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Home My WebLink About0143 WHITEHALL WAY - Health /y 3 #Jh*+e h 411 �1a . v, xbzb N CD co O K n P � v, -� � � a a0 e� _ s i �S .` t r j i '► TOWN OF BARNSTABLE V LOCATION " SEWAGE _ VILLAGE _ � , ;s ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ,f SEPTIC TANK CAPACITY /0 06 l LEACHING FACILITY:(type) 7, (size) M NO. OF BEDROOMS 3 PRIVATE WELL OR SLi BUILDER OR OWNER c<.��o�,•/ c" (� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: N 15/�� I VARIANCE GRANTED: Yes No �l i ^ C Xr C w� I 9 ASSESSORS PSAp NO: _ 2 �6- LO t t� PARCEL NO.: No... �� Fps. ..../-.5. ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH ...........OF..--...... .a,,f__�_54."!2 1:�........................... Aplifiratiuu for Uiupuuai Works Tow3trurtiuu Tirrutit Application is hereby made for a Permit to Construct (!/f or Repair ( ) an Individual Sewage Disposal Syste3n at• /� . /' /_3...•---•!:►..f_--- 1.C...-_.-��............ .. . ....... 440, .2..Z�.5........._... 1 r Locatio ddress Lot No. C l - ? �---------------------------- ------- =- c �:.5 b..... . : e Owner Address Q1...._..f—a-- , 'at".L.�. '- ------------------------- .5c..I...... -. Installer Address d Type of Building Size Lot_/-.-.g_-��eSq. feet V Dwelling No. of Bedrooms.___.._._ ...................Ex Expansion Attic Garr Grinder g— P ( C)' g � Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) p' Other fixtures ---------------- -------------- -- Design Flow.............S Z�. ..gallons per person per day. Total daily flow......... _ gallons. 1:4 Septic Tank—Liquid capacity5DOOgallons 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...... ..........s ft. Z Other Distribution box ( ) Dosing tank ( ) v ►� r Percolation Test Results` Performed byp�G 4 -_- 1�'��"V ! �/�ate.....-/ -. � . ....... a Test Pit No. �1•-__-minutes per inch D�i of Test Pik . Depth—Co ground water---_LT, Test Pit No. ._minutes per inch Depth of Test Pit. . Depth to ground water/�.-��.. P NPA?••••• --•-.-•-• - Description of Soi +� r ._ �/??_. �i��V.-j ............................ --------------•----------------------------------------- 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 i of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ssued by the bo of health. Signed . ---------••----- •.-6- I �te— Application Approved By--••••-•-•••..............•••-•... -•---.. ..e.(..................--•--......-- --- { a ...... y Date Application Disapproved for the following reason •............................................................................................................... ...........-•----••---••-•--•••.....•------••-•---•••-----•-----•--------•••----••--•----•-----•--•---•-•-••-••-•-••••----•-------•----•-•---•---•---•--------•---------•------•---•--•-•-••......--•-- Date PermitNo......................................................... Issued_....................................................... Date i No..a Fxs-_l c7 I d �... ............... ...... S THE COMMONWEALTH OF MASSACHUSETTS BOARD F HE LTH App iratinn for 11iiputia1 Works Tons rur#ion Famit Application is hereby made for'a Permit to Construct (. or Repair ( ) an Individual Sewage Disposal Sy ... . fie. / .. --....... - ._...:... Locate Address, pr Lot \o. ® i f '`" f �a "7E" . ......� d - owrer Address Installer Address r � Q Type of Building Size ....Sq. feet U Dwelling No. of Bedrooms.__.___: Expansion Attic }) Gar a e Grinder A(7 ) aOther—Type of Building ____________________________ No. of persons....................._...... Showers ( ) — Cafeteria ( ) Otherfixtures .----•-••--•-•• •------•---••-- • •_•-•••--•••.............................. Design-Flow........... ________________gallons per person per day. Total daily flow..__._.. _ ` ____-__--__ W - -----------gallons. C 4 Septic Tank—Liquid capacit ':gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench \?o_____________________ Width_________.._______._ Total Length.................... Total leaching area_-______:___________sq. ft. x Seepage Pit No.___,-._-_--__-______ Diameter____________________ Depth below inlet.................... Total leaching area... _.:_____.. q. ft. Z Other Distribution box ( ) Dosin tank a Percolation Test Results Performed by e"._t�. .._. �.....t. .............. ......... Date.... _ * �__!' ...... Test Pit No: _ j:.___minutes per inch D h of Test..P '-^ ^° __. Depth4o ground water.. f=, Test Pit No. minutes per inch Depth of Test Pit ___ p g ' __ _____ Depth to round water X ` O Description of So 1 �� '`'� . ------_____----------------------------------------------- x ----------------------------_ --.._...------------------------------------------------...-------•-------------•------.-._.----------=-----------------------------•----------------------...---•--•---- 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 7 T'=r_E 5 o£ the State Sanitary Code.,.-- The undersigned,Further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. _:.. Signed _,�*�� .� ............. •- ... --- •----•-----•--• ------ ....................... APP PP y--_••-- Date_ pplication Approved B ---------•----•-----.. .:-•--- - --.�__�.L-------------•--..._...-•------- ----•-�- Date Application Disapproved for the following reaso *................................................................................../ ---------------------------------•-------------------------------------------------......_...-----------•--••-•••---------•------•--•••-------•-•---•--••-•---•-•-•-•-------••-•------•----- •-•-•--- Date PermitNo.............................................---------- Issued_............................................--------=- •;ti` - Date THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF H.EA TH -� Arp t..-��.�rs.e''!�.'7.................OF..,�.......:�r!�!��.....��,. . ...............•__•__....__... Trr#ifirtttr of Tnntpfianrr ,!S IS TO.-CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) f lnstaller It -- at..d Via. ` e +. 1 -� _ i. �. has been installed in accordance with the provisions of-VET 1E -4 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._`�--6___4-0-i_0______________ dated........ _I_z_Sj&-�___________- :,THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. j DATE :::...::...........:. .. --•---------•-------•• Inspector .. THE COMMONWEALTH OF MASSACHUSETTS BOARD-` F' HEART , ` °- NO. 1(� C:) FEE. .. Permission is hereby granted_.:- _:.___ _._x ff apt �_ tg---•-••----------------- ___ _ ____ ___ _ _... to Const u t ) r R air ( } an Individual S ge Disposal System' F .................................j ; e - � Street tt 1 C?! _ Dated------..1_ ' 8 as shown on the application for Disposal Works Construction Permit Nc�j�-__ _ ,__ j.__.._._. ..............•-----••-••• -----------••-----•--__•••. \v-' r of Health DATE r .•'' ' ( / FOR%i 1255 HOBBS & WARREN, INC., PUBLISH —RS } ZO n/E /Z S' PK 0A1'r4 G E Ads DAVID P. qO�G 30 F?ONT SE refs t 60 1 MARIAN ` �n /51.11 �. SIDS YARD 0 ' CIVIL .:15 ..:REAR: ,_SET B�9CfC No.31115 - - •`� �O�c�C�STE�� ASSUMED :LOT PROTECTED .LhV0-0R:: 7-0 wN REG. 19R7,, $ CH.III G. W A Y o 0 P 2 •8 T \ c� 9co kj , / �o ? TgN��Pi9 \ G a Afl -V Soft: LOT 13 /4' 0 982S.F \ �'Z �� o v 45 a 9 /O N "� o��M OF n+q PAUL A. min LEVY / u No. 10617 L8 LEGEND \ �� r EXISTING SPOT ELEVATION OxO EXISTING CONTOUR --- 0 -- - 6N CERTIFIF PLOT PLAN FINISHED SPOT ELEVATION [� FINISHED CONTOUR 0 - LOT 43 WH/TENALL WAY NOTE: The location of any existing underground sewerage, wells, or other utilities shown on t; is plan is approx- IN imate only as determined from records and/or verbal A �� t•� era �.1 .\ �+ information. The contractor is responsible for the •� j M r""� verification of the existinglocations in the field. yYAN�1i SCALE' ;7'' ;_'10' DATE 943 -86 LEVY & ELDREDGE ASSOCIATES, INC. CLIENT.fREENBRIAK I CERTIFY THAT THE PROPOSED ENGINEERS-LANDSCAPE ARCHITECTS JOB NO. IOyS BUILDING SHOWN ON THIS PLAN E PIANNERs-LANDsuavEYORs CONFORMS TO THE ZONING LAWS ,. DR.BY+ J.AV OF BAR_N,S_T MAS � 712 MAIN STREET CH. BY' Pee HYANN I S, MASS. 2 P SHEET OF DAT E LAND SURVEYOR Y lk v �j NK Z 144 ki v a1r� o p HK N p Z W V V , ° q °� • • C4p •OtlJW � � � 4 E V �, q •tr 0• • • • JO Q Q( Z QC,rVSETTS � UQv1 tiV • - • ` 0 I 2 �• V aoLOs ti c a -j .. . Z � � I, Nan _ o h o to \b 2 � � a y� y � j p � eQ • � 2a h W Wv W °i'; , � 4 � W; 4� 14 h u V 0 h it cc . � �(' ! � ' \ .� Ill N �► !. .W � e � A� 0 � tiaoQ W o � ZW. 4 %b + + h ec bi rA b ;: :•y, '•�,:�• �':;r�;�j'.:c.:�f.` {: Z W W v 014 .� X. . . ono ` Z � L � yO _ti. oc