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Home My WebLink About0034 CAP'N CARLETON'S RD - Health I 31 TOWN OF BARNSTABLE of �- / LOCATION -17� Ca f Car �/o tt riQ SEWAGE # �b VILLAGE Cod 1 r ASSESSOR'S MAP & LOT W Y � INSTALLER'S NAME & PHONE NO. 6 "7 /q, gu/Tr SEPTIC TANK CAPACITY 10QQ ,LEACHING FACILITY:(type) ? (size) 464 NO. OF BEDROOMS `✓� PRIVATE WELL OR PUBLIC WATER @ BUILDER OR OWNERic�« DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: L' VARIANCE GRANTED: Yes No i Fiis.. ' THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH / l ��. ........`................-.OF....... ✓'r1.f ,kp�lira#iun for Uwpuual Works Tonstrnrtiun Prrntit Application is hereby made for a Permit to Construct (K or Repair ( ) an Individual Sewage Disposal System at: ................ ..3.7_......... /�.. �.� �..... 'A ./. , , f. .:. ..... s . .. . ....................................... LoSat' A ss or.Lot N. Sw_ ...._..-- '{ �-------•----- ••..............•----••--•-----•--......... ........._......._.....--...... .......... Jw er Address �� ._.... .. , - -••---••-----•- ------ --------------------------- ----------------___----•----------------•--•................... Insta er Address g Sq. feet Type of Building Size Lot-_ZO..3_Z/ Dwelling—No. of Bedrooms................__..._____...___._..__Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria aOther fixtures --------------------------------------------------•---......------------------------------------------........._._.._..._........................._... d W Design Flow..................: --------------gallons per person per daZ. Total daily flow......._..._.a3....0............gallons. WSeptic Tank—Liquid capacity/v A9allons Length __'C_.__ Width.*.' �o._KDiameter................ Depths__".7_y x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area............__.._. ft. � II Seepage Pit No....../:......... Diameter./L.'-10.4_- Depth below inlet_,Z_'__7.... Total leaching area..4.��....sq. ft. Z Other Distribution box (k) Dosing.tank ( I "' �? 9� '-' Percolation Test Results Performed by.. e.jl'.Z.l'!'� f....-�<<.�'�:�� Date..11�!%1/�.....Z.T-�_f aTest Pit No. l...2........minutes per inch Depth of Test Pit---�.Y..SI.~_ Depth to ground err.... ........Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil......... _/�1. ..r-----------------�.-r-WL.4e., ................ U ............. 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 Sanitary Code—The undersigned further agrees not to place the system in operation until a Certifica of as been issued by t e board of health. ned...................... ••••-------- -- ........ _.... Dam Application Approved ......... � -. ... Date Application Disapproved for the following reasons---------------••------•-----------..._...---------------------•-=--------------...................._.._________ ..------•-----•---•-•--...-•-•-------•...............•---.....----------C--f-)---------------.............--'--------......... ------------------------... --•--•-------- Date PermitNo.---__. -.c�._ �... 2- ---•--- Issued........................................................ Date C •r � Y � No.._....—. 1/Z_ THE COMMONWEALTH OF MASSACHUSETTS BOARD,, F HEALTH .......-... OF.......................................................................................... Appliratinn for Disposal warks Tnnstrnr#inn Prruti# Application is hereby made for a Permit to Construct (/M or Repair ( ) an Individual Sewage Disposal Systemat: j .............................................. - - .. ................... 0 7` 3 7---••-•.-`�-�r C`'-�?;�!f. . --------------......... ....................... ....._..... Location-Addr s or Lot No. - ...-- j-••...•.. ' • L�------------ .......................................... .......................... ---•-•--.... Ow er Address h Via. --• ...................................... ...•-•........--••-•....-•--•--•••••-•-•....... Installer� Address UType of Building Size Lot.. ....:3_�_...._Sq. feet Dwelling—No. of Bedrooms...................-�'3.....................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .---------•------•-----------------------------------••••••-•••••••-•----•--•-----------------••••••••.........••-•••-••-••••••...----••-•••----•-•- W Design Flow................. .................__..gallons per person per day. Total daily flow.._......._...`'.3-..�............gallons. WSeptic Tank—Liquid capacity/�"Oj�?gallons LengthE.'.C.... Width.K' ..-Diameter................ Depth j....7. x Disposal Trench—No..................... Width•_................ Total Length.... �....__..� Total leaching area.._.......•..........sq. ft. Seepage Pit No.-----/----------. DiameterZ1..._-Q... Depth below inlet.:3.....7..._ Total leaching area....z.`1'�q. ft. Z Other Distribution box (y) Dosing tank ( ) -� �/' 9s' a Percolation Test Results Performed by. �'. Os/�:r�''/' �``v`' r! V Z 5, / ;r'e Date ` `----------- 4 Test Pit No. I...�..__.....minutes per inch Depth of Test Pit... __.... Depth to ground water_._._!.`" e ---- fs, Test Pit No. 2................minutes per inch Depth of Test Pit.........._......... Depth to ground water........................ O Description of Soil:.------" r .��i:` ��" ��•.- U --.....••-••••••-•-•-••••-•••••••••••••••---•-•-•----•-••--•-•----•......---•-••••.... J V41 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 TITIL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certifica of a as been issued by the board of health. signed....................... -----------•----------------•-•--•-----------.--------- -- -------- Application Approved ----` ' ...... •_ ------------ Date Application Disapproved for the following reasons-----------------•--...-----•-•---.....------......--•---------••----------------........._.........•--....-•-••- -••••••-•-•-••--•-•••--•••---••••...................•-•••-•••._..........-••--•••-•--••-••--•••••--•...-•••••-•-•--•--•---•-•••---•••-••-•-•--•-•-•••................................................. Date Permit No...... . - - ._. Issued---•---------------- ............. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1..�,?.......OF.........�.. ' 6? ......... .. ................................ Tntifiratr of Tnntplittnre TH1 S_J-S_T0_ CERT�,FY,{ h the Individual Sewage Disposal System constructed (�"or Repaired ( ) a�n C l by.. _ ----••...C" --------- . ��at.....................•--•--------------•---..........---•----.-....__._.... ........In tall--•--r-----•---••----••-•----------.....-------•---------------.............-----------...._ has been installed in accordance with the provisions of TITIE 5 of he State Sanitary Code a described in the application for Disposal Works Construction Permit No......... ....... ...12..._... dated_...-_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA ANTES THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _ DATE.................. ........ J� .. Inspector - THE COMMONWEALTH OF MASSACHUSETTS 777�� BOARD OF HEALTH N........OF......................................... No-�.-��... FEE Disposal Mork nstrur#inn rumit Permission is reby granted......................... -U- ---------------------------------------- to ConstWbc or pair ) an ndiv a� Sewage Disposa_t_S stem at No....................... ��.:� �Cc�r ........................ .... ••• ----=-•--••-............••...................... . •.... -•••--.............-- Street - ��/^� as shown on the application for Disposal Works Construction Permit_ ..._ .: -.2t. Dated....... ........./_S. .............. 10).-Z-7 D 6 Board of Health DATE------------- -•••--••• ••••.....••••••••••--....-•--•......---•••-•-•-•.... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - ........RO-TO TOP FDN.:.. ' D 'OVE E�T --'l'FINTSH -�GRADt' EL . FINISH, GRA DE FSH A IFINIS .. ADE11"O IA\A HNG I SEP 'A '!5� 0 VER 7IC AW"', 0 LEAC VARIES M.,-A PRECA S T C OR 'TONE-I E VE&�"L'l CK. & MORTAR PIPEA ITO L jW GRADE;0 -MIA ItC. I_ OR P VIC' tlBOX BSMT. FL P. 00 c :1 0 UALL EL . -DISTPIBUT WASHEL c CRUSHED ONCRE PRECA S T BASE TO ,L; 6AVIEVEL-IMS TA L 7 PRECA ST, c 0 H STONE'0:,0. IT 0, 'H 46 c N SE TA P INS T -LEVEL LEV.VA�i�ALL,� ON BASE _ 70:�REMOVE, ALL IMPERVIOUS -TO OR L OWER 1qFA 7*H HJE� 3 -0 CHIN 3 G AREA PIALL�� BE'CL PEE L PLA C-E, XCA MA TE r,RE ED MA Ti�RIA CL4 N,.�� A'Y ' 12 , o FFEC -DIAMETER -TI VE n r L EA CHING: L T ' GENERAL IINS TA L L , ON.L E VEL BASE SHOYAtlAE,,.�8ASED5.ON L "'EL n A TIONS A SSUMED:CASt RW""'ALL PIRES, lff,:,THE� SYSTEM-WUST-, BE O ,P C m r BE, NO HE,�,B ARD OF*,::-hE4L-TH. MUS -OBSERVA T TION�3 O' OR TpUCtjoN ,jS1_�-,,C6M pLJ�6 YHEN COA�S TE, PRI S 5.j *15 'i)e COLA 20 BACKFILLING-,7*0 ER TION ,RA TE.160.00 , , . , , I- I 4 " , ' ,, - I I I - I 11 I - " I -,,I? I 4 � : I I 11 ''. . PPROVE41�, 2,�PLAR`M /1N tANY,�C�ANGES ,!:N,,�� -A,.HEALITH, ANO"CAPE, N Wr-T ESSED THE NOS ',CO r ANCY, - EI rNtR SUP VE(9 YING A A TION -SHALL-:8E lff 5' :' ' M, TERIA L S. A 1Vp ,.rNs;rA LL _DE � ' DA TA SIGN.COMPLA IVCE,' ,WI TH, N�' ST4 TE SA A/I VD,. AP L,ICA 8L E,AY t!TL E V L'OCA L P DATE.A ANO,�:� EGUL t3-OF .BEDPOOMS-IS .F*POM -�RECORD PL A NS A ND tDl OT:,,�76 :'at�:USE OR,'SOLA PUnbOSES'� �GA PBA GE, DISPOSA L C GA L 7 FLDOD.71WAZARD ��ZONE,.,.: �/u 7FR.. .... EP ISEP SAL;TIC `TA NK, PE �uu U, GA L::SUPPL,:� DAIL� Y FL�OW kA Te WN-WA TIC� ANK PRO VIDED GPD.,EA L CHINS,A MEDIUM, S. E AID SI42E '�7GPD�WAL L" A A 7 S.F 407 L-=S GPD'LEGEND -BOT Z:OM,,A REA ING L EA CH, :"PROVI ED " GPD rD YON AO 'GROUNDYA r E�,EVA T.. ........ A MILY , PESIDENCE,kXISTI/V0��TOURI�,L`: -SINGLE�.t,,F N 4_9 4'17 .I I I I -: I I I- 4� .:�� , - I. -1 L , ' ' ' , , , I -, ,:',' ;v T IO) DISPOSA L :S YS TEM ROPOSED ' 5 EWA W= B'DIS TRIBU I �c 0 L tA CHING P1 T PPPAED FOP J7 4,6�,WYEPS, `,& DICKEY SEPTIC , r-1 A -7 1-W OT`�,,_,,37 -,�`CAP, ff�APRN. TA E ." MA c' NVERT- ELEVATT ONC TEES UIVCRETE-REINFORCED - DA TE'. CAPE ISLANDS SUP VE YING, INt N S CA 37 L S ;'NO TED.'&�ALE: 1 , P. 0. BOX -334 KE NA SS -TIC MA s I