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Home My WebLink About0008 DOVE LANE - Health /.q ^8 Dove Lane Marstons Mills A = 013 - 0007 - i i r � g �O C E'9N A E�PERMIT NO. 0CATIO S C 73 ,VILLACE �T. �(p 4 � INSTALLER'S NAME i ADDRESS1*ie 3"dm l Rom (� R BUILDER ORf ) OWNER Al 1? 4-A DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED a tu e-�� Nof V Fr THE ACTH OFUAS TS -god B®Af[® HEALTH �r Ap irFa#iou for Uhgps al Works Tonstrnrtiun ramit A lication is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System a � • ...........- ..... « •• . ....-•-••-• !s-s�tc;s?—---------- ............................................. � ... / ............ ` ocati/qnf-Ad ss // / or .............. Ow .................................. F�- � ----------------------4--------- ,� Installer Address dType of Buildi g Size ........Sq. feet Dwelling—No. of Bedrooms......... ................................Expansion Attic Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a � Other fixtures -----•------------------------------------------------.------••-------------------------------------...��c ........----------........----_... . ..W Design Flow.........S-j:7......................... per person per day. Total daily flow---_._._....................................gallons. WSeptic Tank—Liquid capacity/Dd_a..gallons Length-_4V...... Width.-V"!�_P_._ Diameter................ Depth....4........ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------/......... Diameter......._k__..... Depth below inlet.._ ........ Total leaching area.... TJF-....sq. ft. Z Other Distribution box ( ) Dosing ( `" Percolation Test Results Performed by................ ..... Date__.._ W (..... 4-' --------------------------•-------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -------------------------------------------------- ..•-••••---------. -------•------------ ---------------------- -.... -... ---------•---------------- 0 Description of Soil........................................................................................................................................................................ x U = .......... W 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 TITLEj 5 of the State Sanitary Code—The undersigned further agrees not to place the system in o eration until a Certificate of Compliance has b en issued by t d of health. Q d lication Approved B .••••••-••----••--•••--•-----•-- ........................................ Date Application Disapprov ff or the following reasons------------------------------------------------------------------------------------------------------------..... ---------------------•------------------...--------------•---.........--•---------------•----------•--....---•---------------------------------------------------------------------------------------•-•- Date PermitNo....................................................... Issued----------------------................................ Date 10 ................... -N9�= •� �1...t - Fxs.............J.. _.............. THE COMMONWEALTH OF MASSACHUSETTS ------ BOARD O-F HEALTH -----0-,.. ..`..------------------OF...... ... .................................................................................. ApplirFation for Disposal orks tonotrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at 1 �`� c> /r•nnocatiiPn��-Ad�ss,,// /' �Vp .......... ..i:f..Cd........` _"�:'!_�....]_................. '7'� �///� .. 1 t ..I.VV... ^; Owner "`- Address a ' .—...................................... .............. s� - � Installer Address UType of Building Size ........:Sq. feet Dwelling—No. of Bedrooms.........-..............................Expansion Attic Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures . W Design Flow.........5"3'.........................gallons per person per day. Total daily flow....... .....................................gallons. WSeptic Tank—Liquid capacit}✓e)r.A,)_:-gallons Length.-l'�-...... Width":5'.._.__. Diameter---------------- Depth....!�i.._...... x� Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......... .--_-_---- Diameter....__._s�� ._. . Depth below inlet.. !._. ...... Total leaching area... sq. ft. Other Distribution box ( ) Dosing-ta* (. ) Percolation Test Results Performed by............ :.t<.�_.a_.......I c..:..................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 a' •••-•----•--•--------•--••--••---••--••--•---••-----•••••-------------------••--•---.....--------••-------._...-•--•-----............---- ----------------•- Description of Soil.....................................................................................................................................................-.................. 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 Sanitary Code— The undersigned further agrees not to place the system in o !ratioonn until a Certificate of Compliance has bren issued by the--board of health. --' Sign! .....--••-•--I ---••---......-•---'=-----•---------------•---•---•----•-----a i n r ct o App sued BY--- •-- --=-=----------------------------- -----•-------•-----------•-••--------....._..-- Date Application Disapproved or a following reasons---- ----------•---•--------•----------------•-----------•--------•------....................................... ...................................................... -.............•-----------------------------------•-----------------------------------•------------------------------------------------------ Date PermitNo.......................................................... Issued-....................................................... Date w,K THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................I.,.......OF..................................................................................... r Trrtifirtttr of TontpliFatta THI CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by r ----------------------•---------•--•-•--------------------.--•------------•------ " �,r Installer has been installed in accordance with the provisions of TITL.. z/�pe State Sanitary Code as described in the application for Disposal Works Construction Permit No.._.................................... dated........................_-_--_-_-•----- f THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM W L FUNCTION SATISFACTORY. s DATE..?.. /.... ..................................................... Inspector---.. = THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� ...........................................OF........................................... No.....6............ .......................................... J` FEE........................ to oott rk� Cnonotrnr#ion anti Permission is herre>y granted.------ '�-�, ispo ----- - ------------------- -------- -------- ------..... .......... to Construct ( ) gf- tr (t ) a div ual Sstem atNo. - { -•-------------------...... -----------••------------•----------••-------------------------....-•----•••. Street as shown on the application for Disposal Works Construction Permit.. .;s, ................. Dated.......................................... � Board of Health DATE.. .} FORM 1255 A. M. SULKIN, INC., BOSTON Log number: Bott # 17W Date 3/13/84 BARNSTABLE COUNTY 'HEALTH DEPARTh1ENT SUPERIOR COURT HOUSE V BARNSTABLE, MASSACHUSETTS 02630 ° AS$ ' DRINKING WATER LABORATORY ANALYSIS PHONE:.362-2511 EXT. 331 Client: Joe Breen Collector: Meehan Well Mailing Address: 222 Lake Shore Dr. Affiliation: Marstons Mills, MA 02648 Time & Date of Collection: 3/12/84, 1 :45 p.m. Telephone: 428-5376 Type of Supply: well water Sample Location: Lot 40 Well Depth: 65' Lake Shore Dr. Date of Analysis: 3/12/84 Marstons Mills Parameter Sample Result Recommended Limits Total Coliform Bacteria/100 ml 0 0 pH 5.5 Conductivity (micromhos/cm) 47. 500.0 Iron (ppm) .08 0.3 Nitrate-Nitrogen (ppm) �c ,04 10.0 Sodium (ppm) __ 20. XX Water sample meets the recommended limits of all above tested parameters.. Water sample has higher than average levels of nitrate. Future monitoring is recommended (2-3 times per year) . •. The low pH of the water may shorten the useful life of the house's plumbing. Water sample may present aesthetic problems due to Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. Water sample is not• recommended for human consumption due to Retesting is suggested. REMARKS: CC: Meehan Well Drilling CC: Barnstable Board of Health Lab Director 11/7/83 Lx- �aiNGLL- FA CO�oM GACZ p /o/•s� _ ^S o0 �I ljEPTLG 't A►JK = 330xl5c>% ij' U 51✓- � o 0 o GAL.. //�' /o,S,S .�I /�S•G �`' 1 � ol5Po5nt- PIT v5E IooO GAt-• r I 5 l,CWALL Ae�a 150 5.t= x = 3? BOTTOM nQEA= 1I -T oT A L- D E 51(IN 42 5 G.P. D. II -TOTAL_ DA►LY F�-C>W _ 3306.Po /as / o i, pE2CotAT1DN RATE � I''IN 2MIN o'�L.ESri ��tNak//Gf�/ .o ` �--- jl 3 -�07 aA,�✓s� .�T ; vV �l '- o��y DAVID RfcHARD A. 0 7AIN BAXTER No- 29976 f TENAL 1 3/23 jg I rPE�UY� //.✓S�J/T•QSC� �ATFQ/4c.... ` l Any �£-�id�� ►a/-LG�,4.v�i�-c.. T6`�T L9Z7 Fob /oS44e- Ae44,-Vd--"- /a J4 O To P FNL) 1 I � r•- r �T �' o� ►oou INV. I I ,fCVt� D / v)C IlJ�. SEPTIC � I 3 IOVU N (• j 4tp,Q TANK Gay .. /�•L \ / 1 I LCAC-u 4 pl'r INV. INV. �ltr'a. To ul I T u /ao.,5 Gwas I'/3/�. 1 VL WASu6D I 5 GQe✓2•t - ru►rE CE2TIFIGD PL-oT PLAID ,�.5"o•Z PRUFII..� L,ocA-rlorJ -moo. ,�4n/�vt�iGH wAe tom!O S C A L E CA L E '_ �c�/p'. V ATE N REF 6 2E►`I GE 1 cR�ol.l GoMPt-`�5 Yf�N��S� NE �co� L�IU A►•ID 56T5ACK 26Q��R.EMEN7'> of -Tl�� 'To W hJ O F SJi N r,,tU ccg AND 1 S Z 7S LOCp.TED WITOW T146 GL-OOD PLn114 DATE 3 Zo aL � Q BAxTEcze IJ`(E INC REG 15�T�.1Z6•U'►.Au D S u V-y EYoe`- Tu15 PLaN 15 KJCrT 13�'>r--D o►d A.IJ OSTE2VILLJr 5S I� I U�jT1'Z.V ME►.1T ��u Qv>r`( F 'T NE o►-FSETS Suout� /�. r r-,�-r c v •n i �I c_ o T . 11J F_S 4 P P L.I C A►�T'�c+crvl�d. .ST'/ds-'�' APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS �99-C,1 G ;� _ �NO.7 LOCATION Lot 40, Lake Shore Drive 2 �7 VILLAGE Marstons Mills 6 vt LYt, DATE APPLICANT Sound Vest Associates, Inc. FEE__ (ADDRESS 246 North St. Hyannis, MA. 02601 TELEPHONE NO. 778-4911 (Non-refundable) ENGINEER Baxter & Nye _TELEPHONE NO. 428-9131 DATE SCHEDULED 4A Treasurer (Ap licant' s signature) • • • • • • s o 0 0 0 0 0 • o •e o e e e • e e • • • • e e e • e e • • • • • • • e • • • • • • • • • • • • o • • • • • • • • e • o • • • • • e • • o • • • • • • SOIL LOG SUB-DIVISION NAME DATE_ Z 3v TIME EXPANSION AREA: YES V-"NO� ¢.rT�.e��t/y�_� ,?py��' ENGINEER TOWN WATER PRIVATE WELL L/' �:, �-,¢�� BOARD OF HEALTH EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES: lti" ZiG�74 0001 1/ S��nisT.aBL� V � PERCOLATION RATE: TEST HOLE NO: ELEVATION: TEST HOLE NO: Z ELEVATION 2 �Uc �Or 2 4 `' r 4 5 5 6 /6�i,-> Go.4,� 6 9 9 10 10 11 11 12 �//�i"L��. 12 13 13 14 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD !/LEACHING PITS_t_/ LEACHING TRENCHES-sue UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION iORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH ( COPY: - RETAINED BY APPLICANT