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HomeMy WebLinkAbout0555 MARSTONS LANE - Health `555aIVlarstons Lang q 71l`- JfBarnstable IT 741 �. __..u.:�.•«` ,. ,. ;. _ . n CK7:'X� •.••.-... 4u..,+a� t'S.�'• am-r 7P�cTt f ,- r g. ..,k ",.., r r m t. - .s a .. 4 k ''1 s T � `;`µ ''� ° Y '�•. q' F. J �...r.' +.tq �.; o `a;ri :., , ua,�, .�" ;.. � ,F '.� r •� :+&'.t a- �'` ._3, C _ y {.,a'. t3,..,t. � r 4„r U r�:�.n �k f xF,�•'., :r 'F, U *,l `q mot',.r �, d+�� .+ ' ! w Nu .,s; .w 4 ' ,+r ,3 .,_,v. ". .n• nr :i•Y� ',� ,,y ,Y,� a: .. :y 'sF k... r ;e -.[•,.: ,' :,r n :� r - _ w!A[ c, :r4 .r v fr;: a'p• :e nF , � vq. p .sH '.t u.' "� 4! } r' e ..'. °t d c� .;!'- t✓y. "' n r F♦� �• S ,�..... LOCATION SEWAC PEIT NO. C61MMAgvfr 3vRJN VILLACE Z07` A2s' 3�(y - o5l &5s' IVIAR! ' -7Dlv6l—AAI,�C BAgn/.37Aaze- /VI,qss, INSTALLER'S NAME & ADDRESS 1 A z e S SeP,r/c tCesspaoZ Seleyice U e A A/Ne Rrr1 /��12 y✓/c y e UI DER OR OWNER ED VA9Cl/AZ? I?A / DA T E PERMIT ISSUEDer, �� DATE COMPLIANCE ISSUEDa �� t • rl, J# rFss..&................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH App iration for Dispas al Works Tnnutrnrtinn Prrutit T 4 Application is hereby made for a Permit to Construct ( J or Repair ( ) an Individual Sewage Disposal System at: ........ZgA4f.�xS.C.rD<el 3_.....G ..........' ..... ------------------------•--....... cation-Address or Lot N .._ __..P.J._-alt�rh......................................... Owner W —•g, p Address �� NSA ed f/sf0-dc, Pa Installer Address U Type of Building Size Lot.._. .5? .Sq. feet Dwelling—No. of Bedrooms....__.....-�---------------............Expansion Attic. ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures .. W Design Flow.......... 5........................gallons per person pier,,day. Total daiV �iow._:_......_�-�_®_ ....•...... lonsf� WSeptic Tank—Liquid*capacit}A�?s�allons Length....�'._.tt__. Width..$"._ram`_.. Diameter________________ Depth... ..' x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area------- jF.s . ft. f p I q � Seepage Pit No....... ........... Diameter..�4�...._.._. Depth below inlet___._._Cr_ .___. Total leaching area .__.__.sq. ft. Other Distribution box ( � Dosing tank ( ) W Percolation Test Result Performed 665L.................. Date.,/ . Test Pit No. 1...... _.....minutes per inch Depth of Test Pit-_/$.el,n..' Depth to ground water...... ........... 44 Test Pit No. 2........3_....minutes per inch Depth of Test Pit _ '. Depth to ground water---!✓ ------- 04 .-------••--•-•--••-------•-...-- ---•.....•.............•.........----....:...... ----------------- -------•----------•----- Description of Soil ..._s ...._.__ _ '`�- ..Is -------�-`/' '�/s�Gamy .... -�----._� � ------"42 ------------ 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 TIT 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a sate of Compliance has been isAl&ed by the boar iealth , /J �y Sign Application -• roved B . ........................ ... �� to . . -- ............. Date Application Disappro d for the following reasons:-----•----------------------•---•----------•----------•----------------•------•------...-•-•-•....---•••--•--- .................................•••--•-...-•-•---•---•-----•---...•-----.....•-•-•-•--•-•-•---•••••-•••--•....--•-------•-•-•••--•-----•------------•................................................. Date PermitNo.......................................................- Issued_....................................................... Date i . No.. .3..... � FEs............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for DiopunFal 10orkii Tonstrnrtion ` antic Application is hereby made for a Permit to Construct ( L)o Repair ( ) an ''Individual "Sewage Disposal System at: P" i'�ri J?S i�t U.S .{ rJ v i 2 .. Location-Address or Lot No. rr _ -Owner Address: ... .-t✓rl �� �r �} fi. , ti,r.J Installer Address Type of Building Size Lot.._.'__..... ........��..Sq. feet Dwelling—No. of Bedrooms........................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a Other—Type g --------•------•------------ P ( ) — Cafeteria ( ) Otherfixtures .--••---------- ••-•--••-----•---•--•----•----.....•..•----•-----•-••••--------•--•--•--•-•--•----------------------- ......•--• W Design Flow.......... .��._.------ . gallons per person p`r day. Total daily flow___...._._.~'�.?.�.. ............gallons. W Septic Tank—Liquid' capacity__.___._r. allons Length._•:_._..._`... Width._................ Diameter................ Depth................... x Disposal Trench—No.................... Width.................... Total Length.....................Total leaching area....... r.:sq. ft. Seepage _.._.. Diameter.__............ Depth below inlet...... ......... Total leaching area...-_.____�__....sq. ft. See e Pit No_______ ____ � �'"�'� Z Other Distribution box ( G)� Dosing tank ( ) '-' f�GcJ Gc/ Percolation Test Results Performed by__ ____________________________ � -----•-------------. Date._:...�....._____2._.._...... Test Pit No. I....... ..._.minutes per inch Depth of Test Pit_._/��cs:. Depth to ground water.._...w'........... 44 Test Pit No. 2........ _....minutes per inch Depth of Test Pit_%�..` Depth to ground water........... ........ 0+ -•-----•--------------- ------••--•---•---•---•••-••-•••------------•-•-•-----------•-•-•--•-........---------••--•-•-•-•-•--------•-----•----•----••--..... D Description of Soil-- 0 - ,-SC. , ��//-' _ r ---.-i::-•----•-•-----...--•-•-••--•---•---------- ------•-- W C-( C.;.1 J i=i_-,f ' .._-. .v C'> f-f-- ,4 %c - L ✓� -7 v�:..i..r ---------------------•--......------.........-•--•-....---••------------------••--------..........-•--------------•--------••---------------.•--•-- W VNature 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 iIT 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation unt l a t Off`Com lia e has be nris�ed by the qla he.lt ` i2 O 3 Application Aproved = ----------------- Date Application Disapproved for the following reasons:-----•----•---•-----------------•-------------------------------------------------............................. -----------------------------------•-----....._...-----------•---•--------------.....----.......----------•-••---•----•-•---•-•------••---------...-•-••••--•---•••----•-•-••-•-----•-•-•-----••-•--•--- Date PermitNo......................................................... Issued----------•---•--------------------------------•---•-•. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G" ........ .�.........OF...... ?¢- t_ _5 c;A �............................. ..�.......................... (9rdifirtttr of TomptiFaata THIS, IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( <-) or Repaired ( ) by --- ---------------------•-----•---•------•--••--•---------_----------------••----------------------------•------------------------•----------------------•--------------------•------------•-- Installer ....................................................... ---------------------------•-----------------•------._....---- ---------..._..-------------------- has been installed in accordance with the provisions of PT5PR The State Sanitar . d .Apscribed in the application for Disposal Works Construction Permit No .date.-____ THE ISSUAN E OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM 1dN1 7Frj CTION SATISFACTORY. DATE....= %.... �-------------•----•-••-------•-----•-•------...--. Inspector...... ----------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c7rv.�..........OF.... '.:... G `�d ............................... ............-•-•.........••••....... No......................... •• FEE......................... Displaoal Morkii �oato#ratr ivat anti# Permission is hereby granted..._ ! __._._._''D %s • -----•------•-------•---------•----•--•............................................... to Construct, or Repair ( ) an Individual Sewage Disposal System r at No.....^G�� C /"yam-t 7 C i%)ti) � .�, . ----•----------------------------------------------•-•---.--••- --------------•-•---.....----••-•-•-•---•--•-•--••=- ` ......_......... Street j /y/ a as shown on the application for Disposal Works Construction Permit .... .............. Date/d__-----/?c... -�................. ................ - , . ..---•-•-----•-••--•-•••••••••---•••------------•--•---•....._•--•- DATE. Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON r 20 f f n7ir7. ' ;y cunt r* Jam covers `: Z /ayer 4,•Gasf iron or of N a_ ,/ a Bch. 40 Pvc, f�ipC /Z tea¢. Cana. 8 2 ' ' ►'. Per ff. _` '� Sch. ZO PVC pips pee�Slr'one. ! 3 min. pitaf, /e" er ff. G o P /Qesn `flew U,,� :.f. „J ----� �F _. inV. C/. / CD • inv Cl. disc v • , f R r Ind. C/. in✓. e / �/ 10r� I . , • L OGAT/,O/�/ M/9P se tic fa.nk /. n s - scAc. •� washed /eacf�in9 i oso k • ' ,� a . o • o SEWFl GE Sy'ST� /Y/ P,20F bar '• o� B Ni✓ sn 7f . 'Poo } _ fit; \ cJround Luaf'er •f-ab/e e% = r O 607 0O"7 felt fho% el. r,4s.s 3Atee) E. S /G /V Osq TA TE ST HOG. L O G NUMBS OF BEO,EOOMS TE ST DATE ,�J/ 1.t1/T N E S S E L7t�= GR,2BAGE DlSPOSAC_ UNIT: BY : *:► TDT�gL_ E 3T/MATED FLOW f'E�eGoZ- AT/ON ,E?ATE /M/N. /N CH to ' " OZ ��' GAL.�ORY HOLE 1 9 OLE _ r �� .' -YL v! �./ ), ACTUAL. SrPT/G TANl� S GdlqL. �« f , r ;fit?✓"P .. ... . I /� / '� /1 ; !� / �%/- .w•/,� � I(?� ' L6r9G ME,VTS : ¢ _ / / ,D ) J ,/ j /�. '' ..��1.•'`c� J S/O E GV A L L ` �'' ,,a - n % G f?i . S.F. `�J `�cJ•1 I - �" B oT T o M / � r ToTAE_ LEACH/ti/G CAPACITY ✓ 1 ESE EVE L_E AGH/IVG CAPH_GITY (f CAC.. r N Q 7& S ql LL !LV-�,2kMA/VSH/P 19NO MATE,E'./FiLS SHALL CoNFOeM TO TITLE $ © ? T O lit//-/ OF �z�,'' .� •: _ .��,C—_ /5/� �> AAJA0 I2E4sU4- fIT/ONS FOB SUBSURFACE PISPOS,9L. OF SA,V GE. Cv O 2� GOMPLl�NGE LV/TH ZONING RaGUL/97-/0IN5 //VSPEC:. TOrP � GOMM/SS/ONE,2. r 3) �XIST!lt.Ia /tI0 F/lV�g4- GA?AOES SHALL `/' �2EMAtr./ ESSEhIT/ALLY THE Sf1ME. OATS API�iE'OVEO : 8O. OF HEALTH i rgGENT ( SITE-- F'LLAA / of P� OPOS � © CONS7-)eUG7-/O/`/ L O G A T/O N : lb'i S / 7-E• P G_ A /V Pie PSI ,e O F O �. �- ,� .1 ;�, AEU , Sca./e ! " _ OATS- 4-EG�tiJL7 , � -f- p. exisfin spot e/e✓. o. o E�r�(�,� ���,''- � `',y�< �} y existing Contour a — — — — — •, �` QA IVG /V� E�/NG /�llG. A., ° �`yp• prop. y�,n. SPot elev. o•o _°! S G O/l./ prop. fin contour • 453 /E-' O UTE 134 t ' SO. O& AJ/V/S MASS. O2ra 6 O J08 # ;: / - G / 7 - ,3q4 - 88 /z f