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Home My WebLink About0040 STONEY POND CIRCLE - Health w 7 �}f' o TOWN OF BARNSTABLE LOCATION 5T6oV SEWAGE # VILLAGE IZVj S I�l�?� 1 ►/ 1L45ASSESSOR'S MAP & LOT, �. INSTALLER'S NAME 6t PHONE NO. � � O� SEPTIC TANK CAPACITY L. LEACHING FACILITY:(type) C (size)-yo xlv 1 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER v BUILDER OR OWNER . DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No cz (J -42 ` -A ry r o b'y 'Z �l NO—S .. Fizs .. .................. 31 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTf ......./4;�4;'^'................ ...OF....... 2.!v 7.�3Z.4 .----------...._..........-•-•-•--------- Appliration for Uiopooal Works Tomitrur#ion thrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at Location-Address or Lot No. •--.•-- �1 ��r -,max!- -.-.- `' �S r-Fr�c ?rr --..�, aa t ........................... caner Addr444 - ess ..............! 11 A c ��li/�� Installer Address Type of Building Size Lot-----es.7¢_/./r-.?......Sq. feet U Dwelling—No. of Bedrooms.._......MMe......................Expansion Attic (Alf)) Garbage Grinder ('00) Other—Type T e of Building No. of persons............................ Showers C4 YP g -------•-•------------••---- P ( ) — Cafeteria ( ) p'' Other fixtures ............................... .. W Design Flow.................................S. '_•__gallons per person per day. Total daily flow........................ .........gallons. WSeptic T _lquid capacity/.V-*..gallons Length/Q�-Gz".. Widths. _s `�. _______________ Depth z` "- x Disposal i1'�eh—No. .................... Width....40.......... Total Length_._'40........ Total leaching area.._..----sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( &�)- Dosing tank ( ) Percolation Test Results Performed by..... ---------------------------------- Date...r.�!._!._- 7........_...... Test Pit No. I.._...2....minutes per inch Depth of Test Depth to ground water.._ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wat , pq-OF��sr yY . �� --••------•-•--- ct r II- Cl O STEPHE-N Description of Soil-------0 2A--3 =>� , r� c Ftt L-Y, `ram, . W ----------------------- --------- •--•-•--------------------------------------------------- --------------------------- ------------------------------------------------ -----Vtii SE3t1F-----• in x ..-•-•---------- ----------------------•---•-----••-----------•-•-•---------•---•----•------...----•--------•-•--------......-----•----------••..................••••.... .A 024 o_.3D216�a�� U Nature of Repairs or Alterations—Answer when applicable................................................................. Agreement: ws G The undersigned agrees to install the aforedescribed Individual Sewage Disposal System i accordance with the provisions of TITLE 5 of the State Sanitary Code—.The undersigned further g ees 1 the systen in operation until a Certificate of Compliance has been issued,,bppy��the board of health. �' Signed. _ tIrL j .,...�:�l-�� to ` Application Approved By. 0•••. •..._.. _. ••----- Date Application Disapproved for the following sons--------------------------------------------------------•------•----------------------------••-•.•••-- ....... ••---•..............•----...-•---....----.....--•------------...---•---------------..---..........------•I--•••------•-•--•--•-••----••-•-----•••-•-••-•--••-•----•--•--••--......----••......•-••-•----- Date PermitNo.. ------------------- Issued_....................................................... Date ._....__.... ,_____..__----------- —--------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH AV' phratiun for Dispuual Works Tonotrurtiun ramit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: ------..d.1-AC.4Z --------------•--/ T ---�� Location-Address or Lot No. ,y ..... ...... 2�„f�. !_.::.�S�':.........•............... . .............--._rfa .... .�� .. .....S..C.l1.G.. ..... ........ ner ....................... '��,,,:y;; %ir; �� .......---- Installer Address Type of Building Size Lot..... .....Sq. feet U Dwelling No. of Bedrooms..•......T l:tCsa:....................Ex Expansion Attic 4 g— p (i✓) Garbage Grinder (�) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------•---------....---•-----...--••-••---....•••••••-•••••••••-••--••---••••----•--............-•----........._-----............ Design Flow........................:_........:. _..gallons per person per day. Total daily flow........................ . .........gallons. W Septic Tauk� iquid capacityl Disposal O..gallons Length/ .=•<-r=.". Width..�.. D' ................ Depth cr:.'.�%.... x IT-Feneh—No -------------------- Width.....Ir?.......... Total Length....:?.._...... Total leaching area..-_f! ---sq. ft. Seepage Pit No..................... Diameter............ .._..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( t-4- Dosing tank ( ) '~ Percolation Test Results Performed by..... � .%..__ �/ •--•--------------•-.-----.------. Date.._/.. _ .� yA2 Test Pit No. I.......2-__-minutes per inch Depth of Test Pit..... {? Depth to ground wa tz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground w �' OSoil SAL"L'YV Description of _... crag/,�h- .: a...... �. � .._....._ O WitSf9i�}...._. -v W _........................................•----•••---------...._........_._.......•-•---........-••..........••----.....•---•••----•-•-••-......................._.._.. ...... x .....................•------••••••-••-••--•--•••••••••••-••••••••••...._....•••••-••-•-••--...--•---••......•-•-••••-••-••••••••••-•--••••......-•-.....---•-........... U Nature of Repairs or.Alterations—Answer when applicable................................................................. •--------------------------•----------.........----------------.................._...-._..-----•-----•-•......--••-•----••-•-.._.... Agreement: zZ:.V- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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_ .� �b'-JU_ 4L.jap i' -. Date Application Approved By. .... '• -- ...-••-----•- / ��- `� r V V&A. Date Application Disapproved for the following ons:••••--...-•---•.....................•---•••-•-•-•.........••---......-•-•-----•-._... Z..._ .................•..............................................................................................................................................0..................--Date---....------. -(.L.-Permit No.._ -U...--->y5................-.... Issued-............................ ............ Date •----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........r0W../L).............OF....... R.1LI 1 ? �.E.................................. (Irrtif irate of T-amplinurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (P) or Repaired ( ) by.....V!.L.4*74K- .' ..........'nus mue.7"IeG2hu-----------------------------------=--------- ...... - .._.. -........---- - Installer '....._..-.l!�l'.* t 7"?tl�? 1/�.. .5.,../`y� ------ has been installed in accordance with the provisions of T to Sanitary CoVes d c In the application for Disposal Works Construction Permit No. -'--ti../ > _. dated___.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.....................................................0.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �sl�. �' 1( ..............OF..... lt [�1• IL --........................._........ ...............V No. 1.;1 ......---- Fn. .. Disposal Works Tono#rurtion rrrntit Permission is hereby granted...keLV/_.A-2..... ....T..... ......0-U-42Sr7'S(1.('.7':(.Ol-. . to Construct ( )6) or Repair ( ) an Individual Sewage Disposal System 11. 1 aat No... J1? `5T13.F.f.._._ l 9 � ri4:......... Street QQ, JJ� as shown on the application for Disposal Works Construction Perrnit N04F. !_-- Dated...._ ................ J ........� ��J /: Board of Health DATE.- FORM 1255 A. M. SULKIN, INC.. BOSTON rQEt�.a2o.co"- 6munc0- r��-�._ _._— -- '. waJcc .is G S¢,7S as /Jre-- �/o oltv.�i16*7 -/�--fin-----------------------------•-----_ ----._.. . -'-_ ---' xm -------------- �. f EST BOLE __ . WirNeSS:T Dunn,� FG• c �3.0 '_� � ` ^/ � � � i ,•�•' T i bz,1 i� � / loo3r44 24q— So. V QOx IAIV Gam. �O ��•; p - W'.f`y Ala 1 emu_ &k So,1 0E.2T T.U1JT Tf-/� .ir�i✓�S Sh/OWit/f,/E,eEO.C/ Tunc - A /O SETBACAG 2EQ!//.2E�'1E//!"S' OF Tf�/E 7—ot�siiV 14,E COCA TEr:> OATS: G-�Z2-Y>� L Ca V>c, ,ESA XT,E,e NyE /NC. o(/oT BASSO ON.4�f/ .2EG/STE.2E0 �O SU,eYEy2�,c� /NS�-,e!/iLlE�c/T'Sli e�EY j� Th�� a�TE.21i//_/Z= IVpT- e9,K-- .wT 4///�S. .4 11,44/c qNr' QE��.NFy. rY TX'vST 7 1 i__{.;1 Ate 04 L-oT/o Bd�m 5; Hog / t \ &z L� \64 i( V� STEPHEN ppg ALLYN LOT /O ay: �,a9 �e,:rgY�F'/"-:=: :4 SJaNES/ r�oN.O C/.2GLE R�;k€�1's ,. RCU15E0 6-ZZ-88 5.A.W s 1 5HE6-1 z. 01 3 i wt a,�c r Vt� 3Cfl2. -Cp2CoZ ,. _ hN h� OW-4 SO,d S t�ssev 6D W�+,r�rL A o.s usrm-e(un f / oq7-470 3 g9.63 • O W1 ' 49 ow-3 I 48 I FIGURE 6: GROUND-WATER CONTOURS , LEGEND OBSERVATION WELL ' —52—GROUND-WATER CONTOURS S--► DIRECTION OF GROUND-WATER FLOW SCALE 1: 1320 Pince. ss,!5745 7