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Home My WebLink About0009 CALICO LANE - Health e Dig 1'r i TOWN OF BARNSTABLE L Nf. ATION 64.L.1 Ed �^&2E SEWAGE #� VILLAGE _' /_C'1LU�� ASSESSOR'S MAP & LOT s4 INSTALLER'S NAME & PHONE NO. h 2� � ASEPTIC TANK CAPACITY �✓�� —y LEACHING FACILITY:(type) �D (sue) NO. OF BEDROOMS L •PRIVATE WELL O PUBLIC VAT BUILDER OR OWNER /�C� G 2 `;DATE,PERMIT ISSUED: 's� �� DATE COMPLIANCE ISSUED: ,VARIANCE,GRANTED: Yes No 25 6 THE COMMONWEALTH OF MASSACHUSETTS BOAeRD. . F- HE T OF....... lt •-----------•-------•------------- Appliratiun for Diupuiml Workg Tonutrurtiun Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal /10 System at: � 0.zaz s'7G` ... ............. � %�`,..... Lo atio - dress or No. .. 1 '. ----------- � j � .._.................. � Owner A ress W •---.. �� 1-• ---•- -----.... (�✓� CL�S �Gl, ''��'R �q_ Installer Address S feet d Type of Building � p ( ) Size Lot _...� � q�� U ___.___ Showers — Cafeteria Dwelling—No. of Bedrooms___.....__ ___________________________ Other—T e of Building __.__._._. No. ofpersons nsion Attic a age Grinder a Other fixtures ------------------------•---•--•-•---•••--•--- Design Flow............................................gallons per person per day. Total daily flow.........._______..._________..._...........gallons. W W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ ... epth___________.__-_ 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 ( ) Dosing tank ( ) - '�' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water._____:________________- G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..........-................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ x W Nature of Repairs or Alterations—Answer when applicable________I_�-�� -------------------------------------------------------------------------------------------------------•---------------- ------- j U Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in Wica nt 1 a Ce ificate of Compliance has been issue t oar, hea 0. Si ned—.... .... . ate proved ---- •.-C-......._1-•---••••---•.....................•--•------•- _.. Z ------- Date Application Disapproved for the following reasons:.......................................................................................................... -•..................................................•----._.....----•-----••-•----•-------------------•••-•-------------•--•--•-•....-•----------------•-----•------------••-----••_.._.._.....•--•-•-- Date PermitNo........................................... �r�_..__ Issued---------------------------•----....--•--..._......... Date Q Noq Figs......................... THE COMMONWEALTH OF MASSACHUSETTS .-BOARD OF HEAL/TH .................... .....................OF....... . .. ...................... ................................................. Appfiration for yosal. Warks Tonstrurtion 1hrmit A&, Application is hereby made for a- Permit to Construct 4#yy or Repair an Individual Sewage Disposal S1,Yste"m,at: ......... Cr.... Zj ..... .................................................. ---- ------- ...... orX� 7" Loc�tion-Address 9 • .....................................L) OwnerAddress .............C,.!.... ....1,LZ ............ ........................................................... .......... . .. ... .................................................... Installer Address Type of Building t,o Size Lot....�.2X_Sq. feet Garbage Grinder Dwelling—No. of Bedrooms.........S t* ---_--------_-----------Expansion Attic Other—Type of Building ............................. No. of persons......_..........___...._,: 'Showers Cafeteria PL4 Other fixtures ......................................................I...... < ----------------------------------------------- -------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow....................................... ....gallons. P4 Septic Tank—Liquid'capacity............gallons Length................ Width.........__..._. Diameter................ Depth......._....._.. Disposal Trench—No..................... Width.._................. Total Length-_................._ Total leaching area....................sq. f t. Seepage Pit No..._...._...'.._.__.. Diameter.................... Depth below inlet_................... Total leaching area..................sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed by......................................I.................................... Date........................................ 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..._._...._..._.....__.. Ix -----------------------------------*---------------------------------------------------------------------------------------I--------**------------------------ 0 Description of Soil........................................................................................................................................................................ -----------*----------------------- --------------*-----------------"-----------------------------------7------------------------*---------------*------------------------------- ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable.........1.2......... oq .(.Cl....... 2d ........................................................................................................................................................................................................ Agreement: 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 not to place the system in e- �_ -ope_ dt'don nth Certificate of Compliance has been issued V lth -board of healtWil �j Si peg .............. ............................................................. .... ...............7....... 'a, ate wn I cat n'Xpp I' io d B ......................................................... roved ....................... ....:��. ...... Date Application Disapproved for the following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo................................................. Issued.............................................. ....... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........C7w ti....................OF........... .......................................................... (Irdifiratr of Toutphatta THIS IS TO CERTIFYf- , That the Individual Sewage Disposal System constructed or Repaired ..Z - I by................. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer ............................................................................................... has been instilled in accordance with the provisions of Me:95 of The State Sanitary Code as descylb d in the application for Disposal Works Construction Permit No............ .........U.....f..... dated--- ....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. e— DATE.................1=2... ).............................. Inspector--..- 11�_ ------------------------- -0 ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /01� tj...............OF............. ........................................ ........................ NA.1 ......... .. FEE Diolimal Workii TOnstrudion "Pantit Permission is hereby granted................lCt... .................................................................................... to Construct eo pair an Individual Sewage Disposal System ,)e atNo....�6........ ................. ...&Ai..:1........................................................................................................... Street as shown on the application for Disposal Works Construction Permit No.�;�.2r_j.d D t d..... �.._..� g7/D/a ---- .................................................... .................... Board of Health DATE......................................2-........................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS . ,. tom•'{F . ?.7 's 5t•��.: � . t�E SDAT0 INN .� SINGLE FAMILY - SEDR'GOMt ,' sT. , l T . wIT'N GARBAGE DISPOSAL . DAILY FLOW = 5"x 110'x-.7-5019 = a25' G.P , SE PT I C TAN K = Sao x 26o,,`Z 00; t't ; .\ap',w► ' USE do GAS. TAN K DISPOSAL PIT — USE (2) I000 GAL. �, f+dr StDEWALL AREA = 3�;� S.F : 01 S.F. x 2.5 ; f _. 94 o G p 0 BOTTOM AREA = Ist6 S.F ;. y S.F. x 1.0 a 154 G.RD ,-, n; TOTAL DESIGN a ///6 G.SD: LOT TOTAL DAILY FLOW 8 S5 G.RD. 34 g:2 gr PERCOLATION RATE H i IN 2 LIMN. OR LESS ♦ 5 r.r; j FAl ,y'1 { ' TEST HOLE I'- 250 rr 0 C_;. 22, 1986 eNW wqy N��a Y L C:ITN ER.' 1 ga,tTL tf�lSYl1; T.�G ' ' • . --�_ 4 7' F G s d7't TOP !ft= 9�1 • r - •mvmw, s i , f• + t 'T�Aj,X, MEb. •� P.TS INV• /M! 24 n 1► ,yy r wSt, x, z Laces MRS'Ts �4I ' lo' SC ' L.' I - bo' ':BATE FkS 23, j x 4'? 3S'- No WATEI�.a:�` ` � '. ' .PLAN k'EF .e C97 17 .HAT T 14r=7 (•=•Ot, QPA"n 0 SWow1�1" bY5"TETZ. f}ILL T71 HeRl;_•o0l CoMPuVS \WIr{-In4G SlDr--LftE ANl7 LC.C* f,�25'575- f 15ETRACX. RE(RkiRCMENTS. `aR T1{E Tcw ] BAXTEI IUYE,r G.. j f =y`. BARKI`-5TARz� A D 1 S K3OT Le cfo'f E"`!1> RrcG-157r.-RE0 LAND 60RIJEYo25 yyrTNliV THE FLooD PlPllt�l, O57-MVI� ^ MASS. APPLICANT :FkCNARD 0 ' FER Z 1 7 V C� ( -- THIS PLAN 15 NOT HA D oN AID IN STRUM I ` UIZVEY AMID THE"OFFSETSSgc)Wk) NERIOij SHouLO moT 13C USED To ESTABLi4,!-} LoT LINES. ':