HomeMy WebLinkAbout0150 CHUCKLES WAY - Health 150 CHUCKLES WAY
Marstons Mills
A 101 057
op l W OF BARNSTABLE
LOCATION167 llx 5,
SEWAGE
VILLAGE ,�,, p Tf ASSESSOR'S MAP & LOT�i
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY /69 67
LEACHING FACILITY:(type) � ✓f (size) Z " D
NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
0
0
� S
r
3
La�
�Y
e
I�t11�
��
�,w`
No... fx.:: ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for 14spntial Marks Tutuartulion 1hrmit
Application is hereby made for a Permit to Construct (&) or Repair ( ) an Individual Sewage Disposal
System( at:
\AJ& 1"114+ZSj�rie S..!:!<u.5 2 ro
- ....... _ __............................ ..••• ----...---••----------•-•............---------•--------••--....•--------•--------.............•---
c 'o Address ^s� � ..-or Lot N Q�,,
Ow er Address
a ....... .................................................. .....4 . ._......_._.._............---- ____ _
Installer� Address S 2
Type of Building Size Lot...1 ......Sq. feet
Dwelling—No. of Bedrooms.........3.............•......__.........Expansion Attic ok) Garbage Grinder (k o
PL4Other—T e of Building No. of persons............................ Showers Cafeteria
Q' Other fixtures ............................ .
W Design Flow............... .......................gallons per person pier 4�y. Total daily flow__-___-•---3-30......_ _...--......gallons.
it
WSeptic Tank—Liquid capacity_10 C2_gallons Length_a_— ___ Width. -_`_ ___' Diameter____'__----_---- Depth...S=8-_
x Disposal Trench—No..................... Vidth.................... Total Length......._._---._..._ Total leaching area...................sq. ft.
Seepage Pit No--------1----------- Diameter.._...5......... Depth below inlet......P?.......... Total leaching area._?-G�.....sq. ft.
Z Other Distribution box (Y4 Dosing tank gel
`" Percolation Test Results Performed by..___`P2 kz .............................................. Date._ ��.3}._19g 1......
a
1-4 Test Pit No. 1. 2__-____minutes per inch Depth of Test Pit----)_Z......... Depth to ground water.16T E &Li&(LED
�14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..................
a -•-••----•---•------•-----•••-••••-••----•••-•--.......-•-••-•------•..........-•------•...............................................
O Description of Soil......Q."..2`•.•... .....Z_,nA. . �:k-_k M E .�."0
----------------••--•-
x
W
UNature 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 ope n until a rt' tc to of Co e has been issued b he board of health.
................. ..................
Dace
ApplicationApproved By ------------ -- ------ --------------- ----------........................................ ---------------------------------------- l- /---.....
Date
Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------- ----------- ----------------------
•. / ,�/ Date
Permit No. ----—ZI` ---------------------------------------------- Issued --------- !'� 1 - �....
JJ
No....? � LOT �� - � � FEs........Q . ........oa
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Dtnpunal 19orks Ton,strur#tun ramit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
1 2
� ►�.Z.S1Z............ cc c.5 ....-•-•--••••-------•-•.......-•-•--•.................•-----••-•---
ddressor Lot N ..........
W Owner Address
� Installer Address...........................................
••-• .• •
UType of Building 3 Size Lot--- 51 2a-----Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic (1,c) Garbage Grinder (k
aa4 Other—T e of Building --___---- No. of persons............................ Showers
YP g -----------------= P -(---)--- Cafeteria ( )
d Other fixtures
W Design Flow..............5 ......................gallons per person per day. Total daily flow--_-----_33:330....................
G t� tt t
W Septic Tank—Liquid capacity..LXY�gallons Length__ . Width.A....JO_. Diameter-_---- '____ Depth_•_-
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No--------- ---------- Diameter.......5......... Depth below inlet......?.......... Total leaching area.. ....sq. ft.
Z Other Distribution box NOS Dosing tank (qo
aPercolation Test Results Performed by......ch?kJre*... . .............. Date..J�N-_3�._�91...... '
Test Pit No. 1_.Cz......minutes per inch Depth of Test Pit----i2t......... Depth to ground waterJ_pm6►cnuFAmfLED
44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
P4 ---------------------------•-•------•------------•-•••--------•-------•-•---------•-•....----•-••--.......................................................
O Description of Soil-•------ � A''1- `�u ��4�_4.....2-_ .1...... -1_ _ .....`���.....................
W
U ----•---•------------------••••-------•••------•---••-------•-----------------------•-----------••------......•---------•-•-•-•---------•----•---------•----------------....------............•-•-•-•••.
UW -••--•---•-•-----------------------•-------•--•-------------------------•-•-••--------------------•-------------•------------------------------•-••-------•-----------------------••--------•---------•-
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 L operation until a rtificate of Co ph cn e has been issued b the board of health.�/ —� —
C/7Z% Dale
Application Approved By ... �� ��--------------- - ---- - ----- ------ -------...---------- ---------------------- ------------- -----./-=----y^9/-------
Date `
Application Disapproved for the following reasons- ------------------------------------------------------------------ --------------- ------------- ----------.................. `
..........................................------------------------------------- ----- ------------ -----------------------Issued ---------,�.---- --
t Date
PermitNo. --- ------------------------------------ Da -1 ....
te
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Gerttft ate of Tom ltttnre
y I IS 0 CER IF That the Individual Sewage Disposal System constructed ( �C ) or Repaired ( )
by -aQ------------- -----------------
v r -2 Installer
at =---------------------------------------- ._-
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. -...V_-^.�`............................ dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. ��
DATE...._..---- ,�� '.. �`. - 1------------------------------------------- Inspect r_=- . ------------ tip.........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No...GJ� TOWN OF BARNSTABLE
.__. ._... . FEE...
tspa urkg Tunn#rurttun antit
Permission is hereby granted_. --- ------ -- -----�,�:f!_`:`-� -----------------------------------------•--------------.--..------------•---•-----------.---
to Constr ct `� or Re a'r an Individu 1 Sewage Disposal S s
atNo.... `��.... -------2.1---- - ----- • -- ---•-...••-------•••••-••-----------•-------------•----•-----.........
Street //
as shown on the application for Disposal Works Construction�it No.._%1-'-Y..... Dated ���................
� 1� r 4 - ------- -_--
.. Board of Health
DATE .71 -----------.........7
36508 HOBBS h WARREN.INC..PUBLISHERS `
I
or--S tc" it>AxA.
�✓IL.IGl1E G. +v\lt_�( .- . 0M . p. N. �V .� -•J �� I
� - 33d G.P•U. ,
.mot=Prl C T�t�i IC - 33O.t F5 0 % • 4-9 P.D.
uS�- l000 GAL_. 1
for.
b15Po5Al PIT ust IC> G or_ f�pQ - wof
��� 1 •,
14 2.5 1, t 7'r7 .6•P•t7 + �, ,�,r oP o'k 9 ,,
1 o W 3b \ `�
hZG
TOTA L. -D ES16ij = 1t25
FLC>w = 15,3ZG y.
�. 02 LASS.
TF
aF SULLfVAN C)
PJo. 2�733 " ty �t 7 \ �� \ �6Z
-tic. 19334
IST
to ..
Test P 7-' 7!5,
F6. ��v Top Fuo z //
:.Y
,Z Sur35o✓L 4'PP� Dist tw. GAL.
IelV. (oZZ (o2,Co
T"ta nt K
000 IoZU Jwv 1►N. .. �'�
_.. GAL.
��A�./ , LegcN - �e,4�covr- cc�k►
PIT. P, �► .
MEN. WIrN 6z"g. X�� S zo�.eE e'•
WAS►•IED
SToi.JE ✓`r'lo.0
C.EIZTIF l>_D p LC>T. PL./->1�1
—
Z-v SZ.o �10 Sc t-OGhTI01-4 MA2S70 MILLS
�-crz� A 1-/0 5 t4o 4/Q ki Ca
�6:Qttit�l,l .Cc�lPL�<S W t'C'4-� Tt�t�: `:51:DC.t_t►-1�' _—�.._.,.
AtiJ� E'T'L�nctG R1=4�i�Etitc:uTy o� T'N� LoT
'To W W G- BAVW5rA 73LE AN(:;'> t S Nor l-oC,AT D
w t-c>_t1 N 'TNE FLo_ot) FLAtt l
XTEQ- �;. WEE
tZCGIS'cc--ZGZD 1-AWo 5uzvayolz,
THt5 hLAW I S LJOT �;A�jEt7 . CA-4 AaJ OSTER.�/tl,.lC o /LCAsS�
�Sf'�;J:�C_1.1, <,u •i��' T"C ot=l:S�T'�, 511awt� tiPPtt c,e.t�1'T"
TO --