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0036 FOXGLOVE ROAD - Health
36 Foxglove Road Marstons Mills �Al --- 130—029 TOWN OF ARNSTABLE LOCXTION S Gv 4C-4-cAt)vM SEWAGE # CD VILLAGE v� ASSESSOR'S MAP &LOTI �`l✓'©`oz� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ��- c�� �� (size) 1 NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 01 (o COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet . Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by P� %/ 7 i 339 0 No. ([7 �+Ld' / PARC NO:-. ..:1 " .� Fee 92 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE.., MASSACHUSETTS 0(pphratton for W5p0al *pgtem Construction Vertu Application is hereby made for a Permit to Construct( )or Repair(Van On-site Sewage Disposal System at: Location AddXess or Lot No. Owner's Name,Address and Tel.No. Cea\e�-ta:\\I .M(( - (.�t- 3 Installer's Name,Address,and Tel.Nq. 41 -a 8 jV' Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 0 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Z a Description of Soil Qa`� �� �. — LO�wI � �d!i Nature of Repairs or Alte ations(Answer w en applica le) a.1 S�c.\ vJ 0 0 Ck . w 1-.ec. 14-V, � � ,ns� naS� ��p, Qr2Q , Date last inspected: a —9 b Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i ed b t is Board of Vealth. Signed 1,C-LDate�n Application Approved by Application Disapproved for the following reasons Permit No. 96, Date Issued —.2 I" I Fee y r _ , THE COMMONWEALTH OF MASSACHUSETTS r � ; ,PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIppricatign for MiOpaar bpgtem Construction 30erntit Application is hereby made forsa Permit to Construct( )or Repair(Van On-site Sewage Disposal System at: Location Add ess or L t No. Owner's Name,Address and Tel.No. a r 3 ( 3 u 40 love .' . Installer's Name,Address,and Tel.NQ° Designers Name;Address:and Tel.No. 9F U uS a e M4 . Dx�, f��-terJ: Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder( ) t. Other -Type of Building No. of Persons Showers( ) Cafeteria( ) i i Otherfixtures Design Fl�w a�J p gallons per day. Calculated daily flow "gallons. Plan Date Number of sheets Revision Date Title Description of Soil �\e. '� .r._ 1 7- Loam r �� j Nature of Repao ons(Answer w en applica le) x*)SAi ,'O c, u 7 iuv Date last inspected: Agreement: ��` The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi_""'. cate of Compliance has been is edtb is Board of ealth: p Signed LAI Date Applkat n Approved by G Application Disapprove for the following reasons J-PI 1 — t } Permit No. l Date Issued ( 9 b i ———— —————_--—————.—————————————————— THE COMMONWEALTH OF MASSACHUSETTS, , PUBLIC,HEALTH DIVISION - BARNSTABLE; MAS$ACIHUSETTS> lh Certificate of Compliance t Tw1b S TO CE TIFY,t4at the On-sit�Sew ge Disposal System installed( )of repaired/replaced(V)on 36 y t-Oy�J §. -�2 wl �t`�Gk-$• forQvnUN* SkSQw as > N '��C` has been constructed in accordance with the provisions of Title 5 and the for Disposal.System Construction Permit No. dated " A '/��t�L Use of this system is conditioned on compliance with the provisions s t forth below: No. < ..� Fee T - THE COMMONWEALTH OF MASSACHUSETTS ({jt `'� �pV-�. �'�•�. PUBq IC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS - (S(S f _ Mi!5pogar *p5tem Construction.Verrnit °, Permission is hereby granted toa f,\ 1 r.1 L ` 4 t to construct( repair an On-site Sewage System located at qi,ov-e. b ql . LA f� 1 r. and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. ' E Date: �V �a` ` � ` �0 ,�Approved by ` r �• - . �j JUN-19-96 WED 09 :2S KMAR-T 3040 q5087782813 P. 01 00, ll� OtSPa�AI.. P1T ub IvoC Gay-• i ' 5a S.F x t•� � �l,a G.P.o� -z aT A�-. r>�,�1 GN = .�•2 G.P t�. .��d�"�lScr� /B,�•� .�Q Z- 'TOTAL DA I I-`{ tipERcoj-ATiON Rla7Et t''IN ?-MIN iN OF$1 9s {� IN1F F`F *'4'r ,�QT 31. AIAN 1. o WILLIAM C. W. MYE $ 1 Es I Np s u ,- k/r Top FNutt5a"T Hc�4�-���/mac' �r�• �'-'/� � r ''` ���� f !�• S •3 Joao iN�• �cl'3SDit1 P16T. INV QUA t pt,G Z Ioad IN`r .SB 9 TANK (�A.t.. • L�AGta f� INV. INY. /J WIT14 .SB.$• �8•� wA�H�a 157.3 1..3 ��•�r. �R•U F I L� 1,a C A-T 1 o i•-1 ��it/'T���1/�LL.�No. SG 1/0a • /3l t Ccz1=aN GaMpl-�{ 1�I�'N"C H� P�NN Jd E ,L a 7- 9- .3 f *TOWN OF:: C3AZkl.S'T�k-N C— AND If, �40T ��;`�'•C-�y�� '��� I.OGA-r D •WlTHt1J 'T"N� G�oaJ� Pl,alN � �(� (��-I-e�t;'� ( I � LOCATION ttd6 SEWAGE PERMIT NO. Lct Q fix _ VILLAGE 3 t� INSTA L ER'S NAME i ADDRESS 0 U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ' - ;t q-�� -� P • � �i i �� � �. P B' �. RJR �4f - No... .-.. ....<---- _ Fizz............._.... THE COMMONWEALTH OF MASISACHUSETTS } BOARD OF HEALTH ..............` .*-WJ-."...:"'6F...... ..��.N. ��.+ . ..................................... Appliration for ElWpvii al Works Tomitrurtion ramit Application is hereby made for a Permit to Construct N) or Repair ( ) an Individual Sewage Disposal System at: �& .....0 r . .x `..1�1.AU.......L77 31.-..... .....1$X."o!.YfL,9o..AP-............................................. Location-Ad s or Lot No. ...----.... '4�_M.A�.h1fte ...... 1 �jP 2ZT . _® _,'7 .... 1t!1:! '... ............ T � O ner Address .. Installer Address P�-�, dType of Building Size Lot.._...at _____.. q. U Dwelling—No. of Bedrooms ..................................Expansion Attic ( ) Garbage Grinder (f ) aOther-Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) C4 Other fixtures -------------------------------- w Design Flow........._-�.__•�...........:.............gallons per person per day. Total djily flow.._.........3._�_ ......................gallons. 9 Septic Tank—Liquid capacity/AQ17...gallons Length__...... Width.:4'._._. . Diameter................ Depthj�t,C........ .Disposal Trench—No ____________________ Width__........_.__.._._ Total Length.... ._ Total leaching area..__....__._........sq. ft. x. �• Seepage Pit No.___---�............. Diameter................. Depth below inlet_______......... Total leaching area._. �.___sq. ft. Z ' 'Other'Distribution box ( ) Dosing t nk Percolation Test Results Performed by...... MD f_•E ..._.......r...q............... Date.....k1 13-__---_--. . ,a Test';Pit•NO. 1.......2..minutes per inch Depth of Test Pit._.__13_�'®__ Depth to ground water_.__! �'.�y.�_.L '� (� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil;._1"11 4®N..•-'4 P�-�csr x (�-------� P �® r ..$AA!_D.. 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 iiTF,a 5 of the State Sanitary Code—The undersigned further agrees.riot to place the system in oDeraflon until a Certificate of Compliance has been is the b d f t lth. ned = E '. } z -- ----- .. App ation Approved ----........ l D ........... Date Application Disapproved o the llowin reasons: ....................._ PP PP f 9 ......•-•••....... ......... .... ..........••••-•-....••-•-•----------•-._...•--.....•-•---...._--•---------...-•------•-••-••••----•-----••----------•-•-•••--•-----------------••-•••---•--- Date Permit No...... i , ... .bb.�... ...... Issued. .�....�'--••93•------..._--•--- Dab"� No. --t ...... Fps............._............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............._rOV..N..........O F......6AR.IY.STAB-1-F-•--.....-----•-----._....._......--- Appliration .fur Disposal Works Tonstrurtion rnmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...---. kl" .R.!!1.LL. :..M..1�SS.......�-oT".�1...... Fnx.�.......vc Ronk .......... Location-Add ss ' or Lot No. C_v.�..t±A.N-.rT�. TX R C RT1__S._.... ° 7a o...c h�>'.. .1�.�« :....................... �O n e r Address a .............7 f-..---•t�k.j ----•---.....••-••--•-•-•---._._........•••... ...---...... Installer Address 5^ Type of Building Size Lot....... ��._.____.Sq. feet ,.� Dwelling—No. of Bedrooms...__..................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No: of persons............................ Showers — Cafeteria P-1 YP g ---••-•--•-•---•-•------•--- P ( ) ( ) Pa Other fixtures ........................ <� - - ----------------------------------•------------------------ •-•---------•------------- W Design Flow... SS ._ gallons per person per day. Total daily flow............_312....................gallons. WSeptic Tank—Liquid capacity/0G�1..gallons"te,Length__.�S�a..._.. Width._�-__.__._. Diameter................ Depth.(f.-C_-.___.. x Disposal Trench—No. .................... Width_..7.............. Total Length..........r........ Total leaching area....................sq. ft. �7 Seepage Pit No........I............ Diameter....... ......... Depth below inlet....4............. Total leaching area...z9__0....sq. ft. Z Other Distribution box ( ) Dosing t nk ( // `" Percolation Test Resul Performed b .._._._ t:.4i✓....___p�1!. -••-___-__•- Date_..._.k-Y_�.3__...__..y _..r�._.._.... t' Ir ,4 Test Pit No. 1...t......:?-..minutes per inch Depth.of Test Pit...... 3.' v_ Depth to ground water.._.O.V Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 '....r..................................................____3___________________________________________•-----•-----------__--____-______--------------- O Description of Soil....: Z---...LOA.P1... SyQ5c•4..•---- ---- -0•--k •---5 &,, Z A � x x -•••---------------•--•--•-•-------•-•---•----••--•---••-•---•••-••-•---•••••--••-•----------•---••-----•••••--•--------------•--•---•--••----••••-------------------•-------••--•-•-•-•......_.......•. 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 ILT12 5 of the State Sanitary Code—The undersigned further agrees not to place the system in op n until a ertificate of Compliance has been is y the b rd lth. Signed �_ ___ •------- P "" Date Applation Approved By•-•••-•-•------•--•-•----------•-••-------••------------••-•••-...------•---------------------•• ------•------••••--- ................... Date Application Disapproved for the following reasons-..............................................................-................................................. ------------------------•---••----•---------------•----•------------•-----•---•-------...._..----------...---...---------------------------•----------------------------------------------•••-•--_------ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................I.................OF......................................... ........................................ Curdif iratr of Tu plianre THIS-1. TO CERTIFY, That the Individual Sewage Disposal System constructed-r( ) or Repaired ( ) y �� •" .... ..`... .........Installer :` —, fff��� t 4i .� at... 1 .. ,_.� i`'--�-----•------------------- - has been installed in accordance itl the provisions of L I � I I j pf The State Sanitary Code ibed in the application for Disposal Work Cod truction Permit Iv'o._ -:....._� ____._.... dated__-.__ L,•_�� ___-___f____________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...........I... -t• _�-P...................................... Inspector__...- . ------------•-----------•-----•-•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No% ��./ e ...........................................OF..................................................................................... FEE v.............. Di posal i ork dun rur iun erntit ?fX Permission is reby anted...... r_rf 11.................................................. to Construct ( or e'p T n n( ) adividuale�r ge Disposal System at No.- -------= ••-----.--••••-----------•-•••••-••-----•--•-•------•---•-•.....•••-•-----•----•-•......--••••-........ Street as shown on the application for Disposal W ks Construction Permit No.__. Dated.......................................... ,..DATE E . . Board of Health --- =_....�.......................••-•-......-----._.....-••- } FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ;I 5I"GLL- FAMII_y - 3 BCORnOM �'a�GLo✓E�. Wo GAPBAGE (�t2J1•ID�IZ 11 PNIL,y PL*w - Ito x 3 = 330 G.P P I' SEPTIC. TAQW- = 33Ox15C>% ' -495G.P. 1000 GAL. eX I015Po5AL PIT y5_E 1v00 6AI-. •r D'�r a_ I 37 G.P R 50TTOA AREA: II S0 5.F II "IOTA ti- tDESIGN • 25 G.P. D. 3Z 2 IB�t � ✓� IITaTAL DA0-',( FLOW 3306.PD, Q /B s- .�ouN�A>io.✓ Q Q ' II PE 2 CoL.ATtON RATE . 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