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Home My WebLink About0079 HARTFORD AVENUE - Health 79-Hartf6rd Ave.o v e - Marstons Mills A= 103 068 3 A�E S 84`56'00.E 171.03 P� 00 P ry0 LOT 95 22. 000 S.F. #79 DECK SUN ROW O PROPOSED 28 t 14X/8 3 "e� s ADDITION p ON SONO MOES O 4 �, ��, CESSPOOLin C� �ED p 0 CESSPOOL i 44,50- N 84058.18.W ZONE RF THE LOCATION OF THE OR 1 GI NAL DWELL/NG SETBACKS SHOWN HEREON EITHER WAS IN COMPLIANCE FRONT - 15'' SIDE - 15 WITH THE LOCAL APPLICABLE ZONING BYLAW IN EFFECT WHEN CONSTRUCTED (WITH RESPECT REAR - l5' TO HOR/ZONAL DIMENSIONAL REQUIREMENTS ONLY) OR EXEMPT FROM VIOLATION ENFORCEMENT l HEREBY CERTIFY THAT ACTION UNDER TITLE Vl 1 CHAPTER 40A SECTION 7. II THE DWELLING DEPICTED ON THIS PLAN WAS LOCATED ON THE GROUND f r :. � PLOT PLAN BY SURVEY ON APR. 22 2008 a str lsnr IN AND EXISTS AS SHOWN AS OF THEgb I DATE OF LOCATION. a BARNSTABLE, MA. r +� SCALE: 1 '-40' APR. 23y 2008 THIS PLAN /S FOR PLOT PLAN PURPOSES ONLY AND NOT FOR ��',f EAGLE SURVEYING, INC RECORDING. DEED DESCRIPTIONS 923 Route 8A OR ESTABLISHING PROPERTY LINES. Yormouthport. W. 02875 4e i (508) 382-8132 (508) 432-5333 THIS PLAN /S VOID IF NOT STAMPED AND SIGNED IN RED, 0 20 40, 80 PROJECT N0. 08-029 t/ to CAT ION 5SWAG PrP91 MO. VILLAGE I N s 'F LLER'S NAME A D D R I S S I U I L D E R OR O'HWER DATA. PERMIT ISSUED ;A 'f E C 0 M P L I A M C E ISSULI; . r r 0 r .. At Fss......1. ..�.�............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .........................'-----------......O F..........................................__.........._...-----------..................... Appliratinn for Bispniital Workv Tamitrnr#inn Vamit Application is hereby made for a Permit to Construct ( ) or Repair O<an Individual Sewage Disposal System a - 7 ------....-- ..... ocation-Ad4ress y"d or Lot No. ner Address _ - --- -------------------------------------• •--------•--.............-•-••-....._. Installer Address dType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms---- ...........................Expansion Attic ( ) Garbage Grinder kV Other—T e of Building ............... No. of persons__..._..... _ Showers(/ ) — Cafeteria ( Otherfixtures ---------------------------------•-•-------•-------------•------------------------.....---------••--••-••----•••.....--•=......----•----•••......---- W Design Flow............................................gallons per person per day. Total daily flow............... ------------ ._...............gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. ` Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY--------------•---------------------------------- •------------------------ Date........................................ aTest 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........................ Q+' ---•-•-------•---------------•-••••.........-------•---•--•-•-••••-•--------.............-•-•------•......................................................... 0 Description of Soil........................................................................................................................................................................ x U .--------------•----•----••----.........•---••---......_..--------------------------..........-•---------•------------------•-------•----•--•-----•••-••--•-•------•-•........_......--•--•--•-•--------- w x -------------------------------------------------------------------------------------------------------- ------ U Nature of Repairs or Alterations—Answer when applicable__.___.. -_ ....... :�— ..ems_ --� '��►,.. ` .�. -•-•--.. .....•. ... Agreement: The undersigned agrees to" install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben issued by the board of health. = ----••-• _..�.-�.. '.cal' Application Approved BY ................... �.... .. !.... Y z Date Application Disapproved for the following reasons:----•---------------------------------------------------------•----------------...•.......................... ••-----•--•---•-----•---......---•----------•----------------•---------------------------....-•---------.._......-•-•-------------------------------------------•----------------------------•••...--•--- Date PermitNo......................................................... Issued Issued_................--••------....---••-•-•••-----•----•-•- I\.LL Date No...-5.M-_..�3Cc Fz�s.....�...�J... ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF_.....I.,.......I......I............I. Applira#ion for Rapuual Workii Tontrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal .' System...l_...! o►-r' � ..................fve -----N-ffl . -------- --.. ......................... ... ._.. -ocation-4ddress or Lot No, Owner Address-------------------------------- Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms---------- ........ ........Expansion Attic ( ) Garbage Grinder 1 U a 'Other=Type'of Building ............................. No. of persons........q.............. Showers ) — Cafeteria'( ) Other fixtures ............................. d W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 94 Septic Tank—Liquid*capacity............gallons Length................ Width................ Diameter________-___-- Depth................ x Disposal Trench—No. .:.................. Width.................... Total Length----_............... Total leaching area....................sq. ft. Seepage Pit No................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z 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........................ P4 •------••-•--------------------------------------------------------------•----------••......-•.....•......................................................... 0 Description of Soil........................................................................................................................................................................ x U ....................... ............................................................................................................................................................................... w UNature 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 issued by the board of health. _qiored ........................ .....-----------......------------•-------- ................................ D to Application Approved By.................`. * --•------------- Date Application Disapproved for the following reasons:---•------------------•-------------------------....------------------------------------•-••...-•••-------•----- f^ .....................•--------------.......-•---•------------......_.........---------.......---------•--..------------......---------•----------------•--------------------------• -•••----------- d Date PermitNo....................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifiratr of Toutplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer has been installed in accordance with the provisions of TITLE of The State Sanitary Code as desfribed in the application for Disposal Works Construction Permit No........................—___-.. _ dated---------61. /.S�. .._......_..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUE® AS A GUAR NTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .. ................. Inspector Inspector....--_...-• ------ .... .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ..........................................OF.......... FEE....d �. DispoS works 0oni#rttr#ion erttti� Permission is hereby granted............::Ce .:�.��_` .._._...___._._ ---------------•--......-----------------------........-------•...........--- , to Construct ( k) or Rep i ) an Individual Sewage Disposal System at No. 19----------- = y i &2......c .V_X....... as'shown on the application for Disposal Works Construction Permit AK.-_5.... _. Dated.__._tea__ 1yiPS...................` Board of Health •------------------- d \ FORM 1255 A. M. SULKIN, INC., BOSTON `� _ S µ Atj , a 57 2 -- _ : i/ { • , { ! , 7 , i t i mmll'_ 1 _ ; ' i 1, : t r , i , 7 ! 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