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HomeMy WebLinkAbout0050 WATERSHED WAY - Health 50 .Watershed Mar`stons:fVlilis � ": TOWN OF BARNSTABLE' LOCATION , W Ate/ SEWAGE VILLAGE MA-P-54o V1 Svnll/S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS J PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 51h y to DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes rNQ I Y 30 33 ` � r �^ ®� l 0 �G f Sq —,!�-o Ge� •t., eQ TOWN OF BARNSTABLE v LOCATION 0 ` SEWAGE # ~` ZY VILLAGE ASSESSOR'S MAP LOT . INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 14 6-0 LEACHING FACILITY:(type) 6 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER J s SA, rT L�t DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes- No r � r� Va � r I ; ' ��?�� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..........7 .o.tsrn----------------oP........... �. x--�. � lira#ivaa for Ui,gvuii al Works Tuustrur#ion tlrrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: JIIAT �-A 11OV. -----------------------------------•----••---- Location-Address or Lot No. .s`.amufk........................................ --------------- �C��css/t.�O... ` 3­------.--------------------- Owner a �� r Addr�ess � r..... .----...... f. ...... Zh.-----------•------------------ Installer Address 4 Type of Building Size Lot.....1_ rl_l.Q_-...Sq. feet U Dwelling—No. of Bedrooms.......lb.�........................Expansion Attic (41,� G-Garbage inder (Al) Other—Type of Building No. of persons.,.......................... Showers — Cafeteria a Other fixtures -------------------------------- - WDesign Flow....................................5.,5.gallons per person per day. Total daily flow............................._3_4.4._gallons. WSeptic Tank Liquid ca.pacity.lc�."V .gallons Length..a_-Fa-•• Width.1-L0_ . Diameter-_._--- Depthsv.!-_-&-._''.- x Disposal Trench-No.-------------------- Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No----Gs2E------ Diameter..../D........ Depth below inlet......6........... Total leaching area.... ...sq. ft. z Other Distribution box ( K) Dosing tank ( ) ~ Test Pit No. 1_._.. _____--minutes per inch Depth of Test Pit-__Z44....... Depth to round wat Percolation Test Results Performed b _/.CA71i.-fP'r_ 4�:.....At3�'T�2.L•-.-•. P p p E`-_ Date----[�._./_C3.'-rg1 ------ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground 3L ."'Ms C>r' `...-----•---------•...............................................••--•-----------------_.._......---•---•-••-. } O Description of Soil.....07.4cai_L... X _....ACtY t OVP V .................•••--....=1'4'4_._ .�puac� - 1-••--•-••••••--••-•------•--•-•--•••......••-•--•.....•••- 3 ....1'd�1 S(3A1 W ••••-------•-------•------------••••.............. ---------- ---------------•-----------.._...---...............----------..........---•••--•••-••... A .p-Na_39216�� VNature of Repairs or Alterations—Answer when applicable....................._______••_._._---•-___----•-__-.__-_____ --------•-------------•-•-----•---------------•------•----------...................................................... ................................................. S. 4PFr1L �, Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System i accorcTance"'w with6-27-s'S-*' the provisions of 11.!E 5 of the State Sanitary Code—The u der".signed furtheragrees not to place the system in operation until a Certificate of Compliance has ben 'ssu t b'o4'rd of lyfbdl 4r7 Signed.......... ;....... ;. . -----------------•• ---- � ate Application Approved By _______ _______ ....... Je��./�s��� Date Application Disapproved for the following reasons---------------••----•------------------------------•------------------------••-•-------------------------.------ ....••-----••--•-•-••---•------••-----....--••-•---•••--•••-•----•-••------•--••-------------•-------•---•-•---------•...-----•---•-•---•--•------•-•-•--•••---•------••-•--•-•-----•--•--••---......... !� Date Permit �1 -------------------• Issue ------------------------------------------------------- ;):-r w � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----------7-C. ,a--------------OF............'�?���-�, f•���� ----------------------------------- Alipfiratinn for Biipnsal Works Tnn,trnrtion rranit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: .................. - Location-Address or Lot No. ...............0 ..... -—luw. -J'{-....................................... ..................... 1-C.1=fir............................ �,pwnerA Address � (Z� L1Y� / Sr� ......................i«.:!%_ ..tn....... Installer Address Type of Building 1 Size Lot...... _._Sq. feet Dwelling—No. of Bedrooms.._.___.!.k1: c......................Expansion Attic (�(�, Garbage Grinder ( '4 Other—T e of Building ............... No. of persons.....__..................... Showers — Cafeteria PL4 Other fixtures ---------------------------------- W Design Flow.................................... gallons per person per day. Total daily flow.............................. WSeptic Tank—Liquid*capacity_/in<u±gallons Length..�'-­""Width__4'_10." Diameter________________ Depth---!-". x Disposal Trench—No..................... Width.............._..... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..... ..... Diameter.... fin_.`_._.... Depth below inlet...... . ....... Total leaching area.... /,G_.sq. ft. z Other Distribution box Dosing tank ( ) '-' Percolation Test Results Performed ....... Date..... -_/_h.=. ..7_.._._.._.. aTest Pit No. 1------Z......minutes per inch Depth of Test Pit---- ....... Depth to ground wat (s, Test Pit No. 2................m>nutes per inch Depth of Test Pit.................... Depth to ground w �`� ���,��:=:3_�•K.�. w ..........I r- -..................................... --------------•-----------......-.....---............- �'C --J'I trt'iJ^~4• _`cA7 O Description of Soil----•-�?.-.�� '..�-��.. - ,1, �? L t�1r; �,_: ... .-. .-- - ...... 1 , x ------A•�=� •� - yr-=^��1 =' `r�'z1-•-------------------------------•-----------•----- o Vv4• .. _ y (� "' - -cam----- -• »,i .................-.....----•--•-•--......------....------..... ......--•- . UNature of Repairs or Alterations—Answer when applicable_____________________________________________________________ 9 eGl �``. w` ...................................................-------•---••--•---•--....----......----•----------------------------------------------------------••--- ems.QU Agreement: Gr er- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed 4 a'�°a i" `� ,`'y y Date Application Approved By.r - .. ........ ' Da e Application Disapproved for the following reasons:-------•------------------------•---...--------•-------•--------------------•--•------------------........--•--- -------------------•.........-----------...._........-•--•-•-----•--••--•-...--•-----•-•-----•--•--•---•--•---••------•-------•-------•----•••----------------•---••--•--•------•-••---•---••-••-------- QDate PermitNo.�l-- ..� ---------------------- Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �-Nr-. .. O F............. ►'i :. j.;. `.............- r tit..rF .................. Turr#tf tratr of TompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by............ ._1 _--•------------•-••---•-----••-----------------.--------------------------•------------------ Gt e` I ._.._..... '{tr�a Installer at r-�� 4't . eft ------ . - 9 ? � ,ly ------r f�--- -------•---------------- hm been°fnstalle � accordance with the provisions of TI,fJ 5 of The State Sanitary Code as des ibed in the application for Disposal Works Construction Permit No,__� ."__ ': .__. dated —i-/3__ _- --- "r................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA EE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.....---.............----.......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH N ....... .... FEE..t. 1.2a>. Disposal Vorkii Talanotru ion Vanfit Permission to Constructis hereby or Repair granted L i$ idual Se ..... �tu�� 4;► �e y9 a , Yg =age Disposal ystem IV Street��Y as shown on the application for Disposal Works Construction Permit �.:_...... ........................•----....----•-------•----------------------•---•----------•--..._....-----_--•-- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS V-) ' .Q /� •Dti cos /S.t T _.. I3Ito .* Ln . ( 2�VZn Fy T q AT -t RwP vsED . �_ ,i: :'SNow,J lam-n.lydlJ 4-orvyLl ,/5 i ; SIDLI,IrJ�. t St✓T 13�.c1� rLa3gv(rz�w�IR rJ oF" r.....f3p z►�S a .A � I s ;.: .'War. Loc_ATWf w 1 rO I W •f4 m r-Lop D PLA I I,I i i u Lo A,ti a� a I-A ( � G1 �1 INV :iP71 G B> "•Z c-, GAL ¢`� L 3• S �, e TA Nl�. L wA4*• �- — a �o o P►T' -07-88 SAuoy /7 o SC 4/moo.__ EL_, S_1 , . , TEA ram- � . � Sl►u>� CAM, ?' 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