The URL can be used to link to this page

Home My WebLink About0168 CASTLEWOOD CIRCLE - Health 14� CAS'VIVA*J ' Or-I �a. eSS r J TOWN OF BARNSTABLE V // LOCATION �G� �'c �I� � Gii, dC SEWAGE VILLAGE �,G��J/.f 'R' ASSESSOR'S MAP & LOT DL7� INSTALLER'S NAME 6z PHONE NO. ��/� `n„„ h SEPTIC TANK CAPACITY h4 _y LEACHING FACILITY:(type) (size) �(,U NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: ,DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r- / I _ N ,o t No...E 7::55 3ti Flcs..2Q,,00....... ti'�•— THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -.......T'own................oF.........8a nst ble-.............................------------------ Appliratiun for Disposal Works Tonstrurtiun Famit Application,is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: .... r. . ..._. ----------- -------•----------------- Location-Address or Lot No. a,6.8...Gaat-lembad... C_Irc.19_-1i.3Janis........... ................................_-------------•------••----------------. -----------*. ...------- T Owner Address �XQN.�iX`............................................................ ....................................••............................................._.............. Installer Address UType of Building Size Lot......................0.....Sq. feet ., Dwellings-No. of Bedrooms............3-.--•--•--_••----------------Expansion Attic ( ) Garbage Grinder ( ) `.4 Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ....-••---•-------•--------•---- • . d - ---•----•-•---------------------------------------- w Design Flow............................................gallons per person per day. Total daily flow__._........................................gallons. R: Septic Tank—Liquid'capacity..__.__.....gallons Length................ Width................ Diameter---------------- Depth................ w Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x 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. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water-.__-._.________-__-,__. tz, Test Pit No. 2................minutes per inch Depth of'Test Pit.................... Depth to ground water........................ a .................................................................................................. Sand & Gravel Description of Soil ..•. ............••••-••-•••-----------•-•-------------•-------------•--••-------•••---•--•-•------••-•--------------•- x v c.� w� x 1 1000- a on leach U Nature of.Repairs or Alterations—Answer when applicable----------------------------- p_._._._...._.............. j -=...................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed-Individual Sewage Disposal System in accordance-with the provisions of 1 i:i.;±, p 5 of the State Sanitary Code— The and rsigned further a rees not to place the system in operation until a Certificate of Compliance has be issued the r health. Sin .... ✓ 8/10�87 - Date Application Approved By.................. . ... ...-`.s. ._.----= --.---•----------------•----- ..........J5.._t...?13-9?_.... Date Application Disapproved for the following reasons:-------•------------------------•-•--------------------•--------------------------------------- -----.....••-•-- .....................•-------•-------•------------•---------.......------------.......------------.........--------------------•------------------------------------••••-----•-----------•--•------------ Date PermitNo......... .................. Issued................................................ ...... Date • ,, car: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............1. 1'?.r3................O F........:r'+ .:f' Applira#ion for Dispwi al 18orks Toauitratr#ion Vernfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --1FT .••-=fir• lc...:... . .:-Y---- -••-•-----•-•...................•----•-- --•---...---...--------••-----.............. ..................._ ................. Location-Address or Lot No. ..� F....f i::...�.".:---�n< - • .......l...... I `.••g... •------•.................. .........•-----• ----- .......... ..... Owner Address y !a r Installer Address d Type of Building Size Lot............................Sq. feet Dwelling,—No. of Bedrooms..._......, ______________________________Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons.................._,......... Showers ( ) — Cafeteria ( ) Q, Other fixtures -----------------------------:........................................................................................................................ W Design Flow.............................................gallons per person per day. Total daily flow.........................._...................gallons. 1:: Septic Tank—Liquid'capacity_........___gallons Length................ Width................ Diameter---------------- Depth................ W Disposal Trench—No. .................... Width.....__._....._..... Total Length.................... Total leaching area..................._sq. ft. x . Seepage Pit No...................... Diameter.................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box (. ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date....................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... 0z Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water._-__--____-_-_----____. R.' ....-•-•--•----•------•-•-••-•...................••---.........._..-----------••----------..................-•---•---.....-•-•••......•........_............ t C �1O Description of Soil................................ ... .. W •--------------------------------•••••......_•-•-••••--•••----•----.....----•...------....------••---•-••••--•--•-•----•--•••----•-•----• .............................................................. UNature of Repairs or Alterations—Answer when applicable_...... t .( !-.1Gfl..._�-e CP...01 t_q.................... ----------------------------------------------------- .............................................-...................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIl" E 51 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,; oard.of health. I,, r, ...._.l��,�` r�_��.,f��.G..f_.�-..•�am�.r.0. ✓s � t. . ........... Sigped� w � Date Application Approved By•••••--•-•.... '��'3 ---.-�--. �.... ;it ........ ---... Date Application Disapproved for the following reasons-------------•----•-----...----••----•-------------------------•-•--------------•-•------•-•--•-•--------_..._. ..---------•--•------------------•-•--------•--------------...................------•----------•--•--•---.---------•----••------•••-•---•-----•------•-•--------•••-••---••--------•--•-••---•----.------ Date PermitNo....... .. ... ..............--.... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '1't�t';t! . .................:........................O F........ X..Y '•, . ,1C..__F=............................................ Tnr#if iratr of ToanpliFanre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaireda } A T.: r:h r�.•.r.,. by..... e. ;�;G..f3 :..:f---•.........•-•--•••--••..............•-.........•-----••-••--••-----......................---•-•------•-•----••---•---...........--------...---:......:.. 168 0,ist�Lti::�:tCI :.r y11 -f!".1 C16 � ! '?ti Installer at......................... .-,...•----••--- ------•--------•--•--•--•••--•-•-•••-••--------------•-----..._...-•---••--------••--•--•----•---••-•----••-----------•----••----•-•--•-•------•------------. has been instailed in accordance with the provisions of T i T IZ j of The State Sanitary Code as described in the application for Disposal Works Construction Permit \o....E... ..3.4.......... dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................. ............................... Inspector-------., r ................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Disposal Works Tonitratrtion rraati# Permission is hereby granted. _ ................ to Construct ( )+or Repair-( ) an Individual Sewage Disposal System at T / i Street as shown on the application for Disposal Works Construction Permit N,F7:_5311......_ Dated.......................................... \ r I � �..... �:.---------------------- Board _ � of Health 1 \ .. 1 ..SATE------------6�---...__....-:.- ?--------------------------------------- - FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS