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Home My WebLink About0216 SANDALWOOD DRIVE - Health 216 SANDALWOOD-DRIVE Cotuit _ - __ -— - - -- —---- - -- - - - - - - A= 025 045 TOWN OF BARNSTABLE ` LOCATION,,'�//, ��dp/�f7��'i%�P. SEWAGE VILLAGE ASSESSOR'S MAP & LOT ,,2,�6 3 INSTALLER'S NAME 6t PHONE SEPTIC TANK CAPACITY LEACHING FACILITY:(type) , `� (size) 'X/6 ` NO. OF BEDROOMS PRIVATE WELL �PB LIC WATEL BUILDER OI�WNE .4/- DATE PERMIT ISSUED: DATE, COMPLIANCE ISSUED: `"'` �- VARIANCE GRANTED: Yes No xIeL*r f b� AV`ol j/919r 3 3 0 6J No...Z-10- .� Fr ............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Di-nVai3al Workii Tomitrnrtitun rami# Application is hereby made for a Permit to Construct ( ) or Repair (UC) an Individual Sewage Disposal System at: /Location-(Address a��BH . �E ` - � � { [� A ----_-Wi',v`ssT�`--- ��---`_----------- �•oC.fiVt_N�/ Owner dress W OG(�J J ai.i•�.i iJ �� lid Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms------------------ ----------------------Expansion Attic ( ) Garbage Grinder N6 aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures ----------------••------•------------------------------------------------------------------------•-----•------------•--•-•-------------•------------- W Design Flow.................. ---------------gallons per person per day. Total daily flow-.-.---_-_--�_7P......................gallons. WSeptic Tank—Liquid capacity/-/4$---gallons Length---------------- Width-------- ------ Diameter-_.____...------ Depth................ x Disposal Trench—No. .................... Width.................... Total Length_----------------- Total leaching area.--_,.-...._........sq. ft. Seepage Pit No---------./........... Diameter-------i U----... Depth below inlet-----(u............ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by............................................................... -•----•--• Date........................................ ,.a Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water..................... (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------------•----•---------------------------------------•-••.....---._..._.......................................................... Descriptionof Soil................................................. ------•------------------------------------------------------------------------------------------------••-•----•----- x W x ---------------------- V Nature of Repairs or Alterations—Answer when applicable------AD-0-----f�- .._...-L.Q.kA--- ------------ t ...P_7 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 b n is ue by th bo of health. Signed ..... ------------ ------- Date p Application Approved By .......... ----------------------------------------------------------------------- ------- -own ...^..../..� Application Disapproved for the following reasons: --------------------------------------------------------------------------------------------------------------- ---- ----------- --------------------------------------------------------------------------------------------------- -------------------- Da te PermitNo. --------7,�')`--r--- t ---------------------- Issued ------------------------ --------------------------------------- Date i /��.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiuii for Diti-poiial Workii Tomitrnrtiinn rrrmit Application is hereby made for a Permit to Construct ( ) or Repair (>c/-) an Individual Sewage Disposal System at: ......�./-lv- A tV�•L.£(.�5 0� - ................s� Location•Address ............................................ or Lot No. ......................11�...�!l N Jj .. L✓ �'t L� `'S •��.\l ' 7U ' r�! G ........... Owner ddress Installer Address Type of Building Size Lot............................Sq. feet �.. Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder t--) JO aOther—Type of Building ____________________________ No. of persons________-_-_-_._______-___ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------------ ----------------....-------- -----------------••-••---••-••••-•••---•----------•------•••- W Design Flow...................._------- per person per day. Total daily flow--------- d__--------------------gallons. W 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-------�v-f----- Depth below inlet..... ...... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by................................ Date........................................ W Test Pit No. 1----------------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......................... a ----...............................................................................................-..._....----------•--•--•---.._--------------- _......... 0 Description of Soil---------------------•-•-------------------•---------------------------------------------------------------------------------------------------.._..---•---•---------•-- x U ................•-•------•-•--------...---•-•----•--•---•----------•-•----------._...----------._.....-•--•-•--._..__...---.._...---•-•-•-••--------•-•--•--------•----•--------------•---------------- W x ---------------•-- U Nature of Repairs or Alterations—Answer when applicable.__-_- - .--__l ---------(U v v____ �__-._-•L:�1 ..•7 t f. (N .._.. -�?="r ......, � rJ ...._.-7d_..---�-�-----` x..I`Si• ,�Lv:----.-� ..__..?1-:....:5...'Sl______- 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 bWn issued by th bo 7of health. Signed ----------------------- ------------ --------------------- --- ---------------- Date ApplicationApproved BY - ------------------------------------------------------------------------- -------�..- -2..-- J Dare Application Disapproved for the following reasons: .............. ............................................. .............. . ....-....... . ......... ............... ... . . ... ....................................................................-.............-.... ........................................ Permit No. ......... ................ Issued . Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of C�omplinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ^C) G L c�T u -------------C'G-Ns-T— bY .......................................- ........... .._...... - _............. ------------------------ I.Swil.. -- -- ---------------------------- 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. .._.._��i ..-... .Ci_t✓� ..... dated -------------------------------------_....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .--�-� DATE................ ... ...... ....._. .. ... Inspe tar''- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.....Z�_..': O FEE--•• C)-•-- - Uispnual Vorkg Tnnutrinttinn Vamit Permission is hereby granted------------------ / l ----------- l% ............................. to Construct ( ) or Repair (>--) an Individual Sewage Disposal System at No...---•••-----------------------------•--------------`- /6 ),oZ_E.wow 0_.. O/t, 2lu t_ -:--.... ...... Street _ as shown on the application for Disposal Works Construction Permit of Health No.�� 0:L/�D\ ' Dated......... _,2_-..,��__. -----___----•----•--------------------------- =._- -----------------------------•------•--• �3 � - DATE................... -...- ........at2-----•---------- - - Bvcfl FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS AsBuilt Page 1 of 1 r TOWN OF BARNSTABLE LOCATIONn6 d�C nd1 / -)c SEWAGE ,#A c� _� l VILLAGE6 ylC,-/ ASSESSOR'S MAP & LOT _n INSTALLER'S NAME 6i PHONE NO.250/4U�04r (,'�dns/ 06p k SEPTIC TANK CAPACITY oGo LEACHING FACILITY:(rype) , '� �) (size) 'X/Q NO.OF BEDROOMS _PRIVATE WELL R PUBLIC WATE 1 BUILDER O OWNERS �j7d�}C DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: T VARIANCE GRANTED: Yes No� jrar L4 a 33rr 0 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=025045&seq=1 1/16/2018 r 1 - Nb.........P/................. Fmc.......�............. THE COMMONWEALTH OF MASSACHUSFTTS J 6 ; BOARD OF HEALTH ...........OF............ 1�/:1e., �,. � ............... .............. Appliratiun -fur Uiipuiittl Works Tomitrnrtion Vrrmft Application is hereby'made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal / Location-Add ss or No. --.............. Dw r'.T Address Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of BedroomsLI:_.._.. _______.__1.____..____.Expansion Ejttic (��. Garbage Grinder O Other—Type of Building C�&�lJ�'l�s:e�_ :___ No.�ersons_......_...66................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------------•-_-- ..._. W Design Flow--------------------�,rG?_________.__-gallons pe p o?-per day. Total daily flow-_----- _ -�_____---_--....._---gallons. W Septic Tank—Liquid capacity./ _gallons Lengt ................ Width................ Diameter-_-_-...__ --_ Depth---------------- xDisposal Trench—No- --------------_--.- Wi h------------------__ 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------- -- ,_s/1- ------ -----------------------_- Date........................................ Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.___--_.-__--_...... ep Pi toter:aU<water_...__---_--_.__._.--._. (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_.....---_-._-_.--.-___- f4 --- --- ------------- . x , - - ----------- -- -- Descrt tion of Soil C� ��'it �. ti� �i y ` `f U -•---• `'" ''' --------- '-..�...5:�- = �� .c� `>L .... = ---------------- W ---------------- ---------------------------------- -----------------------------------------------------------------------------------------------------------=-------------------------------------- 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 Article \I 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. Signed._. .. � 7W �j, - �r��' Da'fe Application Approved By............. -- --------------- Date Application Disapproved for the following reasons: --•--•-----------•----------------------------------•------- ---------------- ..............•----......--•----•--------------------------------••------ ---------------•-----------...----------........._.......--•--•----------•-....---•----------•------•-••--•--------..------ Date PermitNo....................................................... Issued--- ................... Date k 'No......................... Fns.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF. tom/ ff. t . Applitatiott -fear 43hip al Workii Towitrurttott Vrrmft Application$is•hereby`made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at ..........;! -r^ Location•Addr ss or Lpt No. Owne .. Address ir Installer Address Q Type of Building Size Lot----------------------------Sq. feet U Dwelling No. of Bedrooms..._._. �............................Ex Expansion Attic y- Garbage Grinder mac) � g— P (•,y) g ( ) aOther—Type of Building .-. e.: :_:¢-__�_ p ( ) Cafeteria ( )p f --- No. of erso is-------_- - __-.------. Showers — Other fixtures ............................... .. Q � .... w Design Flow--------------------�w..................gallons per person per day. Total daily flow............ ...................gallons. WSeptic Tcuik—Liquid capacity_; -:,gallons Length................ Width--__-_-.------ Diameter.--. ._____ Depth..-__-__---_.--- x Disposal Trench—No..................... Wid h-___-_---______.___ Total Length-"--__-----_-___-_:. Total leaching area--------------------sq. ft. 3 Seepage Pit No._..._..1...._.__... Diameter..__h is`....... Depth belo v inlet___________________ Total eaching area.__.---.._-_-_--sq. ft. Z Other Distribution box (fO Dosing tW k ( ) 7 74 Percolation Test Results Performed by------- _._ .._. Date-------------------------- ............. Test Pit No. 1................minutes•per inch Depth of Test Pit--:_____•-__--____-- Depth to ground water..----._-_-..--.------ rXq Test.Pit No. 2_--_______•-__minutes per inch Depth of Test Pit.."................. Depth to ground water------------------------ ---------- ct r D Description oft Soil.. _ 8 N/ ��_ � ':' ` ��_ Ar w ,� - ---- ----- .-. ------ --- UNature of Repairs or Alterations—Answer when applicable "_...:.:..._-..__:_- ........... ...... .. .--------.--------- ---------------------------------- i. Agreement: r a The undersigned''agrees to install the aforedescribed. Individual Sewage Disposal'System tn;accordance with • the provisions of Article XI 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 Hr • i igned .... �"f# ----- 'y.. - ndl�-! Nam, + Pat Application A roved By-:-- ---- ---`'" ...`' /: !� .•,- �••. Date VVV , Application Disa,Proved for the following reasons: ......... ......... ________. ..._.._.. ......._.___.......__...__._._..._. -•-•-------------------------•---•---------•--------------•---••......--•-••--------_...•-------•-•-•••-•----•-----..---...........-----------•--------.........---------------------................ Date PermitNo......................................................... Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH d f 4?v7:..... ......."OF.... ........U,/ ✓r.'<rta.. a a',.c.,:....................................... fTPOUratr off 'llutpliattrr THIS IS TQ+CERTIFY, That1he Individual Sewage Disposal System constructed (4) or Repaired ( ) by---•---•---•--_---- -yy. _ ... tom.° `` ........ ---- ... _ •- -�1•------ _.-C_G..t bF + has been installed in accordance with the provisions of Art I f he State Sanitary de as des I d in the s,. application for Disposal Works Construction Permit No.-- �'?'` ------------ dated--...� '...............................�! ---------- THE ISSUANCE OF T191S` CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... � C---------------•--•---• ........... Inspector :----- -Ic—toof THE COMMONWEALTH OF MASSACHUS.ETTS BOARD OF HEALTH ................ ............. . --------------------•---........... No........................ FEE............................... Di-spalittl jarki n� t tr Doti Prrmit Permission is hereby granted.............. .. - I_.__. -...•.... . --------------------- ---- to Construct or Repair an Individua Sewage Disposal System , Grtr % ---at No. f _ = ......................................... Street 7-A 7- 7 7 as shown on the application for,<DisposalWorks Construction P t. No D1ted _ ______________________ f - .............................l/ � Board of Health�I DATE. .. Q_.a-T----7................... ... FORM 1255 HOBBS & WARREN;,INC.. PUBLISHERS _• j-^ 3' r Lfi g. _ -- r /'• uj A f R I L- 6le 9 2 2 nr , LO Xis r Z3 ,sfi Y�'/NSA �� '.�O g t �60* f rlON [•--{..,/-7 - P11Al 190 cd-A-"sc r— 3 - iINN9 V n/o ti A/N/ti!U/t// r3 LJ 4-D/NG S ETPBACk-- 30' 20A1 T IS' , Si nE. �� + 72ZE-47 �2o PO SE:D _,�. BE,DI200MS SEPTIC 5Y57-EM CONST2UC7-/0A/ . SHA LL CONFO2M TO "AS-S . DES/G/V FLOW 3. 0 GAL DA Y E^JV IR 0A/MLA/TAL CODE Ti T4-L 7z L E A C H Z A TE �-. "hV //VCZ/ kGSr�nl�.' YEAL Ty. 12�GlJLAT/OHS 72 W/" TOP OF P20�o5 E a L EACH A,eEA _ 20.40 1MpE2✓/OUS G'O VEQ MAnINOLE Ca✓6.2 TO E'X TEnID TO TO X>2EV&"7- A=/A/G- S kVl TA-IIAI I f OF PIAIISHE;D GOADS. G20M /A/F/LT2AT/.�16 /0 M/,�/ � STOivE min/i5/•f fS/ Z „co✓cis ,¢ } n/sr. 7' - Co✓E CiL '� p I Box . I z/ ov,Dc '¢ �57/2pN, — '�-—- 3"MIA/ � T `+V. 4 D/A ATE.Z- QQ LQ MAN T/GaT 4` ou. C 4 ID'L GA c .A-/ FLOW LiivE MIw pi TEN w ` Y4'�FOOT IO'MIN /4" /4 J FOOT Mini �ircfi PIT 3/4,_/�Z ,a IA. _Y_ MatJ I - /./,./Poor ^ WA5NE0 I7, / - Li /�v r IS 3 f 24 STO A/E GALLO&I /,VVEe7- ALL IA✓t/E.27- CA PA G/ TY E_L EV• A2OUA/O SE�T/G TA V& �, p 17 0 �WATGTdT/GHT� /NVE,2T BdOM OF /NVE 7 AID GAeBA6E G)2//vDE:P- �. .s_ c 20' M/A//MUM - 1 , rc 6 x J 7 S/ TE PL. A A/ SEDTIC TANK. 4D/S7-.2/45U7-/ON 80h* �$ OU.TL ETS� AA✓Z> I-aACN/A/G .a/T FO, TO �E OF ,2'E//�/F0�2CED (=OAJCA--ETE CONC2ETE ST,eEA/G7�V 3000 P5/ M/n/. 20000 /O LOA DING SA-/0)27- /A/C. /4 T"O,eY L AAIE. Of I 431,2I VE WAY IVOT TO BE LOG4T`D 0V4ee SYSTEM UA/LE55 H- 20 [RArG :,- DES/GA,/ LOAZ>IAJG /S RAYr OND, SHORT No. 27483 "t r D,4 TE 14E.4L774 AGE.t/T- ji Zi1 77 A ,