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HomeMy WebLinkAbout0120 HOLDER LANE - Health IWT 120 Holder Lane , Marstons mills A = 174-001-020 tfpvse lab TOWPI OF BARNSTABLE _ LOCATION:' /,�)7 j'//7 SEWAGE # VILLAGE IyJf)12�T1J rn/LGS ASSESSOR'S MAP & LOT I7'f-Q6/-OHO INSTALLER: :INAME&PHONE NO. ��CD L�XC/�1//9 T/li�6 yZs�'3o�� SEPTIC TANK CAPACITY T' - - ' w ' LEACHING FACILITY: (type) /4� /�� (size) 7-� i/ NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: D 2 P dCOMPLIANCE DATE:(- 7, Separation:Distance Between the: water Table and Bottom of Leaching Facility Feet , Maximum Adjusted Ground g Private WateiSupply Well and Leaching Facility (If any wells exist /✓�� Feet on site ofiwithin 200 feet of leaching facility) Edge of Wefl'and and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) /� Feet Furnished.by:: ��Y T�"J2 /I V E _ZYC 9�- Zr- /Q W-7 7O {I I' f `1 WAy 1` J P. ti 1-63 1-(044 I-(o(o JOE 77 .43 .3/oAC I-65 .36AC NPSO� a AGAC. e 1s -35AC t.4 Is,.7� ., �0 3 I .4IAc. I�SAC.43AC o ® 1-59 39 AC l-S/o e 4Z gC rP d' ,5 5 ° 1-58 x •39,gC ,t y p 3 .39AC e 8A(-- 'rP M IS+ i4 vo n PERCHERON ,e r, 4 13, 84 (2) a 4 915 .4SA - o 1-4.9 I-sa C .39AG 40gC ® o OPEN SPACE ' 0 0 t 1.x(15 3 y, yA, 9.46AC OB' 'x 4� \� n I.X30 I 5 as ,® Q z, 17gC-S '0A4---5 Z9 Z l" 1-4-3 1_44. e � I-34 1-33 LX31 1 � I.XZ7a ° ;c _ •38AC 37Ac - 4 4C4- A3� 39n% 1.2 31AC �s) ` 4Q T �^ A, 0 e° z IAPP AC i0 j 1 �p,Y APPALOOSA , II 1-41 00 90 to 1 .394G 0t� �\ 14.30A5C - I-23 a 38AC 1 os .Q 1-21 I=22 .45AC - I-,w , j z9 .54AC .54* 37AC Q .38AC 1 �lv ti o e ° e q ,a6 1 a.o`v+� i QQ 1AS� QP��IP °. `P AC^ us a OPEN SPACE ,y m 40 v o l �� 1-39 ,3o G.eoAc-S Q { 1-38 3 9AC- I-2O a I t 06 1-19 i I 3(oAC .39AG ,40AC .42AC P? I-17 I Q i3i va .4OA 1`I(0 9 47' y as as oo C 39AG " i.os ,os v, OPEN 6 a _ 'goo m .42AC ' I 1-4 1-5 5/4AC.E G� Np 90 1-14 ``{{ .5FAC .49AC oo L DER L A/NE 44Ac i� .o Vz "1TPti°� o .44Qt 1-7 e a c'sib ,r, Y, n i 9a O� 41Ar- 9 � 95 4AC 4C 1711 soqp N rA 3 AC 91I Id-,13A.' ',-SIC ro¢,•„ I.1 OPEN SaACE a c•». 11-17q-, 11 b k i.ox ti `111111 I OPEN SPACE- ( 2 6.70AC n N i-�w fo G G a c c.irvep . PREPARED UNDER THE DIRECTION OF THE `3 ZO BARNSTABLE BOARD OF ASSESSORS AV13 AIRMAP INC. 12� . l- 0cOC C.Q L MASSACHUSETTS CONNECTICUT AJ6 l �I I'I iIt ^lui� o THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH '"o w"77 .....oF.... C3..a.'-n......I................................................... App ira#ion for Uiapoii ai Works Tomitrurtivai ramit Application is hereby made for a Permit to Construct (K-or Repair ( ) an Individual Sewage Disposal System at: vf .... '-- ..T'....�..�._.. 0..•-••••�'•�...................e --•m,1Y7------------......---------...---------•--...•...............•...------. Location-Address or Lot / Qn �s 2_•.�_q / G' " v s / 3 / v loe'fZ e� w - fir.. ' .. ... Owner A dress / ............... ..•---------............ ........-•----------............................... ............................................. Installer ��� © Address d Type of Building PL'� S P-111rSize Lot_1_7_1.1._4�_......Sq. feet Dwelling—No. of Bedrooms.._....__.•.............................Expansion Attic �}--' Garbage Grinder-f-�----� P4 Other—Type of Building !... No. of persons....C..................... Shower =Cafeteria--(-,- Q' Other ,fixtures Design Flow.......................5 ........gallons per person per day. Total daily flow..............��2.�.•............gallons. WSeptic Tank—Liquid capacity.IgAP-gallons Length.. �.G.. Width...........f � Diameter................ Depth.S...... N x Disposal Trench—No- ---------- ----- Width.................... Total Length.................... Total leaching area............ sq. ft. -._ Seepage Pit No-----------1-___-____ iameter.._../.___.__�__. Depth below inlet.... .�.s_. Total leaching area.... q. Other Distribution box ( 1 Dosing t r Sh yr Z` 2 8 Percolation Test Results Performed by__________________ _______ �� Date_._._4/__.-.�,�.-__.7. -- aa Test Pit No. 1.. ... __minutes per inch Depth of est Pit___----8!... Depth to ground water.___.. (i Test Pit No. 2... ..Z...minutes per inch Depth of Test Pit--- 9_____+' Depth to ground water_____.._"q- x ---------• ............................................--•------•-----•-- ...................--•---•-•-••......--•- 4_S'-----..s..... O Description of Soil s_ .Q�t v� �� ........... a n - --- ----------- . --- 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 iITl,t�. 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 boar healt . Signed_ ----........... .. Date Application Approved By---------------�, -•� -------------------------- -•-----.. Date Application Disapproved for the following reasons---------------------------=-------------•-------.....------•-------------------------•--•--•••-•-••--.....------ . .........................................................................................................I-----••----•-•----••--•--•-•------•----•-----••--•--•---•---••---••-•---........-••---......... Cj Date PermitNo.------... - r -Y......................... Issued....................................................... �� Date No.................... , F�s......... ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... ....................OF......`1.—................................................................................ ApplirFa#ion for Disposal Works Tontrarrtion Urrmit Application is hereby made for a Permit to Construct ( " or Repair ( ) an Individual Sewage Disposal System at: ..... --- __ ............................................................ ........ ••-•--...........------....... ------------------------------------------------------ .. .. 3 Location. Address — �r or Lot No L.. 4— .. %� .. . T. d .... ........ i.. �.. .. .. - ........................................../)/ F l . ..................... Owner /Addre ss C J .•-----•. ........ Installer Address .r Type of Building f` `�� Size Lot. .. ... .........Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic Garbage Grinder-(­)­ 04 '4 Other—T e of Building I '... No. of persons....�..................... Showers — Cafeteria R- --- 0.' Other fixtures...,_•-.............................................................................................................................................. W Design Flow...........................'_............gallons per person er day. Total daily flow..............�.::�'__4"�._............gallons. , , WSeptic Tank—Liquid capacity! _f'`ga]lons Length...._.__. ___ Width..._./'p... Diameter................ Depth.. ...... . x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area------------------ sq. ft. Seepage Pit No............ iameter....../.. .......... Depth below inlet......:R............ Total leaching area........._:_.` .sq. ft. Other Distribution box ;" Dosing t4n!5:r� Percolation Test Result Performed by......................... .... ....._ _...... Date-----'_rf'....� '................. a Test Pit No. I....`_..._....minutes per inch Depth of Test Pit---------w .. Depth to ground water......'`.:'............. Test Pit No. 2............._.-minutes per inch Depth of Test Pit..... .......... Depth to ground water............ ..._-•-'----"a"----------------...-- ............../ ............................................................................R' Descrlption of Soil....__ G^ . ---- --------- -- .------- ----------- ---------------- ----------------------------- •-- ------ ........................................................................................................................................................................................................ V 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 TITIE 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-o:j,.4_ealth. r Signed---='.__:.._...--•--•---•--•---------------,- -----=:._....------------•----....--- ............................ Date -------- � � .-_ I&APPlication Approved BY .. ............................... ........... _Date �f Application Disapproved for the following reasons:-•----••--•.............•--•-------------•-------...------•--•---•-•---•------•-•--------•----•---------•--•--- ....................•-••--•-----------•-•----•-•--•--•-•------------•-•-----......------•---------...----I-•-----•-----••-•---------------•---------•----•-•-------•--------------..._...---------------- c, Date 'i Permit No. - Issued.... ....... Date te/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..... ".............:............................................................. QPrrtifiratr of Tomplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( _�Or Repaired ( ) bY-...................'°_ 1....-------.`...........'------ .---•--.... •-----------------------•---•--............_.............------------------•-----........•..... •J + Installer _ 11 7 � ��_ t - - L u , r ✓� at...................................................................................................................................................................................................... has been installed in accordance with the provisions of TIT r' 5 of The State 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 -70I BOARD OF HEALTH ,a No......................... FEE,ltp.....—..... Disposal Works i Tonitr�.�ny di/on� rtntit / � /.'may !�i �- � �.. '•�.+�4' ��r ,'«w Permissions reby granted-•--•------••----------------------------•--'--------•------•• -•--•------•------------••--•--••••••--.......---•--........................ to Construct (_` or Repair ( ) an Individual Sewage Disposal System atNo ---------------=................................••----......---•--------......---------------------------•-- --•G•-•--------••---•-•-••--•-• S eet � /'E, � 7 �/ as shown on the application for Disposal Works Construction- ii� �_ �ated------------------------------------------ C,�_. ----.. -- �� �, ... Board of Health DATE...... '"."-----=---------------•-__ __.7�..------•------------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS e'. " < ZJESl61.1 -PATA 51�+"11 of •Z �0- 6ARF3A[,E 6Iz14VEZ. 'P S� PLA u. o►4 3�- u�FL !SEPrIC tANv- v3o x tso 7e' FRS I�OLbt� LANE USG 1 Ooo G�dt� A�55a�s tit1�P 114- PA�ecEL l-20 :pISPoSQL PIT 1- I000 GALL. /z's,+Nr. � .... 51DC-N/dtL AAA •l$b 5F 10&. 5F A 24 ' BoTTom Alz A ' le, 3F Tbrp'L t*160 = 5446 6w, TorAi. VA I rLov = 330 6►PD �,oa: y �N OF ��t IrF R�4 _`_;. PE2Gi�C.AT1 oN ATE.. I N 14 Zm WA.065 \�� a�' PETER B� G�AIG► SµOP.T' PG a�a+�An SULLIVAN y„ p NO. 2� 33 + � � CIV!L r 5 r 4/24/B7 _ tbs 140 Loa 4+"" �" P V. &6 spas• tom, �o low ►u� Sox: �uJ D'ST lug IN►I SGA�G 13Z.S Loasa TAN L (ooa ►u 13(„O 1309 13Ga- �ua�,�� f GAL 13tz 'Ito`° :6 V Ai. - SrxlzruQE3 s>=r WMFIEI> :sToIJE MOZ TUA�J 44 'VEE? -- fa/M 1 o p � stilAtL BE t-I-Zo, 2 �� �2 PEMOVE A►J uQ101 8t& MATSOAl- R p4AGA 1E. 7)7Lrm S F Cezrt-FI ED Pt Or 'PCA IJ A r LocATlo1� CE.4T6ZjL .Z -/W 3AeAK. I1�0 192' �C�Lam, Da t=-; 3 I'1. q" rrL tzti' : Plzo Fos PLAN V4F.- E RVCZ- 5{{OwEJ �{EZEON �oMP�S 'ivltE -Mawu6 Loy- 1I'7 :6 - LLB.. 7ZEQ• 0 q(E- IDA OF 'P�5TZ&T-- "I �AG� �bl�/I S lOt�1 4i D 1s gor �-O4ATIE�D WITOILI TIAE 'MOOD MWQ ,w " �uN"fPJz- �I�t� ' SSG• nT !; pal=�`floi.Jdl. LAUD Sup-VE,/ce5 7F11S FCJ��J : IS NCT3A1-�� 0`1 'hN IIJS"[�vti1E�T" z��I L E+JGI N EE .S 6urzvc-`j AN Tqf- OFFSeTS• -4aouL.-D u c' T3E MA,4 use To� EST�'�-t5� �Eti.Ty La�tc5. . APPLt CA Wr * .. _ - I 1 i + 1pr�1-4 f to � I F r' r .. 145 vp i i µ . . . a 3: --4Lb L4N� OF v` i PAR SULLIVAN - - DAXTEa .h t NO. ;3S _ -PATA ' { 2 51f46L_L. FAMIL( 3 $EDVZOMS 5 of �; �(o G~AtzF3A�E G1z11J�E>z. . ._ AIL-( . FLOW3.X I l0= 33o !� �iEE (�G.A u• Onl r3 d�K- ��u��F SE?ri r- TANS 'i3 °,0 X 150 ,- 4qS M: ,, &T �I� 0oL'DmZ- L AW 15 ,. . U5 G 10,00 G4L. L. PIT 1- ►vDv �n� /2'�vu� A sSo�s A.tAP 11� PartcEL, P FMA l-Zo �..... SI��Nrdt_L Ar�A •l�b SF x 225 = 4'1o6-Pm, BoTTom A2aA W, IF ?8 Af k 1,o "1$ �-P'D. TaTAL Z)E�1614 = 6446 6W, "-rAL VA i�Y 'rLoV = 3Io 6-PD �,o� O ESN u . S�L��1;�R�q 1 •pE240LAT10" . RATE.. = I /W IN 'ZmWAS45 aIa,Aan as PE'l RA. P11 ` `G R $ Ha. 2�733 � co CIVIL SIB :•- sues. , �• �•0 1n�, SoK: 49' `" vtST tNll G4L iu✓ I 137 tug( 13Z•>6 ic looses 1n� �N t ,•o 13ez INV 13o�C 13GJ- I .LTA� CLcA+J �,AL ` P vvltTl-1 ,flu WA49m � Au_SrnucTuQE3 s�,r --TONE A&W T>•IAIJ 4.' 'DEEP -Z�= �' --�� PMoVe A►J uQ501 x$cE MA1 2tA1- fZ�t.AcE -nrtc.d S Ta '----/o —+ sA 6ezi-rF1® Pl-aT PLA N C'v,,u ;r 1 �•VEI.nPcTJ 'PtZaFI�- j Loc�rlot•1� s�fl La— _ 6EAT621J /W. Ba2Ns. 19r 4,44 1�. q�7 FLA N ZaFE RE14CZ- 1 CU-TIFY T�dT Tqa Uwawu6 S�DuJfJ N�ZeoW �MP� S wi��4 Tub SI�EIJ�IE Lor im ��� �=Ef P:c�L�. �ZE Q• � .���' �1� �I' ���51"�l C3t._� Dr�1 �aG� Sc?�'D t�/I S t 0>� A,�tD 15 gor l-o4ATE�D .wrrfl'1 Q VE 'Loon >✓t.AiQ , 1w, - Sew, II1 n n ��N'T�¢ Q m4 13b XTE12 NYE INC_• PPll��,lDiJdL LAW 'D Su�/Eyoizs 115 �3Q " �FLA0 NOT _ Ei14t►J EEtGs '.SurZV / AITD rq E OFFSETS 440u1 D our 7E� o STF--,rz"/,u..C-- MA/;,4 , use T-o EST��L..15� �E�,Ty u ups APPLIC-A W7 , dye IM -Bt)ImIw�' �• � . !' sUEET 2 of '4 �'2c 46 MA¢, 17, IQ97 I _ i to NL 71, • ` ' f —4- -- -- ---. 45 __ J.. _.._._...... . - pR oPvsaD ek Ile 67 OF i AAD. PAR SULLIVANI 1 enxlEa �; NO.CIVIL 993 ...-Ab 24W ,. f,: v, __ . . .. . .... . _s `� I i j� v TOWN OF BARNSTABLE _ LOCATION , 'l/7 �-/ot b,6'R X. SEWAGE # 95 17VIJ VILLAG InI&S ASSESSOR'S MAP & LOT 2-t-ditL-0.20 INSTALLER'S NAME&PHONE NO. bl---LD iXc 1#9 TldyG ZZS—3aFS SEPTIC TANK CAPACITY LEACHING FACILITY: (type) PI T — A4M /9L x 5-s� W 3S/�uG NO. OF BEDROOMS .3 WELDER OR OWNER yS/ PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility l# Feet, Private Water Supply Well and Leaching Facility (If any wells exist �✓�� Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) /q" Feet Furnished by YIE - I 0 0 a,3 ' s