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LOCATION SEWAGE PERMIT NO.
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VILLAGE
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I N S T A LLER'S . NAME i ADDRESS
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III UILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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LO CAT IOWr"' S SEWAGE PERMIT NO-
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VILLAGE
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INSTALLER'S NAME 6 ADDRESS
® U I L 0 E R /OR OWNER _
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DATE PERMIT ISSUED
DATE COIAPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH.
--------TOWN...................OF........BARNSTABLE
Applir�ation fnr Diipui�al Works Tomitrnrtinn Fanti#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
, ke... hore...Drive ...............Lot # 38 -•••-------_._ .....__••...
Location-Address or Lot No.
.Sound Vest Associates!_ Inc_ _246 North St. , Hyannis, MA.
..._.. - - ----------- --------------- .................
Owner MIA.
W J. P. Morin Barnstable, 11��11
,-7 ....... . ......................................
Installer Address
Type of Building Size Lot....2.Q.,.QQ.Q.......Sq. feet
�., Dwelling—No. of Bedrooms..............2...........................Expansion Attic..(Ye)s Garbage Grinder VO)
Other—T e of Building No. of persons---------------------------- Showers — Cafeteria
Q' Other fixtures .----------_----------------- . n
W Design Flow...............`5.5........................gallons per person per day. Total daily flow........P.lD_........................gallons.
WSeptic Tank—Liquid capacity.l.Q..gallons Length.....6......... Width...... ........ Diameter---------------- Depth........6......
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. r
Seepage Pit No.......1------------ Diameter......8............ Depth below inlet..... .-_5....... Total leaching area......198....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by..........Baxt er...&...uye.............................. Date........................................
aTest Pit No. I.....2--------minutes per inch Depth of Test Pit......6.1---------- Depth to ground water.........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-hlo...g._w.....
a ------••••••-------------•--------•-•-•••-•---•-----------------•-•............................---•-.............................................
••-•--•-••--
0 Description of Soil........................................................................................................................................................................
V --•---........•---•.................••-•-•••-•-•.......•-----------.......•-------•--------•-••••-••----••-•-•-••-•••-••--•••-•-...-•-•-•--------------•---••----------------------••---•--...--•.......
-•------------------------------------------------------------------------------------------------------------------------------------------------------------------•------•---••----•-------------.....
V 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 TI'LU 5 of the State Sanitary 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. �� l 4.._....
D
ApplicationApprove y. .••• -------•----------------------••.......................---.........--.... ?-
Date
Application Disapprov f o the following reasons:------•------------------------------------------------------------------------------------------------------
---------------•---........_---------••••• •••-•---••......................--------.....................-----•----------------------•-....................................--•-....Date............._
PermitNo......................................................... Issued........................................................
Date
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THE COMMONWEALTH mrM4ssAoeussrTs �
������ U�K� ���� HEALTH
�°�~°�" ^�� ��" '
--..�O��....................OF
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� ��������v�oo ����� Works Tonstrud0on Prrutit
Application is hereby made for a Permit to Construct ( ) or Ilc»uir ( ) an Individual Sewage [)iapoou
System at:
-_......
---15L- ki?-'R home_{lr've............................ ------- __38_______________________________
Ln�^�° �« � or Lot No.
--------SolIDd�-T/ef�t-�\S,G�2(7 __24S_0ortlz__Gt�_�__]8Yr��noi_o_,_MA.____
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................J� __-----_'-----'-_-__ ----___B��ost�bl� ""� ____________________
Installer Address
Pq
Type c6Building Size Lot...2-<}A.0-0--------Sq. fee
Dwelling--No. of Bedrooms--------------2............................Expansion Attic &"e� Gr6/derD(o )
04 Other—Type of Building -----------'-' No. of persons............................ Showers ( ) -- Cafeteria [ \
04 Other fixtures .-_-'-----.--'-----...---_------__.----___--.----_----__________________
Design Flow..............55......................... per person per day. Total .............................................
Septic Tank—Liquid capacityl-ODD..gallons Leuutb....6.......... Width....A--------- Diameter................ Depth.......b.......
Trench--2Jo .................... Width.................... Total .................... Total,leaching area....................sq. ft.
Seepage Pit Nu--]L--.-- Diameter.....]."........... Depth below Total leaching urea.-][ b.
Z Other Distribution box ( ) Dosing tank / )
'- Percolation Test Results Performed by.........3.axter...8i-NY!�!............................... Dute--'----------'----'
Test Pit No. l....2---------minutes per inch Depth of Icot Pit-..6.1
........... Depth tn ground water.-_..----.._.
44 Test Pit No. 2................minutes per inch Depth of Test Pit--------- Depth toground wuter_Na-fJ°w~-
_ —'--_-----_-_'---_--'---_--_ .........................................................
0 Description of Soil........................................................................................................................................................................
__----_-.-__-__.__'.-------'---'----_-'----------__-----''----_-_--'--.----.--------'--_---'----
_-_--.__-.-.-'-_--'_--'_----._---__'—_-_--_'_----_--__'__-'_-'--_----.--------
U Nature of Repairs or Alterations--Answer when --_------------___.................................................
-------------'---------------------------------------------'--'-----'------'--'----
Agrrcozrut:
The undersigned agrees to install the aforedesoibed Individual Sewage Disposal System in accordance with
the provisions of TITlE 5 of the State Sanitary Cod — The undersigned further agrees not to place the system in
oyc,utiuu until u Certificate of Compliance has been issued 6y the board ofhealth.
--' -- - ---
' '' .. � .............
----------'------n�----'------'-.......................................................................................... ...............................
Date
PermitNo......................................................... Issued.....................................................
Date
THE COMMONWEALTH oFxxAssAoeussrrs
| BOARD OF HEALTH
|
..........................................OF........................................._..._........._..........._............'
Trr4uftratt of To44tpluaurr
0' IS TO CERTIFY, That the Individual Sewage Disposal System constructed (-<or Repaired
has been installed in accordance with the provisi ns of TITLE 5 o4 The State Sanitary jCo e. �e .�ib in e
application for Disposal Works Construction Permit No.-k 4;!4.............. dated-7
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G;UAR NTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
THE COMMONWEALTH orwAssAc*ussrTs
BOARD OF HEALTH
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Perouaouoo
Log'-number: Bc- . i # C058 D 4/27/84
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BARNSTABLE COUNTY HEALTH DEPARTMENT
SUPERIOR COURT HOUSE
V � BARNSTABLE. MASSACHUSETTS 02630
MASS DRINKING WATER LABORATORY ANALYSIS PHONE: 362.2511
Client:
Joe Breen Collector: Meehan Well EXT. 331
'
Mailing Address: 222 Lake Shore Drive Affiliation:
Marstons Mills, MA 02648 Time & Date of Collection: 4/26/84, 9:30 a.m.
Telephone: 428-5376 Type of Supply: well water
Sample Location: Lot 38 Lake Shore Dr. Well Depth: 65'
Sandwich Date of Analysis: 4/26/84
Parameter Sample Result Recommended Limits
Total Coliform Bacteria/lOO ml 0 0
pH 5.6
Conductivity (micromhos/cm) 47. 500.0
Iron (ppm) 0.09 0.3
Nitrate-Nitrogen (ppm) <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
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APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS
LOCATION Lot 38, Lake Shore Drive _ NO
VILLAGE Marstons Mills 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 Treasurer
( icant' s signature)
• • • • • • • e o e o e e • o • e e e o o • e • • • • • e e o • e o • • • • • • • e • • • • • • • o • • • • e • • • • • • • • 9 • o • • • • • e • • o • • • • • •
SOIL LOG
SUB—DIVISION NAME TIME / : D O
EXPANSION AREA: YES ✓N0� ,f� TGi(/f�G� ENGINEER
TOWN WATER PRIVATE WELL , c;:::: 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 :
37
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,�A a
PERCOLATION RATE:
TEST HOLE NO: ELEVATION: TEST HOLE NO: �"`"P ELEVATION:
2 SSo�� 2
3 _ L 3
4 4
5 5
6 6
8 ,�.¢ti'V� 8
9 9
10 10
11 11
13 !-t'�� 13
14 14
15 15
16 16
SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELDZ,,,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