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Home My WebLink About0047 CHERRY TREE ROAD - Health `f G Merry TrQ � ��v ASSESSORS MAP N0: No.--� 2.. I PARCEL NO: '?2� Fmc................'........... THE COMMONWEALTH OF MASSACHUSETTS `'. BOARD OF HEALTH ------. i.-.............OF....................1 -------.-....------------------------ ............ Appliratiou for Dispogal Works Tomi#rurtiun Vautit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .........--- .......a C� T `�" --------- ---------•-ccz .............. .._............. .- Location on, Addres or Lot No. �its ck, p. ✓------------------------------ -----------------------------------------------------------------------------..------------------- Owner Address 1 Installer Address Type of Building Size Lot....... '� C� ....Sq. feet ,., Dwelling—No. of Bedrooms......................... Expansion Attic CAS Garbage Grinder ...._..... No. of persons............................ Showers — Cafeteria Pk Other—Type of Building --------- __ p 1 ( ) ( ) Pa Other fixtures -------------------------------- - W Design Flow.............7:_......................gallons per person er day. Total daily flow............ .3O_..............__ Ions. WSeptic Tank—Liquid capacityJAD.gallons Length '�..... Width---y:_�__ Diameter................ Depth_-___.._... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..... ..... Diameter.......la....... Depth below inlet....,3:#5..... Total leaching area....Jg7...sq. ft. z Other Distribution box Dosing tank ( ) yy, '~ Percolation Test Results Performed by................. . .:..... ZCA : ......................................... Date.__.._._2'.�_.�__.l_.�_�� aTest Pit No. 1.......2—__..minutes per inch Depth f Te Pit......�_1. ... Depth to ground water........^!£?....... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -- ------------------- ------••----------------------------------.......---------..._......------••------....------•..._.....................---•.--•-- ODescription of Soil..............��... ------------.---------------------------------------------------------------------------------------•--------------•---------- x U ------------•---•--•--------------- �.1 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 TIT E 5 of the State Sanitary Code— The undersi ned further g ees not to place the system in operation until a Certificate of omplianc a been iss b boar of heal Sie • _..... . •--- -- .............................. ................................ Application Approved BY . ... -- • -•-••. --••------- ..-•-•-- ._... -•----------. -•-- 1 �I. Date Application Disapproved for the follow reasons---------------------------------------------------------------•-------------------------- ---------------••---•- -•--••...----•---------------------------•-------------------------------•-------•---.......------•-----.------••-•----•---------------------•-------------...------------------------------------...... Date PermitNo.... 7.............................................. Issued....................................................... Date 0 ............... ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH... .......... ............OF............... ..................... ...................... Appliration for Dhipogal Works Tontitrurtion "amit V Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ......... ....... ............................. ................ .... .............................................. ............... .................... .. .... ... Location- Address or Lot No. ... ..................... .... h. ................................ ....................................................I............................................ Owner Address ......................... . ................................................................... .................................................................................................. Installer' Address Type of Building Size Lot____- .....Sq. feet Dwelling—No. of Bedrooms................3 .............................Expansion Attic (06) Garbage Grinder (0--*V- Other—Type of Building ........f6-,!t........... No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Flo Des ign w.............57� .......................gallonserero p psq�.per day. Total daily flow............ 1" W D 22.................alons. Septic Tank—Liquid*capacitv.jl.�?(.-�.'�.zallons Length.:? ."..... Width...1,4,:�... Diameter_--____-___---- Depth....1Y.......... Disposal Trench—No..................... Width....__.............. Total Length..............._.... Total leaching area.......... --.----sq. ft. Seepage Pit No...A61rT Diameter......Kj.�--------- Depth below inlet.._._ ..... Total leaching area...; , ....sq. ft. z Other Distribution box Dosing tank Percolation Test Results Performed by........ .................... Date_..._._...__._.. / 7- -----------?------------- 7........Test Pit No. I....... minutes per inch Depths f T � Pit------- ........ Depth to ground water..__....".`_ ....... 44 Test Pit No. 2................minutes per inch Depth of Test Pit..._._.............. Depth to ground water........................ 04 ............................................................................................................................................................. . 0 Description of Soil.............. ------------------------------------------------------------------------------------------------------------------------------- .................................................................... ----------I------1111---------------------------------------I---------------*-----------------I----------------- U ............................................. ----- ................................................ .................................................................;............................ U Nature of Repairs or Alterations—Answer when applicable................................................................................................ . ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ' r r'h-0 the provisions of SIT?.;;:. 5 of the State Sanitary Code—The undersired further ees not to place the system in operation until a Certificate of Complianc(Ga' been ilsse of heal kSi ... ....... . ...... . ............................... ................................. ��-Date,—, Application Approved By....... -------------------------------- ---------------- ---------------------------------------- Date Application Disapproved for the follo n reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................. .:. ......................... Tertifiratr of Tompliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at.....................!........ .......... ..................I........................................................................................ has been installed in accordance with'.t'he provisions of TIT-PE' 5 of Tb.� State Sanitary Code as descriVd_ n the , ) __---) - .I , If— .1, 1 application for Disposal Works Construction Permit No---_- ---------- ...... dated-_----_.-- 3 1..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector...---- --------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....10. .......................OF....... ..................................................... No..��..................... FEE........................ Dispont Permission is hereby granted..... .. ........... ...............2.1............... ................................................ to Construct or Repair an Individual`-SeW ge)DNsposal System- atNo...../L�_--%........... ............... ........... Street ......... as shown on the application for Disposal Works Gonstruction Permit No..................... Dated........_` J; ........................... J.. .............1-f I Boardo Health DAT5%... .. ............................................................... FORM 55 H0138S & WARREN, INC., PUBLISHERS TOWN OF BARNSTABLE LOCATION ,�,;� e Q �bl SEWAGE # 57 ----7/ V _ [\VILLAGE_ ' ASSESSOR'S MAP Cz LOT ;A ,INSTALLER'S NAME & PHONE NO. vCl JQYIeS ( SEPTIC,TANK CAPACITY U� LEACHING FACILITY:(type) (sue). :NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER En k DATE PERMIT ISSUED: 5 L!_ 7 : .:DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes ..A(O"g 7 No V 4 � - �,r _„cs/ � . . y �'� S F�- ��r � r C 6 I S / ,,114 PROFIL, Al 7 7- ILGz elf s I d+' . , -- A ' r' R t s}e A✓ V ,� � � ita_ , a • ,. . A l t eL e z a ` f , 4 i o �. a AOA6,5 q/ V Cle o rZ RIA 17 IVO r j ,E,5 � _ S1j� ,,q[� g• L `� - R - : ti ✓^Ef ft + j .+ / G: d1 L57A t°l. �}� � � +�. ,�•�' "'jG"�,[:; '' :},�'.,�.J'�,�rt �r.'�ii.�.�. r�a� a''t�,/..��r' ,��+w�.+a./ /��'ti�`'±�•"�':C�'l,�f�� ?'�3 PAUL A. ._[ t�+r y f Jib �.9f onf9.'�P `✓r�. ,{!J (!f .L'a3 T O m R - i in - �FESS�O� ! qua SUO ,. 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