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Home My WebLink About0039 ROUND POND ROAD - Health 39 ROUND POND ROAD Marstons Mills A= 124-012-009 � v � �1 3� TOWN OF B.ARNSTABLE I.0(--ATIONp/6�2,!,� /d :ILf SEWAGE # VILLAGE r _ ASSESSORS MAP & LOT INSTALLER'S NAME & PHONE NO. -3y0,57 SEPTIC TANK CAPACITY IV LEACHING FACILITY:(type) (/ (size) &VO1 ad NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 147 DATE PERMIT ISSUED: -7 - $r DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� Lu:se K Y I ' "VO R"I J Q ' t r 5A No.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C. J1.........0 F............ A- 1 Applutttion for Dhipasul Njorkii. Tonstradiun Permit Application is hereby made for a Permit to Construct ( �4--or Repair ( ) an Individual Sewage Disposal System at: ................___..._...�.. :el�l7� 1................................. ..----......._..---•••----•--•---.................... ....._.._........_ ................ /Loc - --------------- - a ,i:Address................................. .......... - Lot ._..... /. wr�rer13 Address a ...........J._.r.....��7 y�.°L` ..... ?vi_1/vw = w_ _r___&.±•is .............. Instal -- Address Type of Building Size Lot..........t................Sq. feet �- Dwelling—No. of Bedrooms.............. ._......_...._..........Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g ----••---------••-•--------- P ( ) — Cafeteria ( ) Otherfixtures .-------•--------------------••--•--- . . --•--•-•--------------------••----........-•••......--•-• --------•-•••---..._.. Q ... Ions. W Design Flow...........1..�_p......................gallons per p per day. Total daily flow.............. gal WSeptic Tank—Liquid capacity ..gallons Length................ Width............... Diameter................ Depth................ x Disposal Trench—No. .. ........... Width_"42........... Total Length.................... Total leaching area.................:..sq. ft. 3 Seepage Pit No.___J.............. Diameter.......LD...... Depth below inlet.......��t........ Total leaching area.M !;�.sq. ft. Z Other Distribution box ) Dosing tank '" Percolation Test Results Performed by.-_....��. `~t�C P L(`Z ( > . . Date ..... ..........•-•-........._.... Test Pit No. 1.....,. ...minutes per inch Depth of Test Pit _... ..�. .`( Depth to ground water- ---ff�`� fs. Test Pit No. 2.�? -.minutes per inch Depth of Test Pit......11 ..... Depth to ground water. ! .. 9 ---•--.......---•--------•.............................•-•--•---......--••----......----••......----......................................................... 0 Description of Soil.. _ V .....--•--••----•................. -- ...............------........_........----------.._.........._................................. ..........----•...... Z ...-•-•----•-------•-----•----•••---...-----•---•••-•---••------------------•--•-•--•--.....--------•....--------•-•------•...,.-----........-----........••----•-••----•-•..•---•-..........._•--•--... 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:IT?•: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issue by the and of h th. Signed_ ... ...••• ••--•- .. ............. O`..... .. ... Date Application Approved By...... ... . ...:R�•.. cam. --.--.-.-•-• - -•--.....lG:�.�7..:..�5 SC.. -•---..__.... Date Application Disapproved for the following reasons:............................................................................ .---..........--•--•.........__ ----•-•------•...............................•--••---•---•------••--••----------•---••-•--•-....----..........................--••-•-----•-----.......---.......................•-•--•••..............._ Date PermitNo........ ........................... Issued................---•----•--------..................... Date 42-1 FEB THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH_ A ..:�.�,u)/, ..........OF........ t STIf .: ._.. Appliration for l9iupuiittl Work.5 Tomitrurtiun tIrrmit Application is hereby made for a Permit to Construct ( �)'-or Repair ( ) an Individual Sewage Disposal System at: `oc,l,l v Tb�rD �D b r i o ................__....__ ....._..-... .... ...� ..----.----•-------...-----------------------•------------------..............................---• �� Loca•on-Address C or Lot No. / --_-•-•-----•------8— ..... ... .. ................................................ .......•-- m� 4C.... l ........ -..��!: ...!et:„:S�®.-_..... Ow 'er _ Address Y Installer Address Type of Building Size Lot......C..�.................Sq. feet .. Dwelling=No. of Bedrooms.............��..._.__.__.___.._...__.__..Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building No. of persons............................ Showers Gr YP g -----•....................•- P ( ) — Cafeteria ( ) fh Other fixtures ....................................." .. W Design Flow........... ................'.gallons per person, per day. Total daily flow............ ��- ...............gallons. !� Septic Tank—Liquid capacity� V__gallons Length....... Width:............... Diameter.......:........ Depth................ Disposal Trench—No._�........... Width.... .......... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.._._............... Diameter.......r.0...... Depth below inlet......_........ Total leaching area_M.%v.sq. ft. , Z Other Distribution box tX-) Dosing tank ( ) _ ! -"' aPercolation Test Results Performed by......... ( ��__bad"__ _�_�_•______________________ Date____ _.....�Y�_........� Test Pit No04 . 1.._.._ _...minutes per inch Depth of Test Pit__._ :«._. Depth to ground water.. fz, Test Pit No. 2.L- _._minutes per mch Depth of Test Pit-..._..�"� _.__. Depth to ground water.___._ 1.`t P4 ........................... -----------••-•-•••••--••. ...................•----•-•--•-...........................---...._........................................................... O Description of Soil.._ ►!. .... . ..................................................................................................................................... . V ;•......._.. v..... ----------•--------------------------------------•--------------------.... 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 TITLZZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued b the board of li th. n if P P Signed._ y `� - ..................... ............................. ............................. Date Application Approved By..... . . �_�:.. . rr� �.'_�..`.`_'.�.............. V J Date Application Disapproved for the following reasons:............................................................................................................ .. Date PermitNo.......92'.-6.2�/........................... Issued....................................................... Date a'.bvtv't1r s��'%va.faw.�sd svv�®�>sar�►+.a�vssasx's.•ri�f.!@slA ft!!'s Ovm srs-........ .....Js..isl�Sr y3cer- +_.�^R+�-a?�•,�J':'^.'crvsnrsviYsao'asi�-� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 24- .............. C9lt ?..I...........OF.......... ......................................................... Trrtifiratr of Toutplianrr THIS I TO CE�IIFY, That the Individual Sewage Disposal System constructed (�)' or Repaired ( ) by...................� ........ :...-•----v••--•-••----.............----•--•---•---•--•----------._....._.._.....---•----••---- Install / t'l�Y �q /Yr at.... t --h Aj ...... /") o �n r-- --------------•-.........---....I�.....---......................-----................. has been installed in accordance with the provisions of TIT-LE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....ff::6.9,l............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .!C ........ � - /G - 3� - -- -•- ..-----------..._.......--- Inspector..........................� J ......................................................... Ie C0 V V0 V0rriV_.W C0V .0 0 W V 000 n r r------Tor _VP VC _WV, O At 0 11 4' V WV V,as L.4l.wn nw O.r 9!^."..c4:4nso.-•.^'. THE COMMONWEALTH OF MASSACHUSETTS y - BOARD OF HEALTH 12. - � �•••••••�` -`.............OF.............. No.... .lo FEE... .1........... Disposal Works Tonutrnrtion Wrmit Permission is hereby granted............. --------------.........•.........__....................•.......-........ ......... L to Construct (>r) or Repair ( ) an Individual Sewage Disposal System at No.....................LZ 7....1.0__.......P_.x...,...fit. P .....VU ---Ua . CY!.: --...---•-•-----•.-- t Street {j�./�/ as shown on the application for Disposal Works Construction Permif No..................... Dated____.__.,..__..____.........._..__........ jj Board of Health DATE----------- ............................ 1 _ o 0 42 �tb' 7r SS,S + W v uM e•:.- I. pdTUtA t�5t�,��l�D TA�EfJ �Q..oM " t'� •.i^.r.irl'SQ+.-,. Z.M u A icy PAL- W aTm2 5, PIPE 'F►"fG I(¢ %FT UJl�S6 OT 2WfSE r.1pTED. Pik '101 L- �e tj bcF- A.: E5IL i--. 1 ' ', �-.�� / I � �_ . - - - C�• �c r.1 sTQ UGT:or•! � ' �E � } t , �l� ��r► ~` 4- �� FNVf�Cv!`�.EtuTdt� (pC� 1� ' `1 ,TN►s Y�1 e t''C��PosCv woe1C-cal y er�tp E EoL1 Lp^l07 Z S b,� r� Ier UUS�D PeoPE17Ty,',r:�sT�W�(r f � Aw- "IbF of��rypa-r�. �� •`` i �\ t J CeZ • c� ' V (p !A \� \ C�� e / F� i 1 1 /11 l d r / • Z \ i _ rl�,' �`F, i� +FrfO v � �Ir�_ G,� f,Pcf (C r( ' S /' ,� '•� i .�;� - ..�'7TE� C4^, � u�1 i LF-'Do v+�� r�.,;T CJ� �r'�rJ-x ��,+ / r -- ! LEAG►�itilEr - , t�P�`�dEeD TaC- ��► of a�t.� - // '' -_- __ -_--__ - )p OINE Ft --- �3" ojALA a< OJALA I NC- 30792 't77E �d `(eeMoUTr�, t-141Ss A120e 0'wA , FZ.L,S. P.E. DAB - hf ?�'�ED -- --1 ?A;TE