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HomeMy WebLinkAbout0030 ASTER ROAD - Health n YT1 r�-LS -7 4OWN OF BARNSTABLE 3.5' LOCATION LO/��/ &Sfcy 47c.- SEWAGE # _ VILLAGE ASSESSOR'S MAP & LOTS Y INSTALLER'S NAME 6t PHONE NO. RIV/ SEPTIC TANK CAPACITY OU cl LEACHING FACILITY:(type) (size) Dodd ZNO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER _ �r S" •�� �.� �u � ` DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No 2q .3q 3 � ys GGc� No...�l..l.:..._ cJ Yuim ... 15.............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 3 _S 3 -lc�taad�. ................OF......W....tCK1SU\01?.....------------------......_..-_........._...-------- Allp iratiou for Bi-gVooal Works Tnnitrnrtinrt Vanfit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. �lta.MC�B�S... �i711. ....................................................... Owner Owner C •f.a"I''J, �Jiic.tCvy Address a -- =-•---••............... ........M A 4.--Dols..._.._......._.. Installer Address Type of Building Size Lot.._&Aj-22-._......Sq. feet U Dwelling—No. of Bedrooms____hrj�c...........................Expansion Attic (/110) Garbage Grinder (p(6) Other—T e of Building .............. No. of persons.................._________. Showers — Cafeteria a' Other fixtures .__._......_ W Design Flow....................................SS.gallons per person per day. Total daily flow.._......__.._......_.........3.3.A...gallons. WSeptic Tank—Liquid capacity.l_0Q4_gallons Length._21.k-v...... Width. .�-18!.'.. Diameter__'__ Depth.5 e "' x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area___-.._______.__-_-_sq. ft. Seepage Pit NO.____t!Yt�.------ Diameter......LQ.......... Depth below inlet......&I......... Total leaching area..aL51....sq. ft. Other Distribution box (x ) Dosing tank ( ) a Percolation Test Results Performed by------------ZAL..4� 6sa i.L................................... Date......S0u?fPea------------- . Test Pit No. 1....PZ--------minutes per inch Depth of Test Pit..../Z......... Depth to ground water.. — ......... Test Pit No. 2................minutes per inch Depth of Test Pit------.............. Depth to ground w a --•-------------•-----.............------...........•--•-•••................................-•-••---------------------_... ............ O Description of Soil__®-moo: -1P9p...604.t1... •••--••--••-••-••...-•---•--•••------••------•-•-----••--•----------. •--SIEPHM. V ..................................s�-� .J--. sK�9 4?►Yl-- •••-----•--•---••-•-•-••---•••-----•-••-••--•---............-•-•••.......... ...............ALLYN --•-- W WILSON x -------------------•------------•--•--••---•--•-•...._...----------..........__.....................__...----.....--------------.....................•---•-....... ---- No:3U7I6' U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------ .............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in cor ance with id•to.8p 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 the oard o health. Signed ........ -�...:....... .............. . .../© Dace Application WApproved BY b �- �-�-'- Ll- 9 Dace Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- -----------------------------------..--.....--.....---------------------....................--.....................--....----------.....--------....--..................-------------- .... --......------------------------------ G _ Dare PermitNo. ......... - -c.3 ------------------ Issued .....-------------------------------------------------------------- Dare 'v No..2Y:....Y,:?3, Fims..... 5......_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........Tw.A3A....................OF...... ........................................................ Appliratiun for BiupuuFal Works Tunutrnr#'tun Prrutit Application is hereby made for a Permit to Construct (y,) or Repair ( ) an Individual Sewage Disposal System at: 45 Location-Address r Lot No. � .�:.._eL�?75................ . d Address Ie.c 0++/f Owner J i 1 t ff //� Installer Address ? d Type of Building Size Lot..- �,_zZ"� _..._..Sq. feet U Dwelling No. of Bedrooms___.�ALK&..........................Ex Expansion Attic 1 e g— p (lvo) Garbage Grinder (A) a, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ____________________________ _ W Design Flow.....................................-. 5_gallons per person p�lay. Total daily flow ow__._._............._._._._._....�..•�.0...ga llonAs' . WSeptic Tank—Liquid capacity.!PCttt.gallons Length--?............ Width.:"10.".. Diameter_____ ______ Depth.Z'_"...._..x Disposal Trench—No..................... Width......r------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....!6j-e________ Diameter......I.0......... Depth below inlet_•••-_�.......... Total leaching area..ig.,a 2....sq. ft. Z Other Distribution box (,K ) Dosing tank_( ) aPercolation Test Results Performed by._...._._...J.=__Tcc c_, qq 1....__..._�....................... Date....... /0 _.__..____._.. Test Pit No. 1____ .......minutes per inch Depth of Test Pit..../ .......... Depth to ground water....... ............. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground watt ----- P4 _..............................--- •---............--••-••---.....-•--,--------•----.....---•--•------•---------------•---•- a 9� O Description of Soil••-® �� !`'0---i�o1� S u� c i-4-•---••••••------•----•----------•--••-•----------•--•-•••---•---- x _.._ --STEPHEN- U •-•••••----••....--•--••-•••-•.....'/:�.._.. ..�YM1cct�...�t-_ hcQ..---•---------------------------•--------------•------------ *Ltyft---•-- W -------------------------------- ----------------••--••------------------------------•-•--•---•-••-...--•--....._....----......------•---•••---- .....WILS014------- Nature of Repairs or Alterations—Answer when applicable........................................................... No 3021,E -•-------•-------------------------------------•--•--•------•----•-•-•-----------•---...---.....-----------.......-------------••-•----------•-----......----....... A GP Agreement: _ The undersigned 'agrees to install the aforedescribed Individual Sewage Disposal System in a ith a i e- the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the/°'Zo•E9 system in operation until a Certificate of Compliance has been issued by the board*health. 4 Signed ----- -• a -............:. fG� ...........:... --------------------------------------- Dare ApplicationApproved BY -------------- .... ....... ........................................................................... . 9 Application Disapproved for the following reasons- ----------------------------------------------------- --- ---------------------- ------------- ---- -- -- ------ ..................................................................................................................................................................................:............................ .................................... Date PermitNo. --....... — CY -- ------------------ ssued ------------------------Date...--.....------- -------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............�-�rJP s �cTi47 �` . ....................... .... OF ..........-- --. ........--........ .............------...... ............---- Clertifira e o£ C�Implianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( w) or Repaired ( ) by .. f '- i "7'..........................5 "e--------------------- ----------------------- --------- ------------------------ -- - - ---- ----------------- ------- �.y� Installer at .- .6A�0 ........:,r I L� �—, +—r...-- -.<--P`Ii�'� -------------------------------------------- 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 ---............................................. 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 � � O F:.... !� itlS7ri9��� �.- ........................................... .•--......._......................... No...._� �1.:. 35 FEE..... ... ......p. Biiivus 1 Vorkni T _no .......................................................... ion amit Permission is hereby granted --•..........................••...... to Construct ) or Repair ( an Individual Sewage Dispo System atNo... G.e.-•--..: .__.....ST ..... ...... ?: T car /VC ............................................... Street as shown on the application for Disposal Works Construction Permit Noy_ _._ Dated.......................................... .......................................-• -•- + ---------------------------------------•••... ard of Health DATE........................•-•-•- - , ................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS ' . USA /cam �4L_ s �W,r� • 5/p&WA4L A2&-4 = 178 178 '%, Ar. X Z,5 - yWs g0rr6Aj ` ,4gG4 - -79 5,4,' 79 5.A".7 >e /.o z 74 7-07-4L PEES/ 2 57-y .7'p7--4 L 2A/Cy/ AZOW G. P.O. O STEPHEN �G ALLYN . WILSON H No.30216 Q - GISTE NA Cd"J'ell ti/57�0/, ,�c.c_ u�✓svir�.,3t� •�- JAGS t3/ - F /�c/E� Maa-rei -To 8� �3.o.�- ',42cc.r.�A� /05.2 72 y G:d 80X /.VV o• � � TAn/%G' i r fti/.Z d : 0'✓E /0%7 /o�j G'.E,GT/F/Ep ,aGOT ,4:74.4,V L4G.GT/O.Y M4.25ryr116 /I/- r-_ ZnT y� 45'eV COMF�Gy,S ^hE Tolt/it� aF .2.EGisr�.ec�.Gcrvo SU.2YEYo,�� � R�4�RII � _ T a•4SEpdN,4�/ iY ER �, �Ecrsit `:` :. ?a ES? G/S,S/ .Car L✓iY T! Us�p ��'�� t010 5 = -•r I j Ice T./A. L����__,�- /off o � �} ``�,a�,�: � /� • Z07— Ni %vy. �° y � (o Z • /o v { /�3 o / /ate 7 ,zzy STEPHEN PllCHARi 7- ALLYN WILSON u yWXTEFI r N 30216 �.��T/On/ .e .� o. ,Q NO.24i'P4a r...'`. STEa `�% `r,�ro ��CI$T�W`��:', ,. SCt�LC _ D�IT2= /D Zo G�v� �.! L/�4,.h- OF TAG 7'.t4--f .? 330 X/56/0 < pis e.- gorra.y ..4R4 - -79 5,4e' ToTc1L P��S/6.�1 SZ�j/ P. .707-,4 L lFW Ly )Q4W 3�p G. l�?O. ��OF /IIA TiMIAl� Ge &P-55 STEPHEN �G ALLYN . WILSON No.30218 oc GISTE NA 71 , At .4 u_ v.✓sv it- 3t J, J�G�f3/ - E•5/ /�/�EJ2 M.4-77i;e1*--r'o 5L zevnvtO 5 -zo- g(p / y /L 60X /rV✓. < Al, ' V. W2� d IvAp c"�✓D ,: ��E -, /03.7 /03 9 G'E,GT/F/EO pG 4T IvL:4it/ .b 2 J %3.5 CL✓ eve-. 5 �,/E•G'EO.v GOMP�Y�S !�t//TX�Tf�E S/d"Alma 4N0.�ET'Q�GY .eEQVj,�'ENl�NrS B.axr�e �t/rE; i,lo_ TOWit/ OF va i2EG/ST�PCO.L.4N0.SU.2t/�rya,P� ;. �„•'' ��N /.s �oT 13.4SEp dN.4,1/fysT.@-. W-V h�E.2EaN�;.�viGUG p l� �,N '�ECiS14,REd�Ms.' USA LAtL05~rye i