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Home My WebLink About0009 CRESTVIEW CIRCLE - Health 9 Crestview Circle$ Hyannis 252-051-012 Lot 53 ��jj . (.9,TOWN OF BARNSTABLE'M� try r. 4 LdCATION .- n *L e #'/,M NMI 5 SEWAC Z VILLAGE 7 �� 642 ASSESSOR'S MAP ?&'LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type)_ �T (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: _s — ../,� COMPLIANCE DATE: .Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet :Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) "lot Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaghing facility) Feet Furnished by � o L kAj P - A Zi=&IeTl Noo- !v .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE ApplirFatiou for Divi-potial Mirks Tonfitrurthm 11nutit Application is hereby made for a Per t to Construct ( L/ or Repair ( ) an Individual Sewage Disposal System at: 9 nIl�'� �z ...... ......... ..._..44,1_ ....................................... � 1 _ ..............--......--................................. ;I,-o o,-Addre or Lot No. V__._4_4 • .... _-_ ... ................................................... Address -------- -�D +cGV�}TI/ ( t Installer Address d Type of Building 3 Size Lot.----- �_3 5�.--.Sq. feet U Dwelling—No. of .Bedroo is ------------------------ .Expansion Attic ( ) Garbage Grinder ( ) of ersons----------------_---------. Showers — Cafeteria p,, Other—Type of Building No. p ( ) ( ) Q' Other fixtures _----------_ ------- ----- - - W Design Flow............................../.LO.....gallons per n per day. Total daily flow....... .3_p_..._-........._.__._....gallons. WSeptic Tank—Liquid capacityl00&--galIons 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. ft. z Other Distribution box ( ) Dosing to/rr('V"`-'"� ~' Percolation Test Results Performed by ��.. ..........................� ................ Date--------•l i�_Cl J W Test Pit No. I----ra. .< -..minutes per inch Depth of Test Pit.................... Depth to ground water....lvU.N�-.. L% Test Pit No. 2................minutes per inch Depth of Test Pit.........-..-------. Depth to ground water........................ Descriptionof Soil ----� ------------------------------------------------------------------------- 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 Co IianFetkqs bew issued by the 111 oard of health. Signed ----- �-..- '-------- --------------- - ------------0........ / 74 Dare A lication.A roved B - `,�- D...�.. . ... PP PP Y . Dace Application Disapproved for the following rearonf- ----------------------------------------------- --------------------------------------------------------------------------------- ............ ..... ............ . -------- ------------- ----.-......---------------------------- ------ - ------ ate Issued ------------� . ...............................Permit No. Dare FEB , ........./l.. ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di-nVo3ttl Work,i Towitrnrtion ramtit - Application is hereby made for a PermIit to Construct or Repair ( ) an Individual Sewage Disposal System at: 9 U/?' V/44 ��2 `�.5__� 17. 'S ,J __ c,c.ft.c�t� Jam' Y or Lot No. ...........-- -- = =----�o'G------- --------- --- ------- -------- It W Ij byg,� A7 It r7 0 1/)&�"i Address Installer Address Type of Building Size Lot_... q,_A5� _Sq. feet •--- U DwellingNo. of Bedrooms----___•______________________ _ _ -Ex Expansion Attic— (�U'(l'l� . - _______ p• ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------- -- - --------------- ............................................................... W Design Flow............................. .1�._.__gallons per person per day. Total daily flow....... a�J(�........................gallons. WSeptic Tank—Liquid capacity«Q�__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 to ( ) a Percolation Test Results Performed by------------ Date.__.. / / �1 �_ - -- ---- ---- ---- ,.1 Test Pit No. 1---- per inch Depth of Test Pit-------------------- Depth to ground water---/l11}Nf (i Test Pit No. 2................minutes per inch Depth of Test Pit--.---_-_---..__-__- Depth to ground water........................ O Description of Soil------ x1--- ---------------------------------------------------------------------- U ----------------------------------------------------------------------------------------•----•••......--•--- W — ----------------------------------- -----------------------------------------------------------------------------------------------------------------------------------------------------------•---•---- 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 b and of health.. / Signed a k .c�.0 ---------- ------------�--- ----------- �4 --------------- D Application.Approved B , Application Disapproved for the following reafons- ------------------------------------------------------------------------------------------------- - = ------- -----------------------.. ----- -------------------...-----------_ 1..... _.. .. -� � Dace I Permit No. .. :.f ...-.... -- .. Issued ....._..._. o ... ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Gertifirate of Cantlatianve THIS IS TO CERTIFY, .hat th. Individual Sewwage Dispos 1 System constructed ( ''/ ) or Repaired ( ) b �V .:-U ---------.mac ..:..1/ //t Y ` - - -. In till'r at ............ . 5.--- ...1.�--��.-1 .�i ... (...... � , .�,c. �.. - - _.............. has been installed in accordance with the provisions of TITLE of The State Environmental Code as described in the application for Disposal Works Construction Permit No. t- .....�} ..'-. � .5----- dated ....... ----............................. ... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------- -1---- --I-I------1 .......!_.(f---------------------- Inspector ------------------.._..------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE-- 1/20 No..�-••---•............... �im�osttl orkm �unmtr ion �rrmtit %� � Permission > -hereby granted..... -----------------------------------------�--=--- -�---�--..�.`G:.�:........-�---------�•---...._.......... to Construct ) or Repair ( ) an In ividual S'wa. Disposal System at No..... .. �'3 �1 ,� .:. n... ----- Street ��,�.�^_r as shown on the application for Disposal Works Construction Permit No.__. -__..-_%(_+�../Dated:......................................... ................................ ..•"^ °"�'-^�� ---------------------------- Board of Health DATE...................... ............................... FORM 36508 HOBBS ec WARREN.INC..PUBLISHERS r i vATA 5111aE FAMILY 3 . $ED?Lr M/ ' - .VAI Lam( Fi-oW 3 x 410 33v I So •�4 -- --. 0 5 U�G 1000 GAc.. (¢ — e _ G4 122.41 I UlSPoSA P~T .�-laoo IS s-UiL- BOTTOM ;� 8 SF : 1 N 7CTAL DAILY M-Orl = 3'�0 Pb /,ate. T�E2Ge)C.AT1 oN WA7E �►J '1,.MI►J/LESS 74- r 1 RICHARO A. SUL , AN t , `. eAxrEa a. �o. 2�i33 i Mao. \ , S1l3AfALE � - - �' �oL2 r-- -7,� 4 �3 TF-7a �noo 10 7J FIST ,v✓ GAL /At/ N✓ oz BOAC 70¢ roc T NL � rw`iL� -70MLA �Oeo i f Z 3�¢'I�Z, ti'ST. 40 EL'7o= 3a OIL 1s�2.4V&-. WMNEP ALL-,jrzv-v;zc-' SST MOW STONE Q4A BE z. 2 G�•�¢' opEu .cP,p,Gg� SvB�+v151oN 6 �ZGrc.S 3o/o/ic ' MAP..252/51 , 253 Jig 'Pev�l -- CEkr T=I Eb 'PLtY'r' PKA N EL �CoO o , SGALt✓- OG 'TIDl�1 ' 'GEJ�T EfLV(c.l.� �I YAQW15 a SGQ L E-: I �( Dare-f l,�o � TZ� MArL,to lq.4� 1 C GP-T FY 1-44 dT THS DDw��n PLAN �t FE RQJC� SF1c�v�1 N�zeoN coMP�YS "JITµ -ME 51DEV�IE 'I 2EQ' oV 'nIE- 'iDWN OF ?3AeA,, AaL� Pl .BL sos P&. `I8 A+1v 15 IIT L-04A LA(JD :co0PLA►4 T `�t t u -T�1� a�.ILI l Zr�T 3�oG9 DA`f� 3�Io�gS TkF FLAti t5 Ncr �3A�r=J oN AN p SSroNdL LAuD Suev�joc5 Su2vl=' AIJ r e o IuSTLvti4EUT' �.tQ I L : . Ei'JGI N EEt�5: � � � N FF5ET5 �I�vutD u�- 13E U.Gl� T'p SST .I��{ RZTE12-Ty U NL.S �5'(�2v I�LG MA,� . � QPPIacgNT;_ Ays.irt9 -PATA 51�1G1 FAMIL-( 3 . BE-C7,7WMI' �10 6Aiz�A�E GR►1JVEV, 'PAIL( FLow.3x0oa 3 0 l SE'M C TA N� 33� x l so� d 45 GPo ............ o• U4G 1000 GAL-, f22.,Q j _DISFV)A PiT J= ,06 dAAL I 113g 5f''A 2- -45 5 r BoTTOM. .AaZ rN TOTAL DAILY MOM = 330 6fb 1,a� p�oP . _— �5�- v • �o T 2ci�LAT1oN ¢A'M: IIIi►J 2. IQILE% 74- I OF. (o� ^i ; 1.. t. TER -�� rjAMA No. 2033, �,.I � � _ I: n S1(3At Al I d., b � VIE IotS..�• �'19 45 �� ' ---�m-�- - =Tnc�cr»aT� )_ _ V• i�✓• i Inov ; 7/ 1o0O iN✓ oz: Box 70¢ 706 /ifTlc' GAL '10 T• N L' . ; L • Saa>� T"� I e t 2 3�A I/Z DIST, '4o EL'b w,s� � ; : AEI_SrQucvQEs s�.-r , lead MOW I S i 2 6' G�•64' opEu °PAGE; SvB�tviSivN MAP.252/51 253 A j "PEVFl.v C�zT'i f®' PLgr P- 'PevFI 90 SGA� LoC.�1'TIDt�I : CE' itizVfLL.E /PYAQW15 WO OMZ _. i1. I�io ....17.1� _ 1 CFJ?-TIFy ,M AT T4Svu w�-41JL ? �pLAN QEDERE7JC.� SFlo�v t� HezeoN �o,N,PL S WITA IVS 5(pr=Lj JE O .741E 'TDWN OF' BAZA rAS(.� PL •8L Svs ` Pam. :-ig L-a4ATL� WT4Id THE PxoD M,&It,1, ►.AlJij eOL) .P.nIJ 3ldGq Y - IK qc =LaN IS NOT- Ai l►JST�vti4El}T ? 551oI1dL; AtJ� Suevl %orzs ;ED C>q hN y o� .I�1L5 o Li1GIDrU, -ro EsIWBLIlq ST�2vILL 'N EEfc MASS -. dPPL1CA N T yslLt'.13 VIGb1►;1�; Go . ING: • i�'iui �rig 4'r nr �• s,�.._