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Home My WebLink About0381 LAKE SHORE DRIVE - Health r/�c 9999.Sandwich —Barmtable.Town Line (AKA) 381 L ke.Shore Dr i 'I Marstons Mills -� A—014. 008': y v TOWN OF BARNSTABLE LOCATION ?1 �q(.t�o�� S� EWAGE # VILLAGE • //t i L S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.So"',wes�- A.SSO C_ SEPTIC TANK CAPACITY ` 00(� !3 A-t— LEACHING FACILITY:(type) (size) i Ooo 5AL p;k NO. OF BEDROOMS -9L, PRIVATE WELL OR PUBLIC WATER Qf.tVAIRL 9UM-0-Ea OR OWNERT"Anifi �S . �/-Qp��tQ �- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Al C�i�' r APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION Lot 34, Lake Shore Drive A&U134 No. � < VILLAGE Marstons Mills '/ 9 / L�!IC�I- &Akl DATE APPLICANT Sound Vest Associates, Inc. �Bus� L FEE_ �--ADDRESS 246 North St., Hyannis, MA. 02661 TELEPHONE NO 778-4911 (Non-refundable) ENGINEER Baxter & Nye TELEPHONE NO. 428-9131 r� 6� DATE SCHEDULED fVWA Treasurer 7 ( icant' s signature) • • • • • • • e o e o o o • o • o e e e e • o • • • • • e e • • o e • • • • • • • e • • • • • • • o • • • • a • • • • • • • • e • o • • • • • o • • o • • • • • • SOIL LOG SUB-DIVISION NAME DATE /27,�` TIME /D;OD EXPANSION AREA: YES1,:::� 1G0� jti//}��/�.�y� ENGINEER X TOWN WATER PRIVATE WELL /,,-' �, ��J�C,�Q�� 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: �n PERCOLATION RATE: /ry TEST HOLE NO: l ELEVATION: TEST HOLE N0: ELEVATION: 2 :. 2 4 �— �1 , 4 6 ®t��S��— �Q�sl� 5 8 �,/ 8 10 10 11 11 12 12 � 13 i 13 14 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD I_-LEACHING PITS` " LEACHING TRENCHES �� UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P. E- AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT Il ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...OF......... ......so, ................ --- ---------------- .... ... .... .... ............ .Ct . .............. Appliration for Dispaiial Works Towitrurtion Vamit Application i hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ..................................................;.R..... ------------------------ ...... .......... )�Joca on-ArT;........ ) ;"7*' r....... ... .................................................. ....ALL----AIV.141.1:1 ,*4 Owzier Addlesds ...........................]I ..................44644A-%........................................... ....... E�L4 ..... --I IL..&....4 .............................. Installer Address 3Ui Ty. Bui ding Size Lot.A.?,,.vA........Sq. fe t U Application 1,5 1 Dwelling—No. of Bedrooml.. Expansion Attic Garbage Grinder Other—Type of Building.....11 14 — C eteria ... .- No. of persons............................ Showers af Otherfixtures -------------_--------... ........................................................................................................................ Design Flow................�r%...................__..gallons per person per day. Total daily flow------- d...............................gallons. C4 Septic Tank—Liquid capacity/4k.gallons Length.... ........ Width.--f.......... Diameter---------------- Depth... ...... Disposal Trench—No..................... Width............._...... Total Length................._._ Total leaching area....................sq ft. Seepage Pit No------- ........... Diameter........ff Depth below inlet.A:.i........ Total leaching area../!Fkf------sq. ft. Z Other Distribution box Dosi2g-ta pk Percolation Test Results Performed by.... ................................. Date........................................ �4 Test Pit No. I................minutes per inch Depth of Te!tit.................... Depth to ground water.-_..........._..__..__. 0i Test Pit No. 2................minutes per inch Depth of Test Pit.._.............._.. Depth to ground water..__._..............__.. P4 ............................................................................................................................................................. 0 Description of Soil....................................................................................................................................................................... x - -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................................................................................................................................... .................................................................. 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 TLITLIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate eof.Complianc has keen issued by The boa rct*health. S_Igt dA 17.4/1 /Rf Signe ...............,&................................................................. ......... Date ApplicationApproved ... .. ............................ ........................................................ ........................................ Date r e following Application Disapprove o e following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... IssuedL....................................................... Date ---------- .. ... -.._...--- . Fps............................ + ~ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... .................OF........................... ............ Appliration for Riyusal Workii Tonitrn.rtion amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System �� at: ......!:..e' _...s :......C..L 4,tio .....................................' � C •--•----- -•--•-------------------- �J, oc�tlion-A�dress Lot jl7ofJ ��/� .......'.............r . .` :....._.... �?_ :.................................................... ....... ----��-•---��-_t.{\ �.•'��Ai` -('-1��/�,:"t-.v�.,✓{r-•--��Y�(.el�4 .:... a � Owner (,{ Ad/dress , ..............•-•------......_..._. ....................:._............ .......____ _......_._.._...__..._........._................ ......._. ~L ............................... -tom`.. ... Installer - � Address UType of Bui ding Size Lot? .........Sq. f et Dwelling—No. of Bedrooms.___.l____�_____________________.........Expansion Attie Garbage Grinder ��) aOther—Type of Building- :!�'J__.. _"i S,__. No. of persons____________________________ Showers ( ) — Cafeteria ( ) Other fixtures ............................... _-------•-•--•- W Design Flow...............?1)........................gallons per person per day. Total daily flow.__ .�e ..............................gallons. WSeptic Tank—Liquid capacity/�'` .__gallons Length___j......... Width f1........... Diameter________________ Depth_.e............. x Disposal Trench—No_____________________ Width.................... Total Length.................... Total,leaching area..._._________......s Seepage Pit No......0------------ Diameter._____ q. ft. r.t - _•__.____.__ Depth below inlet_CL..S __._..... Total leaching area_��........sq. ft. Z Other Distribution box (/ ) Dosing�t�nkj.( ) --�5 Percolation Test Results Performed bY-- °=-`<f_�`.. .................................. Date........................................ a Test Pit No. 1................minutes per inch Depth of Test lPit.................... Depth to ground water......................... 0�4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 P4 ....................................................-........................................................................................................ Description of Soil......................................................................................................................................................................... x U ------ 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 operation until a Certificate of Compliancp has been issued by he board of health. ! Signed--:.-----•-••----------............................................................. ---t -�/-`-...-•---•-- �� , Date ApplicationApproved -•-•- --=-....................----- ------------------••--••---•--•------------•---•-------•• ........................................ ' Date Application Disapprove or e f ollowing reasons----------------•---------------•------------------------------•-•--------------------------------------......._ •----------------------•----...._..._...--------...---------•----•-•----------------------•---•------------------...-------•-•-----------------------••---------•----•------•---------•----•----•-•_--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................O F........................_.......................................................__._. Tntifiratr of Toutpliatur I- ' S TO CERTIFY That the Individual Sewage Disposal System constructed ( or Repaired ( ) T � ii by :.. �'= t s.. ------------------------------ ,n L �Z Installer at r ''r .....''----------------.. has been installed in accordance with the provisions of TITLE 5 ofThe State Sanitary Code as described in the application for Disposal Works Construction Permit No.�_��-__�,�___�_�.____ dated................................................ THE ISSUANCE OF HIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL N SATISFACTORY. DATE........�t � i' ........................................... InsP ector-v ------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF No................ FEE i �r ru orku Tonitrudion rrutit Permission is hgxeb ra ed, ! z! ��?-��- Y g ........ ...=.................................................................................. to Construct ( or R a ( an Indiv'-bid "ewa - i os�al System r L , r Street as shown on the application for Disposal Works Construction Permit�No-;�n..........------ Dated.......................................... --------- ------- �i Board of Health DATE............ --- ---�------�-------•------------------------------------- � FORM 1255 A. M, SULKIN, INC., BOSTON l lIOCATION p SEWAGE PERMIT N0. .VILLAGE pjz� -e^ttJS'� jr I N S T A LLER'S� NAIVE & ADDRESS .1 P my el KJ 2L (1?4xc-+ 8UILDER OR OWNER /U eV C�-S DATE PERMIT, ISSUEDy DATE COMPLIANCE ISSUED r�' 7 a i . 3S �2 W. w qy.$ AM/G Y —� B•�/eooM t /V �GAQ�G E- G.e/NOE P eU-+ Pw I I S •d 8 14 S•Z„ O W ••••y. Y FLOW= //OX3 = .330 G.oO. / 1.0 /07 7 E v /d7 t • S EPTifG 7-A -5SO X/fO/ ='�i`9/�G '�O. l°) USE /DOO GAL. a 0 - 109 0 108 A/SPoSAG P/T--USE /Oo0 GA/-• 'f , ' S/J61•t��1�,.C. �2E� _ /88 -S�• �05 5 �10•L c .; � a 3 5 PRO, • /BB S.F X 2.� = S`7/ G•moo. - �-ls� - �: BoTToM A,2EA = 79 S.�. �� IC- -- jc 79 5.,� X� O = 79G.Po. _ 8 7'orAL. ,C�,!5.S/G//= l�O G.PP. Ito N TGTi4,G OA/,c Y F,Golt/� 330 G.Po. __ rANIL. i o - PE,2CoLAT/oc/,2ATB=• /"/NZ M/,4/ D2 LESS lob •l �08 IoS•4 A T H +' OF Al ESN OF RICHARD G� �o�' DAVID �y / I � A. C. I AXTER to U MULI j (a 6v No.2 W No.2 j ; ;t AL ECG 33 /p 9 � 'y04-1 l2-28-83 No SCAZ—x-- To�.r.vo• //a /o la /o sr r/VV, ¢ 7i"y7 vcx o Su9SDaC, /000 l3 6A4 . P17- /og TAIVA-- 7-1,12 / 6/.r Gt4 T--'-- 5C. � 2 �--- to --� 2 �"-• 2 �s ' PAN rZ o�as�� / C.E,2T/Fy ThYAT T4746 NBPEO.v Cc AfZ11-Ya )41iT.y TEE SETB,ac� ; ; f� ,��! 27 3 j; AMA S/�E� �G �'///� �•c/7� of T�/� + E�A,e-/-E.e //y�r/.uC. TOWiv O� ��gl1�.fSTi'11�4�'gNo/S ,t/OT�Ol.4TE0 t ,G�EG/STE,eEO •LALvO S(/�2✓frYt. 4117''/// 7W49 000P /N osTE.eV/,�.�E MAC• -ME.c/T S//,e✓EY ANo S.yo</�O nio r C3 PAC/GQ.v7' sov�1 v✓� �`i`.Srr' �iVC. vs�o To o�rEe�li�c/E <.o7- Log ;umber: Bo # B029 D 4/27/84 , f BAn 16. �1"s BARNSTABLE COUNTY HEALTA ODE-PARTMENT SUPERIOR COURT HOUSE BARNSTABLE, MASSACHUSETTS 02630 ° "IA Sg ' 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 4/26/84, 10:10 a.m. Collection: Telephone: 428-5376 Type of Supply: well water Sample Location: Lot 34 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 5.5 Conductivity (micromhos/cm) 44. 500.0 Iron (ppm) 0..05 0.3 Nitrate-Nitrogen (ppm) . z 0.04 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: Sandwich Board of Health cc: Meehan Well Drilling Lab Director 11/7/83