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Home My WebLink About0348 WHISTLEBERRY DRIVE - Health r TOWN OF BARNSTABLE LOCATION LI'�"`SDI-� . SEWAGE # � - - VILLAGE 11��`► ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY / ®D � 4\\Oyj , LEACHING FACILITY:(type) Ke ~CAS—N t' t 1 (size) 41y6 Ai-' /J�LD NO. OF BEDROOMS PRIVATE WELL ORqCBLlq V BUILDER OR OWNER MdkC�Q-eS Mtr'�dl( DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Noj` IE 1 i �oT 3 QIle Fimx .00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App irathin for Uiipusa1 Workii Tanotrur#iun 1hrutit Application is hereby made for a Permit to Construct (t,-1 or Repair ( ) an Individual Sewage Disposal System at: .... 4 �•'�2sTb crs /LLS Z . _$�...'D ... :......--•---•................... Location-Address or Lot No. .......---------------...........................•—......•..........••---_...._................ ..........---------•..........................------.................................•.__•........ Owner Addre ............ y Installer Address U Type of Building 3 Size Lot....�•�- f....Sq. feet ______ Dwelling—No. of Bedrooms-------------_--.-_........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ---------------------------••-•. W Design Flow..................•..... . ..................... per person per day. Total dail ,,flow.........3 __________________._..gallons. WSeptic Tank—Liquid capacity.��oa.gallons Length__��_.'L".___ Width.�� ..._ Diameter................ Depth_-`�_'. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......... ........ Diameter...... Depth below inlet.._:--5....... Total leaching area.... s.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by...._.._� ..............................71 ---- Date_.. Test Pit No. 1___4..Z._._minutes per inch Depth of Test Pit------�-° '�._ Depth to ground water........................ Test Pit No. 2---4_.Z...minutes per inch Depth of Test Pit...... .",_ Depth to ground water....... ............ a ----------------------------------••----•------------------•------------•---------------------............-•--------••------..............._.....•----•....-- O Description of Soil ..� "--e5`....................................... -.`ly -----6/z.4vG3Z•....--•--•-•--••--•-----------------------•----------. 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 Com lia s been is ued by the f ealth. Signed ----------------------- --.. :-- ----------------------------- ------------------------------- -----f )_---------------------- Date Application Approved BY ------------ -DA_,' i�'r`'''`'�---------------------------------------------------------------------------- ----�FJ---D .................. ale Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------------- ..........................................................................'---.----'............................'---'-----..............'........................--------..................................... ........................................ Dare PermitNo. ..... .........----------- Issued ................---------- --------------------------------------- Dare No....Fl:: .. � f FEB....../(2 -......._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Rupuual Workii Tonstrurtion thrmi# Application is hereby made for a Permit to Construct (IJf or Repair ( ) an Individual Sewage Disposal System at: _-.WNiSTL�Q -ZW 1✓� / __ - -....... .ocation Add .................ress............ ....................... ..........................................or Lot No. ............................. L - ......................—.......................................................................... ..........---••................................_..._..-- ..---------.........._..... Owner Addres --_.... Installer Address U Type of Building 3 Size Lot.... ` 3_.'561-1....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ............................ Design Flow...................-rr_..._____._____..gallons per person per day. Total dail flow........._��3 _' :..:.........._gallons. 10 W Septic Tank—Liquid'capacity-��P.gallons Length-$� 1'.___ Width._4:.��.. Diameter-----___-_''':N-Depth...-�_�- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.;_---------___._---sq. ft. Seepage Pit No..................... Diameter------- Depth below mlet_._3-.� ...._. Total leaching area:..-'`�_._.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by.......... -..._ :__ �u -._. Date...S�`�.Z� I f9L aTest Pit No. 1...4._Z._..minutes per inch Depth of Test Pit....._�.✓'`a.... Depth to ground water--_---J""--.._-_-. Test Pit No. 2---L_.Z_._minutes per inch Depth of Test Pit.:`' �... Depth to ground water........................ �+ ----------------------------------------••------------------------------._......--------------------......................................................... 0 Description of Ux Soil._.__..0 • � W4PP0Lo4-7- SB S Go"- 16Z '' ..._.. /1 - - G-.------- ------------ .--- •••...... -------- 0'iGG� G?s- Z ---------------------------------••-----.... -------- W «5 N ....... •-------------------------------•--•---•---•----•-•-•-•--•••-------•---••-•---------------------------•-----------•-•-------••------------•--------......._...••--•----------------------•------------- . 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 Com lia as been issued by the b atd�f) ealth. l/ Signed ----- - --........----�Z.... .....------ . ------./.(...�$.�',) /I Date Application Approved By ----- - J U 1`� .......................................------------------- ............ ---� ...... ;.� Application Disapproved for the following reasons: ='......................---------------------------------------------------------------------------------------------- ....... . Issued ....................... ................--.-...--.---re------ Date r I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Telr#tftrate of C antylianre THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( &__100') or Repaired ( ) by........................ -S Lr.......................... ,p Installer GJ , W. has been installed in accordance with thprovisions of TITLE 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. 1..._.- �- ✓ ......-Z.........-................................................... DATE---------------------------------- -- �'----- ..........-------.!----� Inspector ----------U THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��.".� TOWN OF BARNSTABLE FEE....No... s� 1' .... - .Q.�... .. . Disposal Works Tunu#rudion "pami# Permission is hereby granted......L� '....� . Q SY yT..f. ............................................................. to Construct (V/ or Regair ( ) an Individual Sewag Disposal System atNo........G ?..o. '..-��-Lff-•---- 11--•--._� ........................------ . --...{�.�__!�!�....................--------........--------...........----•- 1 S Strtr eet rr as shown on the application for Disposal Works Construction Permit NoAl.-7 t .. Dated.......................................... -------------------------------------------------------- ry DATE.................. ................................ �Board of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS LOCATION 4q'�2+!5rRX& q�s7�Ns I`9�t¢s3 1 1 ` SCALE . . �''' �. . DATE oc e99. PLAN', REFERENCE 'L N A � � Qy, I � . {� � ••. TT I I � • • a 1 � � ; 0 ' /off,, '• c a IV ' f'� Av � �'�•• ��• �l• _ ° .�•: � � A � /� 6ZEV. TbP off. , n1 �a ze/,Z8 oN /a-SSc.i`sG�'D Di4TL+ly S ��5� LEEL , ~' LLEY . Piero as GRA �o. 26'103 . A4VI7-iV R � L. . . .99 ... . TOP OF FOUNDATION 1 CONCRETE COVER CONCRETE COVERS • 4"CAST IRON 12� �� 12"MAX. F3/4 OR SCHEDULE 40 4 SCHEDULE 40 PV.C.(ONLY)P.V.C. PIPE PIPE- MIN. LEACH PITCH 1/4"PER. PITCH I/4"PER.FT. PITT. GNVE T INVERT ? w EL..�-7.�.. INVERT SEPTIC TANK ,3 DIST. o .INV RT EL.41•. .7. BOX ` 9..7. '� b >�.• GAL. INVERT �'a QEL �.- .. StINVERT "� Ww p• /2' EL..1? •.EL '7fl �� Dw PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- �gs3 SOIL LOG WITNESSED BY : DATE TIME. �o%4o A?"! SLR 7jc�.uiv!.✓G BOARD OF HEALTH TEST HOLE I TEST HOLE 2 �Ddt/i1jL0 ENGINEER � W000Go�n-J ad cos DESIGN DATA : Sue.Sol EL. S�.00 NUMBER OF BEDROOMS 3 . &Z• TOTAL ESTIMATED FLOW . . '3,�0 . . . GALLONS/DAY Z�/Znz-S BOTTOM LEACHING AREA SO.FT. /PIT/c.P.D. Or Cos3�S,_s SIDE LEACHING AREA 9 . . . SQ.FT./ PIT/c 2'?9 CoA,P.SE Ss�iv o GARBAGE DISPOSAL .�'1�1E. .(50% AREA INCREASE) G,f�A�/EZ TOTAL LEACHING AREA . Z¢Sa . . SQ.FT �Zo„ &-z, 4So PERCOLATION RATE 4 .65.Tl/A•+s �/o. . . MIN/INCH N°. .WATER ENCOUNTERED IG;P LEACHING AREA PER PERCOLATION RATES SQ.FT. ,D NUMBER OF LEACHING PITS D.VC� PT yt//Tt/ APPROVED . .. . . . . . . . . . BOARD OF HEALTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE. . . . . . . . . . AGENT OR INSPECTOR aa ,� ri t cPL l�cw f' �pv1N W, `f ED` LoT 7-8830 . . %i�.E.EYf -n Jt O ON PETITIONER /�KJ (/ —N 'wry araTa