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Home My WebLink About0038 ASTER ROAD - Health s o,Y 603 3� TOWN OF BARNSTABLE LOCATION Lb4 4j ASTER- Lap e SEWAGE #S O}o VILLAGE ASSESSOR'S MAP Si LOT 0 007.003 INSTALLER'S NAME 6& PHONE NO. 1 G SEPTIC TANK CAPACITY 060 LEACHING FACILITY:(type) �j� (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COUPLIANCE ISSUED: VARIANCE GRANTED: Yes No - J J 2� 29 Lj° - r THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 4 ..----........awr. ............OF......9"r.. 5..10'61G............................................................. Appliratuan for Disposal Works Tonstrnrtinn rrmit Application is hereby made for a Permit to Construct X) or Repair ( ) an Individual Sewage Disposal System at: (o cti d 47......... —- -• ......... ............ Location-Address or Lot No. ....................---YYV ---•W-.....5 mA±lh..• :. ........--..-- f ....... .. dr s.s........................................... Owner Address O�IS�tiI 3CJa 1GtQJ/.I � ---•--••--•--------------- ............................ ---••- Installer Address Q Type of Building Size Lot....... ...Sq. feet U Dwelling—No. of Bedrooms.....7h �i........................Expansion Attic Garbage Grinder '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Pa Other fixtures ............................ W Design Flow..................................S�5__gallons per person ' er day. Total daily flow............................3.3.0....gallons. WSeptic Tank—Liquid capacity.10M.gallons Length_$.-C...... Width_4":-(_`._ Diameter---r777n_. Depth.,aT- _8''__. x Disposal Trench—No- ------------_--_-. Width.................... Total Length.................... Total leaching area-__-.__-----..-_--.-sq. ft. Seepage Pit No._.S!.V1 ......... Diameter-----V).......... Depth below inlet......(o........... Total leaching area.'Z5.7....sq. ft. Z Other Distribution box (A ) Dosing tank ( ) ~' Percolation Test Results Performed by......_�1_ 5oc:-�L+;......................................... Date___. /h`0�0.' `---------------- aTest Pit No. 1.....Z......minutes per inch Depth of Test Pit.....I.Z`....._.. Depth to ground water_____________________ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........ .. ••----••--------•••••••--••---•-••••--••...................•••••-•.........................-•------•--------•---•-••-•-••-•--.•••-- ' ...... O Description of Soil..... .-,�.......1.P �gs? l__:Sc"6-ro /_______• 3�EPHfIN -•----------------•-----•--•-----.....----•--------•-•--•-•--•........... x W -----WiL50N -•---- -- --• .----- • -• .. ••-•-.---•• -----------•----------------•-----•---------------•-•--•---•-•---•-------••......-••••--•-•-•••--........ 30216 U Nature of Repairs or Alterations—Answer when applicable.__.......................•.._..__._....__.................._._.......... ��o:..... Agreement: S A The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acco a e I the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the /e•l3•Sf system in operation until a Certificate of Compliant has been issued by the board of health. Signed ............. ...................... s o �. ---------------- ---- Dace Q ApplicationApproved By ...................N r11 �--- ate.•�— �.- ........-.-... ------------------------------------------------ -------- / -.8.T- Application Disapproved for the following reasons: ..................... ............................................... ..... -- -...-------------------------------- ...................................... ..... --- .............................----------............-..................................................................... ---------------------------------------- / Date Permit No. '..... --------------------- Issued ..... ....... Date No..., ......3. FPS...... . ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........_.75:ce:.r.!l................OF..... ...................................................... A��liration for U44pasFal lark, Tonstrnrtion "anti# Application is hereby made for a Permit to Construct X) or Repair ( ) an Individual Sewage Disposal System at: ,oQ............ .. ...--•--................----.....------......-••---......•-•--•....... ----........•-•-•-••-----••-------•--••-•-----•-••----._.......---........................._--••-- Location-Address or Lot No. Je.`_�tst_ c K!1+- 1- =. ? ...... w rt S_._......../........................................ o ` i`t7 ti+ 1.�r.� GCt � Address --......-•................... ................. • �f > l /fi l. .._...... Installer Address Type of Building Size Lot-------_.._.,�: _ ...Sq. feet Dwelling—No. of Bedrooms.....Tf?x_ c........•...............Expansion Attic V/0) Garbage Grinder (Alb) '14 Other—Type of Building _. No. of persons............................ Showers — Cafeteria P4 -•----------•-•--...........••-•-...._.•... W Desi n Flow....................................Other fixtures U_gallons per person per day. Totai daily flow............................—�_.3-.-0....gallons. gg P P Y n�,� Pe' I WSeptic Tank—Liquid capacity._l. .gallons Length..}_..�.._... Width_.-i.•.--IA". Diameter__."" "_. Depth_ '-. ..PP x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No....!�M.._...... Diameter.....Q.......... Depth below inlet...... .......... Total leaching area..!Z.-�K.7....sq. ft. Z Other Distribution box (X ) Dosing tank ( ) aPercolation Test Results Performed by........l.9.._ t� .ti-•--------------------•--_----•--__----_ Date___. -••------------ Test Pit No. I.....�......minutes per inch Depth of Test Pit_____t4._...._... Depth to ground water_-___- ---1�- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water... ....._.. R+' •--•----•--------------------•-•-•.............._................................................................................... ...9�EP104 O Description of Soil...�.1 Z t._.__!gip_.A.a aV_•5r>h.s 6i/ $ ------GYM 302 --------•-•-------------•---•-----•---•----------------••-----•------•-•----•---•---•-•----•--•-------•-•-•--•-----------------------.......-----......................-•-----• �9,A G;...... U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------- __p N S Ea Agreement: u„C,• The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in actor ante with .�Zf/of 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- ...... '---- 'e-Q Application Approved B --- �-- _----.. _----.. PP Pp Y ................. ��- — /Da -.. e ... .t% Application Disapproved for the following reasons- ---------------------------------------------- --------- ----------------------------------------------------------------------- y. -- ... ......... .................. ............................. ............ ------------------.. .. ........................................ ;f ermis No ---:-------.......... Issued ...................................... Due THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------ .................. 0-lertiftrate of (11amplinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 4 ) or Repaired ( ) by '+ /1! T ca •�',r ............................................................ --.......----- ----- ----- . ... -------- ---------- --- ------- .............................................. Inst-Iler has been installed in accordance with the provisions of TITLE 5 ,The State Environmental Code as described in the application for Disposal Works Construction Permit No. .......�1'_!.�..3.d.,........--- 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 9 �/✓ .�=sue®aim��J QG� / .._. .................................OF..................................................................................... No.... fi FEE...e;ls . Diaplagill Work13 , 1I "stposan�v inn rrnti� Permission is eby granted_.. "�'•----•.. . -•••-•-=-•--•-•........... •-•-•••••--...•-------••---•--•---••-•••..............-•••-•----.......•..... to Construct ( or Repair ( an Individual Sewage Dstem atNo..... .GT`. .---- .- .--•-.•--.•�,"l%t........................................... = ........................................................ Street as shown on the application for Disposal Works Construction Permit N �G? ,,_ Dated.......................................... Board of Health ------ --- ------- �- DATE.................... V............................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS lQ2 / 7/ z .;,;• Two >�n AW /"—y✓ •. a G /IV 161 . Z G 7 /� a/ /- / /40 7 GAT' /7 3:0 i � OFF .®E STEPHEN ALLYN �o� RIC 0 �G i`/�/,.WW 1= r?r` % — A. WILSON u 6TER n ^. No.30216� �O G/SYE� �� CaS1Ea ON --- LOT Z / 7-- / 2 IVa. cs40�-,!5 l--,2in�Qvz T>4/Ly AYOW _ //O3g3/0ro.P� USA /ct�C3 e.-qL_ s. 5L %T— USA Leo " c . CUB/ax' �4L. F...x z, P.O. �C-✓�-r✓1��c.�.J 60776M ;A0,G4 - �9 5,4 77 e-.Rom. 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