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Home My WebLink About0353 PHINNEY'S LANE - Health (2) 353 PHINNEYS LN, CENTERVILLE A= 230-090 No. 42101/3 ORA ESSELTE folio O O O O TOWN OF BARNSTABLE LOCATION ?S f-HiNWfy.S LANE- SEWAGE # >s= G VILLAGE Gar i£/LVI LL£. ' ASSESSOR'S MAP & LOT.;�30" 670 INSTALLER'S NAME & PHONE NO. �G �ce�►+l CGrJS'i y �j SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /�y�¢,i/G�c'" (size) 7 NO. OF BEDROOMS PRIVATE WELL GCCPUBLIC WATER BUILDER O OWNE �,Pol �� DATE PERMIT ISSUED:_ gc — DATE COMPLIANCE ISSUED: / .r . VARIANCE GRANTED: Yes No G *3 S-3 4 I I 1 i i 4 ASSESSORS MAP NO• .�� PARCEL NO: Fiz$......3 ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ,��rlirtt#i>a�t fnr<�i��n�ttl nrk,� Cnla�t�#r�r#inn �rmi# Application is hereby made for a Permit to Construct ( ) or Repair PD an Individual Sewage Disposal System at: -- --- r� Loc: n-Address or Lot No. Owner 1,dd s a Get...s�1�L® 1 ... _S7A-tJ Installer Address d TypeDwelling No. of B Size Lot............................Sq. feet of g — edrooms-----------------3-______-_-__-_----..-Expansion Attic ( ) Garbage Grinder (--- /Jc aOther—Type of Building ...............:............ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- - - ------------------------------------------------------- W Design Flow................��....'----------------gallons per person per day. Total daily flow..--.-.____-_-_-5�_.----�.-"------------gallons. WSeptic Tank—Liquid capa6ty/4O!--gallons Length________________ Width................ Diameter_------------- Depth................ x Disposal Trench—No. ........L......... Width--------- Total Length__--' ......... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter._-.-._-.-..._.--.._ Depth below inlet..... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--------- --------- ...................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water----------------------.. rX Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water_..................... 9 ......................................................................•-•---•------•---•---•-------•......................................................... 0 Description of Soil........................................................................................................................................................................ x V .--------------.......................................................................................................................................................................................... W ---------------------•--- UNature of Repairs or Alterations—Answer when applicable....../...-_ ..i.................-4-._____IG�U___f -�___� � ae V ,�`T4- --.....W� - - �� . . .............. 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 Complianc as b en issue y board of health. � � �� Signed ce .. Application,Approved � . . Dace Application Disapproved for the following reasons- -------------------- ----------------------- ----------------------------------------------------------------------------------- ------------------------ -------------- ---------------------------------------- Date ! d _�--- Permit No. ... 'J"� ---------- --- ---- ----- Issued -------- Dace 730 No �. �T'''b _ Fps.................................... z THE COMMONWEALTH OF.MASSACHUSETTS BOARD OF HEALTH i TOWN OF BARNSTABLE Allp iration for Diopootti Worko Tonotrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: -•-•••.........••-•---- ---•--•..--- --•-•---•••-_.... .. ..............••-- Loca ron- \ddress L...S_ '�.. �S. / i G' .�..2F or Lot No. ............ -- o 1 -- ._... Owner Addr ss r; ........... a Installer. Address --•-_--•-•----•-'--•-•------ Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms________________3-_--.---__-_-_-.._--Expansion Attic ( ) Garbage Grinder aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------------------------------- ---------------- W Design Flow............................................gallons per person per day. Total daily flow......._.._.. ..................gallons. WSeptic Tank—Liquid capacitv/0 -_.gallons LTgth---------------- Width---------1----- Diameter.._........... Depth................ x Disposal Trench—No. ......../........ Width....... ........ Total Length.-..--2........... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.....Z.�___. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date-----------------------................ 1.4 Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-._-_-----_-___--.-_---- rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -----------------------------------••---•-----------------•••------------••--------•......-----•---•......................................................... ODescription of Soil------------------------------------••----••-•------•-••---•---------------------------------------------------------------------------------------•-•......_.....••--- x W x - ------------------------- U Nature of Repairs or Alterations—Answer when applicable.---_/�� _..---___-/4000 5 k.._- - i4►,-(IL D - s .�� c / �T_ "ew'�cs w :r J%U1�!.�...._. y ----t------------�---•--------------- Agreement: IThe 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/i as ben issue YAP board of health. Signed - ........ .... .....° .... ...._........ -�-- Application.Approved � � to ......� • Dace Application Disapproved for the following reasons- ---------------- ------- - -- _ ------------------------------------------------------------------------------------------------------- ---------- ---------------------------- ------------------------- ....... ..... _ ---------------- ............... .. ..... .. ...... -............ ---- ------------.................... .. . .. �� ` Dace Permit No. ................._........._.. Issued - .. ... ... " Dare THE COMMONWEALTH OF MASSACHUSETTS 7 BOARD OF HEALTH TOWN OF BARNSTABLE C'Iertiftrate of Tomylianre THIS IS TO CERTII-Y, That the Individual Sewage Disposal System constructed ( ) or Repaired �j t� >> p i.l S T/L.v c�'t Cry by _....... ...... _... ------- at ........I_... .................... .............. .--------._.------....1- ----.-----------------------------------------.- -------.-----------..--------...------------------- has been installed in accordance with the„provisions of TITI.F,S_pf The State-Epvironmental Coje as described in the application for Disposal Works Construction Permit No. ./.' _..��dated . :... �Zj THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F NCTION SATISFACTO�.. 701 DATE .......-��'� .op .. -.... Inspe or -= - .. '——————— ————— -- —THE COMMONWEALTH OF MASSACHUSETTS Z—34-P . BOARD OF HEALTH TOWN OF BARNSTABLE No.. ::._.. FEE.... .............. �io�oottl orko �unotr�rtirin �rrntit r S �� ,� ;�c�� N Permissionis hereby granted..............................................--•--•------••�--------......•--•----•---------------..........................---...... to Construct ( ) or Repairer an In, Sewage Disposal System atNo...................................... -•.............. .. / ---------•--------------------------------------..........-- ,� $tre �// as shown on the application for Disposal Works Construction Perm% ._ ..__.....L...___ Dated_--✓......._..� �� ---------••----•••---••-•-• --••---- .. r Board of Health DATE._..----- 0� V yr FORM 36508 HOBBS&WARREN.INC..PUBLISHERS n t� �� I