected: 11/12/2002 ollected by: K Kumburis Received: 11/12/2062 Dibromomethane BRL ug/L 0.5 EPA 524.2 11/15/2002 Dichlorodifluoro methane BRL ug/L 0.5 EPA 524.2 11/15/2002 Ethylbenzene BRL ug/L 0.5 700 EPA 524.2 11/15/2002 Hexachlorobutadiene BRL ug/L 0.5 EPA 524.2 11/15/2002 Isopropylbenzene BRL ug/L 0.5 EPA 524.2 11/15/2002 Methyl-tert-butyl ether BRL ug/L 2.0 EPA 524.2 11/15/2002 Methylene chloride BRL ug/L 0.5 5.0 EPA 524.2 11/15/2002 n-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/15/2002 n-Propylbenzene BRL ug/L 0.5 EPA 524.2 11/15/2002 Naphthalene BRL ug/L 0.5 EPA 524.2 11/15/2002 p-Isopropyltoluene BRL ug/L 0.5 EPA 524.2 11/15/2002 sec-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/15/2002 Styrene BRL ug/L 0.5 100 EPA 524.2 11/15/2002 tert-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/15/2002 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 524.2 11/15/2002 Toluene BRL ug/L 0.5 1000 EPA 524.2 11/15/2002 Total xylenes BRL ug/L 0.5 10000 EPA 524.2 11/15/2002 trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 524.2 11/15/2002 trans-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/15/2002 Trichloroethene BRL ug/L 0.5 5.0 EPA 524.2 11/15/2002 Trichlorofluoromethane BRL ug/L 0.5 EPA 524.2 11/15/2002 Vinyl chloride BPL ug/L 0.5 2.0 EPA 524.2 11/15/2002 Note: Sodium levels are higher than average.Clients on a low sodium diet may wish to contact a physician. I Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 CERTIFICATE OF ANALYSIS page: 4 4, Barnstable County Health Laboratory Report Prepared For: Report Dated: 11/20/2002 Order Number: G0218119 Don Johnson 495 Willow Street West Bamstable, MA 02668 Laboratory ID#: 0218119-01 Description: Water-Drinking Water Sample#: 18119 578 Sampling Location: 495 Willow Street W Barnstable MA Collected: 11/12/2002 ollected by: K Kumburis Received: 11/12/2002 Approved By: (Lab Director) I Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 I � � �� �V � �dc Fee-- ------------ N..- IL_ � BOARD OF HEALTH TOWN OF BARNSTABLE Application,forVell CongtructionAermit Applic ion is hereby made for a permit to Construct (.-), Alter ( ), or Repair.( )an individual Well at: --------- -- - Q n — Address Assessors Map and Parcel 4 41 IV11. 0 S, L oz 6; Owner Address -------------- ----- ------------- ------------------------------------------------------------------------------------- Installer — Driller Address Type of Building Dwelling Other --- -— — —-- — Other - Type of Building No. of Persons-- -------------------- Type of Well— — 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 Compliance has been issued by the Board of Health. Signed '/ " Application Approved By date Application Disapproved for the following rea — --------- --- - -- -- ----------- - - date Permit No. A)A0,0 - - -- Issued — --- -- -date - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of ComPhance THIS IS TO CERTIFY, That the Individual Well Constructed (.o,), Altered ( ), or Repaired ( ) by _------------ ----------------- ------------- ------------- ----- Installer at-- �5 /.>>� �� .S �C/�! 9�/ --------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Healt ate Well Protection Regulation as described in the application for Well Construction Permit No.(VA. V ted---- ----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------- — - -- Inspector-------- - --— -----__— r 44, No.------- d { Fee-_/"--------_--- f BOARD OF HEALTH ~— TOWN OF BARNSTABLE - . z Application-*rVell Conttructionperntit _ Applica�ti hereby made for a permit to Construct Alter ( ), or Repair ( )an individual Well at: — — -- Lo�— A=aa — — ---- t3 Assessors p—and Parcel -- ' l- - ---- - el Si &J6101ls�Abt �0 2 6F' _�®irt _ Owner Address zx jXi✓ �o Installer — Driller Address Type of Building Dwelling — --- - — — - t.,,,, ,rav-:•>; _::, %c. A ...r -.R_ -—` .;___. --" ,r --z.2 .--_:,-.r:+• ��;: -_-.7c-` -ram-' - - _-<-^" - -Other - Type of Building _ No. of Persons----`''--------`----------- Type of Well— � l �I� - ---- 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 Compliance has been issued by the Board of Health. Signed --- - o - �� Application Approved B APP PP Y M Application Disapproved for the following reason :---s ?-'"------------- ---------------- date Permit No. .1"" -- Issued—!INS_ �-?AV-_-- ---— ---- date f BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance -w 1. THIS IS TO CERTIFY, That the Individual Well Constructed (s), Altered ( ), or Repaired ( j aY-- . ,f�•vsnsta 11 at ---- —\,` -- --- '— --- ------ has been installed in accordance with the provisions of the Town of Barnstable Board of HealthCate Well Protection Re ulation as described in the application for Well Construction Permit No. ` �Iled---------------- g PP .- �-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS,A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. w„�. t,,.. � f � DATE--------- �.---=_ Inspector-------------------------- - --------- '' _71 OARD OF HEALTH TOWN 'OF BARNSTABLE Well Con!gtructionVermit No. --- -vr n Permission is hereby granted ---- E to Construct (•-*), Alter ( ), or Repair ( );an Individual Well at: . No. --7�.4.5' /��Gt� S'T. �r` iSl— — ---- —�l`—'�ifS_TJ_rS�S' _ Street as shown on the application for a Well Construction Permit No.----f. _r � ! i — Dated - - — �- - iic�ard�of Health ' DATE 4 i t i Q' CO ram1 , a a nj R! Postage $ a 37 A,` s(t _r Er Certified Fee 2. 3c) = -1. Return Receipt Fee 1 �/� U�7 L p H ark O (Endorsement Required) t O Restricted Delivery Fee p (Endorsement Required) ` USpS O Total Postage&Fees $ r 1 Z 1' Sent To Cl �GQ 0o -n sari. r3 Street Apt.N i � or PO Box No.. 5 1 '�, Q 1 S City,State,ZIP+4 � - :rr L 7R(7l� .IOtO . Certified Mail Provides: n A mailing receipt o A unique identifier for your-mailpiece e A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders: e Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. - "- • NO INSURANCE COVERAGE IS PROVIDED with,Certified Mail. For valuables,please consider Insured or Registered Mail. '� \ o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark onyour Certified Mail receipt is, required. . ` o For an additional fee, delivery may be restr cted•to,tthe addressee or addressee's authorized agent.Advise the clerk or.-mark the mailpiece with the endorsement"Restricted Delivery . o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. i PS Form 3800,January 2001 (Reverse) ,r102"5-M-01-2425r • • • r r i Iii Complete items 1,2,and 3.Also complete A. Signatur item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X Addressee so that we can return the card to you. B. Received by( Name) C. Date f Delivery ■ Attach this card to the back of the mailpiece, j� or on the front if space permits. 1�Nqld-'f J �� D. Is delivery address different from item 1? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No ti12s� B111,54r'Jl' / 3. ervice Type � )KLQertified Mail ❑Express Mail ❑Registered Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7001 1940 0004 9042 2089 (rransfer from service/abed I PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 � I 1 I UNITED STATES POSTAL SERVICE—,,-- First-Class Mail Postage ees Paid, '.USPS` PermjtNa-GA 0 • Sender: Please print your naTpe, address, and ZIP+4 in this box • PUWIC Hwith Division Town Of 88MOWbI8 200 Main St 02601 Hyannis,Massachusetts pF1HE TOti, Town of Barnstable Regulatory Services • anaxsr" E • 9 MASS. Thomas F. Geiler, Director .s6sq ♦0 'E16yg Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 18, 2003 Edith E. &Donald Johnson P.O. Box 501 West Barnstable, MA 02668 NOTICE OF VIOLATIONS OF 310 CMR: 15.00 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REOUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE According to Water Pollution Control records, the septic system on the property owned by you located at 495 Willow Street, West Barnstable, has been pumped eight (8) times in the last six months. The following violation of 310 CMR 15.00, the State Environmental Code, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and 105 CMR 410.00 State Sanitary Code II - Minimum Standards of Fitness for Human Habitation: 105 CMR 410.303: Septic system is in hydraulic failure. Septic system has been pumped a total of eight (8) times in the past six months. As outlined in 310 CMR 15.000, Department of Environmental Protection's Title V, a septic tank or cesspool that is pumped more than four(4) times in one year is said to be in failure. 1) You are directed to keep the on-site sewage disposal system pumped as many times as necessary (daily if need be) to keep it from overflowing onto the ground. 2) You are further directed to contact and hire a professional engineer to design a septic system which meets local and state regulation requirements within fourteen (14) days of receipt of this letter in order to repair this system or connect to town sewer. 3) The newly installed septic system shall be completed on or before October 20, 2003. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance could result in a fine of up to $500.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER O THE BOARD OF HEALTH Thomas A. McKean Director of Public Health F + '�, i•i J }T ..A t ,.. ., ... F r = .:+� Y P? „ .y +' ,r a r i`fin 3� 6.' + J-`' , +, . z� •-#fi`•`Y!''��±. 1. a ' � .' ,•''v t { ��t� •V 1.1'_I���('1:,� �F�'Y��e,.�� � "`�^' ' s a�� "'- ' - /04" \ / Y , f 3 t a�y �, ^ �, _ +Y t Y k � s'•Y d.Lh 4 y4 �II ..y A `, 4 t< •Ly ' \ } ,� r4. L P �•� a t t . i x,� _ ... {' 12 r. „ra + �t`' n. jn s 1. °� •T I ♦ e• r e yd ...y -• r, !, r• P ti o. 4 y Y. r' rUu � i tl ti yy ram + kt� w 4.1� r� r '. - - � 4 ^+ ,.i` t }. a Yr •.; � rJ A ..r. 74 � 't' - G i •s �c h -4 { r ♦t P 'Johns ,Mrs.',. 'X a - ,f M� • ; on �q•y �rX r b y { `+ } . ` i a' ;Pyt�rS/0 �rL,�y�j+�,,, �y pa'' �ry�y 3.r x'•2. t• � ', 146A.,'Aarns{.cable j a Lii�sa ` 347�+ t8 "; x• _° dear.`ors" idbrison �4 } , w Your ' j,g 'equestQr-' a vac ncena.tci ma3.nta3,x your erreut' a, as ' source of water foi,••a' perriianeait a.resIdence_'ors your•.property ,' , at W idow; Streets ,West:. rnsta3 7.e%.,'has ,.been cond t trimly ' ,= ` approved r f 'Both. dwell z gs�must"be GQ ita ined on the aazne lot tv�.th �he�� sty Iat cn $f a } Pu ne ,oz -the •other' .,: ._..�... i hangers ©wi�erslaip %,eaoh mint have- its :own well and .sewage ,system. • " „ ' ti j > s } � `# This 'difice. zaust xe ei:V6 a' 3.otte aatatf your water, G.s of stable .cjual ty" phis testing, can bef dune 'at the labQrato y, pf f . ^the._Csunt !J64hh'.De"-, 't ent s L3 Y rt • f h � '.. � _ ', :r .r _. a'. � ,�.. .,_f ,: a^� •.. � ' - + ' I Vhe�,seirage system "cif: the new 'rbiilt�eii 'e t'm t s 150 .feet-,'from'Lny .source• of potable Water. i .+f '�" � `y'r._+. ;6 i+ ,' ..; .,. .r,. •-# 'tis+ .:'r� ,y,f ,.. ,+ +,��,.d y ,+ '. .i ,�" t ... The sewage, syaten must 'be lacatec , where. the percalatifln test .was; observed " :eQmp atei i1a ,sh6wi c I rcatinn:.at' x buiid .ng sewage system,' wells lot' lines 'and r other•`.pert lxient j t rdata.,mu6t_.b6.submitted.`pri-or tQ. pa,iapp. �a�a�� Encxosed,,are guide 1 .ues�a_�nd a, sewageY/� compl@ted• r ` ' s' Robert L. Childs Chckirma n! k` a . % v A; Jane Eshbaugl ._ ar* y.'1a .. tl .,. " s 4w;. �, _` t y t �'..'P §{. t '1 � �, a �..tl -.p� + { x•' .r r�r• b r, r L �x •s �s Geri . , a za rd ° lei a d. W aLca.b.,�; •'+ r.v- { ".. , #' r is ; �.. .R. _ `ir ,,,,,l'` � .� t �•<;�, E iA0A9b+ OF-HE LT if .4 - - _ 5. i ''x •� `+ � • " ,. - ,��L+4 T eta• k r < �+{q r� ,'� _ t 4y+ uY t y ,,s ,�, rl •f+r"^AF Atl' ' �- `r .;�s J�+ VMM �, l � - `! •LYi �. � � S.` .\_` Ly ;1T"1u �tai y IA �.L„`+i t• �.Y w K xt =y.. y n - .! • �. - " ±1 L 71�A 41 • S` 4 ;;t. Lf.e {._ ; C i ('+ •,. of r L} �' g L a V �•� .'. S S 7 :..3• ,. S (' ' av ,4 f, f � .{ter ♦ ` .. [ k i a ' • r, a r., ' ? x.T r r •{ r 7a }r {{ ' > : °�'+ ' , _ liR�a L ¢ _r };,, ' t L •,` `rw�tr ` ..:✓r !'i<a; r„S L v ,- a °ji' ' a `5. ,. c. t }. y ,� .•�"'- Y'4 ` Lr'+Y't�•„ �ti tiytiy-{a w nl.2� --'.�` •F- -...• a4 �M.`r: '{+4.{rfi.sp �`+,;, ,j.'4-."�L..:; ^.'{,~� .'�,�� tu�� ! ..t �i,��Y�e i a y`r rL F a4 I ex, L 44; a d !4 CoT7�f� L- !qG l� vST P*O* sox-;501- . W* Barnstablao Masaw J s IM ►.Farm K ' o�M or Viable low; or itoatbv sj- ov -r-e.®ttaV. on nW, propertz at %alON, gtj%t in W ftryistabje,, Mass i for nearly, 20, yeaM I a nolt prepared (Pemunt appr ° i) to Unve Mrp Dom'Gi e><tim build & permanent residence oar &.porctioun of .that . prrope�rti located a3pprozi t&4 V yds* frolk tlse:eottacie- " After reeently, receiving ab. satisfactory ,percolgt.i.om, test. report I :rind that the cost of dri-llinj another artesian well for this- permanent . residernam is prohibati-re (Api poreimte -0 00*00) g beeit wiGe sinee. -1940 and reoenntl,r ( ept s 35973) hwrint sold --W' Perm&nftnt r emn ft . ire 11.titebburU M4=s I ftel that tkis_added'ercpensei u td se-.ouely- aff eat my- opporfi '�y,,_to build apermanent esidencea a Mate as ra i : hard-- Thereforey she; the prevent cottages hm as 6B pipe.. its of' wdfiielent. quait;and provi s aar: amp? :: quantity *Z watery I. am requesting., ad Yr ame to pzr eentr regplations; ax d muld.'likee to. cAnneat. into the present cottav ester aLuppl. Ior P' am homes dt the pree t time the cottage is onjj�-in 3 manths per year *Mar) I waad. appr aci+a.a Tdur,prompt attention, to thig morttOX as this regulatiian,appeams to be the onl.* obstacle before eonstractiomj miaY,,-.bft9iM and rt uestj it n;wAiis&xXv ?searing an or' permd asior� to proeeed� &IRQere3,r,# Idi:th I* Johnsom v,l M BARNf3T,&1BI.IE COUNTY HEALTH DEPARTMENT BARNSTAPBL E, MASS. 02630 ' a TeLfi PHOi68 362-2511 Ext. 33.1 Date: July 23, 1974 To: Ms. Edith Johnson Willow Street West Barnstable, MA 02668 On the basis of a sanitary survey and a laboratory examination. on the sample of water taken from a . .; .. . 7, . ... .. .. .. . . . . .. . located on the premises of . . . F�iitrh Ja�uuaran.. .. . .. .... . . ... . . .... . .. . . . . located at .. ..Allow Stnaet,. sweat .t3a�r� ... . . . ... . . . on .(Place) (Date) this supply is approved for domestic purposes at the time the examination was made. If you wish further information regarding this supply, please contact us at the County Court House, Barnstable, Massachusetts (Tel: 362-2511 Ext. 331), and we will be glad to assist you in any way possible. dY'• Signed. .. .. .. .. . . . . ...... . . .... : . . Public- Health Sanitarian cc: Board of Health Barnstable 8 HILCO SIZE 'C' BULKHEAD A6 O 2 ell �01 I DHL. C A7 SCREEN O W - DOORS E cn ® >� z 36^ RAILING �I ~ o ® M. BEDROOM ! � �z-� A z �--- a DECK � w 5/4^x6' DECKING '- OCTAGONAL WINDOW, SUPPLIED ,p p O _ BY OWNER 12" 12' cli m CLOSET SHEF=LF 8 RODva � 'z O c ! v � r as i W Ga SET TUB m B j T- W/D © H HALF WALLDN. UNDER w/WOOD CAP - , COUNTER P.T. SHOE , 11—_ - LROOM SEWING - FINAL CABINET LAYOUT - P.T. LANDING OB PER OWNERS DIRECTION FAMILY ROOM 0 EX. F/P z w O GARAGE W W 5/8" TYPE'X' GYP. BD. F-0 E�,,,W Z OFFICE ON WALLS t CLG. ® 0 m a A z�z -------------------------------; - a x o 0 160� ; - A 12'-O"t -O" EXISTING EXISTING RENOVATED PROPOSED'ADDITION JDATE 08/06/02 D 3 A6 REVISIONS INDICATES NEW WALL CONSTRUCTION _ DRAWN BY FLOOR PLAN DRAWING No. A3 ' - SYSTEM PROFILE . - TEST HOLE LOGS LEGEND _ _ TOP FNDN. AT EL. 82.2' =•• ACCESS COVER TO WITHIN 6" OF FIN. GRADE (t IT TO SCALE) SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) ACCESS COVER (WATERTIGHT) TO ENGINEER: ARNE H. OJAIA, PE/RICK JUOD, RS 100.0 PROPOSED SPOT ELEVATION f N '�: _. � WITHIN 6" OF FIN. GRADE O CF� DESIGN FLOW: -5-. BEDROOMS ( 110 GPD) - 550 GPD 76.0 MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 77• IN ER• T DAVIp STANTON 100x0 EXISTING SPOT ELEVATION USE_A 550 GPD DESIGN FLOW - WITNESS 98 0 WI - - S�. � RUN PIPE LEVEL 2' DOUBLE WASHED PEASTONE S/lO�O2 & 6/7/O2 I _ DATE: -� 100 SEPTIC TANK: 550 GPD ( 2 ) = 1100 \78.0' F FOR FIRST.-2' PROPOSED CONTOURPROPosEo 1500 �� cr - 12 MIN INCH USE -A 1500- GALLON SEPTIC TANK (PROP) - } ttt 3 MAX. PERC. RATE _ / -'- __ GALLON SEPTIC 73.75' SOILS # Locu 100 : EXISTING CONTOUR _ 4.0' T K - CLASS a a P LEACHING: : _ - : - 7 � (H- 10 ) GAS � II 10238 TE�, 9 5.0' SIDES: 2(65.5 + 10.83) 2 .(.56) = 170 _ BAFFLE 4� 94.87 t - VED- Q 0--r [� L7 C] !� a 17'65.5 x 10.83 56 _ M2 � 94. C] r� G7 a C] C] C7 0 � 3' ARouNID( ) - 397 ( % SLOPE) 6' CRUSHED STONE OR MECHANICAL ED C] O C] CJ [� a FAILED BOTTOM: COMPACTION. (15.221 (2]) o ELEV. ELEV. g 2 CJ [� CJ � Cl C] C] C7 G 9 2.17 1 2 TOTAL: 1012 S.F. 567 GPD DEPTH of FLOW - 4' 2 „ Q Q ( % SLOPE) ( % SLOPE) 0 77.0 0 97.5 uo USE (7) 500 GAL. LEACHING CLAMBERS (ACME OR TEE SIZES: 10„ 3/4" TO 1 1/2" DOUBLE WASHED STONE ___ A ��' - A _ � INLET DEPTH = EQUAL) WITH 3 STONE ALL AROUND SL SL OUTLET DEPTH a 14 - - 10" 10YR 4/2 4., 10YR 3 2 - B LOCATION MAP NTS 7.67' B- SL PUMP LEACHING SL FOUNDATION--- 23' ST 5' CHAMBER 130 D BOX 28' FACILITY 10YR 5 4 ASSESSORS MAP 130 PARCEL 3 BOARD OF HEALTH _ _ ._ 30 2.SY 5/4 20 / 95.8 MA ._ APPROVED DATE 84.5' YARD RSETBACKS: ETBAC 3: C PERC O C SIDE = 15' • 60" REAR = 15' � SL SL PLAN REF. - 180/139 2.5Y 6/4 2.5Y 5/4 FLOOD ZONE: C 9 3 VERY COMPACT /-- EXIST. WELL I FAILED - 9;b93 ' PROVIDE THRUST BLOCKS AT ANGLE PERC ., POINTS _IN PRESSURE LINE AS NECES`!',RY \ 172" 62.6' 156" � � \ 84.5 NO WATER ENCOUNTERED 93.45 CONTRACTOR TO CONFIRM 93.34 C. > +79.30 SUITABLE SOILS WITHIN LEACHING C FACILITY AREA PRIOR TO NOT_ S: INSTALLATION OF ANY PORTION OF '$ � 9519 SYSTEM +9s.so APPROXIMATED FROM QUAD i i COTTAGE / 1 . DATUM I S _ .,,,• 96 5 89 2. MUNICIPAL WATER IS NOT AVAILABLE 3. MINIMUM PIPE PITCH TO BE 1 " P- 8 PER FOOT. / " 9 95:11 7 - PROVIDE VENT PIPE IN \ _ 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 CONSULTATION WITH OWNER +95. + .2 5. PIPE JOINTS TO BE MADE .WATERTIGHT. 3.8 + 1.30 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. +81.40 ENVIRONMENTAL CODE TITLE V. 6. 9 ' 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE - + eo.9 USED FOR LOT LINE STAKING 5.06 \\ ED +9 74 �J + 2s + 9 7 + 9 , 79.33\ �� r& 82.60 _ R SEPTIC SYSTEM TO SCH. 40-4" PVC. 9. COMPONENTS NOT TOE ACKFI RWITHOUT 1 - 76.0 r �8 D 0 o CONCEALED^ED INSPECTION N AI LL N n E 0 BY BOARD 0, HEALTH AN RMIS IOBTAINED - - _ p E �- - S ALARM AN CONTROL PANEL t-�: p T. p� _--7 +79.53r .fIAA fl.^t77 (1F 1-I_AI -1 - 2 ry __ �; TO 0, !MSTAL i FO NSIDE -- PROVIDE 55' of ao MiE +99. 8.54 BUILDING. ALARM To HE ON -�., - 10. CONTRACTOR SHALL BE RESPONSIBLE FOR PROP.' ADD N 4 - 77.43 SEPARATE CIRCUIT FROM PUMP INV. IN /3.i� I S BLE 0 VERIFYING T. _ LINER AT 5' OFF LEACHING �, - " 2" PRF--SURE PIPE TO_0'BUX - - 1000 GAL.-H-10� S T - -- LOCATION OF, ALL UNDERGROUND � OVERHEAD UTILITIES PRIOR FACILITY AS SHOWN. TOP AT ��� 9 T- _ 9 3 e +76 U DECK + gat / � � . SLOPE TO DRAIN BACK , '• �-., n EL. 95.0, BOTTOM AT EL: - - . -+too.4o _ Q - _ � ALARM ON 70o GAL.+ COMMENCEMENT OF WORK. , 91.0' EXIS LEACH 77/9t RVE I WEEP HOLE - FLOAT SWITCH REV +77.20 FIELD EA !�• SETTINGS: PUMP ON CHECK VALVE -- TH ,� (PUN AND r) / 44"WORKING RANGE 8' " TI TLE 5 S/TE PLAN 1 � e .42 RE MOV ) 4- MYERS WHR10-DS 1 HP" _ +9 .37 + 7. .. SUBMERSIBLE PUMP + 44 9.28 +7 CXiST 1.89 MP OFF 8" - - �PoRT / o/ EXIST WELL PUMP - °F 495 WILLOW STREET IfIrls ` 6" CRUSHED STONE OR co porno 0000 _ Rryf �/ t176.6 000_ _- +99.00 + 6 8 . 0 EXIST. I COMPACTION IN THE TOWN OF: i u 77. DWELL. _ v -- _ - _ __ _ PUMP AMBER (WEST) BARNSTABLE 1 79. Tf= _ .26 (NOT TO SCALD) az.2t ` 90 PREPARED FOR: pq, O\ sT. sEPnc �o 8 MGM DONALD JOHNSON /' +7 5 TANK. PUMP / / REMOVE �; 30 0 30 60 90 $ + .64 +75.38 7 �e +76.50 / SCALE: 1" = 30' DATE: JULY 15, 2002 78 J/ / Dc +77.63 / '0 5 74.53 / COQ \\ 7 - - `� OF y ���N OF 4.30 - +75.6 _. � ARNE ��✓ � ARNE H. o OJALA , `' OJALA `� c•' CIVIL �77 31 ^ I - 75.15 - N No.2 34a Yam. ,ol PROP. q �q ,O WELL ! +76.1 I �J - _ _ \Js,•.,F °�% 9 \� --- /�a� o. 7. +76.20 ARNE H. OJALA, P.E., P.L.S. DATE +76.17 77.30 77.3 8 / --a� +82.72 82. 7 3 / BENCHMARK: USE TOP of( 508-362-4541 fax 508 362-9880 FOUNDATION AT EL. / 82.2' / down cape engineeringg, inc. SEPTIC EXIST. CIVIL E IN CI N E E R S AREA DWELL / _....._ LAND SURVEYORS +80. s 0.00 / 939 main st. ya.rmo th, ma 026'15 02- 107 0.00 r-- .__ __-. I