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Home My WebLink About0068 TUPELO ROAD - Health 68 Tupelo Road t Marstons Mills A= 057 — 106 l TOWN OF BARNSTABLE c— LOCATION SEWAGE # 91 VILLAGE 1Ma Ci�v,s ASSESSOR'S MAP & LOT ®Sr 7,. Ib�; INSTALLER'S NAME PHONE NO. •1. Qi'i toll 771- SEPTIC TANK CAPACITY (S()D �ti(.(vy►s LEACHING FACILITYAtype) �g�� ►`� (size) !J 006 f j l t j NO. OF BEDROOMS—PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER �yyS�al ��",ld',�� Co. 71 0%9Y DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yeses_ 0 9� Lo4 �2 THE COMMONWEALTH OF MASSACHUSETTS bd BOAR® OF HEALTH TOWN OF BARNSTABLE Allpfiratinn for Biipnnal Vorkg Tomitrnrtinn ramit Application is hereby made for a Permit to Construct ()Q or Repair ( ) an Individual Sewage Disposal syt: ... ..... --- - -f. a�------------------ --� .............................................................. c lion-Address a' of N ra - .................................•-•.---------•--------------•--- 9 s ............................................ W Owner � ji�A -%� Address a ..__... ...................................... ..................•-••-----•-••--••........._..................----...._.......................... Installer Address ,,JJ Type of Building Size Lot_'V3( S61.....Sq. feet ,., Dwelling—No. of pa, Bedrooms ________Expansion Attic Garbage Grinder Other—Type of Buildinl/ _No.__of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .................................. x�� ---•------------------------ W Design Flow. lr gallons per fl �r Per day. Total daily flow.. .........................................dons. WSeptic Tank—Liquid capacity.1.00.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing to ~' Percolation Test Results Performed by.. . ------------------- Date...=�----�t 6............ -----......----.. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rZo Test Pit No. 2................minutes per inch Depth of.Test Pit...:................ Depth to ground water........................ P4 • -- ••. 0 Description of Soil......... -•-•.. -------------------------•--••--------------------------•-------------•-------------------------------------.------------- x 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli e has been issued the board of health. Signed ...� Application Approved By ..............431owing �!-- ------- .................—......-------------...................... '------------"Da[e'-------------- Application Disapproved for the reasonr: ---------------------------------------------------------------------------- ------------ ------ -------- ..------- .................................._.....---........................------...........................................----.............................................. .......................................... Dace ---- PermitNo- -------------------------------------------------------------------- Issued ------.--- -- ------....................------------.......... Dare r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -TOWN OF BARNSTABLE Appiiratinn for Disposal Works Tonstrnr#inn ramit Application is hereby made for a Permit to Construct (`Q or Repair ( ) an Individual Sewage Disposal System ... __. ._.......1.......y........................ .................. .. .._... .. ......--.--..................... cation-Address C or�I of No. ._._%' . ... .. ...�5" C ..:........ ................... Owner.... �f�" Address Installer� Address Q Type of Building Size Lot.yr.5. .....Sq. feet U Dwelling—No. of Bedrooms..._._.___._...............................Expansion Attic ( ) Garbage Grinder (Alo �+ J/ 04 Other—Type of Building/�a�) -f-1j6fPLA-. No. of persons............................ Showers ( ) —,Cafeteria ( ) P I Other fixtures�� ------------------------------------------ W Design Flow.................. 1 ..............__.gallons per prrper day. Total daily flow.......__.__.33U............. gallons. WSeptic Tank—Liquid capacity.. gallons Length................ Width................ Diameter__-____-____._- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-I Percolation Test Results Performed'by._.._..�� -��?---)` = "...................... Date_.._. _�_�a6 ,� ------------------••--. 4 Test Pit NoY 1+ .---------- per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W • =................................................................................................_...•---•---•-•.........•-------••••-•----••------•----- 0 Description of Soil----------1 � ' ....12Y1n....................................................................................................................... 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance b/ce has been issued the board of health. Signed ._4...�.. -- -/................................................... ................. .................. Application Approved By .................. __ 1{��?.� ,-•- Dace Application By for the o lowing rea.ronr: ------------------------------------------------------------------ ---------- ------------------------ ------- ..........Dace.................. PermitNo. ......................................... ....... .......... Issued .............................................................. .. Dace 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cezttft. atr of Tontyltanre THIS IS.TO CER�T~IFY, That the Individual Sewage Disposal System constructed ( X ) or Repaired ( ) by.:.. .. ....................................................SL0e L ....... ._ .--- ---------------.......-...... ---........-- -----------.--------..........-----------------.........------------------------------------------- Insraller at ......L V T f�... .T U PG A-0. /�---rD. ......................................................✓Yi . d j .................................................. . ................ ............. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..........-�'.a-- --- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SAT IS ACTORY. DATE..................... '� ...`".. --. :... ....... Inspector ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r TOWN OF BARNSTABLE � No..... . .:. .� FEE � • --•.. ..... Disposal Works Tnntr firm unfit Permission is hereby granted..__._. `._/ 2 5 6 0/( ..........-•--- ---- to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at No......... 4. 7------(-----�(J ? U /n . 41 /LLS ------•----.....--- -------------------•---•-----••••--•---••-----......................................... Street CC,,�� as shown on the application for Disposal Works Construction Permit No..l�733.7. Dated.......................................... ........................... ----c--- -------------- Q Board of Health DATE...................... l.../.,. ..................................-- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS 51146LZ FAMIL`( 3 $E F-CoMjr FDA I L-( SEPTIC TA� 33otir:�%-41i5 Li. vSI: l500 216FMA FIT I Coo GAS- 1-7- 'BOTTOM A254, - 1i�5F \ 7b I.o s -78 4pD. \ lG T9TA(- i16N G4S 6fP, `rorAL VAILY rLOV = ;-�o �-po \ [�E¢GaLA'hoN QA7E . _ 1"j1 Z IQA,6SS 43`1 S(o ---� z PIT- oj 119 F Pam- . � Toga OF 0,1q $A51Q 1 : T�5 Z' .• 40LE .12'2'g El [6 /, Q s - I �loV 1'f•TF �OO�F� S 1�_ --can-_ --�,cR-rfi 777Ur77yo lda P V.C. 1 w� 1�v I GOP' 1�r 64 z MKT INV GAL OCc: 3 4 13 S�ric �i 8 GAL TaN� 1. . SL �IJ 2,3 w,dFg s. PETER SULLIVAN CK=S, M z r o. �5733 i � . � F' op l i LoCATIott 4G4 LG—, D4Tr= cF y��, I .. .. �7zva�p. r; PLAN RCRQJC.E l CEZTI Fy �t744AT TEE w xEA 4 WN OF A+•tD 15 {.� l-ocQT�D wIT:�I tJ 1-N� �LDOD `_ � '=' `;`:1(r l4. �-otll wa $d XTtsz NYE INC., i� ?2oFE%lC JAL LAOD SueV�-yoz5 + ` ` 7 I FL4 W I S N Or ?,64ED 01J MN l�15TLvtit EST' c 1 L C-�,1G I N Et[. surzs✓V-1 Al D rNE OF[::SeTs 440L)�D uur -aE o E 5 uSC� T'o ESTQ•i:'�-Is(-� Przo�erzT�J l.a�1c-S rzvtc.c.� titA4� , APPLICANT;