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HomeMy WebLinkAbout0104 WILD WAY - Health 104 Wild Way Cotuit A = 027 — 137 I 3 TOWN OF BARNSTABLE LOCATIO 4-/" , SEWAGE # VILLAGE '?S ,�T I< !J,d, ASSESSOR'S MAP & LOT�� INSTALLER'S NAME Rz PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY r`4�Zr Zr r A LEACHING FACILITY:(type) � -`- `��i%'�t� (size) i NO. OF BEDROOMS _j PRIVATE WELL OR,PUBLIC WATER BUILDER OR OWNER X i DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No -- C 6/ . v .0 6 TX�7 C� FEB... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH. ............OF..............!9. ................................ ............................... Appliratiun for lhspusal Works Tonstrartion rrrnti# Application is hereby made for a Permit to Construct' ( ..) or Repair ( ) an Individual Sewage;'Disposal System at •--- w Lid ..:t�.. _... �..... .......: C, .% . _ �....~. Location nd�r ...or�Lot}..°• - ... ow er - Address w .. -------- -----. ......,,�� � c -�---•--------- ------ ------- ------- a ...:: ----- Installer Address Type of Building Size Lot.!E-: _6.91.......Sq. feet U Dwelling—No. of Bedrooms.. � --...... ,........Expansion Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building...... .................... No. of persons............................ Showers ( ) — Cafeteria ( ) p' Other fixtures d •... --••----•--._..... ...--•-- ••--•-. W Design Flow... .__..gallons per person per day. Total daily flow.... gallons., W Septic Tank—Liquid*capacity............gallons�Length... .._.:__. Width................ Diameter... ....... D th :.........._. �/S Disposal Trench-No......... ........ Width...-...--........... Total Length... .......... Total leaching area 9' sq-ft.6 � ® �Seepage Pit No........)_ .._._.:: Diameter___________________ Depth below inlet......(a........... Total leaching area.................. ft. Z Other Distribution box ( ° Dosing tank ( ) Percolation Test Res s Performed by..W.A)..,O....CD eU_E.�_ .. _...0............:.. Date.....1,JnA�.............. ,aa Test Pit No. 1. _LA_...minutes per inch Depth of Test Pit...1`........ -. Depth to ground water.J-UQA)e..aX)L fi Test Pit No. 2... ..._.....minutes per inch Depth.of Test Pit............................ Depth to ground water........................ • a ._._......-- -- ................. ... •--------------•-•-• ......---•--•--•-----•-• ---._...---------------•- •••-- ..Description of Soil ................. ..:. ------------•---------_ .. .... ........................ W •--••-----•--•-•--. -----• •---- ..... •-----. ................... ... •..... ............. .................... UNature of Repairs or Alterations.—Answer when applicable........ ................•:_ ..._._... ...._................ Agreement r The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE Skof the State Sanitary Code—The undersigned further agrees not t place the system in era ' until a t Compliance has been i y ar o lth. i Si ate' Appli ion Approved By­... l .... .••• ...................•. ......•. ate. ` Application Disapproved for the followi reasons:........... ..:...... ...I ___....__:____.........•....___.__.____..........._.._.._...... ------ ate .............. Permit No.... :�. .5%( �.. .... .......... - Issued............................................ .. Date 4,1 ��• � � `� 3 i( J ' A /,� Arm it\`n�•_,_� No._. ...._.. F$s_. 1 " - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF. , `;afiT ........ ......................................................... —� Applirattun for Disposal Works Tonstrixrtiun Permit iApplication is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal , System at 7_ _ Location •A�iddress - � A /' / or/`Ltot'No. /i 1 Ad Owper d - --Address ......................................, .,... �F.a{.�. -----•-•---- ---•----- \v .................ddr ..... ........_ nstaller Address Type of Building Size Lot..27r'f1.......Sq. feet U Dwelling—No. of Bedrooms....S5.................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building r ....... No. of persons............................ Showers W � YP g --------•----=------- P ( ) — Cafeteria ( ) icyOther fixtures ...--••-•.......:...............•...........-------•--.....---•--........---.........--- ............................................................. W Design Flow.....�:.«_�.l.1........................gallons per person per day. Total daily flow....: �>4 ........................gallons. COY Septic Tank—Liquid capacity............gallons 1 Length................ Width................ Diameter................ Depth.......... � �°� Seepage Pit No..__....�.. ' ..,Disposal Trench—No..................... Width....................Total Length... ........ Total leaching area-,.-4!F!A... 3 l..... Depth below inlet.__..(.. _ ....... Total leaching area............ ....sq. ft..__.._... Diameter.._._�o Z (�.) y g ( ) :f' .....��. ...-----..•--. Date....&I,...................... ;I Percolation Test Results Performed b .�!�«..._�'_..!A.a����':,... `� � , Other Distribution box Dosing tank ^t' Test Pit No. L._.___.�!.__.mrnutes per inch Depth of Test Pit___ ___________•.. Depth to ground water... � 1'_1.7.0 f=_ Test Pit No. ................minutes per inch Depth of Test Pit.................... Depth to ground water.................... 9 ----------------•------------...............--•---•--...-------.---•---•-•-- --------------- ...._.......... ._...._ .... . ODescription of Soil--•.............•--------...------. y ----- ----•----•----------•----------- --------------••-•---------------. -f- }�---...-•-•••--•-•-••-. Uw •............... 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 iI rLi~, of the State Sanitary Code— The undersigned further agrees not to,place the system in r erati, until a ca of Compliance has been issuedly the-bbard of',li alth. Appli ion Approved B _ ' ._ / Date /In Date Application Disapproved for the folloUA)reasons----------------a..........................................................................................--- r - Date Permit-No..- ' =- -1�- -- ----- ------- Issued-.......................................... ......_..__ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a - a;,Qv�.�......�...OF................. .....,.,,....................................................: Trrttfirtttr of Tumplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by....•..... ---•-----•----•-•-•-----•--------------------------------------•-------•------i�gtaiiy ----:--.'...--.-.._.-..---.----.-----_--.-._----.---._--._........ .t`...Y.: at ���...- �°! -.r�.= --.._!' �.................YV t'. c, c has been installed in accordance with the prQAsions of TITL> 5-of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.... _.�__.. � .......... dated....X�A . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............L)..... .._).Q.......Q ... ._---•---------------. Inspector..... -,- �------- --- ----.......... -------..__ _-- f•------------------------------------------------------- J THE COMMONWEALTH OF MASSACHUSETTS �j BOARD OF HEALTH_ No..,..- ...... �. FRE........................ Disposal Works Tunstrurtiutt Permit Permission is hereby granted..............Ar. to Construct ( ) or Repair ( ) an .Individual Sewage Disposal System at No.. �?.._..Z.......L ! f=ice•-�"_Y_ A ........�y( �Y ►.C��,..... ............. .. -= =~ Street - t' as shown on the application'for Disposal Work Construct' Permit No ? Dated.._':-:-11.1......1 .......... �PY (it/l -' ------••--......•••.....•-•.................. DATE. hoard of health ......--1a-.^.fr.- > - •.......................•-----•. T /oP OF F,:, DATIoN w`1 F;e� cxo-,�, z<-� CAID el4-- �• ; . 8Z- F-►- g3.om t�J 00. C� -y /v 7,4// I -70 - - N O TE . -- - - - - - SC V eXIsfirnc? 9/-ounce/ Pr-ofi/e E�CTEA/U ALL �1 PPG./CR BLE -o—o—o—o— proposed 9r`our7d e G � MAAIf-(OLE CO1/E�S TO G�J/TH/A! S G T I D .I E �2 T, f�L� : / - /Or /2" OF F/ti//SHED Gr�AD� %4"Pei' 'cf� FLOW I j SCPC-D. 40 Pvc. oF' �rninimum %.. Per f'oof•� �e 1 - "peas on EQU, 9e- To SEPT/ layer o.,P -Tf�NK-• Y( PiPe To aE -7 3-maj. / LEVEDL LD/ST• BOX I / Lo T 3 .,s P ' s 6 ,. u"�' Ooo GAL. SEPTIC TAQlZra - r I r . z , LEACH P/T DES / GAJ TEST /-/ OLD LOG DATE: Z- /0-86 TEST E3Y- L o w •� �✓E 1-L B t BE•D�_'ooM HOUSE- -R 1',G S o s G 1 'p��`c• �A dim pL �r IN/ /`/E S S: 7- � KEEN"-'B.,R I.l .B9 j 8a.o o'' � f N USE-.CO / DUD - GAG. TAti/� L.E,,9CH/lV(5 F12EF-� • 5 SuQso��- S/DEWFjC.L: G.P.D. I I TOTF-�L � G.P.D. N1EcIvr-1 US e_ . (I� (o &I C.�r�Gf4 � ►.�I (Z' of i 1 \ 33` } l4.4' CEPT/F' THAT 7-PE BU/L D/�JG WAT F R I P)20P0$ED ON THE G�2vU/vD AS ENCOVl�7"�R�.� I W O T S PLAiIJ DOES ! SEwF� GE PLI:� Ikj'_0&JFO12M TO TE Sl T mow.. 01:-3CIe QE 0U/�2EMEAJTS OF THE TOWN OF RNsTA.S E FOR : 0 Tom` 3 ' /"IARSTO N S MILLS GEORGE Low J Pl2EPAQED FOQ .S,C)(A r'N CAPE s 27807 } �Q2" SCALE: AS D _ is E NO TE D /�' l g8 7 I sv PA G � sIM q p rv0ci ,PLA � CSCALE. / -30 � Vl E W vrLfT xs q /evo-honO, 00 BL DG. SET `o�. FCC tE o.00 _ proposed e /evatir�r, 12EQU/2EMENTS�, - � SR �, 30 ' llED ,. -- _ - -" e xi5ti n q con-fovr-s �'r-on t l!'f• EBOA,2D OF HEALTH LOr!i`/ G�IELL E /n !, Side l = 15 -7l4 MA/N STQEET MASS• YA�2/"louTH POR7, M,43SS PRoFE55lOti/fiG. ENG/INFERS fr LAND SUr2VEY0,25 #S'6"09¢ " { r j t }