HomeMy WebLinkAbout0255 MEIGGS BACKUS ROAD - Health 255 MEIGGS BACKUS ROAD
Marstons Mills
.A = 030 — 090
TOWN OF BARNSTABLE
LOCATION SEWAGE #
VILLAGE M c ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. c �� 27
SEPTIC TANK CAPACITY C/ --
LEACHING FACILITY:(type) �( ��4'L�- (size)
NO. OF BEDROOMS 3 PRIVAT WEL OR PUBLIC WATER
BUILDER OR OWNER m UN 5' �
DATE PERMIT ISSUED: �?(17
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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VILLAGE M A�l p)l/ jZ/:� ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY /0�-w
LEACHING FACILITY:(type) (size)
NO. OF?BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER U W ffie
DATE PERMIT ISSUED: '���- 's ^°ezw
DATE COMPLIANCE ISSUED: Vie/
VARIANCE GRANTED: Yes No 'j'
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
s A5k V�FI�t1�Yt forUt��[os�tl uxk� C�ati��itrttDlt rrnttt
Application is hereby made for a Pe 't to onstruct ( )/or Repair 00 an Individual Sewage Disposal
System at ..�� Y..... WW...... /.,vl�.�Gl •5 ......... •.............
- .. ---.•••--
o. - L ...... Lot No.
a ............... � V „1 �� ...................................................................1.................•........•..
Installer Address
d Type of Building Size Lot................ .. .. Sq. feet
U Dwelling—No. of Bedrooms..........k3............................Expansion Attic ( ) Garbage Grinder ( )
�'4 Other—Type T e of Building No. of persons...........:................ Showers
YP g -•------------------•---.... p ( ) — Cafeteria ( )
Otherfixtures -----•-------------------------•---•------------------.----•-------------------------------...._...._......------....- ......--•-
W Design Flow.....................................�. ..))_gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid'capacity../M gallons Length................ Width---------------- 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.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit---------_.......... Depth to ground water-..-_-_-________--___-_.
44 Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................
04 -------------•-•--------••---------•----•-------•--•-----------.....---------............---•-••••••.........................................................
0 Description of Soil...............................................................................:................................................. ..................................
U ....----------------------------------------------------------•---------------------------•---•---------------
U Nature of 4epairs or Alteratigns—Answer when applicable-._-______�______ __ �_______________________________________________________
y - 7----•------•-•-•••--•-••----------------------•---•--•----•-•----------..--••-------------------.•--.------........_.---.---.----
Agreemen
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
y p p been issued by e board of health.system In operation until a Certificate S�Codm Compliance has be - �7��
---- .....
Application Approved By --- - �
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. . .. ... ate ...
Application Disapproved for the following reasons- ----------- ---........------....---------------------------------.---.........................................................
--------- --- . .-....... .. ----------- --- ...................................................------------------------------------------ ------------- ------------------
Permit No. ... ------------ . . .. Issued -------------------............................. Date
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Date
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No.. .._.. Fps..... C�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
, tip rtt Ilan for Disposal Works Cann rnr uan rrnti#
Application is hereby made for a Permit to Construct'( ) or Repair (X) an Individual Sewage Disposal
System at:, �� �-- ",;">;-'—�,•' ' �-
. . .................. ...._.. - .... [. ........ t� �s
•- . ll!----------------------- ------ ..........--.............................
....... J....:�.�._. y►5..1.�j .. d ......................................
..or Lot No- -.. .......
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W I/�iY ��C r Uf�• 3 �2_ G'/c��r�liC�/
�• - ........... ..................... - ..........
M Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............ ....._----.-_•--_______--Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons............:............... Showers
a YP g ---------------------------- P ( ) — Cafeteria ( )
44 Other fixtures -----------••-•-•-------------------•-••---•----------.....---------------•--------------------------------•--•----...........---.................----
W Design Flow........................................•f gallons per person per day. Total daily flow................................._..........gallons.
WSeptic Tank—Liquid capacity.. .gallons Length................ Width................ 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 ( ) i
a Percolation Test Results Performed by.......................................................................... Date.....................
- t
Test Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water.................�, J
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..........
a ,
0 Description of Soil-•------•-------•------------------------ ----------------------•---•----- 0 1- '---...._ •--------•••--........
x
x ---------•••••••-- -.......:....-••-----------•-•----
U Nature of 4.epairs or Alterations—Answer when applicable...........Iti ._ 5-.................. ......................._.
...........W1---- ..... .. .�......d...................................................................................................................................................
u
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 Compliance has been issued by the board of health.
Signed `..........In--�----------- .....�7-
A��lication Approved BYrt�'� ..--- -,�.
�"
Application Disapproved for the following reasons: ` to
............................................. ------------------------------------------------------------------------------------------------- ----------------------------------------
Da
..... ---..-� te
Permit No. r �� - Issued ----------------------------------------------------
........... ...�....---.----. ..--.. ..... Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
&r#tftctt#P of 01IImylinurP
THIS IS TO.........................................
RTIFY, Tha the Individu LSewage Disposal System constructed ( ) or Repaired ( � )
by ---------------�it/�-- - ----�.............���5.�.....-...--...- -- ------- ---------------------- -----...------------------------------------------------------------------------------
nstaller /
at Z ... .. 1/j'-(- 1--�.................................(.9.....r..-�.���, ....................... ....--... ------
has been installed in accordance with the provisions of TITL ye,4TRillUED
t E4 on
the Code as described in
the application for Disposal Works Construction Permit No. 5 vdated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE .................. -- /
--------------------- Inspector ............
---- -�-- -------------------------------------..........----------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Gf TOWN OF BARNSTABLE
-✓• FEE........................
Disposal Works Tnnitrndion Pgrutit
Permission is hereby granted.............A_&t7z=............6n.tl.tG-y-----------........-----.....•..---............... ._..
to Construct (_ ) or. —IJ Repair (�) an Individual Sewage Disposal S_yst
1:3 1+ /
at No... . �1- l�l�(. %t`7�Y
V
Street
as shown on the a plication for Disposal Works Construction Permit No...�....._.... ated... ...,!_../l�•./. - ..........
-
DATE. �oard�df�Health
FORM 36508 HOBBS/WARREN.INC..PUBLISHERS
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EDCATION o SEWAGE PERMIT NO.
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VILLAGE
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INSTA LLER'S NAME i ADDRESS
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OSUILDER OR OWNER
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED /Z
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Asi Meet is Rd ��
No..X.y.:......... F�s��w.................
THE COMMONWEALTH OF-MASSACHUSETTS
BOA F . HE LT
. .. ...... -
0` ` Appliration for Dhiposal Works Tonotrnrtiun ramit
Application is hereby made for a Permit to Construct wv or Repair ( ) an Individual Sewage Disposal
SJc System at:
N0 qo- ., o-.. .�. .. �� .�.et,_..hop... ----------. 1 vT--.----- --- ...................................
' ocatio -Addr ss Lot /
•---------. k�r,� ........ :�...�..... $ 11 t.��1 ... ................
Owner ddress
a - --•-••................. ----------------------•---•---------•------ ............................................... ..............................................
Installer Address
UType o uilding Size Lot.Z.1,.&t. ._....Sq. feet
aDwelling—No. of Bedrooms...............2.........................Expansion Attic (� Garbage Grinder l��
p, Other—Type of Building ............................ No. of persons....................._______ Showers ( ) — Cafeteria ( )
a' Other fixtures ------•--•-•--•-••-•---••--••--• - ----..... -------------•---------
W Design Flow......................�.i...........gallons per person per day. Total daily flow... -.... .-330........gallons.
WSeptic Tank—Liquid capacity!'F!�R___gallons Length-___i:�...__.... Width."9_.._._..... Diameter................ Depth..._._......__.
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No......../--------_. Diameter......... Depth below inlet.A:.2;�77_... Total leaching area..................sq. ft.
Z Other Distribution box (/ ) Dos1 )
Percolation Test Results Performed by..•-_--__�'' _.__l.�'� .`�................... Date___.:
a •--••-••-•--•..........•-•--•......
Test Pit No. 1................minutes per inch Depth of Test Pit.__._............... Depth to ground water........................
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a --••••-•••••-----------•---•---•••--•--•••••------•-•-•--•----•.....••-•--•-••-------•------•....---........................................................
0 Description of Soil...........................•--...................----•--•-•---•--•-----•---....-------------------------------------••--•----------------------------...-•--•-----.•----
x
V •--•----•-•••-•-••-••-••--•••••••--•-•.....-----•---••-••-••-••----••••-••--------------••---•-•----•••••--•---••-•--•--•••--•-••---••••-•••----•-•---•-••-•-•--••-••--••---•-•-......--••---••--••.....
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 iITi!Z- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b n issued by th board o health.
Ig
` Date /f�iL
Application Approved B •--•--•••---•-----••.......--•• ----• Y
ate
Application Disapproved f o t f ollowing reasons---------------••----------------•----------------------•--------------------•--•----------------•-•-•-•--•------
.......................•......••--•---•••-••..... ---•-•--..........••••--•--••....---------•-._........._
Date
PermitNo...................................................- Issued.......................................................
Date
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THE COMMONWEALTH OF MASSACHUSETTS,
BOARD OF HEALTH
Appliration for Dhipwial Works Tnnilxnrtinn "permit
Application is hereby made for a Permit to Construct (tj'or Repair ( ) an Individual Sewage Disposal
System at:
....... ---_.------ ..Raw..... ..................................................................................................
.:... ��
f t Location-Add ess r 1,06. 1
- .. ;{ '.s�:.a�:.��/��•//1ff//jj}} ._fir ..... �... .
Owner
`. ........... ,. .............. ...............................
Installer
Address .---
Type of,Building Size Lot`_f _ _.a-•----_--_Sq,,feet
Dwelling—No. of Bedrooms.............?............................Ex anion Attic / Garba e Grinder's�,
� p � g ( )
Pk Other—Type of Building ............................ No. of persons.................../.____ Showers ( ) — Cafeteria ( )
W Other fixtures .--••••......------•-••-•-•--- .
Design Flow...................!5"' gallons per person per day. Total dailygallons.
WSeptic Tank—Liquid capaci ,r.r..___.gallons Length/............ Widtlft............. Diameter---------------- Dept��............
x Disposal Trench—No..................... Width............._.._... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.....�L............. Diameter......_-.-___--_- Depth below inleO _._.:_..__.._.... Total leaching area..................sq. ft.
Z Other Distribution box,( ) Dosing tank,( ) j
Percolation Test Results Performed by �c. .: �..__. �.<< *.: "'...................... Date........................................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---_-_-.---•-_--.---__-.
a •-••••••--•------------------------•-----•------------•-------------...----•...................-•---.....-•-••-•••....------•••--........-•--..............•-
0 Description of Soil........................................................................................................................................................................
x
U -•--•-•-••••--••----•--....-••••••-•-•-•--•••••-•---•-••-•------•••••••-••--••••••---•----••••-•--•••---...-••••••----•-•-•-••••---•.....-•••---•••--•--••-•-•-•••••-•-•---•-......-----••-•------••-...
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-----------------------------------•------------------------------------------------------------------------------------------...------------------•---------------------------------•-•............•-
Z. 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 TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has een issued by the board-bf health.
/-- ig-.
;� Date
Application Approved B . -��_E. ______
•. ......... 1..
/Sate
Application Disapproved f t following reasons:--••--•-•---•••-••-••••-••-•--••••••-•------••••-••••••----•-•••-•-••-••......-•-••••--- ----------•----•--
....-•-----••-•••--•-•-----•.................... ..•••----•••-•-•----•••-......--••---••-••....------------------
Date
PermitNo........................................................ Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....................................I.....OF.....................................................................................
Tetifiratr of Tomplianrr
T I I TO'" ERTIFY, That the Individual Sewage Disposal System constructed , or Repaired ( )
'. ----------- ------ ------ ----------•-•-----....------------...-----------------•---•-----•-•---..........-•------......
by - ✓ -:: C. rsol-f
Installer
• ----•-. ••-••-----••••.........--- •. -
has been installed in accordance with the provisi TI F 5 of 3e State Sanitary Code as described in the
application for Disposal Works Construction Permit No.__C.._!.r_-..................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE. ......... Inspector------A-4.................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No.......................... FEE....._.................
Dispas - flan nrJti�rn rrnttt
Permission is hereby granted.-••••-......- - '." �.••.-- -y •-7S� .•-; ...-•----••••••••--••-••••-•.......••-•••.............•-•...........
to Construct ( ) or�Repair ( ) an Indivldua D• pos t............../'
StreetX�t�. .•
..
as shown on the application for Disposal Works Construction Permit No................... Dated..........................................
...............................=--- ---------- ......-------•-•••----••..................••--_.....
Bo of Health
DA';'E. --- .......................................................
FORM`1255 A. M. SULKIN, I;yC., BOSTON
Log Number:. =• Bot # C063 DauSk 61-1.3/84-
OF BAR
BARNSTABLE COUNTY HEALTH DEPARTMENT
Z SUPERIOR COURT HOUSE
C BARNSTABLE, MASSACHUSETTS 02630
V 10
SAS$ ° DRINKING WATER LABORATORY ANALYSIS PHONE: 362.2511
EXT. 331
Client: Saund Vest Assoc. , Inc. Collector: Meehan Well
Mailing Address: Or Affiliation:
Hyannis, MA 02601 Time & Date of
Collection: 6/1.1/84, 9:10 a.m.
Telephone: 778-4911 Type of Supply: well water
_Sample Location: Lot 6 Asa Meigs Rd. Well Depth: 731
San wlC , MA Date of Analysis: 6 /84
Parameter Sample Result Recommended Limits
Total Coliform Bacteria/100 ml 0 0
pH 5.5
Conductivity (micromhos/cm) . 80. 500.0
Iron (ppm) 0.10 0.3'
Nitrate-Nitrogen (ppm) 0.93 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: Sandwich Board of Health
CC: "
Meehan Well Drilling �
Lab Director
11/7/83
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