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HomeMy WebLinkAbout0559 OLD JAIL LANE - Health Lot 6 Off Old Jail Ln., Barnstable - 7 11-276 - 059 a A III n f II 1 s � 1 a I r TOWN OF BA_RNSTAs(,�E LOCATION SO', d S ( ` SEWAGE # ,?0/I-03 9 VILLAG t�(VIS SSES OR'S MAP & LOT27-59 INSTALLER'S NAME&PHONE,NO. SEPTIC TANK CAPACITY f /Ste® C-&C- LEACHING FACILITY: (type) )50- 0 GA..0A (size) /2 G2�C Y(- X- NO.OF BEDROOMS BUII.DER'OR OWNER �/v PERMITDATE: COMPLIANCE DATE: 3a i 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 , s, on site or within 200 feet of leaching facility) /7-D Feet a Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 eaching f , Furnished by ' 2 a . . rt Q . t � `+�� 4 � i r/ � � r�� � ""ram i � �Y .--- �-1 `e� - �� -0`6 - �� �� rC W � N C.. .A th (.� tl� C 2 S� � 0 `C 1 � � No. �",I' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for Misposai *pstrm Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade(Vf Abandon( ) ❑Complete System gKndividual Components Location Address or Lot No. 6-bZ1 C 1 1 h�') ,�.� ej 1 5a 1 La n-e Owner's Name;Address,and Tel.No., *,Oh Map/Parcel4 �-� v t e 1 9^ I d �' S ��¢ 3" 3I(� C Installer's Name,Address,and Tel.No.b-0 t—y 7.2—SZJ SJ Designer's Name Address,and Tel.No. ��� � r !�f l� sgme. vE� V�l�'�(1111 Type of Building: m wis— Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ' Design Flow(min.required) o gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. AV Description of Soil S )/j G'h Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code lace the system in operation until a Certificate of Compliance has been issued by this Boar of Hea h. Signed 0Date /4:6 Application Approved by Date o2 " a'� Application Disapproved by Date for the following reasons Permit No. p2�1 031 Date Issued ' a a­1/ j No " Fee . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS s application for .Disposal 6pstrut Construction Vera mit Application for a Permit to Construct( ) Repair( ) Upgrade(vr Abandon( ) ❑Complete System U916ndividual Components Location Address or Lot No.S-SZ'1 O I CA J-a / -q o @ Owner's Name,Address,and Tel.No! H p� �e-1 Assessor's Ma /Parcel � (- 1 old L-a r\`�C�Q r 1's �'�e Y V'�t p �l� 'J rc� 9 .2 - 3 3(� .Iinnstaller's Name,Address,and Tel.No.S-a k.'-I 31_S3�,SJ Designer's Name Address,and Tel.No. !Jan41 .� S G ►� 2 �. V v t Gt�O✓) Type of Building: rn",L)-0(.,11- Dwelling No.of Bedrooms L Lot Size sq.ft. Garbage Grinder( ) - Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow(min.required) Ll 110 gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil l E r-, ` Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title �5--off the Environmental Code and-not-to,place the system in operation until a Certificate of Boa Compliance has been issued by this Bo of Hea th. Signed Date ,, 3/T /0// Application Approved by aV Date ,2 - Application Disapproved by Date l'r a for the following reasons Permit No. r2 di' 0 3`j Date Issued a ` THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( L-)' Abandoned( )by w �)C Y-\ /-}-_ S,,,ea k yy\-Q h at S q (��d �a i ( r� Q y Y\&-rx(o'er has been constructed,in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.a011'o 31 dated a Installer ,o -12h9 ?..s Designer bQ 12� r`- --#bedrooms Approved design flow and The issuance of this erm' shall-not be construed as a guarantee that the system will I func'o /as designed. Date Inspector � ---------- s------------------------------------------------------- . No. a 0 it--6 M Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstrin Construction pertnit Permission is hereby granted to Construct( ) Repair( ) Upgrade(k,,< Abandon L ( ) System located at _ S�"� (7 d �a' , A>� , -r�J��,i e and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit.,,- Date _- I Approved by pew i MAR/24/2':GI/T_iU 02: 13 PM SandwichTownOff ices FAX No.-I 508 833 0018 P. 001 Town of Barnstable Nb. Regulatory Services Thomas F.Geiler,Director { ftblic Health Division a Thomas McKean,DWector 200 Main Street,Hyannis,MA 02601 Office:.508-8624644 { ' Fax: 509-790-6304 Installer &Designer Certification Form Date: Designer: Installer: Address: '�ti�°�` C-�� Addrress: ll P i On ( � V1A ASP was issued a ermit to install a (date) (installer) i p; septic system at / zmlll 1-+4& based on design drawn ly (address) dated ?17.01 (designer) - , J certify that the septic system referenced above.was installed substautially aocordipg'to 116 design, wbLich may include minor approved changes such as lat4W zclocatiam of the dUtribution box and/or septic tank. _ I cerW,.,that the septic system referenced atrove was ingtal6d with mta ox,changes (i.e. greater tlS o "10' lateral relocafi6i of the SAS or any vearticaX',reiocation of any component of the sept7'b ,-,ystern)but in accordance with State&Local.kegtilat(ons. Plan revision or cw ified as bi11i*designer tb follow. DAVID ��.. x" d/ staUez°s Signature 169AON No.066, (O ea s Signature) c' ''s tamp Here) PLEASE RETURN TO lB.& i S'I'A. ' Y PUBLIC MEALTH DM, SIO RTWIC USE D IS B 0TEF THIS T0I07 AS'_ OP'. C lY1BY,IAN CE '�VIY1L 1~TO, N��'�SSUED' , BT�,T A RE:RE S'll`ARLE Q:�eakivseptic/Dcsio ter Certification Foy,, Town of Barnstable Department of Regulatory Services R&MSTAMKAM Public Health Division Date o �1639. am Street,Hyannis MA 02601 Date Scheduled U / r Time Fee Pd. ( U o ,Foil Suitability Assessment or Se ' .f wage Dzsposal Performed By: c re_,VA 2 o ✓ ~/�war, S�V- .......... Witnessed BY: �'U 1 !� � Location Address LOCATION& GENERAL INFORMATION s(�, O I� 17 .' � V�l i Owner's Name • iJc�'ri�-S'�x.�� " Address J'at,-Q„ '•i `. Assessor's Map/Parcel.- wp a7(o pqv�p)OY"j n Engineer's Name 4 n /r• SrrQ,Y� NEW CONST�_11�0eU REPAIR �Telepl one# S3zSJ land Use �l;,� Slopes Surface Stones N J Distances from: Open Water BodyXi A __ Possible Wet Area.�_ft prinking Water Well �v>� Drainage Way lz-4 ZZ eft ft Property Line 71 0 _ft Other ft " SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in ro ' M p xtrruty to holes) ems; �4 w �dl o %AJ 44 L,a S�l�' Parent material(geologic) i4N4wi Grau2Ai��` Depth to Bedrock 5 y f Depth to Groundwater. Standing Water in Hole: Ax tS Weeping from Pit Fpee N Q � Estimated Seasonal High Groundwater _, l3vi�6t� /&,p��j Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE Depth Observed standing in hole: In De Depth to weeping from side of o hole: - P 5011 mottles: Index Well.# _ „ In, Ground rAdJuetment ft.— Rerdi g..ate: - -> Index Well level---�.- Adj.tkctoP- A dj.Clroundwaterlevel Ro Observation PERCOLATION TEST bete z-!o—_-// Time Hole# Time At 9" i yS Depth of Pere SDI G Z 1I Z a yU � Time at 6' Start Pre-soak Time @ p c) 'rime(9"-6"). End Pre-soak /5:U U Rate MinJlnch Z,a 3,p Site Suitability Assessment: Site Passed Site Failed:�U Additional Testing Needed(Y/N) )I)G Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week-prior to beginning. Q:\.SEPTICIPERCFORM.DOC z ' DEEP.OBSERVAZ'ION HOLE-LOG' Hole# L_ Depth from Soil Horizon Soil Texture Soil Color Surface(in.) Soil Other (USDA) (Munsell) . Mottling (Structure,Stones;Boulders. o f ten Uravell Al /Y1�J 4 C,/✓�� S''2/A�3. 11�1 In- w sA�vb I�%i2 S�G yV /"t/1/JSS/L-Ag 5,2//30L1 G- 1 o�X6 C680,e DEEP OBSERVATION'HOLE LOG HoleNOffie Depth from Soil Horizon Soil TextureSurface(in.) Soil ColorSoil(USDA) (Munsell)_ __, �.:-.—Mottling ers. 71 G3 /� ic� ; LS �� 3VG/6 l��u DEEP OBSERVATION HOLE LOG Hole# Depth from _ Soil Horizon Soil Texture Soil Color (in.) \ ) (Mansell � Soil OOtherOtherSurface (USDA) ) Mottling (Structure,Stones,Boulders. to cGravel) ti DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) \ (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. t Flood Insurance Rate May: Above 500 year flood boundary No— Yes y d .2 -Within 500 year boutidiry No Yes Within 100 year flood boundary No. Yes - ' Depth of Naturally Occurring Pervious Material -ll Does at least four feet of naturally occurring pervi us material exist in all areas observed throughout the " area proposed for the soil absorption system? 3s If not,what is the depth of naturally occurring pervious material? —� Certification I certify that on 6 /s" S� (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 and experience described in 310 CMR 15.017. Signature Date 2 w �� Q:\SEPTlWERCFORM.DOC A Town of Barnstable g, ~Department of Regulatory Services - ` MAE& i Public Health Division 2 rF163 200 Main Street,Hyannis MA 02601 Date L Date Scheduled Time (�/"I Fee Pd. ,Foil Suitability Assessme _ nt for Sewage Disposal '.Performed BY: c:rc;rvr 2ii ✓ ��U" r✓ _ Witnessed By: Location Address s LOCATION& GENERAL j0 0 I RMATION. (� �a 1 rC �-Q Ylk Owner's Name Address S'2nre. Assessor's Map/Parcel. ?(o P(tJ O5--� nn NEW CONSTRUCi1GN REPAI R Engineer's Name 0 4Y) /r. SPecl ,y.ct _(� Land Use Telephone# S��-y g /t�=�-`/ 0�,1,.Tr�J<_ Slopes Distances from: p Surface Stones ti J Pen Water Body Al possible Wet.Area ; --�-_ft Drinking Water Well y ft Drainage Way /,,o Property Line. 7/ u ---ft Other . SKETCH:(Street name,dimensions of lot exact locations of test holes& ere test s,ts,locate wetlands fn proximity to holes) Z u I N 1A/ Parent material(geologic)1 ti�N.O(nri G i4 /"/,U2 aFo S!I Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Al b Weeping from pit Face 0 Estimated Seasonal High Groundwater (o S / J3a��U(J (j Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE Depth Observed standing in W.hole: _ Depth to weeping from side of o hole: In, Dept}) Soll mottls: in, x s Index Well# n. d _~In. Grh!tad',:..i2,Adjust - :r, Date•. - _ hi2nt g index Well levol- `A _� ft._ .-,.. ,- _ -;A� C3rtiuntlwater lxvzl,,,,_, � _ PERCOLATION TEST bate 2-/o-i� FepLh ation Time Time at 91, f Pere �,Oi�•�.L i 'Time at 6„ Stan Pre-soak'�me Time(9"•6'j) 0 i w End Pre-soak Rate Min./inch •r 3p m Site Suitability Assessment: Site Passed . ��ca _ / I �! Site Failed: Additional Testing Needed(Y/N) rG I Original: Public Health Division Observation Hole Data To Be Completed on Back-=-=------- -- ***If percolation testis to be conducted within 100' of wetland,you must first notify the, ` Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEFMC'V'ERCFORM.DOC • DEEP.OBSER;ATION HOLI✓LOG` Depth from Soil Horizon Soil Texture Hole'# Surface(in.) Soil Color Soil (USDA) (Munsell),_ MottlingOther .: (Squctuie.Stones;Boulders. tV y�F,.t 3 71 li Mh S 1, Depth from DEEP OBSERVATION HOLE LOG Soil Horizon Hole# Surface(m.) Sotl Texture Col Soil- or oil (USDA), Other , F nsel7� .- Motthng,;c(Structure,Stones;Boulders, — % Ve , z. y 10��: G�6 G o Depth from DEEP izon ATTON HOLE LOG Hole# Tex re Soil Horizon Soil Ttu Surface(in.) \ Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,:Boulders. e DEEP OBSERVATION HOLE.LOG Hole#_ Depth from soil Horizon Soil Texture Soil Color Soil Surface(in.) \ (USDA) Other Mottlin (Munsell) g (Structure,Stones;Boulders, Flood Insurance:RateMap• I Above 500 year flood bound ary No Yes - .4 Wiadn 500 year boundary No= Yes Within 100 year flood boundary No.T Yes Depth of Naturally Occurring Pervious Ma,Lerial Does at least four feat of naturally occurring.pervi us material e�rtst in all areas,,observed,throughout.the area proposed for the soilabsorption`system7 S If not, what is the depth of naturally occurring pervious material? Certification _ I certify that on '6 /s•-l S' ( • date)I have passed the soil evaluator examination approved.by:the. Department of Environmental Protection and that the above analysts was performed by me consistent with the required training,expertise and;experience.described in�10 CMR 15:017. Signature l j Date ? •_�o ��. . . Q:\SEMCTERCFORM.DOC � v 6400, T07 OF B STABLE L�N ' SEWAGE 0 ( ��b VILLAGE ASSESSOR'S MAP &LOT�A< -04 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY `°' LEACHING FACILITY: (type) �'""'� (size) Sc NO.OF BEDROOMS Jq BUILDER OR OWNEE PERMITDATE: a� COMPLIANCE DATE: ^ Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 O A• �� CTi (� - ' r6 1g�Co No. Fee Y THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[pplication for Mizp0$al *pztem Construction Permit Application is hereby made for a Pe nstruct(V or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. 'Ct( Owner's Name,Address and Tel.No. 409- G oF,,C 0j o .Is—1L. a-14%-,04- /3Aiq.o/siw 13,eGs % 7-74!-7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. r2j Type of Building: Dwelling No. of Bedrooms '¢ Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow mac' gallons. Plan Date D&-C/5— /r! 9-6_ Number of sheets Revision Date Title SSTr— /'Ke:W—6,41FA15r,4-/34L rrr/Z S?Z-7,i�11NT/ rJ> C'.4 ti pl3�Zc— Description of Soil ®`� Z " 464-^y y Sao 141` 2 z Z' 7" -74",q c 4,4,1 /v ye . 3 ?`�_Z�•• s4`/ cv M i� �z e�� z�o. !3 z rs���,�.v� SA�so 9�yrz %/b Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees %Sr' the construction and maintenance of the afore described on-site sewage disposal system in accordance with the pro tsionitle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has be isshis B ea Signed Date Application Approved by Z Application Disapproved for the following reasons Permit No. l � � Date Issued Fee 1 THE COMMONWEALTH OF MASSACHUSETTS— PUBLIC HEALTH DIVISION- TOWN OF.BARNSTABLE., MASSACHUSETTS f-G l!' 0[pprication for Migogal *pgtem Congtruction Permit Application is hereby made for a Pe onstruct(V�or Repair( ),an On-site Sewage Disposal System at: Location Address or Lot No. G� JG f( Owner's Name,Address and Tel.No. , `/3 srAi3GGs M 7-74 PAR4.Z 61 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms '�' Garbage Grinder( ) Other Type of Building'`" No. of Persons Showers( ) Cafeteria(` ) Other Fixtures `l Design Flow gallons per day. Calculated daily flow gallons. Plan Date Dec /5- /c1 99� "'V Number of sheets / Revision Date Title S'/74 /�L/ / —/�i4/??A/571 >a34& Fri/a S7c&79144-W /y_ C.4 r�pI34ZG. Description of Soil © " Z ' Z44--1 y S/,WZ> %/Z c-/1 2'= 7" J4,4p!Z k.4r /o/iz 4V 7 Nature of Repairs or Alterations(Answer when applicable) i D t last inspected: Agreement: The undersigned ag ees sure the construction and maintenance of the afore described on-site sewage disposal systems, in accordance with the pro sions o itle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has be; iss his B ea Signed D.ate lz94e Application Approved by 1 '2 .2 Is Application Disapproved for the following,reasons Permit No. � ' g �L Date Issued r "0-2•• /Z 6 L9 S -7 --- --- .-• -------------------------- -- -_-_- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS -. Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed io nor re aired/replaced( )on " by `oll e1 for as ��' fi �} � has be. n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. / dated Use of this system is conditioned on Compliance with the provisions se->foxth be ow: S ———————————————————— — ; 3 j lsst i— —————— No. ' E., Fee D i a.,,,,, t f`,r THE COMMONWEALTH OF MASSACHUSETTS 4 } rl t PUBLIC HEALTH DIVISI.ON/ BARNSTABLE, MASSACHU,SETTS.. h. 'Wigpont 6pgtem Congtruction Permit, Permission is here y granted to IC ',6 120,M A-� to construct( epair( )an On-site Sewage System located at L-�� and-as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction'must be completed within two years of the date below. Date: �� 7�i1 Approved by Title S: Draft Printed September 20, 1993 Appendix 4 Page 2 On-site Review L� /C S r Dee Hole Number Date:���� / Time:�Q..vL�. Weather a..Y.... ..r .? p ................... Location (identify on site plan) �................................................................................................................. Land Use p (96) Surface Stones �d 2�� .• ......................................................... Sloe .................. ..............°h:�..........c. .....�........................ Vegetation � .w . ::.:_.....:::._M..,..:,_: ... �,. A M::�.�...:M ..._..r.. ...... :.:.,. :�w..:........,....:.........:............M.._......_......,M . ....::._... Landformw�:. .:..� .: . ._� :M . �.. . wM� �� ....:..:.,w,...............:.:..... ....:......._.........::.. �.....�. :.. Positionon landscape (sketch on the back) ........................................................................................................................................................ Distances from: Open Water Body ......... feet Drainageway ................... feet Possible Wet Area .....:7�.... feet Property Line ................... feet Drinking Water Well e �7t feet Other :::..:. .:....::.._:,:::.. DEEP OBSERVATION BOLE LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) (Munsell) (Structure, Stones, Boulders, / Consistency, % Gravel ( /o 716 FEE- ParentMaterial (geologic) ............................................... ............................................................ Depth to Bedrock: ............................ -Depth to Groundwater: Standing Water in the Hole: ................... Weeping from Pit Face: .................. Estimated Seasonal High Ground Water:. ................... o GJ Cli p, i v \ i 4 ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 • Sandwich, MA 02563 (508)888-6460 • 1-800-339-6460 - FAX(508)888-6446 CLIENT: Steve Campbell LOCATION: 559 Old Tr-wA Lane Barnstable, MA SAMPLE DATE: 5-6-96 COLLECTED BY: Ray Leary DATE RECEIVED: 5-6-96 TIME: 11:00AM LAB I.D. #: E5103 JOB TYPE: New well SAMPLE I.D. #: E5103 WELL SPECS. : 94-/77- static RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100ml (MF Method) 0 0 pH pH units 6.0-8.5 6.60 Conductance umhos/cm 500 100 Sodium mg/L 28.0 20.1 Nitrate-N/Nitrite-N mg/L 10.0 0.12 Iron mg/L 0.3 . IT 0.05 Manganese mg/L 0.05 0:006 Volatile Organics See enclosed report. EPA 601/602 ug/L Chloroform 100 2 Toluene 11000 0.9 Ortho-Xylene 10,000 100 ,Yes No WATER IS SUITABLE FOR DRINKING PURPOSES FOR P S TESTED. X3IX • Ronald . Saari Laboratory Dir for IT = Less Than , 5-, 9-96 15:58 ;GROUNDWATER ANALYTICAL ENVIRQTECH 508 759 4475;tt 2/ 4 GROUNDWATER ANALYTICAL EPA METHODS 601_.and 602 Volatile Organics (GC/PID/ELCD) Field ID: E5103 Lab ID: 13..263-01 Project: Campbell/569 Old Jail Batch ID: V,G2=0.829-W Client: Envirotech Sampled: 05=0546 Cont/Prsv: 40ML VOA Vial/HC1 Cool Received: 05-07-96 Matrix: Aqueous Analyzed: 05-07-96 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5. Chloromethane BRL 5 Vinyl. Chloride BRL 5 Bromomethane BRL 5 Chloroethane BRL 5 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform 2 1 1,1 1-Trichloroethane BRL 1 Caron Tetrachloride BRL 1 Benzene BRL 1 Ni1-Dichloroethane BRL 1 chloroethene BRL 1 1,2-Dichloropropene BRL 1 Bromodichloromethane BRL 1 2-Chloroethyl Vinyl Ether BRL 5 cis-1,3-Dichloropropene BRL I . Toluene 0.9 j 1 trans-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Di bi oPli och i or omethane BRL _ 1 Chlorobenzene w BRL 1 Ethylbenzene BRL 1 meta-and para-Xylene * BRL 1 ortho-Xylene * 100 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2"Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene4 30 34 112 % 87 - 113 % 1,2-Dichloroethane-d4 30 35 117 % 83 - 117 % J Analyte detected below the reporting limit. Analyte result is an estimate. BRL Below Reporting .Limit. .* Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics. 40 C.F.R. 136, Appendix A (1986). No.A Fee----ad r--------- BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion Ar Veil ContructionAermit Application is her by made fora rmit to C nst uct ( ), Alter ( ), or Repair ( )an individual Well at: P �a 1 n _ --- ------------ -------- ------------------------ ---------------------------------------------------------------- `— L cation — Address Assessors Map and Parcel --------------------------------------------------------------------- Owner Address ----- — — ------ ---------------------------- ------------ —---- ------------------ Installer riller Address Type of Building Dwelling---------------------------------------------------------------- Other - Type of Building---------------------------------- No. of —-------------- Type e of Well------ �VC--------- -- - -- ------ ------- Capacity---------------------------------------- Purpose of Well---- ----1�i1 °�-_--I�1rL----- Agreement: The undersigned agrees to install the of edescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Pr' a Well rotection Regulation — The undersigned further agrees not to place the well in operation until a C 1 icate m 'ance has been issued by the Board of Health. Sign ° -- - -- - ------- date Application Approved By -^.�'a�'""��--------- ----- date Application Disapproved for the following reasons:-----)-------------------—-----------------------___—--------_—____—----- -- ------------------------------------------------------------------------------------- date Permit No. ------�f- --— ---- --- Issued--_ - -------t-Ia---'-<--s--------—-— —---- ---------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (>�, Altered ( ), or Repaired ( ) bY------------- �C=e_�- - —__ ____________ ------------------------------------------------------ -------------------------------------- Installer nn at------------ I-----&-_-c->_U -—- has been installed in accordance with the visions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated—=-------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- --—--- --- Inspector--------------------------------------- — - r _ r,yr{'� „�r•�'tt'''.+n,r ?7�_�'«`.e 4 i"'��yr7""r�j"r'+�r�+p�� b\�(-'µ.'1+�-�.�.J�.fU*...,.c..C.'C�i'�'"`R¢K�'el��.h?r .�+� ��):�iN`.�-�'vt., +i gyp- . �_. 'h *-� / � ,� •VI / �"^. .� R-.��- �'------ ' BOARD OF HEALTH _ r TOWN OF BARNSTABLE pplication-*rVell Contruct ion Permit Application is,hereby made for apermit to Construct ( ); Alter ( ), or Repair ( )an individual Well at r...� L cation — Address Assessors Map and Parcel ) a --- ----- — — — —— — — — -- —— — — ` Owner Address ----- -----�r_ms------;�� --------------------------------------- ------------------------------ --------------------------- Installer Driller Address Type of Building l 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 Privaie Well Protection Regulation The undersigned further agrees not to place the well in operation until a C I icate m Dance has been issued by the Board of Health. Sign — --— -- ------ - - -- ----------- date PP I A lication Approved BY ---- �wT date Application Disapproved for the following reasons:------------ -- --------------------------=------____________—___�_______--_ — -- --=—A --- ----- - -- - -- —- - - - - - ( q — date Permit No. - -¢- — _ 3--- -- Issued--- - !' �� ---------------- date l a•-III®f�m01.1�r'Ol�d'�-.�+0wasr'.o�'ia�e�-.+R�O�diliw".I[��'s���!!R_4 .bl���lvl�'���i��.snF."�afY�P.e�-�Yi-�f1�..4m.�n�¢�'t�l�-jai tlry�a viglf�L��ll�Ll!liE6 t BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS;TO,CERTIFY; Than the Individual Well Constructed (' , Altered (. ), or Repaired ( ) by ---- - — -- -------- - ----------------------------------------------------- ---------------- Installer II at — - k o - ' ---------—---------— has been installed in accordance with the lJrAvisions of the Town of Barnstable Board of Health Private Well Protection ` Regulation as described in the application for Well Construction Permit No. � =- -------Dated-------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL-FUNCTION SATISFACTORY. f DATE= -- --—--- ------- ---- Inspector-- ----------------------------------- ---- --— - BOARD OF HEALTH L TOWN OF BARNSTABLE . , � . well �onotruction�ermit Fee Permission"is hereby granted----t -'�—' -=--�' =='0""''�------- - — ------- -- - to Construct (\a, Alter ( ), or.Repair ( ) a Individual Well at: Street as shown on the application for a Well Construction Permit '= — - Dated--- -`fit 5 ----------- - No ------------ .J -- ----- — t-> -- ----------------" - -------------- - Board of Health DATE =— I : n LOCATION T�f3 .. . SCALE . . /"z 40'. . . PATE No✓ !99 ' PLAN REFERENCE . P.�► �. .-.ter: . . . . . . . . . . . . . . . . . . __ '� �` Ole v 14 _ N ����'_ �1� �•`ter j . o icy A 0 OL�y 20 •�'f tnirn. t toP of f 1 Sin ei = 7/ ,ni n. „ (A . y covers 4.y cast i ron or "' 2" !a ye r o f SlL sch 4o pVG 2„ pipe wl min. _ pif'cfy l�4"per- :%;; "max• washes/ % n • c peastor/e foot ••; 4 sc�j. •�/o pvc pipe. pitch r/8 line _� I•�Y '_ c/ea.r7 i art' 36`�nin`x• i.-tv. el. io _7 „_ego. f3 ti ° • go GO �S —s—• 005 • , ee• • o0 o •f qa/inv. el. , sfone base a o, � �, V�1 1 � �-� � e • J-� oT se tic tan/c 0. 2 ° • •' • .: " •: : `.• � V . ��'7� •���i�E ihv. el. ':e ° ° 3�4N-/�Z� washed• sf'vne.' •••� ,8 J —_ Q/ /�G• Qy /`^ .• q O � •e .e • . e . . .•° ° e • •: •:e vee • �• t '' �� °ro':;c shed„stone;base:•: C(isf. �v. e/. ✓2.G7 X ` '/, ��!` �;q�� , '/ `�--- •- box /n I � 9royr7a/ wafer fable e/ev. = .tl`¢ boffort7 Pest hole- e/ev. WAGE. oF E SYSTEM PR /L SE V : / r7of• -0 sca/e. w u ao c -a../ mac. S/GAJ D �9 ` -/9 x. I NUMB E�2 OF B E 0�2 0 0 M S T S T H G G. L O G � GAS SAGE D/SPOSo9L UN/T : TEST DATE �E[�• 10��/� FLOW Gt//TA/ESSED BY: -�AVrd ST�f�J?`aiJ �''e S, EST/M/9TEL3 � R>n UP ,o O G A L. 8 R. DAY x _�` . B,e. �2 u ` C I �� PE�2coL'AT/oN �eATE : M/N.//ivCH rvP \ 1 - Gr9L. y --P- R / E 'SEFaT/C TAN/ CA, 8So /� DJ^r� , ��� o / ACTUAL SEPTIC .TA /S�n - Sv o r IJE a / Za ` / o � \ 1/ � G E ACH/NG AREA E U/ NT S : A 4:F s- A c,f.s• S/DE MIA LL•7Gi9L. p,2. 2 3" /OY�3�z �'2.2 i ' _ 8` f BOTTo/�/f - / . G 3�7- ? �� �w, .�,f S. $w c.F.S. 1 \ \' 000 TOTAL LEACH/NG CAPACIT 9" �o /P9�.� Jo/nY/s f i ��� 23W% ,F.s. S 9 . /oyRS/L GA �G` �1i �\ RESEr2VE LEACH/NG C A P A /TY \ N GAL. G G ell i E Al 0 / L T G /) ALL woRkMANSH/P A/Vo MATE /2/ALS S4"JO E c ,� cv SHALL CONFORM . 7-01 D.E.P. . TITLE 5 joyp4/� IJAL'/ I � � l \ ` /2ULE HE TOWN OF � A=! )S TAf e ms' ND E UL TON � {� SUBSURFACE !�/SPOSAL/ . ii OMPL/ANCE W17- ZONING R G ULi9TI0 A/Sti - P - 0 BI L LO/NG I ` /NSP'E CTo� COMM/SS IONEr2. 1 o �/ .0-1 � � ` 3� EXISTIAIG 9ND 'FINAL riEADES SHALL v )E'.EMA/N '" E-SSEA/T/ALLY THE -SAME-. �� y 'f A-O�}770A-1 O� q,Z-rC (lj/[,/Tl D i9 7-E f�PP, o V E !D . W r2 /�! LP VZS E' c eXV/ 404Y ,P,PFbM • B D. OF yE q LTy AGENT l b PLIqAJ aF f='l2 OF) SC- O G O/V STA=, UCT/ AJ O � � R E:F C-2 E -55 AJ C C- : $ �S , S,3 O,J"_ Z to �.'� GG. S -- 13 ye- C, 8S /T� A /V E PA E D Fop, — 7772 ��/�iC� ; S C A L �5 SHOGI>k.,/ p -E . tom. 12 Z01ulA u F G �. C.— !/-Ci D�� DAVI LEGEND �iOF�q f I SIHM S of e/e v. = p.0 �' � DAN d y 9 P _ o� W Pr'x/Sflrl contour - __ A. - •fyp. prop. f,n. spot a/ev. o. o o NO.394AN /,�h•/T� cSL>/ZVAS' / f� �7► / � . 5 prop. •fin. c o n to v r No.39402 r�-� � �' ,`..�, ������ P��� ��V. i -f est ho/e oca�•ior� o /5- c.PCx}W L O C AT/�O/l/ MAP / _ o P SCALE: / ..� W v o�3 ?Z 5 5�� Lo T 7 i i f s EL.... :. . . . .. . TOP OF FOUNDATION CONCRETE COVERS 5� ;' 4..CAST IRON OR SCHEDULE 40 4"SCHEDULE 40 PV.C. (ONLY) 9 MIN " 36' MAX P.V.C. PIPE MIN. PIPE- MIN. PITCH 1/4' PER.F . PITCH I/4"PER.FT LEACHING TRENCH (../..REQUIRED) I _ I/2" WASHED Pt STONE ` a INVERT I L l" �JJ n n n n—� n ri r i n EL.. 4i.. INVERT INVERT —n 12 Q I I SEPTIC TANK EL•.•" DIST. EL. p •••• z .` 80,7 7 .85 3/4 - 11/2 WASHED STONt INVERT — D O Y i 9 i Sov GAL. � INVERT INVERT L. .0..02 EL.. .. r1 /ERT / - 7 '. 6' CRUSHED STONE E � I . • .. FLOWDIRE�SORS ��_ —�=-- I 6z� PROFI LLE OF -- t • •' '' P GROUND WATER SEti�'aGE Dl SYSTEM �� TABLE / / l SPOSAL StiSTE:M TYPICAL CROSS SECTION 1 1 SOIL LOG E D 4, oi9,� NO SCALE LEACHING TRENCH � DATE . �. . . ¢ . . . .� T'. .tE �O.'.�. . . . . . . NO SCALE. TEST HOLE I TEST HOLE 2 ELEV. 83. E 83,.5o DESIGN DATA WASHED 36"MAX .,• _,• (nw�r/oSnn/n NUMBER OF EE=ROCMS SiGNE ' KEY. T� 2 - Fc"�3 L . p/of C S Z� fi s guvd.�t S, r..,�Z �:.'rjr TOTAL ESTIMATED FLOW ` '�) GALLONS . "Y Y+77) ?— /a 7' E[. .�.. f► - LLON - =} — ;.� 2 4� s,*. C'y 4PA" a $.�z. 43. _ ��y , � �'— t '--- � dox ti ° � /.yK °f� ;i: g srv►,pr�.oi EOTTOM LEACHING AA ` 5�.. ./ nc.`. /C. A• / 3 \ res• +\ , SIDE LEACHING aRE., <SO.F T./TRENCH/ \E+blF R.79So C,RC 3/4 I I/2'WASHED �L. \C \ p,4- _ \ � ' % C� C GARBAGE DISPOSAL !.'1n^!E.•(50% AREA !NCREASE) = STONE ` ��F:v 7v !/ /�G`F� �• T NCTi�F..�E I (' TO'TAL LEACH NG AREA G S� E d'ue ty' �E . . . . . ... �.F T. / Jtsr %2'x36' /ayK. �` SAary FERCOLATICN PATE LESS"7i?1Ar!T1r6Ni�PER. INCH 1! / az ��' Q� roftS I y 4 LEACHING AREA PER PERCGLATIGN RATE / d SC.FT/G.�D• 1 S/p z E I GROUND WATER TABLE i + / 6z- 7Z 4a /5" 61 _;b°-5o APPROVED ° L 4" Pr -- -____- BOARD OF HEALTH icwp N. ,WATER ENCOUNTERED DATE . . gee /�` /••_._ � .. . . . . . . . .. . . GENT 0R INSPECTOR ..g ;� t t� p®�®'CHOF WITNESSED BYa� A : � .� `rDI✓9 . . . . . BOARD OF HEALTH C ^ y c=? ST ENGINEER 7D �All.All.GC - 4 /ee& ?L,j.N ��iE'i,Y✓!. 'L r .s.,';� ,ta ^�'` . 6 Z_o PE'iT:ONcR `TyNe-u /`7, G'AN,��- " 1EVAv�°�• C b c2�S f i --- ---- - 4C>/� zoo, o'n - STD T� �i,�<,��'�y �©vT�- � 7 K 1,4-/C A/ A74. I ,'M — �ZEVAr1DA1.� �.A.sE� 0A/ L��Su��� Z:. rz�fr