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HomeMy WebLinkAbout0095 WATERS EDGE - Health LOT 54 95 WATERS EDGE, MARSTONS MILLS ' A=062-048 (WHISTLEBERRY) ' f 1 A VN OF BARNSTABLE v LOCATION Lot S�r'1 d(/w rs 15-11%, SEWAGE # 25--I.S`S6 VILLAGE W114 l-berm IYIAA 'fistf WSSESSOR'S MAP&LOT �- INSTALLER'S NAME&PHONE NO. 764*, P J96 Ho- df v 9S"9<— SEPTIC TANK CAPACITY f Voo LEACHING FACILITY: (type) (size) ��� �' X At crib •" D NO.OF BEDROOMS BUILDER OR OWNER J t9t"''' R L w e,r PERMTTDATE:k-1 - 96 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by a 132'-3- I`7' 3 0 -20, 8 er FEs......� ........ THE COMMONWEALTH OF MASSACHUSETTS g ^�J BOARD OF HEALTH Akp(,7, TOWN OF BARNSTABLE LC-1-F Appliratiott for Ubvi-p Sal Works Cfontitrnr#inn rumif Application is he b�y an d� f '� Permi nstruct (� or Repair ( ) an Individual Sewage Disposal System at: 6 j . 4,7`0 !lT�s'' �S ........................ ...............................................................� �. s '� .. //A/A �� L •�` non Address v (1 O nr or Loa o. YYYp 0� X . ,@ wner Address W Installer Address > Type of Building Size Lot..."....... .�. _q t Dwelling= , o. of Bedrooms._...................................._...Expansion Attic ( J6 Garbage Grinder 06 aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------------------------------- -------------------------- w Design Flow..................... .�s?� _......gal lons per person per day. Total daily flow.------•----.___ WSeptic Tank—Liquid capacity.�_�"_.�.___-gallons Length________________ Width---------------- Diameter---------------- Depth___..____.... x Disposal Trench—No. ........ .......... Wi ...... Total Length..... ..... Total leaching area............ ......sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (--)'— Dosin ank � ` Percolation Test Resuts Performed b � ..1w �d )�° Date...��-�_�`�� a Y `-------------------- f Test Pit No. I---—__�-_..minutes per inch Depth of Test Pit___ _1_......_ Depth to ground water_ vL' ...t -? f3, Test Pit No. 2----------------minutes per inch Depth of Test Pit....J-.3--------- Depth to ground water_.G�e-' -1.�J t . Description of Soil � ----------_�-� --------------------•-----------------------•-------------------- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h beea issued by the bo d o y•- 2-9 f health. Signed ............................... . .......... .. ............. . =� Date Application Approved By ---------- � � Da,�.. e�..- � Application Disapproved for the following reasons: ............................ . . . .--. . ................ . ........ .................... ....... .................. . . ..._.......................................... .. ............... Q Date Permit No. ......... ------------ Issued ---------------- --- ... .$..-:Y,5 ........ Dace - - No.. Fas.... �. ........ THE COMMONWEALTH OF MASSACHUSETTS S�pJ BOARD OF HEALTH TOWN OF BARNS.TABLE �`� Appliration for Di-vipw3al Worko Tonotriir#inn Permit Application is hereby-made fora-Permitrto-Coristr uct (XQ or Repair ( ) an Individual Sewage Disposal System at: 5 L ,A 64�1 -- 1 r Location I -i\ dress.U-) 1 0 v or Lot N� tj G --•---•-------•----_........---••--•--�--! 1 = ? �' --------------------- ---------------...........................__17t-..... __. ......Y� A.....--....43? Owner Address ,-� ,emu=•.:�-•--- ----------------------------------------------------------•-----------•--•-----•--..........t,�.. Installer Address �. .T Type of Building - Size Lot.. C .... .-:..............Sq-feet Dwelling '-No. of Bedrooms............................................Expansion Attic (�J)L> Garbage Grinder (Pb aOther—Type of Building ---------------------------- No. of persons.-..------------------------ Showers ( ) — Cafeteria ( ) Aa Other fixtures -------------------------------- d - - ---------------------------------------- -------------------- W Design Flow.....................::3 ?-------gallons per person per day. Total daily flow-.---------.--- ......--...gallons. WSeptic Tank—Liquid capacity..!��galIons Length---------------- Width--------.------. Diameter--..----..--.... Depth................ x Disposal Trench—No. --------t.......... Width-------4......... Total Length----.6. ..... Total leaching area.A_ -&--a-----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.-.- �-e_�__�.� .!.--------- Date... _'.�.t.'�f_�J........._.. f a Test Pit No. I- -- -..minutes per inch Depth of Test Pit..A.�_1_-..-----. Depth to ground water-p�.r....1.3 }44 Test Pit No. 2................minutes per inch Depth of Test Pit----171 i....... Depth to ground water-.<-1�fr._. � - jU ........................CaDescription of .. . . .-. -- --t - .. _tom.... -- �- `P 1- ;! --------------------------------------------------------------------------------------------------------------------------------------- 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 h been issued by the board of health. _. Signed ...................I G� t�............................................................ - /� .................. . ........ D---- .................. attee Application Approved BY ........ --*.t. - - - - - - .- f/......--'Date�.... Application Disapproved for the following rea.ronr: .. . ........................................... . ......................... . . --................... -------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------- --------------------------------------- Dare Permit No. ---------9 57 -....1.,�...3.1. .......... Issued ............... r`' �� - 1. Date . - c -.. .......- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate Of Conylianre THIS IS T That the Individual Sewage Disposal System constructed or Repaired ............-------------------- --------------- ------------ + ........................... ------------------- (7 . ... .... at Lk .(- -- ..I........ --- V-V---�--, -------------------------------------- -------- ..................... has been installed in accordance with the provisions of T 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ------- dated -------& THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....��4Z--­�......c-7..........—-------- Inspector..._-------------------------------..........-------------------------------------------------- -- ----------- ------------------------2----------------- --------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE......L��r........ Permission is hereby granted.------. .......4!!:: --------------------------------- ........................................ , iVi!vikdua1L,' to Construct or Repairan I ividual Sewage Disposal System �X ---0111- 2-cewl!---- ...?..../ at No. L-rz—) ------ - --- --------- sel ..... Street as shown on the application for Disposal Works Construction Permit NoA�.! Dated........................................... I . 0-- .......................... ---------------------------------------------------------------- DATE................ Board of Health ..................................... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS Tim 5i�� DATA SI►�iG!� Fy�,�� 3 >3®�Z.r�vl z,�E f�:-�: til o►J BAGK. �4Efz�" }.10 GA¢r3gL,E L.,eli.tD 62 �a a L- PLO 3 x I►o = 3 3 0 G► --�S LdT 5�'y Ord s ZFn c -ran N L _ 330 )(700 use IS00 GAS_. , LEAD 1 uG 5�(STt�I �ESICsN SULL>}tIAN No. 29733 4 T7pU G ATI O t 4 AMA T+�� 3 vo Grp �- d,�b /SF - d4G• 5 at _ dPPLIG�.T�oN A¢.6A D�516►� '51tia—WA LL AVE-4- S(�X A t y Z Z A1 L of LEAG�IyG Trz6JG tOnrrom A,e 4 = S�G� - X 4` _ 2 Z o4. 3 / M ABC PE�Lo!.aTIDti IZdTE L S MN Ih1Gt-l: - ,Z, �8'_/Z �'orlE SOIL a4,P2' � ��4-I'I2 STo►.lE T�- -73 0 Sj�U p 'U INV lwq BOKTAW- - —7 — G Q kj�L �Y - 10 - M�Q El. F¢OFtLE f4v 1,1011 WILLIAM �G , C. �ti. CE�TI'F'1GD 71.DT P_A`J 'N© W �75L- p No. 19334 w': 11�G�T(C�� �� ���t.�J ��� 1 LLc �Q�STE���`• . ��'o u�J SGAL� t An, �1 U t� "247E t 27• 5- SUF�Y; pt I Gu-e-p r-Y rHa-r THE 'Pit-If 4BZWA 4 CoMpLyS w ITjA Tj4E A►.aa Z;gmA v- Y_Efxu IZEMENT rF n4 c To k/f l OF Map (o Z pAL L � t 5 llr,�,f LO44TEC) A SPE.L.JdL Fl.ti�i� ►�AZl�2b ZONE. BA)C��-- �!. t•-#'/F_ t1•.1::� PL s ���D SuQ�1=7s • �4I:: �� oFFSE�'S �n bOIL.DINJ� 590VLD NOr aE USED Tb �-rrr:�lsl.� f�O�zT`/ LIIJE4, F ►� 5 r � tu' 3 _. � Q FUSE i Ty? 63a, OT N � N 7\ , � _ 5 I PEM GvtJ rj'�U/'�U� SI VAN \ j M0. 29733 All \���. ` 4 �W 0► Atgs`, WI C. 1, NYE y No. 1933 r� / O/ST �C� s