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Home My WebLink About0100 HOLDER LANE - Health I/P C-- /00 Ce 3 0 S L L T N ORNSTABLE LOCATION _ L®f'�!`3" Q ,..SEWAGE # C S'�-� VILLAGE f/clls'. ASSESSOR'S MAP & LOT l A'0/ INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) z�6r,14 t1r.,,.tk (size) 6d ,:P NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER r - DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ._ � �� . ��% � :: �' � 2�a �� ' �t� s 6 .- � � . ) � �/ �,. No---25,3V3F�s........... .�..:a..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE , pphratinn for Dh3po!ml ldnrkri Tomitrnrtiun ilermit Application is hereby made for a Permit to Construct ( Vor Repair ( ) an Individual Sewage Disposal System at: \ 2�zl_eA /&�t4c _Z&F ------------------I------------------------------------------------------------- --------------------------------- ...... 4-'r ation- Tess or Lot No. ( .. -- ----V.... ------------------------------- ------- ------- - - - ------------------------------------..... I Owner —h .__..Address Installer Address UType of Building Size Lot--- .F_ _ :_._.._...Sq. feet Dwelling— No. of Bedroomrs,._�._____ ___ ______._.Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building 4` 1r1.�at No. of persons_______________________._.- Showers ( ) — Cafeteria ( ) 114 Other, fixtures . -- ------- Q �/ ------ W Design Flow---------_------------------- gallons per n per day. Total daily flow..._.-._---_---L-- :- -- ------------------ WSeptic Tank—Liquid capacitv1 00.galIons Length---------------- Width---------------- Diameter.__.........._. Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area_--_____-__-_..__---sq. ft. 3 Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing / / Percolation Test Results Performed by.. .._. Date__--_�!_'..�` y Test Pit No. I................minutes per inch Depth of Test Pit._.__.___________... Depth to ground water____ fZ Test Pit No. 2................minutes per inch Depth of Test Pit-_._----_-_-____-•-- Depth to ground water-__--.__--___--_-._--. a --------------------------••-----------_--------•-•------•---------------•-_-------•-•--................................... 0 Description of Soil______ _ _ _______ x U ----------------------------------------------------------------------•---------------------------------------------------------------------.....------------------------------------------------------• 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com511 .. _._ has been i ed by the board of health. Signed _ ...... - -------------- --------------------------------------------- --------------------------------:. Dace Application.Approved BY .. -- )- ..-_l�s .. Dace Application Disapproved for the following reasons- ----------------- -----------------------------------......------.------_---------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------..._........_.-------------------------------------- ........................................ Date Permit No. - �f --------------- .. Issued _.........�a�..�`� ' 5........................._. Dace 1-7 Fss..........� ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Di-lipmial Warks Tun.strnr#inn rrrmit Application is hereby made for a Permit to Construct ( Vor Repair ( ,) an Individual Sewage Disposal l Sy� °em at: �� Mr �1� - ---rJ...... ' ��------------------------------------------------------------ Lodation-Address or Lot No. ... .......... - ../� ' -------------- � Owner Address a �1..�-r'- .• -------- ------- � ✓ Installer -------•_-_. ^_-..-..... � Address � UType of Building /J Size Lot... C�{. �y��......Sq. feet .� Dwelling No. of Bedrooms.______~, ___ Ex ansion Attic g— -� ----•----------------- p ( ) Garbage Grinder ( ) aOther—Type of Building A& _ _No. of persons------------------------------------------ Showers ( ) — Cafeteria ( ) Other fixtures -------------------------- ---------- W Design Flow.............................R.(?-------gallons per;.e-r-soon per day. Total.daily flow.--_.-.-____.L/ U•-•--•--_-__•_-..-gallons. WSeptic Tank—Liquid capacity/_5 U0 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 ank ( ) Percolation Test Results Performed by-----�� _ l _.'t/� -- Date `° °� Test Pit No. 1----------------minutes per inch Depth of Test Pit-..__-________-_.-_- Depth to ground water..._P/C �� 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..........................•-•----•-•--•-••...........................--••-----------•-•----•-•-•--........................... Description of Soil -•-• .' U ...... •------------------------------------------------------------ •------------------------------------------------------------------------------------ •-------------------------- -------------- UW ---•--•-•--•--- .........--............................................................................................................................................................................ 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia-nice has been is ed by the board of health. ISigned --------- P.... - ............ o�e...........:...... Application.Approved By ----- n-..........70 -tom.:,<•--,----------------------------------------------------------------------- ........ Dare Application Disapproved for the following rearonr: ---------------------------------------------------------------------............. . ....... ... ......... ---- ------------------- --- -- -------- ----------_.._................----------- --- ---------------- ---------..--. ---- -------------------------------------------------------------- ... .-...---------------------------- �~ �Dace 1 _ Date � . y �� - Issued .. .. 7>-�-----�-------------------------- Permit No. .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T( ertifirate of ((..�� O�TWN,OF BARNSTABLE omplianre THIS T CERTIFY, That he Indiv�d al Sewage Disposal System constructed ( ]�) or Repaired ( ) by a ...... ..... -------..----- ---- --- ---- ------------ ---- --- -------- .---------- Install - at ..------ ............ ............. - .._......-.. ll... 1•c---- ----/%---------------------.------------------..-------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction.Permit No. ..- -- '-.:��.y..,,� dated ....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. s DATE-------------� �....__..... 1..�%... �'�"�---- ---...----- �� _..../. ;00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.... 5 =3 3 ;' FEE...... Dv........ �iu�u�tt1 �nnut��.rtinn ,�rrmit Permission i hereby granted...... � ' '�'".L_.�. 1.. to Constru t �) or Repair ) an In ividual Sew -eD�isPqs System atNo... -••-------//�---- ---- -----------•-•�"--------------------------------------------•--------------------------------------•------------ Street _ as shown on the application for Disposal Works Construction F10it --- Dated----- ............ ----- --------------------------- v�%�� '' � �.�• Board of H calt�/ DATE...................................... ---- ...-•-.......................... FORM 36508 HOBBS&WARREN,INC..PUBLISHERS 1JES 16 N PATA slt4�-�L� apu� SPAc,.� . .. 1Jo l�A1�3At;E GRIIJI7E>Z FLOW 4x I►0-4-40 6PD �p,v SE'PT'l C TAIJIL,�Kd•a�ct$p�o= leG�j6P-b \`o i _21SFMA 'Pit, 51DEMLL AREA= 264 FA *�5 ? LaGo CPU. i / �, ego BOTTOM Ala _ 2'ZG >< I a zGPD. III 1q' 'TOTAL DAILY rLoy1 =44o ( t� 9r P a T--E2e-V4,AT10N BATE =I"ru A,,,0 11. 5 13Y ULAIL esvorri' PE Pt.TER '� • I34 �� 'i � Iv-� � a SAXTGR SULI.IvAfV ,pF No. 29/33At _ LOP O �'c -- P.G58 �JC-- Tzs r gig TF =(T3 -�x .77� LoW p V.C. S��o►t� Z 4- AL Q-� INJ IUJ q'ST rut 130 �L 13o.�j lea•5 GAL IZI. TAN4 t LE I WI T� SAua . 3v 3�4_I vZ, �: ALL- 5rzv-ruQEs MFIt� STONE Ma¢6 T)4A,,4 4! vE S14ALL BE �-Zo ! I C&M r I EDPOD ?POP I Ls— nt-Or PL1�1� !Fib SA►Jc o S��QL�- I-GGATlow _ Gt=WrE►zVlu.� 'rt';A11.IJS, e e4 Lam: I,( 1 CEP-TIFy T+ kr T4E twb uw,', Q ERF�JCE SFlDu1fJ �MPL -µ NT \ oT 115NE2E0N4vTDJ � IE- 7DWN of > atiTar6La 44D ►5 to L-04AT, IN t,l E 1 xov pC.At{,� , Pe, 'Bv- 43`l Pe, t� 7� \ fK F�A►:: tS NG'1- 3A� oN !aN p F '�rorJdr_ LAQD Sueve,/OZ5 SufWL`( AIJi� TNT °Ff SEeTS - I4oaz�) Ll�vti-aE o IL ICJ I L E'JGI N EEz$ I U5C1� T-D �1-A irLl�ri Rza�E�T�1 STt=rzv I LLG MA, , 4 dPPLICANT; 3� Ati(51pI)IMbIJG C� Ervcr I TJES16tiJ I7AT � ..�_ , anus snAt.� 51116LZ FAMIL`( Qo !,AZ5At E Gl?IIJDER. ..PAIL-( FLOW 4)(110-44v APD SEPTIC TA14V- 440A156`0- &40PJZ� • �� 150o G�c_ � IMFVAL PIT `• 51 D E WdLL A¢�A= ��5P �Su �� 1 g,3�1{0�i i �' ?(os{ SF X S BOTTOM A2� �-'Ni S lr l l o- TOTAL te�16N = gBG 6fp, -fir TCi•A L DA I L T`132Cac.A-MOt ,l 2A76 $y CZA IL -SNor~T PE I PETER Ei sr.x"rn f SULLIVAN y `�jp�o1 a No. 29/33 All rF -133 e.= L oAw F.V.c; S✓n5o�c� Z wd vfST Iry GAL l�rd3 IIIII laa s d G°v jtz4,i7 13f�c �i 9 1 Seprlc TAf& Le 1 SA" /y" was9t� : Au_ 5reucruzes s�T sToNE MOW Tua� a vtE,--P ` Ely1n.� s+-lacL -ae �-zo --.i3 ti{AI% l?d PAL -Ig � CE>zrlFl® p1..07' PCd IJ +� r� lEl.n� 'P12yFI Lr-- !�iUt�SA tJC r1,p ��GQC �-• LGG=L IDI� �122 11 � o"T-g&_ 4a LE . ( _ Sc�. DATE; m • fzo�'s�b r _ PLAN P-Er!^EROJC.E I CEP-T•IFy T�,kr T14S tkvs"4 d, 5�lowu NE�zeaN wM�� S wlTµ TUs 51"DELItJE Lor 115 7zo, Or TIE- 7DWN.of A+7D IS of L-o�T� 1 9 d "NE VZOD r-.Alt,1 , �L '�� 43 r�G . Nye (w- p20R---'-7Slo+J4r_ LAD Sueve 7FIK l=cd� IS Ncr 3A/� oN tiN l►JS-TOMEL'r' /ems SurzVC--j A*-? rNF OFSE'TS �40L)L-r) u U1' 13E o 1J 1=Ez5 { uSC-1:�> T-o ESTA•aLl-5N 6 ST�fzv I Lc G MAC . I � T�/ Lr�LS :... dPPLIcaN�-s �a4�5►n� •� I�,:.�IN� � ��c.. M