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Home My WebLink About0578 CRAIGVILLE BEACH ROAD - Health S 8 crag 1'3 vi►�t g��, �� S M E A D No.2.153LY UPC 120U smead.com • Made In USA SUsraNARLE INITIATNE C9OW RbwScwcN I TOWN OF BARNSTABLE a LOCATION .S �rp,( are Me /Sped, SEWAGE VILLAG �� .� - ASSESSOR'S MAP & LO'� 6••-,OZ 7, INSTALL AME & PHONE NO. JAx , -,9-SEPTIC TANK CAPACITY /Syo `LEACHING FACILITY:(type) 41 4114 s (size) n NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER r DATE PERMIT ISSUED: 9 5- DATE COMPLIANCE ISSUED: � - VARIANCE GRANTED: Yes No / (RAI A �� ys ,Z ` No.. FI:s.......� 4M......... ? CIO THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App iratilan for Diwjipmttl Wnrk,i Cnnnitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .................................................................... / tt.'....... Location-Address or Lot No. ........................2,E c :------------------ ............................rlaJ�II ..Ms` ----•----�-�6-3 z.------.._..-----.._. Owner Address a �•,�N._..�� -L.rz-------------------------------------------------- -------�r •vur�sly--w�..�3 .�s� j Installer Address UType of Building Size Lot.__/0,7/4..__._..Sq. feet Dwelling— No, of Bedrooms.___3_- ____________________________Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................... . . W Design Flow.........4`40(--•I 10 x!()--..gallons per person per day. Total daily flow......................`0 0............gallons. WSeptic Tank—Liquid capacitv.� -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----«2-....sq. ft. Z Other Distribution box (✓f Dosing tank ( ) aPercolation Test Results Performed by-------__________________________•______________�_.__.._..._.._..._______ Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit-----{_l___..______ Depth to ground water........................ Li, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P4 ....................................................... ----------•-•---•-----•-•-•-•-•--••---------......................................................... 0 Description of Soil.•--�o�nn--s�}Q, So �' 1 - I l , �A S q v�, U •--•--•------------------------------------------•--•------------------------------..•---._.....----------------------------------------------•-------------------------------------•--_.. ............. 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 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 i ed by board of health. 3 ?0-Q•S— Signed ... `�....�......1.......... �--.� - 9- ..".1�..`1............ ------------ - ....................-- ------ Dace Application Approved B .o. ems,,. ',�.. 2.--.. .l..... PP PP Y ..' J g Dace �` Application Disapproved for the following reasons: ............. . ...... . . ............ ..... . ........... . ....---.................. . ..................................... . . .. .. . ..... ... ...--..--........-------------- p Permit No. 1 -. ...> Issued ------------ --------------------- Dare �_ ---- ——————---————— --————————————————————————————————— ., 1. L/� F>nc........ f?.r?......... THE COMMONWEALTH OF MASSACHUSETTS a a BOARD OF HEALTH TOWN OF BARNSTABLE ,��1trtt#ii�lt f nx �i��><1�.tt1 nxit,� Cn�at�#x�r#'tun �rxuti# Application is hereby made for a Permit to Construct ( ) or. Repair ( ) an Individual Sewage Disposal System at: -------------------------•---...--- Location-Address IL or Lot No. --•------------•- -•-• C�iU 7f_.........J� o��3 Z- Owner Address w �-��w .. ------------------------------------------------- Gv: ,✓u T' ST uJ i ?2N S l.' �.4 _.. a -------- ----------- - � Installer Address d Type of Building Size Lot.2�s24=.......Sq. feet U Dwelling—No. of Bedrooms.._.. .`.` •...........................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ____________________________ No. of persons:----_--:_-__-_-_____-_--._- Showers ( ) — Cafeteria ( ) Other fixtures . -----•-- =`----- Design Flow........... __C___ _`�_�-_-_gallons per person per day. Total daily flow.....................`�.yP............gallons. W - WSeptic Tank—Liquid capacity..5 _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.....-9.2=....sq. ft. Z Other Distribution box (.Y Dosing tank ( ) aPercolation Test Results Performed by-------- --------•------•--............--------------•-••-•••••......---_. Date........................................ a Test Pit No. I________________minutes per inch Depth of Test Pit-----1_J_........... Depth to ground water-.----.._-.__-_-____---- LZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ....••--•---•-•••..............••-••--•-•••-------•----•-•--•-•-••••----•-•-••--....---•-•--................•--•-----•----•-•••--..........----.....---....•. 0 Description of Soil...... .....�.....:r ...... INn............................................................ x U --•----•------•--•---•--•--•----•-••-----------------------•-•-•-•--•-•------•-•-•-••----•---------••••-------•••-•-----•-•••-••--•--•--------••--•--•••-•-•-...............................------••---- ----------------------------------------------------------------------------------------------------------------------- --------------------------------------•----• ................................... 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 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. 3_ 2 Signed �¢- G Dace � ..- ..._ Application Approved By ..- - . .....j _... ...G�.,r..�,.,..-^•�.�............. .................................................................. ....�.--..��e-4......�t-/ Application Disapproved for the following rearons: ..................... .................... ... ........................................ . ................... . . . ------------------------------------------------pp-------------------------------.................--------------------- ------------------------------------------------------------------------------ --------------------------------------- Permit No. ......(....l..:.......57LI--------------------------- Issued Dace 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate of U��T-IImpliamr, THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( k-j or Repaired ( ) by ........- .,r :.. ...�1.U.. .- --- -------------------------------- ----------..... - ............. -- - - - Installer at ..................J-------1... C�� .........�rsa-•-,c� � C......�---------------_...---------------------------............-------------------------------.......-------------------------------- has been installed in accordance wiHh the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. _ dated PP P �� .. �- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE 'CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ..- DATE........2�...... ..._�^.._....� � - Inspector .. � 1`'�? ' .............. --------------------�-----------------�----------------------------- --------� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE � No..Ci.�..::..+.��.� FEE..... C�..r/----.... Dinlrn ial Worhp Tnnitrudinn "rrntit Permission is hereby granted — -'fi h.'. u:.. .........................................-------------------.. .......................................... to Construct (\,— or Repair ( ) an �I/n►dividual Sewage Disposal System atNo. 7 ^-'X-14..............................� `'`�.y+w� !....---------------------------......-----------------...........--•---. a as shown on the application for Disposal Works Construction Permit Street PPNo..A'y-.S1_.3--- Dated.....�� `.... d�� Board of Health DATE ....... .. ....----•--- =t�- FORM 36508 HOBBS h WARREN.INC..PUBLISHERS 1