The URL can be used to link to this page

Home My WebLink About0021 WHITMAR ROAD - Health �r VJkHna.2_ dz.c�dcd LS 4b J eo. TOWN OF BARNSTABLE LOCATION h(�� bj� M4 SEWAGE # VILLAGE ASSESSOR'S MAP 6z LOT INSTALLER'S NAME & PHONE NO.N ,OQ^aUS SEPTIC TANK CAPACITY /o00I �iP` < LEACHING FACILITY:(type)100O r�.-4' .XCA rj F(sue) C�Zr/0/ NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER�6 BUILDER OR OWNER ,/0/" iQ�s� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 97 y VARIANCE GRANTED: Yes No f �: a kJZ q I PS so J �uj�0A4-x UZ i THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Applira#ion for Dispvii al Marks Ta notrnrtiaan Vanfit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: LU _ a � Gu H !7 m r9ve 1b. rn . n�J L LS ..... -- .............•-•------•-----•--•------------------------.............. ......------......................---....------------•.......---•---•.................._.......... L ca'o •Address •-r t o. ..P�. .y5.1 .....e��...ddr77 ✓G ��N7�2p.c!Imo.... .............. ...... W /S!"/ Ler Address ... •� ...V L Installer AddressPQ L// Type of Building Size Lot....�l..�.:.5�°.�_..Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder (A/0) aOther—Type of BuildingWOVA.iR- /4 No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ....................................- -- -------•-•...-•-----•••----•----••-------------•------------------•----•-........_......----.......----•--• W Design Flow.................11 Q......._._........gallons per-peerl per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity..........._gallons Length................ Width................ Diameter................ Depth................ x 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 ) '-' Percolation Test Results Performed by..l�1C� .' ,.� Test Pit No. 1._.�._____---minutes per inch Depth of Test t9r`----------------------------------- Date---��--•,�.�._-��.._...... a Pit..... :�____-- Depth to ground water.....NMN45- 44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ xP ...........................................................[ ....-----•....l....••-•-•---•--.......................................�?lJ/ODescription of Soil.... L)f /V 114AFba.. ... .._S•-•---•_..... . c . 7 U .............................-•-------------•--..._..------------------•--•--•---••--•----•--••--------••-•••---••------••----•-•-----------•-_.. 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 has been issued bQ.the board of health. / Signed .. :. l0/ 13 ................ .................................. Date f - Application Approved BY ---------------------............................--------------------- --- vz....' Date Application Disapproved for the following reasons- ---------- ---- ----------------------------------- ..............---- .......................................... .................................................................................................................. Q Permit No. ..... ..-..- -{J., --- -------------------_- Issued -------- Date No.._::!. -: .tom - - �. /FiEz...... 0....._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiuii for Dig uial Works Tonotrurtiun rrfmit Application is hereby made fora Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: - ---LU ..............................................................•---•---......._.._ ......•••----------------...------••. ......-------•--•-..............--- ocati on-Addre s or Lot�i o. ---------•...- ----------------------•---- --•--•--••••-•--•-••---•••--•-----------......._•----••- Owner Address a T J2 /SCULL f.... rvI..LLS -••-•••-•.._....__•-•---• Installer Address - !!// Type of Building Size Lot...-7._J_.... . ..Sq. feet U DwellingNo. of Bedrooms......................... .Ex Expansion Attic— ------------------ p ( ) Garbage Grinder (Al()) aOther—Type of Building__ A/hE No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ----------- W Design Flow..................l a......._......._..gallons per-A& per day- Total daily flow..____----------------------------*--•-__.- gallons. WSeptic Tank—Liquid capacity........---.gallons Length................ Width................ Diameter--.----......... Depth................ x 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 . ..... ................................... Date......a.. a............`�......... Test Pit No. 1....<.Z_---minutes per inch Depth of Test Pit------ �........ Depth to ground water.._..Al6IV45 fr, Test Pit No. 2................minutes per inch Depth of Test Pit---..............--. Depth to ground water..--................---. a •---•----•------------------------••---.....•------•--••--•...•••-•-•--•....•-•••-•..................---•-._...-••••-•-•---••••--•....._•-•----•••••--_•--••. D Description of Soil LOAM SUB 50L .rlo,IM,Z) C07v/7- S� AVY�.._ -_• U •--••-•-•-•••---••-•-•-•-•-•-•-------•••••-••----•-••-•-----------�-•-••--•--•-•. W ---•---------------------------------------------------------------------------------•-----------------------------------------------------------------•-----------------......-••••-•••-••----•••-•-- V 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 has been issued the board of health. Signed .. - -- �-- ............ !ova$_ Application Approved By ........... - ... { .. - 3 ��. Date Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- ------------------ ---------------------------------------------- Date PermitNo. ........e - �=� ---------------------- Issued_-•=-'------........................................... te Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cllez#ifirate of Ta raylian e f THIS-JS TO CER IFY, That the Individual Sewage Disposal System constructed ( x) or Repaired ( ) by......�-4 -..... l.�0 Z L Installer at -----L-o7... a G{/-N i / /..12 fl h, ..... ...-........ /LL-5 --------- ---------------- - --------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -------- .--...��' 1�.�... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 13) G DATE----------------------------_--� - t d -9 � Inspector .... v THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---� — TOWN OF BARNSTABLE No..... FEE.... Od......... �i��u��t1 urk� ��ii�tr�irtiun .rrmit Permission is hereby granted........ :.._ . ./5 �... ............... ........._-_._.. to Construct (X) or Repair ( ) an Individual Sewage Disposal System at No. �U?..... ? .....wN•lT/j?14 :_..... mlL`.S -------••-------•--------------------•-------------------................ Street p as shown on the application for Disposal Works Construction Permit No._ ._" P__ __ Dated.......................................... •------••-•••••••-•----••--•---• ! ---------------------------•••••----••--......_...._ ................. Board of Health DATE •--•----•- ------ -------------- FORM 36508 HOBBS♦!t WARREN.INC..PUBLISHERS � 16+J �AT� E5 K 51116CE FAf►t,Y 3 $Er,,cs Y; 1-• t 47F 2 , 1 }�� CaR►lJ�Q� • t .. SEPT l C ---TA Nk. 330 x I So a° lei G (DOD C. DISPOSAL 'PIT �- I aoo �.5tv>JE SEE PLAN t3A4V 51•DEWALL .AREA:= 18 is: 51"' : 2 - 2g :BOTTOM A2ZA =,."18 SF 4 ToTAL ,161J `-_° 54 d; MA.2STVA!5 A41LL. e TOTAL �Aic. rUy/ - 330 LPD T�E¢GaLA'�-I oN le, all fop- n. IV� .. 1 �N RyHAMPETEE e] bVVMd � f" GAXTERR ' SULLIVAj. ; bo.toaas rr• NO 2.9133 . e I toLt'.I�SDS� TF= GG S W y k - � . P V e• iN v• nv 3 vKT iNu. GAL �,�r. a:7o, , INV ENV' Bo�C Uz 4 GZ L S T7c G GAL G2 az.Z TNT SDi,tj sTouE S4AL BE a}I VIRVELCPED Cezrjr-IED MAmTws ��•�-,2 _ 4 - 4 d DATE I I f �-•`f 2 # PLAN P-E- Er)m fcc I ' C T�1dT TKE owsi. s'QL SNOW N `HEZEON co . . M`PLy 5' yvl'r{-{ .: �.u�;.,. l tJtJE', �a`r' 2g ` 1r8t.� . 4+tD 15I _04ATr=D > LIJ,.2 9Z L G.C. 3�iGlt. $d xTEa it- 71415 Fi!.dlJ IS Not' {3A4E!7 o+.( AN �t�STY-c�WtE�T'. p %/orJdL_ LAWD Su!?.vyorcS :Sut�f AiJD T4f- oFr_EeT"5 ��flcx yurf III. . . .. o �STQBC 0 STE1zv I u.x MA,!, dPpL.tcANT; �ti`{SiDE $vu�lNG Ir� A � � v Y • J s /p 10 a3• 3Z G3.3 � f LO . PR e.. 9 f `t4126 - � z4 s 34 ri a • �Sv oa 13AA EGz G3o8 `o ICI. BASW . f or pllT7 f� A W .!• is)A ALIWi1.� s y .SUILbVAN �. ° ` " R4.z9733 .