The URL can be used to link to this page

Home My WebLink About0245 WIANNO CIRCLE - Health NO i o � t S M E A D KEEPING YOU ORGANIZED No. 12134 2-153LGN i SUSTAINABLE� MIN.RECYCLED INITIATIVE IVEE CONTENT 10% CAWWOb.IScurefng POST•CONSUMERWmAlmormwo sw►�ao MADE IN USA GET ORGANIZED AT SMEAD.COM TOWN OF BARNSTABLE a. LOCATION 245 ldi.2aao C. e�c�e SEWAGE # VILLAGE — ASSESSOR'S .MAP & LOT INSTALLER'S NAME & PHONE NO. Bay CoionU ron ii - 77R-/,A 34 SEPTIC TANK CAPACITY 1, 000 Ga ion LEACHING FACILITY:(type) 4 Indi.tebzaio2.6 (size) 8 X 3(J NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATERpljp_�,i, BUILDER OR OWNER Pa�t2icia CZo.3--on - Uwne2 DATE PERMIT ISSUED: 812193 DATE COMPLIANCE ISSUED: 815193 VARIANCE GRANTED: Yes No X _ _R,EAR OF KOLISE 3Y� arc � i~ No.. .. ® Fns..2 THE COMMONWEALTH OF MASSACHUSETTS A"ROVED BOARD OF HEALTH TOWN OF BARNSTABLE Application is hereby made for a Permit to C 0t1StrUct ( ) or Repair an Individual Sewage Disposal System at: V. 1 - ...... f0..................... -4�--... -•--••--•-------.--.-•--•---•--•-•--•--------•••-•-------------------------------------------•- tiruy,,..�jriss �-•----•_•or Lot No. .. --------------- ------------.....------------------......------..... Open ddr s J6 J r Address U Type of Bull g tZ, � Size Lot............................Sq. feet .., Dwelling— No. of Bedrooms......... -•--_--•--_.-__-_- .--Expansion Attic (1140 Garbage Grinder 04 Other—Type of Building of persons.-._gg.................. Showers (,,? Cafeteria ( ) a' Other fixtures ------------------------- - - W Design Flow............................................gallons per person per d, y. Total daifly,flow............................................ WSeptic Tank—Liquid capacity,/4�CGlalIons L ngth_ `�.4?._.. Width-. .---�!P Diameter_.''....... x Disposal Trench—No. .......I........... Width........ -_-_.- -rotal Length------ `... Total leaching area___ ? ..sq. ft. Seepage Pit No--------.�....... Diameter......_.....r'-. Depth below inlet............. Total leaching area......1-_.......sq. ft. Z Other Distribution box (l ) Dosing tank (pub •" Percolation Test Results Performed by............I............---------•------------------------------------•-- Date----------------........................ 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........................ C4 ------------------------------------------•------•-•-•-•I........... :---------- ------------•---------------- ... ..................... Description of Soil d��eSC,� It ....... ...................... • ... ... ..................... x --•-•--------------------- -------------•----•---•-.........-------••-----•-•-------.. -------- ........................... • -----•---- ................ ---•--•----•-.-- U Nature of Repairs or Alterations—Answer when applicable----------�{� _ ..? ............... ..Ai� 4 ----•---••------------------•------------------------------•------------......_...--•-...•••...•....---••---•-•------•------.....--------•--•-••----•-•-------•----------•-•....----•••...--------•-•-•. 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 issued by the board of health. Signed ... . .�p.. ..... ...... . . . ........... .. ........ ..�.. .. .................... ............. Dare �f ApplicationApproved By ... . ... .. ... ..... . ...P.......... . .. .... ............ .. .. .. .................. ............�- e ^ Application Disapproved for the following reason : ........................... .... .................................................... ........... ................ e Permit No. 3�9 Issued ...^e.� ..��....----. Dare - v.•ryNW'wr N'`'V'ti-b+%'c: Ka..y,-.J'.v -_._.�w —v+'v:a as —.:��.:..r_,..V w..-�_v '-V+ t.� a.y�:.a.- No....Z..*_ -----... Fas ................ r� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 , TOWN OF BARNSTABLE , Avvltrativtt for Diri.vnool Warkw TouBtrnr#ton Vann# Application is hereby made for a Permit to Construct ( ) or Repair ()6 an Individual Sewage Disposal System at: �Lo�r•-that a�ddress (C _ or Lot No. � ........ ._....S._ -&�•L---•............................................................... j O�cncg� ---- ddr -•••••- '��ci Ni. / rJ®re=S l 1iC---- - l & GQ � [ �4 .� 1 ;;�k—i-r r f��1Z t e > Address UType of Building Size Lot............................Sq. feet .a Dwelling— No. of Bedrooms--------- ______________________________Expansion Attic (J140 Garbage Grinder (�✓� aOther—Type of Building G&J-j f.-N 5QVNo. of persons---.�.................. Showers Cafeteria ( ) � Other fixtures ..........................................................------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/4� allons Length_k-'-L? _ Width... Diameter_.^.._... x Disposal Trench--No- -------I........... Width....... Total Length------ Total leaching area...s2&K."sq. ft. 3 Seepage Pit No.........:^.._----- Diameter............ ... Depth below inlet........-:-___.__. Total leaching area......777:........sq. ft. Z Other Distribution box (1 ) Dosing tank (N)p Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes'Iper inch Depth of Test Pit.................... Depth to ground water........................ a •-•••••••••-------------•---•••--•••-••-•-•----•-•-•-•-•...-•••- •.-....•-•-•-••==.......................................::............................. . x Description of Soil ---------SaRe!c. ... --•---•-------- -----------•-•--•! Z" � . r� /•-�• U --------------------------•-•--•--------._.------------......-------------=--------•••�.-•---�r . �1 l . V Nature of Repairs or Alterations—Answer when applicable......... ...............� -•----------•---------------•-------------•----••-•-----•--•--------.....----•----------•--------•--------------------------•--•---------------•-----------------------------------••••-••••••-••-•••--• Agreement: The undersigned agrees to install th-e-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 issued by the board of health. Signed `�'�--�f.-.n ........... ..3. ...�" :�iZ Application Approved By ............. / ../ .,.......:�..........;f ./ :.._.............. ....... .. Application Disapproved for the following yeasonsI ....................................................................................................... . ................... ...... ............................... .......... ... . .. . . .. ...... . ...................................................... ............... ........... Permit No. �... ............ Issued ............. ...�7.•.. ..............,................73 .. Dare...... f Uate - THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Contplianre TH�SS R"�WY,,, ta�'� �w g Disposal System constructed ( ) or Repairedby j.�.... ._.. �*� ------ n-^ ....................... IS 0 CE " IFat the In ivi ua a eat . .......... ...._ ... �.�.................... ........ .: ��et cz, �! _.._-� - .. _ �...._... .................... has been installed in accordance with the provisions of TITLE 5 of he Scat v' nmental 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 *L-SYSTEM WILL FUNCTION/�IS'FACTORY. 7 G DATE..... ............... .... l..-_;/...-._..------................_ Inspector .............................................. THE COMMONWEALTH OF MASSACHUSETTS �y BOARD OF HEALTH TOWN OF BARNSTABLE , No.... ✓- FEE........................ �to�nonl ,�/or�� gusto#rl�y#}ir�rn rrrm�i#- Permission is hereby granted i '.!. Q/y: /1- l)..................•--------.._..._..---._........... to Construct�i,)-or/��}�jair (p ' an Individual S wag_e Dis ad-Sy tern l • -- . street � � as shown on th application for Disposal Works Constructio Permit No.�__��___.-%_f ated�_..____.._._.__.___.�1J�.. ........... .v of �e DATE......( -/ --------------------------------------------- Board alth 1 � FORM 36508 HOBBS&WARREN.INC..PUBLISHERS