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HomeMy WebLinkAbout0026 WATERFORD DRIVE - Health cow l��- c�Z �3� � - � �-�n s � TOWN OF BARNSTABLE X , �+ LOCATION_ 2 IV /",/SEWAGL VILLAGE ASSESSOIVS MAP & LOT a.-0,3C; INSTALLER'S NAME 6i PHONE NO. / � b ../ : 7/1USib SEPTIC TANK CAPACITY Ate- LEACHING FACiLITY:(ty � � _ ,` � (sip) Ion (7*z-. NO. OF BEDROOMS -PRIVATE WELL Olt UBLIC WATE BUILDER, OR OWNER 6D . DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: O VARIANCE GRANTED: Yes I 67A, M � 1 TOWN OF BARNSTABLE LOCATION L 6'� �-3 ��' � �da 2 -rlS SEWAGE # VILLAGE C ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. �� . fls��c.a�� �-� SEPTIC TANK CAPACITY , 6 6 O LEACHING FACILITY:(type) �`� (size) k 0661A" "s NO. OF BEDROOMS- ­�_PRIVATE WELL OIK PUBLIC ER BUILDER OR OWNER A\�5`4 , Co. DATE PERMIT ISSUED: L( - 13 -qq DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 13 �. t 3Y e I R' r�L t/ OO Ly No..12.•'-1 FEs.....40 a......... -7 1 S'� THE COMMONWEALTH OF MASSACHUSETTS (J BOAR® OF HEALTH TOWN OF BARNSTABLE App iration for Disposal sal Works Tonstrurtinn Prrutit Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal Syst -a- - ----------------- '-.....• ----•---'• ---•'---•-----'----'-"............---'-- -oc4oA dres r Lot No. ..:............................ ........ ..... . ....................._........• ................... jr Y Address a �------------ --------------- ... • ........... � Installer Address / d Type of Building Size Lot.. yy... ....Sq. feet Dwelling—No. of Bedrooms._....3................ ...___....Expansion Attic ( ) Garbage Grinder kV0 Other—T e of Buildin WXIMM No. of persons............................ Showers — Cafeteria A4 Other fixtures -------------------------------- d W Design Flow...............IM....................gallons per jer day. Total daily flow............................................gall ns. WSeptic Tank—Liquid capacity/AX..gallons Length................ Width.__....•%._. Diameter................ Depth.f._....._.. x Disposal Trench—No..................... Widt�....�...._........ Total Length......... ......... Total leaching area....................sq. ft. Seepage Pit No---------.�.____ -- Diameter...._.--d__-...... Depth below inlet_._6.............. Total leaching area.a 7.....sq. ft. Z Other Distribution box ( ) DosinganA ) �" Percolation Test:ResulYs� Performed by----------- --y��� 'e---------••-•----••-----------•------ Date--- .^.� ....N d�t/t� aTest Pit No. .1................minutes per inch Depth of Test Pit.__._.._._._...____. Depth to ground water----- fi Test Pit No. 2..:.............minutes per inch Depth of.Test Pit---.-___----___.-_-- Depth to ground water........................ - [ r _ -T O Description of Soil B � Gt.............................................r .................................... .... "� --------��-- W -----•----------------------------------•--------I----......--------------••----•----•.--------•---------------•---•----•------------•------•----------••-•••-•--•--------•---••-------•--------•-_..... VNature of Repairs or Alterations—Answer when applicable-----------------------------------------------_----------------------------------------------- = : ..... ...........a................................................................................................................................................... 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 Compl'a s been iss by the board of health. Signedr` . ----- ------------------------------------------- -Zl --...- LTa[e q Application Approved By -.-- ------ -•.-,..,� r�r e ------------------------------------------------------------------------- ----- - 3 Application Disapproved for the following reasons- -------------------------------- ---------------------------------------------------------- ......................................... .........................................................' ..................-------------------........----........--------------.......---------.........---------- ---...............------...-- ----------....----------....---...----- Dare PermitNo. -- -�'�... ....p..1^-- ..................... Issued ...................---�- .............----------........ t at 71, FBI y w� THE COMMONWEALTH OF MASSACHUSETTS M j BOARD OF HEALTH TOWN OF BARNSTABLE ,2��r lirtt inn Marx t n tt .arks Tonshwtiun Frrmit Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal System at: _ /3 �I f3on Ad"dress A or loot No. Le w Owft-� -- — _- - --- / / 4_& ess Addr- ------------------------------ ------- -------- ----------------------- ---------- ------Installer Address Type of Building Size Lot_f / q6 Sq. feet Dwelling—No. of Bedrooms__________________________ -------------Expansion Attic ( ) Garhage Grinder (,I/C) p, Other—Type of Building No. of persons____________________________ Showers ( ) — Cafeteria ( ) dPa Other fixtures -------------------------------- = ---------------------------------------------- --- - --- - W Design Flow---------------ztd____________._------gallons per person per day. Total daily flow-------------� 0 -----------_-_-gallons. WSeptic Tank—Liquid-capacity/40Q-gallons Length___--�?- Width--_`_/Q--- Diameter----------------Depth. _-- x Disposal Trench—No---------------------Width-------------------Total Length---------�---------Total leaching area--------_-__- q. ft. Seepage Pit No----------/--------- Diameter----_/.Q__------ Depth below inlet--- i --------------Total leaching area S2- ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results� Performed by-- ------------------=---------------- Date- TestNlJit/i Pit No. 1__' _________minutes per inch Depth of Test Pit------------------- Depth to ground water-----_____________'___ r=, Test Pit No. 2----------------minutes per inch Depth of Test Pit---------------_-- Depth to ground water-----------_-__----_--_ O Description of Soil---©- . / �`t. ��-° - o�.�J_ GPI=`61 V -------------------------- ------- ------- ----------- ------------------------------ ----------------------------- ----------- ---- ------ ------------- ---------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------ W UNature 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 Compliihce­has been is' ed by the board of health. W Signed----- ------- --------------- y�z z�------ ��------�----- Application Approved By ----------- ---- x= - ' Dor Application Disapproved for the follou4ng reasons- ----------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ -----------------------------_------- PermitNo. ----------�_g ------------------- Issued ---------------------- --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE w �1.PTtifir k of �c�LIIltliplianCE 1S 1 TO CERTI Y, That the Individual Sewage Disposal System constructed ( X) or Repaired ( ) by `�' CJ C ,��r - _ - - - at1-3----- /-------��` --------- - -- -- -- -- -- 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- -------5::P _. ---------- dated ----------------------------------_---------_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------ =T - - t ------------- Inspector ------- -- ---- --- - - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No----?-a:-Li$ TOWN OF BARNSTABLE Ft& 00 %pitod .19orks Tnnshitr1i n jkrmit Permission is hereby l;ranted---- ----------- ------- to Construct (A) or Repair (^ ) an Individual SewagyDisposal System at No..L -l,�-- �`'� Fv�c �Tj? ----------------------------------------------- - street qq� as shown on the application for Disposal Works Construction Permit No._,_ca7___ _ Dated-----------------------_ Board of Health DATE~------------------------ - -- -- FORM 36508 HOBBS Q WARREN.INC.Pl1BUSHERS .,;_• '�_'ti?l't"t"rj�;T'i Y--�`C� 1 ,�;rai--, -�-^'t-r', .� -r I 1 s'(_•__ . ,.r'i- -'1 - i--�- -r--- , � e - .,_ t _ - �: IF . G7 /Tr�frl .I - 'Zrt� �lJD O a it t t 1 ' I '7YOSA IT 7 if Itrro� 1 � 4 • 1 , ' ' f �� O .-#,t. I•-t t.t �,I rl �' �t�l k'1 � 7- ��'I"3.. 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