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Home My WebLink About0049 WILLIMANTIC DRIVE - Health 49 WILLIMANTIC MARSTONS MILLS A= 103-062 ti N/ �3 �Z 130 00 — �, 77 t G SGD fGx32 &)L _ -7 6 � a o 7 19 L1 62 130.0�. OF _S�94 "r/ ` 001, ROBERT P. F+ CERTIFIED PLOT . PLAN 1-o'T. '7 "7 fit /ZZ 4/r,TOE E a NEW -CONSTRUCTION ONLY = °TOP."OF FOUNDATION IS_-3 FEET IN ABOVE LOW POINT OF ADJACENT SCALE:.. 40 DATE=C12 Fl EL GE ENGINEERING CQLlMCJI CERTIFY THAT THE �yr�ivD�477t7N CE.tENT�AC� SHOWN ON tHIS PLAN dS L T CIVIGQDTERED RE®ISTQ:RE® JOB NO. 7 0 Z ON THE GROUND AS INDICATED MW QIN � , - - LAND CONFORM TO THE Z0931938 L 8 EN®INE� �URIIEYOR DR.BY= � ' . 1OF ®ARNSTO®LE TOWN OF BARNSTABLE V LOCATION GJlllj_j9rri/c��d lld�; SEWAGE '- �'� VILLAGE�AAr,q-W m111S' ASSESSOR'S MAP LOT . Q INSTALLER'S NAME & PHONE SEPTIC TANK CAPACITY/poo 2,9! LEACHING FACILITYAtype) `eRc,4l t 4 A!G (sue) Ai:�o NO. OF BEDROOMS PRIVATE WELL OR PAC'-WATER BUILDER OR OWNER )t 17 ct ChAelfA001L DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Now O Q S I, s kj v d L Q. No._--.✓--�:..2i` FSs.. 3 ............ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diinpooul Works Tonotrurtion Ifrrmit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: ...` �._._w►l�i(!�f�t�1n! DQ:.........MA2 ?AN5...Mills....... Lnr... . .................... ..........._...............__.......... Location Address -• or Lot No. _ L//J D A K-s....M. 1.CH.R.,i<i= ,C?!J.................. ..........-S.a M C....... �......a.g-.Q v ............................... Ad ress Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms.............. .........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building KESU>.EAMAF: No. of persons........e 3............... Showers (,,) — Cafeteria ( ) Otherfixtures ..............................................•---................................................................................................_... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............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. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................•.................. Date....................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit......---........... Depth to ground water........................ •--•-----•------------ ---•••••••....••••--..-...... •...... •.............. .•----- •.......... ........ ............... ............. ............_......._........ Descriptionof Soil......._�,�.AN12...`t_...G.P.9.VaL...................................................................•-............................................. .......................................•-•-............................_............................................................................................._.......------..........._---_..... -•••••...............................••-----•••-•---...•••.---....••---------....................----...------------ ......................................................i......................... Nature of Repairs or Alterations—Answer when� licable......I N�'nL-!-......"009...C4!g .... �..e a-C ��:t�.f�...... ..........--P+_?"......1zIa-0.... 'hl.S.1.� ._. .S.►e,r ...l..d._!�32,. T.,fir.�ee � � !n.!>�._ !rely! .................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LIT,LI, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by the bard of health Signed. !r"``•.. ..... . ................ .3 ' s � Application Approved By........... ... ....................•-..!...................-----•--...... ---... .- _-�.... Date Application Disapproved for the following reasons:.......................................................................................................... _.._ ..............................................................................•--._....._......__......._....------------------- .------ .--------------- ......__......._............ .Date......._...... QQ � 2 / Issued.............., � � S �� PermitNo............1.....�.........................._. ..D� ....---� --....._ No......... 5 �..�� F$s....-3 .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF •BARNSTABLE Appliratiurt for Biripuoul Works (flunotrur#inn Permit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal system at• - ....` ,�..:1Al i/j;MANT1C b�:.. MA 2s oN5 M1 I IS......._..._L`'r.... .............................• ........_.......... .. pp - - L LocMo!CW A, S n M L LD^j .S 1 4 ss S Lot Q 1,3 O VC ................................................ ................................. .......... .....................•--.....................naa.....---•-----...........-•-------.............. Own ress hea t►n l .. .ez:.................... :............ ! [e ..f� ._�219rszo f t..�ls .................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms ...........................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of fixturesBuilding !�S!Dr.... iHtWo. of persons._......:J.-..._...... Showers ( Cafeteria ( ) Design Flow......................... ...... gallons 1 er..person per day. Total daily flow ........ gallons. Septic Tank—Liquid capacity. ._......_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. Other Distribution box ( ) Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •---•---------------------•... ------- .............. ........... •--------•.. ........ ......... SANp `t GP-HVEI— Descriptionof Soil.......................................................................................................................................................................... ..................................•-•--------------------•------•--....-----•-•-•-------....................-------••-•-----•---...-•----......-•---...-----.......................-------•--.---••.---•- -------•---....-•---•-• ..'------------------•--•----.....--••--........................................ Nature oRepairsos—Answer when ap .c bl P.f_ E e. �'vt �r�t_L 1,Ot�v na •��1, `1'!:t!.�z..... Agreement The undersigned agrees to install the aforedescribed Tndividual Sewage Disposal System in accordance with the provisions of iITU.' 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 and of health. Signed -------------- 3f? 1� ........... Applications Approved By------------- .......•-••................ Date Application. Disapproved for the following reasons:--•---•.............•----•--•---.....-•-----•-•-----......---...------...------..............................._ ........................................................................•--.......................---•-- ..---....---...............•........................---................. .Date............. Permit No.............. ------------------ Issued Issued--------....: ...... ..... .-•-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of BARNSTABLE Trr#if irate of Tomplittnrr THIS S T C TI h t th divi al Sewage Disposal System constructed ( ) or Repaired �j�t ` .. ..........�.........--• ......� by..............[.� Q ) _/ / `^�� /1 t�_.L�( i" rt, V caller ....... at.............. .............................................................•--•----..... -'A---.......••----.......------...............................................---•........---...... has been installed in accordance with the provisions of TIT If 0 /Mate Sanitary Cod- as"�¢r�bej_iSttthe application for Disposal Works Construction Permit No..........S.-� `--•-••--- dated................................................ .............. THE. ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............................:..........� Inspector................. ...1... ................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of BARNSTABLE No....................... FEE........................ Permission is ereby grante .... - ----------------•-----••--•------•--------------- _ .... to Construct ( Repair G /<n'In ividual wa 'Dis osal ---•-•.•• v-� ........ Street qq kD*,ytcd as shown on the application for Disposal Works Constructio relit o............. ...... ............... .......... .. 3 a Board of fIealth DATE............. . ... -•--•--•---•....................................