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Home My WebLink About0092 HAMBLIN'S HAYWAY - Health 92 HAMBLIN'S HAYWAY Marstons Mills A = 045 - 024 TOWN OF B.ARNSTABLE LOCATION SEWAGE #97— '140 VILLAGE/YI, S ,ASSESSOR'S _MAP_& LOT J.OH�A: 14ALT0 BACKHOE 6�^"'"` INSTALLER'S NAME & PHONE NO. 150 Walnut Street tW�est ,ffairnstable, Mass. 026::-': SEPTIC TANK CAPACITY CIA 3 S��e ( LEACHING FACILITY:(type) p;f (size) ;19 O O 6,4/ , rL 6 NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER Pv�lc BUILDER OR OWNER DATE PERMIT ISSUED: DATE .COLIPLIANCE ISSUED: ,2.. 2 5 ^,;r 7 VARIANCE GRANTED: Yes No �✓uy� �_________1 f^`h ,. , , \ � �� \ �`3S`- � � � I � \c ; � �'/ � �� ' � b' a J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..®` .......OF..... .�� App iration for Bhgpos al 10orkii Tonstrnrtion Errant � Application is hereby made for a Permit to Construct (A or Repair ( ) an Individual Sewage Disposal System at: ................__...... :A: . 1..1N.._. . 1 � y... ..................... = Lo do -Address C t r e ) Q O�w�ner � ................•.--...•..---...Address Installer Address �� Type of Building Size Lot. 4._,----------------Sq. feet U Dwelling—No. of Bedrooms.......... ..............................Expansion Attic ( ) Garbage Grinder ( ) Other-Type e of Building ............... No. of ersons.........._...._.._......... Showers � YP g ------------- P ( ) — Cafeteria ( ) Otherfixtures ------------•-•-•-------------------•-••-------------......-----•---------•-------------------------------•----------------------------..........---•- W Design Flow..................5...�.��..........._.._._.gallons per person pyr any. Total daily flow.............. ................ga119ns. WSeptic Tank.—Liquid capacityl8®.gallons Length .......... Width.._'/Q.. Diameter__-_..:°—.._. Depth....---5---._"� x Disposal Trench—No..................... Width_j_..... ...__..... Total Length...._...r__......« Total leaching area....................sq. ft. Seepage Pit No---------J--------- Diameter-/�. ... Depth below inlet_k..-O._.... Total leaching area.472_....sq-4t.6PO Z Other Distribution box (K) Dosing to ( ) i '-' Percolation Test Results Performed by............!q$...a' 67.6-_...... s® C.. Date......4._-17' •r-•-------- L _..a Test Pit No. ..... ' .minutes per inch Depth of Test Pit../6� .,.._. Depth to ground water._B.On&....... (1 Test Pit No. 2......2......minutes per inch Depth of Test Pit._J1B. .... Depth to ground water... 0 Description f Soil T �_!_1..., �1 �� .J° -- -- - ��C/t:................................... t I e y-•...•-.•......... -------- U G . rW�y ------•---------------------------------•-----------------------...-••---......---................... •-•--•---------•----------...---•---------•••-••----------••-----.....•.............------------. U Nature of Repairs or Alterations—Answer when applicable...____......................................................................................... ---------------•------••-•••--•---...------------•-----••--•••...••-------------•----•------.............------ --------------••----•----------------•----•---------------------------••....._-•--•-•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL1 5 of the State Sanitary e— The un er igned further agrees not to place the system in k operation until a Certificate of Co ce has ben ss"dbh ar ofhealth.2y'signed------ - - . . . _ Date Application Approved B Date Application Disapproved for the following reasons:-............................................................................................................... -••.................................................•------------•--------------••--------••---------------....--•------•----------••--•----•---••----••-•------•-•-------•--•--•--------••-•--...------ Date PermitNo....... _..�.:'.---1_81--0-------....-•---.._.. Issued_....................................................... Date f , No.......�.............. Fx$....... �� ........... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ! A OZ , - � -- r. Apphration for Dispwi al Workii Cnowitrur#inn ranfit Application is hereby made for a Permit to Construct O or Repair. ( ) an Individual Sewage Disposal System at: 2 .... —��c �f (T........L_atr......A..� ress_____....p�...................... , _.. _...... `..--^rr `No 1L .............._. ......................--... - ....... ............................................... ..__.__---•---•-___•------••••••-••........_______-----•••••.....•••••-••••••••--__..._ ..__.... O� Address'• a •"-"•".............""---________-•-------•_-.........._ ____......------__ ..._J____-_____.._................____.. Installer Address '-(ti d Type of Building , - Size Lot_`______ .................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Buildill ............... P ( ) ( ) QI Other fixtx•rs- Design Flow................................_____-----gallons per persoyje ,day. Total dail, flow............................................ IIc 000 - W Septic Tank—Liquid capacity............gallons Length__ ____________ Width._._....`_-__.. Diameter................ Depth................ Disposal Trench—No____________________" Wid __._ ........ Total Length._._: F f- F Total leaching area............:.......sq. ft. Seepage Pit No.___.____�_________ Diameter.......:............ Depth below inlet____.___.__..__.._. Total leaching area_ .....sq. ft. Other Distribution box (' ) Dosing Ptak, ,_ ps Percolation Test Results Performed by______________________________________________ $r Date........................................ Test Pit No. I....... .........minutes per inch Depth of Test Pit._._,.. ___. Depth to ground water________________________ (i, Test Pit No. 2................minutes per inch Depth of Test Pit____ e"...... __ Depth to ground water__ _.. ............ Deseriptio - f Soil_________ _____ ,�;sr'�s, U .___________________•---...._______--•---------------------•--••._...--------------_...._..______.._..._.._--•-••••••-••.._..._._____----•••----._____._.________.__••--•--------•--•-•--•-••-•--_...•-•- W -----------------•••----._-__._____...______._.__---•--------------•_________-__....._•-•-------•----------•-.._.__...---•-••--•----•••------•••---------•-•--•-•-•-••------•--•---•----__.....___...._. VNature 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 TITif- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certifica of Com `ce has been issued by the board of health. y.?''Signed- ................................ Date Application Approved BY �--........-....-`'-"................................................... ........................................ Date Application Disapproved for the following reasons----------------"-----••----"----------------------------------"----------------•-••----••--•••-•••--____________ ............................................... •--•"-----....•---•------•"""---"--"--"•----•"------•-•- ...______ - q V 2,0 Date li. Permit No......................................................... Issued_..................................................... - Date THE COMMONWEALTH OF MASSACHUSETTS BOARDf OF HEALTH 7,4 7 ..........................................OF....................._..........-.................................................... . �rr�i�irtt�e ,af f��ant��i�a�trr THIS I T CCEERTI the Individual Sewage Disposal System constructed ( or Repaired ( ) by =IT ........ ....... Insta at...............•-----_-_••- --••••-•--••••---•••--•---••-••••--•-••---••-_________-------•------ 1�• has been installed in accordance with the provisions of TIT17 5 f Wtate 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............ ..}`. ------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ' HEALTH I', 0 7 4I 6�G ...t a t u1$ . OF.. 1 ?° �Y( Yl ' ( � •t....................... �S No......................... FEE........................ T-A-1---------- Permissio is hereby granted____ _______________________________________ -----"----••--••••••••••••-•---••••-------___-••_.._..•••..................... to Construct o Re it . n d vldua S . �a e,Dis osp1�s_tein ( Lr G �. -*� g n p atNo.•--••••....-- --•-------• -•----•_______________•••••-•-.-•--•••----------- "j---- ------------------------------------------------------ �'i''/�/,/ G as shown on the application for Disposal Works Construction Permit r Dated.......................................... I Board of Health --------------------- DATE---__•-•----------- ......................... FORM.•,1255 HOBBS & WARREN. INC.. PUBLISHERS 7 AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION loy 37 l -7� (J 0 o? �.�nG S f� G✓�r SEWAGE ��/ � VILLAGE //S ASSESSOR'S MAP & LOT Y JOHt�A:Ag1T0 BACKHOE Sr- INSTALLER'S NAME& PHONE NO. 150,Walnut Stree± �S .e ams a lei-02C,, SEPTIC TANK CAPACITY /�4c7�cr coo 3 S1x, r LEACHING FACILITY:(type) �D�f (size) ri NO.OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER P ,c BUILDER OR OWNER DATE PERMIT ISSUED: DATE .COMPLIANCE ISSUED: 7 VARIANCE GRANTED: Yes No / } r�Yrc� r i ' � � a�•- fig. � http://issgl2/intranet/propdata/prebuilt.aspx?mappar=045024&seq=1 9/7/2017 L-OT 77 34, zB3 ��-5'q SZ 5Q o ;41 o� NNto . 5 3 � D R-boM 24' _ 1PP � lo'45v PS CJa tlN JO okt K Q 6FT.EFE Dcjk-r14 � bl ft 1 E. .21 ,`WU H,JR.CIVIL #15228 � �®�FSS10N4AA4BL- A1. s 1, yWA `f_ a z- D AL �c��atiJ 67cc),o e LA r7 o D)m104 590CKToN, IVA55 II Io C DIST..BcK N ie" 140 V, .55.D 5�i•7' 5�•3 0 0 0 GF'r• D IAtil. I 000�. Ccnc. A o ea C-Owc.Lr-AcI41144 Pir. Sc p+i c. Tank S¢S A 4 a e can a o n 3fz: 49,0 /4 sJ►�d s�toiro i BoT• PST Et�y o�DC,Rpo�10 ,, ��•o o �E.stic-�N 1'D FSat� �RCo�.ATtoN RATS 2 M/N,11VC1�1 DRO P 5�c•5 l$ ►� TEST PES2 F'O RM ED 4 -1 7-8-7 �'��3SoiL 3 aaDRooMS K Il0 C,PD = 350CPp LEAn4iuc, 55.0 36 `► IV O C`iARBAQ9 DISPOSAL. USEI b00 GAC.•Sr=prtc.T4Nk 30rr CAPAC-Iry PI•Z.ovlpaD : s4, D '73OT--FOM —r l- o = I i 3 G P 12 i c�a�J S 10 E 5 --Tr l z. x ( s` iI/lerD UiV/ Tcsra L CA,MC I Ty RZO VI D>=D t OTI=— D 15 PO SA I_ S\l ssT-E-m D-s Icq N E D I N AcGc>RD^"CS V`! I TA PROVISIONS OV � FIT)-.F- S o;= T4S MASS . IRNV IROEJA4ENTALI i G:ED267 LAC, oD I Os 44-o ( bG ,r Lo-r 25"JEU.//US y y •