HomeMy WebLinkAbout0084 STONEHEDGE DRIVE - Health 84 STONEHEDGE DRIVE
Barnstable
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TOWN OF BARNSTABLE
LOCATION �� �Z'Ow �� �. /" SEWAGE #
VILLAGE N�ct_tt&<(zp 161 _ A SESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 {
SEPTIC TANK CAPACITY Qccl
LEACHING FACILITY:(type) ; 1 (size) I Q";3'0 Ca
NO. OF BEDROOMS PRIVATE WELL O UBLIC ATER
BUILDER OR OWNER Gc .t� ei1+C J_,,
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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No . .�- •a:ti r FEE.. ...
THE COMMONWEALTH OF„MASSACHUSETTS
Gf BOAR® OF HEALTH- .- .... _ 11.
' .0._ ..................oF. �Z S-t A3 L ----------...........--•• ....-......_.
Appliration for Di4posal Warks Tonstrnr#ion• ami#
Application is hereby made for a Permit to Construct ()<) or Repair ( ) an Individual Sewage Disposal
System at:
..L.4:��...�a._ 11 dr., .ft bra �� ......................... ---zc = =// E ..............--
or Lot N
o.cation-�ddreo.
Ow-------------- ------,,,,�y A ress -14
Ins filer Address
Type of Building Size Lot.2`f !�i-----Sq. feet
aDwelling-)K No. of Bedrooms.._..-................................Expansion Attic ( ) Garbage Grinder (K)
p, Other—Type of Building ............................ No. of persons.....................:------ Showers ( ) — Cafeteria ( )
a' Other fixtures ------------•----------------------------- ------- ----------`----------------------------------------------------
Design Flow..................� '..............gallons per person per day. Total-daily--fiow..............---...®_.........__......gallons.
WSeptic Tank Liquid capacityl gallons Length................ Width................ Diameter---------------- Depth.................
x Disposal Trench—No..................... Width......;............. Total Length.................... Total leaching area....................sq. ft. .
Seepage Pit No-___-----I............ Diameter.....t 4......... Depth below inlet....._........ Total leaching area r41 4?�----sq. ft.
Z Other Distribution box (X) Dosing tank
'-' Percolation Test Results Performed by K.N. I............................................... 2 7_ -- __._____..
Date 7 7
Test Pit No. 1'c........minutes per inch Depth of Test Pit-------p Z..... Depth to ground water./Mt!!
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____-____-_-•__---..___-
-----------------------• ------•••--.....•---.............--...----- ........................................................
0 Description of Soil......`�.`_.l �e.... .. _. .ea� `x'.a �°- L ??s.y.� ..
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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 TITU 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 by the board of health.
Signed_.8 ..,JA^ 7 1T ...;� e •?•B••------.� - -------------•---••----••-- ate
Application Approved B a�/ `� � P.....7.-----•----••---••-•------- .............................-7
PP PP Y--------� �- ...........
Date -..
Application Disapproved for the following reasons---------------------•-•--------------------------------•---------------------------------------•-----_---••--•.
..............................•--••-------------------------.....--------..._........--------------•...•---------••---••-••-•-•-- . ---•---•---•-----•-•-••------------------ -------------------
Date
PermitNo......................................................... Issued_ ..................................................
Date
cr
LOCH ON SEWAGE P MIT NO.
�d I L L A G E \9/ 7
I N S T A LLER'S NAME b ADDRESS S
Trucking d�° Bulldozing
et
Hyannis,, Mass. 775-0828
BUILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED �jo
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No.......• -•-- -- .........s. ..1
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
F _.�_9w.0..._..................
oF A2NS7 A3.cc.
, ppliration for Disposal Works Tonstrurtiun 1hrutit
Application is hereby made for a Permit to Construct (9,) or Repair ( ) an Individual Sewage Disposal
S}lstein at,
�-------------•--•-•-------- ...
. .. •---•--------•----•...................••-----•-•......
Location-Add s �,,,._ / or Lot No. � `�
- T.l v - /-'—r,........................4.
a! -. ......• -.i9 -/�/f!
Own r « A�$r�ss
� 44
---
� Instwier Address '
U Type of Building Size Lot�¢,!l�/ ......Sq. feet
Dwelling X No. of Bedrooms......1drr=--------------•---_-----__----Expansion Attic ( ) Garbage Grinder (N )
... No. of persons............................ Showers ( ) — Cafeteria ( )
pa Other—Other fixtBuresing
W Design FlovA._:........... ..............gallons per person per day. Total daily flow____...._'�_4.!2..................gallons.
WSeptic Tank—Liquid capacity_U�A .gallons Length............:... Width................ Diameter---_............ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
_.. Diameter..... p Seepage Pit No.___...1_..____._ 1.4:_..._.__ Depth below inlet___..(.d........... Total leaching area.'°4'160____sq. ft.
Z Other Distribution box (A) Dosing tank ( ) 6l 2 f Ac,/�4A y
aPercolation Test Results Performed by......4 Ji A.H.... .! ! - - •!�- _--.•.-- Date___-- ?-_.- - 7�_____
Test Pit No. 1:5_.�......minutes per inch Depth of Test Pit....... .Z-..... Depth to ground water.lV�'t'_!----�----
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a, ....................-----•--•-•••-•••-••....•-••••.......-••••.............•••......._..._.-• ----..-•--------------------------------------------
O Description of Soil---- /°�° �4!. �f-1 r'� --�- -�-.....-u ..-�- .-•--k-±'wt=_4----------
x
V .....•-•••-•-•••---•••-•••-••••••-•••••••-••----••••-•--•••--••••-••••....•••-•-••••.....•----•--••.......-•••-•••-••--•-•-••--•--•••-•---•-•-••--•-••••-•-•••--•••-•••....•-•--•...............••-_...•.
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 TITS 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 by the board of health.
Signed.. .6 ? f° ? ....
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a1 e -
Application Approved By........y��... ............ --------....
..:. /' 3 -
........................................
Date
Application Disapproved for the following reasons-.............................................---------•----------------------------------------••----••-•---•--
-------------•....................---•-•-----------...---=---...--------------•--•--.......------....---•-•-••••••-••.....-••••--••••--•-•••••-••••---••••••---••••••••••-----•••---•••---•--••••-•..•--
Date
,r^
Permit No.... -==------- Issued-.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
&.'J.....................OF... -'. VLA S--►q 3 cam..=..:........................._ '
Trrtifiratr of TompliFaurr ,�;,
THIS IS TO CER That h d.vidVal ?e . Dis os l System constructed ( ) or Repairedby.......L.l� a �' ".T``.... .t._ .......................................... ........ ....
r
at.........°....................................................... h-r .. f.
has been installed in accordance with the provisions of T r of The State Sanitary ode as described in the
application for Disposal Works Construction Permit No......................................... dated_... .._....____..... -------:...........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTIObj SATISFACTORY.
... CDATE. ...'Z S�.r _.. C Inspecto ----------
•-------------- ........................ ........
y
`THE CbMMONWEA TH OF MASSACHUSETTS
BOARD OF HEALTH
. .......................oF. r�JA .1' c� ......................... Y
No........... FEE........................
Disposal Marks Tnnstrttr$ion rr �r
Permission is hereby granted........ ....... ________ .............._. •-._
to Construct ()<) or Repair ( ) an Individual Sewage PjiXRs6 SSys�"L _
at No.... ._ _Tv ? _- t.c�f?CZ.e....7.! -......... -
Street PP Disposal 3 /
i :._
as shown on the application for �'� Construction Perr qr ,r;���� /
..........................................
Pl � N Dated
Board of Health,
DATE-- " �.
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FORM 1255 HOBBS & WARREN. INC., PUBLISHERS i
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TEST L
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S LOPE OVER LEACH-JIG AREA � -�c 4;- �
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18.._�DtA. ONCE TE�_ CQVERS 18 , DJA. CD RE7'E ' COVER T ��.o�,� � A I z M;,j ov
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OVER
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in, �� 1 .:. .•_ ,_.._.__. : . - WASHED IS TMA'E S
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ST- t r It �A NK - vy'TH CAS T I N P' AC k / f
I `_TYANL) C�uTLE 7' PER TITLE
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PRECA T LIB A �ti/N PPT_--- <,
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SIZE
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6LE �4 ._ �_ i�
SYSTEM DESK:�,tirE TO TOVYN -,F ` ^�1__ RE ULATl g1 t 3 -' 4 1
A ND STA7 E "`f L FOR SUS;-�.URFACE DISPOSAL'- ()�- SEWAGE �F
9iTOod
I- ALL PIPES SHALL $E S H D'UL E' 4 PVC SE`AlER P;!!P �~ ,i �G� � /: � ' �E1 ;,�� _ R
L�Ac�
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- A LC)r�E D` ! 4'" PER F ��T '�I N, EX�, EPT r -- CAen4G TRvJk�
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r 2 F-�T OUT O F, HE DB r 'fi �;�`-!ALL BE LEV E x.� -- 32' ��z`STok �•FOR rr� 1__ Y
3 -DES/6 N' F! CIV-4-- F DR;00,�4S `AT 11� 6AL/6AY PER B( M ;,, f ► o
S EPT NK SIZE : 440 X � � � �3e,0,444�/c�USE �4= ��4�.. BA vP,h%I:� !c J +3�2 o o
i C T,- Wr GAR ` 4-
LEA C HI MG S Y S T L r�l • USE / � c ���,a Y,'�'_ z _ � �•.� �• �: �� >°��.�� r� � � a� s�-�,'.{ � L E
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E FFE-c. TI�/' E r?E, Y
BGTTOMe � - /
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{ TOTAL REJUIREC FLV'I: ,4U x l..�_.- = / 0 '/ G A $A � ~� itv` t #
RESERE FLOW ! _
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