The URL can be used to link to this page

Home My WebLink About0065 WHITE MOSS DRIVE - Health b 1-7 - TOWN OF BARNSTABLE c )3 "ccj"Ir� LOCATION -�� `'� V,/ , V J5 or. SEWAGE # `h7— Z-Z)"Z t1 - ' VILLAGE Inn:kj ASSESSOR'S MAP & LOT- �-}---� x NSTALLER'S NAME & PHONE NO. U 77]-3(pj (o c,upTIC TANK CAPACITY L (20 Q !Wl et.1 5 LEACHING FACILITY:(type) L e (size) 00 61 l(v>,5 NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER i �� BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 7, to - fir VARIANCE GRANTED: Yes No �- l C-O+ 3 r THE COMMONWEALTH OF MASSACHUSETTS B IOARD OF HEALTI rd..WIJ -..-.....OF.....-.. ),/.4 %_.S7.46..................................... . pphration for Daopaii al ,ark Tonstrurtion Errant li ion is hereby made for a Permit to Construct 7 r RepairIndividual App catt y t t ( ) o p ( ) an Sewage Disposal System at: roc ion•Ad ess or N.o, VILCE _ .... .1....................... ..... Owner Address ............. ---------...... ........................................... Installer Address 22 Q Type of Building Size Lot........19,0_..Sq. feet UV Dwelling—No.No. of Bedrooms.____ Expansion Attic �t1D) Garbage Grinder (44 •-••-•---•-••-•---•---•.---•- `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Others x ures . • ----•-•-----•-•------••-------•----•-•-----....-••---..... ------- Design Flow..... .........................gallons per person per day. Total daily flow------------ •.........._gallons. � Septic Tank—Liquid capacity._ eW.gallons Length................ Width................ Diameter..._.........._. Depth................. Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................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... E1 ._ ._ -l�(l?' 'e... Xj I)e&.t Date...... 2 __ l___-------. Test Pit No. 1.......2......minutes per inch D h of Test Pit____________________ Dep to ground wa er---___________________-" Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �•---•------------------- ' .- ----•------------ Description of Soil----------6---- 1 � ? Vt Zr-&----... ----- ...................................... •-•-•---•••-----•••------- . --------------------------------------- ... f"t ,5l¢ _.....•----••---••-•-•--•--•-----•----------•-•--••----•-•-•••---•--•--•-•----------•--•--•----•......-----------•- 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'TT_: ;of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certincate of Compliance has bee sued by the board of health. • Dat _197..... Application Approved By---- .................................................. Date Application Disapproved for the following reasons:-----•--•-•---•-•-••.........-•••-------------•--••---••--•-------•---••--••-••--•--•-••--•-•--•------••------- ..-•--•.....---•................•-----•------•-•-----•-------••-------••-----------•-•---•-••------...--------------------------------------•--•----------•-•---••--------•-•---------••--•-•--...•-•--- Date Permit No.... . Issued-....................................................... Date I� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH \ ' - '€.. .....OF.... ?.%:, ru; ,i, ..................................... A11111irnt pan for Dispu at Work Ton' xnc�iun �e�nti# Application is hereby made for a Permit to Construct (a ) or Repair ( ) an Individual Sewage Disposal System at f . ............ :_S A _E � ( 1��, `: /fJq .I(A)1,41) �'. �?.............................................. r Loc ion Ad ess ° for Lod No. _ ;., `;,. '`A....................... a 'U� � .... . . 1. : . . Owner t.� Address Installer Address c d Type of Building Size Lot........15Z.. _..Sq. feet Dwelling—No. of Bedrooms_-_._•�. 2...............................Expansion. Atti Garbage Grinder (/,k aOther—Type of Building ..................r...... No. of persons.....__.-._..../...__.___. Showers ( ) — Cafeteria ( ) Otherfixtures ......................... •••••-•----•-•----•--••----•.--------•--------------............................. W Design Flow.........5....................................gallons per person per day. TotaLfdaily flow............. -4`� �}..................gallons. 1� Septic Tank—Liquid capacitv..I_,rf/.gallons Length.,.............. Width-.__.____...... Diameter---------------- Depth................ W Disposal Trench—NTo. .................... Width.................... Total Length.___._j_..._._..... Total leaching area....................sq. ft. x Seepage Pit No--_---------------- Diameter-...__-_-___-__-___- Depth below inlet.................. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by___�p t,1d _: .. ErG1 _ ,!' .. °' /s".�''�'!_'.t✓+!. Date........................................ ,aa Test Pit No. 1------2---minutes per inch Depth of Test Pit.... ..... p�'� groundto water____________------------ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------- _____•---------------____-------------- ------------- •----------------------------- Descriptionof Soil--------------�• --------•---•......... d �r -1.�----------------------------------------------------------------•---..-....__. ---------------------------------------------------------------------------------------••-••---••-----•--- w ................................................. . ------..A^A 0---------------------------------------------------------------------------------------------------------- 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 ITT._.:p }of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the board of heap h.7 Signedd - ---•late Application Approved By... r`-�...................... ---------------------------------------- Date I'I Application Disapproved for the following reasons:.............................................................................................................. ----------------------------------------•-•--._.....--------•-------------------------.........___....___.•-- Date PermitNo---- —----------------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... oF.......... .... C�prtif iratr of Tnntpliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( k-1 or Repaired ( } by........'x l `, Tr" - staller -----••-••--•---- --•............. •-----.. .....................------------ 1 I has been installed in accordance with the provisions of T T T IE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-----f�_�_.�_�,�.?i..a......... dated............................................... .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATI CTORY. DATE....................1 .-•--•-•--• Inspector ------------•-•-•---•... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ _.. ' ........OF..... :tc,a� e ..�.( ............. `-�G., ^� r.- l�'O._ ..! FEE._ Disposal Works Tonotrwtion antic Permission ids hereby granted X =r......-....C�....._..�. _ _.. to Construct or Repair ( ) an Individual Sewage Disposal System at \o... ... 14" 1.__._._ ... .. ...-••1�_..... r:—e._•-••_.......................... Street as shown on the application for Disposal Works Construction Permit No?7r_23.;;1_ Dated.......................................... ------ -\ d ea t DATE................................................................................ Boar of FORM 1255 HOBBS & WARREN, INC., PUBLISHERS n v � { V� o /82, 3(o t / 41y, � � y3o �•'y°�' � t!�l��y�did Q f' Y\ n 14. M LEGEND t; EXISTING SPOT ELEVATION 0 PROPOSED SPOT ELEVATION RM P�-�H of Mrs ; EXISTING .CONTOUR ---0--- �� PROPOSED CONTOUR 0 P A U L NOTE: THE LOCATION OF ANY UNDERGROUND SEWERAGE WELLS OR OTHER UTILITIES SHOWN ON c�a L V Y `� Y THIS PLANTS APPROXIMATE ONLY AS DETERMINED No.10050 + X FROM RECORDS AND/OR VERBAL INFORMATION. FGIS .THE CONTRACTOR IS RESPONSIBLE FOR THE VERIFICATION OF THE EXISTING LOCATIONS.IN THE FIELD. t A .r R. y LEVY a ELDREDGE ASSOCIATES,INC. LOT `v µ° CLIENT z ENGINEERS-.LANDSCAPE ARCHITECTS JOB N®•� Lam'may[ -G✓HiT� .PLANNERS - LAND SURVEYORS.- : =y aY .� IN 889 WEST MAIN STREET Ch4Q, x x CENTERV I LL E, MA. 02 63 SI E S ALE.t `'!�' � O� GATE /9 y v 20 FT. M/N.. /Y07F /F E/TN�� 7"XF sEP T/C 7'r'1.�/i1C O R / � N 'Z ` &E .LNA 110R GiA T� 4",01R. rA ?4`®/AM A=7 Ee CONCe ScHCnt/LE 40. SNAL1 &E DP006N7- 7-0 g)rA A,=- .<A y EXTRA PV.C. P/PE _.. �L, / C>�•S BCD E t/EAYy CA S7' /RON CO!/.E/T .S/1ALL- a Cc)Vljz CLEAJV -5AA1,0 8AC/CF/LL ; /►9!F/.®/TC/l - � ---- . �s L.: • I B • • s s a o ► 6 @° WA5HF0 .sYt'JIYE S�PT/C 7-AAI � D/ST, o s 1 • • . ® o • • e e • ti: _ ♦ ®® ♦D ` /WA@ c. ONE �. a 0 qpz> 6, 194 a e • ® • ® 1 m o e DQ®+p 411 V. PRE•C,/dST S��'�'$G� k P/6/6/� ►1�T.��6/A7`'f®fd S �• C f'O y o e o • o; t v a e o o /ArYER-r AT ZVVIaLD/A/G r `~'f T ��FT O/A�9. C�. �77WL/L. 7 INLET .WPT"IC T<4NK l'� F . ®UTLE7'.sEP7°'/C T.4/VlK r�.3..p✓-FT, s GROUND WATER T�L.E i DUTLETD/STRl,®l!T/OIOf�X/�Z. L'� FP, i ZEACH11V4rw PIT DRS16 / CR17'�R'/A SEAL E %�' ®0.°9E1►15!®AI FT. NL/.�9R DF E�dRo0l+�5 ®/l /105/0 3 /Y SOIL Z-00• TOTAL ESrlAl -rdTjD FZ.O*V -330 G.44./®AT SOIL 7-E5.7-Al $014 N41148ER AF' 4.rACJVlVrw 0/73 / �^ELBr1!/D7• -EL B! OATS OF' SOIL» 7-E-'7r' SIDE LL'ACHIWG PEt? PIT Ste? FT. =—�---r-- o�-! -TOPS IREs'[ltTs bt/IT/lIRSSE® or ®OTToAf LZACNINCr PEFp P/Y�, F�E'RC®LA-r,,o 1 MATE j*l � Mi.1VIINCH 707'AL. 1EAC/�//YG AREA �� SQ• 'FT. PENCO.&AT/eA/RA7E' R�sR�/ELC/l1NG.4REA SQ. FT. _ �r vop PAUL - < ~` A. E v Y. LEVY & ELDREDGE ASSOCIATES. INC. No.10050 O �' �, F_L. 9.3. 889 WEST MAIN STREET CEPITERVILLE,MASSACHUSETTS p2n3�' Q` 1 .�NOCrROIJNU .Ya�i�TER' ENCDUN7'�REo lb ' CL/�E/ir E .cl D, TE /3 f � -! - �. `Gmo u vD yi%.#TE.lv- A7`' ,uz— Joa nr�.:7/ = +.W , •. ro I -... �.. :. � {, : � , .. '{.� •-,:. � s.F �. ...iT ..•._- - � �a..cw »-+.�+a...... r -...�»,._...- .a-+-�^:-a.- _.-«....-..+-�...,<s.--Wit...__,,.,.`.z"� t x _.. --"'t`,_ w, ,:;.;df«,r-r:„: