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Home My WebLink About0017 BRIAR PATCH ROAD - Health 17 Briar patch Road 144-040 Ostervi//e TOWN OF BARNSTABLE -t LOCATION 17 Cla v_ P� c� SEWAGE # (03 j VILLAGE �jSZ�y�«e ASSESSOR'S MAP & LOT y INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) P a-e-(f ASS P� (size) lq�Co wl a NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNERS DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No `� N�.w Fix- I '7r - No... a.". � Fims...... �...�. ...:�"..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �,on C7epartment TOWN OF BARNSTABLE Appliration for Di!ipnual Works Tomstrnr#in rmit Date Application is hereby made for a Permit to Construct ( ) or Repair (fin Individual Sewage Disposal System at - - -... r� � capon•Addrcs- or Lot No. O 51 eir V olska ... Owner i A d ss ( $' --------------� ---LPG--------------------- .......... -Q- .a .�1%,V ........................S............... Installer Address Type of Building 77 Size Lot............................Sq. feet Dwelling—No, of Bedrooms.-... --------------_------_-_----..-.Expansion Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building ............................ No. of persons.---- ---------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtures ----------------------------- - W Design Flow.........S -.......................gallons per person per day. Total daily flow.. ....................gall ons. i WSeptic Tank—Liquid capacity.-_.-;-----gallons Length................ Width---------------- Diameter......---.....-- Depth................ x Disposal Trench-- No. .................... Width.................... .Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No-----I.............. Diameter..-�..O---------- Depth below inlet-_- ........... 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........................ Li, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 9 ...........-................................................................................................................................................. 0 Description of Soil....................................................................................................................................................................... x U ...................... W ----------------------------------------------------- ......--------------------------------•••-•----------•-••------------•------•-•-•••.--•--•---------------...----------•--------- ---•--......... UNature of Repairs or Alterations—Answer when applicable.-_ -S-C.,Mt......� �TZ�T?....-Po7..S ! �:(....... .............. .. .. .... ------o ----_ .------------------------•-•-------...-•----------------------------.....----••------------------................ 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 Co ee issu d b the boar of health. Signed ............................ .......L ......1... .......... ........................... ..../. ..oZ�...�- Dare Application Approved By ..................( xx..t-.-.'�.t r,.,,(.�N.<•�-..---....................................----------------------------- ---- /: ....>. u Dare Application Disapproved for the following reasons: ............. .................................................. .......................... .................................................... ......................... . . . . ..... ... ..................... . . . .................................. ..........:.....D.a-re---------------. a PermitNo. ..........9. ' . v../.......................... Issued ........................:........................................... Dare — — — —---- --———--——--——————— r ,.s s Y_ 'L.%v�"�V i)'-�....rYLv�'. ��- yr v v r -.,�yf 9 L-V V _.a •'w r1l le.�`J�.:v i•r 4!'Y Vv'.— .ti,. ...•v�...�-.^-• ✓'L✓•_ _1�.7 u ,,. No...=Ia_: 1 /FRic 3 ?......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Alirtt#ioit for #irinttlnrli T>a>itfitrnctin� rani# Application is hereby made for a Permit to Construct ( ) or Repair ('%_ an Individual Sewage Disposal System at: Location-Addres ( or Lot No. Owner /� Address ^ q�c \i l ............... ... -•may....J....... .. ._.�_.�._,..-•____•_-............ ._.._._..-�_• ___y._......._.....____.._._ - ......---.-.-...._-•_..._................. Q Installer Type of Building Size Lot............................Sq. feet U ) Address �-t Dwelling—No. of Bedrooms---- .,.�.................................Expansion Attic ( Garbage Grinder ( ) Pk Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ............................... ...................... W Design Flow........ ' "________________---_.-gallons per person per day. Total daily flow.... ....................gallons. WSeptic Tank—Liquid capacity...........gallons Length---------------- Width---------------- Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No------ .............. Diameter--_�.O---------- Depth below inlet._: ........... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ .a Test Pit No. I................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........................ O ••••••--•----•........--•---....--•••••••-•••••••--••••••--•••----••-•-••-•----•---•-.........•--••---•--•-•••--•---•......-••••-••......................................................... .� Description of Soil.......................................................................................................................... --•---------------------------....----...---•- U, - - ••-• -•--••---.------•--•.......•••---••••-••••-•••-----•-•-----•------•---•--•--•.................•-•••......-- .-_---•----•---....-•--.----•-- V Nature of Repairs or Alterations—Answer when applicable.- :`,_�_l�_ __...._� _..........c -f. .......... ............... �1 -�.:...---h%l.........4t .. ? ..........-----....__..........------....------•----•----..... 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 Compliarlce_has been.i'ssued by the board of health. - - Signed .. ............... . ......--.- ------------------------ ----- ............................ Dare Application Approved By ......_..........��o .. ..t �- .--.-/.- .-_i,;L--9'- Dtte Application Disapproved for the following reasons: ......-.........:.................... ..--......--................................................... ........... .- . ......................... . .. • ............... .......... ........................... ... . .................-. Permit No. ..........9-r -------6..3../........- ...._ Issued ----- ...............................................�.e ...... Dare THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE 101ertifirate of (11'omplianve THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ...............C--u-��.L �. U v).J S-R- �-, -c----- _..... --67 .'..-5---7' �. .- .-Ia................................................. - I � �Instal�cr _ G. at .....--..L.7.............. Y. .r..... .- ..7. ... ......R. (c... 1 ... C _..S.-. -e.- ... ..t......................................... - ... 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. ------- .c .,- --- --3_/--------- dated ---_.............................._..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................. ........ .- ..-------:--......----_- Inspector...................... ----.--.---,------------------------.,----------u---.-_-_.-.- ---------------.-_-- -� _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q TOWN OF BARNSTABLE No......1 C FEE.... 0 ^... Uiipmal nrkli Tongtrurtion Vanfit G V, t-0(,t Permissionis hereby granted................. •.. -•-- ---•--------.----•--•-•-••••----•--•---••-•---••--••••••-----------•••••••----•-••-••......•................ to Construct ( ) or Repair_f L),an Individual Sewage Disposal System Street as shown on the application for Disposal Works Construction Permit Noln0l.._ Dated........................................... (\A — �k I ............................................................. DATE..-----....L.a 2 _- .................................. Board of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 9/25/2019 ShowAsbuilt(1700X2800) TOWN OF BARNSTABLE LOCATION 1--7 ,�! c v P6Tc=V SEWAGE VILLAGE. C�SZ'evy��`Q ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �.2`'�`-��'�r�� (,n.70 LEACHING PACILITY:([ype) P(Z-e—Cy4Si' P,-(- (size) IQ,(O NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: J 1, _9 2 DATE COMPLIANCE ISSUED: -9-)- VARIANCE GRANTED: Yes No � r ln� 1 1 , N cw eT6 Fr 2`5'io % https://itsqldb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=144040&sq=1 1/1 M1 I 13(o'' oic vA RAID. W`l+W 3I)INVE& 6" ail o ; -. -- -N., _ NEw P RFSSU Rt N E`r1 FW+IN s c� 6'Dp� 1 . itH GAiV. LAGS i i, r I REMWEDocor,' "Ke IAN* .5 0 cy GP )NSUTA+IOAJ I� IN EX.WAITS }° BUILDUP FIob2 1 oiu S. c�- w i a iu Fioo r EXIT , CqA R6 D 0 I - 1 SCALE: I APPROVED BY DRAWN BY I A O / J `--r fob [{ ORAWIHO NUMBER 1 �I