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Home My WebLink About0264 TURTLEBACK ROAD - Health f TOWN OF BARNSTABLE ®e 1117195 LOCATION \ q�m SEWAGE #q - 308 VILLAGE .M . ��L ASSESSOR'S MAP & LOT 06 0,3 INSTALLER'S NAME & PHONE SEPTIC TANK CAPACITY t 000 LEACHING FACILITY:(type) � bbO qAL- (size) V,� NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNEE a Rm, DATE PERMIT ISSUED: Iq DATE COMPLIANCE ISSUED: 14 VARIANCE GRANTED: Yes No _ s Y ® 13, , r to NO.. ..k__-....` _ Flcs......�.. .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Di phial Work.6 Tonfitrurtion ramit Application is hereby made for a Permit to Construct (j/ or Repair ( ) an Individual Sewage Disposal System at: zo�t'-� ----'-------- ---- -------------•------...--.-------............ ocahnn-:\ddyss -Lot-No--•....'..................--g...__.+1��4�?�,•e C,a-r�r _ ----- --�� c.«C�•er�e.l�c� ��✓✓'ecc.sz PA<i�S /►1t 1'S ....................._.......-•-- ••-----...---• -----------------•------- Owner Address W ........................................... '----•_.-'.._..._... _._.._._.- Installer e/ Address T U Type of Building h? iQUM S Size Lot..13.,6 Sq. feet c.> ,., Dwelling—No. of Bedrooms__________7 ____________a'_W_AAe✓(1',,.xpansion Attic ( ) Garbage Grinder (PQ aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures_.................................... W Design Flow._._.._.�.�.Q......:.:........:..____gallons perp r�day. Total dail-------flow Diameter................ Depth.. ..-8_...... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No-------I............. Diameter------L�._.___.__ Depth below inlet... �o_. Total leaching areak78........sE1746P j> Z Other Distribution box (4,< Dosin tank ( ) Percolation Test Results Performed by.._. -(-:��.e..�_.._1.... r./��..._�-_S._ Date... �.��''��____........ 1 Test Pit No. 1................minutes per inch Depth of Test Pit-- a.,-__._--___ Depth to ground water.-N_.._._..._-0"6 ....... . LL, Test Pit No. 2..L- -....minutes per inch Depth of Test Pit... .............. Depth to ground water-_!YPP.IY-........ ..................•-•••-•---••. x f..................... --.....-............ . ........--------------.-f'k 0 Description of Soil_...t-�"...........Q_-A.....2!?P:l'.5..�_ Sad-•�---...X- 1A-----C.tir ------_�► ate e±n 5la�!� !x'-,.l (G x --------------•------------------ ...................................................... ----- P° S ----- -... L/---- . `'' r„ `�` '. . ............. 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 Envir ental'Crode e undersigned further agrees not to place the system in operation until a Certificate of Com lance as een '`sued b the board of health. Signed ....... ........... ........................... ....I--��.... .........:... .........._� ................................... Application Approved By . ....... � ........... / Q Dare Application Disapproved for the following reasons: ......................................... ............................................................................................ ..................................................................... .................................:.... . . .................... ... ................................ .... .. ........................................ Permit No. ..... -{�'`-. Issued ......... ':..l.....`�'. .. Date...... Dace .TT.. q i N0.2iA....... Finc.............................. THE COMMONWEALTH OF MASSACHUSETTS I BOARD OF HEALTH - TOWN OF BARNSTABLE Apphratiol ' or Diripotial Wor1w Tomitrurtion "nutit Application is hereby madejor a Permit to Construct .0,1<or Repair an Individual Sewage Disposal System at: ..............j.e �..................................... ......4q-T--'3 .....14i 71�.................................................... Location-Address t No. ..............aarj..Althh L:9... ..................... ..7-7...C ...... / .. Owner Address ..................................................................... Instiller �Q-----------------"--- ----------------------------------------------Address............**"*--------------*--------- A.4, t� type of Building S Size Lot..13,��g......Sq. feet U Dwelling— No. of Bedrooms.._..._]1.4!---3._'_o_�A4ezfExpansion Attic Garbage Grinder (t,)Q aOther—Type of Building -------------------........ No. of persons___...__.._..........._.._._ Showers Cafeteria Other fixtures ----------------------------------- 1� --------------------------------------------------------------------------------------------- Design Flow......_.I./.0................... r agpson per er day. Total daily flow..__......�J61 _2(�P>.......gallons. ------ C4 Septic Tank—Liquid capacity),aQa-Lal Ions Length.b'-'.�...... WidtO---/�....... Diameter................ Depth.."Ea....... Disposal Trench--No..................... Width.................... Total Length....___..........._. Total leaching area....................sq. f t. Seepage Pit No-------J.......... Diameter....../X'........ Depth below inlet.....4�_,.......... Total leaching area478.......:sq_ftG-?_j> Z Other Distribution box Dosing tank ( ) .,Z Percolation Test Results Performed by... 67�n mwz:.te,.ky...*,t5.. Date..--,-- .......//............ Test Pit No. I................minutes per inch Depth of Test Pit-lY........... Depth to ground water._N.9N4......... 44 Test Pit No. 2_4�.-....minutes per inch Depth of Test Pit---t.,v........... Depth to ground water..Npp...E........ 9 ................................................................................ ---------------***"*........*----------------- ........ 0 Description of Soil....-L.P.n.4....0.- ...... U ........................................................................................ .....4..............................I................................................................ ........ ...................................rj)..2...... ...... ............ .. .... U Nature of Repairs or Alterations—Answer when applicable............................................................. ................................ ................ ........................................................................ .............................................. Agreement: 61 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envirowffe—ntal-Ne r_Tb_!e�undersigned further agrees not to place the Sue�d�Bt.ne..Doar o -K I h I],._] b system in operation until a Certificate of Corn iance as -eeril L h board f, ea t Signed -------------------- .... I .......... ....... ..... ...... ..... . ....................................... Dace ApplicationApproved By .C...... .............................................................. - Dare Application Disapproved for the following reasons: ------------------------------------------I-------------------------*------------------*------ .......................... ................................................................................................................................................................................................................ ........................................ 7 D,, 0. ..... .5 Z__ .............. Due Permit N . ... Issued .......... —————————————— THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (1,-') or Repaired by ------------------------------- ------------------------------------------------------------------------------------------------------------------------- at .... j..._....Tor �D................................................................................................................................................. has been installed in accordance with the provisions of Tl'fl,F5 of The State Environmental Code as described in the application for Disposal Works Construction Permit ....... dated ..e.—_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE 6 ....... ............. Inspect((r.............. ............. ........................................ ...................... ------- ---------------1----------------------I-------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ...... . ...................... W , Rapooat Worbi Tonstrudion V"amit Permission is hereby granted......... ................................................................. to Construct ( &)-or Repair an Individual Sewage Disposal System atNo....I.C.t.ZLt8--- ------------------------------------------- ------------------------------------ -------------------------------------------- Street 4_7 as shown on the application for Disposal Works Construction Permit N Dated_._. ........ .... ................. �7 ------------r----------------I--------------7. DATE....... Board of Health ---------------------------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS