HomeMy WebLinkAbout0367 OLD JAIL LANE - Health 3 67 Old Jail Lane
Barnstable
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LOCATION CAr'��� J/�i ��t'� SEWAGE # 3-� T
PILLAGE ,ASSESSOR'S MAP & LOT -919
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(t Ype) fod®,.. �r3�.� � .O®.ve, (size) r
NO. OF BEDROOMS PRIVATE WELL
BUILDER OR OWNER oAoX,,,-r Aco 77-
DATE PERMIT ISSUED: - 7,3 ,
DATE COMPLIANCE ISSUED: 13``p
3
VARIANCE GRANTED: Yes No �B
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ASSESSORS MAP NO: 2 7-;1
.....................'. Fss.
PARCEL N0:
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
�5 ��� �� TOWN OF BARNSTABLE
ApplutttUan forDisposal rk�u o Tnnstrurtiun Prrutit
Application is hereby made for a Permit to Construct (L4 or Repair ( ) an Individual Sewage Disposal
System at:
Location-Address or Lot No.
�SGv7`T Wdil
Gry
Owner --- s
---------------------------------
Installer Address �y/ 3�
d Type of Building Size Lot.___�......... ........Sq. feet
a Dwelling No. of Bedrooms................ ........................Ex an e
gion Attic Garba Grinder ( )
p4 Other Type of Building ............................ No. of persons............................( )Showers ( ) Cafeteria ( )
a' Other fixtures -------------------------------• -
W Design Flow..............-4_._._........_.___._._-_..gallons per person per day. Total daily flow...........__� �_.._...._.__------gallons.
WSeptic Tank=Liquid capacity.fra_w..gallons Length.Z ...___ Width..� _`.___ Diameter................ Depth_47"_�_'_ .
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.___-.7.._-_.__.. Diameter-___-_�v./._._. Depth below inlet......A........... Total leaching area_�0_19------sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-' Percolation Test Results Performed by..s..J.?!!�'`�../........................................... Date_��!'!...... j-------P�..----
W
a Test Pit No. I....e_'_z-_.minutes per inch Depth of Test Pit.... Depth to ground water........................
Test Pit No. 2----- _Z._minutes per inch Depth of Test Pit....Melr"__- Depth to ground water------ .............
_ Description of Soil - - 36" 9'`/Qoa�o�A+ 5 --....✓�__�iL---------.....6-..-..--..............---------------
vr'-� � •y�-- �' ............................................................................................................................ ---------
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 TITLE 5 of the State Environmental Code—The undersigned further ees not to place the
- system in operation until a Certificate of Complia a en '' u�t and of hea h.
Signe --- --------- ----- ..- --------------- -- -- --
.. . Date
Application Approved By ---- . - ---------
— _ .. ...............................................
.-'------------....................................
Dace
Application Disapproved for the following reasons: -----------------------
---------........................................................................................
-- --------- ---.. -- .---...-----'.....................................----'-----------------...-.......-...-.....-.....-.....-...- - ------------- --------------------- --------------------------------
Dace
Permit No. ..
----------------------- Issued ----- `�'--:�--
Dace
t -J
' f,JI/S
No._....!�....v� r Fics................. . !�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF.,H, EALTH�`
TOWN OF BARNSTABLE
Application for Disposal Works Tonstrnrtinn ramit
Application is hereby made for a Permit to Construct (L.-Y,or Repair ( ) an Individual Sewage Disposal
E System at: r
Location-Address or Loot No.
Owner Address
w a �'.,.1��7----- ---- Y/ •ti a t/aa "'=------------------------•----
*' Installer / Address
Q Type of Building r � t Size Lot__8i.3'S.7
....... feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
114 Other—Type; of Building ____________________________ No. of persons............................ Showers ( ) `— Cafeteria ( )
04 Other fixtures --------------------------•----- -•----•---•--
w Design Flow...............-`-'-_r.....................gallons per person per day. Total daily flow.............. ...................gallons.
1:4 Septic Tank—Liquid capacity1fe252__gallons Length_!_ /-�_"'__. W dth_:!?_`G_""_. Diameter________________ Depth_S'�?'"
Disposal Trench—No ____________________ Width______ ___________ Total Length._______._____.__. Total leaching area....................sq. ft.
Seepage Pit No._____�_.._._-__. Diameter_,o..../V ..... Depth below inlet......`........... Total leaching area_t� ....sq. ft.
z Other.Distribution box ( ) Dosing tank ( )
'-' Percolation Test Results Performed by..s-_A/! �'-'__;a__-S-..° .S................ Date_ v »L/�
---------------
,aj Test Pit No. 1....4:_�_.minutes per inch Depth of Test Pit____ ` ``_____ Depth to ground water________________________
(i Test Pit No. 2..... inch Depth of Test Pit----l_44"... Depth to ground water......
-----------
O Description of Soil-_••�........ 6'' �W6,&V4004 •1 $r S/.Y�-+�V S✓B SeiG._....... .3L''- /¢4 Al
--------�.._...•--- ........... ............•---•--------------- - -•-- ----------------
...___"_'_ ! C'__ /~ ......S!C_A__ ________________________________________________________________________________k_______________...___................_.____._..___.
w ________i _________________...................................
UNature 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliancefhasybeenfissued-by the-board of health.
Signed`........................
,•
------------..-- .....................------------------
-
Dare
Application Approved BY , , ,--- !--... .� ..: T' 4�.- .
------------------------------------------------
Date
Application Disapproved for the.following reasons- ----------------------------- -----
----------------------- ------ --------------------------------------- ---------------------------------------------------------------------------------------------------------------------- ........................................
Permit No. .-g ... � -------------------------- Issued ------ '� .,y -...... � ..............
Date
i
r - -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(gelr#tftrate of 10-10mytin re
THIS IS TO CERTIFY, That t fe;;Individual Sewage Disposal System constructed ( ✓) or Repaired ( )
�/?�✓1�' -- - ----------------------------------------------------------------------------------------------------
by."---------------------- --- ----..-.....-----------...-..-......
Inualler � f
at ......74-.7 -�-� - -4 ../d.-. �.... '-----------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the a lication for Disposal Works Construction Permit No. .''� '%9��'------------- dated .`7 "-."�..�----^---_r "�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT�BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
---- ....-. - = '------------------------
...-- Inspector ------ _.--:...,..- ----------------------------------------------------
.. DATE---------------------�... - � � ,
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/TOWN OF BARNSTABLE
No......�r'..��. . FEE, I��../' 2�
Disposal Works 01.111nstrudion Vvrrmit
Permissionis hereby granted..............................................................................................................................................
to Construct (✓) or Repair (,, ) an Individual Se rage Disposal System
at No.._=-"�'�_-.�_, .0--_4_a.?`._..-z�__-G�t _ ,h _� 4 " '�% 1"...................................
-......
Street
as shown on the application for Disposal Works Construction Permit No5Ft- ..- Dated......7`'"..tr-
................:................................,.. ................................................
1000, ~ Board of Health
DATE................ ...................................
C iC i
c�- '.�.,..
FORM 38508 HOBBS dt WARREN.INC..PUBLISHERS
r
No.— --1-- ----- Fee- :-� f------
BOARD OF HEALTH
TOWN OF BARNSTABLE
���Yicatiot�,�'or�eY[ �or��truction�erntit
Application is hereby made for a permit to Construct ( ''), Alter ( ), or Repair ( )an individual Well at:
---- ------
1 Lo�catiioµnn — Address Assessors Map and Parcel
a Owner Address
i
----"-"-- Installer Driller-----_"` �- -----------------------------------------------------__—
Address
Type of Building
Dwelling -------------------- --- --
Other - Type of Building -- No. of Persons--------------------------------- --
Type of Well-- -- - _ — -- --- — 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 Cert' 'cate of ompliance has been issued by the Board of Health.
Signed- - - -_--
�t2APPlication Approved By- �---------------- - ---------------- - ----------
ate
Application Disapproved for the following reasons:----------------------------------------------------------------------_----
------------------------ - -- -- --- ---- -----------------
date
Permit No.- —-------------------------------------- --- Issued------------------------------------
--------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate ®f Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed (' Altered ( ), or Repaired ( )
by------ ---- - �-- - --�--- � �- �`-------_____----------------_—___--_----
f ( Installer
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Pr to tion
:�Regulation as described in the application for Well Construction Permit No 9a=�!-Dated--�Jly
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---------------------------------------- ------=- Inspector---------------------------------------------------------------— --
el
-=----------y-----�-No. - Fee--���-=-------
BOARD OF HEALTH
TOWN . OF BARNSTABLE
Application jorVell Constructionpermit
Application is hereby made for a permit to Construct ter ( ), or Repair ( )an individual Well at:
16 - - ,'rd ---ki ------- ---------------a - - - -
Location — Address Assessors Map and Parcel
r Owner Address
— -- ----— — ----------------------V
Installer — Driller Address
Type of Building
Dwelling -=`------------------------------------
Other - Type of Building------------------------------------ No. of Persons----------------------------------------------------------
Typeof Well -�.��� - - - -C''------------------------------- Capacity------------------------------------------------------------------------------------
Purpose of Well----------°�'-1?=-------\P4A5A--4e- -
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 ompliance has been issued by the Board of Health.
Signed�,�'-- --
U / da E
Application Approved By—=--- -- --— -- ___-------------
Application Disapproved for the following reasons:--------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------
---------------------------------------------------------------------------------
a
date
Permit No. - - -- - — - ----- - Issued--------------------------------------------------------------------------------
---------------
date -
- BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed (1/)Altered ( ), or Repa_red ( )
?^ 1 .
by — .....� Installer
at---------L s, f —n.1 AA— ' �-`(----1- - � - - ^ - -----------
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
/ L
Regulation as described in the application for Well Construction Permit Now--3-3-�---Dated---- 1 --2—-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---------------------------------------------------------------------------------- Inspector------------------------------------------------------------------------_-
BOARD OF HEALTH
TOWN OF BARNSTABLE
Ivell Con5tructioupffmit
No. --------------------- Fee------------- ----
i
Permission is hereby granted------------ -= -----------------------------------------------------------------
to Construct ( -)�Alter ( , or Repair ( ) an Individual Well at:
~_ -
Street
as shown on the application for a Well Construction Permit
No.- l"-- - - ------------------- Dated------ -1 - -
a' O /
-- ------------------------------------------------------
�/ Board of Health
DATE -! ------------------------------------------------
i � , T J --
T� 93- 3,2,
ENVMOTECH LABORATORIES
Mass. Cert. #:MA063
449 Route 130 Sandwich, MA 02563 - (508) 888-6460
CLIENT: Bill Riley LOCATION: Olde Jail Lane Lot 16
ADDRESS: Barnstable,MA
COLLECTED BY: Shaun Harrington SAMPLE DATE: 6-16-93 TIME:
DATE RECEIVED:6-16-93 SAMPLE ID: ET894
JOB #: New well WELL DEPTH: 75'/120'
RESULTS OF ANALYSIS:
Parameter Units Recommended limit Result
Coliform bacteria/100 ml (MF Method) 0 0
pH pH units 6.0-8.5 7.17
Conductance umhos/cm 500 81
Sodium mg/L 20.0 11.2
Nitrate-N mg/L 10.0 <0.02
Iron mg/L 0.3
<0.05
Manganese mg/L 0.05
Hardness mg/L as CaCO3 500
Sulfate mg/L 250
Potassium mg/L 20.0
Alkalinity mg/L 200
Chloride mg/L 250
Turbidity NTU . 5.0
Color APC units 15.0
Background bacteria
EPA . 524 uR/L N.D.
COMMENT: * See report attached.
M NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED.
oX ❑
DATE
L
IJAPUCK
LABORATORIES, INC.
50 Hunt Street CHEMICAL ANALYSIS
Watertown,MA 02172 BACTERIOLOGY
(617) 923-0300 WATER ANALYSIS
FOOD ANALYSIS
SPECIFICATION TESTING
REPORT
LAB. NO. 41584 Client I.D. RILEY
(Old Jail Lane )
Volatile Organic - EPA Method #524 in ppb (ul;/L)
RESULT MCL DETECTION LIMIT
Benzene LT 5 . 0 0 . 5
Bromobenzene LT 2 . 0 0 . 5
Bromochloromethane LT 2 . 0 0 . 5
Bromodichloromethane LT 100 . 0 0 . 5
Bromoform LT 2 . 0 0 . 5
Bromomethane LT 2 . 0 0 . 5
n-Butyl Benzene LT 2 . 0 0 . 5
Sec-Butyl Benzene LT 2 . 0 0 . 5
Tert-Butyl Benzene LT 2 . 0 0 . 5
Carbon Tetrachloride LT 5 . 0 0 . 5
Chlorobenzene LT 2 . 0 0 . 5
Chloroethane LT 2 . 0 0 . 5
Chloroform LT 2 . 0 0 . 5
Chloromethane LT 2 . 0 0 . 5
2-Chlorotoluene LT 2 . 0 0 . 5
4-Chlorotoluene LT 2 . 0 0 . 5
Dibromomethane LT 2 . 0 0 . 5
1 , 2-Dichlorobenzene LT 2 . 0 0 . 5
1 , 3-Dichlorobenzene LT 2 . 0 0 . 5
1 , 4-Dichlorobenzene LT 75 . 0 0 . 5
Ortho-Chlorotoluene LT 2 . 0 0 . 5
Dibromochloromethane LT 2 . 0 0 . 5
1 , 2 Dibromoethane (EDB) LT 0 . 10 0 . 5
Dichlorodifluoromethane LT 2 . 0 0 . 5
1 , 1 Dichloroethane LT 2 . 0 0 . 5
1 , 2 Dichloroethane (EDC) LT 5 . 0 0 . 5
1 , 1 Dichloroethylene LT 7 . 0 0 . 5
Cis 1 ,.2 Dichloroethylene LT 2 . 0 0 . 5
Trans 1 , 2
Dichloroethylene LT 2 . 0 0 . 5
1 , 2 Dichloropropane LT 2 . 0 0 . 5
1 , 3 Dichloropropene LT 2 . 0 0 . 5
2 , 2-Dichloropropane LT 2 . 0 0 . 5
1 , 1-Dichloropropene LT 2 . 0 0 . 5
cis-1 , 3-Dichloropropene LT 2 . 0 0 . 5
trans-1 , 3-Dichloropropene LT 2 . 0 0 . 5
Consulting & Testing Services
for over 20 Fears...
This report is rendered upon the condition that it is not be be reproduced wholly or in part for advertising or other purposes over our
signature or in connection with our name without special permission in writing.Total liability is limited to the invoiced amount.The
results listed refer only to tested samples and/or applicable parameters.
LAPUCK
LABORATORIES, INC.
50 Hunt Street CHEMICAL ANALYSIS
Watertown,MA 02172 BACTERIOLOGY .
(617) 923-0300 WATER ANALYSIS
FOOD ANALYSIS
SPECIFICATION TESTING
REPORT
J
LAB. NO. 41584 Client I.D. RILEY
(Old Jail Lane ) i
Volatile Organic - EPA Method #524 in ppb (ug/L)
RESULT MCL DETECTION LIMIT
Benzene LT 5 . 0 0 . 5
Bromobenzene LT 2 . 0 0 . 5
Bromochloromethane LT 2 . 0 0 . 5
Bromodichloromethane LT 100 . 0 0 . 5
Bromoform LT 2 . 0 0 . 5
Bromomethane LT 2 . 0 0 . 5
n-Butyl Benzene LT 2 . 0 0 . 5
Sec-Butyl Benzene LT 2 . 0 0 . 5
Tert-Butyl Benzene LT 2 . 0 0 . 5
Carbon Tetrachloride LT 5 . 0 0 . 5
Chlorobenzene LT 2 . 0 0 . 5
Chloroethane LT 2 . 0 0 . 5
Chloroform LT 2 . 0 0 . 5
Chloromethane LT 2 . 0 0 . 5
2-Chlorotoluene LT 2 . 0 0 . 5
4-Chlorotoluene LT 2 . 0 0 . 5
Dibromomethane LT 2 . 0 0 . 5
1 , 2-Dichlorobenzene LT 2 . 0 0 . 5
1 , 3-Dichlorobenzene LT 2 . 0 0 . 5
1 , 4-Dichlorobenzene LT 75 . 0 0 . 5
Ortho-Chlorotoluene LT 2 . 0 0 . 5
Dibromochloromethane LT 2 . 0 0 . 5
1 , 2 Dibromoethane ( EDB) LT 0 . 10 0 . 5
Dichlorodifluoromethane LT 2 . 0 0 . 5
1 , 1 Dichloroethane LT 2 . 0 0 . 5
1 , 2 Dichloroethane (EDC ) LT 5 . 0 0 . 5
1 , 1 Dichloroethylene LT 7 . 0 0 . 5
Cis 1 , 2 Dichloroethylene LT 2 . 0 0 . 5
Trans 1 , 2
Dichloroethylene LT 2 . 0 0 . 5
1 , 2 Dichloropropane LT 2 . 0 0 . 5
1 , 3 Dichloropropene LT 2 . 0 0 . 5
2 , 2-Dichloropropane LT 2 . 0 0 . 5
1 , 1-Dichloropropene LT 2 . 0 0 . 5
cis-1 , 3-Dichloropropene LT 2 . 0 0 . 5
trans-1 , 3-Dichloropropene LT 2 . 0 0 . 5
Consulting & Testing Services
for over 20 Years...
This report is rendered upon the condition that it is not be be reproduced wholly or in part for advertising or other purposes over our
signature or in connection with our name without special permission in writing Total liability is limited to the invoiced amount The
results listed refer only to tested samples and/or applicable parameters.
9C.o 0
TOP OF FOUNDATION
� l,� • �XrSrr..�G � , ' CONCRETE COVER
�r7 CONCRETE COVERS
OR SCHEDULE I 40 IRON
MAX. 12"MAX '
•� 4"SCHEDULE 40 PVC (ONLY)sr ��- �, ,; •'� P.V.C. PIPE
PIPE -PITCH 1/4MIN"PER.FT PIT. LEACH
87 ,/ o'. PITCH 1/4 PER. PRECAST
LEACHING
•' NVERT a PIT OR
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SEPTIC TANK . DIST. EQUIV.
l INVERT EL'• ./`'�S 80X EL.`lb9.ti ' : >x
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EL.7.�. INVERT ` W,a $: :�. 3/4"TO I V2
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Loc, vS /�i/-gyp - ` 1�0 - - - - - -
PROFILE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
Nr, SC/-�C.� NO SCALE
SOIL LOG WITNESSED BY :
GATE 1c...r 1S/ B.STIME. //"oo A/`7 .T Iy�3 �id it/Go.IJ.\ - BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 .S,W/Gso • S• yAAS
. . ' ' ENGINEER
ELEV. 97. /o ELEV. 9Z,s y
\ `\ / / / 9� '-•� , _— � Wo«c.lera.•/l' wooGY.of+rs �
/sZ �8 ' /� �c>o, ,_ �reor.�, «,�y ���,.�.`.s�►r�y DESIGN DATA :
L Z 74' Js- i EL 54.io �Z. 8`Jf NUMBER OF BEDROOMS
I
-�-/ �� / TOTAL ESTIMATED FLOW �'L�v. . GALLONS/DAY
q4 / (G J.*
N
� Coy�s►GT BOTTOM LEACHING AREA 78''0. SO.FT. /PIT�a:.
zo rs• g' \ /, J /� Carl f�s3oT /B8, 0 47/, z,"
9B' SIDE LEACHING AREA SO. PIT �_R p
7 ,$,C}�/D n/o�/E o
_ \ � GARBAGE DISPOSAL (50 /o AREA INCREASE)
NDGE rl 75f \ qC TOTAL LEACHING AREA 5"3� o SQ.FT
/
7— � / j T PERCOLATION RATE 7WO MIN/INCH
7 �� ,7 / 0 / �¢� LEACHING AREA PER PERCOLATION RATE �`?9� . SQ.FT.//',i,,7
oU / ( C WATER ENCOUNTERED
Q NUMBER OF LEACHING PITS
/47- off' .S 7'v N 67 a Al
APPROVED . . . . . . . . . . . BOARD OF HEALTH
q.¢• ►< C ` T,t�r/K I DATE
AGENT OR INSPECTOR
•IF
- i •� o� EDwARD,f yes
�oP°Y� ® -- D� �. jG I `•1 aI'�CELLEY N
No. 26100 4
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