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Home My WebLink About0016 MUSKEGET LANE - Health (2) .�� mus � �� . c�� , u li IP Noll F�$. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Disposal Works Tonstratrtiun Frrutit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage -Disposal System at: ...1.6...MUSK-G-E— R•d Ceet-er- 1 j e----•---------- .............................------------------------............--------•--------............--- Location-Address or Lot No. ..Charles Less . ..................................................... ............... ............................................... Owner Address a �_�.E.Robinson _Septi_c..s_e- _Y.Ie..:............... ._]3ax_..111$9...Gentervi-1-10...MA.................... Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...... Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............................ No. of persons____________________________ Showers — Cafeteria Pa Other fixtures ...................................................... W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. ty Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No_ ____________________ Width--- Total Length.................... Total leaching area_-_____._ _......sq. ft. x 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........................ rX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •---•----------------------------------------------------------•-------______-_-_--__-----------•-•---------------------------------------------------------- ODescription of Soil............. r-ave�--------------------------------------------------•-------------------------------------------------------------------------------- U W ---------------------------------------------------------------------------------------•-•----------. .-----------------------------------------------------•------•-------•----------------•-••--•----- U Nature of Repairs or Alterations—Answer when applicable---000---qal-.-_ stone—p.gq.Xg& ea c hp i t..................................... ......................................................................................................................................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 bee issu e • and of health. Signed ..1�- ------------..---- ................. ^...- te ApplicationApproved By .. ..... - ------------------- ------------------- =------- ---------- - ........................... Application Disapproved for the following reasons- --------------------------------------------------_-----------................-------------- ---------- ----------- - - - ------------------- ---- --------- ., Date Permit No. /�-- ..... Issued ---------({� ... --- .... .- ------------- Dat x No................_.�.. Fes$...�,...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` TOWN OF BARNSTABLE Appliratinn;for Disposal Works Tonstrurtion umi# Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: r................. .............•---'........................... Location-Address a or Lot No. 2.Charles Lessard Owner Address W W.E.Robinson Septic Sery .�Q................. P.._�A c�x...�.11R9...�:�a�t Qr��i.�.? ... .. ,-� - Installer Address d Type of Building \ _r i, Size Lot................__.____....Sq. feet Dwelling—No. of Bedrooms...._.3....................................Expansion Attic''( ) Garbage Grinder 1:14`14 Other_Type of Building No. of persons............................ Showers — Cafeteria 04 04 Other fixtures ...-............................................................................................:.._......•--•••-----........._......----------------- W Design Flow............................................gallons per person per day. Total daily flow.--..........................................gallons. WSeptic 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. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by---------------................ Date.................... Test Pit No. I................minutes per inch- Depth of Test Pit.................... Depth to ground water--___--____-_-__-_--__-. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ................... Description of Soil............. 4, =�F��:-------------------------------------------------J U ........................................................_..._....._...._............................._:_ UNature of Repairs or Alterations—Answer when applicable...10oo cial._ Stone-oacked leachvit -----------------------------------------'-•---------------------•-------•--•-•--•----•••--••--------•---•--•--------•-------••••---....--------------•--------------------------••-----...------ 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 td'"place the - t system in operation until a Certificate of Compliance has been ' issued,byt!he board _health. Signed alth. Signed • ' � --------- Application Approved By --, am... " 1 � i ,. Application Disapproved for the following reasons: ................................................. ----------1e------------------ --------- Dale Permit No. `'o .... Issued .......... .....------------------------------------------------------------------- • � Da[e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH u TOWN OF BARNSTABLE I C�er#ifi ate of (1:11amplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed;,( ) or Repaired ( X ) by.W..E.e...:Robinson....SQnt 1r....servi..ce-------------------------------------------------------------------------------- Insmller at ..._...-- --6----Mus}c...... ..Rd. c�Qrat.wry..�?.1��% .. .............................................._.. liar been*installed'=in accordance with the provisions of TITLE 5® he State E vironmental Code as described in the application for Disposal Works Construction Permit No. ........ "R21 dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. t � a,_ ,!� DATE ,luxe �..,..1.9.9.1 .... Inspec o 1 �..................... ............. y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� TOWN OF BARNSTABLE No... FEE. *'...... Disposal Works 00.1una#.rndion prrmit Permission is hereby granted...-W. Ra.RQb.i '1_snn...aSP�b.'2t j c..c-�-�a��............................:............................... to Construct ( ) or Repair ( X) an Individual Sewage Disposal System 1 acic i- p i _rA / at No. ...Ml.�.... ......-- -•.•--�...n.I1 :rs.�_ .7.r,I. j................................. r�. ............... /1 Street / as shown on the application for Disposal Works Construction Perm jfI4 _.......-Da 'd. �W /XT[:". . ....... . f® AX •---- Board of Hea14h l�l� "��• �- DATE----.---. �. .............:. .............................. t FORM 36508 HOBBS B WARREN.INC..PUBLISHERS