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THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town....._.................OF.............Brns.t.apie ..... .. ..............................................................Apptiration for Uhiposal Works Tonstrurtion an it Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: Old Strawberry Hill Road Lot 9 Land Court Plan 32849A ........................................................................... ..........I.,............................... -- --- ----- '12,Location-Add 0�s_ r I tM. _A._ %T�kmr 4 *,. P .......... ......... ..........t ........................... ............... .....................f. Owner Address .... . . ............................................................... .................................................................................................. Installer Address Type of Building Size Lot.19,_L54---------Sq. feet U Dwelling—No. of Bedrooms.................2 ...........................Expansion Attic Garbage Grinder 4 CL, Other—Type of Building ............................. No. of persons---------------------------- Showers Cafeteria Otherfixtures ........................................................................................................... Design Flow....................55 ........................gallons per person per day. Total daily flow.___.....33.0...........................gallons. 1 04 Septic Tank—Liquid capacity- ..gallons Length----.4.1--6"Width.-A'.--IQ!Diameter................ Depth_.5.'.-8".. Disposal Trench—No. .................... Width.................... Total Length.___................ Total leaching area....................sq. ft. I----------- Diameter____.---___.__.....8 f.......... inlet.-_...... f...... Seepage Pit No---------- ----- Depth below . Total leaching area—Z .......sq. f t. Z Other Distribution box (X ) Dosing tank ( 0-4 axter � Nye-A. Jones P, E �--4 Percolation Test Results 2 Performed by...... . ............................................................. Date_�2419,t77.................. Test Pit No. 1...............minutesperinch Depth of Test Pit------�3 Depth to ground water........................ 2.....minutesper inch bepth of Test Pit......1.2. Depth to ground water ......... ... ............ PL4 Test Pit No. 2........... .. ...I .......... ............ ............................ .0 ZY...�a-m---and ...Si6s.oi.-1................2.I.-.I.2.I....clean...medium sand ............................... 0 Description of Soil........7............................................................................................................................................................. x U ........................................................................................................................................................................................................ W ...............................................................................................................................................................................m....................... tl� 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 TITLE Ti LE 5 of the State Sanitary Code—Th undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss b he board ofbealth Comp, �Sign d........ ... .... .... ....................................... D a e ...... ...../;k:::;Z ......7.7.... Application Approved By....... e.... ... ........... .. le.. --------------------------- Date been R Application Disapproved for the following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issue(-... .............................................. Date v s1 p.�, No---• - ..... f FEB..f�..._.. THE?COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town '` Barnstable -. . ,.OF.....--.....B -------------------------------------------------------------•-•---• Atipliratio' n for Dhip`osaal Works Tomitrat.rtirnt Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at:,- Old Strawberry Hill Road Lot 9 Land Court Plan 3,2849A ........ ..__ _.....:.....:. .... -- ..............•- ---------------- __-------------•-----•---•--- .. Location ddr re. or Lot No. ..... ..>_:P... . ..CARP : ..... . w. . .._-_..�A_.-------I .............. Owner Address -- W ............................................................. -.....-•••••-•••--•-••--•-•...-•-•••-----._...-•--........•-••-•----•-....---•--•---•.....-•-•--•- Installer Address Type of Building Size Lot_19t_4 S 0....._.._Sq. feet U Dwelling—No. of Bedrooms.............2............................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building ............................ No. of persons____________________________ Showers — Cafeteria a Other fixtures -------------------------•••-• •- W Design FjdHw....................5.S...................gallons per person per day. Total daily flow_______��0_-____.•___.__._.__.._____._gallons. ' WSeptic Tank—Liquid'capacit ___gallons Length____" _ Width. �_......tDiameter________________ Depth g ''S�i Disposal Trench—No_ ____________________ Width.................... Total Length..........._..._____ Total leaching area....................sq. ft. Seepage Pit No...................... Diameter__._8.1 .._._.._._. Depth below inlet.............. Total leaching area.. P____._.sq. ft. Z Other Distribution box.F ) Dosing tank � J `-' Percolation Test Result Performed b 13 t5e Nye-A' .Yokes P• B•_ Date.1`2.�Z9�77_________________. Y -- t-•-•--•-------- ---- 1.4 ,� Test Pit No. 1_______ ______minutes per inch Depth of Test Pit......_____ Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r . p 0,2 Loam--and ................ -------•-----•--.._.....--•----2 clean mec��um sand Descriptionof Soil ............... ........ ---- •- -----• ------------------•---...-------------------------.............--- V ----------------•--------- -----•-••--•----------------_----- --- -----------=---------------------------==--------------------------------------------------------='"' `------------------------------------------................................................ 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 TITLi; 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ed eDbgar loofflie�al�tN'Pe � co-Rq Signed----------------•_ U y�a ............... I Da e Application Approved-;4y......i;--- f. G� ----•-•--...--•--•------ / Date Application Disapproved for the following reasons:=#----------- -= _...:..-•-------------•----...._...-•-------------•---------------------------------------•-----.......---•-•••-•--•------•-----•---------•---••-••----------=•-------••--•--••-•--•-•---•----...•-•--- �,/ Date PermitNo.........==------------................................ Issued._-.'f--- ......................................... Date.:-.... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � ^-'.....................:.:oF...�:� NS-7 I� C Tntifiratr of Toutpli attrr THI S jERT,IFY, That the Individual Sewage Disposal System constructed (�r Repaired ( ) by.. ---- .....::. t---------------------------•---•-•-•---••------•--------- -------........----••-•----...._..-------•-•------------•------•------ ---......-------••- at.. � � /'. •-V at 57OCfQGI-) �JC'!� R �� fIpstallgraDA�� J�l� /�I1.11111�j ��j � € ------•----- -._. -------------------•-----------•............... ............................................... •-•••••-•---1 --••••-•-•--••--------••-•---•--••-••--•••- ? has been installed .in accordance with the provisions of T _ F j of The State Sanitary Code as described in the application for"Disposal Works Construction Permit No _ _ _________________ dated_- -_ _ :-7.7_.._._._______. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A C9 ARANTEE THAT THE SYSTEM V%L EUNC"TIIO SATISFACTORY. DATE.. ___-----•-------- ................... Inspector•• ..........•-- -- �---1..- " -----------... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, J1LJ ..................OF..-- A2S A /e. .....6 ... N ........ f:,7..... FEE.. ir-------------- Dispo 1rkg Tonstr i�tta rrmi# Permission is hereby.granted• -- ............._..-••-----------•---•-•••-•-•- to Construct ( or Repair ( ) an Individual ewage D- al System at No._.(,' Dl ...5 ?._r`�W__!eo_ ' ..... !a�� ANf7 / V q/jA.) 's ' !�'J/9,.•--•- --• ---__ .............................. Street as shown on the application for Disposal Works Construction Per •t No ___ _____ _____ Dated_-__.(": _- _F'�' .__.__._.... ...••----;�- E:: °!� � ---- -------•----___---••---------- 1►wt�l ., DATE- --------�- -_-_... oard of Hea FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ^f'^ a .l fr��.F c.IV1li { �..y�T✓�iJ��C+N� ..- � a Catlt.C.l�. •(GI4 JC7�S� ' L caw : ito 4 3 = L s -ric `r-A"tC = 3-eov (Sc % _ A-95 6.Po Q u USE_ IO�CG 6,4L_. ,uxWALL AZE.A = (50 S•i:. !ram SF ,t 2.S = 3/S G 1 T5c1T-'rn,(A 9:-:;o ST=. �.C� Ss� ,� l •o SO . C•�.P D. � N• t x a Ta-T'AL. -vESl6Q = 425 G.PD. A�N J"IQ 2.MIu 02 LF-,�;. PROP. � nrVk Q PIT a FIAM S* r A1 4 T►r ST To•P Pw = o o.C, LOAM ��� 11J�L^ 97.Od � �N �OCX? IIN• •:A sng ,o�., d'pP� I7f,^f IW. GaL. 94-7 1: - z Ve 16,4 SEvrlc I C> IWV. ! t000 u.e tlUv �uv. 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