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Home My WebLink About0026 DAMIAN WAY - Health Y. 26 DAMIAN WAY Barnstable A = 298 - 105 � M u ° o I LO=CAT [ON SEWAGE PERMIT NO. VILLAGE I.NSTA LLER'/S / NAME. & ADDRESS B UI'LDE R. OR OWNER DATE PERMIT ISSUED '-/i7 7� r , DATE COMPLIANCE ISSUED e \E-j �I J 0 i No...... Faa � ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T� /V...............OF......, ff/'.C .�.TA..f� .. Appliratinn -for lhtiVoii al Workii Cnnnitrnrtinn Prrutit Application is hereby made for a Permit to Construct (><) or Repair ( ) an Individual Sewage Disposal System at ............... T........._....... --------- .......................... ocation-Address or Lot No. -------------- olYN------=:.....J/F-.QZ a .......................... .......................Z Ar=-....-- Owner _ Address . .-- �9/l�ir.5.1/1.el � Installer Address S"1 ",`'`S Type of Building Size Lot....Aok............ Dwelling I�,'o. of Bedrooms..--_--.-Lf------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------ ------------------------------------------------------------------------------------------•--•--------- W Design Flow.......................��_.__.._._..gallons per person per day. Total daily flow.......__��__..___._.__..._......._.gallons. WSeptic Tank—Liquid capacity..._/Sl2Ogalions Length................ Width................ Diameter................ Depth---------------- x p Disosal Trench—No. ..................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........A--------- Diameter.........&;----- Depth below inlet.........{e........ 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........................ fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water._...__--------___----- 9 ------------------- ------------------------------------•-•-•-----._........-•--••--------•------------------•-----------•-•-•-------------------------•---- -G Description of Soil-------------- ........G__-rAv#�-L........fm Ff----------------------------------------------------------------------------- c� ---------------------------------------------------------------------------------------------------------------------------------------------------- W V 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 Article XI of the State Sanitary Code—The undersigned further agrees not to Place the system in operation until a Certificate of Compliance has been iss d th�ee board f health. Si arie ,:-- - ,n-� 7 �/ Date Application Approved BY t/�: _%____ .�_ �� 1--7:... -------- Date Application Disapproved for the following reasons_________________ ••-------•------•----•--•-------•--•--•--•-------------------•----_-- -------------- •----------------------------------------------------------------------------------------------------------------------•-----------••--------------------•---------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date N 02 D�- F�$.Ad.. o.- ................. THE COMMONWEALTH OF MASSACHUSETTS ; _ BOARD OF HEALTH I #` ?x....... -- .OF...... .................................... Appliration -fur Biupuuttl Workii Tontrurtiun Prruift Application is hereby made for a Permit to Construct (A or Repair ( ) an Individual Sewage Disposal System at: ..............�At......'yam------`......-----p' t .............. ------------- ---------------- 1 ,^Location.Address or Lot No. ...............T ��:F'kl B�° !-� 31'F ':t7#'Ir4° --- .fi f d4...eS.Y'wH" rr a .+%" Owner _ Address W U4 B•t l#?!! G ....et J A. �tildr�.•t a±_t�a i� �---••----------------•--...-----------••--- a Installer Address Type of Buildings Size Lot....A04: ------------Sd-1%ef Dwelling—No. of Bedrooms--------- -------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------_-----.-_-- No. of persons- _____----_-____-_--_--. Showers ( ) — Cafeteria ( ) a' Other fixtures ---------------- ---•-----.---_ ._ W Design Flow.........................�`..............gallons per person per day. Total daily flow--------A -------________-.-.---.---gallons. WSeptic Tank—Liquid capacitv.k�qgallons Length---------------- Width.......... ..... Diameter-----.---------- Depth---............. x Disposal Trench—No- ____________________ Width.................... Total Length-------------------- Total leaching area---_---------_----sq. ft. Seepage Pit No.......A.......... Diameter........P........ Depth below inlet_____-__4........ Total leaching area-_---------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by....... ................................................................. Date....................................... Test Pit No. 1----------------minutes per inch Depth of "lest Pit.................... Depth to ground water..-.---.-.--..-..--.--.- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---------------.--_----. -----------•---------------------••-----------•----------•--------------------------•-•------------•-------------•---•-•-----•------.-------------•------- O Description of Soil_---------- ----•-- 6-.144& 4, 'i'r r x c.� -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- UNature 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 Article \I of the State-Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by theboard of health. Sid ..»;' r- �-------------••- ------"--I.............. Date Application Approved By-.-- --------------------- { <<� ----------- Date Application Disapproved for the following reasons:.................... --•-•-----•------------------------------------------------------------ --•---- ._____ ---••---•-----------------•---------------------....-----------------------------------------------------------•---•---•..... ..................................................................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ...... ..OF........ O .................................................. Trrtifiratr of TOmphaurr T �TO CERTI Y, That th ndividual Sewage Disposal System constructed (�or Repaired ( ) bY----• -e l Instal at`� = .mil-a-�-� L ;1 Z �� has been installed in accordance with the provisi s of :�t* le XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-__._._ l_�_a.................... dated.....,`��..?.�.7�.................... 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 F HEALT .... ... .. OF..:-. .. .... .................... No. ............... FEE-- ..,/)............... ��;� Dr �un,�trnrttult �rrmtt Permtssio is hereby granted.-- - -------------------- •-•to Constr ct ) or a air ( ) `n Individu Sewage D' osal Syst at No. j°� G +as.u`� ---------� .....••. __44 ' y4a,�/"-fi----------------------------------------------------•------- Street as shown on the application for Disposal Works Construction Pe ___ ________ _____ Dated.._S�� '.7. _____.____.. !lt�N � l, Board of Heal DATE....v....--... 7 7 c` FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS , r ,Co T PL.BK 264 P G. 36 Dc 2 o6 Ace as t �, �C r sl F0,3"jDp �s DAM � gN WA/ JJ /S�r X � ' 4o'vN/DE. PRw. WAY o rV lPko w ' o n8 G9R9�E �� O }4 , LoC97-1 o n/ - a��eNsrgac E, Mass MAY E /976 1 9A/ REF. QE/n/G LoT ag .2 � `\ S/�a wN o A/ O/Z To N/V F. V ETo,e/No A/VD ZECOoeDEQ /N PL,41V B 2 6 4 AG.- 36 ? CE,�T i FY T•9T THE F°u�v a.9Ti o^/ �= t'�'�` � s1�10 wn/ o.v Ti'-//S PLAN /S Lo GATED on/ THE 6r'ko o lV o AS SNo wJ✓ w,''`'; ? _ r,; :' HE,2E01v AND T7M7 /7' C o n/Fo2M 5 io Tt/F Zonl/iVG- Z 91NS of 7We /"1 AY e., t g7eO �rr✓L� F ny'•µ ��G. C9N1� Su2UE�'o -