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Home My WebLink About0382 MARINER CIRCLE - Health 92- Mckct oer C< � TOWN OF BARNSTABLE ' f LDC",ATION SEWAGE # VIL SAGE ASSESSOR'S MAP Cz LOT INSTALLER'S NAME PHONE NO. H/Cl<' t-* SEPTIC TANK CAPACITY--- LEACHING FACILITY:(type) " jj' / s' ' NO. OF BEDROOMSPRIVATE WEL OR PUBLIC WATE BUILDER O OWNERsye IT DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No :,� F 1'� x t CC) e r THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Allp iration for Riopoial Works Tonstrurtion rumit Application is hereby made for a Permit to Construct ( ) or Repair (0) an Individual Sewage Disposal System at: ....•----........°L.....-----r-..-=}'=.=��1—�—......0`.�......... ..........................................................................•....................... Loc ion-Add or Lot No. .......... �� zs v ----...°�.-Q`.\...._.......---------•---------•------•---------------------------------------- Owner Address Installer Address Pq d ,Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of'Building Buildin No. of persons............................ Showers a YP g ----•----------------------- P ( ) — Cafeteria ( ) dOther fixtures -------------------------------•---------•------•--•----....--••••------------------------.......-------••••-------•-•-•.....----•-••................ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............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. 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...---.................. ----2--•---�s..------------------------•2.�...-----------------------------------------------------------------------•--------- Description of Soil........ ........................................................15 x w ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ U Natpre of Repairs or Alterations—Answer when applicable....-'_P-�!�>----.------Z......../AJ.r% %--_ .'Z- KS_._____U) �- ------S� �-�= •�--•---------�2�-aTi�.._..- S-S-S .!�--------•--------------- ...........................................--------------------------•--------•------. 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 been issued by the boardof health. Signed .....'_........ l� -`-� ........C� 2 -------- o—..�... ......... Daze r" Application Approved By ---------- - ...........................................—....---...---------- l -------...---....... Dare Application Disapproved for the ollowing reasons- ---------- ---------------------------------------------------------------------------------- ------------- --- --- ------- ----- --- ----- ------------------------- --------------------------- ---- ----- --- -- -------------------- ----------------------------------------------------------------............. .-----.................................. Da.e PermitNo. ...... �.......r�7 ................................ Issued ---- ----- ---- ------------------------------.. Date No..��:-�=7.�.-- Fps... �_l�......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonotrttrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --•-•-•...._....... -- ---------------------------------------------------- Location-Addres / or Lot No. .......................r�... ..... v� --��----------- - ---............................................... Owner Address a ........��c�..C`� Cca s ........................................... � D•-•---...�Z�I..... ��- ..... P Installer Address !4 Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms.............................. ___..Ex Expansion Attic.-� g— .....____ p ( ) Garbage Grinder ( ) aa Other—T ype of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) ell Design fixtures ---------------------------------------------------------------------------------------------------------------------------------------------•...---- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity......_.....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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 1--7 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0-4 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......_................. a --------------------------------------------------------------------------------------•----••......•.......................................................... 0 Description of Soil------.. -.......__ -g ................................. .......... ....... ..................................... W U ----------------------------------------•-------------------------.....------------•---------------•---------------------------------------------------------------------.......-----•----------------- W Z -----------------`--------------------------------------------------------------------------------•------------------------------------------------------------------------------------._.............. U Natpre of Repairs or Alterations—Answer when applicable....f_� ..........a..._....1..^?.r_!_�-1'?h Myt_S....._ 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 been issued by the board of health. , Signedo-- R ` .................................................. ----- 5.-- Date ApplicationApproved By 5")_�----------------------------------------------------------------------------- ------- Date Application Disapproved for the ollowing reasons: .................... ...... .--------- ------------......----------.................................................... ------------------------------ -- - -- ------------------ -- - ------------------ -- ------ --- ------------------------------------------------------------------------------------------- --------------------------------------- Date PermitNo. ...... --'--- ............................. Issued .............................-----------------------.. ------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C6ertift.ettte of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by.......... ��c�c�`t........:Cc�-3S -------------------------------------------------------------------------------------------- Installer at ........._:....$t......--- M-r�t�..w� �------..c... .`------------------------------ �1 � has been installed in accordance with the provisions of TITLE 5 of The State Environmental 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 F�1NCJ ON SATISFACTORY. DATE-------------------------------------------------------------------------------------------------------- Inspector .......... ............................------------ ---------.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 2 ,, Disposal Works Tons"lion rrntit Permission is hereby granted .............0.......................................................................................................... to Construct ( ) or Repair ("�T an Individual Sewage Disposal System at No...------qJ- v.-. `. J� Z _ -------------------••---.....---•-------------------------------•-----------------------...-----------------------.........--••-- Street' ` as shown on the application for Disposal Works Construction Permit No. _�� Dated..<....................................... ----------------•-------.--.... ........................................................... L DATE..................... ! t 1...........--------------_.. Board of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS L-0CATION SEWAGE PERMIT NO. &E &'/' - ILLAGGEE��L I N S T A LLER'S NAME & ADDRESS I B U I l E R R OWN E DATE PERMIT ISSUED ? � DATE COMPLIANCE ISSUED _ r a � 606 07f y� No..............._...---. F.Rs...�� ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE `H ..................OF..... ................................... Appfiration for Dispvii ai Morkg Tomitrnrtiun ramit Application is hereby made for a Permit to Construct K or Repair ( ) an Individual Sewage Disposal Systema........ ---..5 G! c. ... ....�A..?L............... •--•----......-••----•--...............-- ocatio - ddress or Lot No. .L .._ _........ a... a ..: .....• .............................. w er (,J W Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedroom �_________________________Expansion ``Attic ( ) Garbage Grinder ( ) aOther—Type of Building .... No. of persons..........CO............. Showers ( ) — Cafeteria ( ) Otherfixtures .... ••----•. -•--------------------------------------------------------------------.------------..........._....---------....--------......---••- W Design Flow..........J..s,.t�.......................gallons per person per Aay. Total daily flow-----:?.3 .......................gallons. 9. Septic Tank—Liquid capacity/.. gallons Length--- ..... Width.... .__..... Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......../.......... Diameter..... ..__..... Depth below inlet.__."7._�j.... Total leaching area..S_V-S: vt. Z Other Distribution box (� ) DosingVtaPercolation Test Results Performed by_.___ .... . .... Date.._ _ _ . ,�........---. Test Pit No. I...�Z__._..minutes per inch Depth of Test Pit.................... Depth to ground water......................... (s, Test Pit No. 2................minutes per inch Depth of Test Pit...._....._.______. Depth to ground water....._.................. �+ "-- . �[ o _ - r ..�.. ,f Description of Soil.. :. 1` J -------•-•--" `1-- ....... -........................... x ...-/ - . W U 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 Certificate of Compliance has,bee sued b oar f heal h. Si ...:................. - Application Approved B PP PP Y 7---7--•--••-- Date Application Disapproved for the following reasons:......... ......................................................... ..................................................•------•-------•--------•--•-----•-•--•--•-----...--------•-•---...---•-------•------------------------------------------------------------------•---- y Date Permit No......................................................... Issued----{-_ Date 07f � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal Works Tonstrurtion Vrrmit Application is hereby made for a Permit to Construct ( �or Repair ( } an Individual Sewage Disposal System at: � Locatio -^Address............^-........�..... ..........................................or Lot No...........-------•--......._............. .....................»................................ .......................... ................ [� / /Ow.,,ner •/ • �J /�� (/Address'�/�� ------ Instal I er Address Type of Building Size Lot............................S feet U.-� .................................Dwelling—No. of Bedrooms . .Ex ansion Attic ( ) Garbage Grinder ( ) a aOther—Type of Building-a,,/ /-'�'-� A..... No. of persons...........7............. Showers ( ) — Cafeteria ( ) dOther fixtures ."---------------------- --------------------------------------------------•--------------------•-----.............---------..._----............._.. W Design Flow............. ..:. .......................gallons per person per day. Total daily flow-----r'. ........................gallons. WSeptic Tank—Li'quid`capacity Z� .gallons Length-__ Z..._.. 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._.ir-t1__' ft. Z '"'Other Distribution box (,r/')" Dosing tank ( ) j� f Percolation Test Results Performed by...._ � `�"t�.:+'!......:...... f.l�'_.t''.....___ Date.. ....._.- .. _.-_.._-.._. Test Pit No. I..;�,�"""minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.............. ___ Depth to ground water........................ Description of Soil-- 1-.. .:.._. . .`. .. .-+v ..........-•--•--•------•-------- ---.......-•................. .... ............................... �.. W U Nature of Repairs ror Alterations—Answer when applicable................................................................................................ �.:. -----••. -------.---- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI:''E 5 of 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. j — r Sig ./1c.t't t/eF'.. ;�,11.. f !�1,'f%'!'._.... ................ ...... .Date. Application Approved By-------- { ". ..�� ..._ Date Application Disapproved for the following reasons:........................ ...._.. Q ............................... -------------••----•--•-------------•-----------.......... , ----------------- .--- =' ` ....................................... Date Permit No.......................................................... Issued ..................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,d CIrrtifiratr of Toutpliaurr THIS'IS TO CERTIFY, That the;Individual Sewage Disposal System constructed O or Repaired ( ) by....-%�--.... .... •------------------• -•--•--------------------------•-----••--�----------•-•--•--•--••--------•-- �` � 6 Installer at :. ------......---r.._/ttiZf/It�-c......./......{" 7....-------.=�...l .. . F has been installed in accordance with the provisions of i 5 of The State Sanitary Cord�e as described in the application for Disposal Works Construction Permit N ..�._�/,y!�............. da.ted.-�(/.."� ................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ' DATE........7'�.'Z............:.. --- Inspector...... "..................•-- .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No................................. FEE ................... Disposal-Vorkii ��aa� lrUan rrmi Permission is hereby granted... . L ' - ''} -' '..._ !r.................... ••. .................. ....-----........._.......•---...... to Construct ,( ) or Repair ( ) an Individuals Sewage Disposal System at No.. ". ...C._ I-1.: - r=° / fi ............... ---- -------•--•----•--•-----------•-------------------- 1ri i w v2 Street as shown on the application for Disposal Works Construction Per No.... :.. ........ ted..�Q..•'.:!` .. ---.... C.r' 44.44- •.._. -- --------•----•---� DATE----- l.1 �--•--•--------•----•----------•----•--- Board of ealth FORM 1255 HOBBS & WARREN. INC., PUBLISHERS • a F.FL. ELEV.= FINISH GRADE _ 6Zk 5 FINISH GRADE FINISH GRADE TOP OF FOUND. OVER TANK = OVER PIT = "3i(p ELEV. CHIMNEY BLOCK 4" C.I. V 4" C. �� WHERE NEEDED BACKF IL �3 PEASTONE DWELLING -- - 4 V.C✓/ ___ v � 9 v o o O O o CELLAR FLOOR lU GALLON J ,_•_', a' , ° c " o O , tr " " O O 3/4 TO I-I/2 ELEV. = ALL REINFORCED GONG. $ p O O Q O o �` ° c CRUSHED STONE a _ n O O r °, 0 0 O O o ao o � Q o� , e a� 9 • DIST. BOX o O U O o va \ — o a ° ° O 0 O o �' ° '�/ SEPTIC TANK �` =' (TO BE LEVEL a o O O O O o �7 V \ BOTTOM OF PIT AND STABLE) 1� a o O O O o ° t oc /�, ELEV. 4zu SYSTEM PROFILE ( NOT TO SCALE) LEACHING PIT DESIGN CRITERIA � NiNBER OF BEDROOMS 3 - GALLONS PER DAY = ',V C .€---'f , �,�- - GARBAGE GRINDER = on lC 1 )VIM �a TOTAL DAILY FLOW = _Ax a�.rC7 GPD r,4�, LEACHING AREA PROVIDED =- 5 per: S I O'G x/�t.at._ �lL��.., _ 2 x ')'( X Q. �l '7.2 5 X 2•S = 4 b '' ' S G P p � / yr .,�� r, � P-cJTTo M ,N.2t +1l, - -}T x C4 X 1 , C) AV P 10 Z SOILS LOG on ELEV. - / �ALL I GAF ItA a2 4Z' T _ c qUr� nZ 6o PROPOSED SEWAGE _ 144 �� - DISPOSAL SYS T EM INSPECTED BY1 RaV i— PROPOSED DWELLING DATE : EA 1 -7 1 EA MJ'-5TA;&-ECCOTy fT � MASS. PERCOLATION RATE 4' Z MIN./INCH SCALE: AS NOTED DATE :SEPT Z61 «7l �tN Of MgsS OWNED BY T�'N.Ev� t�3 1f 1 Loil L I&r A r j o i►4,5 Cx--.3 NA S.L 0 A,.- 't3 tili 4A � �,✓ G.4 C"7 =M.'f i��,3 r- It f v J6 2'LoT ►-4G� frJ cir� �:FA�? �'LJt 167 SNL" T gip► Z. NoRMaN ��AQ►AC7C�ir-t� tom,. , , GROSSMAN 12705 L g �y' 4 Co NORMAN GROSSMAN P.E., R.L.S. - t .-4 b 'LNG\ 226 HOLLY POINT ROAD �� tONAL CENTERVILLE, MASS.