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Home My WebLink About0391 MISTIC DRIVE - Health 391 MISTIC DRIVE, MARSTONS MILLS A=080-026 LOT 24 _ ti I i ASSESSORS MAP N0: �S— 6 �'6 =► PARCEL NO: No.. Fss.............. ®........... � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABL.E ApplirFa#iou for Diripwi al Wark.6 (foaa.strnr#inn Frrutit Application is hereby made for a Permit to Construct (-�r Repair ( ) an Individual Sewage Disposal System at: A I cation-_\ dre or Lot No. .._......--• . - / / ✓ _..1 ... .......asi, vu ier !� d �reJss Address 1 U Type of B m fg Size Lot--- feet Dwelling— No. of Bedrooms--------- ...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------. Showers ( ) — Cafeteria ( ) Q' Other fixtures _______________________________ ___ W Design Flow............._17_-_-5-------------------._gallons per person per day. Total daily flow------------- .............gallons. P; Septic Tank—Liquid capacity/ '.Gallons Length/!?'_^___ -_ Width- Diameter-------------- - Depth_ W Disposal Trench—No_ ____________________ Width........ Total Length..........._-------- Total leaching area..............._....sq. ft. x Seepage Pit No........-2....... Diameter.._ ....... Depth below inlet____`......... Total leaching area_?e�.D,-9grft. z Other Distribution box ('✓� Dosing tank `-' Percolation Test Results Performed by._ .X_-7 ...... Date._. a Test Pit No. 1.w—<.Z-minutes per inch Depth of Test - itlC?a____...._ Depth to ground water.9%,.............. (i, Test Pit No. 2_-,.C_Zminutes per inch Depth of Test Pitl->ex...__. Depth to ground water.-...................... ----••---•------• .............................. ••-----...•--••••-•--•--•................................................................................. Description of Soil. •e � �=��L.�n./- 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 Compli e has beep, issued by rd of health. Signedt --.. ...... 1� .. ........ .. .......................... ................. --------------- _ ate q Application.Approved By ---------1/�1t�' v`---------- -- ---------- j. ............. .., D7.../5. ate Application Disapproved for the following reasons: ........ .................. . ..... .....-................................... .. ................. .............. .......--------------------- ------------------------------------------.------------ ----------- --------------------.-..-... ........../.p Date Permit No. ........ - '.- <f.... ' Issued ....... ...��------------------------------------ DateZ 0 No....2 P FRic A/9(9 eye') THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for DigVitiul lVarkii Towitrur#ijan ramit Application is hereby made for a Permit to Corstruct or Repair ( ) an Individual Sewage Disposal System at: ,. �. ... L cation :\ dress or Lot No. , _ SLL per --------/--•- -------/-/--css ' ... W :� - ^'� r.... C4��.........-•'- `_. C� 2 Address f U Type of Btffding Size Lot---� QZ�...Sq. feet Dwelling— No. of Bedrooms---------�-----------------------....Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of ersons-------------------------_. Showers a YP g ---------------------------- P ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------------------------..---------------------------- -----------------•--------- ............................... Design Flow------------- -...--�.....................gallons per person per day. Total daily flow............. --.........--gallons. WSeptic Tank—Liquid capacitv/5. c;gallons Length/,0'n 4_"Width.... 'Diameter---------------- Depth---�11/------- Disposal Trench—No. ----------.-g---.-- Width---.-.. ..-.-.-.--- Total Length-------------------- Total leaching area-...................sq. ft. Seepage Pit No--------2...... Diameter....,lC.?....... Depth below inlet.--- F......... Total leaching area. ,> .o-sq-,ff. Z Other Distribution box ( Dosing tank `-' Percolation Test Results Performed b .X �-�?......--...j9�!.� y a Y Date Test Pit No. 1.�.Z..minutes per inch Depth of Test Pit/0-43......... Depth to ground water..r�.'er------------- ri, Test Pit No. 2.�.z minutes per inch Depth of Test Pit.,/-Y�.y... Depth to ground water------------------------ Ix �_. a ---------------'----........-------•----••......•-------'--•---------......--"-•-•--•........-_:-••.......................................•................. Description of Soil .. ?". .Y�� 4�`--!�-�--------------•----'-'--'---------------•'-----••-•--'-•----- x W r 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 Compli ce has been issued by-the- rd of health. Signed/ .. -- ;--- ..... .................. ........... ... ........ Date Application.Approved BY ------------------ ---f---- --/................. Date Application Disapproved for the following reasons- --------------- -------------------------------------------------------------------------------------------------------- ------- pQ, �r Date _...........Permit No. ........9.5:...� ....................... Issued ...._...... T... .� (p.. ..................... Date . -_>. —_..,.�._-.�:...��--s_..�.,_....�,:_.�.,:.,.a.n•. .�.c®.e .�:�+�.��,„ _>..o --.vim®.—m—e�---a- 7:—.---m.-.--.. —.-- �.<...�..:�..�. ��-.. THE COMMONWEALTH OF MASSACHUSETTS .1 BOARD OF HEALTH TOWN OF BARNSTABLE (ITWrti tca#e of %Compliance THIS IS TO CERTIFY, That the Individ�all .Sewage Disposal System c.-<Zstructt�ed (,-k ) or Repaired ( ) by ...._ e......... --�<~-t ..i...... � r�.F . ----------------------------------------------- m.,ta t at .--------(�j.- .........�. .-;� j 11.1_S-fr.C.--------- f'L. ------ ._..1 -......................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Cod as described in the application for Disposal Works Construction Permit No. _j.-.. ..._------------- dated ..3._�.-�1� .... .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .,. DATE �........ -�^ .�..�..._.... - ........_........... InspectQ ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ov No....- FEE..........d.0 . �t��u��tl >ark� Ott �#r�r#uan �rrmit Permission is hereby gr°anted...:` ---------- ...... ....r..`uC..'.1 a.._.. to Construct ) or ((pair ( ) an.Individual $ewage Disposal System at No..... 1 = r�.11t�....f // Q as shown on the applicatio for Disposal Works Construction Permit No---�� --- Dated..--�-.. - /. .......... C_� ' -------•----••---•-------•-'....--------•---------------------------------------'---"---'---•"-'-•-••-- Board of Health DATE------------------- ........................................................... FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS ;U C_ f � F STABLE LOCATION SEWAGE # _ VILLAGE , ASSESSOR'S MAP & LOTS 0-0.', INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY t J—J d LEACHING FACILITY: (type) l� t! �1 �Cc� (size) AC L NO. EDROOMS BUILDER OR OWNER PERMIT DATE:��- .1�=�3� COMPLIANCE DATE: 7 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) ! Feet Edge of Wetland and Leaching Facility(If any wetlands exist 1 within 300 feetqf4aching�ac�h'ty) Feet Furnished by "V 15/ �� Al ! � d-7 0 - 1 'I'IJSl' +-1OLE LOG ��SS77%C DATE: TEST BY:: %I�C' cr3 WITNESS:`,A- e:" _ (lP � ii✓j�N c s — � � PERC RATE:__ Z. I ' z j <j 0 �� -L A v v o N ® I DESIGN DATA DAILY FLOW:&-G��'r�s��r� SEPTIC TANK: .S'�'o ,.x 150%=.. 0 USE: S ST ,SC�OTJc. T9ni,C # LEACHING FACILITY: S yL USE:(72 CAPACITY: / ! SIDEWALL: l�5- aC1 1 r BOTTOM:——79 5._x_/d_.=.__.7a;s Zy TOTAL:-_:_3`�Z S '� `TJ85•�5;,� r PIPE TO BE L,eID 2"LAYER OF 3/8"PEASTONE LEVEL FOR 2' OUT OF OVER 3/4"-1 1/2" WASHED DISTRIBIT ION BOX STONE ALL AROUND TOP OF FOUND. @ EL. 10" 14" c -- g7 r q t7, ALL PIPE TO BE 4"DIA.SCH 40 PVC - —' Z ✓' Z' RAISE ALL APPLICABLE MANIiOLE COVERS TO WITHIN 6" OF FINISH GRADE THIS SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL SEWAGE SYSTEM PROFILE SCALE: 1"= 10' OF DANIEL E. �y r T BR ' GE AL NOTES �7I o CIVIL CIVIL r l.yY'J:�.� @{,V No.32686C y a l.' CONTRACTOR TO BE RESPONSIBLE FOR THE SITE-SEWAGE PLAN \�'O /sYE�G1>w LOCATION OF ALL•UTILITIES,ABOVE AND �s�r UNDER GROUND,PRIOR TO ANY CONSTRUCTION FOR OR EXCAVATION. cb 2. INSTALLATION OF SEPTIC'SYSTEM TO BE IN COMPLIANCE WITH 310 CMR 15.00: TITLE V. PREPARED FOR ` I �v10 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY of -o ,LINE DETERMINATION. SCALE: s /v�E DATE � r�,_ / .✓ySS `_. t+I0..s5��y� �R.r 0 F ysl Ir / WELLER & ASSOCIATES P. O. BOX 119 YARMOUTE(PORT, MA. 02675 (508) 362-8131 APPROVED BY: r ---- } y ' 3 1 jir 1 Oil { - zyg y i .a,T i r rb n� , i � { � o F t 11'v c� Gsvy� 3�t �f�Z 6 t