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Home My WebLink About0011 ALLYN LANE - Health iA Ml I All n Lane - Bamsfabie A= 258 - 063, l I i � ,�,� Page: 1" . CERTIFICATE OF ANALYSIS g f' Barnstable,County.Health;Laboratory Report Prepared For: Report Dated: 03/25/2002 Lima-,Robert Order- Number:: G0213733 Robert Lima P 0 Box 542 i Barnstable, MA 02630 p } Laboratory ID#: 0213733-01 Description: Water Sample#: , 13733-01' Samplina Location: 11 Allyn Lane,Barnstable Collected 03/19/2002 Collected b : Robert Lima Control Y Received 03/19/2002 Test aramete➢'S ITEM RESULT UNITS MDL - MCL Method# Tested LAB: Metals Iron <01 mg/L 0.1 0.3 SM 3111B 03/19/2002 LAB: Microbiology Heterotrophic Plate Count 32: CFU/mL 0 200 Pour Plate 03/19/2002 Total Coliform 01 CFU/100mL 0 0 NIF 03/19/2002 Note: f RECEIVE® APR 42002 TOWN OF BARNSTABLE HEALTH DEPT. Superior Court House;,PO.Box.427, Barnstable,.MA 02630 Ph: 508-375-6605` r� �pf,a'W p C r% CE 7 F ' }C E: O ANALYSIS` Page: 2: �� sss� Barnstable°County Health Laboratory. Report Prepared_ For:" Report Dated: 03/25/2002 Lima,Robert Order- Number: G0213733- Robert Lima:.. P O Box. 542 Bamstable, MA 02630 Laboratory ED#: 0213733-02., Description: Water_ Sam le#: 13733-02- Sampling. -1.1 Allyn Lane,Barnstable p-- - P Collected 03/19/2001 'ollected by: Robert Lima ~Water Closet Received. 03/19/2002:. Test-Parameters ITEM RESULT UNITS MDL MCL Method# Tested L;4B:Metals, Iron 2:0' . mg/L 0.1 0.3 SM 3111B 03/19/2002 LAB:Microbiology Heterotrophic Plate.Count >2.00 CFU/mL 0 200 Pour Plate 03/19/2002 Total-Co'lif)rm 0(TNTQ) CFU/100mL 0 0 MF 03/19/2002 Note: TNTC-To numerous.to count:.The total'coliform test was,inconclusive due to background bacteria.. The water may present aesthetic problems(taste;odor.staining)d'ue:to iron.. Approved By: (Lab Manager) RECEIVED APR 4 200Z TOWN UF`BARNSTABLE HEALTH DEPT. Superior Court.House, PO..Box 42.7',. Barnstable,..MA 02630 Pk 508-375-6605 AsBuilt Page 1 of 1 LOCATION u SEWAGE �E MI NO. VILLAGE ASSESSORS MAP N0: � ' J 5 1 R8L.97 PARCEL No: 0 b13 -, INSTALLER'S NAME i ADDRESS �L l 4 �✓L��., sus-� BUILDER OR OWNER DATE PERMIT ISSUED 2 DATE COMPLIANCE ISSUED I� KT, l � • ra� &3' �3� 5, O i http://issgl2/intranet/propdata/prebuilt.aspx?mappar=258063&seq=1 5/17/2018 A LO'C AT�N �uyN �� SEWAGE MR82IT -NO. VILLAGE ASSESSORS MAP NO: 2 5'8 PARCEL NO: INSTALLER'S K/fN�Ap,ME AD0RESS' ��` � •mil • `�� \ ��/ BUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ��/� {ti � �. . �� i T � � [� �� , 'E1� P (�` ,�� . � ; 0 J� �� ,� No................_....... Fxs............ ................... THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALTH laz .k.).............0F... :! 'i5.( .-a�---...................---------- Appliration for lliiposal Works Tonstrnrtion ami# Application is hereby made for a Permit to Construct ( or Repair ( ) .an Individual Sewage Disposal System at: � 2 ----•• Location-Address or Lot N ......................... `��>..... •------••-------------............------ . _. Owner ddrss Installer Address Type of Building Size Lot. OfIR-0 ..Sq. feet U Dwelling—No. of Bedrooms--.......`4...........................Expansion Attic ( ) Garbage Grinder ( ) �'4 Other—Type T e of Building No. of persons............................ Showers YP g .............•-•----------•• P ( ) — Cafeteria ( ) Other fixtures --------------------------- •............... . W Design Flow.......... 5.........................gallons per person per day. Total daily flow..........- _ ..........--......gallons. WSeptic Tank—Liquid*capaci"ty.I.Z%llons Length...LO Width....5........ Diameter---------------- Depth... �3° x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. - :. Seepage Pit No.......�......... Diameter... ST.a..--..... Depth below inlet..........o......... Total leaching area. .e�.___sq. ft. Z- Other Distribution box (4_�— Dosi tank ( ) Percolation Test Results Performed by.... CA.d.._ .......;V`?(Va9Z/. e......... .�__.`. ..............-.. Test Pit No. I...L.Z..minutes per inch Depth of Test Pit. ----.5.*- Depth to ground water..--. .. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.--. t a.... a' . ----•-•----•••-- . O Descriptio of Soil... ! �!'t._ ---. V( 1 `?......... P T"Y--- ff1SJl�..-- - .-...t0.z i l dry--------- EFf�S.�._. !lr ►�..... .i�......r 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'ITAU 5 of the State Sanitary.Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued Wthe board of health. Signed------- -• .............................................. ......... ._........_ Date Application Approved By....._ : Date Application Disapproved for the following reasons:------....-•--••---•-------•----•----------------------•-----•-----------------•----------...---•----....._..... ......................................................--------•---•-------•----------------•-------..............-•-•----------------------•-----•-•----------------------------------------•------ I� , � ()6 Date PermitNo......................................................... Issued....................................................... Date Ile 00 No...................... Fuit............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............0 F... ........ ....................................... ........ ... . Appliration for Dhiposal Works Application is hereby made for a Permit to Construct (4- or Repair an Individual Sewage Disposal System at: t ................................................................................................ .......... ...L.....o.............................................................................. Location-Address � or Lo t .... e__ '_ ........................................ ...... .............................................. Owner .......... .....................I.................................. ......73662IU67—A i3e��ss ..................... Installer Address z Type of Building Size Lot........o .1.992...Sq. feet Dwelling—No. of Bedrooms..........4...........................Expansion Attic Garbage Grinder yp Other—Te of Buildin g ............................ No. of persons___._____;------------------ Showers sCafeteria Otherxtures .............................................................................................................................. low...........V445 Design F ...............................gallons per person per day. Total daily flow.............................................gallons. W V Septic Tank—Liquid capacityl?��Gallons Length___!._._____ Width__. ........ Diameter________________ Depth________.____...5..3. -o' 4� T..renc�Disposal; ?No_ .................... Width___!............... Total Length.............'....... Total leaching area....................sq. ft. Seepage Pit No....... --------- Diarneter....1.0. ........ Depth below inlet___.._..._..... Total leaching area.:©_.... sq. f t. Other Distribution box (4,)—" Dosi"nk ( ) — Percolation Test Results Performed by.. k.'O................................... ........................... ...... " ..> f Test Pit No. I...15;t. .......minutes per inch Depth of Test Pit.N. *. ....... Depth to ground water..... ..��------ Test Pit No. 2................minutes per inch Depth of Test Pit._.__._.__..._______ Depth to ground water._'5,................... ----------------------- _ - -----------*------------------------ -----------*------'--------- 0Descriptioj.of Soil... .+...oi-7....r.,..,..—....d.....5.t.;...13.5..01.4-5t....... . ...........S.elv!�...., U ............................................................................................................................................................... .........................................................I.......................................... ............ .......4—io�,et-A................................... ............. U Nature of Repairs or Alterations—Answer when applicable.................................................................................; -I'.............. .................................................................................... Agreement: 1 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T TLE 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. Signed.............. ------------------- -------------------------------------------- ................................ d^ 77 Date,_, Application Approved By..... 61 ....................... Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... ,r,% t"?r)4 Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............11 ... .............OF.............11-1uf ........................................................................ I" In, Trrfifirab of Toutplialtu THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by................. .....................d Fs ........................................................................................................................................................ 14 taller .............................................................................................................. at............. ........;2.::........... ........ e�ns has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Worksr,C..6nstruction PermitT\7,q, .......... dated... tl,.-_ ......e .............. THE ISSUANCE OF THIS CERTIFICATE SHALL' T'BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM,W�A FU TION SATISFACTORY. DATE.__! /..2 7 .................................................. Inspector... ..... ........................................................................ 41, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l� ............. ............0 F........ r AJ)'* .........................1,.e em............................................ No ............... FEE..._ ........... Disposal Work.5 Tonstration prrutit Permission is hereby granted__.____.:_____/11; ,A")- Aur'ey....*....... -------*-------------------- to Construct (ll") or Repair an Individual ewage Disposal at No................ 'e: ............ ...........................e...................... ------------ ----------------------------------------- Street as shown on the wlicatio or Disposal Worf�g"Consetuqiqn Permit N .. . .... --- ated.............. .................... Street o the l/icat Str t N ---- --- 0 '?1 rM ... ........ ... ........... ....... ......................... -------------------------- --------- ---Board of Health DATE....... . . . ... ....... .................................. K� FORM 1255 HOB & WARREN. INC., PUBLISHERS • SECTION - SEWAGE -SEPTIC TANK - - "D" BOX - - LEACH - TOPOFFON - (MSL)il �EMOVI-. �At.1`{ (�NISUITAI3l.�s M/�'Tl.-TLIA V "2"OF I18TO 42" I Fimm. A G,i= KJ [--. A Tttauh+l) ��-112 WASHED STONE IL.P.GM j��TS A+>✓D ti*�1>LAG� W��M Gc.$AhJ ` 6 51 IN- OUT _ IZ 50 G - OUT- IN' TAN r ELEV. ELEV. ELEV. F s + GW4tE I t- I ELEV. ELEV. ELEV. 72. 1.�---• •-.� OF 3/,-142" / / WASHED$TONE yL / 1100, TEST HOLE LOG >zIcNA.u.� Q.A.G1>-~'0�� 3.�.��•t3.ca-t^1. � �t,, � TEST BY FA12T3Ptn►K.� . �O I TEST DATE � ��a► WITNESS DESIGN 4' BEDROOM HOUSE T.H. # 1 4S.9 T.H. # 2 sk.s ELEV. �q' T ELEV. NO 'tom, 46-.4 4� S I.Ss4 PERC RATE < Z- MIN/IN. DISPOSER DISPOSER O EAVGL < �`` \ Rp o� is-r-�s� -- e H ` FLOW RATE LK�O(GAL./oAv ) \ \A ��.�r�.•�-c- p c� G.lb' �,I�-rY +�o Srt�'IVES SEPTIC TANK '�-4-10 (1.5)= �` \ �G' c.y = g�l.ca4• 416" - 44-.q 49 REQ'D SEPTIC TANK SIZE ns4 LEACH FACILITY 1 rnc�, cL� f�a+aD t4•'ts`• -125 Cv 3 4 �LG tit t,�unn SIDE WALL 4 (ZF� ) = G/D. G BOTTOM 1OY"TT +�-45 - 11S.s G/D Fl 6 oeags I=1 wac� TOTAL {t i>r'('� _ '3�1Z.�j 5 USE: Z. 'LEACHING ► `� �• 7-� �� / 144'_ — , 14�— — 3�1•'� tom- Z TCJwh► , -G_>c- .AT►4h-tS M 3 4 N �q WATER ENCOUNTERED ¢? �� V NOTES: (UNLESS OTHERWISE NOTED) -- •'�� 1. DATUM(MSL)'`TAKEN FROM....._........_.-_•- _--------•QUADRANGLE MAP 2.MUNICIPAL WATER----- ( ----_....-...............AVAILABLE O� 3. PIPE PITCH 1/4"PER FOOT QA 4. DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO 4 I p •44 ��\j� �-`�C { OF 5. MIN. GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. Ott ARN 6 + --0--DISTANCE AS CERTIFIED 6. PIPE JOINTS SHALL BE MADE WATER TIGHT ' ARNE H. �� ' 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. H. , "� .' OJALA �^� S I HEREBY CERTIFY THAT THE BUILDING �� o 'PLAN STATE ENVIRONMENTAL CODE TITLE 5 v a,6 nip: N c� CIVIL C k SHOWN ON THIS PLAN IS LOCATED ON THE SITE 9 GROUND AS SHOWN HEREON&THAT IT LOCUS: IP `t�Ot CONFORM TO THE ZONING BY LAWS OF THE a"CIST b IST ---- TOWN OF ND SU ° R NGINEER WHEN CONSTRUCTED. DATE L" �� ng REF: MAc '`( '( �. Gt�.iQt1.a l�'L.A�h1� bG• � '��-- down Cape eineering PREPARED-FOR: ` rat . - ,• l..1 t�1A CIVIL ENGINEERS LANDSURVEYORS ------------ EXISTING.) BOARD OF HEALTH REG. LAND SURVEYOR //.J T2_ ( - -.-�--- CONTOURS -- (PROPOSED)-OO-O-O- APPROVED DATES MA d Yarmouth&Orleans,MA SCALE • DATE SECTION - SEWAGE -SEPTIC TANK - "D"BOX - LEACH 11q.C5e.0 \ TOP OF FDN \ 51-� (MSL)ek [ tftoVC At li( UNSl.I1TAC'at_B MA-1"�2t•Al- "2"OF�IeTO 1h" r •,e ' b C►t tiZFe2l2_ A T>%5fAf.►G WASHED STONE j /r Lr`Ac�-\ ��TS A1.r0 Pti�ryLAGrc. V447-H GLJr.A.hl� N• OUT• IN- OUT• !_ a. M G IN. qq Ty,i^ '�ELEV. ELEV. E .y. / t ELEV. „4S._z.:1 /4z; I �S •Ci , -{� `z ELEV. ELEV. 4�•�. to � J �• Q ' . Z� WASHED STONE TEST HOLE LOG / . Q.IC►�{A,TZ.t"�i. �.A.G i�'"C�2iJ,�a.�-�.>Ns.3.�.N. p �. / / 1 I �. TEST BY FAIf'�i n11L�?,�. �•7• F1owGS,�LyecA�ATAi? �' ALP y'� rr�`/�� TEST DATE WITNESS DESIGN BEDROOM HOUSE /� \ 5Z•5S ,_ T.H. # 1 4 q T.H. # 2 ELEV. n `— ELEV. c2r NO ¢�.4sc�1 `(- PERC RATE < Z MIN/IN. DISPOSER DISPOSER YIiV cl 1... .�ATGa. .1J GF•1 M81Q• FLOW RATE 44G�tGAL,/oav> �oCaCa \ J �r SEPTIC TANK 4� (I.5)= _ 3e, SI�.TY AN..10 STot.K3S 4S - 44.9 49" — 4-1.5 REQ'D SEPTIC TANK StZE {Z- p \ �✓ LEACH FACILITY / I # MtGb. GCG Sp,►vi� th Je* cLC- N �ouM SIDE WALL \4 i"C �'1,25•cP (Z� ) _ 31�} G/D. tf BOTTOM' 1c� ZT.» �;a� -� 1=t 6 or.lES TOTAL �i �� = Z.�j capes:`"� USE: �" LEACHING 144�— '�'C'@: Tow Ma iZCGu�.A"T'►ol..t S �Q• �� "C2 WATER ENCOUNTERED '' V . NOTES: (UNLESS OTHERWISE NOTED) 1. DATUM (MSL)+TAKEN FROM.._ YA tiN\S. _ QUADRANGLE MAP 2.MUNICIPAL WATER---------�................_...............AVAILABLE 3. PIPE PITCH: 1A"PER FOOT _1 p OF OF 4. DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO- 44 1 5. MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. �yG �� y �—DISTANCE AS CERTIFIED 6.PIPE JOINTS SHALL BE MADE WATER TIGHT AR H. �, ARNE H. rGj, 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. � H , �.� AT OJALA 1 1 HEREBY CERTIFY THAT THE BUILDING SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 C. U 63A.Q% N u CIVIL vi � SHOWN ON THIS PLAN IS LOCATED ON THE RA GROUND AS SHOWN HEREON&THAT IT LOCUS: CONFORM TO THE ZONING BY LAWS OF THE O,$T ———— TOWN OF 1.. D SURD R NGINEER WHEN CONSTRUCTED. DATE I REF: T1�Ar�1r 14• G°�i�.jE.PI.Ah.1- AEG. Lcl'17.. dO�Jq cape engineering PREPAREDFOR: '�c�t3�r�" CIVIL ENGINEERS LAND SURVEYORS ———— ——————— BOARD OF HEALTH REG. LAND SURVEYOR {��j �© 60 /.� f CZ CONTOURS (EXISTING) ------------- APPROVED DATE SCALE ( I a (PROPOSED)-O-O-O-O- MA Yarmouth Orleans,MA DATE S