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Home My WebLink About0038 WINTERGREEN CIRCLE - Health 38 Wintergreen Circle Osterville A= 119-049 0 TOWN OF BARNSTABLE 00 LOCATION WAGE # VILLAGE- &..5 - ASSESSOR'S MAP & LOT '-0Y9 INSTALLER'S NAME & PHONE NO. Z77 C41x44 r— SEPTIC TANK CAPACITY LEACHING FACILITYAtype) %;% C J (size) NO. OF BEDROOMS PRIVATE WELL O UBLIC W ETA R'--)- BUILDER OR DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: le VARIANCE GRANTED: Yes o� w w so v"3 VV `R I 1'1 �I' Y• t , ( q � l No..lv.= Fin$....... . ..Cz..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............(b-W-hl..............OF......... ' Applirta#ivaa for MipaviFal Works Tonstrurtion Permit Application is hereby made for a Permit to Construct (V�or Repair ( ) an Individual Sewage Disposal System at: � .....-••---....nJ_ .. .t ] .....C, ... 1 a,J�! -.....................lar.-ZQ...................... Location-A `ess .................... or Lot No. ------.- -• ......._ Owner Address a .2FTrto v s-� -7M.M Q� 6_&4,�.�f,�cl i� tAl4-)LZS Installer Address Type of Building Size Lot........../745 .Sq. feet U Dwelling—No. of Bedrooms............3 .--..Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons--.----.-.--.----.---------- Showers ( ) Cafeteria ( ) a' Other fixtures ________________________________ _ ---------------------------•-•- .................................................. Design Flow.......................5.!!;�.............gallons per person per day. Total daily flow.............................35�....gallons. WSeptic Tank—Liquid capacity.lOL)19gallons Length................ Width................ Diameter---------.-----. Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area..................._sq. ft. Seepage Pit No-----------/------- Diameter----------4_..... Depth below inlet............... Total leaching area.....2.0,0.sq. ft. Z Other Distribution box ( 1�< Dosing tank ) ,1 Percolation Test Results Performed by-------------t_).' -_f y-yW....WK..rc........... Date.....�'.�?�.:� .......... Test Pit No. 1-------7i- _minutes per inch Depth of Test Pit..........Q..... Depth to ground water------------------------ Test Pit No. 2........:7�.niinutes per inch Depth of Test Pit......... om_... Depth to ground water......................... a' -- -- ....................................................-•--............................. of Soil 1 . �' C Sol x 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 issu by , e board of health. Signed . .......... . ...........................1V - yy ----------,- Application Approved B -_ PP pP y .........� �.�w"ati'-j- ............................................ 7 ---. L{ 11.- --' ` Date Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- . . ..................0---�...........--------------..................---...... ` 7.. Date iPermit No. ...-- -- - ---- ---<--/.J- ..-._............ .. Issued --------.-.-........--...- ..................-------- -....------ Date ./NI No......................... F.Es............._....._........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ .��. !>E�1 ............OF........:- t 2�- a-t....4.3.CF..................................... Appliration for Dhipos al Workii Toustratrtivat runtit Application is hereby made for a Permit to Construct (V)�or Repair ( ) an Individual Sewage Disposal System at: ................_.... .� ►. r=� �L i.... Pc��, 'rc�r� ......_l v.-...............- -... .....---- `` Location-Add'ress or Lot No. ! ��tJn'ln - /+G.t. ��.Jjlt Owner Address W Installer Address Q Type of Building Size Lot.......... ?.�?� .Sq. feet V DwellingNo. of Bedrooms.__...._.__. _Ex Expansion Attic Garbage— P ( ) g Grinder ( ) aOther—Type of Building ______________•__---__-_-. No. of persons............................ Showers ( ) — Cafeteria ( ) 44 Other fixtures .................................. W Design Flow...................... .............gallons per person per day. Total daily flow........................ .3 ..._gallons. WSeptic Tank—Liquid*capacity./n00gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. ................... Width.................... Total Length.................... Total leaching area_-_--__-------•-----sq. ft. Seepage Pit No.........../------- Diameter.......... ...... Depth below inlet........A....... Total leaching area....: 0.41.sq. ft. Z Other Distribution box ( L< Dosing tank, ) ,+ 1 '-' Percolation Test Results Performed b �4 ` f=mac :�:�`!_��__1q�•...__..... Date.....�:_ -'�._ .......... a y.. - r ,-a Test Pit No. I._...._:1=_minutes per inch Depth of Test Pit.........S?----- Depth to ground water----------------___--- Li, Test Pit No. 2........�.minutes per inch Depth of Test Pit.......... Depth to ground water........................ a -----------------------------------......................................................... 0 Description of Soil.................... -'.........Le,!L=�N�.. !. at_1 /(��f)1L .. . •-- f-r;;---------- --- -•-----•-- - --- ---•---•----------- W p„a - '1..e'if r 'e�! i''V' f v''....,t _..;,h--rv' ....•••...................................•..••••••••...............-----..........••...........••-----••-•---..................---•-......•••.......................•••...........•••..._..__......... 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 issued by the board of health. Signed ------------- .-.......--------.............--------------------------------------------- ---------------------------------------- Dare Application Approved By Nz�--- -------- -------1G� l —`Z '� Application Disapproved for the ollowing reasons: ...---'.............................................. ................................................... .............'---------... ................................................................................................................................................................................................................ ---------------------------------------- Dare PermitNo- ------------------------------------------------------------------ Issued ...-......---------------------------............................ Dire THE COMMONWEALTH OF MASSACHUSETTS ----- BOARD OF HEALTH -............. ----- OF 1 -tit_..TV�.J. .-.0:=��.. "-------------------- C'Ie>r#tf rate of C1oxttylinure THIS IS TO C$RTIF_Y, h the Individual Sewage Disposal System constructed ( ) or Repaired% ( ) by .. ... .. ........................................................." .--------------------. ----. .................................-----------'-------- -- Installer at ............... ....... ' has been installed in accordance with the provisions of TITLE 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 --------"----....----------- -----...................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................... %! .........oF......... - .. ; E ?..E,C �y� No.. .y.-... � FEE.--��-E......... Dispood Ivor Cfe 15omi#rudion rrmi# Permission is hereby granted....................... u L' ........ .. to Construct (>,:�or Repair ( ) an Individual Sewage Disposal System atNo.............. - leV .a.. _ A--------------- treet------------•--•------------------------------------------------•------------•-- Street q as shown on the application for Disposal Works Construction Permit No._!y_j2-�._ ...... --------------- •....................... t------------------•--•--------•--------------- --- aoard of Health DATE................. P - -----•---•-----•-- FORM 1255 HOBBS & WARREN. INC.,/PUBLISHERS 1JE516 77,ATAr i 9 FLOW t sEPrlc TAN # t L I DOS64 t 11 } DISPOSAL -PIT - At i a t , ! \ /+' 1 l�so , i 96 i -, � .A Qi �o7?Otil' 5t� q� � f - 6 1• -_ti�.« c}. t�i.. _..q .�•_�{ '�s If "1.i�"!..r;�"f j ....� ' f ,,�..t t,� t s y� 1 � ' � i �'^ � I `i t I TOrAI.. A!t•. s pri/ ' �o,--�''b�;PD-x -�_ iN 7 ' b\ a q qq : • .. 110 N ; ICJ IN>7�ui�41 r i -� !•lwh } � t i l t ,�(/� _ q t► LWr4L.I1Jf7�� T/ Z2f . 1 } r f IN � s s :• � '�'i .) �� I t,i. ,:' "t rf.l L.1�.�C.1._ IN^ .�=",'�tt--'^"�•�-.I.t�, � � 1 , � � Np � ' �•r-«' .a +.-i...� ULOVA t a No 29133 -1 �� '�.�.,t, •��, `� _ %� 7 � � r j(�� t� � -'T� �`; 1 �:-.a�tq$•-ar,: ;-t.i 1 _�._,- M l-- 4 �yF�f!{: - 1• _i �.i'�.t,�. #-1 ..�...i�r"�, I"`i f."'j.",._ �M '-M'F^E �i .;_ yyL ` t t � k ; i 3L , ��-{ �-U � t � x i � , r�I G I�'..C,L�•• _-rrrc�7 ' V•C° INt%... ff. 'r; p�•-t�..' r�•. ' ��' � " x:1'�do II�V 99•b -. .. ..: . r , Ali ' vKT Iw tN� �#SQL IRV�...f.•. 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