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Home My WebLink About0053 SCHOONER DRIVE - Health 5'3 schocyne.�2.�e-�Je, ocA-oil - ooy — c�� nn� C1,r. cam. TOWN OF BARNSTABLE LOCATION LG 5a..c r- Or SEWAGE # cto,9 VILLAGE (�o ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. lo AA i'+O SEPTIC TANK CAPACITY rSo a LEACHING FACILITY:(type) ' jf (size) G K' tO NO. OF BEDROOMS 3 PRIVATE WELL O UBLIC~WATER BUILDER OR OWNER A) lI '- DATE PERMIT ISSUED: �z�� S DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No /S®o S74 1C, + 5- p.` � IBI / i /L - C-Yt C, " cy THE COMMONWEALTH OF MASSACHUSETTS $ Ll 31 BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diripwial Works Cnomitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S stem at: t CO-r0�� -A LIA �-o e- Lot No. ----------------------_..---- .......... {' ................f................................... a s f1ttncy t s� lyH / sr. /� �C //s LP. Installer Address uu d Type of Building . Size Lot..--!_l.r ..Sq. feet V Dwelling No. of Bedrooms............... .......... ... Expansion Attic Garbage Grinder ►� g— -------- P" ( ) g ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ___________________________________ W Design Flow............ 5.........................gallorls per person per day. Total daily flow..............3_�a..p .................gallons. a Septic Tank—Liquid capacity/ ._gallons Length_______________ Width................ Diameter................ Depth................ Disposal Trench—No_ -------------------- Width......P._.___._.___ Total Length............... _._ Total leaching area....................sq. ft. 3 Seepage Pit No......1.....------- Diameter......./c9....... Depth below inlet................ Total leaching area.Z�:_��._':...sq. ft. Z Other Distribution box Dosing tank ( ) Percolation Test Results Performed b 13A7 _ry. �' __.. �' Date... .......... Y aTest Pit No. I.....9.......minutes per inch Depth of Test Pit------4........ Depth to ground water...................... (r Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P41 --•--•• •-------•--....----•------•......••---•--•---•••---•-•-•-•-•-•--••-•-=--•------•....................•--•---•--....-•-•--••--••--..........---....... O Description of Soil..............................�JD/!�nj.......::5","7U,6 V ....-•-•-••-•---------------•-----••--•••---•--------••---••----------•----•-•••---•-•--•--••------••••---•---•••-•-•••--••----•--•----••--...--•••-•••••--•-----• ---•-••-•-•---•--•-•-----••---••--- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia has en issued bye the�oard of health. Signed ............ Q, (��...............................................'-c' � .............................. .................................:....-- Due Application Approved By .......... _........................... - 3.� Application Disapproved for the following reasons: .......................... . ........................ .................................................. ........................ .......................................................................................................................... . .......-........ ...................................... ------------- . ................ D�re Permit No. .. J�r.!�5..7.�......... .................. Issued ................ ..�... .3...- f Dace � •r No... �1..- -r � f Fxs......./✓•)z THE COMMONWEALTH OF MASSACHUSETTS Ll3� BOARD OF HEALTH TOWN OF BARNSTABLE Applirtttiutt for Ditipuuul Works Towitrnrtiun ravait Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy,`s�tern_at: 4 / / ..................•..........---.........---•--------......--.................................... •••••-•••-••••••-•••-•••••........--•••-•-••--.....--•--••--•••-••--------•---......_....----•---• L_ocation-Address- or Lot No, l "` _ f ' Owner. / Address W JJ� vt l � __{f' lSlJ N/r�1n� f 5�. /fit/iv A e A�1-/' A �K •----------------•......•. --------------------••---•---...-•-•----- - { Installer Address UType of Building Size Lot..y ...�-® ..Sq. feet Dwelling—No. of Bedrooms---------------3------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) QOther fixtures --------------------------------------------------------------------------------------- ---••--•--••-•...-•-••••-•••-•.....••••...........-•-•••--•-- W Design Flow..........S5......................••..gallons per person per day. Total daily flow..............--�..30 gallons. WSeptic Tank—Liquid capacity/—._gallons Length................ Width......--...... Diameter..... ._.... Depth.............. x Disposal Trench-- No. . ................ Widtw.............. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..._-.-/............ Diameter.................... Depth below inlet..._....-........... Total leaching area.Z`��...sq. ft. z Other Distribution box ( ✓), Dosing tank ( ) aPercolation Test Results Performed by..25AX�r.e.. ".IJYF __.7 WWe' ........._. Date...-�..-ZO—�� Test,Pit No. 1....2--------minutes per inch Depth of Test Pit......ZA........ Depth to ground water........................ (� Tf-5t ?it No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------••-------------------------------------------------------•------------................---•----........_.....--•------...•----••-•-••--•-----......•••• Description of Soil...........................• /j7 [>� l7_..-•--�t��.b x -••---•--•••••-•••••-••-••--•-••-••••-•••-•-•-•-•-••---•--•--•--•................ W UNature of Repairs or Alterations—Answer when applicable............................................................................................... b ................................................................................................. ~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 Cornpliance,haseen issued by the board of health. Signed ........ .1............ �.�.•..��...._..................... 1—��✓� . ............................. . Dare Application Approved By ..........)--�) c._..-_:,.- ,.� �.:...'-7 Application Disapproved for the following reasons: ............... ....... . --.......................--.................................................................. ................................................................................... . ........... ........... . . . -- ......... .............................. .. ........................................ PermitNo. ---------'----- Issued ................ ..-.: .- ..-. .... ...�....-- --..�....----------- Dace ----'-'-----... t ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CCertifirate of Clomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (}�,) or Repaired ( ) byPti �� 176..E.............. ........ ........................................ .................... ............................................... .................... e' 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.; .7,/......... dated ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. t `"r ............ Inspect/---- � '¢,r�.� �.... ✓s`- c, ;s`.i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Rapo,ittl Workii Tunutrurtion amit Permission is hereby granted-----------"-----...mow`,`'......67c..1-7-4 f,-------------- ---------"--"------------• ...................................... to Construct (�) or Repair ( ) rI� divirlual Sewage Disposal System at No <,/ ,�^� ..............- - �=--.....c._.__-,�..----.:�---:-•-�-----.-Y4__.,1..-�-tom'-------------.w-=---• ---•----------•--------- --///------•........................ Street ^�` /^�� as shown on the application for Disposal Works Construction -Per --No.._��-_%.._-`_. Dated..' ... ................ ............................ ..... �'-.....T—........ .. ..------------------------------------------- DATE---...2-/.R --------------------------------------------------- Board of Health FORM 36508 HOBBS A WARREN.INC..PUBLISHERS TJ�sl6 N PA-FA -----� Sl�1Gl-� FAMIL`( 3 $EV'1? �vts �j� - 2 0t ' �10 GA�AC�E G1?IIJDER. ` CAI�,� FLou/ 5 x 110= 3 SEPr-!C T41V- 33d x,l So�•�4 5 � �� Pt.A�J atJ l�iPoS A L PIT 51DEW4LL Ate .= 106 s1= .4 A 113g 80704 A gaA;_ -713 SF -7 g ' ac �,o "1 a&PD, (/-Ory I-r TOTAL DAILY 'toy/ = 330 449D I•D- PEI240L.AT7 oN IZAT I'I i►J U1.0 f IESS jH OF OF PETER, SUILPdA(V RfQ1s No. 29733 LO ON L -------------- - ---VC9W— V. � , k, �•o I nov i u✓. loon ,u ruJ goX �.ei Su.G SerIC r I C'�A�J ` GAL S� 5u,2 T N L t Wl w,aSN� kB: Aw- -5mu4ruREs sr--T TouEVEEF s - sMi-t BE 2c 2 MCA- 12 4. 1( �M1 j VIIElAPE',� 'PQyFILam-- �Ir-IED PUTT' PLAt4 tJ o scbL�. � � LoG�1-Y'IoNIT- T�L =20 'PATC; No GIJA +moo �n Af�- 2i,t9q� t C�IFy -N4AT TI{E 0w� JL __PLAN � ERE]JCE %ow w HezeoN CoM'F� Z2 W,TA TNf 5(VELJgF I,�,T- Q- Q 1I P Q, TIE- Tt7A of BAZAI)r -BLF, Q t�j NDr �-o c4TI�J:D W 91 d E OD A I{�1 ,y PLI SS e- 60S P& . S� p�15510�Jdi_ LAu� 'T�►S ��dti IS HOT- ''3A//Z) oN AN t�JS`fLvti4Et1T Suev /o;z5 Surzv�'Y AW> , rNE oFFSeT'S 4 4aL)LD u or �3E o z�v E�IG�N EE>L, se» To ESTA STEf �L_iSnPE�T zv u.c MA/,C . APPLICAN7 ' Viw tuot4T7- M SPEEr 2 of 2 WIL-L ` =-SO' 3-Zo�95 616. RU roll -DTZIV�- `s �7�\;l , rrll ��► P;TAR EQo. 2033 h � F or v�2 RICA.: A. BARTER APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATI02IjLl�� VILLAGE DATE f . APPLICANT W 1l i, (s/k!7�Li -- FEE tADDRESS ' TELEPHONE N0. (Non refundable ENGINEER � � � {' 1�}qi �.14c- TELEPHONE N0. 'G�6Gb'£f I.31 DATE .SCHEDULED � �., � AAAP q �4� i-z-•• (APPlicant' s signature) 0 0 0 0 0 0 0 0 o n 0 0 • 0 0 • • • 0 0 0 • 0 0 0 • • • • • • o • • • e • • • • • • • o o d o • • • • • • • o • o . • • o e • o • • I�SSESSOR'S t,tAP LO'r NO: SOIL LOG SUB-DIVISION NAMEvV4T_(5 DATE TIME- �^-- �� EXPANSION AREA: YES t/ Np " e �b- �Id� ENGINEER:'? ' TOWN WATER ;/PRIVATE WELL -- BOARD OF HEAL_? EXCAVATOR SKETCH: (Street name, etc. ,dimensions of lot, exact location of test holes and i percolation tests , locate wetlands in proximity to test holes ) fv NOTES : 54 tLtav� PERCOLATION RATE:. dim 21v-14 :::Ott, CONO TEST HOLE NO: ELEVATION: TEST HOLE NO: Z- 1 ELEVATION• 2 F-__ L.� 1 2 3 3 4 � . 5 5 6 6 7 NOD 8 7 ' Sit-Yd� �3 9 9 10 10 11 12 12 13 13 14 14 15 15 16 SUITABLE FOR SUB-SURFACE SEWAGE: - LEACHINGIFIELD LEACC ZNG PITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: .ENG,INEE�RING PLANS MUST SHOW NUMBER• ASSIGNED .ON PERC TEST APPLICATION ORIGINAL': 'COMPLETED IN ENTIRETY BY P E . ANn n�'mi'RNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT z