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Home My WebLink About0110 COBBLE STONE ROAD - Health 1>o Co�,bk3�nc � . 1 3i o�3 002. TOWN OF BARNSTABLE �' LOCATION L-92 Cobblestone Rd. , CurmlaquidSEWAGE # / l ct ILLAGE ]' �,,,,,�, �0-� ASSESSOR'S MAP & LOT ►°- ,,, Y s4NSTALLER'S NAME & PHONE NO. GC INC. CUSTOM�BUILDER 394-1612 SEPTIC TANK CAPACITY f LEACHING FACILITY:(type) O. OF BEDROOMS .. 3',1: PRIVATE WELL OR PUBLIC WATER Public BUILDER OR OWNER GC- INC-CUSTOM_BUILDER DATE PERMIT ISSUED: January 20, 1989 '08-711 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes"' No ..y-a. �� ,�` f' - � �:, r 'f�..,.,. I� I `� �...�• , 3"``�3 .- �,. �, Y� F:ss....7�......_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OCO .......OF......... `�,5.(_ ............. ... A liration fear i�� pnsttl Warks Tnnstrixrttnn trrmt# Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: X I .... .. .... .f.......c57o1 7�2• d+2 . Z e�.............. ----_— .. -._ ..... .....--• •----• .. t ..... �- Lo atim-.Ad ess or Lot ...�a�.c�.��/�L�;. ......P�a��P��i, ....... .1`.l� �l /.....l�Avdr ......................................Installer Address M a7i Type of Building Size Lot.�1 ' g .. Sq. feet . _ U Dwellin No. of Bedrooms......................... ..--.Ex ansion Attic g— p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ---------------------••-•••-•------ Q ----------------------------------------------------------• ••-•••------------------------....... Design Flow.............�.�_Q....................gallons per por day. Total dagy flow........_____J......_.�.._._..........X1110T Septic Tank—Liquid capacity..(�pgallons Length_......C. .. Width:. '.[Q... Diameter................ Depth.S....!I... x Disposal Trench—No..................... Width..............:..... Total Length................ Total leaching area............ ....sq. ft. Seepage Pit No---------`.......... Diameter..... Depth below inlet..... Total leaching areaZ ...sq. ft. Z Other Distribution box K Dosing tank ( ) ~° Percolation Test Results Performed by............................................ ........ Date........................................ Test Pit No. 1,`... ..minutes per inch Depth.of Test Pit.... � _... Depth to ground water..... .. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...� � 04 ..........-•-------------•--------........•-•••-......-----..._...........-•••-...........---................................................................ o ..- •- - ----•-------•--... 0 Description of S 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:I:LE 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be i d by the boa of hea D Signed . ....................... �. ..�.. .✓1.. Da Application Approved By.............`�r�.. . .... ......../,-I...-.1.'-.. ' ..... Date Application Disapproved for the following reasons---------------•------....-----••----•---...---•--....---------.......-----------••........................--- ................................................••-•----..........---•-••-------......................................-------------•----......--•-••--••------..........------------•...................: DatePermit No.....316.-�....7.12.......................... Issued..................................................... Date FEB THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - C�c � r2i�1�7"tiL�C. ................ F......................................... ..------........-----...... Appliratiun for Disposal Works Toustrnrtion Permit Application is hereby-made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: .. ---•••--P 1 -Location-Address r or Lot No. \ .. �(>h__fi _/� ....:\t 1 ,�.r/ /t �_ �� ..7 c . ..�� ..A:)/_P--- -Sy�4_A I� —.._.... 9. -- .. i (Owner Address Uf /� Cj � 6 P !.. �..._....:Via-......... .......................... ..... a..............._....__...._._...._......_... ... .r Installer Address /'.-- / ti Type of Building Size Lot--`-Y-` .-----0.-.��........Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of ersons............... '_'Showers — a YP g P •..... --- ( ) Cafeteria ( ) QOther fixtures ......... .........................91, ......-....................--------------•------.-.----•-•-............ --•----••••-•- Design Flow............./.�.n...................gallons er _ r-wn> er day. Total daily flow.........._..�•�.21_._.0................ lops. W Sn l P �Pe P; Y i Y ,, WSeptic Tank—Liquid*capacity.. ugalions Length-_r�..-6?.._.. Width.A..LC?... Diameter................ Depth ....4:.... x Disposal Trench—No. .................... IAidth.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No........./'.......... Diameter.....1.7 ..... Depth below inlet... ... Total leaching area?A.C....sq. ft. Z Other Distribution box K) Dosing tank ( ) aPercolation Test Results Performed bY------•----•------•................••••--• .----- Date........................................ ,.a Test Pit No. 1........ .minutes per inch Depth of Test Pit.... _ ._h:.._. Depth to ground water...... Li. Test Pit No. 2................minutes per inch Depth of Test Pit... c _... Depth to ground water... .O \�� P4 ......•••-••------•.........................................•.........-•-....._...........-•------•-......................................................... 0. Description of So317:-:� , I ":::�.il...•. ..........7>, —••-•_...� :.................................... w ---------- :� ----------------------------------------------------------------------------------------------------------------------------------------------------------------------.......••-•-----------.......... U Nature of Repairs or Alterations—Answer when applicable................................ .............................................................. ----•-•------------•............................•----.......................----•-•---...--•--------------•-----------------------------------------................................................ Agreement: F- e- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLZZ 5 of the State Sanitary Codef� The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenAiss, d by the boa i} of ,ealt l (; Signed ......... % .... l /.� /,1! ..... .... ....•-• .... $ v 7. ..o Date Application Approved BY.............-.............- - --- -- -•-----Y-��-------------•---..: ry `..........--•----.. ..�...................................•--- Date ....... Application Disapproved for the f ollo'wing reasons----------------------------------------------------------- ................................................. ...................................................................................................................................................7...._.........................--Date........... PermitNo..--......................7............................... Issued-....................................................... Date .amr w..•w�ossys->lvaaa�+w�-wr«e.w4.w,..�.ew-: ---�•.nWMn•[1Yi«<.a,.aa�-.wa.zer.c,aexew+.r.,w..•r.rn.�.t^l1t�e M�u wY wM'e a.w�Y aa.a:. I - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH- r ...........`. t✓J ...........OF................. ........................... CIrrtif iratr of Tomplinurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (,� ) or Repaired ( ) by............. ........ "-'""'" --•------••-•-•------...----•-----•--•------------•------•--....................--•---....-----............................._ / , [ Installer has been installed in accordance with the provisions of TITLE 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 BOARD OF HEALTH � ..... ..............OF.......... ?,zt.: . . .......................... No.. ................ FEE L• ..'::: Disposal Works Tunntrurtion Permit. Permission is hereby granted.......... ' Vie..,y.......... �...........................•---------....................--.........-----•..... to Construct (k) or Repair ( an Individual Sewage Disposal System atNo.... :.. ,..•--- -.. -------------•--- ............1-'°-= f.....--------•--............... .,. Street as shown on the application for Disposal Works Construction Permit ;No. _:_7i..... Dated................................ -------------------------------------------------------------------------------------------------------_ Y Board of health DATE.............................................................................. r , F , Y, - °t Alp, \ �IT^►rGFi�. v '+''t ��,_%L't_ y.r`'1 f {"C'`NC .5:; G; 1 �r^ �+,�}- 'C- 2 ('/I I '.a / ( '\I.�j-.: t�'T�� i v G• �' dmn) g M+XE� I. paTu �H�L_ �.;�tC TAe.E>`1 FP.p►•� J`J:>� ' ati�+'S :�C yA: : Z.t�luN►UPdt. 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