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HomeMy WebLinkAbout0398 WOODSIDE ROAD - Health 398 Woodside Drive 4,=152-018 _ - West Barnstable o f t z _ LOCATION A � SEWAG PERMIT NO. VILLAGE A= lsz c)j% INSTA LLER'S NAME A ADDRESS JOH,N A. AALTO ;BACKHOE SERVICE 150 Walnut ree Nest,Bamstable, Mass. 02668 3 U I L D E R OR OWNER DATE PERMIT ISSUED ��_ �✓ DATE COMPLIANCE ISSUED /�-1-/f 2,— I � : � * � j1 �,, s,� , s �,�, ,' � I ,�! C � `\' �" b � �� w i ��! � ���` dw 3� Nol�.' _ Firm............._............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH H ©C. l\................OF'............ �q! � k�.��-------------------------•------ ppliration for i a �a1 xk C� r r tnn rruti# Appli�tion is hereby made for a Permit to Construct (./) or Repair ( ) an Individual Sewage Disposal System at, ^ .... .o� a or � -- t w �T04 a Q o ,.�= © w 1� ' ..Address` a ...•................. •......._.. Installer t� ..........:..:1 ..1� dType of Building Size Lot_9_ _..�.....Sq. feet aDwelling—No. of Bedro ..............................................................Expansion Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ..:........................... W Design Flow....... .( ...... ..gallons gallons per person per day. Total daily flow----:3.....______,.....................gallons. WSeptic Tank—Liquid capacityl_........_gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—N . _-_- Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-1 _.__i Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosin tan,�fj.( '—' Percolation Test Results, Performed b ---.._ �0.X�e�. /V�`� Date. v� Y f f� a Test Pit No. 1................minutes per inch Depth of Test Pit. �y� Depth to ground water.NAAK!' ....... Test Pit No. 2.....a%......minutes per inch Depth of Test Pit.1.1...�...._.. Depth to ground water.-AZawE.._. O Description of Soil... ` .....d f u `�a`` f V W •••-•-••--------------•-----•------••-----••-•----•-------•-.... -------------------------•------------------ -------- .....---- --- ....... �� . -------� ' ----------- --�-- • ------.•. U Nature of Repairs or Alterations—Answer when applicable._.-S�'.�4r'�:----- -- ---.••--•---•-•----------•--•---------•------•---•--•---••••-•------••-••---••-•-------•-••--••--••-•-•-.....-•••-•---------------- ---------------------------- "--�-.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITfTLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee is ued by he anr lth. Signe < r [ Date ' Application Approved By......= -------------• --••---••--•--._.......--------•------...--••-----------------•------- --�- -� ...�-�---------------- D ate Application Disappr0 t following reasons-----------------------------•--------------------------•----•-------------................................... .................................. - •-• ------•---••-----•---••-•--•---•-•---------------•••---••--------•_.... Date PermitNo......................................................... Issued:....................................................... Date Jr No....... ................ FEs............._............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........................... ...............OF.......................................................................................... App iration for Uiipnaal Workti Tnnitrnrtinn rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .................................................................................................. ...........•••••-------••--•-----•------------._.............•----........................._---... Location-Address or Lot No. ......................__........................................................................ ............................_...•...............•------------•-•-...............................•- owner Address a --•-•-•.. .......... ...............•......•••.................•....... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures •-----------------------------------------••-- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W" Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No.................:.... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) •-' Percolation Test Results Performed by---------------------------------•--•---------•-•-••-....•-••...•--•..... Date........................................ 1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----•----•-------------------------•--------........................._._...----........-•--•----•--•......................................................... Descriptionof Soil........................................................................................................................................................................ W •-•••-•---••-----•-•--------------•-•--•--=--------......•-•---•---•------•••••-•-•••--•---•--•••••....•--•-----•--••-----•-•----•••--••-------••------•------•-•--•-•-•--•-•--------••---••-•------•--. 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'TTLLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sign --------------•--•--••----•--••---••--•----------------•----•-----••--------- ate ApplicationApproved B,-=•j` •................................................................•-•-••-•............. r Date Application Disappr ve ' or a following reasons:------••--•-----------------•--•----•-------------- ............................................................ ..................................---------•--------------------------------------------...••••--............_......_......•--------•---•----•--•------••-------•-......-------------••-•-•-•-•....... Date '4 Permit No.......-•------••.................................. Issued.................................. ............--------- - Date THE COMMONWEALTH OF MASSACHUSETTS BOA OF . TH ..............................O .............:..............................._........................... ... (9rdifiratr of Tlampliatta S 46 RTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) b •---- .....j �....... ....... ........./ . .. ------.._.----•-----------....................--•--•------...----•-------.................---------•--. /Il� d�► f` - Installer at...........................................................................-•-............•--••••.........•-•......-•-------•••---- has been.installed in accordance with the provisions of Y�14e-510 1+ The State Sa.nitaryxC rlbed in the application for Disposal Works Construction Permit No......................................... dated_._.. ......................................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATI` FAC .OR�. DATE.-----•---•..............................•-•--��-• ..... -' ... Inspector....................... ....................................... THE COMMONWEALTH OF MASSACHUSETTS BOA2% OF H p '�l ff ......................... OF... .......:.:........ ,5 No......................... FEE........................ r tiff�an,�#rnr�i,an rrmt� Permii s hereby gr to ..--------•----------•----------•-------------•-----------------•---................................ to Consu ) 9t2e I c�2�lj 'ld}� +�ewage Disposal System atNo................................................................................................................. -•--------------- a �Street as shown on the application for Disposal Works Construction Permit No......?Bioar�dofi'� .... ate ....._...... ................. ----••--••-••--•---•------••-----•••• .................�. ,3 .... --••--.. ....... �� Health DATE ~�} ............. ' FORM 1255 HOBBS & WARREN. INC., PUBLISHERS _o l�✓fir+C4 N, 45S}� �'- C C7Ns 1 -+ � '� i:,•'�0 it � 4ap 0,9 S b a x�b Q047 QDy Q, 'co yy� �r,d 0°oCs . i3o. ,a • A ' C. Ol oe j10 y ' 6sZ NL9 , O� v� s r L le)0.0 Ib p t ST•.BQc to" JL 117 J 9�.7� w °oo GF'r. DcA►Mt. 100 o Gal. Gac. 4 A o ea► Go►.tc•l.EAcNk+•!�, P,r Sept 4 A AQUA a. a a 2,F �. AA4 p t. o a ° -� washed s�an� Bor. PI-t ELP-y- L.cxA wd d PERCOL,ATt oN P,AT�: ZNI itiJ if m c J,1 DRO P TEST Pc52�'oKZMEDP2 i L yZ ► l `3+ t �zsTPr Be-PRooMS K 110 GPD = 33QC-�PD LEAcwuc, W4z-s4;: o�15.4 C-7Auagc e D-tSPOsAL US E 1, Op p GAL.s Pi'" F;S1 i(-T .,_ � CA,PAG IT%q PR o\/tD E D : )1 a Ci p D 4a SJ 067s Tea 4 x z• 5 3142 Cl PD ' r �Vvs'1 -TOTat-- CAPACITY RZoYlPaP3g2 ,7 GVP ^! - >Ta-- D c5PosAL. S\qs-E-m DesfcaNED f N C AEC.oRDANce w J T+4 PRovJsIoNs OF i T L.G S o; IE A SS . ENV f ROE JMFNrAL `jolt STRArA ' S44EeT 2 Ales+ /fy—007 �74t r a L West Barnstable Water District 11 J 2160 Meetinghouse Way �� p West Barnstable, MA02668 rh2 1 Clayton Edwards *TO, Director of Rights-of-Way Programs Massachusetts State Pesticide Bureau 251 Causeway Street,Suite 500G� Boston, MA 02114-2151 vr� Dear Mr. Edwards, On March 20,2017,the West Barnstable Water Commissioners net at the West Barnstable Fire Station and discussed the Yearly Operational Plan (YOP) as submitted by Eversource Energy, Eastern MA for 2017 as it may affect the water supply in the West Barnstable Water District. We send this letter with unanimous consent. The concern expressed by the Water Commissioners is that the 2017 YOP provides for herbicide application along the Right-of-Way which accommodates the power lines. The Right-of=Way is within the Water Protection Zone("WP") of the proven, potential municipal well for the residents and citizenry of the West Barnstable Fire District. This,the District's only proven well, has been identified as a future public water supply with the capacity of delivering over one million gallons of water a day. Spraying herbicides within the WP zone may compromise the pristine water quality that we expect to be available.for use should this well be called into service. It is our obligation and responsibility to safeguard the integrity of this well for our constituency in West Barnstable now and for the future. Given the recent contamination of wells in the Hyannis Water System', potential municipal water supplies like ours in West Barnstable are increasingly more valuable.We are cognizant that there are constant threats of contamination to established wells in more developed areas of the Town of Barnstable, such as within the village of Hyannis. At this time, residents in the West Barnstable Fire District are served by private water wells. So although there is no municipal water service in our District at this time,we are vigilant to safeguard the integrity of the water sources of residents along the Right-of-Way. We are aware of mounting concerns about the detrimental public health effects of herbicides. It is especially unsettling to learn of the harmful effects ofglyphosate (primary ingredient in Roundup), causing apprehension not only in the United States, but globally as was reported in, "The World Health Organization's research arm declared glyphosate a probable carcinogen"? We found that the World Health 'Debi Boucher Stetson,"Barnstable sues PROS manufacturers over well contamination,"Barnstable Patriot 23 Nov.2016 http://www.barnstablepatriot.com/news/20161123/barnstable-sues-pfos-manufacturers-over-well-contamination 2Daniel Cressey, "Widely Used Herbicide Linked to Cancer,"Scientific American 25 Mar.2015 https://www.scientifica merican.com/article/widely-used-herbicide-linked-to-cancer/ F i [r ► Crocker, Sharon From: Crocker, Sharon Sent: Friday, May 26, 2017 12:27 PM. To: 'kris@meganet.net' Subject: Copy of Letter regarding Herbicide - potential well head Phone: 508-419-6067 (398 Woodside,WB) TO: Kris Clark, Commissioner—West Barnstable Water District Hello Kris, The Board of Health discussed the copy of your letter dated March 20, 2017 to Clayton Edwards, MA State Pesticide Bureau, at their Board meeting this past Tuesday, May 23, 2017. Unfortunately, the office copy I was left with is missing the second page. Would you be so kind as to send me another copy of the letter, either by email or fax 508-790-6304. Thank you. Sharon Crocker Office Manager Public Health Division Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4739 . 1