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0010 GELDING CIRCLE - Health
10 Gelding Circle Barnstable A= 297 — 052 TOW /OF BARNSTABLE LOCATION /0 lqe. ,of i n 0 [_ /CPC, SEWAGE # 9.- /&/5 VkLLAGE 20CQ6`6CLAd- t? ASSESSOR'S MAP & LOT OSoZ INSTALLER'S NAME&PHONE NO. 50,-t01-o-6f,L G'o<I Ft. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS o�J BUILDER OR OWNER ,T4C :©rice PERMITDATE: %�/C/957 COMPLIANCE DATE: _�09J`� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) . Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by TOWN OF BARNSTABLE LOCATION �'�- r- ^-`���� aH—�"4r SEWAGE # li�LLAGE 1!j3� ASSESSOR'S MAP &LOTS�-�5 Z7t INSTALLER'S NAME&PHONE NO.A-Gne-:- �l CeP14= �Tzl q SEPTIC TANK CAPACITY LEACHING FACILITY: (type) s (size) �Je /42 NO.OF BEDROOMS BER'OR OWNER PERMIT DATE: ~ q'iy COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility' (If any wells,exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Red r '+ 3g �3 3Ll e No............. - FEia .......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABL.E /0 lip iratiutt for Di-ti.puutt1 Wor1w Tomitrurttutt rantit Application is hereby made for a Permit to Cortst.uct ( ) or Repair ( p< an Individual Sewage Disposal j�%"-� ystem at � c t-.......................... � Location-Address or LotNo ^�a .................... C� ' d // Adress Q ---------- ^� ----------/ Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms----------1:3---------------------_.._-.-Expansion Attic ( ) Garbage Grinder aOther—Type of Building ---------------------------- No. of persons---.-__.-_.--_-_____._..._-- Showers ( ) — Cafeteria ( ) a' Other fixtures ---------------------------- W Design Flow.................!�5.___........_._.gallons per person per day. Total daily flow---------------- ................gallons. WSeptic Tank—Liquid capacitv!PP©__gallons Length---------------- Width---------------- Diameter-----.---------- Depth-............... x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No._.___.__ -------- Diameter......../a.._.... Depth below inlet.._...Ca___-----_- Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.,...................... 04 --------------------------- ------------------•-----------------•--------------------------••---------....--------•--...-------•-----•--•••-----...----•-.... 0 Description of Soil........................................................................................................................................................................ V --------------------------------------••---------•---------------•-•--------------------------------------------•-------------------•-------------------•--------------...--------•••------------------- W ____ U Nature of Repairs or , lte ations—Answer whe applicable/�-b.4...-..A--.-.___l.Q.L?0_._ 4 ........p-!.)`—Wq Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance,.with the provisions of TITLE 5 of the State Environmental ode—The undersigned further agrees not to place the system in operation until a Certificate of Compliance b e b e board of health. Signed ------------------- ----- ---------------------- ........71. .26 Date Application.Approved By.� -- --------- �- ------------ ..'..1�-rJ�� Dare Application Disapproved for the following reasons- -----------------------.7 -..._... .....- -............................. --- -------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------- ........................................ 62 .... �� 99 G� ..Dared PermitNo. .........../................................. Issued Date No........................ FEB...................`...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 1/0 CP�.P�,>v �VP Irattlau for Dijpuutt1 urlt C�utt�trixrttutt pr at s � E Application.i.s hereby made for a Permit to Construct ( ) or Repair ( NL an Individual Sewage Disposal ystem at: v I `' s.�..—....... --•---_---- ••••••-••�l ! .. T �. . Location•Address or LotN.iot/. I�CI. ...............••---••. Owner Address U j Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms--- Attic ( ) Garbage Grinder (—) X6 aOther—Type of Building ___________________________• No. of persons._..________._______-_____ Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------------------------------------------------------------------............................................................... W Design Flow-------- ::............gallons per person per day. Total daily flow................ q.m...............gallons. fy Septic Tank—Liquid capacitye�q01D..galIons Length__-_.._.-____ - Width________________ Diameter---------:------ Depth................ Disposal Trench—No. .................... Width.................... Total Length..................... Total leaching area....................sq. ft. Seepage Pit No.........../-------- Diameter.____.__l ----- Depth below inlet-------('t.......... Total leaching;area..................sq. ft. z Other Distribution box_ . ) Dosing tank ( ) nutes per i ch Depth of Test Pit_____-__---_________ Depth to ground a Percolation Test Results Performed b Test Pit No. I----------------mi - ii water......................... G14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 0 Description of Soil ........................` •---•....................••••-•-••••••••••-•-•••••-•-•------------•--•--••-----•••-•......-•--• .... ----••-•-••---•-••-•..-------•--- x V = ..................... --------------- UNature of Repairs or ,Alterations—Answer when applicable,47 _____A---------Z.4.t.0...._.v.1-----C_. ! ?._...a.!-J----c /1 3 r 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 hW1be ssue by f2e board of health. Signed .. f �^� --------%. ---------- :.... Dace Application,Ap BY - ...... - ..�......_ .... .........._-------------------------------------- proved ._✓! Application Disapproved for the following reasonr- ----- ---------- -------/--------------..-------------------------------------------------------------------------------- - - .. ------._------------- �........------------------------------------------------------------------------------- --------- -----�------------- ........................................ Permit No. ...........-+1 �a.Ol .------- Issued . ."`:_ Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ge rttftcttte of TompliancE THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( a{) by .... ©/ ''�- ......... S /1-•�c �-7----' ,------....... ---------------------------------Insrdlcr �y Cr----'--'-'-1-'."JG------.Q�L.x C--- /--- ti�t"in/3LE �..../1�L4=.:... at --------------------------------------------- --........ has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ,���r -- 1�. � T dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE - -I f", _ ..... - .......... .......... Inspector s:..` �------------------ ---......... F THE COMMONWEALTH OF MASSACHUSETTS n BOARD OF HEALTH TOWN OF BARNSTABLE, No.. ..../......_f� FEE........................ �i��n�ttl �r�� �u��triuu �rrrmit Permission is hereby granted_----------`Try. :�. r'/•...... `/ 7 Gil--••••••-•••......•••.................... to Construct ( ) or Repair (e_1 ) an Individual Sewage Disposal System�L at No.- � •. L{.yt i.J ._.lJ._ t vl ,:J CS J�-!/ (-�---------------------------- Street� / �-- as shown on the application for Disposal Works Construction Permit 1�?1'�oj�_�G�� Dated..__ i_.. '�. ---------------------- " Board of Health DATE......---.°`�......-----�--[--"�------•---•- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS AsBuilt Page 1 of 1 BARNSTABLE LOCATION SEWAGE #._ ;.` VILLAGE EJC"liii:>L.f a fart .., ASSESSOR'S MAP LOT ' INSTALLER'S"NAME fit PHONE r . ` SEPTIC TANK CAPACITY ';Q p r tiT, ti: LEACffiNG:PACIL (type} NOS OF BEDROOMS ` PRIVATE'WELL OR"PUBLIC WATER. $DIIDER OR OWNER, ✓9{�fi ,� DAT:E PERMIT ISSUED sY DATE COLIPLIANGE ISSU " VARIANCE GRANTED: Yes - . .. No; ri p y w�t... J http://issgl2/intranet/propdata/prebuilt.aspx?mappar=297052&seq=3 11/21/2018 AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION U SEWAGE# . J .. 6 VILLAGES T ASSESSOR'S MAP&LOT' 'T INSTALLER'S NAME&PHONE NO.,t-an;:: 2- SEPTIC TANK CAPACrfY ' Je•d 4O6 LEACHINGFACILTTY: (type) i i— (size) Je 14--;� NO.OF BEDROOMS 3 FOR OWNER _: 4-r v PERMff DATE: ? U-.—COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet ._C. Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 7\ ivow l7 J Aear 0 fDg. http://issgl2/intranet/propdata/prebuilt.aspx?mappar=297052&seq=1 11/21/2018. t BARNSTABLE .LOCATION ice® r �^ SEWAGE # �-= --�-- Y9 �q97�5 VILLAGE « � ASSESSOR'S MAP & LOT 1 N INSTALLER'S NAME & PHONE NO. cif _61Zz SEPTIC TANK CAPACITY Q 0 CY t! LEACHING FACILITY:(type) / r� &NO. OF BEDROOMS <3 PRIVATE WELL OR PUBLIC WATER 0 BUILDER OR OWNER 1 1 i9 K� L.ill," DATE PERMIT ISSUED: ZZ DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No kp �:. _ C�� �••. �� � -�'� ����� r ��,'�-� ASSESSORS MAP NO: PARCEL'NO.: No.......-----•----------- FE$............._............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............. T INN......._.....OF...... ApplirFation for Uiipuial Works Tnnitrurtinn ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: G e G d a n_ , , - �s s�� --°r-=�` ... . .................................- - - Location-Address �`or Ldt No. ---------•-------•.. ............................................L es.a........................................... Ow ..Address-.- ..............................................�CtR ...................................... ........................................ --------.....•.......................-.. Installer - Address Q Type of Building Size Lot_ .............Sq. feet U Dwelling—No. of Bedrooms..............3...........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons-----------------•__-_______ Showers — Cafeteria Q' Other fixtures .._._....--•-----------••-----•- • ... W Design Flow............................................gallons per person per day. Total daily flow__.........3..."...........__........gallons. 9 Septic Tank—Liquid capacity!—__.gallons Length._8'..`'._-. Width. Diameter________________ Depth.s"8_/.... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area------------_.......sq. ft. Seepage Pit No--------. ---------- Diameter_______-?�z........ Depth below inlet.....!`_._.__.__ Total leaching area.339.......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by._--�0'!r��---�:-_ � .------.----•-- Date_-.%-.1v�-:-z�.���. ... a Test Pit No. 1_.4...�....minutes per inch Depth of Test Pit----157-.''..... Depth to ground water------ ............... 44 Test Pit No. 2...G.Z....minutes per inch Depth of Test Pit../Iu..... Depth to ground water-------------------- - 9 --•-•-••-•••---•••••••-•••••-----••--•••--•----•-•--••....••-----•----------------------------------......................................................... O Description of Soil..... "_. ��.. ... -sf'B Sore Z�4"--06 62�-viz 4,3 ry lzo" 'ice, -..• -----------------------------------------------------------------------•------------------------------- `� �941....---••-/Zo'�-/�r�~ .NF .S��n.............••----------------•- V W -••••------•----------------••----......--------•---•-•--•-----•----•-•......__....•---••--•--•---•--......-_.......................-•-•-••-•-------•-•---•-.......................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ --------•---------------------------•----------------------------------------------•----•-----------------------------------------------------....---------------------------------------•----•----•--- Agreement: ' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance witi'r,' , the provisions of L i:'s,.^ "t p 5 of the State Sanita"ise e undersigned further agrees not to place the system in operation until a Cerra•cafe of Compliance has e board of health. Aq igned . . ... .......................•----•--......-••---•--•--• ateAPPlication Approved BY .i-------•.................. ------� Z---------Date Application Disapproved for the following reas -•-----•-------••-----••--•------........................................................... .....•-•--•-••---•••---•...............•---••--•••••----•-------.......--•----••------•-.....•--•---------------•.....-•--•-•-----••---•--•-•---...---•--•------•----•--••----•-----•-••-•••••----•----- Date PermitNo......................................................... Issued....................................................... Date No...b6 q q19 71 F.Ri!.... > ..................... .... ..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............70V1,A1 ..............OF ........................................................................... Applir4tijan for Uhipaaal Works.Tomitrartion 11jernfit Application is hereby made for a Permit to Construct (4,-) or Repair an Individual Sewage Disposal System at: M0/-/",V0 Palv 1 e'. 0 ......4.................. -...... ------------- -- -----------------------".............. . ..........................................Ecation%�ddress . or Lot No. S7, Ow Address ---------- --------- -------- ----------—---- ------*.............***--------*-------------------------------------------- Installer Address Type of Building Size Lot_` ............Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers, Cafeteria ( ) Other fixtures ----------------------------------- --------------------------------------------------------------- ........................... ----------- Design Flow............................................gallons per person per day. Total daily flow............0...............................gallons. P4 Septic Tank—Liquid capacityZ ___gallons Length.-q.." Width'.._'........;Diameter________________ Depth'.....'......__. Disposal Trench—NTo..................... Width.................... Total Length.................... Total leaching area--------------------sq. f t. Seepage Pit No----------/----------- Diameter..._._Viz........ Depth below inlet......6............ Total leaching area_339_.3...sq., ft. z Other Distribution box Dosing tank ( ) C. 7/�W-�r -formed by..................................................!�7 __/----------------- Percolation Test Results Per . ................. Date.............. 4 Test Pit No. 1_1�...7-_--minutes per inch Depth of Test Pit...��Z� Depth to ground water................. -' rX4 Test Pit No. 2... -.z.....minutesper inch Depth of Test Pit.. �"...... Depth to ground water.__................. ------------------------------**--------------------------------------------------"----------------------------------------------------- 0 Description' .......... *8f Soil.....a ...... ------------------------------------------------------------------ _;��-----------*0*------------------------------------------------------------ - 1z.'1-144- Vc 5"4Vi-"z> U ................................................................................................................................................... ............................................... -----------------------w............................................................................................................................................................................. U ...._lTature..16f Repairs or Alterations—Answer when applicable--------------------------------------------------------....................................... ---------------------_................................_0............................0.................................................................................................................. Agreement: The undersigned agrees to install the afo.edescribed Individual Sewage Disposal System in.accordance with the provisions of Tj—_4, 55,of the State Sanitary de—The undersigned further agrees not to place the system in I` b e b operation until a Certificate of Compliance has b %oard of health. igne ......... . .............. ................................................... ................................ Application Approved By................... ....................... ......f...... ........................... ...... 6. ...... ....... . ..... Date Application Disapproved for the following reasons: ...........................................................................................................- ........................................................................................................................................................................................................ Date PermitNo....................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....OF....................................... ........I.......................................................................... %T rtifiratr jaf Tumphaurr _Lr THIS IS TO-CERTIFY, That t�e nd- i idual Swage Disposal System constructed (_� or Repaired pe ndw by-------------------------------------------------------------4_4,9I�- . ........... ----------r.............. ............ .......�------------------------- J�k L VV at................................t . ...... . ...(9..p . .................... o .. .. ......................... has been installed in accordance with the provisions of T I T 1E 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 CONS D AS A GUARANTEE THAT YHE SYSTEM WILL FUNC.710 SATISFACTORY. DATE........ ...... - , 'Y......................................... Inspector.... 7....................... ...... ............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r . r- C>0 qqo .......7�-P,W.Al............OF....... 1-F71-4-16e................... ............... S — N ......... FEE........................ Diapviial Works TuipitrurttPit r t Permission is hereby granted..................... . .. ......... .......... ........................................................ ................. to Construct f-**) pr 1�ep8r �f an Sewage Dispwal System at No....................... I C ............................................................................t------L.................................... ............... .................. Street eq-7 66 as shown on the application for Disposal Works',Construction Permit NA6.-.1340- Dated_ ... . ... .................. L -------------i• ----------------Irealth DATE---_-----------------/.......... FF ............. ........... ........... . FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS 17.E/V's rz�v_rDp of / Iq G o H/ND � CbNC. 804'ND = /Z0,00 ( CRTW flgSvosE?! /60,oo ' IW _ `_ 1' 7 S•f I� 15Z 7-7 �� I �/ZoPosta I x � mp 461w/aA7710: v TgN,G Pe�pose sY 7z3r — V / IIZ / W577 ti / Box 71 L ECG H IN I Z07- -%0/00 / / 00 -. __.Si 03 LOCATION . 8�??^!ST.9 f�G c MA S S SCALE . .!:��" �.... DATE PLAN REFERENCE S//cwN o.v . . . . . . . . . . . . . . . . .. ... . . . .. ... ...... . . . . . 0Fa!/,�Sir, . . . . . . . . . . . . . . .. . . .. . . i. . . . .. . . . . . . . . oE� D yG, . .. . . . . . . .. .. . . . . . . . .. . . . . . . . . . . . . . E. I CERTIFY THAT THE KELLEY N No. 2fi10a o� SHOWN ON THIS PLAN IS LOCATED ON.THE GROUND ? ISTLR� AS SHOWN HEREON;SQL LAe�� DATE . . . . ..... . . . .. . E Y REGISTERED LAND SURVEYOR { TOP OF FOUNDATION CONCRETE COVER .;� CONCRETE COVERS luz, a 4"CAST IRON 12"MAX. OR SCHEDULE 40 - 12"MAX. • ' P.V.C. PIPE 4 SCHEDULE 40 PVC.(ONLY) ' PITCH 1/4"PER. PIPE- MIN, LEACH PITCH 1/4"PER.FT. PIT PRECAST �•o EL%psB� LEACHING INVERT INVERT e • Q•t PIT OR °'. SEPTIC TANK �OSL DIST. io¢7o ' . w EQUIV. .•e INVERT. EL..... :. .9. BOX EL....:.... ' : >_ . . loco.... GAL. INVERT G' p � g INVERT W W 0: :;i: 3/4"TO I I/2' - EL......7 W WAS o w STONE �-- /Z' DIA. :�!d PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE 3.S,2c� SOIL LOG WITNESSED BY : DATE TyNC Z7�y TIME.. . BOARD OF HEALTH TEST HOLE 1 TEST HOLE 2 GT"gr2D ENGINEER ELEV..i:7 7,?. . ELEV. .(oG:ZO. . •" DESIGN DATA .* see-s°�� �z.��.•zo Q,g„ Ca,4vez 3 Q./o3.70 1oZ,y�, NUMBER OF BEDROOMS TOTAL ESTIMATED FLOW . . 330. . GALLONS/DAY SAe,a R6C -SA'vn BOTTOM LEACHING AREA ��.3•./. , . SQ.FT. 56.70 SIDE LEACHING AREA . . . ?ZG; Z SQ.FT./ PIT/sZS CpD• FOOL no" GARBAGE DISPOSAL .!VO^!�. .(50% AREA INCREASE) E2-96-zv D N TOTAL LEACHING AREA . . 33�-� . SQ.FT sA„n PERCOLATION RATE 7WP MIN/INCH Np LEACHING AREA PER PERCOLATION RATE .G7�.. SQ.FT.1cP.D ......WATER ENCOUNTERED O.uL� /�/T 1�/iT�/ NUMBER OF.LEACHING PITS . . . . . . . . . . . . . . APPROVED . .. . . . . . . . . . . BOARD OF HEALTH ? C • FAT. of S7a�/�' cam/ u SIDS DATE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR OFOF � A EDWA/R/ nl y. �6100 / .'L Lk`+�e s AANlfARiP� yl.