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Home My WebLink About0062 MOORING DRIVE - Health MOC>16 1117 /Zi--,i d;7- /o E5 a - z l� 4 'No. s l Fee a THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ; s 3 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS JtlYltatIDYC f 8t108AY pstem9ax �OI�, Uttion Prmit fi Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) Complete System ividual Components Location Address or Lot No.(p:�Z lwoarlAT or. Owper's ame,Address,and Tel.No. Assessor's Ma /Pazc � �`�W4 3"Abl�1 _ . p — Q owl5, Ins�ller's Name Address,and Tel.No.,j'D 4/ '" 7,736F Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft.. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Al jj gpd Design flow provided lJ J gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date 66. Application Disapproved by Date for the following reasons Permit No. 9®a t, .2 y 7 Date Issued No. tr�.�( � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: f PUBLIC HEALTH DIVISION . TOWN OF BARNSTABLE, MASSACHUSETTS ZlptJflratlon for r3isposaY *pstrm COMB Urtlon Permit Application for a Permit to Construct( ) Repair(v) Upgrade( )._Abandon( ) Complete System D,In'dividual Components -r X t Location Address or Lot No. ',1 /yoar-/ i �/;� 'Owner,"s 1Vrie'a ;Address,and Tel.No. �; y ` Assessor's Map/Parccj, 0 a Ll !6 10W1 Installer's Name ddress,and Tel.No.g••Qe)'f/via'f71 Designer's Name,Address,and Tel.No. Type of Building: F Dwelling No.of Bedrooms �t�I Lot Size sq.ft.' Garbage Grinder( ) i Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Al/& gpd Design flow provided gpd Plan Date Number of sheets Revision Date. Title Size of Septic Tank Type of S.A.S. ell Description of Soil Nature of Repairs or Alterations(Answer when applicable) X 15V/T (/ Date last inspected: Agreement:' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. �. Signed x Kp/ x •' Date , . -. - Application Approved by , tQ Date �j /,a Application Disapproved by Date 7- for the following reasons Permit No. 17.2. .�` -7 `Date Issued Z -- --- ----r - - -------------------' ----------- ' ,THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS w f- .y1�: Lu��& Certificate of ComprianceAz 4 - . THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by ,�/a,••+w'�a �.� / f✓*p,� at (p ,/i�j� Qf^/`J,,rr/ /!' /��} /�% has been constructed in accordance ! l with the provisions of TitI 5 and the for Disposal System Construction Permit No. �8�f 7 t(�7ated 6J A4/ f , Installer'la$eJ24 a,/` ,V-1y- S Designer f #bedrooms tj I h- Approved design flow gpd The issuance of this permit shall not be construed as a'guarantee that the system will function as designed Date ('3 '" •` Inspector No. �,o r ''"E� �/tJ6/f Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposar 6pstem"Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at Y I'"%11�5 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply Fwith Title 5 and the following'local provisions or special conditions. w v� Provided:Construction must be completed within three years of the date of this permit. Date b 0��} � Approved by I V + L0 CST 101� SEWAGE PERMIT NO. VILLAGE =41 INS A LLER'S NAME 8 ADDRESS B U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED , =�� - � �, s � � � � o � w �� t' F) Pz No...................... FEB........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH ............._'OF.... ............................ Appliration for Disposal Works Tonstrurtion 11amit Application is hereby made for a Permit to Construct (X) or Repair an Individual Sewage Disposal System at: ...... ....... V _................... ...................... cation ...... .... ......:Z7---------------------- ... .........&... ...............t... ...................P 6� -------------------------- Uzv& ... ....... ....... ..... ..... ----------- ............ her Address .... . . .......0...................... ............................ .................................................................................................. 14 A Installer Address Type of Building Size Lot.,410Q®2 -----Sq. feet U Dwelling—No. of Bedrooms.......... .............................Expansion Attic Garbage Grinder Other—Type of Building No. of persons...........(o............. Showers Cafeteria �� ) Otherfixtures ........................................................................ ............................................................................. Design Flow............4:;:r...................gallons per person per day. Total daily flow.....33 ........................gallons. 1:4 Septic Tank—Liquid'capacity/ -gallons Length.j_!V_�!.. Width...All K"'. Diameter________________ Depth__.__....._._.. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.__...........__._ sq. ft. Seepage Pit No-------/---------- Diameter.......X�..... Depth below inlet...X3 Total leaching areasr�?. sq. f t. Other Distribution box (/) Dosing ( ) —Performed,b' wzlhfo lyz-6 Percolation Test Resulls. y ...........!flee�... ....... ...... ....... Date. L4ce..44-1—.......... 14 Test Pit No. 1 ...minutes pe'r'inch Depth of Test Pit.................... Depth to ground water....... �_q _k�. 44 Test Pit No. 2................minutes per inch Depth of Test Pit___.............._.. Depth to ground water.__..`...._..... P4 ............ . ....... ----------------*----------------"------------*------------------**-------*----------- 0 Description of Soil......jO—k................ ... . .................................................................................................... ... ...... . -------------- ------------------------- --------------------------------"----------- --------------- ------------_--------------70�._Axx........... ..~...:! ................................................................................................ 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 TLITLE 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 and o ealth. Se .... ... .... .. ----------- ..................... ................... .... Application Approved By......_../. ... ... ... ... .. . . Date Application Disapproved for the following reasons:..................... .......................................................................................... ........................................................................................................................................................................................................ �4Permit No......................................................... Issued.......e ...� 0at7...... Date NA ��..:�..... FEE.......... THE COMMONWEALTH OF MASSACHUSETTS s. BOARD OF HEALTH lrrlc�..................oF........ G1 . Appliraiion for Disposal Works Tonstrurtiun Vamit Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System at: �:• : -71 ......:I .'? ?-testa'? ....... GG...�!(' -f ;r � i�G<....................................................... .. )••Location Address or Lot No. C,�...�l.`.. . ............. -^......._ ,r jj —^� Owner t_= Address W ./!..! !....... / /L... if ........................................... ..•----•-----•----•.......................... ...........----•-................•............. J Installer Address d Type of Building Size Lot.._-�f-h6 ....r0••---------Sq. feet Dwelling—No. of Bedrooms............�............................Expansion Attic ( ) Garbage Grinder >r,x /:�t f_..... Showers — Cafeteria Other—Type of Building �......:........�•. No. of persons_.____.__.l�^_____.__.__._. ( ) ( ) Otherfixtures -----••----------------`---............................................................................................................................ W Design Flow............:.'..=?----....................gallons per person per day. Total daily flow...-_-�-_�-------- ........................gallons. WSeptic Tank—Liquid capacity/��l!..gallons Length v t��... Width._�d..�_". Diameter................ Depth................ x Disposal Trench—No..................... Width..... ............. Total Length........(........... Total leaching area....................sq. ft. Seepage Pit No....... ........... Diameter.........r._.._... Depth below inlet._ ._: .......... Total leaching area-�__..._sq. ft. z Other Distribution box ( ) Dosing tank ( ) ��< �� _ ...._ �i� -c.. /C Percolation Test Results Performed by.... !'✓'.:4.f�:�................a-t?t:�'�"�..._____ Date_._.__.______.......:..r._____...---_-- ,al Test Pit No. 1 21 .A-_._...minutes per inch Depth of Test Pit.................... Depth to ground water-----., ...... frq Test Pit No. 2.:..............minutes per inch Depth of Test Pit.................... Depth to ground water....................... a -•------------------•------••------------------------------........--------........_......--•-...---......................................................... ODescription of Soil.....! -................... p...._....6..._..:................_.._..........................._._...._..............._..........._................_.._........__. V ................................ r... —..............111...i.....f.� ......... W 7Q -10,'10 /jz,/. - ri..rfl� ---------------------- ---------------------------------- ------------------------------------------------------------------------------------•--------------•-•--•----................•--•--•-•-••-•-- 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 AITLE 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,liealth. ---------------------------------- ApplicationApproved By..... ........................ ........................................ Date Application Disapproved for the following reasons-------------•-------------------•-----------------------------•-•---------------.........------------......-•-» ............................•----•-•--------------....------•------------•-•-••-------_.... .................................... Date PermitNo......................................................... Issued-........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD—OF H-E�A--LjT�Hf� . ....................................OF.... .......................................................... C9ertifirFate of TompliFattu THIS IS TO CER�T; IFY, That the Individual Sewage Disposal System constructed t or Repaired ( ) by...... f .... .....:...._J.._... 1 ................................... at----� .... s' 1 t•��tfs i/li (`IL' Installer f -•---------•-•-•-•-----•----------------------•------------------- --------........--.... L. has been installed in accordance w #the provisions of i(��. w 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N .:.�''""' ................... dated__j:Z..,f_-_�;d__--_---_-___...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................................................................- '........ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH fi' ! '? aL" ...........OF...... ! ' ::.!_!- .: ................................ r.. ...... - Q........................ FEE 5..�.. .... Disposal Works Tonstrndion jitruti# Permission is hereby granted......zll�.!l'l.............. Z '._.... ?I____.. ..__ .......................................... to Construct (! ) or Repair ( ) an Individual Sewage Disposal System at No............ ZY 111r7�44 1-1-1 / �Z1(1.r / i j ( - -•-•--•-•-----•...................................... ....---------------.._......_................................. r Street as shown on the application for Disposal Wor-Z Construction Parnit Ao......:.............. Dated...( ::� e0p r,........... ............... ...• . --------- .................................... Board of Health DATE.---�`:��,.�".�_.�-�__-•--------•------------------------ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS F.FL. ELEV.= 74X� — -- FINISH GRADE = 7_ 2-X FINISH GRADE FINISH GRADE------- TOP OF FOUND. OVER TANK = _77�)C_0 OVER PIT = _71XZ ELEV. = 7.3ke) `------ /, CHIMNEY BLOCK BACKFIL L\' 3„ PEASTONE 4" C.I. -- — - -� _ _ \ WHERE NEEDED DWELLING - -- __ -- V.c _ -- - 9x ` 3° d ° ° O 0 o 0 � � � d -r�xxy�t a I 1� CELLAR FLOOR I -2-2 GALLON " ' ° - ° `°° �' , 0 O O 0 ° �' 3/4" TO i-I/2 � ELEV. REINFORCED GONG. P ° O 0 O 0 j I° ra CRUSHED STONE o O o DIST. BOX o 0 0 0 - - -- 0 O o O o SEPTIC TAN K (TO 5E LEVEL \ v I c 0 () 0 O o 7 4� \ BOTTOM OF PIT AND STABLE) 0 O O O o ELEV. _ ._b SYSTEM PROFILE NOT TO SCALE) LEACHING PIT i DESIGN CRITERIA t -T- (q 5 tt UMBER OF BEDROOMS = _ _____ ____ �. )K GALLONS PER DAY GARBAGE GRINDER ?< i TOTAL GAILY FLOW LEACHING AREA PROVIDED =_— r ors r- r A. s°:.a. "R w C4�Z r►.o Jo !� o �'��c AF c SOILS . roc O11 --ELEV. _ 771)U- J x P I s�Na L_t T 83 i PROPOSED SEWAGE DISPOSAL SYSTEM INSPECTED BY-j E',e.0 L PROPOSED DWELLING --IJI i�': ,-1? a ray5• �C�. N.t^.r�c. ;, — - -- -- DAT E /vtO V �S _TI 7'7 _ � '_►.l :TA - M� �Cc•T:1 t' MA SS. PERCOLATION RATE _'-e_e- MIN./INCH _ SCALE: AS NOTED DATE_i�� f�l©T✓3: -- �,�µ 3F V ' OWNED BY: --- � �''y` Z - LOT 5+-1 G W hi f_')►-3 P t_.",K) T k_.)E!>6_ 1(.-7 aF--7 h i c) NORMW* G4 G E"E,A► �''7 y f� •L•�` T C: t V '70X(D ? NORMAN GROSSMAN PE., R.L.S. 226 HOLLY POINT ROAD - CENTERVILLE, MASS .