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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 �� ��7�G g �� B aStb 0, TOWN OF BARNSTABLE me-j ,S � LOCTICii�l l G" ��° G$ - WAGE # 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' r � s J. K ePA, r3 XZ6 2yO 5� c_ \s 0 0q0 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 --- - � t . . .. ... ate ... Application Disapproved for the following reasons- ----------- ---........------....---------------------------------.---......................................................... --------- --- . .-....... .. ----------- --- ...................................................------------------------------------------ ------------- ------------------ Permit No. ... ------------ . . .. Issued -------------------............................. Date 4 I— Date r- OqO 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- -.. ....... .r- .. . 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 �� .� i �� �_� is iy SSG �� ✓� �t v �p EDCATION o SEWAGE PERMIT NO. 44 , + L :J?I- L� izd 27:L :2 VILLAGE G9 v 12 A INSTA LLER'S NAME i ADDRESS �. �.� I mo - �C ���. OSUILDER OR OWNER s� v�2z 0e,s � P DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /Z I sF 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 +. r c 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 -•--•-•-••••--••----•--....-••••••-•-•-•--•••••-•---•-••-•------•••••••-••--••••••---•----••••-•--•••---...-••••••----•-•-•-••••---•.....-•••---•••--•--••-•-•-•••••-•-•---•-......-----••-•------••-... w -----------------------------------•------------------------------------------------------------------------------------------...------------------•---------------------------------•-•............•- 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 7 / n '74- ' � fair 1•_/ �-- • , • l � i ( ` AL:;�� �LrA I11 No. 19334 a , Q _ t��J suR C E:,eT/�/EO oL0 O,LA SNOWi�,yE,2E0� COM�L YS l t//Thy SCAT L ze 0�4 TE ,1 A NC'SETBA Ck A„v .-zE4U/.2FiyE/1TS O.� T/-/E ToWiV Qom' - � i O G'A TES W/T�5//.t/ T�,/E -� �- � E O.c/��t/ .2EG/STE�2EO L�4��O SU.eY6Yt�c� QSTE,eli/,C AIA �:, SETS,Ss,Oy✓.j/ 5.�,�oUG� IVOI B� APpL L GCSE /OHO G/�L , (�Z �l 2.� a �•/? 4:;'. To7-2-f �z G. ,57 Tom cam vo /oov ,-�� 97 z G 8 /�, �/v �T� � �vR/� /�.Sy •d.�SDG.j /�/G, /7 -c �