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Home My WebLink About0150 COUNTRY CLUB DRIVE - Health �So c'nnmeroe Kdt '� / °ems _ , TOWN OF BARNSTABLE LOCATION OU,r) )IU Ida DN SEWAGE # VILLAGE .f of _ S IGA� ASSESSOR'S MAP & LOT-3®- D y INSTALLER'S NAME 6z PHONE NO,1, I IA -'ObaL�h- ma SEPTIC TANK CAPACITY LEACHING FACILITYAtype) (size,) c7— NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATE � BUILDER OR OWNER agilS cT;�o is cd DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes NO c/' r �. �,�y � . o _ . �� `� . ,, e� � . a - u ;� ,- tip �.�, - i w t No.. 'Pa..��. Fizz.... ....2�.:0 0 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Towm.......................OF.........Barustable ------ - ------------------------------------------------- Appliratioaa for UiopooFai Works Tamitrurtion pumit Application is hereby made for a Permit to Construct ( ) or Repair XX) an Individual Sewage Disposal System at: 150 Country Club Drive Cummaquid ............................••--•---••------------•--•-•-----.............--...... ......._.....---•--•------•-•-----•--.....-------•----•--.....---•------------..........------•--- Location-Address or Lot No. . i 11 i am E: McTague .... .................................................................................................. Owner Address W ......Jx........................................... Installer Address QType of Building Size Lot............................Sq. feet Dwellingx-x No. of Bedrooms.........._.3..............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria dOther fixtures ---------------------------------------•-----------------•----•----------------------------------•----------.1----------------------•--••....------ 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest 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........................ ----------------------------------- •........................................................................................................................... 0 Description of Soil....................................................................................................................................................................... x sand U ---------------•------•-----------------•----------••-•-•-------•._................-------•••-----------•••-------------•-•-----••------••------•--•----•-•------•--------••-•-••-----•----------------- U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________ ___________________________-----------. 1-1000 gallon pit -------••--------------------------------------------------•------------------------.....--•-•-----------------------------.....----------------------------...------------------------.............._.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i T p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued y th board of health. y l Signed :: �.......=-•............................. .....2/1........----•- Date ApplicationApproved By..............................-----------••••-•---••-•-----•-••-------•-•----•--......._..----- Date Application Disapproved for the following reasons:-----•----------------•---------------------•---------••------------------------------------------._......••---- ....-----•----•----------•.....---•--•--•---------••-----•-----•••---•••---------•-------••••-•••---•••---•----•-----•---------------------------------------------------------------------------------- Date go PermitN_ o.•••---�..........7-A.......................... Issued....................................................... IL Na' .mars No.2C-Z Fx$.... ....�'0.t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Towta Barns�ta :3. OF.....................................__................................................ Appliratiun for Disposal Works Tonuiratrtion "rrntit Application is hereby made for a Permit to Construct ( ) or Repair :Ky) an Individual Sewage Disposal System at: 1.530 Country Club Drive............................. -•------•----•------••--..............------------------.......................................... Location-Address or Lot No. .William --: Mc T a`U e-•--•----------------•----•-•-•-----. owner Address aL.P.,liacomber jx.,......................................... Installer Address Type of Building Size Lot.................... .....Sq. feet Dwellings No. of Bedrooms.............. ..............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building __________________-___---- No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------------------------------•---•••-••-••••••-•--•--•----•---••------•-----•-•---•-•-•--•-••-.....----••-•-......._...---- 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.................... q. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a ' Percolation Test Results Performed bY--••--•....•-•••--•---•••-•--•-••------•••--••-------•---••-••-•-••---••-- Date--------------------------------i Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------------------------............................................................................................................. 0 Description of Soil.......................................... ----------------------------------------------------------.......---- W sand V ...-•----•••••-•--••--••••••--•--•••••-•-•-------•--•-•••-•---••--•••••-•••--•----••--•-••---•-----•---•-•••••---•------••-••---•-•-••-•-•----•-•--••------•-•-••••••••-••--•••••-•------•--•..._......-- W UNature of Repairs or Alterations—Answer when applicable.-----------_ _-. r_ •----------------------------------------------------------------------------------------------------------------------•-------------------------------------•-•-------•-----........-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T'LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued y the board_of health. 1 ' 2/].`/89 f Date Application Approved BY ;V/--------------------------------------------r----------- Date Application Disapproved for the following reasons------------------------------------------------------------------------------------------------------------•-._ .........................................------------------------------....---------.....------..........._.................--------------------------------------------------------------------......... �t �y Date Permit No. _'_`�:T--------------------------- Issued_....................................................... 1 THE COMMONWEALTH OF MASSACHUSETTS 'BOARD OF HEALTH lOkral barnstabia ..............-OF............. ..................................................................... Trr#ifiratr of TompliFanrr THki,SIIS TO -CERTSFY That the Individual Sewage Disposal System constructed ( ) or Repaired r(X15 nacora5e.r. r.' by---- - - -----------------------------------------------------------------•-----------------.....------........----------------...........--...------•--....---------••--•--------••-- 150 Country Clue Drive Cumma!--ufd1aller at................................................................. has been installed in accordance with the provisions of TITIE 5.of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......�7."°...Z............. dated_-...,,?. ....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......................... ..:_..�_ ..�.. q..�.....f --. Inspector-------------- ...................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Ba.rn.stab? ��, �Z ...........................................OF..................................................................................... $ 20 . 00 PTO..............••-•------ FEE........................ Disposaltap ,,Yf Agstratrtion rrutit Permissionis hereby grante --•-•.............•-•-----•-•••...---•-.......__.....-•--...-•-•••---••-•---•••••..._....•--•----••...•----••-••-.....-••.................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo...................................................................----------------------------.••-••-•-----------•-•--•••••••••-•---•-----•-•-•---•-••--•-•••••-•--••-••-•--••................ Street gg as shown on the application for Disposal Works Construction Permit No.J'/&.?,._ Dated_. ' - r-- - .. .............. Board of Health DATE....... ",� d✓' „� --------------------------- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS