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Home My WebLink About0033 CEDAR POINT CIRCLE - Health 33 cedoj Pbiry Circle Ce�fi�t'v�tie. ZZg - � 13 � 0�3 pia S M E A No.2-153LY UPC 12934 am®ad.com v Made in USA Arl?.?-C-YC-4,bC SUSTAINABLE Foy INITIATIVE Cwftd Fiber Sourcing I v � ' TOWN OF BARNSTABLE Q�LOCATION o 33 CeolGr SEWAGE # VILLAGE CQ� Pylir ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. J04,7 19, Aal�o SEPTIC TANK CAPACITY N LEACHING FACILITY:(type) /f)00 4 0149 10 (size) _4; 'al /3 / NO. OF BEDROOMS J PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �p, /�IiC�ira �/ /ha�� / jSall DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: / /g VARIANCE GRANTED: Yes No X ,�k ��; � � �C, � , 2© - (_ � \� u G�� I� r �Ap� - - No,., FE .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .................OF....... Appliration for Dispuml Workii Tomitrurfivit ramit Application is hereby made for a Permit to Construct (V1,10'r Repair an Individual Sewage Disposal System at: a .. .....................C .. ...a. . ..... ........ ...................... Ad ......................DrL--- A dress e.L..... .......... ................. aori........................................................ Owner Address ..........A.. A .................................................................................................. Installer Address Type of Building Size Lot.51.3-1.15......Sq. feet 10'g ...............w. Dwelling—No. of Bedrooms..............._.._....._...._Expansion.............Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons._.___._._._..._.____.______ Showers Cafeteria Otherfixtulps ......................... ....................................................................................... EX", -------------- Design Flow........................ .......gallons per person per day. Total daily flow_....._....._.._._. -FEMQ.33t.fiallons. Septic Tank—Liquid capacitAl�.gallons Length................ Width.............._. Diameter......__.._..... Depth................ Disposal Trench—.No No_____________________ Width,,a- .t............. Total Length..............i----- Total leaching area_------------------sq. ft. Seepage Pit No......A-_ iameter....1-0-------- Depth below inlet...... ........ Total leaching area.:Ilftr—s ft. Z Other Distribution box Dosing-tank Percolation Test Results Performed by--- J YE.;L.�............... .... Date.......I.Si-45-0 ......... Test Pit No. 1.... ....minutes per inch Depth of ......I. .... Depth to ground water..__®__._..__.__. fs, Test Pit No. 2-------I minutes per inch Depth of Test Pit........1.9..... Depth to ground water._. P4 ........................................................................................................................................ 0 Description of Soil............................ ... ................................... --------------------- ................................. N.14D....................................................................... .................... ......... ....... ---------------------------------------------------- --------------------------- ....................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ..................................................................*---------------------*........ --------------------------------------I---------*--,-*,---------------*1-------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of THIPLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Com a been issued by tle board of li th. . .. ...................... _5.d.. ... D/a Application Approved By' .. .......... --------- I ate Application Disapproved for the following reasons:..................................................................................----------------------------- -------------------------------------*--------*------*---------*------------------------------------"----------------------*--------------------------------------------*-------------------.......... Date calill Permit No..............!� ................... .............. IssuedL.................. ............. DateNib" a - — No: `, ` Fxs.........! THE COMMONWEALTH OF MASSACHUSETTS BOAR® PF HEALTH -------- (- ... OF...............�05TA .. �'................................. Appliration for Diopoa al Works Tonstrurtion rawit Application is hereby made for a Permit to Construct ( -,/or Repair ( ) an Individual Sewage Disposal System at: C.......a2 r: C... ....... ............................ ........ '---Z----.---------........---.....------. otion-Address o Lot No. ca W Owner Address r1 .......................................AAUro................................... -•--•--•-----•-•--....----••------•-•--------••----...•.--•------••-•-------. ......••_._.._.... Installer Address UType of Building Size Lot... ��____...___• 3,�-___Sq. feet Dwelling—No. of Bedrooms................. .....................Expansion Attic ( ) Garbage Grinder ( ) WOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtur� ............... •-•---------------......•-----••-•--•-•---•••-----•---••-•-------•-----••-•---•---•-••-•-- •--A•�••.... ....................... Design Flow.......................>So.... ..gallons per person per day. Total daily flow...............__._ {� gal. - ..•r•-- g P P P Y• Y �YJ�1.�--•------- Ions. WSeptic Tank—Liquid'capacity.� G?( allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No.`.................... Width......#_.---------- Total Length............._y---- Seepage Pit No...._... Total leaching area.._.._._............sq. ft. .� ...... iameter_...__.,�._.... Depth below inlet.._....�1✓....... Total leaching area....Q:Qd...sq. ft. z Other Distribution box :( '� Dosin ank '-' Percolation Test Results Performed by.. ..... .__..� _. ` !©© Qp/ Date--------'S•--_....1•:nRal•--_.... Test Pit No. I.......L!-__.minutes per inch Depth of Test Pit--------l-_l...•-. Depth to ground water------------------------ 44 Test Pit No. 2...... .....minutes per inch Depth of Test Pit........./V.... Depth to ground water........................ P ---------------------------•--------------------•-----------•-----...---•--------.-----..----•-------------------------------------- ---------------------- • 0 Description of Soil------------------A....•-------•-- - •------------------- - ------------------•----------•.................................................... U .................................................GteA1=s--------k4 6'-_U.L)..M...•---- -------•-------...-----.....-----------....•-•--......----••......-•_.. W UNature 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 TITALE 5 of.the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp ' ha been issued by t boar of health. ' r Signed_ XT �� 1>C ---- -- ....................... -•..n_1.•J e„.;...... Application Approved ---••--------c- "' . . Date . 01�q;-------- Y ............... ... Application Disapproved for the following reasons:_...----•-----••--------------------•------------------•------•-------------------------------••-••--•----•-•--- ..............••---•--------•-••-----•---•-•-•--••-----•----••----•--......•-----....--•--•----•----------•--------•---...-•--•-••----•--•--•----•--••-----•-•------------------....•-----•-•----------- "`��`� Date PermitNo. .:..... ... .......... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS T BOARD OF' HEALTH ... ► ..............oF............. :2.!�;�T .............. ......... (Irdif iratr of Tontplitanrr THIS IS\TOO�C,ER IFY, That the Individual Sewage Disposal System constructed ( �r Repaired ( ) byJJ......• •............... .Q�rl- ----_. .......--•--.... -----------------•--•-----........-----•-------•-------......--------•-----•--...-----•-------•••----- F Installer -------------- -----••----•--•---•-•--------•-•-- has been installed in accordance'with-the provisions of TITLE of The State Sanitary�C^od as described in the application for Disposal Works Construction Permit No.... -""'-Z�---'"._T dated__49� �>THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARA TEE THAT THE SYSTEM WILL) FUNCTION SATISFACTORY. DATE.............. a"=�•4�./A.--------------------------------•---. inspector...-•--•-��---- THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH t7 .!J............oF................. .!�l ............--.... >.... ..� o Tono lion rrntit Permission is hereby granted. n ---------•-•-------------------------------------•----....---•---------•-•--- to Construct ( .) or Repair ( an ndividu�l--m,age Disposal System at No... = a t a Street u as.,shown on the application for Disposal Works Construction Permit y �: .Y D t ---- ................... - ............ 10 2 7 Board of Health DATE.-=••---••--•---•••......------!!!- _._ 4 Y FORm1 ,1255 HOBBS & WARREN, INC., PUBLISHERS. .. •° ;w`�� 6 p � i•,, aF`' r--A, AA I L>j L L�C--- 7> r� L,f R-001 0 �'30 �7;e_ I V�'O zjq 22 L -1-4 ti,L S-u'0 2ev e, Cie I-Crr-A L -DLXA"l 4 ll'� &.Of-77 -3c Z WCHAR SULL 14 ?3 BAXXTEn �1N 4. 40 rzoi FIr L) -7 le (;AkJV�v-- Y, 77, r& -Z D Jj\ FF J 3S. 77 7-7- X L L ug 171 .1 aTa 15 4,— - — ------ -A 4-10 1- 1 AA �T\ L ............... ck A QE I-OT -T Oz(" VA-7 .,A 00, E� j3 e I Ky. 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