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Home My WebLink About0142 WHISTLEBERRY DRIVE - Health t L4 d W6 s� brw--e. l 1 /L�d2- TOWN OF BARNSTABLE LO(,jATIONIZd- GAIAle- 46eqlY PR SEWAGE # Goq VIL LAC E�A'f3"r#S / ll/ Y ASSESSOR'S MAP & L6`T&23:: INSTALLER'S NAME & PHONE NO. DA�VZf SEPTIC TANK CAPACITY 16M (7y� LEACHING FACILITY:(type) L5-.F")0 (size) /01-11 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER��G BUILDER OR OWNER 64!f y 5A412 i + ,Ige+C1 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �+ � � `�'v '�G t v r � f-` .� V'J j� �o - r' L__. ]] U �, l FEE NoJI—.5- THE COMMONWEALTH OF MASSACHUSETTS BOARD Oy�F� HEALTH ...........OF............" .! ` -L T szL I 4a;............................. Appliratiun for Disposal Works Ton,strurtiun Verntit Application is hereby made for a Permit to Construct (�G) or Repair ( ) an Individual Sewage Disposal System at: ................__ —�-•— -•---.......-•----......-•----••--••...--•.....••--••..... ..... a-lz�.......... ................... Location-Address or Lot No. t •1.�1c+a� --....`��ti. 1�!� :� S' ........................M -------- Owner Address a � .................................... ----------------------------------------- ................ Installer Address Type of Building Size Lot...4. r.m le.....Sq. feet{ Dwelling—No. of Bedrooms...............4......-------------_-_.-Expansion Attic ( ) Garbage Grinder ( ) aN Other—T e of Building No. of persons............................ Showers YP g --------•------------------- P ( ) — Cafeteria ( ) d ,r� Other fixtures -------------•--•.-•-- WW Design Flow..................�ly-..................gallons per person per day. Total daily flow.............T.�o_.........__.......gallons. WSeptic Tank—Liquid capacity!-_G�__4P.gallons Length._..1�� .. Width__`'.a. Diameter................ Depth....S: .� x Disposal Trench—No............... .. Width............._...... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..........5--...... Bis cter.. �_?`1 _. Depth below inlet.........! ... Total leaching area �l......sq. ft. Z Other Distribution box (VG) = Dosing tank ( ) 0-4 Percolation Test Results Performed by..........V....jr I.+ltae1 1�?V.......?_ji............... Date......... 3`.Bg.............. Test Pit No. 1...L.y.mmutes per inch Depth of Test Pit..... `__ ... Depth to ground water........!�r, ..... fT4 Test Pit No. 2....L v minutes per inch Depth of Test Pit..... ......Depth to ground water........... /A..... ........................................I.oaw�-+ - ,.e ' - l 44." r 4�vz .,t zoo¢sE t r� 0 O Description of Soil............r El. Z.......o:...51k"•-... -`' v "5a8 _.' c ..............................................................G`"F�.,s......... �-- 25G {'• rr+fc-D. ---�__L!-°'oS ) ............. V UW ••-••--•--.........•--••.................•----......................------•-••-.............•••-•-•....-•--•-•-•--------.........---........-•-------••-----................•........................... 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 LITL UE 5 of the State Sanitary Code—" ndersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' e/b drd offtie th. ed ........... ..............•-•-......... .. ._....... Date •• Application Approved By------... •----•-•-••/......••-- •-----..........-•.....-•••---••----• ...I p . Date. . '_ Application Disapproved for the following reasons---------------•--........--•--..........---........-•----...........----------•-......---.....•--•••.... ........................•--••---••-----•....�...........----...------.....-/------•---•--•--•-----•------•..------...........•-•--........................ ................--••.....•--.................: Permit No. ...1.�. ..E...................... Issued....... .F 2 Date Date •............. �_. NoJ2FEis .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ..........OF............. - Apliftration for Dioposal Workii Tonstrurtion Perutit Application is hereby made for a Permit to Construct (�G) or Repair ( ) an Individual Sewage Disposal System at: ................--1-r� ... .1 i STL f5 ` _... la ....... Location-Address or Lot No. -- -i= l S Q� 1 Ltc_.- -"• --1'`t c c- ..f ........................ O/�wner Address a _ .....-! al'lerD:^.!........... ................... Address-----..... ........ ? Installer { Type of Building' ,+ Size Lot..... q�Via....Sq. feet - U Dwelling—No. of Bedrooms...................y........._.........__._..Expansion Attic ( ) Garbage Grinder ( ) Other a —Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------••---•-•--•-----.......-•----•..•-----.........-•--••......-•-•----••••--- W Design Flow__________________ ...-...__._.__.....gallons per person per day. Total daily flow....._..._._. .....___...........gallons. WSeptic Tank—Liquid capacity.��'Pv_gallons Length..._ Diameter................ Depth...-�:.�.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No...................../Diametem.`%'-A .. Depth below inlet....... ... Total leaching area_6?:' -.-..sq. ft. Z Other Distribution box (�4) Dosing tank ( ) 3 88 aPercolation Test Results Performed by...........V_... A!. ? ►!k......tom .............. Date........ .. :Test Pit No. I....L...�'_.mmutes per inch Depth of Test Pit.... Depth to ground water.......... LZ. Test Pit No. 2-----L. .minutes per inch Depth of Test Pit..... ..... Depth to ground water..................... P4 at I C.>- 4�a," . L- ~-A •-----------------------------------------------..•--.S--•-S----P_a.....'_. `►z3' - l �" t.........................................................�oi � _ Description of Soil............- hk.ASo: L` ' ` r---- --- - ..............................................................( z ' : . .... -• = - L V ...............f'�'f.25�. }•0 ...... q� Sss. .... ............ ... UW •--•....................................•--••-------------............--•-•......_..--•---......_..._..-•-••......_..._.................------......................................................... 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 TITLW 5 of the State Sanitary Code—"The undersigned further agrees not to place the system_ in operation until a Certificate of Compliance has been ssuedfby/the board of health. r, Application A roved B ='.f/. .. ..._..._ Z �/��_1.5�' PP PP ...................................... ............... --...... ; --.---- Date Application Disapproved for the following reasons:.....................•...._......-___......___.__._.__...__..._......_�_....._.._..... .............. :. r '................................•---..._...._ '...:.......................----•. ..................•••--...---••--•.........•-•---. f/ Permit No.. = .... ......-/ ... Issued 2- •------ ---Date...... Datel THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......OF...........� - f Tertif irate of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( '") or"� Repaired ( ) by........................... . ••----.....--- ---.........•............... .. ` ---•-----------------------------------.--..--------• r -5!Anj In�l'r has been installed in accordance with the provisions of TITLP, 5 of The State Sanitary Code as described in the application for.Disposal Works Construction Permit No..... _.�: -_-..-___ dated...... .�..�-C25....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION- SATISFACTORY. DATE........... ..................................................... ....... InSpector............_ ._... --------. ------ -- .._..,,........__.___ .._ _.-- _.,..-.....--- -- ..__.,._ __ -..-..- ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � 2 -l ��' 4 ....:....... No... ................... FEE...-`................... Disposal lUddii Tonotrttrtion 11erutit ' Permissionis hereby granted---------------------------------•-••........•---•--••••-•--------------•------•---•----•---•-•----•--•--•-......-•-........----...... ... to Construct or Repair ( ) ,an Individual Sewage Disposal System at No......�t....._l.......�1 t'�'��f +'�?'�..---_,)!1.L =----�t.�� r t -�......-•------------•- Street as shown on the application for Disposal Works Construction Permit No.... Dated........ ..........................-+.-_w._.--------------•----------------••------.--------.---- � `/ Board of health DATE................ ......................... wr Y, 1 � c dl c� 34 r 1, _- ._ / ' / _ - / ME'1% i �•� , ! L'a! D�"`f7 4 �'�Q �e' y ... . 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