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Home My WebLink About0076 RHODY CIRCLE - Health i LOCATION �/vc% SEWAGE PERMIT N0. 7 ��oG VILLAGE , ver q r�ee o7 � ��s hI INSTA LLE,R'S NAME . i ADDRESS J4HN A. AALTO B,ACKHOE SERVICE Walnut Street West Barnstable, Mass. 02668 BUILDER OR OWN ERf �rCCA DATE --PERMIT I SUED 8Z DAY COMPLIANCE ISSUED C3 �zd`8/ tZv N-r f it i _ -J No._ '1...1.�8.. F�$....�...d.............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .........l-.Q.(nJ.i✓.............OF....... �h >,--.. Appliration for Uh�pmai Work Towlrnrtinn ami# n is hereby made for a Permit to Construct Tor Repair an Individual e Application y ( ) p ( ) Sewage Disposal System at: r .........C�•r•d ................................ ............................ Y............. •-•----•.....:._ kA........ ocation-A,[dresS. or Lot Np. Q.Qdt�A_r ........ rr ! Via...... . .......................... ......... . !_I_...--••••••--•--•._.._._......--- Owner Address W ....__...•---------------------------------------------------------------------------------------- a —•--- Installer Address QType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms___________ ............................Expansion Attic (� Garbage Grinder (V ____________________________ No. of ersons__.._..__._________.__.._... Showers — Cafeteria per,, Other—Type of Building p ( ) ( ) P4 Other fixtures _________________________________ _ W Design Flow...........S.__ .........................gallons per person per day. Total daily flow........... `I.d_.......................gallons. WSeptic Tank—Liquid capacity LotP agallons Length................ Width---------------- Diameter_............. Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length............._...... Total leaching area....................sq. ft. Seepage Pit No._/_-/_a_.____. Diameter____q__-_______ Depth below inlet_____&............ Total leaching area---3 ya____sq. ft. Z Other Distribution box ( ) Dosing tank LJ aPercolation Test Results Performed by-__,1�� ? _. 1'._._._`....!�- _e___________________________ Date....7-__�......... ,.a Test Pit No. 1................minutes per inch Depth of Test Pit----/_"_?/.__.___ Depth to ground a r____- ....... 44 Test Pit No. 2................minutes per inch Depth of Test Pit__. z'________ Depth to ground water........................ a' ----------------------------- -------------------------------------------------------------------------------------------......................................................... 0 Description of Soil-------------- -----�.9-5 /�--------��---��---��.�__----` �----�� V .-------------------------------------------------------------------......................................................-----------------.._..------------------------------------------------------. 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:TT._." y g g p y of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b�y tth�e,bbo rd of he�th Si ne % __e� Q. Date Application Approved By...... i// % Date Application Disapproved for the following reasons--------------------------------------------------------•--------------------------------------------------••-_.. ----------------------------••-----•--------•------------•------•--------•-----------------•----------------•------------------------------------------.---.-.-----------------.---------------...--..-- Date PermitNo......................................................... Issued....................................................... Date ,s .. No...t5a ./_ F�s...., ..Q....:. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T1;L{ .1 .............OF........:p .,.y„ _ .--------------------------------------.---.-.-----. Appliratinn for Uispo-q al ,ark Tomitrnrtion rranit Application is hereby made for a Permit to Construct or Repair an Individual pp y ( ) p ( } Sewage Disposal System at 7 ----4-�-Jy---------ca'zl ------------------------------- -- ...........................??...._ . J.qcation AdAresst M or Lot N 4 ......................... ...........:......../ 'f.u,. ..... .................................. Owner Address a ..................................... ----------------------------------•---.....------............-----------------•----••.----------- Installer Address Type of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms..........__...........................Expansion Attic (1 0 Garbage Grinder (t's Q, Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) J' Other fixtures ..--•--••---•---=------------- ---•- . W Design Flow............5.17.......................gallons per person per day. Total daily flow.......... .......................gallons. WSeptic Tank—Liquid capacity./.I'P.Ogallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length..................... Total leaching area--____---_---------sq. ft. Seepage Pit No---/___34:2------ Diameter___! _......... Depth below inlet.....4........... Total leaching area....j(�!VO_...sq. ft. Z Other Distribution box ( ) Dosing tank ~' Percolation Test Results Performed by....lCAA- .Y._..--tjv, �:.!g.......................... Date.._. _. ._.. .--......... W Test Pit No. I................minutes per inch Depth of Test Pit.................. Depth to ground at r..___-.____-_-__- fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------- ------------------------------•---•-------------------••--••---•---------•----....._.........-----•-•---------•---........--••--••----. ODescription of Soil........................................................................................................................................................................ x V ....._...-•-------•-•-•--------------•---•------------------•-------•---------------••.........---•--•--...--------•--•------•-•--•-•••--•-•---------•---•------•---•---••--..........--•----------•----. W ------------------------- ------------------------------------------------------------------------------------------------------------------.......................................................... 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 TITI ,' p 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 theAbDod of he h., Date Application Approved By..-- ',eft.-�-✓�'" ............................. Date Application Disapproved for the following reasons:---•---------•-----------------•---------------------...-----•-------------•--•-•------------- ..........._ --------------------•-- --•--------•------••----.......................................•---.... .............. Date PermitNo......................................................... Issued------------._:. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ...."....:{+.. OF..... r .................................... C9rrtifiratr of TuntpliFanrr THIS I TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by...........•-----.. .. .. :``.•......G !.. ..................................................................................................................................... 5 Installer at -. .. �� ...... ----- ...... .......................... ....... --------------------------------- has been installed in accordance with the provisions of TI`Z t` j of The State Sanitary Code as described in the application for Disposal Works Construction Permit Nor6'l)--_-1�e ........... dated------- ----.:................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATI FACTORY. DATE............................................. -_1el 1--••••-••...._. Inspector--------- _'_/^(_17 ................................................ THE COMMONWEALTH OF MASSACHUSETTS .✓ ","" BOARD OF HEALTH N ..! '/� . ,� FEE.... .. ......... �i��r�ar��al nr�� l�na�t�n.�tirrn rrattit Permission is hereby granted.........`.f '✓..... -� :........................... -------------•-...-•-------.....------................. to Construct or Repair ( ) Individual Sewage Disposal System ' atNo..---....• .: .-•. -'G�,- --= 7. -------•---------------------•-------------------- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ✓ llq'----••..........................•... o d of DATE...................... Health ------------ -�/-7 l� FORM 1255 HOBBS & WARREN. INC., PUBLISHERS, {��r�' �0��►�P:�_._-------� !.^.._ ._.._. -'�.-' ._.._ . . ."-•,i------- ��. SEQTI Gv zoo Sicon►/ate AX&A = z .AO - BOTTO,AA A CA s . -- Z t •sU) boa S F ' 4 T- + ' TOTA�. A£i LOC,N owa�. L• ' �l ecru ,;, �► . ,Pt * Ptco�.e.'iy la.t ETC-- t�•l u 2 Mtn;! oQ L.F - .;� _ -`�ri.►U_ nn♦x , . 3 Tp� at� A�l a,\Y`� � ,f a daa� ci,t._. 3 So;v . .. C. 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