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0080 SASSAFRAS LANE - Health
f'1')Clrs rr�n 5 oq P? ,LL s ,1 I �a e TOWN OF BARNSTABLE LOCATION L6 I4'�`- Sr,-&L(=l c,3 LQ ,-e SEWAGE # VILLAGE I d c ASSESSOR'S MAP & LOT (INSTALLER'S NAME & PHONE NO. RU e(VT' J • j, Lc-c-QJ 4 SEPTIC TANK CAPACITY LEACHING FACILITYAtype) ( i i (size) '�NO. OF BEDROOMS .? PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNE Trl DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: �l / lam ✓ VARIANCE GRANTED: Yes No r l7�°u�`� �� � ,fit ;.� �,�• • . x�..\� t4 1�� �a ," � 0 5 s ° � �. '' , �`,\ � � `� ' {. 257 No..�.'1,�.:-.�. . r Fics. .... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH TOWN BARNSTABLE ---•......................................OF.......................................................................................... Application for Disposal Works ( onstrudi orn rrutit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: LOT 35 SASSAFRAS LANE /7q1,?,ST©,w15 � ................------.....--•--- .. ........................._..._...--•• _....._.... � --..........---........_....-•--•---..--�, Location_Address or Lot No. - .•-.. ...............aeg!e•z: �3 - ............................. Owner Address C'�,•,rS r�:. ............ .................l ��Ts��3 _�------------•-------................ a - ----- .............. o0 Installer Address QType of Building Size Lot._29�..Q.0 ...` :..Sq. feet aDwelling—No. of Bedrooms...........................................Expansion Attic (X ) Garbage Grinder (NO) 04 Other—Type of Building .....RF,g............... No. of persons........................--.. Showers ( ) — Cafeteria ( ) Q, Other fixtures ................... ............................. W Design Flow...........5.5...........................gallons per person per day. Total daily flow....330 gallons. WSeptic Tank—Liquid capacity..-M!a gallons Length.8_4....... Width-4...6...... Diameter................ Depth---4------.--- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ONE.... Diameter.-..-I.Q.......... Depth below inlet....3 -5..._.._.. Total leaching area.1$7.........sq. ft. Z Other Distribution box ( X) Dosing tank ( ) a Percolation Test Pit No.Results--X...minute p Performed inch Depth of Test Pt...a.2......... Depth to ground wa8ter$Np................. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ................. ...........--•••••--••._...............-••----•----------•-----......................................................... O Description of Soil.......65---`. .-•-•-� . ----------- ..... ..........Sl U •-••--•--•-•--•--•--------------------•......•-•-.......------............--------...-•----•-------•-.........---•-••••--•-••...---•••--••-----......-•••-•••..............................••--...-•--- 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 iITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia a has been issued by the board of health. igned..... ...... �. Da e ApplicationApproved By..... -•-•--••-•-------••-- -................... ....................................... ---•---•-•-•®� Date Application Disapproved for the following reasons:.............................................................................................................. -•-•••••........................................................................•-------•...-•-----•-•--.....................---•-...•--•--•------••--••------------------•---...-•--------•-....•••--- Permit No.M a - 6 "�� ----• ---- ......................__.. Date --•-----. Date No................-......: r FEs.....��,._....._ THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF HEALTH T010N. ......................O F............SARNSTASUE.....-•-•--------•-••--•----•......--••-•-•--- Appliration for Disposal Works Tonst urtion firrutit Application is hereby made for a Permit to Construct (K ) or Repair ( ) an Individual Sewage Disposal System at: LQ1...35L_SAS.S.A.ERAS...I M.E..........................-........... ------------------------------•-•--•--...-----.....---.............------•.....-•---.............. Location-Address or Lot No. Owner Address a ...............••-••--•••...•-•-•......._...•-•...---•-•-•........................................ ----•...............---•---•..................--•••••---•-••-••-•................................. Installer Address UType of Building Size Lot.2Qr0O__ ._Sq. feet Dwelling—No. of Bedrooms.--•.•-.-•3...............................Expansion Attic (X ) Garage Crilinder J10) '4 Other—Type of BuildinffS g No. of persons............................ Showers a yp g ---- p ( ) — Cafeteria ( ) Otherfixtures ----------........................................................................................................................................... W Design Flow' :•-__-....5 ............................gallons per person per day. Total daily flow...3,30................................gallons. W Septic Tank—Liqul capacity._I._OWallons Lengths-, ....... Width. _'�____.._ Diameter................ Depth•-_4------- ..__ x Disposal Trench—No..................... Width.................... Totl Length.................... Total leaching area...................sq. ft. Seepage Pit No........ONE----- Diameter....�0.......... Depth below inlet...3.j;.5......... Total leaching area 3 87---......sq. ft: Z Other Distribution box ( X) Dosing tank ( ) Percolation Test Results Performed by........... .. Date. W ItFFER--C14pE----•--•-----...----•--. ..---- T�28 J`BC------------------- a Test Pit No. 1_________ m inch per ch Depth of .Test Pit.... 1-2----------- Depth to group water.................... Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0+ ... --------------------- •-------------------------------- ._........... •....... --.------------------- ----------------------- .................... •-------- _...-_ 0 Description of Soil........................................................................................................................................................................ x V ._...----•---•-•--•--•••--•---••-•-----•-•-•••-••-••••-•••---•-•-•-•-•----•--•-••----•-••-••................•-••--•-•-....•-•----•••-•---------•-••---•-•••-••-•-•-•••--••-••-••--••-----•-•-•--••-••--•- W 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 TITIL4 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. Sig-ed........--•-••.......--_•-- - Date Application Approved By..... f '..... j --- ........................................... ------------------ Application �••�'f��_`..`-,....-wr.� -------•--•------- IYtc�,f�--_-��---� Application Disapproved for the following reasons':......................... r ................•--•---•••-••....-••-•-•.............-••••---•••-•-•••--•••---•-••--•----....••--••.........•--•••..._.........._...................•................................................... Date PermitNo......... ... .� ........................ Issued•....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH_ TOWN.............OF........AMUT.4.518............................................. T.rrtifirttte of Tomplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X ) or Repaired ( ) by------------------------------------------------, --_-.-----------------•------.---•--•---------- -----------•---------------•----------•--------------.-._--------•---------------•------------- Installer at....._LOT...35---SASSAFRAS...LA149................................................................................................................................ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---------- s___________/__�____�___ ___ dated_-.._._........ ..., �____ --------------. THE ISSUANCE OF THIS CERTIFICATE SHALL N E CAI &UED AS A GO N E THAT THE SYSTEM WILL FU CTION !T,ISFACTORY. S DATE . -•- i- )Lr _. Inspector(-,�� � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No..........� �' ��1 FEE....... .. (.... Disposal Works Tontrudion ramit Permission ; hereby granted...........-------------------------------•--.---•-•-•-•--•--•••---••-•-•........•...= ........ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No..sG`� _. ..: - Street as shown on the application for Disposal Works Construction Per o.....__ >':.Y�0,at 9 Board of Health DATE...........................1 30 FORM 1255 A. M. SULKIN, INC., BOSTON - r OPFAI 4 SPA CE CoAowrjr COVE" COAKm7r C-O VAN IL .0 Afsr 62.00 4 L -•'MIMI, <AL 6ALEMI •% LOT 35 �. ` •_ srawa' ... N. ZZ-0 PROFIL E OF _ E, . 7 R.a .9 MD GR10UV WAM? TA6itE' Saw ° SEP TIC SYSTEM SOIL L OG DATr ? GENERAL NOTES (� rar Au p �'f � � r o -,� • L T 34 ----� o - a _ DESIGN DA TA TOTAL FLOW � � ® GPJ� 9 SO FT. 16.0 s.o , , eSW L�EAL�� _' /o / $Q Ft: PROPOSED - _ _ cAROACCC MPOSAt X/o _____.,,� sox ,n ►.a.• O � . - TOTAL LEAaAW ARFA t s M �---- SQ FT. o USE � PfRa A JXW RA nE -5- ` � WATW OXO NMIaW CAL MAI rxMM 55.50 76 T - .3 1 wM+ t.a TOWN WATER IS AV SITEP�.AN OIL' LAND 9 L OCA TAD IN BARNS TAOL. •0 ELEC CATCH �� 's MA,TS TONS MILLS 9 OX BASIN-- so s �a O R'3 Ile PREPA RED FOR R=590 go.O,--, S9•5 $6h 89.0 L//M SMITH 88.5 88• _ }, 8?•�' '( g�jy� OF E.T.W. 8?•5 � yk.• 45A S ,FMERMiEW A S- L Na `n `� JACOBI j G` No.874 CO 50 - WIDE L A YOU T 1 `quo suRv�v AL YANKEE SURIVILIFY CONSULTANTS 143 •ROdl 149 P.0* BOX 265) 0 20 40 60 MA RS rONS MIL L S MA. 02648- RES- ZONE: RF FLOOD ZONE: C SCALE: 1" = 20' PLAN .REFERENCE. 448/88 DA TE, 8/24/89 - JOB 4t 1142-35.