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Home My WebLink About0018 STALLION WAY - Health 18 STALLION WAY,i1'lal A= 174-001 . 042 ` I J, TOWN OF BARNSTABLE LOCA'110N �� /3 s'�� /✓1�4. SEWAGE VILLAGE CX. ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO._�� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) f 0 d y �v�"" (size) 400C) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER B DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �V L� '1 .�. �w � , � �� Q � � �; � � k Lf No.... .`.__. _ Fizs......lP..v....._ THE.COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - 0.W .......OF..... -N . Appliratiun for Dispaual Works Tunitrurtiun tIrrutit Application is�eerreby Lmade for a Permit to Construct (�() or Repair ( ) an Individual Sewage Disposal System at'-----•-••...._ ..._. ....- " .......................................... ..-- ocation Addr�� a /- Address ---...... ................ ..................................... Installer r Address Type of Building Size Lot./2 5_.�. ........ feet �-� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers — Other—Type g --------------------------•-� P (...->•-----.Cafeteria ( ) Other fixtures ......-••-............................ - -••-•------ W Design Flow................../...L�.... gallons per—gersel} per dad. Total i flow-------------.a�'._��.C- ..............gallons, WSeptic Tank—Liquid capacity gallons Length ...lc... Width:.. D. Diameter................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..........1......... Diameter....._.U....... Depth below inlet.........a...... Total leaching area._Z..:6.?... ft. Z Other Distribution box Dosing tank ( ) aPercolation Test Result Performed by......................� ..SA)Y f................. Date.....hLnlb..... ...,,....rr._ 1.4 Test Pit No. 1................minutes per inch Depth of Test.Pit.....(.�. .._ Depth to ground water. JE 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -- - ... - -•- Descriptionof Soil.......... ........... _...._....••----•-•--------•--••-•-•••-•----••--••----------•---••---•------.....•---•---......----...._........••-•-...---------_.. x Vw ------------------------•---------••-------•--•--•-•--•--•----•------•-•-••-•-•-------•...--------------•-----------..._._.........---.......---............•-•--••-••-•------•----•----•-...---........ 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:ITL U. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beed by the board of he Ith. _ Signed '. .... ..... ....• I yJ.� Z �.......... f D t qq�� Application Approved By......... �-------•-----------•--------- ....... � :.l...L. Date Q Application Disapproved for the following reasons:.............................................................................. .............................................•--•-----------•-------•--.....--------•-••---•---•---•.---•..-•--••••-•••-•--.................••---...•--••-•-•-----------........•--•---•-----•-..._.... Gy/ Date Permit No._.....J._i...:`..1 ,�--------------------------- Issued ............ 9��_ 763 Date No.._ Fus.......................... a C� THE COMMONWEALTH OF MASSACHUSETTS K /BOA RD OF HEALTH 1` .......oF...... T - ..k..-..."4 .............................. Appliratiun for Di,ipuuttl Vorkg Tomitrurtion Permit Application is hereb made for a Permit to Construct or Repair an Individual pp y ( ) p ( ) dual Sewage Disposal P System at: ��VkL�Y�T_� 6 W64 tCt6e .............._...._ - . �.: .c a. .................... r_.5 ,__.............._....... � V,n Address .....................................*Address-.------•--1---- ........................ �^ Type of Building Size Lot-�I.:7---�.�......Sq. feet V DwellingNo. of Bedrooms...._-•.....................................Ex anion Attic a — p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ......................................�;� -------•--••----•-•---------•--------••---------------•-----...................---............. W Design Flow..................�..L ...-f._:�.., 1ygallons per-pcnsor�•-per day. Total dai,y 3'3C72 ....... WSeptic Tank—Liquid capacity,. jgaRons Length..C�.._��_.. Width:..41-10 Diameter................ Depth.�..-�.. x Disposal Trench—No--------------------- Width................ Total Length........_...:_.._._ Total leaching area....................sq. ft. 3 Seepage Pit No...._..._.I-.--____. Diameter....�_ ._...__ Depth below inlet........ ...... Total leaching area_Z.G.7j_...sq. ft. Z Other Distribution box V) Dosing tank!( ) / "" Percolation Test Results Performed b ._ ..e..S� vY 1 / .! � � Y ---------------------•-• - -••---•-•--------••--••----------.. Date----...C�..��..�?....=.. Test Pit No. L_._...2rr....minutes per inch Depth of Test Pit....... Y.. . Depth to ground water./ .K�X, GT4 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ ....................... O Description of Soil.-------- ... .2�...... x ............. • -•---••-•----•--- V ........... ...------------------- --------•--•-------•----- --------- -------- ..------------- ----------------------------------------- -------------------------- ........ ------------- U�"� •---•--•--•---••-•-------- -•----......•----------------------------------•••-----•---...----------•----••-••-•-•--------•----_------. ----•-------...--------•---•-----....---------:................. Nature of Repairs or Alterations—Answer when applicable............................. ................................................................ ..................•--•------•----...-----................•-•--...•••------•-........._......--...... .....................-............................................................................. 4 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in-accordance with the provisions of TITL:. 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•-"--.... l= _..r_ �. 1 / .--• ---.• . ..._.... p 'Date'.... Application Approved By............. .. ._:�_!�, •�• -�, '_-__ �•- Date Application Disapproved for the following reasons:............................•--••---------•-•-•--...--•-•••---.......---•-•----....-•----------...........-- ...............................................••..-•-----•----••--••----------.........----•-..........._.....-•--•--•----------•..-----------•--.....-•---- Date Permit No........//.....f 9 - ------------------------ Issued....................................................... 76 3 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH74— ............ 1 ./i!%1...........OF............P,:. ...................... Trrtifutttr of Tompliattrr THIS TO'CERTIFY, That jhe Individualjsewage Disposal System constructed .(�) or Repaired ( ) .......... ........ r7le t.�-'% _1. ................................ installer at.._...---L o._....- ?'��^ L r-c 1 k�s•('L� ;-._4:." . ----------.•...........::.::................ has been installed in accordance with the provisions of i S of//h State Sanitary Code as described in the application for Disposal Works Construction Permit No ......... dated............... ................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. S 763 DATE.............. , '.. ............................ Inspector Yf ..................................... \...... -- ---- ---------------- - �_�__ _ ._.,.,, - --__--_---------------- _,....,..__...._<.----...._-_---------_- 7 THE COMMONWEALTH OF MASSACHUSETTS 9S— -!63 BOARD OF HEALTH , .......................... ................ � ........OF......... CZ? !+Li .....-•-•.......-------•••-•---.......-... Fes.No... G,� ". ... '. C...... Disposal rka Tonutrurtion Permit Permission is hereby granted =' C` --•------••---••---•-------•------....••--•--•-•--.........-•.............. to Construct or Re air ( ) an Individ al Sewage Disposal Syst n _ /nl t/�i� .......1------- at No. ..�-'- = ........ .._.._ teTf... .W Street as shown on the application for Disposal V1' rks Construction�P emit No................ tfd-----� - DATE. - - Board of Health MAP I-14_ T ' Pam.?E' � � 2 10 t 0,40+ .1 • � � / < � �- I 1 s"^.drT'- / •" ,/ ' _ :y u_ _.. �Q,7�.i! _'�S!,eF � 'fd t-l1.Li5 Q�-k.4G �' / �, � 2 u`,a�.�c��a�.WtiT'c_ is _ a�laL�(;s• �. op L :EGA �h11 t� `i" -4- l.P, `� NG' J ��ti T t��IT�c:'�1MFN ';y =nFr - ct u►,�t�F !! r?� � Q� l� , A '� CC i 7►-�1<- c stir i � x � '.- �F'�ED I,.1D.e/tG O►.II-( A�1C �aJn��..0 � `' � �� CI`'l � •�� t...� ��r Grp' (.X� � r` )� r'Y:�• -V'-�, l l.t�1E �'�b1�1�_" i 4 r~ r_ - Too cF C 9"i a i i1J l _ im 00 t J G(r too x S tici i txz Q '`� r-AC.I L 1 T`( r � - t7�CD��o►� � , r o rPp��.. _ _7�0 G��'1 G��;AIVk-y'.nod �t�OSCf GPD x = ` -_ GAL USE I o c G n L,.C6� Ya►J k. 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