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HomeMy WebLinkAbout0050 WINDSWEPT WAY - Health (3) ..� fits f�2 �r,�-�� L��- ����� l� � - Ti o. �.J�� Fps ..0... .... THE COMMONWEALTH OF MASSACHUSETTS BOAR®- OF HEALTH ndA V4 50 Town........................OF...Barnstable........ LDer Appliration for M-4#nlial Workfi Tonfitrurtiatt Vantit W��)0jj Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal 1P'�- System at: .Oyster__Harbors Lots & _25� L.Q.C. 13� -8? _ Location ddress or,Lot No. ��a.fee-l�1-----------�A-/fAlI7-------------- ,T� Owner ------•----••---•-•-'•---••...--Address /..-- Q1 . ............. T. ------•-•----------------------- ----------- '-...----•-----------------•-..... Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms----5.....................................Expansion Attic Garbage Grinder PO) Pk Other—Type of Building ............................ No. of persons---_-------.-------.--.---- Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. ---------------•------------------------------------------- W Design Flow........................1 JCQ...........gallons per pwsou per day. Total daily flow..................5.59..................gallons. WSeptic Tank—Liquid capacity..1,5Q�allons LengthlO'..-Q:`Width-9--''--2"-. Diameter................ Depth..-_._�..-0 x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.2................. Diameter...s.'......-..... Depth below inlet..6.............. Total leaching area... ......sq. ft. Z Other Distribution box (X) Dosing tank Po) Percolation Test Results Performed by..CaEpe...Cod---SU-r-- e ---C4n-sui1-- Cant§ateJUly_..l.4J._. -1_981_ as Test Pit No. 1......2.......minutes per inch Depth of Test Pit-l0.-.fit..... Depth to ground water-.non Test Pit No. 2................minutes per inch Depth of Test Pit---................. Depth to ground water------ �P�-��+1.t1►s�,gss O ----•-•-•'•------------•-----•---•-•----•------•---•--.......--••----•-••-•--'•-'--•-•-••'---••....................•----------•......-- . ........... Description of Soil..Rfert� 801.1.._ i ... X .. � 7 .... .. ... �o....a EPHEN '4 g - ALLYN . U -----...-•-•-•----•----•-----------•---•-----------•-------------•----------•------------- ° o WILSdN I - ,Q Nib:36216 Q U Nature Repairs or Alterations—Answer when jl�ill ......................................................................... i0 �ci$,q,E����'� ----------------------------------------------------------•---------------------------•--•-----------------------------------------------------------------------------------•-•-- �Ft�l Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in a ace with the provisions of'i: y g g p y of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed-y�'�---�..... c^r.&. D--•----------------•--------- -••---•----- ........---- Date Application Approved By..��, �:. .... � ,��'�........- -------------------•-•--------•------ Date Application Disapproved for the following reasons-------------------------•------•----------------...-----------•-------------•--•-------------------............. --•------------•--------•----•---•-----•-•--•---------------••--•-•-•---•-------•-•-••••-••••--•---•-.....---•-•..........................---•--- -------• ........................................... Date PermitNo......................................................... Issued-....................................................... Date L NC.R, a YzE2...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..-.Town.............. .........OF...Sarn$.tr.."a.ble ------............................................. Appliradiou for Kli, pniial Works Towitrurtiuu Vrfmit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at Harbors sots 78 & 25, L.C.C. -15354�-84 ...--.----- -------------- --- ------------------------.... Location ' ddress .or Lot No. --••--•.-•-•----••-••---•-•-••-••................•-- Owner Address a ----........'sf l6t...............4-Ai 2SO---•--•---------------•--------- .................................................................................................. Installer Address Q Type of Building Size Lot............................Sq. eet aDwelling—No. of Bedrooms....5.....................................Expansion Attic ) Garbage Grinder) 114 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures . --- •.. © --------•--•-••-....------•-- W Design Flow........................lie ..gallons per bred-room soOxa er day. Total daily tflow....................... � ...___._.....gallons�1 WSeptic Tank—Liquid capacity.5Qogallons Length.. _'`0.. Width _._2--.. Diameter_.--- _---- Depth................ x Disposal Trench=No. .................... Wi h_•-.-----------.--. Total Length----. Y........... Total leaching area.......____........sq. ft. Seepage Pit No.2----------------- Diameter.....--......... De th below inlet................_.... Total leaching area.. Q0......sq. ft. z Other Distribution box (X) Dosing tank O) `-' Percolation Test Results Performed by.. Fj3f?--- d.. iL ©Ylll3'ttlate ._14, 19`''1 0-1a Test Pit No. I.......2.......minutes per inch Depth of Test Pit W-St Depth to ground water.T1031e--_-.-. ... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......-.-_..�_.. . - 9 ---•-•-•---------- ----••-•--- P� up-up D Description of Soil._R2fE'r_•_tm 4 ._. f)g;3-_-on p13t `� ss9 ----------------------------------------------------------------•-- v ----••-------•---•••-- •-••••-•••-••---••......--••--•-•---••- --•• . .. &T.�xE X ALLYNMq N `^ U Nature 7Repairs or Alterations—Answer when applicable ............................................................... -;Q No.30216 d h �o 'GIST�� Agreement: f0 \ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acco the provisions of'TT LE 5 of the State Sanitary Code— The undersigned further agrees not to place the s tem in operation until a Certificate of Compliance has been issued by the board of he Ith. Sign( . y� Date Application Approved By.. Date Application Disapproved for the following reasons:--------•---------------------------------------------•-------------.._...--------------------•-----•--•..... .................-..............................................................................-................................ ----------------------------------------------------------------------- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... ems`'.............OF........ � �-"^^l..A� ..' �..................................... %.'Wr ifiratr of f�rr�tt�rli�a�tr� THIS IUTO CERTIFY That he Individual Sewage Disposal System constructed ( or Repaired ( ) . ...N.................................................................................................................................. Installer has been installed in accordance with'the provisions of TIZ L' j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__t ' ./................. da.ted..-----......................................... THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................................•. ......................... Inspector------------------`6� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No S ��r '...........OF......... -ti ................................. _. ._ FEE. ................... Permission is hereby granted ............... 4t<'.& .....-•----•----.............................................................. to Construct ( r Repair ( ) n!ndividtial Sewage Disposal System atNo.......... - ....... ..--•---. � t Street as shown on the application for Disposal Works Construction Permit No.............. ..... Dated.......................................... .......... ------------•-•----------•-----•---••-•-- /� B of Health DATE...............................-•---•- -----------•--•-----------._.....-- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r Y, y 223Av, 3n01S do Not L06 g + ; ,r : ro ICTON �s31 : &'.LV2f!dC 90r1,17�g 'SSVYY StanvJ.H I I d eo WOilOe - • y 21013ldSNI NMOJ TV ?LOCIa 4 :: l9 1S3_ s1Ndl�nsno� ��na�s ao� �ev� lid 59Vd33S oLrvl ANI '7?J3d N011/RI211SIQ -10 100 nrvl s 1 :61 {�! .t it •„I : 3Tv'75 )(Oiln01, f181?11514 O1Ni N' b , r.. Z. V"Tl 711d9S 10 LAO AN 1 4 (5 ' 'ONv'1 7r143S O1N I A N 1 7 N9►S3a N31S.11c 351dM35 ') ' = N011vpr400;d 1v $ANI 1 Pux+_, VIA,a n d Ir'i►'7d 3115 43S0d0;dd 3�na3H�5 NOILVA113 r71.: 77I pF •r d1 � 0 1 1 1 o S Ate ,, N,• ' T IN 'd / r/ r' fir' ` � v1��`��'� r1 "y%� ' ' ,-"` pd 6 001 qd O ! x A ,3 (, O 1 1 Pd�' C5L �/Pcl 5' OOP l ( �G 37 rU�3� l,� saga s nva r r d ,. ,� ';" /'P'9 0-5-9 w ta,�y�� rj too 11 x cwa.�psg 5 /t cc ( . 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