HomeMy WebLinkAbout0108 SYLVAN LANE - Health 0`8 ��/ LNO,�m -
r y
TOWN OF BARNSTABLE
LOCATION 108 SEWAGE #
VILLAGE (2-5 91
ASSESSOR'S MAP & LOT YO u—
INSTALLER'S NAME & PHONE NO. 1C\�i=� Cbul
SEPTIC TANK CAPACITY }
LEACHING FACILITY:(type)
NO. OF BEDROOMS-PRIVATE WELL OR PUBLIC WATER
BUILDER O OWNERDATE PERMIT PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
Sal��
/'��'
��
��
�� �
a
� ,�
��' - s ,�
3����J� � � � �
���
1�L�
,.. -
t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Ii_npuiial Workfi Cnnngtrnrtiun Prrinit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
Location-Address T or Lot No.
jo
Owner Address
............................. ` •-•---- --
In taller Address
Type of Building Size Lot..... f�c�.
..z Sgfeet
V Dwelling—No. of Bedrooms.._-.._..... ''IL............. .. Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Building .............. No. of persons..............._....._..____ Showers — Cafeteria
04 Other fixtures -------------------------------- -..
Design Flow................................5 --_gallons per person per day. Total daily flow.....4-¢5>...........................gallons.
WW P q P . g g „
Septic Tank—Liquid Li utd acl ca ty�s�....gallons Len th._�9.-�_•_- Width__S__-�____ Diameter.....1........... Dep th..'-9Z..__.
x Disposal Trench—No.--__-------------- Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pitt No----------- ----- Diameter...../1_........ Depth below inlet......¢.......... Total leaching area..t'6.......sq. ft.
Z Other Distribution box (o") Dosing tank ( )
'~ Percolation Test Results Performed by....... �11/!. ....................... Date...�'._2Z.-.9,0.L_..........
1.4 Test Pit No. 1 5_ r-minutes per inch Depth of Test Pit..... A�...... Depth to ground water_______ _____________
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
------------------•.....•---............._--------......---------................................................................
O Description of Soil..... A 2!` ^__...: ,a----C-n-e.V.0.---5,W. ..0...........................................................................
w ......--------------- -----------------------•----- ----------------•-•--•---•-•-••---•..........------•••-------------•--••-------------------------------------.......................---•--------.
UNature 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 Complia as been 19 d by the board of health.
Signed ............. �..,- ............. ........................................
Application Approved By . ---------
Date
Application Disapproved for the following reasons- ...............................................I........... ............................................................
---------- ------- ----------------------------------------- --- ......--------------....---------------------------------...-------------------------- ------------------------------ ....---...
--------...------------------.T .Dare
Permit No. ....9..... .................................' Issued ....
..........:.... � Date
--.-...-..
J
No... , - 3 FR$... �. ..fS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
App iratilan for Uiipnsal Mirks Tonstrnrtiun Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage •Disposal
System at:
..... __:f -L.a l/Lr_.... -------•-------------'.b7r o -------------------------•----•--....----
"Location-Address or Lot No.
_...
Owner � Address
w ------------------------------------------- -------------------------------•----••----. ---------------• -----------------•---------
In aller Address
Type of Building Size Lot...... ,�_��:Sgyfeet
U Dwelling—No. of Bedrooms.............fit'...:--------_..-_______-Expansion Attic ( ) Garbage Grinder ( )
►•-r
PL4
Other—T e of Building No. of persons............................ Showers — Cafeteria
Other fixtures ............................................
w Design Flow................................ .-___gallons per person per day. Total daily flow-----!1 !_�._.............._..._....__gallons.
WSeptic Tank—Liquid capacity 1s ..gallons Length___�o,b`_ Width.. *'__ Diameter-_- Depth.`'Y::_..
x Disposal Trench—No..................... Width---.-__:--_-___-___ Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No------------Z..... Diameter...... /. --__- Depth below inlet......4:.......... Total leaching area..4. .......sq. ft.
Z Other Distribution box Dosing tank ( )
~' Percolation Test Results Performed by.-_:-!-`�-__�--�f'�=_ '!!!' � ...................... Date... . ' 4-....•._...
a -�
Test Pit No. 1�55.:?�.minutes per inch Depth of Test Pit......_ a../...._. Depth to ground water........................
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ••••••-----•--------•--•-••-------••-••---••••••-••---•••---•--....-•-•••-•-•-•-•-••..............•-.........................................................
0 Description of Soil.....T ...... �,a�• .►-�=''' !=,zi ti= S e� ----------•-----------------------------------------------•----------------
x
U ••..._..-•••-----•••-•--•-••---•-•••--•--•••---•••••-•--•••••-•••--•-••---••-•-••••-••-•--••-•---•••••••-•-••-••••••••••-•-•-••-•-•••-••--•-••--....---••---•-•-••....-•--...-•-------....-•-•-•---•----
w
----------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------......
UNature 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 Complianvq h s been issued by the board of health.
Signed ---------------\\ �.. ..----------------------------------------- -------------------------.............
Application Approved By --........... -�-......
Dare
Application Disapproved for the following reasons: ----------------------------------------------- ---------------.........................--------------------------------------------
------------------------------------------------------------------------------------------------- ---------------------------------------------- ........................................
------------------------------------------------ ------
Dare
Permit No. ' -- ..tom'....... Issued .'"� `" 1 ..
- -I
Dati
J
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
V Ertifirate of Q1.1IImplin re
THIS IS TO ERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by ----------------- ---I �' ...... . ....................
/ t� 4� ..-- Insc�
at ..... .-...�..$......`- �Y. 'f '..... - r '
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 -_ 9'"'/...:..e— �'
F�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.................. ..............
.....-..``.. .......... Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
�t���a��t� n k� �un�tr�rtilan rrntit- .
Permission piss hereby granted............H-C-- -----------------------------------------------------------------•--------------------.------•.-..-.----..-..-------
to Construct (!�) or Repair ( ) an Individual Se ge Disposal System
at No....f �:.'S 4 I'i �..........
Street
as shown on the application for Disposal.Works Construction Permit Dated....%- -/..!' '":J
f
.......................••---•------ -;oard of Health------------------------------------------------
C� B
DATE............ '�� . -r.•y-------------•-----•-----••--•--.
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
I i {
.Cot $S :Cot .
rL
. .
f
R
I
— C
'oat 86
` .29 ac. j t2 r
r I ep ti c e�.t
I _ No. bed4.,60 us f i
3/ idp0dat no
i I .C'ot.d 87 & 88 £�.tinzctecl '¢t'ow 4'ud 17P
yJ' �i 1 �'each�s ' ctea 466' {
Ccy�aci tq, 88:(S cad
t 1 t i
j. I to¢j (�e No State t 4
a
1
r +
_. 1500
o
�;,; W1 a tone .�
I J,
c� 11f�M"
date 0
tgtt Ctpe Cl? tvL —
49 /dc�io,t Road
! E •
Id ycwr vi i l'n. 62661 �S-i to l-'t 6 jj. and -i A GU.r avino, U�.te�ci i,�.�e, l'49 r
nn j/o/t Oanaea CtoC�22/G �.t. {
j�eairrc tot 86 a .r#2664- e � L
(�eUG iLO►Ll a%Ge &n an Gd;L tltlP.d �.
�c�tz - Ne�eht aa►v�.#c�iZe Eo-R7 o
y
1t�
t 1
(feat ;ilG.ta.'#� 82 S r -
! { L tl
-1 ,aQ}}•� `/`+ t-.. t... _ ,..i r.,.j;.....r ...t._ J {..�. r `• t { ` 1 •+ ' I t- { ! ' i
I
No'water; mco ,
en c. 2 iiuyt. eh
� `� �( r �-�• la c sC
I lit.
to ` 1,�•t
38,0 ' '.ill
, 1. 3