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HomeMy WebLinkAbout0093 BARBERRY LANE - Health (2) 9� 13 4ex aP,STo' > rn C TOWN OF.BARNSTABLE LOCATION?/ ai-befy '� L -S'EWAGE # �63- VILLAGE .;ASSESSOR'S MAP LOT INSTALLER'S NAME'& PHONE NO. /�Ii F z? ��f-�✓fs SEPTIC TANK CAPACITY LEACHING FACILITY:(type)pf l �s' (size) ,/000 NO. OF BEDROOMS PRIVATE WELL OR `PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: '" DATE COMPLIANCE ISSUED- VARIANCE GRANTED: Yes 'No �eaP, ' µ '] 3 9. 3 No._ _ .._...m V Fss.. ! �........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Allp irFation for UigpuaFal World Tom3truriion Vanat Application is hereby made for a Permit to Construct ( ) or Repair ( V)"an Individual Sewage Disposal System at: th ---...--....................... ------ ik - --•-------------------------------------------- � Address ---mow ���� •e�5 ` t '--- -----------------•----------------......_.... Owner Address W �4V,w...._�t�c.��` ....--•................................................... .............� `.......AT b �E W`..c,@lJw,t _ Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building .............. p ( ) ( ).............. No. of ersons___._.._._.______..._...____ Showers — Cafeteria Other fixtures ---------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. G4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ xDisposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area...................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) PercolationTest Results Performed by.......................................................................... Date........................................ ,.-I Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water-___--__________-____._. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water________________.._____. R+' ••••-••••••-------•-••-••---•••-•••••••--•••---•-•••--....•-•••-•••••••--•••............•.................................................................... O Description of Soil......... ' 2— Sv •-••--���......•-••S....a✓ U ----------------------------------------------------•--------------•------......------------•-•-------------------------•-------------------------------------------------------------••-•-••-•••-•••••- -•----------------------------------------•--........--••--------......-••-•-........... J......---------------------------------•----------------------------•---------........................... U Nature of Repairs or Alterations—A�n's�wer when applicable__�!� ......�_�z Y`l�J�........ ` �D. bw jF811S.V� �� v`�� �Z�Cj U p► l ` �� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T t1x-+ the provisions of 'I"ly LE 5 of the State Sanitary 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 `''--�""' 1 D f Date Application Approved By__. Date Application Disapproved for the following reasons: .----------•-------------------------------------------------------------•-----------•--••••.._.....-------- ---------------------------•-•-••-- _._ -----•-------••------------------------------------------------------------ -------------------------------------------------------------- Date Permit No.- (�/ ......... Issued------------------------------------------------------- .�I l -. -1r No.6,. 3 Fm3A.o...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH l..`.!._ - ----------"--OF.....r..- ....................... ---- -- Appliration for Disposal Works Tonstrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 0 L n Q. i! ..............••.-'.•--.-_• ......-••--.-•-••__.-•.•...-•.-_.._.....•-••.___ n^ oc tio�Address w`� tpr W p`o. Owner �,j Address Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria P4Other fixtures -----•-----------------------------•---------------------••--••••--•--•--------------•--••---•---•-•----•....-----•-•---•------------.........._..... W Design Flow............................................gallons per person per day. Total daily flow-------.....................................gallons. 9 Septic Tank—Liquid'capacity.....__.....gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water--_-_________-__.-____. fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ C4 ----------•-------------------•---•••--•-•-•----••---••------------•••-•------------.__..._.........................................------------------------- O Description of Soil......... - �G"------ .� ..........-•------•-� U ...........•............................................................................................................................................................................................. W _ UNature of Repairs or Alterations—Answer when applicable._.` -".' .____.`*"__ .z. ��.v'? -._.....__ _�_S_.`.` __ ............................�`a� . ...--•---...Q G„v................................... ay....�,.,�............................... , Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T'IE i of the State Sanitary 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............ �r. Date Application Approved By... .-• ....... .. -°-------- - ----•- ---._._.... .................... Date Application Disapproved for the following reasons. . -----------------------------------------------------•----........_ ........•-•---•----•--•----•••--••• ----------------------'•-----.....---•------..................•-'•---'---'-••--...--- ---••-'•--•----•----•------•--••-----•-•--•---•---•••--------- Date Permit No. ---k./--6.-�-3------•--- Issued........................................... at------- L:._.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i� Trrtifiratr of TompliFaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( Lj a� t-��C by ._...1 . :V .....-• ... .......... R --------------------------------------- ---------------- has been installed in accordance with the provisions of 'II"_ of he to Sanitary Code as described in the application for Disposal Works Construction Permit No._ �__..6.-�j dated_-------- .................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR AS A GUA"ANTES THAT THE SYSTEM WILL/FUNCTION SATISFACTORY. f DATE...j a:�.V.... � Inspector .....=----�� I �1- THE COMMONWEALTH OF MASSACHUSETTS BOAR--D� OF HEALTH 433 �`:1 c�W ill...................OF..... ..�.;Z N S .. ..r•... No.. FEE.. -•-•• Disposal Works Tunstrnrtiun rrutit Permission is hereby granted_..._...... -c to Construct ( ) -or Repair ( u<an Individual Sewage l) ,oso Sy tem at,No..-- c+,( tic S t?t'� L-4k S _�� street _ Q as shown on the application for Disposal Works Construction No._ _ ated... .. .. .•....... ......... •---------- - -.---- ---- 1�- -•------ --• •--......... Board ealth DATE_ _- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ►� j _ ,O. LOCATION SEWAGE PERMIT NO. VILL CE � �I ti INS A L ER'S NA E A ADDRESS � - 14 ���� it n B U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED /�/Sl �, t �� �� �.. .� � � �� �/� t . � ��� Fnic THE COMMONWEALTH OF MASSACHUSETTS OARD OF HE L�H TO0/'�Y 0 F...... .......................................... Application is hereby made for a Permit to Construct A or Repair an Individual Sewage Disposal System at, Own f -in 'r Address q. feet W i z Other Distribution box Dosing tank ( ) r, 4Z-01)- Test Pit No. 2?��.Iiinutes per inch Depth Of L�_.L L IL.................... Depth to ground water.......el � U Nature of _ Alterations_,___ _ _______ _ __ ap plicable____ __ ......... ________�r�_��nc«�~ � �� '------'------'''--------'--------'-----'—'---'--------'-------- --�--'-----l� � Agreement: /v/y— ---- - Tbe undersigned agrees to install the aforedescribed Individual Disposal System in accordance with the provisionsofTL ITi Q3 5 of the State Sanitary Code in oobl u Certificate 6ua been �ao�dbv � | operation— '� ���� � � - w � -------------'----------'—'--- '— — — — — — --' ' C3 No.... ...y:, . .?. Fps.. ........:Y.;;...... THE COMMONWEALTH OF MASSACHUSETTS - ®�AgOAR® OF H E/L�I-0 `'.. Appliration for Diiipoiial Workg Tonitrnrtion "rrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at ..............•••-•..L_Q ..... 1`� &V�� 4"'ev.....---------- .s%� s ...... Location-Address or Lot-No. .......... ., '1..V...... �..�.-f. .. .................................. ..............1­5---.... �1� :..........1� . ... P✓ C Own � 4 .• Address W ..vo-�5.... ... - .r[� 1 ---•--•-----. •--------•----------.. 570.---•---- .' Instal er Address Q Type of Building Size ..........................4q. feet U Dwelling—No. of Bedrooms............................................ Attic �i Garbage Grinder Other—Type e of Building No. of persons............................ Showers a YP g --------------------------•- P ( ) — Cafeteria ( ) 114 Other fixtures ..._...-----•------------------------••-------•......- w Design Flow................... gallons per person per day. Total daily flow............1?... g � g P P P Y Y D... gallons. W Septic Tank—Liquid capacity_j b v U-gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ((,y/� Dosing tank ( ) Percolation Test Results Performed by............................ JE nc:,:S.5kv?k%f) ,�Z(�(....... 4 1_4 Test Pit No. _..minutes per inch Depth of Test Pit...... .... ... Depth to ground water........4%wI. I` r Test Pit No. 2� imutes per inch Depth of Test Pit__._. ... Depth to ground water...j- ^.�04M Description of Soil ---•--•--------------------------�11170•- �.........------......V--- � ' Y S•U!-t. x 1 1 - U ---------•---• ---------------------------------------------- �" -�--...•...C.•.A•.� _------------�- -------- w UNature of Repairs or Alterations—Answer when applicable.____ _)a e rtp y� ,/4-7 .r-r� �y�- /�c-_�r �✓�— EGG �Jlisc=� rllu 5.....G r..Lrf-i%' , Agreement: /"'/ r- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees no t place the system in operation until a Certificate of Compliance has been issued by the-board of health Signed......................... r Date Application Approved BY--------------- -----------------------------------------------•----------•-•-•-•----•-•-•---.... --•-----------------•-Da-t-e---••---------- Application Disapproved for the following reasons:..................................................................................................____........._ .......---•-•--------------------•---------------------------------------......_..--•--•---•-------•-•-•---••---------•---•------•--------•--•-----------•-•---------••--••••••-------•---•--•....._.._. _ Date 7 / Permit No._rQ_`1..=��p---•.....................•----•_. Issued__... ...�••-/-------•....................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......O F.............�� (�t . `�..`��f/..� I ................. CIrrtifiratr of Toutplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) bY..... st511 +..�.... ^^ h f .................................................. n er at-----------------------------------------�() ................/-`�--. . 4--------------- .. 19..../...... 1V....---. ..�M --- .SA l� has been installed in accordance with the provisions of TITL.. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---- ._��:. '_ '..j..____.-.._ dated_...-_-._..�!-.7-of e / THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEMWILL FUNCTION SA ISF �TORY.DATE..........-•------•--•-•---•---•.....•••. •`' --k•--•--•------ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS T BOARD OF HEALTH _/ l9 �f- �f 7 �........ .... .wLti.....OF........................ No. �"..5� ./` ........ FEE......:................ Disposal Workii Tonotrnrtion Vrrmft, Permission is hereby granted................................. 4.z....: .....------. lJ�� Q. /-----------.................•.. to Construct (_4 or Repair ( ) an Indiviijual Sewage Disposal SystemSystem LAl ,,,0,0%o,.A Street as shown on the application for Disposal Works Construction Permit No...../............... Dated.......................................... ------- ... ....4...-- ............................................................ 1 DATE---•-------------••----......------.._._....._. :..._.�---�1.-•- Board of Health FORM 1255 A. M. SULKIN. INC., BOSTON r 2 f I � I.Icsr� - EA--7 s1DE (3A-Q-l:6C-P...L-/LAN>= Ise Pb 25 LET 151 Towrj tifa E& Pc-L c a c w o-D1sT (-sA,-94) f L,ni5 IV1 eL 153 - TDw6j wA-rr=P- (wh'fe:P- AAEeQ-S) .L.5ET L Qr Lo7 co¢.'ea TRW eL foo.o / L6E vF P.VAA7 �`a— — ti -� q�3 CIS 0 ��� G8.oo ' 'l0. q PoLe T 586.2. E �4 Yi4•LEKrI�ub CST co .. o? W a q r� ✓oo+t.r�rnws�oN u I / 1�;L , �44 2oep , 99 04 9s.o 91 .0 K 1 P sEo 3 fSEDQm�n � L IaU ELI..I u r-.� Fi,b EL• q9.S Q+-� / UOF J I so��lesT �V, a \P �/ w l g wAU4=u T of aP 4 98,oo LoT ► 2� LoT 143 o LET 2� T'oW til v.,A-I�P_> I Q,8ao 5.F �r- I IL a J VAGA FJT �I TO\Ajw v4A.-I Q-� �p�SN Of 15O FQor�T/1G1= w R ca 3o F.S.B 1c>' Se� QS.I3. 4-A-E:, eD P P4sre�r� u,0� P T III G+4A Cf rr T11_ —-- 25 — — pD PLAT PLA�1 PQlA 5ab a LESIXncc.r e. c�u-rou(Z LET 143 - 25 r, r sl APPRa.iED: b=,4QD of MEAL-ml nA7S A&ENT ..C_A1.� CAME: 4.5 SQ- L L GLIgLjr:�A,.Pr!, LL I WEPEBYoBQi1FYTNA-PTHE PQc>F?::ISMD �LLIS s��Ev1�� ram- bg U° r 4 25 auiLbw6 SNowU 61J 'T�.IIS PLAT-J COLFoQMS To THE ZoQ W6 LAWS 1q musiKF�eT LAME p(Z,BY: J.Q-.E of BAP-OSTA LE, MASS. C��Cr�l�L I MASS., 02l032 CN.13Y: 5.Q N 4 5 S4 1F��i1Q 20 FT. MIu. Qc::57>= i�4E SE P>T IC I EAC I--I r w 6 PIT AQ$ MrJR�-= 71-4 A►-..I It" (3E LAW G RA-De , A U4 f>I Au1 Q ca.� cr va FT -- --I SHALL BE -to GRA•D1= ( bQtvEwAYS co�tc R>=-rr= 1-, 4" R/C P I PE- ��� I �x�l aE: A u M= Cc A H EAvY D�tr�cA�t' / M 1i.1. Prr<" EL= .S \ �I8 P� FT. M x,Av¢E 1 r �27o Mlu. c�ucQ r� A P AD1= cov es R- CLE,41.15A.Q D i�— USED 11-1 I�'�KFI LL L Ic ►D LEVEL_- .to.s"z: 14 ✓ 3/8„ P,P1 I o00 0 • ° crr rime-f wASa•IED Sro+JE- M I W. Pi-rz=4 1 GAL. 0 1 0 Y4" PF-la FT. -SE-=PTIG 7-A"4 �tST. o e ° e • p o p 0 0 o�-=C-rI=bL.,LE o • 4- P. V. G. o 0 1 p EFt�GT"IVE p ° e _ ° ° 0 ' CE P7�-I p W k5H E D LIL PRECAST ` EPAsa l� X 2S 31-I v/D • 0 e 0 • • p --- J I-1ve RT ELEVATI<=>" 5 0 0 o e • • p PlT oR EQvAI- 113. I x t . o - 113 G/D r EL= 84.5 Ip-h/EIZT AT BvILDtt...6 9ie.5 Fes. — �o DJAM. iJ LET 5>=PrIG TAI-14- 910.3 FT. 4``l O C= /D t2 Fi'. DIAM C SEE TABc A-Mcw pt_IrLET SE P>ri G TA+JK 94• 1 FT. — I uLET D ISTQ I F3`rnop-t �X 9 S`1 FT• 5>✓G-r I��J o F G Rau IJ D wATE R TAEU-= a�1�T DrSr�t 2zsr Qo�c �t S.-7 FT. i u LET LEAct-}IQ6 PlT s�6.5 F-. S�wAG� D (SPos,4L SYST�M nn L F A c"-i O6 P l-r,. DESI6� C�171=iC l� `-cAt� II4" s I ' o DIME ►ou A 3 FT. D!M ENS t op.t 8 4 FT. �JL,nn ✓Z of �P s 3 D I nn E u sloaJ C. 4 FT. M I tJ GPtRBAGa1= DrSRAL t�utT LIouE `�1 L LOG TEAL E5T7 M ATED FLOW 3:3t� 6AL. lDA`Y -S,=I I L TEST tJ e I So I L TE�5T WUN1EEC of L1=A4I,r.Jb P1 5 I �P-L= 90.5 1=L • ,94.B C:A"T1= of SotL"T1=ST MAGc,4 70. 1964 SIDE L)=AcFilt`iF3 PER- G1l 150.6 F'T, o_I . LOAM ec LoAM RE'SL�LTSRJt=D f'�`l J�� / JAco(31 BpT7�M I E��I t_Jb BIZ-AT 1 13, 1 �Q. FT. AERGOLAT1o�J �4 f� til`- I (a SS M r u /i ucrl TOTAL L..1=A<--"t",'. lt4'---A 16.3.9 Sa). FT'• ! g' cLA�/ ✓ GLA-(- Pa=RccLATop-+ 2ATE N`-• IL M Iu / tuce-•t � Q�E LE:ALCt-•I 11-tb A4-ffA U-3.9 SW. f T- • � ;h �tL il=�T Q.EF" D- '31 rat. EP`IN OF irlgss� I e MeO � o Leer' 143 -� [3Ft2P�Q.,Q_�( LA-I,l� i01IN s-13' n�11=:D H `A�'D 6"Io' SnND MA(GSTc=h.l-s M 1 LL_S p �W S Sc����t�.►!� I tJG. Qh3T���p� s�srt�a��a 1=L=-7.7.5 EL= t34.8 �L=1 MtlSKEoSET LA1.IE, E, AAASS Mp sum (]�tilo 6RauuD wATi=R a, rTEQt=D G P_o�uD wcrr�2 84 EL = GL►�•_t r :��` ,c � ,013 ue: 84.25