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Home My WebLink About0038 CARLA ROAD - Health I 38 CARLA ROAD LL Hyannis A = 248 - 149 i i AsBuilt Page 1 of 2 4 Or ��' TOWN OF BARNSTABLE t LOCATION EWAGE VILLAGE ASSESSOR'S .MAP & LOTJ Y9 INSTALLER'S NAME 4 PHONE NO SEPTIC TANK CAPACITY d/d LEACHING FACILITY:(type) (/� _(lizel 1004 NO. OF.BEDROOMS_ '; _PRIVATE WELL O UBI,I ATER BUILDER OR OWNER ✓�/- DATE PERMIT ISSUED: p DATE COMPLIANCE ISSUED VARIANCE GRANTED: Yes ono �- '4vy Gv�` I http://issgl2/intranet/propdata/prebuilt.aspx?mappar=248219&seq=1 8/11/2017 AsBuilt Page 2 of 2 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=248219&seq=1 8/11/2017 oT 7 _TOWN OF BARNSTABLE LOCATION ,�� SEWAGE # VILLAGE ASSESSOR'S .MAP & LOTd VIA J� A INSTALLER'S NAME & PHONE NO SEPTIC TANK.CAPACITY �. LEACHING FACILITY:(type (size)' /DOD NO. OF BEDROOMS_ PRIVATE WELL O UBLI ATER BUILDER OR OWNER - a4 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ VARIANCE GRAYTED: .Yes �- I 0 �� o ti \\ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...................... ....................O F..................... Appliration for Dispati al Workii Tontitrurtinn thrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........... ,I �. C� .....-•--•------------------------•••-----.. Lot No.--••--................................... Lo ation-Address ca .4, ner ............Address Insta ler Address UType f uilding Size Lot............................Sq. feet Dwelling=No. of Bedrooms._.._._�-----------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—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 capacity............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..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 14 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rxq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..._=__-___--__--_.-_-_- Description of Soil__._._._ -- x 24-1-A U .........................................................../� ..................................................................................................................................... U Nature of Repairs or Alterations—Answer when,a plicable_____ ___ _____ _ ..__________.__..___ .......... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L IT 1L 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the bo r of heal Signed- -------- -------------------------------- Date Application Approved By-'--------'-. • ---..--__-'-- . ! Date Application Disapproved for the following reasons-------------•------------------------------------------•---------.........---------------------•----------...... ...........'-••'--'-----'--'-------"-'--'-----'•-••-•-----"-•--------------"-'•---'--"---•-'----'-•-•...-------'-'--'-----------•-------------••-................................................... Date PermitNo......... I.Y. �•- - ---------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................................-......O F....................................... Appfiratinn for Da ipaii al Works Cnnnstrurtinn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: C �Z7 u-Address or Lot No. W ..........dfuildint _�_�... Own .. Address a ----•--•-- ......................... :. G % G�`B r ,.�--•-------------------------------------------------------------------- Installer Address Type Size Lot............................Sq. feet I—I Dwellings—No. of Bedrooms........Z/....................... ......Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures -•......................•----------•--•-••--•----......-•---•--•--•---------•--------.......---•---•---•---•-•-•---................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 W Wx Septic —Liquid*capacity ...... g gallons Length t ---.._ Width................ Diameter. .....-------- Depth................ Disposal TnchNo . Wdt . . 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 ( ) '-. Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--.--_-_-__-___-•------- 04 ------ -•-------------------------------------------------- -------------------•-------------------- •------------- •--- •-------------- •----------------------- 0 Description of Soil......... __. V ..... --•- --•• - .-•------•-•-•--•-•-•---------•----••-•-----------•----•-•-----••-•------------•--•--••----••-•---•-•-•••.............•-•-•------••-•-- UW -----•--------------------------•----------•----•---------------...-------•--•---------••----••-•-••-----------•-- ---- '. --- ---...----....... 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 TITS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the bo�r of health. Signed. --- -•. ----. _2/�G..... :�........................ Date Application Approved By............... ....... --- •----•........------. ........... -1 a" ' -!i-- jI Date Application Disapproved for the following reasons:................................................................................................................ ........•-••-•••---•---•--•...-•-...----•...-•--••••----•----.......-•-•••--•-•-......-•---------•---•••.. Date Permit No.------- . ...�..� •:.� .-•-•-------•--- Issued....------•------------------............. �.��.. ...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ..-,.. ..OF...........t s ,., ��,Y................................... Tntifirate of Tomplitanrr THIS TO CRTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired�(�••) by = �..... . ..... ... ....................... ...... 1 - /� Installer at. ' r<c Yc=• a�3-"-=-•--....-- ((--tt`� r+!w. D -----•--------•--•----------- -----------------------------------------------•---------------- has been installed in accordance with the pro�h'sions of 1't= j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----- .1_._. ........ dated------------------------------------------------ THE ISSUANCE OF THIS CE RTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY, `, DATE....---•------------•-•-----/ =�.. .Y.......... Inspector_... ....................................................... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD JOF HEALTH ff . ±::<:;:�I ............OF.......F!...;P:t.:� ?:.s..c�� .'�.1............................... .--.. No. :_..... �.: / FEE.. .................. Maps 1 nr --inni#r inn rrntit Permission is hereby granted p =zan e . to Construct 1 or Repair,� )r an Ydi lygdulaI Sewage Disposal stern at No.......... = �.--...... � ---••-. ...... �. ..t_'j&e/ rtt-q \/ Street q �j as shown on the application for Disposal Works Construction Permit No � _�.1��..._ Dated.......................................... ..................................... ----•- : ----------------------------------------------------- DATE �,^ �� (` Board of Health ---------------•-------•--------�-�--�------•-•-----........-------•---•--•- vvv FORM 1255 HOBBS & WARREN. INC., PUBLISHERS