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HomeMy WebLinkAbout0030 BARNHILL ROAD - Health r_ r �0 ��✓� VI� ���,����A�e�i� ��Ch � ��� o� � � _. TOWN OF BARNSTABLE r,,0CA.T10N �_� I '7 �c�a - SEWAGE Gv _ jj VILLAGE /:TJ Z l+-,gl��/i� ASSESSOR'S MAP S: LUI`19S e - C) INSTAi_LER'S NAI,IE & PIIONLI NO._ e"-4 ,t�-E-�7) __. SEPTIC TANK CAPACITY LEACHING FACILITY:(tppe} NO. OF BEDROOMS PRIVATE WELL OR FUBLIC WA':tER BUILDER OR OWNER �� DATE PERMIT ISSUED: ly DATE COMPLIANCE' ISSUED: �� VAIUANCE GRANTED: Yes No:: 46 yf I X � Y LOCATION SEWAGE PERMIT NO. VIIIAGE --- _- JtORS MAP N0: INSTA LLE 'S AME i ADDRESS BUILDER OR OWNER Bpi C1 DATE PERMIT ISSUE D ,�-2�- -- 17 DATE COMPLIANCE ISSUED �i i '1 P OIL- WELL -m �a .... 75 THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH 1 ....... ............OF.......R)9k.N..S.7-.J3..LL._.... Applirattilan for Bispaa al Vorkg Tomitrurtiun ramit Application is hereby made for a Permit to Construct l� ) or Repair ( ) an Individual Sewage Disposal System at: B/.9jR[a1. « .-••— •�°: -W..!... 1ad l�.!1� T 1.4r3 __... L a�.Z .�.. ._....... ocation Address or_Jot No. Owner Add ss ------....-•..................... --- -----............. Installer Address Type of Building Size Lot.:3,5.5 6.Q.....Sq. feet U`4 Dwelling—No. of Bedrooms--_-.----- ............................ Expansion Attic ( ) Garbage Grinder (ivd) Other—Type of Building No. of persons............................ Showers Q, YP g ---------------•-----------• P ( ) — Cafeteria ( ) a Other fixtures ..... - d -_.------- --•-------------------------•---••---------.....-------------•------- w Design Flow.........// ............::........gallons per person per day. Total daily flow........3.X.0......_........_.•....gallons. WSeptic Tank—Liquid ca.pacity............gallons Length _. _...._ Width.��.lo__.. Diameter________________ Depth_.._._...®....._. x Disposal Trench—No.................... Width.................... Total Length.................. Total leaching area...................sq. ft. Seepage Pit No ....... Diameter..<9............ Depth below inlet' .�....6 ___._.__. Total leaching area.ZZ ...sq. ft. z Other Distribution box ( Dosia tank ( Percolation Test Results Performed by. 014Af—b..... ....... Date...)44-Y...... a a Test Pit No. L.A4!:�-...minutes per inch Depth of Test Pit....LS_`..__.• Depth to ground`water.._ (X4 Test Pit No. 2....L.L-._minutes per inch Depth of Test Pit.... Depth to ground water.. ...... P4 •-•••-••••-•......-----•••-••-•..................•••••• -----••••••-•-----•---•--••••-••-•---•----....--•--••-•-•-.._...-••----•-........_...-•-.....•..... ODescription of Soil..........C�....... .f..._... _c/, ..Y.......................................................... U .... -• .R U Nature of Repairs o t rations—Answer when applicabl ................ ._ - ✓Q - - .•-••••••••••............•-•.............••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLZ 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 board of health. Sigd•-•.•-•-• ...............:.:..........:.•-•-••------.........---••----....--••- Dat - ................. l ......�-� ----.----- Application Approved BY .••--• •-• -- . • Date Application Disapproved for the following reasons:----•-------------------•---•----•----------•----------------...----------------•-••••...--•-•-•-•••--........ ---•---•-------------------•-•----.....--•-----------------.....----------------•••-----..................---.........-•-•-------•------------------------------------------------ ...................... Dt PermitNo......................................................... Issued--••---...-----`-----��0.----------•-•------------ ' Date No. �� ........... ' r THE`COMMOqffArLTH OF MASSACHUSETTS "fBOARP OF HEALTH Cy. .3. ... ...0F....... A 1�1.`�x"1`�.?��1x................................. Applirn#iliWfur Dispiml Works Tonlitrnriiun rrmi# Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: _ 1329 f. 1. t ........ -R----------hat..3 41Z L s I ------------- -._ Z. d. ................................................ � I Location-Address or Lot No. Owner Address W r .: .. ...... ................ •�----•�•`-------•----------_--- � Installer t� Address Type of BuildingSize Lot3__....5._a_---------S feet Dwelling—No.,of Bedrooms........... ___________________________Expansion Attic ( ) Garbage. Grinder (NCB) Other-T e of Building No. of ersons____________________________ Showers YP g ---------------------------- P (---.)..— Cafeteria (-----> dOther fixtures .----------•-----•-------------•---•----------•------..•--.._..••-••-•--•-••-••---•-•------•---•••-••••-••-- W Design Flow________ Ze. ......................gallons per person per day. Total daily flow.___.__ .I7. ?_.____________.._....__gallons. WSeptic Tank—Liquid capacityJq!�e>_.gallons Length6_'6-."._ Width _/6.�}_ Diameter________________ Depth_P"__'g'.' x Disposal Trench—No.________ __:..Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-_____----- ______- Diameter a ..:._.__.._. Depth below inlet.... ._.____. Total leaching area ...sq. ft. Z Other Distribution box ( _ 'Dosing tank ( ) , aPercolation Test Results Performed by. .. t . .`....... Date___—4y �9 Test Pit No. 1. _.minutes per inch I3epth-1,of Test Pit .......... Depth.to ground water A i�'' _.. f=, Test Pit No. 2.... _L___:minutes per inch DG-th of Test Pit. C_ "",._� Depth'to ground water_. { _ru.e____.. R4 --•• --•-----••--..........•-•.......... ................ Description of Soil '� e! 'JY S(/ K ray .ice t' �, .......... ............. - ............ .--..--.•-------•-------- U Nature of Repairs rations—Answer when applicabl _........................................................ ,........... . 4h M Agreement: ry The undersigned agrees 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 until a Certificate of Compliance has been issued by the board of health. Si ed_- _ ._ .'. , pp e Dat Application Aroved=B ....-. : -'- ..... - i Date Application Disapproved for the following reasons:==-•---•--•-••••••-•--••-•-••--•-•-•=••-•••-•••••--•-•--••--•-----=---•••----••----•-----•---••-•':............ --••----------•............................ Date PermitNo................................... Issued-.:h...................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............0F........ ....................... �rrtif irat a of Tompl anrr THIS IS TO CERTIFY, That the Individual Sewage Disposalf'System constructed ( or:.Repaired ( ) b Installer.,, 4 has been installed in accordance with the provisions of rnirr' } of The State Sanitary Code as described in the application for Disposal Works Construction Permit No --------_--- dated....64_!9_Y'.-_-_-7 '�______________ THE ISSUANCE OF,THI-S CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. w q� ; DATE..... '. ..._. -_. !....................................... inspec tor........V. C_. .. .............................................. THE COMMONW LTH:OF MASSACHUSETTS < 79 BOAR? OF '.:HEALTH _.. 0C ..A...............0F......... FEE.. r !t!_S_.r .1 .. �} !'a+........... No...... ... _I?.e.--/ Disposal 1vorko Tnnotrnr#inn Vrrmft Permissionis hereby granted................................................................................................................................................ to Construct ( } or Repair ) an Individual Sewage Disposal System at No. _•27-.... _..� �d e l fl�f �:_.__._.t b:bir..--.-..-.-6Ll_ r.... .............................. -Street ' as shown on the application for Disposal Works Construction Pe it No,.. __ .:__.__ _ Dated..4''!2_........ e7_•_........ el....... -------• -----•--__-`-____ Board of Health a DATE_ " �a ---•••. F- t F n{ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ,. �.....4..�. - `. l�.3' LOB; 64. { MAY 9 , 19 '79 . . . l'/�,;t_f ELEV. 2 I{Q U .w lL LC) 7a .� D- 4 I._0f'1 LEACN PI 7 '"''y. I a ; ►o t 5 4 - P5 MEDIUr1 SAP:"- So' t To. i i .TEST $ ` 55 DIST, BOX ELEV SEPTIC 'TANK ` IS- Jt iJl i,C U if 14150 \ 78 30; nofi6 :a EXlST.. - (�d i WELL c; :LLB' , �/•< 31 2, Ui�? �'lE�l/TS�- - S CA L E / /i = C `$ f ON 7- Si.D� T217Z. P)2O c o SE D .j, 6-r N k Y E3 ED f2oo.�.1S F. SE P T/G 5 y5 TAM COAI,5 7-2 UG 7-14N ' SHALL` G'ONF40/Z'M 7-O MA 55 - - � - I7E5/Gnl FLOW3a GAL1a� v tf a ENV/QOAIA4Z—V7T�L. CODS 7/T4.L '�7 �7t'l5T/NCr• ,��t �i5��,�.�;lV �? � t3A1�N�,T'i4 ��� . � HE.�1 LTA•/'1-�.0 LIZ- 17 0A/S` �EQU/2C-D L,E4C,c,J �t,2 1 / 2 a' l r TOP p2005 = o . , • U 2 • - e �"` r ( _""'�'.."'."g"°'s. ...-........J..._..y..:;..+«::,,.✓i„.«•- ..,..,d -->M.r-.;,,,, . ,is :sdz.-..- •._ _.a.-.-:t;- .. l'-. .,� .. A. 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