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Home My WebLink About0069 SHIRLEY POINT ROAD - Health (2) C�� -,�rf� Pais-� R� ., (�.��- �, ow No. .... .�5Fma �j THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...........fowo...........OF......BA945TAS ......................... Appliration for Diopos al Workii Toustrnrtiian runfit Application is hereby made for a Permit to Construct ( Vo<or Repair ( ) an Individual Sewage Disposal System at —- J ------.PD1.14T:.----- . ..._ t� /. � .. ----------- ----- nnLocition-Address r Lot No 74 ! ) OwAer 1 �• Address . ._.__�. ...�..+�1-C----------------- `tom Address pp AA Type of Building Size Lot_.j...L__�! .._.... eet Dwelling—No. of Bedrooms......................................Expansion Attic ( ) Garbage Grinder Other—Type e of Building No. of persons............................ Showers a YP g ---------------------------- p ( ) — Cafeteria ( ) � Other fixtures .- ..---•......................... --- ~ W Design Flow..................... _- ------.--gallons per person per day. Total daily flow....................... .........gallons. WSeptic Tank—Liquid*capaciity. Wgallons Length................ Width...... Diameter..._.__..___.... Depth.............__. x Disposal Trench—No. ......�__.1/A Width____.` ...... Total Length.._....6..0 Total leaching area_._.. Zt-__sq. ft. Seepage Pit No.-"______________.... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( wl Dosing tank ( ) r P 0-4 Percolation Test Results Performed by. l ..�!_L� ___�(.l --_-•-._.-.--- Date....._11-1:5.45.......... minutes per inch Depth of Test Pit...... Depth to ground water__.__ . Test Pit No. 1.__.__�.__. P P �• P �' ,��--------. 44 Test Pit No. 2.......Z-...niinutes per inch Depth of Test Pit...__�l�i_Z2.. Depth to ground,water-_- �as......_.. P4 -------------•-•-••-•.......-•-••-•••..........._--•-•-................_.....................--_._._:....... O Description of Soil_...__ "............................... .. W _ _ _ _ __ _ _ DESIGNING =t�"• f'" �rn-►�1rS1`-=--------- _. ._a ,, dt �n U Nature of Repairs or Alterations—Answer when applicable...NSTALLA'1"If�hl"RRiG'L1=rf�d "og�N Allrmi`�'T ..... .. TR SYS-TE 7-'V�i AS""t NSTAL9:1E�3-•11'� !----3 ---""""--"""""--"-""""""•"""--...---•""-"----"""----""-""""""•"""""""--"-"••"".......•••-•............. — ----------•-•-----------:-- Agreement: O�DAi�I "i�'i'�i- t'�g:............"----- -- The undersigned agrees to install the afore scribed Individual Sewage Disposal System in accordance with the provisions of iITI,I 5 of the State Sanitary C —The der igned further rees not to place the system in operation until a Certificate of Compliance has b ssued t e b d of health. Signe tea,•,.. ...................•"-- �'7 J' ats Application Approved By---- """ = f j �P ....._.. Date Application Disapproved for the following reasons:................................................................... . ......._""-"--....._.. ............. e- Date Permit No.__ ;- Era------- ._(..------- Issued_....................................................... Date Fizz................. ... No_�26... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OFIHEALTH ......1.0w.0...........OF...... Z........................... Appliration for Bisvoiial 'Worko Toutitrurtion ramit Application is hereby made for a Permit to Construct. ( V<or Repair an Individual Sewage Disposal System at: ............. ��JJFWLV 4 ... la .0.... ...C.&J.m-vi.w.I j��a.............................................. ...... !!! E ... Location-Address or Lot No. ................................................................................................. ................................................................................................. Owner Address tw^tik i Address:�UAI*r Type of Building Size Lot-_- t U Dwelling—No. of Bedrooms..................Z?.......................Expansion Attic Garbage Grinder 04 Other—Type of Building ............................ No. of persons....._.._._..........__.__.. Showers Cafeteria Other fixtures ............................................................................................................................... ------------------ Design Flow....................5.5 gallons per person per day. Total daily flow.......................kZS---------gullons. Septic Tank—Liquid capa city . �g' allons Length................ Width__.. . .--- ----- Diameter__.____._______- Depth................ Disposal Trench—No.......5...491,64 W i d t h.....1.7;4...... Total Length....... .. Total leaching area..__.7Y.0--sq. ft. Seepage Pit No..................... Diameter.__..,_..__...:..... Depth below inlet..............._._.. Total leaching area..................sq. ft. Z Other Distribution box toOl Dosing tank Percolation Test Results Performed by... . .......................... ... Date...... .......... Test Pit No. I...._..Z------minutesperinch Depth of Test Pit...... Depth to ground water.__ ---------- (T4 Test Pit No. 2........Z__minutes per inch Depth of Test Depth to ground water-_- -6.......... P4 . ............................................................................................................................................................. 0 Description of Soil..... . ... ........................................ -------------------------------------*------------------------------------------------------- U ................................... ...... ...... ............................................................................... ........................................................................................................................................................................................................ 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 T IT LE 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----------------------.............................................................. ................................. Application Approved By----- 11 CO-------- Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo.---- ------- -------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH YLv�A A ...........IO. 0(Intif .`..OF...... .. W ... iratr of Tontlifiatirr it? t the Indi *du I Sewage Dis osal System constructed or Repaired I �0(,/�9?4� —I—__ by ......................................................................................................................................... 1nstaller at....................CO.....s ! (el. ... ........an ------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TI 5 of The State Sanitary Code s des ribed in the ...7 application for Disposal Works Construction Permit No.....................C75� .. dated-...__. ---- - --................ THE ISSU.\ANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN.CTPN SATISFACTORY. .DATE...........................L -24 4j ....................... Inspector.............1-k" ........... ------t............................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . TA 7 ..........OF.. R................................ ..................... �N ...G.2 FEE f? ......... la oA A kv I \Biaposal Work.5 Tonstrudii and Permission is hereby granted...... r U /,AJ C(!;-A). . .... ................................................................................................... to Construct or Repair an In4ividual Sewage Di System Pe to Construct" s 0 atNo.....................................L .....E.1.................. ..................................................................... m-tru S c S t i Street S ow 7 tZ Permission as shown on the application for Disposal Works Construction Permit �w----------- ........... ----------------------------- ..................................................................... Board of Health DATE......'..._._... kb ..... ...... . .............................................. —"Hoe BS & WARREN. INC., PUBLISHERS Massachusetts Water Resources Commission/Division of Water Resources WATER WELL COMPLETION REPORT WELL LOCATION Address �'t t r- e�.� ��I M T. �t City/Town 17sanl'fCt 4l A (; - G.S.Quadrangle Map Grid L(n7ation Owner �"�'a�_IC L. .4 r�wit .4 V Address ELL USE CONSOLIDATED WELL Domestic Q Public ❑ Industrial ❑ .Type of Water-bearing Rock Other Water-bearing Zones METHOD DRILLED 1) From-To- Rotary(type)—Cable ❑ 2) From To Other 3) From To 4) From To CASING Depth to Bedrock Length t Diameter Type PVl^ UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materials Feet below land surface Sand: fine❑ medium❑ coarse Date measured 7/9 Gravel: fine❑ medium❑ coarse❑ GRAVEL PACK WELL Screen: t Slot# 6 length '� from 2,P to 3 Z- Yes El No u, Split Screen(or 2nd screen) WATER QUALITY TESTS MADE Slot# length from to Chemical Biological ❑/ Depth To Bedrock j PUMP TEST Drawdown ` feet after pumping days 90 hours at 46 GPM. How measured (J lt?.O K a-V J Recovery / feet after lA..., hours. "t LOG of FORMATIONS . COMMENTS:(On well or water) y' Materials From To rA r•l ,u u DRILLER m Firm ATZ AN0 I r <aa� L_ o ��ryt n 1 44 a Address_- 3Al, t74,c 7—r A4 9 01 �\ City t12(r Registration No. ? perators ignature Please printirm y 10M•9-78450519 BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville, Massachusetts 02655/Tel. (617)428-9131 WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering December 30 , 1986 Board of Health Town of Barnstable P .O. Box 534 Hyannis, MA 02601 RE : Applicant : John A. Largay, Jr . Lot 11 - Shirley Point Road Lake Wequaquet Gentlemen: In accordance with the terms of the permit , I have provided construction inspection for the installation of the septic system on Lot 11 . The septic system and the well have been installed as per the approved plan. I trust that this meets your present. needs . Very truly yours , Peter Sullivan, P .E. Baxter & Nye, Inc. PS/fmj KIP R MEMBERS OF ' CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS