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Home My WebLink About0102 WILD WAY - Health (2) 10. Wild Way 4 A= 027'-,138.� Y, i TOWN OF BARNSTABI.E G-TION /,(/itcc�� -r.�. SEWAGE # $ G - cjZ3 VILLAGE_ _/�`C� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 1/�G SEPTIC TANK CAPACITY /GG G _ LEACHING FACILITYAtype) (size) 6" NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 1Uzcle': , � � •�� r DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_" -VARIANCE,;GRANTED: Yes No 0 _ . � �� d/ L✓ �' e� �� i� �: �,. 6 �Y �a . ' I � ' �� i3��2 � ' 7t' �° �� ~ � % ��,L 1 �� I, .:.�,_ No-9f:113. Ficl3......Z3...... _ THE COMMONWEALTH OF MASSACHUSE-rTs BOARD OF HEALT,�i ../04).k/.....................oF....861W&77+8Lt...... ..... ....... . .................................................................................... Appliration for Dispashl Works Tonstrurtion firrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: -/ws.......•'-`-�`-� ......... .....z........................................................... I C,600i3ion S or Lot No. - ------- ....... .........--------------- .......------------------- ....... "*------------- ...................... ner Address -------Knot-EUD•..... . .. ................................ ......... ----------------*.......... ...... Installer Address Type of Building Size Lot.... 1115.1)------Sq. feet Dwelling—No. of B'edrooms........3...............................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) 04 01,!��xtures ...................................................................................................../ ................................. Design Flow... -----------_---------- --gallons per personV)er day. Total flow---_--` ... .... .................gullonf, 7't '.f 9 Septic Tank—Liquid capacity/..D. gallons Length ..L...... Width........ .... Diameter---------------- Depth..._. Disposal Trench—No---------_--------- Width.................... Total Length........ Total leaching area.. sq. ft Seepage Pit No...........(..... Diameter.....L-7—f....... Depth below inlet..... Total leaching area 7-ft., z Other Distributi( Dosing tank ( ) -Z:3 ..............V.6........E. Percolation Test Results— Performed by----... .............."A................ Date----. 0.40-k) 6.4 Test Pit No. I ..minutes per inch Depth of Test Pit...I.). ..... Depth to ground water....... ............... 114 Test Pit No.. 2................minutes per inch Depth of Test Pit....-........_..._.. Depth to ground water._.................._... 9 ................................... ..... 0 Description of Soil......................*.............................................. •.4?� .- -------Vz 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 TL I TL U 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. Signed -------- ................... .......................... Date Application Approved By........... . ...... ....2). ........ Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo....... ..................... Issued...................................................... Date `.i __.....,� .,�- y _ -__. _.r.-. y :.: ... ..': .h v �.- .. ♦ ... � . �,�.f hr. w .�. ✓ �.._.. r -.. _ y � � Sr f-. :iM.w:M No... «1�.:.. Fizz...... ,!^�. THE COMMONWEALTH OF MASSACHUSETTS ♦ a° BOARD OF HEALTH '* l - . --'---------------OF..........: r/U f 7 f > �` {' V Appliration for Disposal Works Tonstrnritnn WIrrmit '} Application is hereby made for a Permit to Construct (L--f or Repair ( ) an Individual Sewage Disposal System at: r ... .- K19-- - ---• .......................................................... �ocation0-Adds • or Lot No. ,Owner Address a ..._.. ! ._....1I ^- ... •-- ........................................... •---s••------- Installer Addres Type of Building Size Lot.... .....Sq. feet .�..� Dwelling—No. of Bedrooms.....-------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building .............. No. of ersons.._._...............•....... Showers — ;>.,.-,� YP g -------------- P ( ) Cafeteria ( ) Otherfixtures . ..................-----•-•-----------------•--...------------.....-- -- --------------•-----.......------ W Design Flow.... _��.................... .........gallons per person per day. Total daily flow..._.. ..:.,s_-_------gallons. %W Septic Tank—Liquid capacity,��r�_gallons Length.<.!(..�..._.. Width...`C.. .... Diameter..............•. Depth..... a..� x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area..........._......sq. ft. , 3 Seepage Pit No..........(......... Diameter.....f.'?.......... Depth below inlet-----q ......... Total leaching area.. Z Other Distribution box Dosing tank Percolation Test Results n Performed by._._._. _U�_t...� _.(:�.: .._��._.•............. Date..... .�..2 a Test Pit No. ................mtnutes per inch Depth of Test Pit...!.4�:_..... Depth to ground water.... fT Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ................................................. O Description of Soil............................. ......................................G7 �� '�' L��/CZt ....................................................... -------------------------------------------•-------------------------------------------------.......-----------•--------------------------------•-------------•--........-----------•------••-•-•------- 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 Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issuedby the board of health. Signed.--_-/ :_-r--..•_ e............... --•----- ............................... Date Application Approved By------ -- --- ------- ------------------------------------ Date `1 "�'� APplica.tion Disapproved for the following reasons:............................................................................................................... .............•-----•..........-----•--------•----•••----••--------------........-••-----•..........-----•-----.....••------•................-.......................................................... PermitNo.......li- -=- ---- ------------------------ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / !1. ............OF............::}�'? l? -................................ Trrtifiratr of Toutphaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) F by...........................................................................................'---•--.--..--.s_...........---•--------.........---------•--•-----------................-----.._._.... Installer at...-. .. . -b.. --- I ;�,------------------------------------------------------------------------------------ has been installed in accordance with the prov ions-of TIT 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....... _-._�7�_.._.._. dated-------.__..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. c� DATE.. o .. ......-�!-- ........... Inspector-•----------.�.....------ ------------------------------------------ ----------------- C�THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � No... .c; .1. ..........��..;.:y,�i�..:r.........OF...........- - FEE. . r Disposal ^Works Tonotrnrtion frrutit Permission is hereby granted--------- 1 ?.. I................................................. to Construct or Repair ( ) an Individual Sewage Disposal System at No.. ...-! r ... ... i�� h .....: 1 p im ................................ at / . . street as shown on the application for Disposal Works Construction Permit No 7 ___ D'ated_-_- ...... ..... _......... ------------ �r---- r Z�9 ! � P j n j ) Board of .Health 7-----------/' ......---y•----• i ! �G DATE................... —p.-/ g I P OF �oNND ATIo N Fi..3� O.O 90 ��' �5M 82.5._. 647751L. i e�'•5e _ ' 82 _ V 7,5 7,6 �o -- i I ,vO 7-� ` - C_ _ �� L „� io, MANE-JOLT CO(/EARS TD WITA4J' 1 ' `i �i . P f-i'Jp/�. SGHL� : / - /v 5 _ Iy I 0 �, V E r: SCF1 E• : / FIAj/SHEb G0e019De , -o—o--o. a-. R'-OPosce/ 9,"our7d Praf'I/e �n•�In: %4`f' -�' :�'f:� FLOW -. , CQul9L 7`0 $<_F ';c P/PE To BE 3�6••,fse Pone - - L EYED D/S 7:" 45 Cl�G `3'•^�tl I �„emu r d rnoo • GAL. 'CEP r/G TA N� - washe LEACH . } I Z3 -7 TEST BY= L OW '� �✓61-LG-R 1^,, 210. 77 3 DF� ooM f-LOUSE O.�i rE=� ' I � B _ . , _ M_ C/C3 _.,,__. f3 o O • j I� 5-77 33� x /.5- 49s G P4�- !LI � - ,.�3G GRATE D S�PT/C /-f1N.� h.Of�� a. r, ,J Do0 Gf1G. T�ti/K SUC SAIL, o — i- 1✓ � -- ---- � / E L u�4,9 5 � Z 30,, ----- - - O 377 ,,IDE WFiLL: 150.8 XZ.�S - �O - h N edTroM: l o r I -ro;rfJL - 4q0,/ � P.O 1"1rDlUM r - z _A C H P I—I W/31 o 0- i SAND ND G RAVE L / 96.48 -Xo /. CE2T/FY rH�T Tf-(E BU/LD/tiG NO W/�'TF fZ CNCIOUI�T�RE.} - LOT- 3 I PROPOSE•D Oti! 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