HomeMy WebLinkAbout0190 CASTLEWOOD CIRCLE - Health . t
DID UkO GirGC� �5.
f
M
ASSESSOR'S MAP NO. ,2 72 -PARCEL-6 3
L0`4ZATIO'N SEWA G E PERMIT NO.
(;TVI-LL•-,AG E
il N TA LLERIS NAME A ADDRESS
i
B U I L D E R OR OWNER
DATE PERMIT ISSUED
k
D A T E COMPLIANCE ISSUED 7
r
•i
` Jf
9
r �
• V
1 � �
tiI -� � A i•
� � / �
1\' '
�� � . ��_
.��' � \�
1 \� � �
K 'r
i� �
O .
.,.. • cn
z' �
r�
!/
i �
s., ; .,
��
. �., y�.
ASSESSORS MAP NO:
PARCEL NO: .1
No...J �.7�� -' y Fizs.... ....2Q...IIO.
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town.......................O F......-----.Ha r ns-t.abl.e------=-----................................................
Appliratinn for 11hipasal Workg Tanstrnrtiun Permit
Application is hereby made for a Permit to Construct ( ) or Repair JX� an Individual Sewage Disposal
System at:
......1_qD._C.astlewoad---Cixcla---liy nnls......... .................................................................................................
Location-Address or Lot No.
Diffenderser
......................----...................................................................... ..---.....-••-------•-•-•-•-------------------•.._.......---•-----.........._...............••---
owner Address
Installer Address
Type of Building Size Lot............................Sq. feet
DwellingXR No. of Bedrooms..................3........................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons-----------------_-_______ Showers — Cafeteria
a' Other fixtures ---..................................................
d ---------------•....................................................................................
W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons.
04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 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_-__-__.--____-_---__:_.
rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
1:4 •------------------------------------------•--•----------------------..............----•---------•-.........................................................
0 Description of Soil- ..................................1--10.0-0...gal-1.on.... aa ch...pit•---------------------------------•-------------------------------
x
-------------------------------------------------------------------------------------Sand---.&---Gr-a.ire-l-----------------------=--------------------------------------•--•-----•-•----
U 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 11mL L 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance hV..
n f�sued by the board o iealth.
Signe ••-•-•------------•--•--••-- ...-----11
Date
Application Approved By.. -?-r"' -� -------- Date 7
Application Disapproved for the following reasons:--------------------------------------------------------------•------------•--------.........................
..........................•--------•--•-...--•---••----------------------.....---------•--.....---------......_...............----••-------•-----•-------•------------------------------------------•-••.
Date
Permit No _7-...7 fez........................_ Issued_..........� .. . ..........................
Date
-r
No................_-- FE$..: .:...ZQ.a:Q.�2._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
------T.awn........................O F..........Ba.r.nstabl,e------------------------....................---
Appliratinn for Bhgpoii al Workii Tomitrnrtiun rermit
Application is hereby made for a Permit to Construct ( ) or Repair x(XX) an Individual Sewage Disposal
System at:
190..Caal.lemaad...C.ir:c1e..Ryau ais........... ..................................................................................................
Location-Address or Lot No.
Diffenderser
Owner Address
a -----..P.MacQ.m?er...•----•---•------•-•--••---••--------
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling No. of Bedrooms................. .Ex Expansion Attic Garbage Grinder
P ( ) g ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ................................. .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4 Septic Tank—Liquid'capacity_______-----gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. it.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by------------------------•--------•--..--................................. Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit___.__._............ Depth to ground water.........................
GL 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Ix ------------•-----•----------------•----•----------•----............-----•------•---......_...---•--.........................................................
O Description of Soil....................................1=1i.00.0---al-1.0 L-1. C i '--------------------- -------------------------------------------
x
U •---------------------------•----------•-----------------•------••••-----------••-•------......-•-•-........._...------......--•----•---•-------•-------•----.....•-----------------•-------•---•--•--•-
----------------------------------------------------------------------------------•-Sand.&---Gr.a-ve1-------------------------------•---•----•--------•--•------------•--•--....--•-
U 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 TI-11TLE j of the State Sanitary Code—The undersigned 'further agrees not to place the system in
operation until a Certificate of Compliance has b en ' suedDy the board o health.
Si ne
Date
Application Approved By---------
Date
Application Disapproved for the following reasons:................r---------------------------•---------------•-----------------------------------------........_
.........-•-------------------------------------•----- .................................................................................................................................................
Date
Permit -------•-----•------------ Issued-.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS �~
BOARD OF HEALTH
Towu Barnstable
........................OF....................................................................................
%ertif irate of Tnmph ana
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XX)KX
by_J.P.Macomber.................................................................................................................................................................
at_.190 Castlewood Circle HyannjQ Installer
-------------------------------------------------------------•------------
has been installed in accordance with the provisions of Ti T i G j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No...... -...7&5._l?......... ' dated................................................
THE ISSUANCE'OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT mE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.....................l - .� 7.................•---. Inspector_.... ------------. .............................................
Z 7 PL_ 037 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Torn Barnstable
Noll......................
...........................................OF..........................------------------. FEE........................................ 20. 00
"-••--•---•-
Disposal Workii Twomitrudinrt permit
Permission is hereby granted.........J.P.Macomber
to Cons ( r Re airXX an Individual Sewage Disposal System
at No... .._.. j1 C)irc1e HYannig
Street o
as shown on the application for Disposal Works Construction Permit N ,�7.7Z,r---- Dated..... ......8._1...........
........................ --- �� ......................................................
Board of Health
DATE................................................................................ .
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
8/16/2021 ShowAsbuilt(1700X2800)
ASSESSOR'S MAP N0.Z 72 PARCEL 0'3 7
LOCATION SEWAGE PERMIT N0.
VILLAGE
_� �� ✓ a��m6Er7So?r �✓1C '
�IW4TALLER'S NAME A ADDRESS
Gbhn�.�.
BUILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED 7� h7
i
i
:p \
FS
0 -
https://itsqldb.town.barnstable.ma.us:8431/Home/ShowAsbuiIt?mp=272037&sq=1 1/1