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V I L L INSTALL R'S NA E 0,DDRES 7 yJ _ c f UILDER OR OWNER r DATE PERMIT ISSN E D DATE CDMPLIANCE ISSUED 6111,1011 r ®� 2 42 r i �iwc) 19 / 'a No. Fxs..�2........_........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ...................O F.......................................................-.................................. W4 ,� ltrtt t �t nr t u tt1 nxk C�� t r � tnn rant Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: V A0 , S.mot ;Y 67 Old Strawberry Hill Rd W j✓c2N�l/ i �a -.......--__ ... .. .................... ................... Capricorn ImatVrd`' ust 765 Falmouth 'Mbar;°' Hyannis ... _.............. .. --------------.......... -----•--•--••--•-------•------.......-------•---•---.--........................................... W Steve L e b el Owner Address ---------•................•---.......------•-•---•-----•-----.....---•-•......--••-.......--•••- .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..,3.....:...............................Expansion Attic ( ) Garbage Grinder ( ) Other=Type of Buildin ranch " No. of persons............................ Showers- 2 — Cafeteria YP g -•------------ -- f P--son .................................................( ) ( ) Otherfixtures •--------•---------------•--•--------•----- ----•--•----------------•-----••.....• Design Flow.........55.............................gallons per person ggr day. Total daily flow..........330.........................�;llons. 10OW Septic Tank—Liquid capacity........ ons Length8_�v....... Width_'4:�10 Diameter................ Depth.�_=_.81#-__. x Disposal Trench-No..................... Widt ................. Total Length......._ ........_. Total leaching area--------- _.. sq. ft. l.................. Diameter.._....i_.__...._ Depth below inlet..... ........... Total leaching area.... ft. Seepage.Pit No. Z. Other Distribution box ( ) Dosing-_*d �d) e Engineering 11-25-81 Percolation Test Results Performed by.._..._-- g....... g.............. g Date---..:...............................__. 0 Test Pit No. 1__2.0.__._minutes per inch Depth of Test Pit...12.�......... Depth to ground waternOne_._e1_?COunter— T 44 Test Pit No. 2W. .........-minutes per inch Depth of Test Pit I`l/-A...__..._.. Depth to ground water_-_WA............ M •----•••--•-•-----------------------•-----..........................------------•---..........-----...........------•-----•-------.................----•---- O Description of Soil......._..0.9...._.. i.....-loam_.&__topsoil____ x 2 I0 Medium �rellow sand w 10.`.. - i2'------med-- white---sand%traces-__of-_-gravellno___water_-at_ 12 ' UNature of Repairs or Alterations—Answer when applicable.......................:..............:........................................................ Agreement The undersigned agrees to install the aforedescrilied Individual Sewage Disposal System in accordance with the provisions of A ITIE 5 of the State Sanitary Code=The undersigned further agrees not to place the system in operation until a Certificate of Compliance as n issued by.t d of h lth. puree 9. - -3l .1,183-._ Application Approved BY--• -----•. ---4f .4............................................................... .---- ��� ate Application Disapproved r th ollowing reasons---------------•---••-------••--------------------------•---•................................................. ....................••-----------•-•--------•--•-----•-•-----......---•--....---......------------------.------•----------------••••---------------------•------------•-•-------•...---•------•......._ Date PermitNo.......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town.......................:...oF Ilarnstabl e Applirtttion for Disposal Works Tonstrnrtiun Errant Application is hereby made for a Permit to Construct or R_ air ( ) an Individual Sewage Disposal System # 67 Old Strawberry Hall Rd ��z ........ ......... __..._....---•-•-••---- ----------••-•--••-------------------•----------... -� ...... . : ....... Lo tin Address or Lot No. Capricorn Read�y rust z6 Falmouth $Dada,,, yanr�jjS,,,,,,;,,,,,,,,,,,,,,,, .....-------_..... .... ----------- Owner Address W Steve Lobel Installer Address co Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms-3.........................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ranCh............... No. of persons............................ Showers k ) — Cafeteria ( ) Q' Other fixtures ................................................ -- W Design Flow.......5.5................................gallons per person er day. Total daily flow._.....330............................gallons. �- WSeptic Tank—Liquid capacitA.QQQI..gailons Lengt '. "_..._...Widti+!.10...... Diameter................ Depth-!B"..._. x Disposal Trench—No..................... Width------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit A—------------------ Diameter.._6_'___.__--__- Depth below inlet...6.'............ Total leaching area.2.6.6........sq. ft.. � Z Other Distribution box ( ) Dosing tank ( ) '—' Percolation Test Results Performed by._r.ldredgg_-Engineering.............. Date_.1.1-2_5--8a............... Test Pit No. 12 O........minutes per inch Depth of Test Pit.l2...._....... Depth to ground wat(none...P?naounte — I (s, Test Pit No.N/A...._.....minutes per inch Depth of Test PSI/.A............. Depth to ground water_N/A............... e P4 ••--•---•-••------------•--•-------•.........................•-....-----------------•.....-••---............................................................. O . Description of Soil........9'... 2-.--------_I OaM...&.. QPS.Q-U......... .... .......... ...... ...................... f: U ------•---------------•-------......-•-2-�------•-10.-•----Nle d um...Y 1 9 nd-----------------------•-----._......---•----------......-•-------------------- w ----•--------------------------------1.0-..... 12........med..--white..sand,/tx�a _es__.o . grayelfno...water...at---12' - 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 TiTI s 5 of the State Sanitary Code—The undersigned further agrees not to place the system in ik operation until a Certificate of Compliance has been issued by the board of health. iv. Igne 10. i= Pres. 3 4.. ~ �.. ___________________________________________________________________________ ___ + �.._...... ApplicationApproved By... = -------------------------------•----...............---•--------------.......--•- Date Application Disapproved for the following reasons----------------------------••---------------------------------•------------......--------------•------•--.....-- ..........................•-•--•------------•------------.......--•••-----.....--•--------------------••.---------•-•---•--••------- - ----------------------------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALTH .......TO.M.....................oF.....Barnstable................................................ - �lertifirtt#le laf f�unttrltttnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired '( ) by..............................................Stama..Lehe1..........................................--... ----- t .................................. Installer ✓s ' 67 Old St . at Lot--- .............................................ar.y..�j.1,1.--Rd----•---------------- ' ---------- ----- - has been installed in accordance with the provisions of TI _fS ,;he State Samtary.� c ed in the application for Disposal Works Construction Permit No_________________________________________ dated-.-.-.-............ ISSUAN E OF THIS CERTIFICATE SHALL NOT BE CONSTRUE A GUARANTEE THAT THE SYSTEM WI CTION SATISFACTORY. DATE....IP.. .. .....---........................................................ Inspector--------- --- ---------------•---•-------•----------•-----._..........---••-•...-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH o.tiM..........................oF.Bal.- t.able..... No......................... FEE........................ Disposal Works TyWantrnrtion amit Permission is hereby granted...............Stave---L-ebal............................................................................................... to Construct%�( )0 I r tI)�4yuAi�f.yagj�CP isposal atNo.L.Ot_ •-••---------••--•-- --•--------------••---------------- ianns, � Street Z r as shown on th application for Disposal Works Construction Permit No......... ated.......................................... ..................................... ....... .........................-.............................. and of Health DA ./....----....----------------------------------•----....--...------..---..... 1 FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS i q;- ' 1 i goo/_ ExPa•lslof.l l / 5�E 7 I 2-0 �� XI ��I Z ' l A f / DfST 'L"'r+—�-� � 2N'\. O �+--- Cq Y I lJ CEAcrif�J,G;. PI P LaT �,� n l^ r 6A 6- 4- BED20 0 aAWC H o R� S N ND EL 30+ 4�' 31 F pn- ' p= . EL 44,4 g - Fro S Z srAK�SET i vy� 9.i—I S /Z0 5 81� 1, ^ q vw � tir1CF �qs I � N SUR�f'y LEGEND , o CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION Ox0 0h EXISTING CONTOUR ---- ® --- ; Q ti� a 6 67evs71e'lw1 c�Xv t!e c l�era. FINISHED SPOT ELEVATION �Q�Q] l ,�. /yw FINISHED CONTOUR 0 RSE p No.10951 O 2 I N APPROVED , BOARD OF HEALTH ) fA J ALA /ONAt Ile DATE AGENT SCALEf ' 30� DATE LDREDGE ENGINEERING CO. IN CLIENT �`FN��' I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO. 83°°7 BUILDING SHOWN ON THIS PLAN CIVIL LAND m CONFORMS TO THE ZONING LAWS... 1.ENGINEER URVEYOR DR.BY OF BARNSTAB ASS. . 712 MAIN STREET CH. By' - HYANN I S, MASS. ' / 2 6. 3 SHEET-0F DATE Rf'G. 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