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Home My WebLink About0230 STARBOARD LANE - Health 0STARBOARD LANE,LOT 14, OSTERVILLE A=166-052 I 417— /�/ TOWN OF BARNSTABLE LOCATIONS 57�Q Pe2,04Z Zvl-' SEWAGE # I VILLAGE 0,3 %c 2 Zi!/�-e ASSESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO. 10&61-,1 do -ST 7 S SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /� t�'iLFUSr"2s (size) NO. OF BEDROOMS 6 PRIVATE WELL OR PUBLIC WATER L -B4 OWNER SG b 77 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No / tr 0 9i No... Fxs..`.... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Aplifirativit for Diti-Vni3tti Works Tomitrurthm ramit Application is hereby made for a Permit to Construct (",)6 or Repair ( ) an Individual Sewage Disposal System at: /�ssesse�s 1�1n- . 3° ►� `-�..r ...............:�'--T&e_g�?:Sz ..... . .......... /� Location-Address I or Lot N9.� - /Go?'T — i1 tTN 21 1 ZlZ�o�a�D 4..Ar --------------------- Owner_--=-- ------------••--•----.-------------------•--•--------------------- W A"A � � � � -Address Installer Address d Type of Building Size Lot1'Ler S---a.-..Sq. feet Dwelling—No. of Bedrooms............t.�_____________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------. Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ dReb;;c W Design Flow..............(_G_P_______...............gallons per-p4satt per day. Total djily�ow...........Va.0.......................gallons. WSeptic Ta.�—I_iu �capacitvZ5Dogallons Length__V.z....... Width__. ._.. Diameter________________ Depth.._�_ 'a.. x Disposal h—No. ___._ b_.-___-_- Width....17n 1._____._ Total Length...._`8` .i..... Total leaching area___U24`a.....sq. ft. 3 Seepage Pit No...................... Diameter-------------------- Depth below inlet.................... Total leaching area.___.._..._.._....sq. ft. Z Other Distribution box Dosin nk �E...�=t.�Gttt tTu '1 Date (0 2� �......---- " Percolation Test Re& _..� -formed by._.... /_..... . Test Pit No. 1...��.2 Omi utes per inch Depth of Test Pit---- b----------- Depth to ground water.004E.AT !b 44 Test Pit No. 2._..�.v----minutes per inch Depth of Test Pit------ Depth to ground water..:.-�t�E...�t.12 I a -------------j.--.-----------•••• ------------------ -------------•-•----•--------------------------•----•----------•-------.--------------------- Description of Soil �� E ...E ST. d E �io[v+!�..-----a'�--..._.d C co, .. . .. x W -•••-------------------------------•----•••-•-•----••--------------••---._....--------------------------•---. •-----------....-------•-•••------------------•----•-•••--•---•---•--••-•------•------•--- V 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed b i oard o al Sig n�d! '��'' v- Date Application Approved By ........ �--- ---------------------------------------------------------------- "---------- .....�..e. : Application Disapproved for the following reasons: ..... " ... . ...... .... .......... .'- ...... .......... ................. te. -'" . .............................."-----------"----------------------......-............--.....-----"------"-------"----------------"---------...-----------.................-...----------------------------------- .......................... .....--.. pGj Date Permit No. / -5 .---�-------------------- Issued ' '--...-. w Finc THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uinpn!Ml Works Tomstrnrtiun Vrrmit Application-is'hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at:N r _ ......................................... Location-Address ` I or Lot No.� ✓I L_A'-1 e ET C-_jzv I L[E C e3- / _... »-- ---------- ------Owner ---.-- -----.--•---.----------....... --- / S tWa ��G A.-��^ Address ----•-••-----•-•.......................................... •-----........................•.. •-••--•••••••--••-•-------••--....................•-••--•-•••-••...............••............_.... Installer Address } d Type of Building Size v .-:-..Sq.(f j Dwelling—No. of Bedrooms.-.-•-__-.___ ______________________._.-_Expansion Attic ( ) Garbage Grinder aOther—Type of Building ---------------------------- No. of persons-_---____-__________--..---. Showers ( ) — Cafeteria ( ) � Other fixtures ..................•----------..... --- -------•-•--.••------•'••......-•------------- ---•-----•---•-•••••-•••---••-............•--............-•-• �:7J W Design Flow.............�_.�..?........______.._.___._gallons per-pe s>on per�day. Total daily flow.............................................gallons. WSeptic Tank�f Liquid capacity`s gallons Ij ength-_�- Z__-__-_ Width--K,:. --_ Diameter---------------- Depth...-7 1 el I x Disposal Tren;h—No.-.:--l v_.._.___. Width....1_.?:_.__...... Total Length..-_ :.t°....___. Total leaching area.._? `c......sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing_tgnk ( ) , / Percolation Test Results Performed by., ti-��!�:a�.. ':�.E 1�,"dam t' "�� Date........ �2 f................. Tt1au a Test Pit No. I___--_:Z;%. minutes per inch Depth of Test Pit----��..___...... Depth to ground water-!_WE_ �•..tv 1 LEA t, P P 1 P g �I.. c-1 IZ (mot Test Pit No. 2-------- <____minutes per inch Depth of Test Pit._._--(:? __...... Depth to round water........................ ---_:-_--'---._-----------------••••• -•--•-•-------•••• ..................................................------------------- . ------------•-•••- O Description of Soil-----C�G I E•G•'--7 r-1 v 1.E �'b �` 1(L r<��a nl cf( ',-•-----r` ........... l` ►`4 1 U -•--•••-•••-••-•••••---••••---••-•••••••--•-•--•••-•-----•-•--•-'-••-•-•••---••••-•--•••••'•--'----•••••--••......--••-•................•.............................................................. W ----------------------------------------••------------------......-----------------------------------------...----------------------•--•-•-----------•-•----------------------••-•••••......------•••-- U 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 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 i�ue�heiboard of-health. Jh....... ...Signe : ....... ./ ...........................,. . . . :/... 5 Date } Application Approved By - kv-. .y _ .. ...'.._ -. Date Application Disapproved for the following reasons: ...................... . ............................................ . . . -- ......... . ................ ............. . . .................................... ............ ................ . .............................................. . .. ........................................ Date Permit No. ..... .. ... =.. ..5.. -,............................. Issued .._....:. Z - �7.^....l�'.4..:............................ J .. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE tlertifirate of Q-111omplianve THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) I` by ..................................................................---------......--------------------------------.. ,..�---- Install r at . - 7..../..t"j(...........:`'J...l.. d. .�` �-Te...,,,/1 ..... /`�,AJ,: _ - ------------------ 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. .......�5---...Y:s.V_-------- dated ............ .i._7--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _0 DATE. ....7........:S.....- -.h Inspector .... - - - THE COMMONW ALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No. `s... . FEE..../.t .r).......... Biiipooa1 Workii Tomtrnrtion f rrmit Permission is hereby granted..............Z- ,�r.....L.L .........�' � '' - =-----•----_I-V------------�i../ .. .. to Construct (;{) or Repair ( ) an Individual Sewage Disposal System atNo.............. ...•''- `::. • - - " •---------- --------------------------------•-•--- Street as shown on the application for Disposal Works Construction Permit No.`' .___�S�_1. JDated........->.._ Board of Health DATE............................................. �..--- FORM 38308 HOBBS R WARREN.INC..PUBLISHERS AsBuilt Page 1 of 1 TOWN OFF BARNSTABLE LOCATION 57 AQ ge xm SEWAGE # 'VILLAGE . d� 7c 2 Ut/�F ASSESSOR'S MAP dz LOT INSTALLER'S NAME rk PHONE NO. SEPTIC TANK CAPACITY o2 Scd GA LEACHING FACILITY:(Cype)./G� ^ram' .«U.,rn.r" (size) /,�a NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER -bUH:0@ OWNER SCe,j DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t a http://issgl2/intranet/propdata/prebuilt.aspx?mappar=166052&seq=1 2/14/2013 �POP TO x-.�-• j Y-_ � r� � ., -t,�' _ _•---"-'_�,:i _....1 �,,/� /f / � � Gi v 1 r`�'�L-�J' �JO� �S f'�� I�il�� G Pr7w JAL 1 � '`�`--• `� >': t � �''`..'- � �* ill/ �`0' °'` -..'-``,` '��" ` � .��;�,,:� --�'" �' � pain L�l.•�'�E�';"i� ,tA�K- "T'o f-� � y.�.��__1"rP�P i , �- .�" 7 1 � r 'f�n'` ` ,\ � � y•..is/v'"J' F.3�4!` � �� "/,,�(!'s� Ik ��/L��J'/Ci. }-� "� � ��"Y it�r'� t r�`s _ S � ____......• -- ..._ - \� '` ,�. "''--- �"` " _ �; D'��. �TG±�' l�,I GGf .,11-�t_�� <7"�la r..�W=�• r;:�'1"'� L. P�.: �� r*'S A D-�-a-44. 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