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Home My WebLink About0665 MISTIC DRIVE - Health �665 Mistic Drive, Marstons Mills _ A= 079-063 l TOWN OF B TABLE LOCATION T 41 9/SS T/G . SEWAGE # VILLAGE,J8JA22�S— VI&I - - ASSESSOR'S MAP&LOTg Z "1 INSTALLER'S NAME&PHONE NO. � .' A624 A 72616 � 5!2L k4 57 SEPTIC TANK CAPACITY LEACHING FACILITY: (type ,l -�/r��J (size),�d�Ji NO.OF BEDROOMS �. BUILDER OR OWNER cSI�,� �lJ1L,� �G✓G ��i0 / !9-,.,PERMTT DATE: <�� L✓ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility /W 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 within 300 feet, f leaching facility) Feet Furnished by /.[�°7/ �.E/� /1✓� 37 0 3ol o ' „ i7"!' a � " i F-- 3 ;d', ` No.._t_2?' FIm........� 1,,�..... THE COMMONWEALTH*OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirativit for Di-aipm3al Eurlai Tnnitrnrfiun Famit Application is hereby made for a Permit to Construct (V.) or Repair ( ) an Individual Sewage Disposal System at, Ao -ca on-:1d i spu� f'^`CjI-Lot No. ...... ............... ...... r"„-5`—• ---•-------..._-_- --------------------------- ------------.------------------ • er vV( �7,&& Address a -•---••--- ----- ----------------------- ........---------- •-------•---------....------ yp g Installer Address � T e of Building Size Lot__ l/�. ................Sq. feet V Dwelling—No. of Bedroom/s._.____ ----Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building a yp g�eGr �v_l�l'�No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d Other fixtures --------------------------------------- .< Design Flow....................!_'_L L__-_-_----__gallons per p per day. Total daily flow-.-__-.-- ..........................gallons. WSeptic Tank—Liquid capacity__�.5.-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 t k ( Gl......... ��`/ `" Percolation Test Results Performed b ..,� - 1------------ -------•------------------- Date---...-----. ---- T a Y--- Test Pit No. 1___. __-minutes per inch Depth of Test Pit____________________ Depth to ground water...�1 - 0-4 fXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1:4 -- - - - ------ -------------------------•-----------------------------•-••------••------------••---.----•------------.-.------------.----- Description of Soil._.._... /��►.�L. RL x --- - -- ---- --•------------------------------------------------------------------------------------------------------------------ U ------------------------------------------------------------------------- -------------------------------------------------•----------------------------------......---------------....-------•--------- W --..........................--........................................................................................................................................................................ U Mature 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 Complian e a A�sued y the b rd of healthSigned .......... Application.Approved By ....... -----------------------------------------------------_------------------ �� _--.�®...-� e Application Disapproved for the following reasons- --------------- -------------------------------------------------------------------------------------------------------------- . ...... ......... ........ ... ......... ......................... ......__ .......................... .. ........................................ Dare Permit No. ........... - �b.#--------------- Issued ................ ... ..�d- �...-....____ Date i THE•CO'MMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiott for Divi-Voti al Morko Tonotrnrtion Uproot Application is 'hereby made for a Permit to Construct ( V) or Repair ( ) an Individual Sewage Disposal System at, la L�cat.ion-Add' or Lot No. .., - -----..!.....r-fir......--y "------------------------• .................................................... r er� Address I ns tat Ier Addres s - - - PQ j �� G� Type of Building �� Size Lot______,a..................Sq. feet .� Dwelling—No. of Bedrooms-----L7____ -----------------_-----------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building No. of persons-------------_-----._..__- Showers ( ) — Cafeteria ( ) d Other fixtures . i �Z------- --- ------------ ------------------------------------------- Design Flow..................... ..............gallons per per-sor� per day. Total daily flow._.....q_h)_---__-------------_----gallons. WSeptic Tank—Liquid capa6ty.15.46gallons 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....... AA�1 ��"._.._�........... ..t.._.....___ ........... Date.......__/- _-_-.-.. r.l { �i . ---- ,� Test Pit No. I...__. .'__.minutes per inch Depth of Test Pit.................... Depth to ground water... �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 .------•--------------------n.....................................................-.................................................................... O Description of Soil •Qi�r------------------------------------------------------ ----------- ....... 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 Compliance harbeen ' sued by the b and of health. e Signed ............. "�-44 � ....... _e ......... Application.Approved By ------- �,,��,,,,..... .�., _ . ...gl•z...- ' ................................................................................. U�te Application Disapproved for the following rearonf: .. ... ..................... . .... . ....................... . .. ....-................................... ...... ................................................... ....... ............................................................................. ........ ................ . ........................................ Dace Permit No. .............9't -- - -------------- Issued ................7�I-- t r` - ' Dace _...ti — —o---m-----o®.--. —ma--.,.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE V Eltifi.r?atE of Tvmy ianrE THIS IS TO CERTIF>Y That the Ind vMd t. 1 Sew ge Disposal System constructed ( v ) or Repaired ( ) by - u ��,�. ........ .... _................................-._...--------------------------------------... Installer at ...1-'_1......... '.. ....... ......... --------------------------------_---------------------------------------_------ at been installed in accordance with the provisions of TITLE 5 of The State E vironmental Code as described in the application for Disposal Works Construction Permit No. .._..�__ "_-._tea.&. --- dated .------7._.... 1. ...-.�.y.._.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �J - DATE... ...''.......... :_..... -------------- Inspect o d THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , OJ TOWN OF BARNSTABLE �P7tern ermission is hereby granted...L. ......----It -- `'`------------------•-------------......---•--•--••-•... to Construct (V) or Repair ( ) an Individual Sewag Disposal Sy atNo.------ ..fn.1....... 1 ,�,f_.---' ......................M------------ Street as shown on the application for Disposal Works Construction Permit No.?�jz�____ Dated........................................... --•--...--•-•--•----...-•--------•--------------------------------------- ............................... Board of Health DATE---------------tt`----•---...-•------............................................. FORM 36508 HOBBSj&WARREN,INC..PUBLISHERS TOWN OF B TABLE LOCATION SEWAGE # VILLAGE+&,4h57W)S AV/M-s ASSESSOR'S MAP&LOTS INSTALLER'S NAME&PHONE NO. 'A'-.4 AA 77A16 SEPTIC TANK CAPACITY LEACHING FACILITY: (type (size) NO.OF BEDROOMS BUILDER OR OWNER '�&PERMITDATE: 2L: COMPLIANCE DATE: ® Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility / wk 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 within 300 feet f leaching facility),�/ Feet Furnished by b - -37- y t Al -37S- / 37��1v11 0 3� • o ' a -i� ------------------- _.._l 61 MAP 1 � LvT" (=.3 ZO 7- f9 y , Q L O P-1&Y } �- Z91 �a- TCST- w`'n'i iu epx t. 4~pr& -rU N�' �•poe �N :;� � ✓h{'��CIC._. a iW. GAI.. l�•2 :: ��a U (,etAv �. /000 OF �,a 'f"AuK .., tiR` •G2-AvG� GAL.. . .. G��'Z '�1,c14� PETER `( LAN 1J�-�-�"' ) c" ,uc ru P�'3 3 SW;i r N, f .PIT , 5 wi rN 56r Ivb R-E fN� ¢ d. No. 29i33 WASHED �•u_ 1i 1 �- TL T� :,�r�n STOP°E 14 y UC. SG \ . a „n�r�L '•'.:. 1 o , G(tAvII. PQ.O�"lL� �- I C, U O: SG ALt� Qa.G' r! Z N1�� UCkI t _ Design Data Single Family - 4 bedroom No disposal, Daily Flow = 4x110=440 GPD. Septic tank = 440xl.5=660 gal. Use 1500 gallon septic tank. ' DisposaL _ Use 2-6x6 leach pits w/1° of stone. Bottoms = 100 sf @ �� 1.0 G/s.f. = 100 G/D. Sides = 301 C s.f. @ 2.5 G/s.f = 754 G/D. OF— M Al� MA o~ Witl_IAM yGJ � I certify the proposed dwelling. t`� C. conforms to the sideline and setback N Y E requirements of the Town of Barnstabl , , y��no. iss3a ,8 A (,/S'/,�C �(,1L,�( S and is� not located in the flood lain u t , 'v`�� _' / v� t -53 Professionah- Land Surveyor Date Cl-EY�i1GxJ s C'4JC7EZ f/v yE, /Nc � � ej *69 6/N To I.c xj o/=