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Home My WebLink About0010 HANNAH CIRCLE - Health 10 Hannah Circle A= 022— 134—001 Cotuit �I i i i i i I I No.................... t)DI THE COMMONWEALTH OF MASSACHUSETTS Fimll.......................... BOARD OF HEAL ...........................................OF........ .. ........ .. .... . ........ ... ....................... Appliration for Dhipoiial Workii Tomitrurtion Frrutit Application is hereby made for a Permit t Construct or Repair an Individual Sewage Disposal S at: -7 t77 ............... ........... ---_----- ....... ........................................ _Z cr No. .................. ..Ode _20 .. . ..... ........... ......... ... . Owner W6 ................................................... .... . .......... ------ Installer Address Type of Building Size Lot..4.-- L ..Sq. feet U Dwelling—No. of Bedrooms_____________1Z ----.-------.------.-Expansion Attic Garbage Grinder 4�-� Other—Type of Building ............................ No. of persons............................ Showers Cafeteria PL4Other fixtures ...................................................................................................................................................... Design Flow.................................... ......gallons,,: per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid capacityP454--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. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................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.---.-.-..-.---.-_---. ......................................................... 0 Description of Soil........................................................................................................................................................................ W M ------------------------*----------------------"---------------.......*............"-------------------------------------------------------------------------------------*------------------ 14 ............................................................................... U Nature of Repairs or Alterations—Answer when applicable........................................I........................................................ ...................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 7 1 Ti LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in op at* un rti to of Compliance has been issued I the of e Siglee Signed.. . ........ .......... ...................... p ppll tio B . . ....✓.................... ...................................licatio A proved By. ......... ate Application j pplication Disapproved for the followin easons:.............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date TOWN OF BARNSTABLE 14 LOCATION r SEWAGE # Cl /3 VILLAGE �� /.�4��T" ASSESSOR'S MAP 6z LOT / INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ,��, (size) . ly � NO. OF BEDROO PRIVATE WELL.OR PUBLIC WATER BUILDER OR OWNER , t`� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: l ' i.a= s t 1J 'yi BOA" No.. 6 I FE$............._..... .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE�' ALT OF. r! r ......._.,a..................�..... w -------••---....... ...._.............--.. Appliration for Disposal Works Cfonstrurtion Frrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Syst at• F '' �a Lo -ion ,'Address f,,,, rf •--••••• ............. . r Lot No _ .f._ f 0,f 1.-1-' �rG!: {•+ - --••--------- r G�"� ' r ? ,� ✓ .. -^ ------- -- ........c........ Owner 4� Address W Installer Address d4 Q Type of Building "° Size Lot............................Sq. feet ..w Dwelling—No. of Bedrooms______________ ....................Expansion Attic ( ) Garbage Grinder Other—T e of Building No. of persons____________________________ Showers — Cafeteria p' Other fixtures -------------------------------------- --- W Design Flow...........................................gallons per person per day. Total daily flow............................................gallons. ��"'" WSeptic Tank—Liquid capacity._: '-_fit_gallons Length................ Width................ Diameter................ Depth................ x 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 ( ) �`, aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................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........................ •----------------------------------•--------------••----.......-•--•------...._...-•----------------......................................................... ODescription of Soil..............•---.......__....._......----.._._.__...........--•-•-----....-----------------------------------------------------------...--------------•••._._......•-- W U ._...-•--------•-----•-....--=••-••-••.....................•••-•._...---._..........--------•-._.._._...-----•--•----------•--•-••-•--••--•--•---------•-.._..........---•-•-••-•-------..._..----•-•---- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... --------------•---••---------•-------------------------------------__---••--•••---•-----f....•---•••---------...••••-•--•----------•-••-•-•-••--•••------------.._............_. 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 ope atio ;unt• .a rtifi to of Compliance has been issued PZ the board•of�tiealth. y) Signed------- ---------------- - ...... _- p ication Apr ed BY �' - •- -----! ....._.. _-•- j� ....-------•--------- D/ Application Disapproved for the f ollowin asons:---••------•-•....•----...-•••------.._..-•--•••-----•-••-••------•--•-•----•-----•---••••••---•.............._ ---------------------•----•--....---------•------.._..__........-•--------------......-......------•-•---'-----------------------------------•---•--•--••----••••-------....-----•--- .....----- Date — PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ ............ .�(`.1.�v...........0F............... �� .'v.5� �L �..-....... ... Trrtifiratr of Tontplianrr ' THIS IS �0 C�R�FY, T.��t the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY J.._.......- ..:..............••-•---•---...._..!-•--••---•--------•--•-•----•---•--•----••---_-•------------------------•------•---•------------•--------•--•_----••------------- l'�.� nsta er at. --------- -------------- -----�------G(_r�(-�...0 -------•--------�-------------------�-- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................................................................-............. Inspector.................................................................................... z THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Sb— '6 ....... �...1 ......OF.....-...R-- 'r�N-5..W�VRLL- � �Z No......................... FEE........................ 'Disposal r � %lUonstrudion rranit Permission is hereby granted....... d --••-----•.................•----------------••--•---------------•-•.._.....-----•--.........---.........._.. to Construct ( ) or Repair ( �an Individual�ewa Disposal System at No...-----•------•-•------- L G 1 L J - Street as shown on the application for Disposal Works Construction Permi�No..........___........ Dated.......................................... ...... ... --.....-----•--•--•-•••...-•-- Board of Health DATE............ ...----................. ............................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 'f A.vP•'1�:' � 5 t S < Sf fEt IDES1C- W � ATa : r 1TH.: j.GNR:6 GR�t,�l�lr R.-: .6tiy-��TZ°Fa DAI LY 336 x LTb% 49s C'.P. 1)., 'IC i. PI TANX. Q IL i?� yli. 160 CT' D: . S.E _ OF MASS9 t < PETER yc S D15PoSAl. l000 Gr t. PoT .41�-1} 4' Stztil �y NO. 29733 ,. ;A �0 6- P; D. Al_ - �� NG\ 6oTro /�i2 " F.. .. . t CHARDA. �Q o�-.4Tio 1?�.ATE : 1 �cI4 I� 2. M1iJ. oR IESS. MxT3fit Na 24048® . . TF! L.N couoT�p . TEST HIE ' �9 : i r EMPVE;A�p we ,(A au y tausurrAP ': . BA NYC` o ` MA,T1.�.1A1.f c,P_ to ! r F.fr � Yo.P.FUD. Sri ooT All _ luv sa, f000 _ DIST. /moo 0 Z.$` 53.40 r /yip 47 CER.TI FIED' PLOT PLAQ , -MA SS ! r - ._, , 1 r ; LAN Q cG" , - � I �P REFE'RC F � � ! �oTu,T GGH,C PLAN F%t� Ae cwo e q - r I FY TL4 SIDE UIJ. AuR,,� ( . 0 , A Q-ET'I Rs<CvAS ZAU SQaAjGYo-iZ S 3L NoT l-o, -rCt� 4 1N .'rH- -FID:pCA11,, :- APP.L►cANT : T H I S PLAN. l5 NoT t3l\5E p o►� AtJ 1 N N sTzx M� T AND'T�E OFFSETS SFJowQ . -LGzEo►:� sHouLb NoT. 8E USED Tb 1_ LINES . i. N F . \ 5 ��T 2 0 r77 r / Lo 1 (c 0J SO: j - kj `. � I � r f ` al` f F -j.1 zo RICHARD loe i Do KAO SCALE 1 " (00 PETER cyGN 4-1 r ► a 1' r SULLIVAN NO. 29733 € T; ADO IsT�a``� �._�. . f . = 1 r vt cul .r. . 105ia i J1�a O TO THE I TOWN OF BARNSTABLE LOCATION U, 2/ LVG r` J SEWAGE # 0 VILLAGE L " T ';17` ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY —.41 i LEACHING FACILITY: type) i ' (size) NO. OF BEDROO PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Nocc Lu co an h N i tvs 4fa Oo ----- -- --- _._ ... .- -- ---- --- - Y - I r a 1 1A ( r r