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Home My WebLink About0233 OLD JAIL LANE - Health 233 C)Id Jail Lane Iiai��stat�le A= 278 - 052 LOCATION SEWAGE PERMIT NO. VILLAGE KS23 I � I N S T A LLER'S NAME A ADDRESS _ OWN ER DATE PERMIT ISSUED .Sty ;L'' �S D A T E COMPLIANCE ISSUED L f v,f, t d 1 V Y n - No......A.�.�. Fss...... ..�. THE COMMONWEALTH OF MASSACHUSETTS* BOAR® OF HEALTH c App irFa#inn for 3liipna al Workii Tumtrnr#inn Prrutit Application is here made for a Perm to Construct (r/) or Repair (, ) an Individual Sewage Disposal System at: j 1a'3� '.1I J0, I LonQ of ocD -ZHiL.Z-:c!.... '9 !!ST3Gf -•---- ------------------------------•------�-�- T#-3--•-------•-----------••- ....... f [, Location-Address tyt.? or Lot No. P !oa repo�P A 1_&ZS,1 A/ 4� � -!�!5T.� !' _s s---•--•-----•--------••- .._... ...... . .......................... ................ _....__ ._...... y owner Address a •--•. ------ '-5-------�%�-............. ...................................... -----------.._..._._........----------..... Installer Address Type of Building Size Lot__/f/, Sq. feet � Dwelling—No. of Bedrooms..........¢............................Expansion Attic ( ) Garbage Grinder (&-I Other—Type T e of Building No. of.persons Showers W YP g ------•--•---------••------- P ( ) — Cafeteria ( ) a' Other fixtures ___________________________________ W Design Flow............_ _...._...._...._....____gallons per person per day. Total daily flow...._._____.__.__..__.______.___gallons. WSeptic Tank—Liquid capacityZ4-�__gallons Length__8'!...... Width_,6%."__ Diameter________________ Depth__-,574'/_- x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No z_-_________ Diameter_.___ _........ Depth below inlet..... . ..... Total leaching area._:!i�25?.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-_c': ! _ 1 .............................. Date__e� ../f.11 ....... Test Pit No. 1.../__:?- minutes per inch Depth of Test Pit____ ' ¢______ Depth to ground water.......... rZ4 Test Pit No. 2.... _ ._minutes per inch Depth of Test Pit----C "____ Depth to ground water........................ •---•---•- -------------------------------------•---___-__-----------•---•--•---------•---•••..... ----------------------------*Description of Soil...........0•"- 4z" Woo �.9�--_. -Sy_B-soi c k//77/ Aoct�s 4Z"- 7 z" V ..__ G i.c/Gs SA.vD. -7 .....................---'4�= SA G11'79i'... W --•--5-y!.._c_c-_._.-STo.c/E� - - VNature 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 T1'111 5 of the State Sanitary Code—T e undersigned further agrees not to place the system in operati qnti Cer ficat of Compliance has y the boar ealth. S gned - _------ .......... ...... ..................... ................................ Date pplication Approved BY p -� ! - Date Application Disapproved for the f ollo t g reasons________________________________•-_________________________._..._________________.___...______________.....______ -•..................•-•----...------•---------•-•----•-•••------ -•-•--•-•-...--------•----...--••............................................................................................... Date --- • Permit No...... - --•-•--•----- ----------- ................ Issued_--•-----•---� _�.__._...... .,..... Date E ddik THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ►�N � Ns /3GG ;... ......................OF...... ............................_. ............ •----...................... Applirafton faar DwOusal Works Tonstrurtion amit Application is hereby-'made for a Permit to Construct (v) or Repair ( ) an Individual Sewage Disposal System at: 3CG; .Location-Address or o. G6 A- o Ai A _ 8A9z.✓srA93G�� A S D --/L.zsO ...Tl --------------------•---------= ..................................... ........................................................... Owner Address af ...... ......:.........•-•---•...----•-••••-••--...--•-•-......__...-----..••------••--------•-----•---- Install r Address U . Type of Building Size Lot_�� -_94Z..._..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (✓) a4 Other—T e of Building ____________________________ No. of persons............................ Showers YP g -----•--•-•--------------------P--- -- ( ) — Cafeteria ( ) dOther fixtures ------------••••• ••-•-•-••-----••---•••-•--••---------••--••-• ........... W Design Flow____..__...ss________________________gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid* _capacityl� _gallons Length_�.A_ Width_ _..G_..__. 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:c' �... `!�!...11 _�^.!c__________________ __. DateFxT_2 Test Pit No. I---4--- minutes per inch Depth of Test-Pit,:_��¢_~.._ Depth to ground water_.......................... r3, Test Pit No. 2---A_____-_-_minutes per inch Depth of Test Pit...6.: Depth to ground water.-..— ................. R-4 ---------------------------------•••••---•••__...._••----• ---- ---............---._.......:----..--......-....--•--•.......-•-...:-•- D Description of Soil -•------.!�j-1�-4z..�..JAlpop_4 �Saves Soil. k:c�i7�! .1oc"e-Z 4Z'`- 7Z" U !.i __-._/?/a_G.................G D /i.t1L ?Z'' /S'G" -5.4+v/3 ._... --•-•- -------- • ---------• •-•--...----••-•--•-----•---- ••----••---•-•-----•--------••-------------•--•••-••••••-•---•-••--•-------------•-•-•••-•------•••-•---••-----•••----.....----------•---•••--•-----••--•---••••--------••••••••---•••••-•-••------..._. 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 TI'''I_ai:, 5 of the State Sanitary Code— Th undersigned further agrees not to place the system in operation ugil't r to of Compliance has bee i the board of I lth. Sl`ned..............•. -- ....... .............................. ---------•---•ate•---- .�._`..._ Application Approved BY -- •-=--- ---- -------•- --•---- ........ .................. . Date Application Disapproved for the f ollowi reasons----------------------------------------•------------•--------- ...................................................................... vto Permit No....9=.----.�........ -----------•----. Issued....................................... a...--•--- f, Date THE COMIMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF... 1.......'�s�STA-BGG'._............................ Tatifiratr laf` (9111upliaita THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( f or RepairedX. y ( ) v2�4fto............................................•-------------------------------------------- Installer t.......... "'' 't.--------�A1'�-? Za .... -has been installed in accordance with the provisions of T,,j� r f he State Sanitary Code as described in the application for-Disposal Works Construction Permit No......................... _____________ dated-.. _ + .. ................. THE ISSUANCE OF',THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. f . DATE.............---�q1, &.. ............................. Inspector...-------.•..�--M.............................................................. THE COMMONWEALTH OF.MASSACHUSETTS BOARD OF HEALTH .............T/,�/.r/ .....0F... . Y , Il3G E� ECG V'_'�--. No......................... FE --..................•-- t a inuitrudivit rmit Permission is hereby.gran •=-- -------------------------------------------•....-•••••-•......••-------•-•-._.... to Construct ( ortRepair ( ) an I 1v• ual Sewage Disposal System ; u at No..... ...... -- ��.. +4- A._4. 0............................................................ -------------------------------- Street�tz, °�-� as shown on the applic#ion for Disposal Works Construction Permit '_! ____ Dated__ ""_. ....... ........ I3oa of Health DATE..............= FORM a 1255 A. M. SULK[ ; I,NCC_ BOSTON Log Number: 4849 .43ottle # D226 Date: q 18 g5l BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT 7 SUPERIOR COURT HOUSE v BARNSTABLE, MASSACHUSETTS 02630 Asa DRINKING ,WATER LABORATORY ANALYSIS PHONE: 362-2511 EXT. 331 Client: P. Jordan Nelson, Jr. Collector: R. R. Clough Mailing Address: 3920 Rte. 6A Affiliation: Clough & Cahoon Well Drilling Cummaguid, MA 02637 Time & Date of Collection: " 4/16/85, 4:30 Telephone: Type of 'Supply:• well. water Sample Location: off Old Jail Lane Wel'i Depth: 108, Barnstable Date of Analysis: 4117185 PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliforrri Bacteria/100 ml' 0 0 H 5.7 Conductivity (micromhos/cm) 76. 500.0 Iron .( m) 0.05 0.3 Nitrate-Nitrogen ( ' m) 0.18 10.0 Sodium ( m) 20.0 k r I . XX Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results- of the parameters tested for this sample, the water is suitable for drinking but -may present the problems checked below: A. Water. sample has higher than av`erage +levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any. upward trends. B. The low pH of the water may shorten the useful life of ,the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high 'levels of sodium. Persons on low sodium diets should consult their .doctor. III. Due to one ,or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. High Nitrates { The Barnstable. County FB'ealth and Environmental REMARKS: DeparZmenf shall not end6rse any slaiements, inteWetations or conclsaions made by anyone ehe concerning these results without written consent. CC: Barnstable Board of Health CC:' R. R. Clough, Clough & Cahoon Laborator Director 1 /7/85 Explanation of-Test Results. Tdtal.Coliform.Bacteria " Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning:septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the.result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved. pH pH is the measure of acidity or alkalinityof the water. On the pH scale,the number 7 is neutral,less than 7 is acidic and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in-the range.of 5.0 to 6.5. Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally considered unacceptable and may have a laxative effect upon users. Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent taste, cause an unpleasant odor, often gives ives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron,in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen , The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes. Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a,-health hazard; however, concentrations in,excess of'1.0 ppm may•cause`a metallic taste and/or a bluish-green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water supply has more than 20 ppm sodium,it is up to the people who are on such a diet to find another source of drinking water or contact their doctor to determine if consuming the water is advisable. Concentrations' exceeding 50 ppm indicate that there may be ocean water or road salt runoff water getting into the well. C t ' I I'm I'll 01,BM-11stabje I, // Deparlm ell( or IIenIth,Safely,:)nd Environ if)ell HI Services mot"ti Ry�O >1 ubliC 11ealth Division I)a1C �nqy 167 Miio SUCet,l lyanois MA 02601 CCC • nnrwsunr,F AM toi I)nlc Snr� chcduIcd110L 9 ♦•IAA9. � r � � — -- - ""' Soil Sudabil/t))'Asses,s/1/ellf cJ/• Seivcl re.I�is ��J,Sr/l. t.l(�!v 4 ,.F - � - - - t• _ �j �� A"� � t G ''clforotcd ll} LUG 'C' & INIFORMATION Location Address /„ pdd'ncr'S Nanlc QNt1/ OChlecz c/ �ly/ITO/L �j�9 Address f V, O&IX /z2It/ 11ygm,7ts / 0z 601 Assessor'.,;�i;q,/I'arecl: 2 ��` /S linPinccr's Nan,c WAI C, 7PE rt/6 } 111 v �7/ G� /V CT,L NLi1V CONS I It,l1C I IUN l/ I(lil'AII( I cicphonc 1l 3 G 2.- S p ¢�_ i,and Ilse )9�L'`q/ � L - 'slo,cs ", O �� Surfacc Clones _ OisL•otccs fivnt`. Opco Water holy Al 0 II Possible Wel Arca !V U fl I)rinkilig\Paler WC11 'V q/ - ..._._ --_l- -Il I)raiongc Wny ,v d Il I'rapclly l,inc fd' �C�� It Olhcl A1167 = 1.107 )/F, ,45 C-P S h ETC11: (SUCCI onnlC,dilocosivils of lol,exact locations of lest holes fi pert:Icsls.locate,tcllan(IS ill proximily to holes) 33 , •Zz� iq rNlf s or mf NIX 24'y � I M Parent material(geologic) -5A iVP Depih to Ilc(froc:k l d Depth to, Ground,4alcr. Standing Wnlcr ih Ilole:2. -_ Weeping front I'it Pacc _ _Iislinta)ed Scnso0al.l livh.Gruundtveter ; _ .._._ �(//0 - i `• 0T 0$SOU1,£b ll�-117'L1041 At LI�;1A3 � ,XO5 � 5(NA � Mctho( used.Deplh Observed SI.nding in obs.hole: N in. DCplh to Soil mollies: irl. Depth to weeping front side of obs:hole: fl/ 0 in. Groundwater AdjosOncnl It. �Io(lex Well N RendioR I)nlc: hldcx Weil level Adi. fnclor Adj.(ilaund,dalcr I,c,cl UIV:'�'Xj;S'�' mI lime: 3 9 tiulr ld:O�I/Inr TN 9. g l eel" Ohservaror)f- �I tole 11 , ,a �Tfl"1.= .T fi �+ � M r. . Depth of I'm 1,192 ... ^ .i.t lII11C a1(i' k Yl • � y �. J - - Start Pre-sonk Mime r'0:2'0q/N`;. 10,27; 30 01 10:3 J @. l ime(9--6-) R Ind 1 re-conk' s, 'f'•10:27 0,12;'30 a - - -¢--- ►:,,le Mill./loch -Z/YFT 3,5' MP./ S/Lf p—r) Site Suilabilily Assessment Site 1'nsse(I l/ Site failed: Addilionnl Testing Nccdctl(1'/N) N - t)riginaL Public Ilealth Division Observalioll Hole Daly To 13c Coin i j r. Ictl on 13acit Copy: Applicaol. - {jS i V ` iyO * r Y + 1 Dcpth from Soil Ilorizon Soil'rexiurc Soil Color Soil Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Sloncs,Houldcres. Consistency.%(;ravel) 0- q 9 " FJLG fva w/aRS##Arks 4®'=60 a/,l 1 o YR 74 lV O O6 13 SYiVD oYR 3/ /v0 e4"- 96" C LOVr t-INAlt Io rk 4/6 NO srevvp e aaa IV 0 DEEP OBSERV�.TION..IIOL-TOG Hole # Z �,f 3 Depth from Soii llonzon Soil•texture Soil Color .Sail Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,Boulderes. Consistency.% ravel 94 91 C D�/�y s�Nv l0 YR 9� N4 s ro A,jr G MWAf OF y6r,-#3 ??f,4 "AJP /0 YR $/ IVa7 4 y fvsyc� ��uo s G�'R6�-fj'Oa�OfPS A B1F$1Z ll►LEI' 013SCRVA`f ONA1O� E LOG hole # 6 Depth from Soil Ilorizon Soil Texture Soil Color Soil Othcr Surface(in.) (USDA) (Mansell) Mottling (Structure,Sloncs,Iloulderes. Consistency,%Gravcl) SItNOY LOX!`► /O 2/1 /Vo l9" A,D - 8'= 66 2.S� 6/� Ivy bd"w 75-6 L MtP SNT z.S Y r0/6 NO ItOw or Hxe-V S HfG,Ch 4 FOR H 6F# t5 �2 Mf-PMVP 2- 5 � aE>f 6 d D RS •BOrTOIN Of G�:f>A' UEE�' OISItV�1 1Q1'�1 XIUL LOG 1iilc# 5 Dcplh from Soil Horizon Soii'lco re Soil Color Soil Other Surface(in.) (USDA) (Munscll) Willing (Structure,Stones,Uouldcres. Consistency,%Gravcj) Mood Insurance Rate M. g1?A lV ST/#,1 f' # 3 Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No v Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally:occurring pervious material exist''in all areas observed throughout>the area proposed for the soil absorption system? ` 45 j If not, what is the depth of naturally_occurring pervious material? Certification T rcertify that on f (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise a e pei i ce scribed in 310 CMR 15.017: Signature Date TOP OF FOUNDATION CONCRETE COVER ' CONCRETE COVERS �� ns •, , 4"CAST IRON 12" MAX 12"MAX OR SCHEDULE 40 4"SCHEDULE 40 PVC (ONLY) PV-C PIPE PIPE - MIN. LEACH _ PITCH 1/4"PER FT PITCH 1/4"PER.FT PIT PRECAST qZ} e J LEACHING E •." jaZ . JAG - -- - - � I o n T OR ELNVBGRSo SEPTIC TANK ENV�ST�2 D13T. EL�S23 j= !:;INVERT PIEQUV. �O . INVERT — SOX •� 4 u IL ,.. 3/4 TO I V2 EL 8S: 97 L_ �., GAL IELBS 40! INVERT W .v .. ELB4 So : • �� WASHED .. � � \ , . .a '• fc•74.dro .!� STONE �- �-- DIA.--+-� PROR LE OF GROUND WATER TABLE W6u 1,CA770 �, SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOC WITNESSED BY 1 1 ��✓ Ci«�� C BOARD OF HEALTH g4 DATE �. .;. / ,qes. TIME =o /. TEST HOLE I TEST HOLE 2 �:. 4"� -SN4�T 11/C=•. ENGINEER ELEV '7 3� ELE` -�' DESIGN DATA _ .,, �`�„ •� `� \� !rn/c _ q .B1.3c. NUMBER OF BEDROOMS , JtA/Sf AKKBD 5~1> TOTAL ESTIMATED FLOW . . . . . . . GALLONS/DAY 2Z// `�q,8;.8o BOTTOM LEACHING AREA �/3.� SO FT. /PIT/CiN G✓w/�"D1 \� , �1CfD. SIDE LEACHING AREA Z�h, Z" SO.FT./ PIT`.SG5 • rc. 1GU. GARBAGE DISPOSAL Y- .(50 % AREA INCREASE) co / I I 3ff,9/c. �h''`f L- TOTAL LEACHING AREA . ��,� SOFT i PERCOLATION RATE 4E5S 71AU! TWO MIN /INCH Z.773p �5L" fL. 7G.f1 r — LEACHING AREA PER PERCOLATION RATE ��. 'l . SQ.FT./e, WATER ENCOUNTERED I NUMBER OF LEACHING PITS "TJNO P/7S GV/T7� 6t R(7 APPROVED BOARD OF HEALTH DATE S p&S' . . . . . . . . . . . AGE"T )R INSPECTOR 7 0 s#nric L&Au ,Zo t"X OJT/nl�c 1r _ _ RAC/ JLv' I 1 exV1, TIi ' .-"�----------•-•�.. _,,~~ ._. 1. 1 � ,, �. LZ A./Cr : ,C'vM e L. /U6 zj,e `" �►- ` j y C�7�I�✓�-�j E". �ZG by To DeCI� ��. �-4�t/�-' ,e��-. Gq�►.A -s'�.�,��ya.� V07 - <CZt<1/.471UN a Bi9Sc� 2> a^� S.SuH� Z>-}TL > - o��EP E*OD V HALL yk �• o.52 Ei.LEY y ; ' No.26100 � FPS �f Fssr 9FGI�T ER�� s�nrr�a�a'� y ffi �'�Al I.aiIQ 9 1 i 1