HomeMy WebLinkAbout0222 LAKE SHORE DRIVE - Health (2) 9999 Sandwich — Barnstahle Town Line
(AKA) 222 Lake Shore Drt'
Marstons Mills
A—030 - 068 ---- - - -
No. P Fee YYes
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
2ppiicatiou for Disposal 6pstem Construction 30errnit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System KIndividual Components
Location Address or Lot No. wner's Name,Address,and Tel.No.
Assessor's Map/Parcel S � w•
Installer's_Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building: �-
Dwelling No.of BedroomsL\_ Lot Size q.ft. Garbage Grinder( )
Other Type of Building - No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank S-qEnC�� \( Type of S.A.S.\, �� Q_
Description of Soil.
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 tal Code and not to place the system in operation until a Certificate of
Compliance has been issued b this oard of Health.
i Date
Application Approved by Date MR
Application Disapproved.by Date
for the following reasons
Permit No.. Date Issued
?,oYNo. FeeTHE COMMONWEALTH OF MASSACHUSETTS Entered in computer:PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
r-
ftphration for Disposal * strm Construrtion Permit
"Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System @y Individual Components
-j
Location Address or Lot No. Owner's Name,Address,and Tel.No. -�
Assessors Map/Parcel I
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building:.- ���C ��� �
Dwelling No.of BedroomsL-\, Lot Size sq.ft. Garbage Grinder( )
Other Type of Building ,_ No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan. Date Number of sheets Revision Date
Title.
Size of Septic Tank <_ -.�\ Type of S.A.S,,Q& —.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) --_
t�
Date last inspectedr `^� -- •-
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 f-the-Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. `1
Date 7
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO C T Y, at Ike On-site Slewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned( )b J
0
at J D as been co". d
with the provisions of Title 5 and the for Disposal System Construction Permit No
Installer Designer
#.bedrooms Approved design flow gpd
The issuance of this permit shall not be co trued as a guarantee that the syste fuon designed.
Date Inspects
7ill
------------ ------ '----- -------------------------------------------------------------------------------------------...�"
No. / Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construttion 3permit
0
_Permission is hereby gr ted Cnstruct( ) Repair( U gra G Abandon )
System located at /
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:C nsfi c' n u e completed within three years of the date of this permit.
Date Approved by
Legend
-- Parcels
-
a el-
Town Boundary
Railroad Tracks
C Buildings
Painted Lines
Q3QOi" Parking Lots
0 Paved _
Unpaved
l, .d ate` t - Driveways
QN�7
s
Paved
w ^i- 'X .��-.•,Unpaved
� Roads
d Paved Road
,,, r - w• 'Unpaved Road
4 Bridge
rY B Paved Median
—Streams
+�Marsh
Water Bodies
tv
\ iJO
tlN
51
_. .�►
Map printed on: 7/13/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit
adequate for legal boundary determination or representations of Assessor's tax parcels.They are
Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 36'7 Main Street,Hyannis,MA oz6ot
p 42 83 an on survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624
reflect current conditions,and may contain such as building locations.
Approx. Scale: 1 inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us
7/13/2017 Print Page
Print this page
• Owner Information - Map/Block/Lot: 030 /068/- Use Code: 1010
Owner
Map/Block/Lot GIS MAPS
030/068/
TULLIS, ROBERT D & LAURIE J Property Address
Owner Name as of 1/1/16 222 LAKE SHORE DR 222 LAKE SHORE DRIVE
MARSTONS MILLS, MA. 02648
Co-Owner Name Village: Marstons Mills
Town Sewer At Address: No
GIS Zoning Value: RF
• Assessed Values 2017 - Map/Block/Lot: 030 / 068/- Use Code: 1010
2017 Appraised Value 2017 Assessed Value Past Comparisons
Building Value: $ 207,100 $ 207,100 Year Assessed Value
$ 52,400 $ 52,400 2016 - $ 378,800
Extra Features:
2015 - $ 389,600
$ 2,800 $ 2,800 2014 - $ 390,800
Outbuildings: 2013 - $ 391,000
2012 - $ 393,500
$ 119,200 $ 119,200 2011 - $ 382,400
Land Value: 2010 - $ 382,800
2009 - $ 436,600
$ 381,500 2008 - $ 453,800
2017 Totals $ 381,500 2007 - $ 452,600
Residential Exemption Received= $90,532
http://www.townotbarnstable.us/Assessing/print17.asp?ap=0&searchparcel=030068 1/4
7/13/2017 Print Page
• Tax Information 2017 - Map/Block/Lot: 030/ 068/- Use Code: 1010
Taxes
C.O.M.M. FD Tax (Residential) $ 465.43
Community Preservation Act Tax $ 83.27
Town Tax (Residential) $ 2,775.83 Fiscal Year 2017 TAX RATES HERE
$ 3,324.53
• Sales History -Map/Block/Lot: 030/068/- Use Code: 1010
History:
Owner: Sale Date Book/Page: Sale Price:
TULLIS, ROBERT D & LAURIE J 2002-05-02 15119/49 $315000
BREEN, KAREN E 1993-06-30 8657/5 $1
BREEN, JOSEPH P & KAREN E TRS 1979-10-19 3001/159 $0
• Photos 030/ 068/- Use Code: 1010
• Sketches -Map/Block/Lot: 030 /068/- Use Code: 1010
http://www.townofbarnstable.us/Assessing/print17.asp?ap=0&searchparcel=030068 2/4
7/13/2017 Print Page
l)K,
r. -= 20 17
t Ap,
As Built Cards:Click card#to view: Card#1 I Card #2 1
Constructions Details - Map/Block/Lot: 030/068/- Use Code: 1010
Building Details Land
Building value $ 207,100 Bedrooms 4 Bedrooms USE CODE 1010
Replacement Cost $272,496 Bathrooms 2 Full-1 Half Lot Size (Acres) 0.66
Model Residential Total Rooms 8 Rooms Appraised Value $ 119,200
Style Colonial Heat Fuel Gas Assessed Value $ 119,200
Grade Average Plus Heat Type Hot Water
Year Built 1972 AC Type None
Effective depreciation 24 Interior Floors CarpetCeram Clay Til
Stories 2 Stories Interior Walls Plastered
Living Area sq/ft 2,632 Exterior Walls Wood Shingle
Gross Area sq/ft 4,965 Roof Structure Gable/Hip
Roof Cover Asph/F GIs/Cmp
http://www.townofbarnstable.us/Assessing/printl7.asp?ap=0&searchparcel=030068 3/4
L, i
7/13/20V17 Print Page
• Outbuildings & Extra Features - Map/Block/Lot: 030/068/- Use Code: 1010
Code Description Units/SQ ft Appraised Value Assessed Value
BMT Basement-Unfinished 1260 $ 24,900 $ 24,900
BRR Bsmt Rec Rm-Average 630 $ 4,000 $ 4,000
FPL3 Fireplace 2 story 1 $ 5,100 $ 5,100
GAR Attached Garage 833 $ 18,400 $ 18,400
WDCK Wood Decking w/railings 240 $ 2,800 $ 2,800
• Sketch Legend
Property Sketch Legend
1132N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only
BAS First Floor, Living Area FTS Third Story Living Area (Finished) SOL Solarium
BMT Basement Area (Unfinished) FUS Second Story Living Area (Finished) SPE Pool Enclosure
BRN Barn GAR Garage TQS Three Quarters Story(Finished)
CAN Canopy GAZ Gazebo UAT Attic Area (Unfinished)
CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished)
FAT Attic Area (Finished) GXT Garage Extension Front UST Utility Area (Unfinished)
FCP Carport KEN Kennel UTQ Three Quarters Story(Unfinished)
FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic
FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished)
FOP Open or Screened in Porch PRT Portico WDK Wood Deck
PTO Patio
Microsoft VBScript runtime error'800a01a8'
Object required: "
/Assessing/print17.asp, line 153
http://www.townofbarnstable.us/Assessing/printl 7.asp?ap=0&searchparcel=030068 4/4
ono
4'��ff�k S•, �O
No.�.L...ta Fims.s......................
THE COMMONWEALTH OF MASSACHUStETIS
- BOAR F HEALTH
... -----...OF..... _...
, ppliration for 11ispos l Warks (funfitrurtion Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:2jXe_ .� .......... Q � ............ w_... _ ...
anon essot No.
......
�. Jam/
ii��
• ru.�Y� ..1 .... ......� ,�� v ` G �- .. �..r..........
................
Owner * r s
a ............ ....`......_.. � .............................. ................................ 4h X"`:. ..................................
Installer Address
d Type of Building Size Lot..;?Jj. L:.0.....Sq. feet
U Dwelling—No. of Bedrooms..............2..........................Expansion Attic Garbage Grinder <d
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
P4Other fixtures ................................................................................
W Design Flow............5.1........................gallons per person per day. Total daily flow........... Z e._...._........._.....gallons.
WSeptic Tank—Liquid capacity/®D.O..gallons Length-_- Width.Y.�t....... Diameter................ Depth.._�-___-__.
x Disposal Trench—No. .................... Width.................... Total Length....._.:............ Total leaching area....................sq. ft.
Seepage Pit No........._C._........ Diameter........f......... Depth below inlet_.®_.!�....... Total leaching area....!ff sq. ft.
Z Other Distribution box ( ) Dosing
`�' ----------E. � y ................... Date._..__._._..____._._.___._...__._._____.
Percolation Test Results Performed b
a 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._-_-______---_----_____
----------------------------------------------•--------•---•------------._.......----•-------•-•-•-..........................................................
0 Description of Soil...................................................................................................................................•---•-------------------------------
x
W -------------------------------------------------------•-•-------------------•----------•-••--••---------------------------------------------------------..........................................
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Nisposal System in accordance with
the provisions of TITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
o eration ntil Certificate of Compliance as b n issued by the board of health.
L�
_- a placation Approved - - •- ------..................... ..................................................... �C__ ----
-•----•-• ---- Date-- ----------
Application Disapprove or t e following reasons---------------•--•-•----------••------------------------------•-------------....-------------------------••-----
......................•--------------•-....... ....-••------------------...----••......------------•--•-
Date
Permit No..................................................._.... Issued_...................=.................................
..
Date
Fimic).................._
THE COMMONWEALTHOF MASSgACHUSETTS
LTH
��` '�'vl J... OF...... cc-.1�'y!/1 L£ ...
.................... .. _.
�w
ApplirFation for Biiipnlital Works Tnnstrnrtiun Famit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at J/ :
itL�ccation .ddress / {
+ � `Y l �_ 1 No/
Gill c.v4.�,:Q.1.._.......
+ r to� t
_ .............. ..
Owner '
a A dr ss
a `,..._....... -........... rat �l
_ r
Installer Address
PQ
UType of Building Size Lot-?_'f_`.>..LQ..._._Sq. feet
Dwelling—No. of Bedrooms......._....._. -------.___._______________Expansion Attic (�-j ,ti,Garbage Grinder�(��)
Other—T e of Building No. of ersons____________________________ Showers
a Other—Type g ---------------------------- P ( --->--- Cafeteria ( )
Otherfixtures ........................•......................------.••••----•-••-••••--••••••-••-•-•---••-•--•-•••-•�•.. ..._...__..
W Design Flow_______..__�J......................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--------t......... Depth below inlet__.:_:'___........ Total leaching area..............__..sq. ft.
Z Other Distribution box ( ) Dosing tt ( __
Percolation Test Results Performed by-____.._ ^� _ �' ^' Date..............a /f-------------
14 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------
�_4 Test Pit No. 2................minutes per inch Depth of Test Pit.........-.......... Depth to ground water........................
P+ ........................................................._......................................-•---._....._............••---•••--•••• -----------•--
ODescription of Soil.....................•......_................................__...............................................=...................................--- .............
x
VW -------------------------------------------............................................................•...........................................................................................
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 TIT1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
eration ntil Certificate of Complianc as b en issued by the board-of health.
Sig"
e � "-=:.. f!_
U D
PPlication Approved -------------•••••__••--••...................................................... ---, f -- -_,r�-----
Date
/
Application Disapprov for e.following reasons______________________________________________________________
Date
PermitNo......................................................... Issued-----..................................................
Date
` THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
TrrtifirFatr of TompliFanrr
TO CERTIFY, That the Individual Sewage Disposal System constructed Repaired ( )
b
Installer '
has been installed in accordance with the provisions of T o The State SanitareARANTEE
escribed in the
application for Disposal Works Construction Permit No._________'__ i� ______________ date ..............................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE®AS A THAT THE
SYSTEM�� FU/N�CTION SATISFACTORY.
DATE.....--- _•z/1--r�/�-f-••-•--------------------------------------------- Inspector-•- --•- ----•---•---------------•----•-----•---------....------•----...........--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
NcfL.r,� ...........................................O.F................._-_...---...__.._.......---...._......_..........---•--•--•--••---...
......_Sl_ FFA!�70................
t ntr it rrtt
Permission is y ted__.___ - ` ~"
." •••• ---•••-•••-••••-•--••••-•••••.....••••••-.....•••••...••.............••----
to Construct e ( n Indiv• gage Dis al ystem
Street
as shown on the application for Disposal Works Construction Permit . _ _________________ Dated..........................................
O z, ............................................................... --------
Board of Health
DATE............... ----
FORM 1255 A. M. SULKIN, INC., BOSTON
' Massachusetts,Water Resources Commission/Division'of Water Resources
WATER WELL COMPLETION REPORT
WEL LO ATI '
Addres
City/Tow '
G.S.Quadrangle Map
Grid Location
Owne
Addr
o
WEZ12USE CONS 1 ATED WELL
Domestic E2_11"Public ❑ Industrial❑
Type of Water-bearing Rock
Other
Water-bearing Zones-
METHOD DRILLED 1) From To
Rotary(type) k Cable❑ 2) From TO
Other 3) From TO
4) From To
CASING, Depth to Bedrock
Length Diameter_
Type UNCONSOLIDATED WELL
STATIC WATER LEVEL Water-bearing Materials
Feet below land s�ur�face , Sand: fine❑ medium coarse
Date measured "yam Gravel: fine❑ medium❑ coarse❑
Screen:
F GRAVEL.PACK WELL r
Slot# /C` length ,j . from to
Yes ❑ No
Split Screen(or 2nd screen)
WATER OU ITY TESTS MADE. 'Sloth length from to
Chemical Biological ❑ Depth To Bedrock
PUMP TEST
Drawdown lei_feet after pumping days--�/hoursat /,Q GPM.
How measured G 2c' Recovery - feet after hours.
LOG of FORMATIONS COMMENTS: (On well or water)
Materials From To * c
o
m
r C
RILLER h
m
Firm
0
Address \
City
- Y
LRegis,::tration No.
i
±Sign.Aturr. 1 Aerator
ease print irm�y�'i „
1 OM-8181.164843
Log Number: Bottle #
B031 Dater 4/27/84
Of SA R
BARNSTABLE COUNTY HEALTH DEPARTh1ENT
SUPERIOR COURT HOUSE
BARNSTABLE, MASSACHUSETTS 02630
1yAsg ' DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511
EXT. 331
Client: Joe Breen Collector: Meehan Well
Mailing Addxess: ZZZ Lakeshore Dr. Affiliation:
Marstons Mills, MA 02646 Time & Date of
Collection: 4/2.6/84, 8:45 a.m.
Telephone 428-5376 Type of Supply: well water
Sample Location: Lot 41 Lake Shore Dr. Well Depth: 65'
Sandwich Date of Analysis: 4/26/84
Parameter Sample Result Recommended Limits
Total Coliform Bacteria/100 ml 0 0
pH 5.4
Coniuctivity (micromhos/cm) 70. 500.0
Iron (ppm) 0.38 0.3
Nitrate-Nitrogen (ppm) 1 .40 10.0
Sodium (ppm) -- 20.
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.
XX Water sample may present ?esthetic problems due to high iron
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: Iron is not a health hazard.
CC: Sandwich Board of Health
CC: Meehan Well Drilling
Lab Director
11/7/83
�at►�.�LC FAM«Y 7�,:Jt
EGA M / �GEcz. ,c/G I • P ��,�
F p /�' iA ,
p/s�L F L o vV .: I J U X 3 = 3 3 o G r` �`�' `
G TA►JK =
SEP'. t �
USA t 000
pt5Po5AL PIT uSE Gao GAL.-
3 Z
00 0 A _ 1
PrzCOLATIOIJ GZA•TE I''IN ZtAW oP-LE55
o I,,
- �SNDFAf�s�q �Z, 9`•8
'off WIDAVIQ
�LIANI G<r\ -F� C. W 01r
T1-IULIN .' �� Q/•y 9i �{
o N Y E C" v N 229Z6 /T
i
i' /VI No '
SST
AL
zs
S' -Top
N o LF-/z/,J%3
�
100W INS•
,Sty Goo �� INS' EiGPT�L �O
Z Ga 0uA9S.8 rA►�K
%L•'H�dfN6 ' . .
- I N V. I N V,
3 ; 9s� 9s�
C�SZTIPIGD Pt•oT PLA1.1
i .✓o rd�P'4Z.U F I L� st3.,�4,�/v1•s✓�i� t
Wo SCALESATE 3/Zp�c/l,I
REPEV_SN C.E- II
I C6 czTt�Y 'THAT ?N� F F�a+?5uc)
µEQ6oF-1 GOMpUL 6 WITN t_ttJ �
AucD 56'TF .GK 2&(PU% .>✓MENY� pFTN�
-ro w N o F SA,r.1�.ci Ic I-1 AND ► Nv-T— Per//3.t! Z 73 �G. �7
LOGp.T D 'WITN ►J TN Gt_oop PL�*I
DATE3 7o f�`t' gAXTEFZ G I..lY6 INC.
7 E6I-5-i Q.�v'%-A. 40 5uevEY�eS
-T PLQ►J 15
I 1►.STRu N 5r� ep ob N
ESQy U 5uou�
M�NT u
.. r . ..._ ,-� •r,� -, c-r� R �n 1 1,.1 G �..,oT �_I I-.I E�j A P P L 1 C A►.a T .Shcl�.�1/ES7'/QL�S�%/idC,
THE COMMONWFALT H_r,'F MASSACHUSETTS Fps.................i.........
BOARD OF HEALTH
----044�....................OF..7��.......................
Appliration for Disposal Works Tonstrurtion Prrutit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at,
........................... ...............
_X ..............Va.r..... -------------------------------------
Loc 1,
e A ess. .4 2 sr.0
..........;Q . ......................
............ ........ ------ --------- . .... .............................
Owner
+_.,Addr ss.
.1-e.....................................
............ .... .......... ........................................ ........i2
Installer Address
Type of Building Size Lot..X'0,!S.o.........Sq. feet
U
4 Dwelling—No. of Bedrooms...........a............................Expansion Attic Garbage Grinder Wa)
04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
1:14 Other fixtures .....................................................................................................................................................
W
4 Design Flow......Xr...............................gallons per person per day. Total daily flow.___._.__.469 .....................gallons.
9 Septic Tank—Liquid capacity............gallons Length_____4....... Width.......I/ ------ Diameter________________ Depth__-4..........
0
Dispo�al Trench—No_ ____________________ Width.._______._.____._.. Total Length_.__.___.___________ Total leaching area....................sq. f t.
S'�epage Pit No........../-------- Diameter......ff*.......... Depth below inlet.A:t.d.......... Total leaching area.AFT.......sq. ft.
Z dMer Distribution box ( t ) Dosing ,
Percolation Test Results Performed by.____.. &. .............................. Date___.____________._..__.______._.___..__.
Test Pit No. I.....*..___minutes per inch Depth of Test PI ..... .... Depth to ground water_________________ ___ .Test Pit No. 2................minutes per inch Depth of Test Pit__..___.___________. Depth to ground water_46..�.�4. .J..
----------------------------------------------------------------------------*----------*---------------------------.............**-,*--*---------*-----
0 Description of Soil........................................................................................................................................................................
x
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 TL I TL IZj 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bD n issued by tP�oard of health.
Signe ........ ..........L6�
Da
..... ....
p . . . .. . ............................. ......................0...........Application Approved By............ .......io_-.4...... ....
Date
Application Disapproved for the following reasons:.............................................................................................................
.........................................................................................................................................................................................................
Date
PermitNo........................................................ Issued.......................................................
Date
/ Fmm |
� ~X�� � � '----�----
�� |
° ' THE ooMMomvv-FxLTn�,F MAse�o*ussrrs
' .. '-ALTH
U���� U�
������ox
He-
.........................OF...
��=' °K ` � J
����lira�o�� ��� D��a��� ������ �� �
" " ' - ---'-----~~---- nr� -~~~~
` �
� Application is hereby made for u Permit to Construct ( ) or Ilcnuir ( \ an Individual Sewage Disposal
Snmtem t "Sig
--------------------------------
Installer I','
Address
Type of Building Size Lot. ..........Sq. feet
Dwelling—No. of Bedrooms.................. j..............EJpkansion Attic Ga*r"bage Grinder
| Other—Type of """""vs -------'--'--,% �v' of per*vu»---'--''---_-.. Showers ( ) -- Cafeteria � )
Other fixtures --------_-----_--_-_-__----_'-------_----
~" Design Flow.......y' ...............................gallons per person per day. Total daily flow...........................................����='----------------
� 9 Septic '
Z Other Distribution box (/ ) �
~~ Percolation TestResults Performed bv--.. �1.^��- Duto----..------'..-----.. �
1.4
T�a �� No. l-''��--'noiootcs per��6 Depth of Ieyt ��.--...---_- Depth to ground vvoter '
�� Teo Pit No. 2------_.oioo�sy�r inch c6 'Depth of Test ....................� �� Depth toground watcrwv�_�~uu�_
u4 ------------
....................
---------------------
__------------
----------
..........
_______
~~ Description nf Soil........................................................................................................................................................................
^
------------------- -------------------------------------------------------.---__'-.---_------'-'-__--_-_------_---_---'---_
U Nature of Repairs or Alterations--Answer when applicable---.-----.---.-.------------'-.----_-----.
-__-_.'-'---'..-__-.-_---.-_-_--_-_--Agreement: ____'_'-__'_.-----''---'-_.-_---__''-----------_
The the oforedesccibed Individual Sewage� System in accordance with
the provisions of zlzLE___5-6f"the State Sanitary Code—The undersigned further agrees not to place the system in
operation until' Certificate of Compliance has b7n issued by th'�,board of health.
------
� Application Approved Bv-----�_zc����� _$�_��r_°^4�`�______
�r � Date/lppl�udoaDioapprovedfor the following reasons:................................................................................................................
------------------------------'---------'------------------------------'---------'--------------
»^te
Permit No Issued
' ` oat,
'
THE COMMONWEALTH OF wxssAonusErrs '
BOARD OF HEALTH
�
----'-'-------.OF-_____________�
liatta
"
THIS IS To CE Y, That the Individual Sewage Disp,,&sal System constructed or Repaired
gCE1 '
application for Disposal Works Construction Permit No.......k��w
THE ISSUAN5:E OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A"GUARANTEE THAT THE
SYSTEM VYIYLT TION SATISFACTORY.
has been installed in accordance with the provisions of TI T ate:Sanitary Code as described in the
-
DATE
_
THE COMMONWEALTH opmAssAc* ssrrs
� BOARD OF HEALTH
- �
...............OF--''------------- --�
��� " ,
� ^ Disposal '
` to Construct
i ►J G L.r-- F A M r LY - ;3 B C 0 R'o M
.UO GARBAGE 6Q'WC>F-P �s
PLOW � 1I0x 3 - �3oG.P. Q �,o � .:z�... - - _.
ESEPTrC TArJK = 330x154'/. ' -A95G.PC>
QP4-lSC- �� 6y41 ,W3 SToy I
W.4LL Ae-ci4 - /.3 Z S.llc-.
�_..S/�,t/�E,PG,,�t7�:/'/.t/Z�%s/, n�Gf.SS S,e,✓r�►.v'�c G /o.� � ��•• o v
�--- as
�{0f !b? P{=<
�`c'. Of Poi
p� WILLIAM ��N o`er DAVID
jc C F„ C. tiny
a N Y E � o THU'IN
u No. 19334 C.) No. 29976
o G
OWL-
Ell,
71,
� ���/�s-TEFiyq� �pf, G STEM c` � I 'p i •�1
q�D SURv� Fs / NALE
I o o u I N
Sstl�SO/ 9 D►ST.
� S
rs.
Goo /oc. f INS. cvT�'c �c78
K /�, G
Iyi•-3 �/'��
---
INV. INV. f `
I�•d✓EL s a f
k,
CE2TIFIGD PL07
11951
E 2E ri GE• �. >
p L.P.h-1 REF �.
CE RTr Y ?HAT I f~ QCLDP. �t�l�, 5N0Wtj
AEREOP! COMFL'` 6 WITµ'TH6 S r o�L_IN � �GT
AuD SETFAGK R-6Qu oF -CN� Pa
10 w N o� Sa rl�u9 IG -1 a N-0 ►S N c� ,��✓ &� Z7,3
LO K0�d
A I N s t`
D A-T E S I t'
BAxTEcz.e tJ`(E INS•
REG I�"�6Q6�'►.AN D s u
f
Tw!5 PLv ►J r 5 kio7 a�5� rJ OSTE2VILLf-- MASS
IuSTR-JMENT 5UlZVeY rHE o►=FSETS SuouL, ,
No°•T Ct,E u5G0T0 DE-TER1^I►�E LoT 1- 1�1E�j APPL-ICANT � '
d
f
Lc Number: Bottl - # 1W Date- 5/29/84
BARNSTABLE COUNTY t'-gALTH DEPARTMENT
SUPERIOR COURT HOUSE
J BARNSTABLE, MASSACHUSETTS 02630
° 1yAS$ DRINKING WATER LABORATORY ANALYSIS PHONE: 362.2511
EXT. 331
Client: Saund Vest Assoc. , Inc. Collector: Meehan Well
Mailing Address: Z4b NorthAffiliation:
Hyannis, MA 02601 Time & Date of
Collection: . 5/23/84, 4:00 p.m.
Telephone: 778-4911 Type of Supply: well water
Sample Location: Lot 35 Lake Shore Dr. Well Depth: 50,
arstons Mills, MA Date of Analysis:
Parameter Sample Result Recommended Limits
Total Coliform Bacteria/100 ml 0 0
pH 5.5
Conductivity (micromhos/cm) 44. 500.0
Iron (ppm) 0.08 0.3
Nitrate-Nitrogen (ppm) 0.06 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: Barnstable' Board of Health
CC: Meehan Well Drilling
Lab Director
11/7183