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Home My WebLink About0025 SEA VIEW AVENUE - Health ��Id� i 2 SIC= DE O t ies1 - 0 12 N 5 MEAD I No.2.183LON UPC 12134 wead.com • Made In USA VSCYC 0 SUSTAINABLE FORESTRY INITIATIVE WNW Fiber Sourcing WWWAIVrowsmall t TOWN OF BARN STABLE .G SEWAGE # LOCATION ��.g�:�cJ /�U �—"� VILLAGE 05 Ti-2 /S/ tom ASSESSOR'S MAP & LOT/4 2- G a-6 INSTALLER'S NAME S& PHONE NO.,,424N �o� Sl ��S� 13,i�Q SEPTIC TANK CAPACITY 1 S O J LEACHING FACILITY:(type) l^I f�i 7/2 A 702S (size) NO. OF BEDROOMS 4r PRIVATE WELL OR PUBLIC WATERf�� BUILDER OR OWNER 7-il2 e S / DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No } Nb 1 ► y�J�hfE� �r rI ► s a 34 J 4 ASSESSORS MAP N0: .. //__ PARCEL NO: No..73 •.(k..... VF3.................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH APMOM TOWN OF BARNSTABLE Alip iration for Diiipnaa1 Workii TomitOan Application is hereby made fora Permit to Construct ( ) or Repairdividual Sewage Disposal System at- . /� � Cam - o l� .....- -- . .......:....... -..... - ... ---•---•--.....••--- ---------•-.............--------.....------...........------ Location.A s v i or Lot No. a ®� own Address Installer Address � Type of Building Size Lot___________________________Sq. feet U� Dwelling—No. of Bedrooms.... .............-.......,.............Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures W Design Flow.............................................gal lons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacityIs�_®.gallons Length................ Width.... Diameter................ Depth................ x Disposal Trench—No. _-__.e............ Width... `.......... 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...------•--•-•--•---•••-----•-•---•••--•-•.............••----------•••.. Date........................................ Test Pit No. 1-------------•-_minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 Test Pit No. 2................minutes per inch Depth of.Test Pit---................. Depth to ground water........................ a ----•------•------•-----------•----•-•._........--•----------•-•....----•-•-------•-•-••-•-----...••......................................................... 0 Description of Soil...............................................................................---------•-----------------•••--------------------------•---------------...-------•----- x U --••-•-•-•---••--•-•--••-•--•-•--------•...---------••--••-••----------------•------•----.....-----•--•-•-•---------•-..._...----------•----•-••---••....--------------•-....-•---•--••----•••-••-•---- ----------------- ----------•-------------------.-------•----••------------------•----------------------------- ------ U Nature of Repairs orfAlterations—Answer,:w n.applicable.7(n..-�-. _--_•-�\C� .��............................................... l �. / -----------�------------`c!•--� .'��------�---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE S of the State Environmental Code—The undersigned fi t er agrees not to plaecehe system in operation until a Certificate of Complia a een iss d b e bo al 00 Sign . ........ . ...... ........ ............ -.......................................... Date Application Approved By ..... ��' �1 ----------------------------------------------------------------- .-/...' Dare Application Disapproved for the following reasons: -----------:---- ---------------- ------------- ------------------------------- ------------------ ------------------ ---------------- ----------------------- -------- --- ----------------................................ ------------------ ------------------------ -------------- - ---------------- ------ ....................................=--- qfDate Permit No. -.. .--C.�---c3---- -&-----_--------------------- Issued -----------............ Dare' ' t 3..................._ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `'M► �az.: TOWN OF BARNSTABLE Appliratinn for BWpaiiFal Works Tonstrurtiloat r unt-. Application is hereby made for a Permit to Construct ( ) or Repair ( 'an Individual Sewage Disposal System at, v r /r �- 5...._..........!.t.%:P.w---..��...�............. ? 1.. ......_.. -- •--- �,,�� r� Location Add e s .•---or-Lot No. .......................r � s .....2_ ...�...�`a!I J /�'.OS bra... ............---•-•................ ----.......................................... - // .I Y G_ "J OwnC vR I Address •----------------••--/ -----...----�------•--• ....................... ------....._ ............---------------•-•--,,•----• Installer Address PQ Q 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 ( ) a Other fixtures -----•---------------------------------•--------------.--------•-----------------------------._...._....--------.._..-----------.........._........... W Design Flow...........................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid capacity;EQ Agallons Length................ Width......._....... Diameter---------------- Depth................ x Disposal Trench—No._•_--- ............ -__� otaengt Width ._.._.._... 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 ( ) Percolation Test Results Performed bY.......................................................................... Date........................................ 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------_................. p+ •-•••-•-•-••••-•----••-•-•••-•--•-•••---•••-••••••••---•--•--•--•-•--•-•......-•--•----••.................................................................... 0 Description of Soil........................................................................................................................................................................ x V ---•---------------------------------------------•---------------..._...-------•------------------------------------------------------------------------------------•-----.........---•-•-•.....---•-•-- UW ......................................................................................................... ......• •--•- - --------------•------ Nature of Repairs or,,A lterations—Answer when applicable._!r/to �U S /a 114-1 fi 1117i1 A t 6)2 r 2 5 7' o Z,n 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 as been issued the board of health. Signed'✓ - --- �' `�="�................................................... ....... . Application Approved By .. ---------- - ' *'--�- -------------- - - =- Date Application Disapproved for the following-reasons- ------------------------------------------------------------------------------------------------- ............................... ...... .................. . .. .. .. .. .... ----............----------------------------- ---- --....---...-------- ............... --- Dale �, Permit No. 9. Issued . -------------------------------- ------------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t TOWN OF BARNSTABLE Ceztifirate of Cotttylian.ce THIS'IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( .fi ) or Repaired (� by f/ . .................Cr-4 ............. ...........F.................. ----- —------- Installer �P vL /� at .... S L N f ' C/-S 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. .......... .............. dated ...............................-................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ /... .--------------------------------. Inspector - -------...........................-....................... Cr THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 9� TOWN OF BARNSTABLE No... FEE........................ Moposal ores Tollstrudion Errant Permission is hereby granted......cr....�..._.�`.r:�....�°-'.`. S� to Construct ( )—or Repair(_)`an, Individual Seysrage Disposal System A /za GrJ . V at No. -•"•` .5----•- .....---- ------------------------•-•-----••••-•--•- -•-•----•- Street 9 as shown on the application for Disposal Works Construction Permit No,?I- ...... Dated /......� "..... ... ••-----....-•-...-••--•.---•- s -----------------------------------------••-•-----•---- fBoard of Health DATE.................../..................`- ............................... FORM 36508 HOBBS at WARREN.INC..PUBLISHERS , t i J TCa OF FC y�:TiC"i CONCRE77E COVERS F . • I 4'G�$i 1Rrt4 OR .. •Z`1i f.,/.� Fi..//�N C,t,n ! ' P.V.C. HE7ULE 40 { fff PITCH 1/4 P_R.,c: 4"SCHEDULE 40 P.V.C.. (ONLY) PIPE- �MIN. r MIN. PITCH 1/4"PER.-7. Y EL. !St.�� SEPTIC TANK ELNv%�7 DIST• I SaT ? 1 f T oo E- S I E_. .. .... .... I!:Vr h• 1`:VER7 BOX Fi�Tn I , .., 7 iS�3 � l� GAL I N'J .. ... L EL. N � / RT6� { �_ �\ EL PROR LE OF SENVAGE DISPOSAL SYSTEM SCIL LOG ' NO SCALE TIME r,�ociN WA'lE X T�eGE i ,ATc %vim. r- APf/cax:/`7gT� �O 1 t 'rST NCL� I TES, HOLE 2 /4. �� DESIGN DATA . ELEV./. . �.. ELEV. . . . . .. . .. . i � � z N''2MBER CF BECRCOMS < ^ - Lc4•' I ter . . .. - / �i C %� iCTTL ESTIMATEC FLOW � � Gat_LCNS/QaY BCT:0M LEACHING AREA '. . .. ... S F-T./TRENCH 1 mac' r+ 21. GL./6.Co c±CE LEACHING AREA SC.FT./TRENCH - LEAGl.,/1�G TTzE -y ,. MED' ( GARBAGE DISPOSAL `C°o AREA INCREASE) ✓� --- --- - - - - -- - - --- --- -- - - - - Ph�{i ---- _ - _ - - --- -- --- _ -- ------------- -- — ----- - -- -------- - -- - - .. ,�., Fib 2R ---- - - - Ex�srr..�G �%4' /- - - - - - - - � ` 'Td2 E oF rE' se ,✓r S \ � TvOTaL LE:+CNlNG APrr 1''` " ; - `. 7y -,q e C2oSS .SCCT/d A No SC/�GE 3'. ,'o,oo PERCOLATION RATE LE" Tl� � TJvo E P-R.INCH _ - - iZ, a AREA ^L RAT- SO A k �� sf� t Gam/ - � _ _ --- - LEACHING PER P=RC., 'r4 / Z FT � Fi/v/ cz_4.1T APPROVED . . . . . 3 a �C OF HEALTH - - - - - ^ f /z 7f3 //° ..waTEa EtiCCU�:-ERE^ /�8 W/asf/Ep ST^/C \- •, C:T E ... . . . . . . . . . �r •n�r�=s £Q c{� j� p�/ 9 .KT �,f I T��E J J E:l U 1 {'�:CG CJ.1�' " '.._,_u� LID .... z f Ci�Vr!�'/hr'v a c HEALTH I i 1 7� / �! 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