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HomeMy WebLinkAbout0003 TURTLEBACK ROAD - Health 0 '7 cl-,5 To— L .� TOWN, OF BARNSTABLE LOCATION V rVW- gc�CJ C � SEWAGE # VILLAGE `'1,C,,:,JU^ Ni- ASSESSOR'S MAP & LOT 0 U� INSTALLER'S NAME & PHONE NO. (,� �� 7 SEPTIC TANK CAPACITY ,t 00 G6' ,L M-9 g XG Pif v0 ,?k5JK 11 LEACHIN�CILITY:(type) P'lg (size)Is NO. OF BEDROOMS -3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �0 DATE PERMIT ISSUED:,L DATE COMPLIANCE ISSUED: ~'''�-� / VARIANCE GRANTED: Yes No A A6 oij f'iA- S0 /A +0 lj Pry R Av c, tro-LIC ,3.0 0�2 r ASSESSORS MAP NO' aq F PARCEL NO:___.in Z THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apptiratiun for Bi_npuittl Wurku Tomilrnr#inn Famit Application is hereby made for a Permit to Construct ( ) or Repair (V an Individual Sewage Disposal System at: ... .. .......... ------M----------------- ................................................................................................. *� \J Location-Address or Lot No. Owner "Address � Iustaller Address U Type of Building Size Lot............ . S q. fe Dwelling— No. of Bedrooms........................._----.----.--.._ ( .Expansion Attic ( )Showers Garba e Grinder ( ) a Other—Type of Building --------------------_----- No. of persons..-.....__------. ( ) Cafeteria dOther fixtures --------------------------------------- ----------------------------------------------- ------------------------------------------------------------- W Design Flow--------------------------------------------gallons per person per day. Total daily flow-..-----------------------------------------gallons. WSeptic Tank—Liquid capacity.A.-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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.-.----------------- Depth to ground water....-..-..-.-----.---.-. ;3, Test Pit No. 2................minutes per inch Depth of Test Pit..............--.--. Depth to ground water..----.................. a ------------------------------------------------------------------------------------•....-----------........................................................ Descriptionof Soil........................................................................................................................................................................ x w x ------------------ ---------------------------------------------------------------------- --------------------' -, rr ----- Nature of Repairs or Alterations—Answer when applicable.-...tK1 V....:L.....-li-{t: i (,�--------G/�(- U P - C �s.... �,.G� -------------------------------------------------------------------------------------- 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 S fned Compliance has been is e board of health. I c S, Y P P / i _ Dare Application.Approved B L .... '�/= ` -- ----------------------------- cZ "- '- �!PP PP Y ...: ..... _.. . .._.......... .............................. Dare Application Disapproved for the following reasons: ...................... .............................. ------------ ------------------------------------------------------------------------------- --------------------- ------------------------------------- Permit No. -�1.... . .... Issued .......t�........L..... .1 - . Date r o`1 7 � -21 -� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apph ation for Diripw3al Wnrkii Towitrurtion Vantit Application is hereby made for a Permit to Construct ( ) or Repair (IV/) an Individual Sewage Disposal System at: .... M M.......... .................................................................................................. C Location-Address or Lot No. ....................... .. ----... ..... Owner 2lddress .�� c�. .............................�"1G S�. Cc<• -_ CQn-S-.' C p f c-�. <<'� ;S /�+ Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms------------ -----------__________--_-_-Expansion Attic ( ) Garbage Grinder ( ()' Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) A4 Other fixtures _______________________________ _ _ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.`_-t_�__galIons 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I________________minutes per inch Depth of Test Pit-_-_______________._ Depth to ground water........................ IX4 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ P14 ..........................................................•-----•----------------•--.._..-----------......................................................... 0 Description of Soil........................................................................................................................................................................ x V ---------------------------------•--------------------------------------•-------•--------------------------•------------•-••----------------....--------•---------------------------...----------------- W --------------- ------------------------------------------------------------------------------------------------- ;----------------------------=-------------------......._. U Nature of Repairs or Alterations—Answer when applicable..__- !C1d----_- -_.µJi_f.4:c� �.L.._.._.__4l $s .. ...C--�e s --•• o �- ----------------------------------------- --------------------------------------------- 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 has been is��e board of health. Signed ------- -- --- ---- ---------------------------------------- -------------- .)..�...�..(l..s...-:...... - Dace .�.,•, Application.Approved By --- --------- /--- -- y/J �^J �/y��//'_ 6%^E'I`�' �---Yam"` -- ....--- -----------------------------_---.----.--------..------ `�"""--.---•`"-�`e-----�`-- Application Disapproved for the following rearon.r: ........................................ ..-.-..--------------- -----.----------------------------- .................................�........... ... .................................................. . -..-.............../......- ..................------------------- Permit No. ...-� 7 �..�` l.... -- _. Issued ....... ..._:.-1...... -Da e Dace �..m-----e—o-- --®—.—�.�>._�.�-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifira#e of;C omplianre THIS IS TO1 SCE TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( V ) by ........... SCc�.A �!L _--------------------. -..------------------- -------------------------------.-----------------------------.-.-:.-.- at ....._..... .'Y�J.e- l ...... r_-C._u--------.R O h,aue�---------------------------------------------------------- has been installed in accordance with the provisions of TITLE �CO:NSTRU he State Environmental Code as described in , the application for Disposal Works Construction Permit No. .... .�,� dated . ........ .................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E -A AS A GUARANTEE TH T THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ---- . Inspector ..........:........ -- -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 9 TOWN OF BARNSTABLE -� No....................... FEE... ... ---•-•--- �i��n�tt1 �rk� C�aa��tr�ti�n �rrntit Permission is hereby gra ttedd----- C-C--0 T--f ~L_( "--------------------------- .......................................................... to Construct - ) or Repair (V ) an Individual Sewage Disposal System atNo--------------�.---��..=---53.�.G( —------- i . �A .................... Styas shown on the application for Disposal Works Construction Perm ��-_�f Dated____j__`���j� �-.. 7 DATE----------- ------------------------ Board of Health ------••----w---/--`_.-_..------------ FORM 36508 HOBBS&WARREN-INC..PUBLISHERS pl- TOWN OF BARNSTABLE L �y�� / a LOCATION - .0 /71d1e ��br g� P SEWAGE #FG 's VILLAGE /�/A ST o�✓, ✓/l�� ASSESSOR'S MAP & LOTAJ©e�>•- 0 INSTALLER'S NAME Cz PHONE NO. ha CG„ -f qA / d SEPTIC TANK CAPACITY V LEACHING FACILITY:(type)Lc-.4,Ni'i'7 (size)/,2 � -/ L33`s•764 owl Q NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER ®\BUILDER OR OWNER SST. is -5 DATE PERMIT ISSUED: — 7 DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,. I o � �� 7 \ i �b f a �� �° �� � i 5�a ti- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �..0. .. ................OF........... !'.»S .C'.0 e.--------.............................._ EK_ Appliratiun for Disposal Works Tonstrnrtiun jhrmit Application is hereby made for a Permit to Construct (JU or Repair ( ) an Individual Sewage Disposal System at: oLck � �� � ,s ...... •-... .. .,�.. ........................ ........................................ .................................. Location-Address or Lot No. Owner .Address a •-- Ch... QnS L`_UCfiL.0........................................ ........................ Installer Address Type of Building Size Lot_ZO, SO O.....Sq. feet U Dwelling—No. of Bedrooms........�...........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Is, Other fixtures .----•-••---•----------------------•--------•-------...-------------------••--------.......----------------.....--------------.............---......._. W Design Flow.............5 S......................_.gallons per person per day. Total daily flow........Z, ........................gallons. WSeptic Tank—Liquid capacity..16Q ngallons Length_........... Width._S` ...._ Diameter...__............. Depth s._.L...... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..........I.......... Diameter.......tZ ._.... Depth below inlet.....4`......... Total leaching area.q l?---( P(o Z Other Distribution box (' j Dosing tank a t � Percolation Test Results Performed by... .:......................... Date.-�....Z' .� ...... 0-1 Test Pit No. 1..Gz-......minutes per inch Depth of Test Pit...�.`�`��........ Depth to ground water.tls^e....:gy:n,�v�w1e fT Test Pit No. 2_.�Z......minutes per inch Depth of Test Pit---!3±'-....... Depth to ground water..xwr�.._ ?"`Cevw P R+' ---------•- ----------•..................... ODescription of Soil---....S-C-:e.........010,n.---•-•---.....•••......................................••-•-----------------------.........----------•-•---.................--- x 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 iITi..L 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss edQby\the board of health. ` 1 J� igned-------- - ` �7- - -------------------------•-----------....- - -----k ./ lat7 O ApplicationApproved BY....................... ------- -----......_._ .. ..... -•-- ------------•-•------- Date Application Disapproved for the f ollo i g reasons:-----•-----------•------•--...-•------------------------------•-----------------.......---•-•------------....... ..••-•-•..........................................••---'------------------------.............-----------•---....---------------------------------------------------------------------------•-------_..._ Date PermitNo......................................................... Issued....................................................... Date ` ► - _ ` yr ,.. No.-.... ?_...... "'' Fss. .............. THE COMMONWEALTH OF MASSACHUSETTS «®w BOARD OF HEALTH :,.:�tw.►'1....................OF............I C�v.r 'ta..Lee---------------------••----------------- Appliration for Disposal Works Ton&nrtion Vanfit Application is hereby made for a Permit to Construct (/K,) or Repair ( ) an Individual Sewage Disposal System at: -aa . ............... ...---� ............................................................ Location-Address or Lot No, l .. .................................................... ........---------------- .... Ow per Address /1 ....................................... { . Installer Address Type of Building Size Lot... ....Sq. feet U Dwelling—No. of Bedrooms.........�-s..............................Expansion Attic ( ) Garbage Grinder ( ) '- Other—Type T e of Building No. of ersons............................ Showers — Cafeteria PH YP g P ( ) ( ) a' Other fixtures _.... -----------------------•---.-...-- d --------------•--------------------•---•••......•-•--••••- Design Flow.............SS....................... per person per day. Total daily flow.........Z.?42........................gallons. Septic Tank—Liquid 'capacity._!:in sagallons Length... ......... Width... ._ c Diameter--.-_.------•... Depth.:_.l...... Disposal Trench—No. .................... Width........ 4............ Total Length.................. Total leaching area....................sq. ft. Seepage Pit No........... 2_4...:-__--- Diameter........� _..._. Depth below inlet...... .......... Total leaching area.A-`-10-_J...%, t PA Z Other Distribution box Dosing tank Percolation Test Results Performed by._. k.? _<..Y1"_.....t!±c.:........................ Date..__.Z-(o' _`/__.... Test Pit No. 1... 2--......minutes per inch Depth of Test Pit...l-`4.......... Depth to ground water.At5.6�..._?t?C��ti � Test Pit No. 2__G_L......minutes per inch Depth of Test Pit...!.`V`#.......... Depth to ground water---,rzs1<.... t� ' .<e_ ........•r O Description of So"..... � ra!'1 U .......................................................................---•-•--••---•-••-•--•-••----••••--••-----...........---......•---••••----------.......•••-•--•----•--•••............---•--••... w U Nature�of Repairs or Alterations—Answer when applicable.------------------------- ._._............................................................... . e --------------------••--••--------------------------------------..._............. ..------•-----•-------------•--•---•-----•-•----------...--•-----------..._..------•-•--•----------------------------- ' - ,r Agreement: ' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by the board of health. &4 Signed.. ---........................................ /� Date Application Approved By-•••-•------•-----•--- ... ... .. . . ...................•.... Date Application Disapproved for the f ollo i g reasons-----------------------•-------------------------...-----------....------•----•-••------•- ...................... --•--•--•-•--••------•-------•-•------------••----------------------------•------•-------....-------------•-••---------•---•-•----•--•-----•----••-----------•••--•-••-----••--•----•••-•-----.......... Date PermitNo........................................ - Issued..----...---..... ................................ i Dactee THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..... t.� .............OF..................... .....�.............. ............ Trrtifiratr of Tomplittnrr TH IS TP CERTIFY, That the^Individual Sewage Disposal System constructed ( Kor Repaired ( ) J . Installer 4a .............................................. has been installed in accordance with the provisions of TIT "� 5 9fThe Sanitary Coded bgd�in application for-Disposal Works Construction Permit No------- .... .. dated...................... ............... F�, THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM -WILL FUNCTION. SATISFACTORY. � DATE................ . f --. Inspector........__.:.. -•--- -_.-�.-....p........ l THE COMMONWEALTH OF MASSACHUSETTS A t� BOARD OF HEALTH No...�j/ _ O F....................... (;,)......�� FEE........................ Disposal Works Tonstru 1 Mon l rrmit Permission is hereby granted--------•-•----•--. •--•--..... ,_1,.Gh A tj.Ar0 .C-.0.!1........................................................... to Construe ( ) o Re it ( ) an Individual Sewa�f isQot.. s at No...--` _ ._l.S�h O. _.. Street U� as shown on the application for Disposal Works Construction Permit No.....................t >ar Hea lth --------------------------------------------- DATE V �.... - --------------- " -,� A Cld -- d t sw+ Cl >4 -- NOT' ExTEAt/Z:> F-�LL F-3PPLlCFISLE flric� c�J-ound Pr-o,^i/e w , MAA_1j4OLE COIIE�S To �JJT141AJ exJs —o—o—o—o nd Prof I/e C T O /v vE IE' T: S cALE . / " /o� Proposed 9rou _ /2" O F F/ti!/SHED' Ca•,�f9 D C- FLO(-J - r' 2" / er of SCHE D. ¢O P. V c. oR rn/n/mum er f oo-f EQUAL 7-01SE Tic 3�a"p as Lane ANK t — i TT• 7 all J t - r-)/ST- SOX + :dU jj • Ny� _ /0O0 L. JS& PT/C TAA✓K ticzs'hed scene r C T / L L ERcH P/T r 7~ - S 7 O L E- L O G / . gEI�� OONT :HOC15E OATS- c_-'=- -�,,,_ T T BY• ti \ Q 1 �r7 o di sP o.Se r w I T n J �Ifv.�iAvc N J . �, '� _,,.-- of t -. - - G. C�t•.l - �� _.� RL S � � F RfAT� �' G . DAY -- 1 .$EPTlC Ti9/�/k.; �. : X Lrfi�� '= ,ql,/� t L. f . , 51 DC Wt9LL: a-`5 377.0 G.P. 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