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Home My WebLink About1424 OST.-W.BARN. RD - Health 1424 Osti`� • � Marstons Mills A 126 — 005 . ,; AsBuilt Page 1 of 2 !� p W I2 ��f0 N OF BARNSTABLE C757-&,4,i a-` # ll LA_ LOCATION ,_vT— Al w• $ tx,i� SEWAGE #S�Co ` VILLAGENtio&Ttws miLs_4 ASSESSOR'S MAP & LOT —Z1- INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY x LEACHING FACILITY:(tgpe) 1'r (size) l tW C�. NO.OF BEDROOMS :3 PRIVATE WELL OR PUBLIC WATER b_ BUILDER OR OWNER j N&rt4 A S� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED;_ �I VARIANCE GRANTED: Yes No x http://issgl2/intranet/propdata/prebuilt.aspx?mappar=126005&seq=1 6/15/2016 141Z(/ 00-77 OWN OF BARNSTABLE � a! y LOCATION Low g AS451- ,61, , SEWAGE # R VILLAGE koa&Tf xm5 Miu-§k ASSESSOR'S MAP & LOT -� INSTALLER'S NAME & PHON ENO. � ��, SEPTIC TANK CAPACITY 1 � � ZLEACHING FACILITY:(type) Q'T- (size) �OLAu -,ENO. OF BEDROOMS :3 PRIVATE WELL OR PUBLIC WATER rt BUILDER OR OWNER 6DATE PERMIT ISSUED: ' DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No `-,,- i J� w1� — —�,��►a� —W a 4 ,��S T—k+ elks ASSEMRS MAP NO: ✓� _ ;�. No.. PARCEL NO.: FIM$.........�........._ THE COMMON,WEALFH OF MASSACHUSETTS BOARD OF HEALTH ......... ....................O F.........................................._........._.........------...._......-----•---•- Appliratiou for M-4pasal Morks Tontitrurtiun Famit Application is hereby made for a Permit to Construct ( .�'S or Repair ( ) an Individual Sewage Disposal System at: !?:---•---•------•-•-••. --•--...'`�?.�----•-----•-------------- -•-..............••--••-----..............---- ocation-Addres or Lot No ----...-- -I3 Owner Address W ................. ......_..... Installer Address QType of Building Size Lot............................Sq. feet �U, Dwelling—No. of Bedroom��s..__.....__:3............................Expansion Attic ( ) Garbage Grinder )0 pa, Other—Type of Building J&i� _JR /.-�y No. of persons........\47............... Showers ( /) — Cafeteria ) a' Other fixtures ----•--•--------------------••-__ -- ----------•••--..-_----------------- .. W Design Flow..............�4{{�1............_ ......gallons per person per day. Total daily flow........ ......0.......................gallons. WSeptic Tank—Liquid capacit) ..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit .__...._.s.Nc�_ _____-- meter.................... Depth below inlet.................... Total leaching area.................. q. ft. Z Other Distribution box ( Dosing tank ( ) / ~" Percolation Test Results Performed by..... (Y.�4!C..... ............................. Date......7��1g-�............... Test Pit No. 1.._..........minutes per inch Depth of Test Pit_.__��______..__. Depth to ground water........................ (Tq Test Pit No. 2------ ......minutes per inch Depth of Test Pit../,,?,......... Depth to ground water........................ Q+' -•-•---•------•--------•-•-•-•-••••--------•---••......••--......-•----••---•.................•••••.----.....__...•---•-.....-----•-----•...•--...•-•-•--••-- Descriptionof So' .r_t ---- -----------------•----•----•-••--------------------------•------•-------•------------------------------------................... ------•---------------•---------__----•--_.._.._.. W •-•---•---••----------------••-•---••--•--•----•-•----•• .............................................................. ------------------- x Nature of Repairs or Alterations—Answer when a licable_....�-. --•- ------•--------•-•-•-•-•------•------------•-•••--•-------•-----••.._.._...--•..............••----.......-----------------••••-•••-••••••_-••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. d...................••-•-------..........-•-••-.._...............--_---. . ------- Application Approved BY ............... ...._....... . ........ /• Date Application Disapproved for the following reasons:...........................•---•----•-----------.........------------------------•••-•••--••----•-•---•_•------ --••••-•-•••---••----•--........-••-•---•------------•----•----•---------••----•••-•--•--.....•-----••--•........•-••-•-•---------------------•-•...---------------------•-•-----•.._........---•-------- Date Permit No..... .... --------------------- Issued...... - i Date No.Q... .....�c)� QXeW Fs ..... T E COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................:... ....................OF........................... Appliration for Dispusal Works Tanstrur#ion Errant A,pppplicatiojn�is hereby made for a `Permit to Construct ( J) or Repair ( ) an Individual Sewage Disposal SS 1! .............................. .!` � ...:1..... ...----. ........ �xqtion-Address r 00 ner Address W Install Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...............�3._._.:....................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of persons....... ( " ) — ( ) � YP g ----- --------------------------------P.-....---•------�---•--:---------.Showers--.-�-------•.Cafeteria--•-•----- Other fixtures .............................. Q W Design Flow.........."',_ef....................gallons per person per day. Total daily flow..........3.3.d.....•...........gallons. WSeptic Tank—Liquid capacity/159 allons Length................ Width................ Diameter---............. Depth................ x Disposal Trench—No. ................_ Width•................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..� ...... Di eter.................... Depth below inlet.................... Total leaching area... q. ZOther Distribution box ( Dosing t �y Percolation Test Results Performed b .... .-�:. .. !! ` ......................... Date........ ..1 ...25-........ a Test Pit No. 1................minutes per inch Depth of Test Pit..... .-q....... Depth to ground water........................ fi Test Pit No. 2........ .....minutes per inch Depth of Test Pit....,/.,.,...... Depth to ground water........................ .............•----..............--••---••--•---•••........................................................... D Description of Soil..... j .... ..�Q�]j.............. U -••------------------------------•.--•-------------- •----------------------------- ... .......... ------------------------ --------.----- ----•-............................................. W U Nature of Repairs or Alterations—Answer when applicable.-.- ; .- n............................................................. ------------------------------------------•--•----•----...--•-•----.......---------•••••-------...------•------------------------•------------•--------------------------•--•-•-•-•.....__.._....--•-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System_in accordance with the provisions of TITIS 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed............................................................................... ��..Application Approved BY = �........:.:.... . •--...... ate Application Disapproved for the following reasons---------------•-------•---------•----------------------•---•-------------------•-------------••-...-••••.. _.. ..............•------•--------•------••-••........---•-----------..........-----••-•-•--•--•-----•-••----•-••-••---.........---•...-••••..........-•-•-•-••-.......••••-••-•••-•-••-----••-•...------. %" _ I q Date PermitNo......-C._---_-(............................................. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF- ,.HEALTH Di N --� �-L OF..................................................................................... Trrtifirate of Tnnrphaurr THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-------------------------------------- %•-•�i_`- . ----.........---......-----•--...-------------•-•--------................................................................... ---... ! ( --• Installer �._ at. = l.............. ........- . . +_----r J.�: �,:> ,- r ------ --------------------------•-----------------••--------------- has been installed in accordance with the pro isions of T3 -5tqfahf State Sanitary Code as escribed in the application for Disposal Works Construction Permit No......................................... date(....... --`:- -:: .. /� .._..... THE ISSUANCE OF THIS. CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM WILL FUNCTJON SATISFACTORY. 2LlDATE..................•.... . ..�.................--•--- Inspector.......... hl................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 �� lo,cr . j ............... i� !. .J........OF...........~" I1:�21� 1t:.................... No - •---... ...... FEE..�:.. ...... Disposal arks Tnnstrnrxion Errant Permissionis hereby granted...........................11 `S-•---••..••...._.....•--••••••-•...............•---------•.............................. to Construct ( ) or Repair ( ) an Individual Swage Disposal System .......... �'��.�.S..-•---: � 1.................................................. Street Q'-- as shown on the application for Disposal Works Construction Permit No�_......fa,r:f!.. Dated .)5�1 ?c.................... i Board of Health DATE...................: C........_.-------••--...-••- ....-•--•- FORM 1255 A. M. SULKIN, INC., BOSTON t a -Goan top W" t.;a&,&4tabdand e j dand i 1 S00 _ 0... .wile .__ ... _._ - G.S.9. rye 3 .3 Seat Pit f 4 326 F A o�'i& Made 4-16-8S A sip 1 . No SQ'_ .1vit., C''t. Conton `�, not .a No wane t en atea Pe&c. 3 win. p et I ' I t .Itot 14 rti I 102 Ac. /d�o,0-�6 I . a � I3ctcnj2t�., (}la. 02601 -6 f>C 6 'Pit 0 /2 e U tone Sca to 1" * 401 Dante 5-7-86.. sketch � tan..o ..�and .ii-M om.-�9�i:U. .�:..bra.(. ..... _!.-6 �'� � p'!x�l �- ! 90't n e'nneth. 1'. .,Pa6a de ge•inc� tot 4. cam ez. dhown on � pta '2eco�rded �' 2.67 �. • � I � I � ;..n lgal te <er�'t�tq 194:.. 356 j 26. £teuation,- .'tee on an a"&L d,G,tc..un_ I Ze-l7ocz-o -4eamo I500, 1, Lr �f PRO PasIEr r I `I �ot S 35' i OF M.t ,fit WILLIA ' + I , � I