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Home My WebLink About0224 MONOMOY CIRCLE - Health (2) 1 ��_I_®- -�� v -No....1,�1...-...._. S&*.'p / / � �....�..�................. TF9E COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �1f ,�... _.OF ........ .�'�- 1.J 4�'----------------------- Appliratioaa -fair Uhipvml Vorks Tonstrurtioaa Vrrmft Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S st.... ...................... - ----- ....................................... ......................................................... at L ion-Address or Lot No. ................................. ----------- � Ow > .e -...Address a ------ -... ------....4 ----------------------- -------------------- 14- tV 5------------------------------------. Installer Address Type of Building Size Lot_7_K_ Sq. feet U Dwelling—No. of Bedrooms----------------t:T__ --_-._-__Expansion Attic ( ) Garbage Grinder ( ) p4 Other—Type of Buildin __ _____ _____ _________ No. of ersons_......--_._........._._ p .._. Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------------------------------------------------------- ------------------------------•---------------------- Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. W 11 WSeptic Tank—Liquid capacit,A-�R---gallons Length................ Width------------.... Diameter---------.------ Depth----- x Disposal Trench—ilTo. .................j. Width_ ___ -------- Total Length.._-___---_-_____-_ Total leaching area....--------.-.-----sq. ft. Seepage Pit No.U.,X0_ ---- iameter....... G_G__.. Depth below inlet.................... Total leaching area.---..-.-..-___--sq. It. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY-------------------------------------------------------------------------- Date------------------------------------.... .4 Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water................... .---. Test Pit No. 2----------------minutes per inch Depth of Test Pit---_----_-_--._.___. Depth to ground water-.-.-.-..__--_.-_-_---_ a 0 Description of Soil-_.--- __.___.�Ll__ x --- ----- ---------------- ----------------------- ---------------------------------------------- V ------------------------------------------------- W - fir.- �;.: Od �i ti -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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-Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ifisued by the board of fealth. e, Signed----,-.-. ----------- ---- � ------------------ - --I- t------`------- Application Approved BY ........ ��'� a ------------.... �/ Date Application Disapproved for the following reasons:----•----------------------------------------------•-•------------•------------..........---------------_--- ............................•-------.....--------------------------...----------------------•-_----------------------------------------------'----..........---------------•----------......------------ Permit No..-----� ................................ Issued..-- - � ..................... Date is - t '1..---.'..... Ft.... ...V............... THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH OF..... . ... f . . lY ` +'""... ..................... - , AllpliratiOit -,for BuipmatiVorks Towitritrtion Vrrmft Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S st at: t -r ...t.o....m...... Gm............................................�, 1_ L ion•Address or Lot No. = ---c, 1 .,.----------------------_----- ��"'�x"' :�� F=' "b;...................... Own Address �--------------------------------------- ---------------- Installer Address ........... feet U ..Dwelling—No. of Bedrooms............... ________-.____-__Expansion Attic ( ) Garbage Grinder ( )per, Other—Type of Buildin _.._...._: No. of persons........................__. Showers ( ) — Cafeteria ( ) a Q Other fixtures Design Flow----------------------------..........._____gallons per person per day. Total daily flow---•___....................-................gallons. WSeptic Tank—Liquid capacit.$-_.gallons Length---------------- Width................ Diameter................ Depth._.._.__--...... •' x Disposal Trench—No. ...... .......... . Width. _..___&_______- Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No.kA_)(b iameter....._. C..._ Depth below inlet.................... Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......------- -------------------------•---------•-------------••--•----- Date---------------------------------•--.... Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water_.._____-___.__._-.,.--- f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ D ip Description of Soil-_____ _ .._.' ...._...r_ x Ws.Se ,,------y�iG'�= `� ------------------------------------------------------------------------- -------------------------- V Nature of.Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------_-------------- ----------------------------------------------------------------------------------•------------•------------------------------------------------------------------------------------------------------- Agreement:., i The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions oArticle XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate•o Comp11 Ge has been t su d by the board of ealth Slgried -----•- ----------- ----------------- *.,,_Application Approve( By == ' ------------'---- ---------- --- e` 7,. — s;* l Date Application Disapproved r the following-reasons: ---••-------------•--•..__._....•---------•-------.........-•--------------....-•--------•-•------------------- ................................................. ...........................Y__._............._..........----------..._......__......_.....__..... Date PermitNo..---- .......................... Issued........................................................ `.. Date X—/ T.kE'COMMONWEALTH OF MASSACHUSETTS . &/ BOARD OF HEALTH e,.............. .....................O F.......... ��Sj/af................................................ ' Tntifiratle Of TOmpliattrr THIS IS TO CERTIFY That the Individual SewageZisposal System constructed ( ) or Repaired ( ) by---------•----•-----j?+ G '................................................... ---------•--•-........................................................................-•-•------•------ Install at '7r ---------------r-------- e . has been installed.in_accordance with the provisions of Article XI of The State Sanitary Code as described in the application for'Disposal',Works Construction Permit No=_f l... .:................... dated......... ...................... THE ISSUANCE OF THIS CERTIFICATE SHAD NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM rL FUNCTION SATISFACTORY. DATE ctor . �. /� � �, ------ THE COMMONWEALTH OF MASSACHUSETTS ' BOARD. OF: HEALTH 7�riLGi/r ��L ST•yl�L• ..........................................OF.................................................................................... No......................... BispOiittl Norkii QlamitrOrtioit Prrmit FEE........ Permission is hereby granted-----.. ....... % 1`:L_Z............................................................................................. Construct ) or Repair ( ti') an Individual Sewage Disposal System ?-at No.................Z-A�'.'„f � '�2 t------' -� `2.........�o t 1 t ------------------------------------------------------------------------------- Street +� as shown on the application fo"r'Disposal Works Construction , >mit Z_/___ ----- Dated______ •. -- . ------- . . ` _ � .,.. oard of t DATE ........... J----- -- --------------------------- , FORM 1255 HOBBS & WARREN. INC...PUBliSKERS '•'�' - f` •- PLOT PLAN SHOWING INLOCATION OF BUILDING CENTERVILLE BARN STABLE MASS, FOR ALAN E . SMALL INC. SCALE: 1"= 60' DATE' JUNE 17,1975 CHARLES N. SAVERY INC. REG, C.E.8kL.S. 712 MAIN ST. HYANNIS, MASS. i I MONOMOY R= 7 14-.60• A= 135 C i C 62•i 74'+ Dwellin9� i 0 / i 0 �9 6 Z 0 P°rch - 61 60 cn 59 TOTAL AREA= 31 014 S.P. 72 73 ?4 i F I hereby certify that the building exists E on the ground as shown on this plan end i is in accordance with the zoning requirements of the Town of Barnstable. /7/7S !/ cr�tH OF R48ERT Rt;aistered Land Surveyor 12uN K►s a No 8420 o ; Su THIS LOT IS NOT LOCATED IN A FEDERALLY DESIGNATED FLOOD PLAIN ZONE. -7 2. 2 138