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Home My WebLink About0009 CANDY LANE - Health 9-Can y Lane Barnstable \' A= 336 .- 042 LOCATION SEWAGE PERMIT NO. �l C pr V I L L A G E ASSESSORS MAP NO:- v v n y` PARCEL NO: 0 Z - NAME i ADD SS c✓+�� e U 1 L D E R O R OWNER DATE PERMIT ISSUED 'DATE COMPLIANCE ISSUED lJ o � � 4 �= TOWN OF BARNSTABLE �- SE WAGE E # Lt��CATION � G�.N D r LAW S' WAGE VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. K�CKJE-k Qbwsl CO,SEPTIC TANK TANK CAPACITY 1 00o LEACHING FACILITY:(type) 3 G,/�`-��-`1-> (size) L 2 NO. OF BEDROOMS _PRIVATE WELL CR PUBLIC WATER BUILDER OE(�QWNER J DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: -31 VARIANCE GRANTED: Yes No r' !�rq�O . a No...../.1-._L,!- Fmc....'3 .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH = 6_ ,y_ TOWN OF BARNSTABLE Allp iratiou for Diipnsal Works Tiamitrurtion Frratit Application is hereby made for a Permit to Construct ( ) or Repair () ) an Individual Sewage Disposal System at: .Coca ion-Address or Lot No. FU _ -3eti...... ` _ Owner Address 04 Installer Address dType of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ---------------------------------- . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............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 ( ) 04 Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I............:...minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ GT, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____-_-____-.-_--..-___- a --------------------------------------mo................................................................................................................... O Description of Soil....0-. 8.............. 4-- � 8 . --5, "' ....................F...... ..c(... x U ---------------------------------------•---------------- ----------------------------•-•--------------------------------------------------•-------•---------------•---------••--------•-•--------- ------------------------------------------------------------------- -- - L----.......... U Nature of Repairs or Alterations—Answer when a livable � ..................................2...3.L....�c 8 ,Q i-v u. ws v..........................l RS' S rjw" 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 been issued by the board of health. Signedd..------- ----------- .......-............................................................. ------`'' Daze Application Approved By ----------------- + .....--�-ou -,----",....-..................------------------------- -------------- ------. Date Application Disapproved for the following reasons- ---............................................---..-----------.........------------------....--------------....-- ---- ------. --- ..................................................................................................................................................................................................Date...... Date Permit No. ----------u--. l/ .......................:.... Issued .. Da ..-.... 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 :-- 33eal_ 04/ TOWN OF BARNSTABLE Appliration for Disposal Works Toustrudion jhrmit Application is hereby made fora Permit to Construct ( ) or Repair (�) an Individual Sewage Disposal System at: --------------------------------- Location -Address or Lot No. ............... ,G.i': .:ry...._...._............_.....--_......._._..._ ............._.._._....•.._....._............_._..._..__........_...._...--•--•-•-•-••---••_-_••-• U' v Ownez Address -��-[ '��f----•--�-� s�_r�.--===. „------------------- -----•-` --�-'rL-•-•--^.dr!!!.�.�=�1..�\f...,.._.. •.... � --------------•---- M Installer ! Address :4 Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No...of persons............................ Showers — Cafeteria Q' Other fixtures -----------------------------------------••--- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid'capacity...._._..._.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 ( ) Percolation Test Results Performed by........ ----•----•-••--•---•-•---•--•---•-----------•----•------•-------• Date........................................ Test Pit No 1 ........minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No_2....... .......minutes per inch Depth of Test Pit.................... Depth to ground water..........:............. Description of Soil= __-_.___ ��14-_ g V ----•--•------------------------------------------------------------------------------------------------•------------------------------------------1r%----•-- .............!;;�)..._.......------•. V Nature of Repairs or Alterations—Answer when applicable,,c...._..c,_v_-T............ t..__B_'...................... -`----`------.,a_ cac- /.. a�..... . 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 been issued by the board of health. Signed ----------------------------------------------- ----- Date ....r.v.,�. ,, Application::Approved By'--- = �� - �� Application Disapproved for the following reasons- ----------------------------------------------------......................................... -----------...._.......------- ------------------------------------------------------------------------------------------------ ------------------------------------------------- -:----. ...........................Date...... ................Date........--------'- p� -Dace PermitNo. /.. -� ,1{ ----------------------------- Issued ----------------------------------------------------------.....--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH E TOWN OF BARNSTABLE (fertiftrate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (�Q) by ......N 0......... — --------------------------------------------------=----------------------------------------------------------------- Installer , at .-9. '`------- ' 4.4.........---- �........... �'��a; v ..a. . ........-----------------------------------------------.................---------------------------------------- has been installed in accordance with the provisions of TITEE-5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..........y��-.... ;7...... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTkU' ED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------- ---J G------ ---`�3..-..'/ --------------------------------------...------. Inspector ............ -------`'------- ........................................................... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No�l H Z TOWN OF BARNSTABLE � - Disposal Works Tonstrudiarc f rrmit Permission is hereby granted....!.je AI.Lt...--!'PLA7�65--..........................:.............................................................•-•-•... to Construct ( ) or Repair�(o ) an Individual Sewage Disposal System atNo.._..!'•....... `e ate`•--------.5.: s.`.............. ..-----------/....................._.......................................... r Street� as shown on the application for Disposal Works Construction Permit Dated.........................:................ ........... ;_-��........................................................ . .. .............. C� Board of Health DATE............... .��._'../.. ............................... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS .�. - � '. .` y .. � � , t t �� \� %� J� . ��~ i ' ' 1. .. �l , . � y ". i. ry - s '�+ � 7