The URL can be used to link to this page

Home My WebLink About0024 DESERT SANDS LANE - Health �cf G�cSc.'/"Sa�Q 3ST �OOI�p� Z ,TOWN OF BARNSTABLE el E , c , 2 LOCATION ,., SEWAGE # �► �a 93 VILLAGE @3i F t!U/�7t»0�l°,X/c ASSESSOR'S MAP & LO T3Adbt- 6t�� INSTALLER'S NAME & PHONE NO, SEPTIC TANK CAPACITY /, fro a LEACHING FACILITY:(type) t,v _ wS 2� NO. OF BEDROOMS 3 PRIVATE WELL R PUBLIC WATER UILDER R OWNER DATE PERMIT ISSUED: y �} DATE COMPLIANCE ISSUED: 1 VARIANCE GRANTED: Yes No I/" . ,. .. Gam-- k4i 5�b 6b No. Fee `! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migpogaf *pgtem Conotruction Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon(. ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and T .No. Vo Assessor's Map/Parcel Installer's Name,Address,and Tel G Designer's Name,Address Tel.No �� 17 6 4fyj kv Type of Building: Dwelling No.of Bedrooms Lot Size ZYZ d60 sq.ft. Garbage Grinder(AIAO Other Type of Building. No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow O gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title / / Size of Septic fank ,�.5�7'fl Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date'last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Sign Date a Application Approved by Date IVA / Application Disapproved 1orthe following reaso s Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at h Wted nstructed in accordance with the provisions of Title 5 and the for Disposal System Construction PermitN . '' Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi5po5ar *pgtem Con5tructiou Permit Permission is hereby granted:to Construct(' )Repair( )Upgrade( ' )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by N 0.. FimzZ ar—> THE COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH- I. ............OF.............. LA._ ........... .................. ........I............. Appliration for Dhipasal Warks'Tonstr"HiMn M�� &= Application.is hereby made for a'Permit to Construct, (IC) or Repair an Ind.ividual Sewage Disposal System at: 7�) ....................�y I................ .......................... ................ Location-Ad,2SLress4 or Lot No. .............. ...... ........ .. ....................6 — .................................. Owner Address .......... Installer Address Type of Building Size Lot..Z s,J nfka.......Sq. feet U Dwelling—No. of Bedrooms.......3..............................Expansion Attic Garbage Grinder 04 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures .................................................................... ............... -----------------*......."-----------*...... Design Flow............... " .............gallons per person per day. Total daily flow................... ..........._.gallons. Septic Tank—Liquid"**c'ap'acity..IP�e..gallons Length..V�`... Width..'-;_J.5... Diameter................ Depth..5...11��...... Disposal Trench—No. .................... Width.................... Total Length.............._._... total leaching area....................sq. f t. Seepage Pit Depth below inlet..... ...... Total leaching area._.` .!!:A.sq. ft. Z Other Distribution box (y-) Dosing tank Percolation Test Results Performed by.........................7...r......... .................. Date......A!1.1":-1`�A Z— ......................... Test Pit No. I....../-.(a...minutes per inch Depth of Test Pit.....LI�00.._ Depth to ground water........................ 0-4ze"I rX, Test Pit No. 2.................minutes per inch Depth of Test Pit.....A!Er..... Depth to ground water.......A............... PI ................... .......................................................................................................................................... 0 Description of SoilT-!!-.!!.!.:...OnA*........ r-11402 -DA*,A0 '. +em' --V ! F-kJ6 ') ........................................... ................................................. 17., . -n(Xb'I'T 'S I-Try CLA4v Vt4vw- 0.-pA-*AAo T_.",*k-2, ............................................................................................................................................... ........... .. .... ....... .. ... ......................... . ...........I...... ............... .......... ... ..... ....... ... ..............................................................&_,�,C_................................................. U Nature of Repairs or Alterations—Answer when applicable... ....... OF �-rve 79 ..........10!5 49p LI .. ....... ............... Agreement: The undersigned agrees to install the aforedescribed Individtial Sewage Disposal System in accordance with provisions of ITI-Z! 5 the provig I T IL 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 the boar of health. 4Y SignIt ..... .. ........ . .................................. . .1/�/•.,1.�. Approved Application B V...... .... .... ... .......... ... ............ .......... ......I. ... .. ........... .... ....................... 771� a t�e Application Disapproved for the following reasons:....................... .............................................. .................................... ...................................................................................................................................................................................... Date Permit No............... Issued.............. . . .......... Date rj„ t .. Y" _ - \Sf �' ... • � �• 1 ~ � • h'�r i4J1".ji ..r v .. •:t'. ♦ z. ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............L......Itit ................OF.............. ............................t `- /. f....... .�Npplirttlton for Dto•posal Vvikg Tonotrudion F rmi# Application is hereby made for a Permit to Construct (tC) 00Repair ( ) an Individual Sewage Disposal System at: ..1 G°.* ..._.. ti.. ... — Location-Address or Lot No. ti1_.Y:t`r n_!;' .................................................-. �... Owner Address W Installer Address Type of Building Size Lot..... .:..................Sq. feet �-, Dwelling—No. of Bedrooms........_��................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers,( ) — Cafeteria ( ) 04 Q Other fixtures .-------•-------•-------•-----------•.....................-----•----------------------------- --I_............._...................------ Design Flow•............... tom___•-_-_-.---__----gallons per person per day. Total daily flow................ 3 ? ..........gal W ... lons. WSeptic Tank—Liquid capacity_.12�.gallons Length-__ Diameter................ Depth..`?.'..-::.__... x Disposal Trench—No. .................... Width................ Total Length..................... Total leaching area....................sq. ft. 3 Seepage Pit Depth below inlet.......... 6...... Total leaching area...`:':I..:`�..sq. ft. Z Other Distribution box ( x Dosing tank-( ) , Percolation Test Results Performed by....V:':2v'� �' �ti'C < ....::........... :2 ?.:`!Z:....._.. -•-••............... Date....... ... ,tea Test Pit No. 1..... . '._.minutes per inch Depth of Test Pit..... i_r_� ._.' Depth to ground water.......1 2c ......._.. Test Pit No. 2................minutes per inch Depth of Test Pit...... _`..... Depth to ground water.........`......._... a' ....................'-----------•--••---•----- ..._...._.............................................................................................. cl- Description of Soil = -----•......---_l._.. .. .:.. ............................................... .......... ....-- ..... V 17 a?' ~, T„!. �- + i..�r!_..� �..... e) "' b-.I�.., ) '- �,� r •.1 A.It,.-r (g' Y t ti(. 'Cl l,c ., ! t T.'(r e t \, UNature of Repairs or Alterations-Answer when applicable_.. ? .' �! .J�_:.. !. ....._.....�..��........•............ zfi. rya 1l t�+......c�• 1��'+._ 1 z_ stil t t�Z n rv-2 4, t -ir 1' �aC`2��t� s•t L_ 4,1-c I �� .. thll .... ----._; . .•---- ------. ......_..-•-•------ --•----- ...... ......... ......... ....... Agreement: s The undersigned `agrees to in'stall the aforedes`cribed Individual Sewage Disposal System in accordance with the provisions of A. A.L; S 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-the boar .of health. Signed---- ! -fib... fi �t 1...................�1 -- �� z11 --- C !�/.7F7 D j7 1 Application Approved B � ... ......._... ..•. ... � ' Date Application Disapproved for the following reasons:.......................................___.._............_......_...._...._........._..-_- ...._......______ ...........-•---------•--•-•---••-----------•-----------------------------------------•..--•---•----...............------•--------...--•-----•--- .`...._......-•-•--.....•-----•............_........_ �} Date Permit No......................................................... Issued.-.: _ ............... !�r41._ .�/........... Date ..y-,-..n:...:�..w.�aa,.....o .�,se_..-.,...,,..,....o....c...�.e;...n.........e...�._.e,�....sww-q.nt.a...ap 5..w Mammo...'s o•n.ono'......----------------------------------- OF MASSACHUSETTS BOARD OF HEALTH ( ............OF............ ?. .... 1?e .:.....�...�j !�lo?................... 1 Tntif iratr of faontplittnrr THIS IS TO CERTIFY h t the Ind%ividual Sewage Disposal System constructed or Repaired � (� ( ) by.. P.r.— � •--•-----•-• •-•---'-----•.......................•-• ------. ----..............................._............. Installer 44 .l ' has with the p r ']� y described in the application for 11Di_po a1CWorkseConstru Construction Permit No._lr��"�,''�� he Sanitary as f THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ' --- DATE........................' . - --•-•-•---.._.._....... Inspector.-•--....------••-----•---• f ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t�1J l/...........OF... ......:.:........................ ....................... l•��/ NO.......... FEE........................ Disposal Varko Tanstrurtion rrrmi# Permission is�hereby granted / ..... - 1 C.s �..tom! ... to Construct ( �)or,Repair_( ) n" Individual Sewage Disposal System, at No...... ---._... •-•-.-•. ,1.. ................................................._ (/1'19yy� .. 9, �... -------- . -• r Street '' '^V as shown on the application for Disposal Works Construction Permit No��"7�5..' Dated.._�'". .......... �� • Board of Health DATE...-•---------- —.. ...�;- -•-....•-•............••..._...... - o 01 T ff S T HOLE LOGS ENG1N&eR : TAMe: c. -TCLice I 73 �,�/ITNE$S: Tr-R�, DJ-•1�';+J6 �.ar:j - � 11I Q `L PERC RATE: 6 ,M+N/1P✓GM ' Lo L Oc:A T r U N "AP t =2Ooo• o E re9 8 ELF! Tyr L. , 0 J✓ h D NOTE: 1-CP Ah/L 135�;L sut3 o1L �cNsr'r i - tC Ga S I' eL 69 �P �at.Iv MCC2C:s�11P.altA+CT RF i i :htli •'^NV RUNr = l EL CC SAWD i."',; `•� 2S�L4Ci :r= + t' - ----- tL 6= a 1 rf�+,r I ASSESSORS MAP = ; c {�A►- .S1 AG. rle,r�i i sl�`Y wnt LOOD 20NEc: 1 sZDf ;- e�. �. \ \ r ' c 6c 3 p' AN 0 OoK ,-S� PAGE Litt ,- MIX / � 1 > Mea. �+ S4 , skr✓p @: I . AiV+' M � T,KN FtO1 N$ iE YAJA1S G c ( - - - - - r i�r — f.�•�._. i MV NlC I PAa_ WAr�R IS ;z VAf�!+m�e i ` ! I �1 , 1` ` 3. PfrL P/TGH aL Ptii r=00T' UNLESS OrHtRWIStr NOTtD. ToiIVrS 5r,AI-L 6�E M A D LE WArtfR rrGHT. 4 S DeSi6N LOADN6 ON AL-L hhtLASf TO gE ^ASt-10 +-i— - ` `�, �' ' 6 GoNSr�✓cTtond aETAfLS T-o t3E � ��/ stCGOKANGE w�rrr I MASSALHU.-ETTS C-NVfRONMtrtVTAL (' UDE TT-LESL. Z P�ecF, Iry KATnR LEAe,f,.F.E C'Sr H WITH 7. rH+S PL/�IV FOR P(�OPJS[D I. uNIIOrJLY ANb NOT' rp 3L �b.j$ A�'at.;1 Nit_ VSEID Fold LOT L-we STA<K ?VG, k`t ' SEPTIC DESIGN NOT TG SCA �- E 157-0 10�Fd/NDNTION !EL 7/.9 , P" _.. r - • TR ✓ ----i+_.. --�— I�vl GI/E i/ 1.'. :•�r�5.ld = t. i IN CC p � it •✓fr R W11 RYP: GPr ") ' O I { KI 1 E L. P�li 1D11 . 7' \-EL.69-93EL 6 EL a CC, L 6E. � f , sox To tic -`- � r'� r1, 1 ! --' TEE SIZES . Scar of� �-� lG,y- 1 t : �f + i I �� \ / i_—_J CR✓•rttD STD+Je - ! It's i f7F��try��c>rA+f� NLC-T HE+%a17 _c DEorrl = t r. — `�' ;g• bMT DE 011r�ccT ritI PTH= iC /1Y AY If- - f1 WATE EL 60 ? iff `v FOUND. � i �--- 5EPT lC TANK- --- r D B0 x -------- L AR C H SAC I L_ 17Y DffSGN CALCULATION 4 a-• , try EL&c«+c a BEDkOoms A-r GPD/are = 3 3v GPD 1$ C 3 f -"1-4- `' _ �p� G P D x �, s =r GAL . I V 5 E- i4 - S' 6ALLGN TANK 6y,.4, Fop-� .� •-" � i roo '3,� P' LLA_ ;V, r-A - ,- 3,0 cs/'D 2L4-S" rl+ �/7r)= 1i6 $ 1 3(2)f_jr s* ] �l .�b; = r�q.� _-SIT-5 AND SEWA--1 +CLAN - - roTA1„ 4i1Vsr- S4s. LtPO �. FOR PRoPO sED raw;L:_ r:v VSL D PtEt.>S OF fr,lt=r kATC;ftS, & �t�; o vscas 4d. z % 3'x r w•3 /"tAt /"�//' R ��J t f� N t/tt ri 1 ;?!r frl�✓a' ^t.i !�" trVMMA� � .1 �/ 9l_i_ + pK PREPARI-D FoP,: dcl,✓n cape enTneeriny , Inc. . - - clvr>� E1vG�N�eaS /! j �� SCALE = t` = �o' DATA= DLCL, LAN SU R R.V rvo Fi5 j 80AR12 OF H6ALTH a ' - 71117 BLE ,�.",�_ ._ .• {�,.. _ . . .. .___._ n� . s rya • ^ i � TA , y oArRTE YA Pf-1 C V 7 H PORT, /`1A. APPAOVLWC _ —�DAT t "