The URL can be used to link to this page

Home My WebLink About0384 WILLIMANTIC DRIVE - Health 1 o MARS l SMEAD KEEPING YOU ORGANIZED No. 12134 2-153LGN SUSTAMM FORMW MW.WCLED wma n CoeTE IO% CarMadF orftwamo PMTtONSUMER� w"Apomeffun sw,xo MADE W USA GET ORGANIZED AT SMEAD.CAM I(S�'� 3$� TOWN OF BARNSTABLE t/ LOCA IT~ _ Lt_�t�l/I�t�►�i°�7c��! SEWAGE VILLAGE A1111 S ASSESSOR'S MAP & LOT f 03- INSTALLER'S NAME PHONE NO. n Q Ulf? CfP 6 SEPTIC TANK CAPACITY % S"C7'7�1 '� � LEACHING FACILITY:(type)`�'/ (size) �NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER o BUILDER OR OWNER T`CAE%✓ . �0 DATE PERMIT ISSUED: e � DATE .+COUPLIANCE ISSUED: G VARIANCE GRANTED: Yes No 31 YEr THE COMMOftlWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ......... ..............................OF....................................... Appliratiun fur Diupuutti Works Tonstrur#iun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Willimantic Drive, Marstons Mills , MA 3-5 ....:..........._................................................................................ ----..........••-----•--•-•--.....----•-...........-••-..........---..............--•-•-.......... Ronald Proia, LTcrti2tRt&&sj S&R Realty Trust 47 Azalea °D !'V$Ie , Harwich, MA j ......----•.......................................•--•••......------ --•---•••-••----•---•-•-...._....-•••---•-....._..---••----•...---•-•............................. W Kevin Hickey Owner Address Installer Address 4 Type of Building Size Lot._PI a��....__.Sq. �et Dwelling—No. of Bedrooms........ .......................� `Expansion Attic (T o) Garbage Grinder ( g `4 Other—Type T e of Building No. of ersons............................ Showers P-� YP g ---------------------------- P ( ) — Cafeteria ( ) a' Other fixtures .................................. s e Design Flow..........................- `�' .......gallons per person per day. Total daily flow...3•_A'R...........................gallons. WSeptic Tank—Liquid capacity.A6.�M.gallons Length...1Wz". Width._24' "_ Diameter__._ ....... Depth g:`.�....... x Disposal Trench—No. .................... Width............ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.-...___---f------- Diameter.._...oB.`...... Depth below inlet................ Total leaching area...2 47...sq ft. Z Other Distribution box ( ►) Dosing tank ( ) ,-) Percolation Test Results Performed by..... =�✓,?�%�'...•-----. Date...... a Test Pit No. 1......�...__.minutes per inch Depth of Test Pit.....�2 _.. Depth to ground water----_-` •------. Gi, Test Pit No. 2.......;�!.....minutes per inch Depth of Test Pit----- Depth to ground water........................ P --••------------------- ----------••----••------•-••-•---------....-----•---..............-------••---.........---•--....-----•-•---------•---••-......-•--- 0 Description of Soil...Z.".ZS?-'•.......:/ %2' ��:1i2 g �� '� ,;--------------•------------- ...............---------------..................... V ............................••--•-•--•-•-•............------•----------••----•••-••••.........--•-•--•-••.....•----••-••••--•--••....•..---•- x •-•-•--------•---•---•••-•..............•-----•-•--•--•------••----•-•-----•--•••-•----••-•-•.......---•-----•--•----------....------••---•----•---••---•---•-•--•-••-•....._......---••-•-----•........ U Nature of Repairs or Alterations—Answer when applicable.........................................................:..................................... --••----------------------•---- ---••--••-•-•---- ------..........-•--•------•-----.....---••--------------------------------------------•---------------------...................-------- Agreement: C / The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL% 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation u it a Certific4LC of Com liance has sued by the boar o lth. D t Application Approved By...............................� ............................... ��o . .............. Date Application Disapproved for the following reasons-------------•--------................-------------------------•----------------...--•-•----•••--------••--.... -••.............•-------•--•-•---....•-•-•-•-•--....-•--•••••----••-••---•---••-•------•--•-----•---.....---•----------•-••••--•---•----•••-•--•...-•---•••••-------•••-•••......•--••-••-••......_..... - Date Permit9.-•--.� •�-............... Issued.------•-------------------•-•-••--•......--......•--•-- Date ...... THE COMMONWEALTH OF MASSACHUSETTS U BOARD OF HEALTH ...... .................................OF................ ::..--- Allpfiration for Diiipoiittf Works Cfontrnrtion VarAt# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ................_................................................................................ .............................................or ..........•-•-•••---....................•... Location-Address or Lot No. ..............••-----.-_.•..........----.....................:...................•....••••••...... . .................................................................................................. w Owner Address . ........ ......_..... Installer Address UType of Building ' Size Lot._2'n �_..--..Sq. feet 1-1 Dwelling—No. of Bedrooms........ .................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building a YP g -•-......................... No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures .. Design Flow...........................=-5i5--.--..gallons per person per day. Total daily flow... 3`0------_....................gallons. Septic Tank—Liquid capacity.Z gallons Length___ Width..�._�_". Diameter................ Depth.� ........... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------------- Diameter.._...`v........ Depth below inlet...l............ Total leaching area._�2.�.7...sq. ft. Z Other Distribution box ( ✓) Dosing tank ( ) Percolation Test Results Performed by.................................... !'%'?''. ........... Date_... Test Pit No. I......%......minutes per inch Depth of Test Pit.....f g -- Depth to ground water..__....'.......... f=, Test Pit No. 2.......�.....minutes per inch Depth of Test Pit..... . -J Depth to ground water....... -`'._...... a •-•-•-••-••---------••••----•-••--...-•-•-••---•--•--••......-•--•-. •----- Description o So>1-•-:=-•--------------•-•--....-••--••-•--":.......__.............. cf t/ W U Nature of Repairs or Alterations—Answer when applicable................................................................................................ .......................................................Z ....... ------- •---------------------------------------- ••............. -•••-----------•-----. ------- Agreement: Caw Y The undersigned grees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation it a ertihcatgj of Com liance has been issued by the board of health. Sigmed•--•................... ' � .... f- D Application Approved By..............:... ......... C�.°"` ,/` �2 Date Application Disapproved for the following reasons:.................................................................... •.................••.... ---....._.... --.....-•....................................•--•----•-•---...------....--•-----•------................---••-------••••--••-........_...•-•---•---•----•---•-••--•••••--•-•••----••--•_......._..------ / Date PermitNo.. s?_..... 7-�.-------•--...--. Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS 77 BOARD F HEALTH ."'...`.��.........OF..................:..: . ............................................................. Trrtif iratr of Tompfianrr THIS IS O E TIFY That t In 'vidua Sewage Disposal System constructed ( ) or Repaired ( ) by-------------------- ...................1_ �'.:��.--•-----•- (�td-�.-•----•-----•--•-•--...•-------•--•----.......------.....-----•----•--•-•----.. [ (� Installer atT. .t L ......•....................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary 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. DATE..................... " --•-------•---------------- - Inspector-------- -^ —----------------------------- $ "I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 27rV/lJ ..OF............ ' tVL c= N~ ._��....... FEE........................ 13iopoottf M=fw �o o ttr#' n rani# Permission is hereby granted. •---•-••--••• .......-... --.... ..li..... _ -• - - -----••----..•.................................... to Construct ( ),3r Repair ( ) an Individual a Disposal System at No............ ->.....vua. .. ... W .....-------•--•--�---•--t--•-•--•--•---• • . . Street �O SV /� J•-.�/ � as shown on the application for Disposal Works Construction Permit No..................... Dat d.._.._.__...`....(/.../._...... .......... Cr- a ................ ----•--••--•-•---••-•---••-••-..... _ DATE. o ( f"� �y-� Board of Health ......•........... ...l! FORM 1255 A. M. SULKIN, INC., BOSTON • ! ` ice, � ` �_.. . •,' ,�. \ , �2.f - � �`U•i,�,Gin �2iue � � J..wtide � -q I , P 43.E \ N -FNt I41. .Pot- 33 catch 20,0'10' -- .. .... _ °�o 12_ - VG/i.LVL. T?'R'OIPnSr D q° 4 --- ! -zs I Route 1L19 �� I S00' 477' , ` Q.Jw - 33 - - - - ate, -3 bate, 15: 28-g&6 f :.. Cap e Cy6C�2Y22.P�fit1?,C' I j . . ,19 /d of,iyZoad ! i..._ . ... Id ctvtv� hia; 026 0.1.. \ .39'/ 3 Fl \\ 4s ' qtt un,�tg rw te& at 4A to: be tewved 10 altoand pit anal 1 teptar-ed with t. .. 1 Soo p p2o r.Ce No �ca.Ce 3 F. _._ Sketch j. o �6n p%o cio ' feat p-rtp-S806 fie Co-t 33 a.� shown o � p rs ; ia o? "Covuzecti cv U).�,Lar�e and j,iecouled: �i2 U� 1 57 p� M'ac '5-27� 6 ! . i wit. q. w ,£teuc„t i oni:cite on`an ate-datum; j - 1 No water encountered .than;2 run. p etc l " ! . - a2w�.tajZeaicZ-o } � : ' ...... ...... ..j..._- .... .. y ...... I. _..__ ..._ .._......_ _...-....... ._. ,> I co u&4 a co uru eM s ,y P of ; r boney I bone I ,. r3 f dl ; 8995_.O Q. , o �' 14� . FSS(0 �a � J :