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Home My WebLink About0130 MISTIC DRIVE - Health _ 1 130 Mistic Drive A 079—042 Marstons Mills 171 c_ TOWN OF BARNSTABLE. (� LOCATION \ M i 4 klLf3r— SEWAGE# VILLAGE M erc X n ''O�� ' SSESSOR'S MAP&PARCEL�?1 1 INSTALLER'S NAME&PHONE NO. rC G CA 1 crc y�' SEPTIC TANK CAPACITY e X t®�t3 ,�(, `T `1 Ub� LEACHING FACILITY.(type) ()C&?!i f� (size) NO.OFBEDROOMS C) QoSC OWNER C AL PERMIT DATE: ( COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private%tei'Supply Well and Leaching Facility(If any wells exist on site or within 200.feet of leaching facility) Feet -'Edge of Wetland and Leaching Faciliy(If any wetlands exist within 300 feet of leaching facility) `Feet FURNISHED BY NIA 9 , 4, f h TOWN OF BARNSTABLE LOCATION 3�) \'�� ZC SEWAGE# N_1 v? -Y-4 VILLAGE (\ G.fwc� :a1v_ ,�SSESSOR'S MAP&PARCEL()?J— 04a. INSTALLER'S NAME&PHONE NO. l rC,Q 1l CA IF SEPTIC TANK CAPACITY Y��1 �,OU O 1,o zo�- -2,5 q LEACHING FACILITY:(type) to W. 1 t:!�t (size) NO.OF BEDROOMS O Or ! OWNER Zf- it . .e ' �� W N kD T4J PERMIT DATE: /�: t � I COMPLIANCE DATE: Separation Distance Between the: ; Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Witer'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 fN R. I I 7- El y Z 9 ®• 3� KO No. 2 d x I — Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitatlon for Disposal *, pstrm Construttion i3Prmit Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System 2fn"dividual Components Location Address or Lot No. `3 I,\ P l S+I Owner's Name,Address,and Tel.No. Assessor's Map/Parcel c f ` +^i [C y �ti - Sit!`. L`'\��1� \ �(� \J I/ vt ilk Ins51ler's j bame,A ess,an Tel.No. esigner's Name,Address,and Tel.No.e�� ' try► N a G G 1 Type of Budding: e,)_9 Lt Dwelling No.of Bedrooms 014- Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ►j - gpd Design flow provided AIW gpd 14Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) on 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 Certificate of Compliance has been issued by this BZ-1- alth. `r Sign Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 2=d d — ?,y Date Issued 7 2 --------------------------------------------------------------------------------------------------------------------------------------- tj No. ,y� F Fee THE COMMONWEALTH OF.MASSACHUSETTS Entered in computer: Yes" .. PUBLIC HEALTH DIVISION -TOWN OF"BARNSTABLE, MASSACHUSETTS 4pliLation for Misposal 6pstrin Construction 3pPrmit ° ' Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System �ndividual Components r Location Address or Lot No. Yr�"6 L, 'CSC' Owner's Name,Address,and Tel.No. Assessors Map/Parcel Installer's Name Address and Tel.No. i esigner's Name Address and Tel.No. 5WA VA , c: vv— %l-3 Odd �latMoa n:c V� G 1 g Type of Building: x. Dwelling No.of Bedrooms J I A, Lot Size 1 �sq�ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures y � °L `A- "r Design Flow(min.required) A j( d- gpd Design flow provided A14' gpd '- V Plan . Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil +.ay Hr. Nature of Repairs or Alterations(Answer when applicable) / Date last inspected` 1 re Agreement: _ Th6`yndersigned agrees to ensure the construction and maintenance of the of r r'o e described on-site sewage i e a e disposal osal system in g P accordance with the provisions of Title 5 of the Environmental Code and not to place the system i perlation until a Certificate of, XCompliance has been issued by this Board of Health. 's Signed, jl �/ `—"' <� Date I I 1 Application Approved by ) ./ i A D Date V� � Application Disapproved by. �r l Date r for the following:reasons Permit No.. ,�1 /_ '� t/�• Date Issued L) 1/ 9 r 7-7 -- — — — ——-—- —- Z --—— — —-- -- THE COMMONWEALTH OF MASSACHUSETTS - - (; BARNSTABLE,MASSACHUSETTS Certlfirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(Vr Upgraded( ) Abandoned( )by� , -ft at ` ?� ( , -�� _c C�res ✓��tt� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.';L (/ dated A t. � i Installer S CO M Cn Designer #bedrooms Approved design flow 1111 }- gpd The issuance of this permit shall not be construed as a guarantee that the system will functio designed. Date % / � � Inspector .rf - -- - -- _ No. '�}.r� "Q Fee 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS C"� ^ �I�tlDBal �pstPm �DnBtrULtlOnrrYYCit * Permission is hereby granted to Construct( ) Repair(v� Upgrade( ) f` Abandon( ) .+°• System located at I .S �,,,� v vy and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be comp 1Jleted within three years of the date of this permit. /"" 1 Date f�' Y(r�1 Approved b PP Y � e* /lI LOCATION SErAiE OERMIT 110. VOL E c7 IMSTA LLER'S NAME t 4116wESS ^le . � UILOER OR OWNER DATE PERMIT ISSUED OAT E COMPLIANCE ISSUED r �� .. �� - S __ _ , �. ,. � . _ _ _ �� , �. �� '! _ _ .�'. �.a� THE COMMONWEALTH OF MASSACH EW9JECT TO '` 8OARD E HEAL 14NsTggtE CsNSER � T_ �N�EF2�A�°9N ( ....U---------------0F.... .A..ta 5:`f.i3c CO. MI S9pN ApplirFa#ion for Dispati al Marks Toustrurilun Prrutit. Application is hereby made for a Permit to Construct (Y,) or Repair ( ) an Individual Sewage Disposal System at: , ..yh...P..i'�. t ..... . .. 1 Tf..G�.. 1!✓ ------------• --•----•-•........................•--........---- -----•--•-----..........------------.......... Location-Address or Lot No: ner Address Installer P90 Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms___......_•...............................Expansion Attic ( )Showers Garbage afret Grinder (X ) Pam-., Other—Type of Building R,9W Cl4--______- No. of persons___-.__-_-__•-_--_ ( ) ( ) Q' Other, fixtures .................................. W Design Flow..., 2r--------_----•.---•---•---__gallons per person per day. Total daily flow............?1. .....................gallons. P4 Septic Tank—Liquid capacity............gallons Length................ Width..... ,•__-___- Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length................... Total leaching area....................sq. ft. Seepage Pit No-------------------_ Diameter.................... Depth below 7*nl ...._......----' Total ching area....._............sq, ft. Other Distribution box ( ) Dosing t2nk P ) _ qq Percolation Test Result Performed by----- _.0- ----------- Da e....___!.`-/7:7�_ .. �a Test Pit No. I_. _..Z___minutes per inch Depth of Test Pit.................... Depth to ground water____-___-__-_-:---.:-__-- fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ _� y ..-- ------. O Description of S 1 ---�•-••................... ..�- ,- . -,-- --•-•• -•-• ••..... p ................................. • •• ............. sb C fir !r�----- U Nature of Repairs or Alterations—Answer hen appl' ble............................................................................................... .............................................I.................................................................................................... ---------------•-- .................................. Agreement: y The undersigned agrees to install the aforedescribed Individual Sewage Dispop System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee sued by the b rd f ealth. �s SigG/... ....z.... t�. ----- Q'APPI'c tion Approved By... F .'V.................. 9 T 79----------- �+9 - Date --,� n is prove for the following re ons:... --- - �- -.(7. ...,.............................. _ / Date 6/ Permit No............................................. Issued a -...... Date N FEs THE COMMONWEALTH OF MASSACHUSETTS BOARD-OF HEALTH ...............oF.:.. ... .rt .t ............ , Appliration for Disposal Yorks Tonitr ffioat Prrutit Application is hereby made for a Permit to Construct (,3 ) or Repair ( ) an Individual Sewage Disposal System at: h ..f ..Q. ...► ..... `_ ��.•-- • l t ct ..: ......... .. ...-•----......-----..........------. j ocation-Address - --- or Lot No. . ............................................ ....................................... . ---.._.......---•--......................._..... Address D• 7" ------ ..... ...................................................c:,,......•.. Installer Address Type of Building Size Lot:...........................Sq. feet aDwelling—No. of Bedrooms._..___._______________________________Expansion Attic ( ) .,: ,Garbage Grinder ( () p, Other—Type of Building 0^__hf......... No. of persons____________________________ Showers ( ) — Cafeteria ( ) Q' Other fixtures ___________________________ _ d ------------------------------------ ----...••••........... ............__.. W Design Flow....,,rr........................._----gallons per person per day. Total daily flow.._`_..__. . _..................... 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench'—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No:..................... Diameter____________________ Depth below inlet... _ Total thing .................sq. ft. Z Other Distribution box ( ) ` Dosing nk ) ,.. q ~I Percolation Test Results Performed by-••- .....-•--------------•••••---•----•-••---. Da e- --.1_`_/?!"_7.1_`'---••---•_.. aTest Pit No. 1................minutes per inch Depth of Test;Pit._.___._._._..__.___ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test 2'............. Depth to ground water........................ / / a f f .. I - fO n .. � --.escr l . k ` : . - w 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 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee sued by the bard of Yealth. F • �. Si ._ ••-• . APPlicag9n.Approved By.......... . •---•• •• ----- 7 t� - ----`.............:Date..........Application Disapproved for the following reasons__________________________________ _____________________________________ ..--------•...........................•---....._::..---•----•-----------------==-----•----•---------•-••'--------•------------------------------------------------------------------- ................. Date P'i"it No......................................................... Issued....................................................... Date r" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... `...... . ......OF........... G . ........................................... (9rdiflrate of ToutpliFatta TH4 IS CER, FY, hat the Individual Sewage Disposal System constructed ( �or Repaired ( ) by. ;tom_:' C71 at......... has been,installed in accordance with the provisions of T r of The State SanitaryCode as d t ed in the application for Disposal Works Construction Permit No. %'_o_ ._(_______________ dated_."" f_7` _ -THE ISSUANCE OF THIS CERTIFIC` TE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACT . DATE..... z L u: _.....�l--------- ---------------------------- Inspector--=----:....------------------------------.::...--------•----•--•--------•----....-- THE COMMONWEALTH OF MASSACHUSETTS A BOARD HEA ....... ....._.... LTH (/y ..... .OF �� ._ 4.44.._. __. ......._.__...._._..._._...._._.__......... Acar* No.r -•--- ....�.... �^.. ' ........................ ,fa�° tu n trtion rrutit Permission s reb ranted._._.._. � __:` ` to<Cons t (1 ( ) a n�Oi al Sew oral Sys ( �u - ------------ :at No. � . ............................... . . _. .� /_G r S et as shown on the application for Disposal iWorks Construction P It N ______ Dated,_.__~. .......... ..:.... - _ yy ; Board of Health / DATE..... ==O ........ ------_--_------•-- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS a. f 10/28/2020 ShowAsbuilt(1700x2800) b LOCATION ( ftrAiE EA IT 00. ./o`er" VILLAGE INSTA LLER•f NAME l AOOeEff BUILDER OR OWNER .sac�/6 J.gca�ui�� DATE PERMIT ISSYEO 9/7, y9 DATE COMPLIANCE ISSUED a s ^ r bP i TGdvl �L��.P https://itsgldb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=079042&sq=1 1/1 HS ' v-=� "$r3�sivc�o :1N3i`rt� �--- 4hr SOP ;_. 31�J0 �rNa�; 1Sd3 -. � : NV ENs 5' ? a IVyb'�l�f,� !� Q3:Sadd : .ttiHa k3�1 � 1 f �r � Yam{ e/�'. �/�■s O�/.y� f fi�� :: SNQf�l�h3,`t3 :1(3d�tv . t#3HStNrj,.1 c - t, �r ..��. .,::� -ano ��,:' 9N�� ,srx3;. 3`13 l�dS, 9NIl.SlX3 N�v3 :•Y. ,t��.y�. -�,�ai, Y rs� ,�� ; -' ;, t 4f �r aAJ C�v,'".e� r f{ j i.y�ly{, s L S F (pper,�.. �'� � )" •- ..1 'F )5 .*� YY - c 's� 3_ �` � � y�• �..�" �r ; d, �✓C�.��it' :�fe�Yf- c+4.Q�j, _ ;�� ` � � ��ra✓�.e�', sYr ors,�aa�f � f � y Sb �..:_ '.�.� w r •n- "'' .• <,gyp;V�4�. -^.�'--r. ._—^...-._.x, � ' /�.: � :�� IIg A'I '5 ALL 'CO P mv RT -AW�DATTZ L�1`0 t-SEP N IE ION.-V'A T LE NVMA. Y�REGI�P m T U-IT"','IN T Y, I&E L a T-I 'T , T RIC N AM RIV _,'USA?U� OF......... ,j T A� -L C',`A ARR T GAL-R 11DAY /BRI"T ,p-A-A�il CA PA.0.1 T 1( AL IA E QU B IAR E g 7 -o� GAL_y 10�O T�,O�10L��,,�,��,$I -A�,RE SE R- ITOP ::OF IoL'ELEV.= 'SAND,"CON CA EtE 47 '-S 40' CLEAN tONCAETt P VC Pl PE-COVERS TCH -ZVELR`,r-:--t--Pl TCH X.MA N E Ra HE E '494.4_ CAS--r. - i p N,�,,Pl PE -N f F IIIIMA WC. R L 51"P SE T I C---------- '4 UT 6'�,` I Z 4 Tl',i-AN K, IS IM A cz 13" RO I -N 9,'0� E Nf3'V A NO.'7-7 -f 10L Jo E,IfAL T.: .......... E T C SH,Iik D IATE