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Home My WebLink About0019 BRENTWOOD LANE - Health s, i t TOWN OF BARNSTABLE LOCATION, f� �,� 4e SEWAGE VILLAGE .�� AS ESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) Arid NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i Lam+ Z-7 ;a 4\ ��o`° zq6 �- 6W6 1"4P 337:�) Pgal No. .. . .....3.. Fizz.... ... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Diapuiia1 Works (futu arnrtinn runfit Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal System at: . � � � ................................................. L t' n A ress or Lot No. - ......-- --- -----------------------•---•-•••••-• ••-- -- r /��, Owner - /L�� Address W (,(r . ---- L Installer Address /` F2 Q Type of Building Size Lot-------------------------------__-----Sq. feet Dwelling—No. of Bedrooms..... ...................................Expansion Attic ( ) Garbage Grinder WO) Other—T e of Buildin WAOA ��g No. of persons............................ Showers — Cafeteria Q' Other fix �g$ 3.� W Design Flow...........................................gallons per per day. Total daily flow..............__...._.0......_............gallons. WSeptic Tank—Liquid capacity.11O00__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 ( /�X7 � Y W Percolation Test Results Performed by....,0____________ ___________•_1v_...__._........................... Date........................................ Test Pit No. I..C_�-_-_minutes per inch Depth of Test Pit.................... Depth to ground water.-A/ ...... 44 Test Pit No. 2................minutes per inch Depth of Test Pit---:................ Depth to ground water........................ a -----------------------------------•--------------------------•....•--------------------------------......................................................... 0 Description of Soil ` /1 ------------------------------•------------------------------•-----------------------------•------•-•-•----•-••---••--- x 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 Come hasWissued., e board of health. Signed ----------_---. .. ..........--------Application Approved BY .. ......... . ......... Application Disapproved for the following reason : ..............................."".... - - - ------------".......... - ------------...- - Date Permit No. --0.---........"....... Issued ........ "./1 -- - ...................... 5W6 M// P 33--�-> P 4 o? l f n *a r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratilnn,fnr Dispaii al Works Tonstrnrtinn ramit Application is hereby made for a Permit to Construct ()Q or Repair ( ) an Individual Sewage Disposal System at: � a�- �L%��tG/��!/ATdreGss/LlNOhG !.. CCU �TI /L ✓/t/L°rrL--- . . _.-- - - r "rro. ... ---•---------------------•--........-------...._. /,/1V5/ ......................—.......................................................................... --•---....•--._.....-------------•----.............---....................---•----......___.....-- �' O C.0 ✓y L-L wner Address l5 Installer Address G/ .......(f�✓ ......S d Type of Building Size Lot........... ... q. feet Dwelling—No. of Bedrooms.__...3__________________________________Expansion Attic ( ) Garbage Grinder (A/0) `LI Other—Type of Buildin l�/Ga f�' 4 No. of ersons____________________________ Showers — a YP g ---------------------------- ----�--�-------P------- (---)-------Cafeteria-(----->. Other fixtures ----------------------------------------•------- W Design_Flow............_...__�� _._.__________._gallons peretsi per day. Total daily flow.___._._._____330 ...... WSeptic Tank—Liquid capacityllft)_.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 1-.' /`i X 7�r�---...NY�---.-•---------------------- Date W Percolation Test Results Performed by j3___...___... Test Pit No. 1___<_ .__.minutes per inch Depth of Test Pit____________________ Depth to ground water../!/aN ____. fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -> -)0' _._.-_ ------•--------•••-•--••• --------------- •---------------- -------------------------------------- •-•-•-.................. O Description of Soil--- ''S �� /I A/ 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 has bee issued by-the board of health. Signed �, e------------------- --------------- ------ � t Application Approved By .. 7r' — -/--�-- 11-------- - -------�.1 ......„ �. Application Disapproved for the following reasonp! /... " " " ........................................ ............ ..................... VV........-... Date Permit No. for .................... Issued ...... ................................... e te' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of C rayliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (max ) or Repaired ( ) by------7.:, T-' DA /5 COC C_ ----'-'..............'-------'---............................................... ............................................. -------------- . .......... Installer L.O..T--.... ,77-..... ,`P-C/VTWUU ' ' L .`7�i/� r " /1!/Ys.A..QU�� at -. -- ..........................................--------------------------------- .-.......... has been installed in accordance with the provisions of TITLE i he Spte, nvrronmental Code as described in the application for Disposal Works Construction Permit No. ....... T. dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATI 'FACTORY.DATE................... " ' r-�--'" Inspector ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No...................... FEE..-1 ... Disposal arks Tnngtrnrtion .rrmit c.�t' R /SCt)/_�— Permission is hereby granted.....____._.__:_._ ..__......_.________________________________ to Construct ( tor Repair ( ) an Individual Sewage,Disposal System at No......" l--- J. -2...... /Z i1/T lU/(�0.�.... Nt� L�F'Y1 tY1 r9 .. :...... Street , as shown on the application for Disposal Works Construction Permit No.(a__i__.'atallDated_____(-?I ,l-l-./-CJ ---------•••••--••--•---------- �' .................................................... �J _ Board of 4ealth DATE-----•••-•-------• -/ ^1 --------....-•------- FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS N M 1 t -� �+t i'. -A64 aF 2 14 00 E A • S.IDEW4 ; ARC r s i w _ Il'S�f' ic,a y ``l¢ GPD T v i BP.EIJTVi/00� L i'OtAL. DAIc: Fes' - '.OK. k C-c�1�/1/IAAQV iN' 3 a 6P� ,- , - Y ER�DLAlnON= RATE a w. TER SULt1VAJV .a R °I j �►� .297,3 l}T ,� { k ] Y i •. ,,,E t Ai ; � q 4 T.F.i t =1®5 104 v�K/ , i/r✓• SQL :; /D/ t /N✓ o t. ' TANI k E L Pam} iwl a 1T i Y i ' �; tit. _. IItt �� 'TV I�I i 4 �.• � . • Y �. < ST �E _DIsT '1'o EL loa -`j'L- 0. ` '} ; E �9 4 t , t : 41 . t4�� ` S t �. _ ��. an� �MfM ur.--{. _ LOl..A`T'EDN • ,444L 5v DATA' ;g-4'Pg2- f„q PLAN , GFYC7Fy".:.?T�-IAT� T�CE '��,vt.�.� iy ' ! t1owN 'NEaN- coM'p,c�. S• ;yvirtµ cud' S�.p�LtltJ� ;� 1 : '. w T414 As P, AYE INC., ! � p 55101kAL 1. Y,. , w r Ate.SuF_v�yCaz K;?-A 'IS Nor, BASED pN AN' 1�15"(Pt7�GtE+JT �w I L E+JGI N EEtZ a:6u ...AIJ'D THE 0Wiets 44omp Qur BE 40 STr_ rzV u , a Maw $ ,,ij QFPLtcAW �A I �.. i k.,_.1 .i k...� 1 �„3 t. • a-. i F i t N _� _.l. ,.�...j- .t ,.,t.,_ ,£ • ! . .t...,.� I.J ute T.3Lr>(, co rr f r , .. r G } _y y } h i 9 3 2 _ � . �.r z" _ /O yC : (, , JL , T._i_ .._Jr ��i- TY r IL dL t� i l +.t r`dl':\ r' -% 1 '" -,N l-•r"'I ? ' "`F 87� '. 71 ,. "�-..._.,�1_,.F_..l... -. i_r_ t •�4 f "f'"c. 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