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HomeMy WebLinkAbout0221 CHUCKLES WAY - Health 221 . Chuckles Way � 101-128 Marstons Mills TOWN OF BARNSTABLE LOCATIONv2ZI /,-1 SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 101 INSTALLER'S NAME & PHONE No. jz , ✓ d �ti.5/ ��5��'. C ` SEPTIC TANK CAPACITY /lf:�:50 D LEACHING FACILITY:(type) EGN ST/�i T' (size) /a OCa-fir NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER T✓z/`G BUILDER OROWNER. - DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: Lo lrvq VARIANCE GRANTED: Yes : *No �� ,— �:: ,., a '.. w ,,,r„_, ��. .. �D � �� i T as , 8 � ,d ��� �� j , .� _ � E •.a No..... FEB............._........ vco THE COMMONWEALTH OF MASSACHUSETTS � 1 ' BOAR® OF HEALTH TOWN OF BARNSTABLE P CO; Applirttttun for UaupuuFal Wor u Tonstrn.rttun runfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ! 1.... .. .................A. ./As �' ddress .................•••............ Lot No. Owner Address Installer Address Type of Building Size Lot----------------------------Sq. feet t.t Dwelling—No. of Bedrooms._..--\sg.............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures .._......_. W Design Flow............................ allons per person per day. Total daily flow............................................gal lons. WSeptic Tank—Liquid ca acit DOj allons 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 ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water---------------_.......... 44 Test Pit No. 2................minutes per inch Depth of.Test Pit..._................ Depth to ground water........................ Descriptionof Soil................... -----••--•--••••. ... ... --. ---• ------ --------•---------......----------.......-------•-•-•-•---------------- U --------•------------------------ ---- --- -•---- ..................................................... W .............. ...................... ........................................................................................................ U Nature of Repairs or Alterations—Ans er when ap icable............................................................................................... --------•------------------------------•---•--------•------•---•--------------------•-..............----•-•...--------•----•--•---------------•--•------------------------------..................•----- 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 .%rther,agrees not to place the system in operation until a Certificate of Comp s'been isssss ed by e ar of la t Si ned ........ . . ..... G g .............................:: . " ... Die Application Approved By --- . .... . . l/......//�.----'-- '- ............ � ................................. �� �� l Application Disapproved for the following reasons: .........................................------------------------------------.......................................................... . . -' -"----'---.......- . ...... " ...' ' ' " " " " ............ f� Dzre PermitNo. ------ --- --------------- --' ...... ........----......-. Issued ---------------- Date No./.-- Fss........ D� J, THE COMMONWEALTH OF MASSACHUSETTS <t + 2, BOARD OF HEALTH l ` TOWN OF BARNSTABLE L .Applirttfiun for Diipug al ur s C�uniirnrtiun ramit Application is hereby made for a /P�errmit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ....` !!!.l. ._ j G .... ......................................... . ddress or Lot No. ............ ��S. .. ............................................. ..----••-•----------..•. Owner ---•........................................Address Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms... Attic ( Garbage Grinder a g ) g ( ) p� Other—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures ........................ . W Design Flow................................. allons per person per day. Total daily flow............................................ Ions. WSeptic Tank—Liquid'capacit}00 alIons 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 ( ) Dosing tank ( ) aPercolation Test Results Performed by......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.......................... Gi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ------------------------•------._....----••-----------.•-•-------------.---••...................................................................... Descriptionof Soil--------•.............. ... .......•. --- --.•.......... •• -- --. ---- ------ ---------------•-----••----......----•----------------•--••-•••...---` `x U .. Wx -------------------- ----•---------------- ----------------------------------------------------------------------------•--•------------------------ U Nature of Repairs or Alterations—Ans er when ap icable............................................................................................... 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 Complia. as-been issued by t e boar off .i Signed ....... E}... G ---- ------._� ------ . - -- ApplicationApproved By ----------- --- --- --- -- ------ --------- - - -------- ------ -- -- - ---------------------------------------------- .. re f Application Disapproved for the following reasons- --------------------------------------------------------- ------ -- ------ --- ---------------------- - ................. . . :...... ................ Dare PermitNo. .. .. .......... Issued ---------------- ------....----------------...---.-- ---------- Dace / ' t r/ THE COMMONWEALTH OF MASSACHUSETTS li BOARD OF HEALTH TOWN OF BARNSTABLE Tertifi ate of Tomplianre THI S TIFF, T t .' id e sposal System constructed ( ) or Repaired ( ) by.............�. �� ... .. . --- ---------------------- - I taller ` at . It-.... . - -,a-- rni - ' f ----------- has een inalled in accordance with the provisions f T LE 5 he St onmental d in the application for Disposal Works Construction Permit No. ....... .... ! dated .... -- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ✓ d + r DATE 1 .iL --------------------------- Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f TOWN OF BARNSTABLE No........ ....... FEE...��. .— Map Permissio ' hereby granted--------- - -= .. ------ --------- to Construct ( � A ft%or ep ) • d�i`�'d 1 S . rage osal y t at No. � I 1 ice/ + --street r / .-/...... as shown on the ap lication for Disposal Works Construction Per rt o..r.,( _._�_ ._ Dat --- � .... . .. .. .!.... .. . ........................ .. ...... -----------•-. r DATE-------- - ------ - --q-�--------------••-----•----------... Board of Health FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS I •DATA ------------- Lto: GA��+✓ Gal/:row ., . ... ,. -'�.�(��- % � 33oal�c % • ds� P. US l OOp 6 C S 6 LL AQEA = lSD s.t=, t0 ' - ..ToT♦+S L '�ESIGti! c •425 G.P..U. Toro L pat.Lar. Flow : , It . , 33D 6P.D. _.._.. ... QT10U CZI�TE ;. t��iU 2�Srtru•Otz l�� � /J5 fi 01,,,� i`• • ��l3� I `+. OF KTER SULLIVAN Nallo. 29733 z�":8 ly LAD A 4,7 u z o Tor Fuo -C��-fig-.-- •y, . °AM loco 1w. �, blsf IW. Gay. G7Y .� My / �x i��.G S�rlc lo' ,' (DOp �7 ( T'iantK �(i1ED• 67.4 L. uiiT7h� !V ... e j 1 Tk41 Sd♦Y1E WASx1ED L. SJvti'�'. . �o•• .G . CEQTIFIED PLct,, - u.o ScnL�- (-bC/1T'(ot�l MA rITO,<'; l CMIZTI P' T$4AT 1ZEV 7_g- 1� T l-(G �o J �;J,j"t G� ...:51-10•.v t.J. . . Pt_A l�l tit F'(_t�l;l ..Gc�ti,�pL�(S Tta` Rol=�tZa �73ACIG VEQU14ZGMcWT.; S1DC.L1►-�� ro W W :G7'.$AFL iJ T 13 4tY 5 AND.- is w�zut u. THE F Pcal r D ENAXTG.tZ 4 uYE t`Jo- THI-S REGtS'IZR�D LA, 5Ua`vcYacZ4 >C q Ub.s A�.( O5'TEC2V%LLG rr�;JJ✓L.C_t.1i SUS\/6�' ~(t�C 0PC75�T--, S11GWlIJ O ILCASS, .u��GL� TC.� l�r_'1-Gt�tirl►�lt : Lo'�(" l_it-1 c-, � L...t Q.NT' I FL ERT ri°ewow 74 NOTTINGM DRIVE YARNOU IYiPORT, MA 02675 eNet(sq em•sI Nee Peerau- �a°n�i Naw"w°c.�ri i�i wa�e°OwmaB Flak TIO= a A/LLD yO0N . BTda nMr R0011 i i � 1 22l CRUCR& WAY :.`JpOOC�Nw,,w" `u i i i i Nu su�ac__Bggrw i i I YAR MNS Ii a MA i'wo r�Do%r FRONT ELEVATION `'•, !� `�e^� aT•i7'"ra�Bc"T,'B'� J �' . Imo.. .}I._61NrDa11 wrB�P" OAYt—._i ]iU rT.a01160 Yr %IIAIaIdB°�B.BMOB . ' Wd CallOBl Y1%10 T.MB.OH�B/Qp11 nOa r.T.e/prow Paon�a PERGOLA OETAIL caw.l Nc arOB'B°�°Bw.00r aeNu+irr-o• . R}T PNOVNIe p1 Tea v-g11°aVB Ne°rea.xuw - . ELEVATION NOTES: ° u�exraxww����r°ueuw4wBn�me ew.0 . ��� �� coNr 1.�r°a x+wu �}1 rr0 suer Ow T.mx fygN aB Nor rp p8 yip ease.M'°11..rw Kt N e nenwNT'�Beer rlooN mNown ron rBNNIT$uG oe caNOrRUCTON �MG eaa011a ILOOII YnWN TO T46 6.N6 �e� 111�eD 1 nYld�a!D ]NIO P.T.e/prour PNONIa YRGC4T ?AY ramsom - uneiN�NPi�dBrr°iiie° I 4 - iNr°e. � t rnw vuBr T.oBR i wu�N°w ei exisnw �eyC�pTYWa TM1TYplq�O��OyXIGy�T{l9Afp�T ie r0 11aMT gy/TO MURK E T BTePB L rlll�wr .� I HBleaLA061wtlTe OOw 1171 fir[ •.j Fmcm ar ARIGHT ELEVATION PODIUM smar N�.Bloa. I LLJ FRI I R Buea BPA oLL wr eacw 00 /110V1°B NW°IND°YB Ir 0 1 >1 ♦ • AY NOr TelPeeeQ man I" DAINUM �%HTea FlNer FLOOR ——— A-2.0 REAR ELEVATION MlliIIWIII!a M a8 N:nraa e.nem:Nr . ---------------- }09HTMIMI I�lM A CMN%=wr Q ICOKM I . 6UFIW�T�¢O��p1!V®I r 6 PA ERT wAo or.unaT.c nose - t PO BOX 343 .on ne)i�rT.weu°ry even ear. YARHOUMRT. 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' RNCAi6 t.p.r)O/IT TURRCRMr _ �g� FeeRu,Aas coumxa m/ ' �T�c d8�� Tusc.x cA.Atm sw)e •t ! a • . r-o• - �_Y >fIBT wR uxTttw°ow - r-r m°uu NOlI1BCAAlAI FIRST FLOOR PLAN +man"P' mm wmm or own . M wa Im UWT NVAio INS AOOMrIAM BY - Owl plAr1Y6