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Home My WebLink About0090 BLUEBERRY LANE - Health 90 Blue 1berry Lane A = 102— 117 Marstons Mills TOWN OF BARNSTABLE LOCATION LoV. 10 i -6L . Lr Lt SEWAGE # 3� AILLAGE ��j ASSESSOR'S MAP & LOT 102L INSTALLER'S NAME & PHONE NO. ��-�c C'cg•.3 '� ASEPTIC TANK CAPACITY \)LEACHING FACILITY:(type)_ cy— (size) c NO. OF BEDROOMS PRIVATE WEL OR PUBLIC WATER BUILDE OWNER �)e—,p. DATE PERMIT ISSUED: I `� q DATE COMPLIANCE ISSUED:' VARIANCE GRANTED: Yes No 1 1 �f #% �,! --� ' n°�M1ti, J�� ,,�d� o� �� f�n? �� -Z�3,�,-� _�... � � �,. � �, \ t �� ;- t �' _.. _ . _...__.._�._...�T.. ..�.--__-__-_-:.-_...._._.._----..�..-.�,-�. 1/7 No—Ze .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ................................ -------------I..CWt4.............OF.....t>.AA1,16_r ("C........ AVVIlration for Dhipasal Workii Totmtrurtion Prrutit Application is hereby made for a Permit to Construct ( L11"or Repair ( ) an Individual Sewage Disposal System..at: ..........LA..........M-M......................I.... ..... ................................... Lot No ----- ....... ........ ......... Address ......... ....... ........ ................................................... �4Installer �w Address PQ Type of Building Size Lot..._ ..Sq. feet U Dwelling—No. of Bedrooms................S........................Expansion Attic Garbage Grinder PL4 Other—Type of Building ............................ No. of persons---------------------------- Showers Cafeteria Other fixtur i ------------------------------------------------------ -------------------------------------------------------- ---------------------------- Design Flow................5 f ...t..........gallons per person per day. Total daily flow....................i 0...........gallons. 9 Septic Tank—Liquid capacity. CM-gallons Length................ Width................ Diameter__...._......._. Depth................ Disposal Trench—No. .................... Width..........._._._.... Total Length......._..........._ Total leaching area....................sq. f t. Seepage Pit No-----------I---- iameter....... ...... Depth below inlet.._............ Total leaching area.......?.1626---sq. f t. Z Other Distribution box Dosing.,t8 Percolation Test Results Performed by...............4l�+. . ..... ........................... Date............3... Test Pit No. 1.....��_..minutes per inch Depth of Test Pit___..::1.71 ..... Depth to ground water-------............. Test Pit No. 2................minutes per inch Depth of Test Pit...__......_____.... Depth to ground water..._..__.._____......... .....................;;;:..... ..... .ill::........................................................................ 0 Description of Soil.............. ......L�A44k....... ................................................................................ ................................................ . W ...... !glz wva::------9- A-44- -b--- ---------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------....................................................... Z 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 Complianco,,-,Ias bee L d j,,sueby the oard of health. ................ .... ---------------------------------- Signed ------------- ..... D.re Application Approved By ------------N -..�_ ------- ----------------------------------------------------------------------------------- ..... 1 --6...... D.w Application Disapproved for the following reasons: ....................................................................................................................................... ...........................................................------------------------......................................................................................................................... ---I.................................... De PermitNo. ......73--_4571---------------------_------ Issued ................................................................... Dare No...�.,t .. ..1... Fxs...................... THE COMMONWEALTH OF MASSACHUSETTS �-r-� BOARD OF HEALTH ..............L.r)"P 1.............OF....."L-;.P� ---------......._.�!..r.✓.r.^..'� r .. ...................... Applirafiun for 11hipwial,lVorks Cnons rur#iu t Prrutit Application is hereby made for a Permit td'Construct ( t_�or Repair ( ) an Individual Sewage Disposal System at I oycat..o}�•Ad re` r Lot No. {`1frC �/ _& /l .t1� . ..............T ...----•-._ ..---•••--... . .........._ r = ............. Add ess � 1 .� ..__ � f °{��: ------------------------------------------------- nstaller Address Type of Building Size Lot....1. I _'?� ._Sq. feet Dwelling—No. of Bedrooms............... ........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria 44 Other fixtures ---------------------------••-•- � -----••-----..-•---------. W Design Flow................:�.�........_..._._....gallons per person per day. Total daily flow...................... ..........gallons. WSeptic Tank—Liquid capacity- {I gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----------I........ Diameter.......W...... Depth below inlet........1n_...... Total leaching area......416:6..sq. ft. Z Other Distribution box ( L�f Dosing tank ( ) } ~' Percolation Test Results Performed by......................�:r......:1 ��U�='__..................... Date_._......._�.......................... r a Test Pit No. 1------7--r_.minutes per inch Depth of Test Pit......la— Depth to ground water........................ ri Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ---•----------------- O Description of Soil---------------?. r) ` `,.------�r�r_(r ----�==--�'--l)_ .`"��!..�----------------------------------------------------------••------------ VNature 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 ` 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 ----- ---- ---- �\.................................... :--.......----- ----------------------- - -- -- -- Date Application Approved By ---------- - .r. .---•- 1 ...-..(..-.. - Date Application Disapproved for the following reasons- ----- --- --- ------------------ -- - ------ - ------------------------------------------------------------------ ......................... ..... .............................................................. ....................................................................................................... ........................................ / G Date PermitNo. -... 73--- J�1------------- ------------- Issued --------------------.............................. ....... Date THE COMMONWEALTH OF MASSACHUSETTS BOAR �OF HEALTH ......................01<�tA..... OF ------F. ..f�2�r�`a " �1,-� . ........................ CIler#tfira e of (1111umpliance THIS IS TO ER Y, That the Individual S�ge Disposal System constructed ( ) or Repaired ( ) by........................... -lG-//-.��-r(.1. .....-Gt�.L .1►L .....�.�: '�..........................................................................................................-------------- 1 1�4 Installer at ............................ T...i. �............ t.A} Yla'�.! ..........1-! -c_ - � ... .. - -........ ........................ 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. ........7-3.,..../..s.77......?.......... 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 No.. .. `....... FEE..1 '�S. Dig ustt Wks uato ttuti Yt rrnti# Permission is reby granted �'''� � ---------•--------•-----•. to Construct ( or Repair ( ) an Indivldull�Sewage Disposal System '�/� atNo..................... % l off.-•------- 1..1 �' 7�........- =' M . Street GG as shown on the application for Disposal Works Construction Permit No.7-..�.5.f_ Dated.... ._ __- ......... -----------------•-••----•-•--__---- . -4�................................................... •- �,t I -------------------------------- Board of Health DATE-----------------D..---?-�-_.` ..E._. FORM 1255 HOBBS & WARR3N. INC.. 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