The URL can be used to link to this page

Home My WebLink About0010 STURGIS LANE - Health Q.S#urais Lane Barnstable A = 278 036 a o f ,I u a � } op l OWN OF BARNSTABLE LOCATION �' '� i�C Ga SEWAGE # VP9 VILLAGE pad V►STD�K ASSESSOR'S" MAP Q LOT�� INSTALLER'S NAME & PHONE NO. � .� , Q C',S CdlI - -771 - ICU SEPTIC TANK CAPACITY ,OdC) �► h��S LEACHING FACILITY:(type) S'— ��, �� d`,Cf,?5A size) Y6"l la N 3 NO. OF BEDROOMS-_PRIVATE WELL OR PUBLIC ATER BUILDER OR OWNER 6a�/S lAp Ca, -r DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No frP ��o yam• 9, i THE COMMONWEALTH OF MASSACHUSETTS 1� BOAR® OF HEALTH 7OF. ...... .......................................... ApplirFatiou for Disposal Worms Tonstrartion Prrmit Applicatio s hereb�ade for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal Syst a 0 O -. . --!................ .--- � c---.........------------. ----: ................................................... . T - ation Address L or I o '! �G ----------------------------------------- --- � - .... ------- O n . Address Installer Address 3 9 �(� UType of Building Size Lot____--------__.._ O....Sq. feet Dwelling—No. of Bedrooms................................._..........Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ..... .................................................... W Design Flow.................1..�.._..._.-._----•.-gallons per per day. Total daily flow_.._........._........_40...............gallons. Septic Tank—Liquid'capacity./QA4 gallons Length_..?...... Width..` '�® `�" -_-_-.. Diameter...----•--_-.._. De th................ Disposal Trench—No._...• ..._.....- Width.... ........... Total Length.....9........... Total leaching area..: .?CZ_. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..._..............sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Resu is Performed by..•-••...............••--•--------•------ Date.---•-•••-••-----•-- J Test Pit No. 1._.....<-____minutes per inch Depth of Test Pit--- v.`'.. Depth to ground water..__....`..;..__.. Test Pit No. 22%. ..minutes per inch Depth of Test Pit--- ....... Depth to ground water----- _-.__.. -----.----.. Des ription of Soil 1/ Q." Y'.Y`:SL? _�at_:d? !� ><�.� r...; b4—�C� v , C+�---L. ---...... ..':J-�e-----5.a,._ .�..----.° � 1 .^a�/.. ✓ 4i& ---...del` /ar U Nature of Repairs or Alterations—Answer when app icable....................................... ......................................................... -----------------------------------------------------------•-------------------------.....------------------•----------------------------•---•--••-•••-•-----•-•--••••••-----•----------..........--•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of — t: 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..... ....... "Ua. .......................................... ..... � ` ,, ( Date Application Approved By--------- `4---� ............................................. --••------ s> -..�1... v �1 ate Application Disapproved for the following reasons---------------------------------------------------------------------------------------------•--•--•--....._..._ ........----•-•--••-•---•-....•-•--•-•--••---••••--------•-••-----•-----••------------------------------• Date PermitNo....... «�- f...IF-----------------_ Issued....................................................... ilsu Fmc THE COMMONWEALTH OF MASSACHUSETTS BOARS „ HEALTH ---------- ... OF.....".W�� %:.-"i. t �. Appliratiuu for Diupuual Works Towitratr#iun rrrutif Application is hereby made for a Permit to Construct ( b,) or Repair ( } an Individual Sewage Disposal System ,+ �r�3 Lo anon Address r I o vy� t 1 �__� ---- r -ie; .�v��t +� � 1' � we�ia1''+fF'i............... -" "'I._... �� t� "j Opngr F.a:•i... r.N a Address 69 s+.c •--------•.................................. ..................2J ...... .._........... --•---..•...---•--------................... Installer Address d Type of Building Size Lot...=__ .___.....�.....Sq. feet Dwelling—No. of Bedrooms..........:t?.............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Buildingl/LZj% ' __ "! ?`r�� No. of persons---------------------------- Showers ( ).— Cafeteria ( ) a' Other fixtures ___________________________________ -------------------------------------------------------------- �. ------------------------- Design Flow................1.1V. .... ..gallons per per-son per day. Total da>ly flow____.__ gal W ------------- Ions. R; Septic Tank—Liquid*capacity t°jf� gallons rLength.t ...f&."... Width._ /';� /. Diameter__ ?_f�F.'__ Depth ............. Disposal Trench—No.____5............ Width•.. ............ Total Length__...= ......... Total leaching area---- ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Resu�ts� Performed by--------- --------------------------- 1 , --------------- Date....................................... ,.a Test Pit No. 1_`y"�:: '^_._.minutes per inch Depth of Test Pit 1 �..._... Depth to ground water ___,`i'r�_�_�.____- (z, Test Pit No. 2__^::. ...minutes per inch Depth of Test Pit---.._..::_ _.__... Depth to ground water______ __ _______ ----------- O Desyrcnription off`Soil r ----- --- ----- tr ------ I .�q� �� r� p� —�Pn�e7` �°� ....'_.._..�.�t°�~ 'lJ_ :. '4.X i'! S- ill -'Y. 4 :.L+S , �1r.,l✓_n/� i� � f� '"�✓' tt -✓44e""E':•5�✓ T _F p edl"^�d8 f GFX 1 ;� h; ✓�y [ 4't'•.. -•-- S%f ��G ¢r .4 ^ +� U. Nature of Repairs or Alterations—Answer when appficable............................................................................................... ..............-......................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T TLC ;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. .1 / Signed. �LPI ! Application Approved By......... ..... --------•-••--••--•--------••---------------- ........... =Date 1 Date Application Disapproved for the following reasons:------•-----------------------------------------•-----------------------------------------...-•-•---•----------. ....................................................................................................................................................................................................... Date PermitNo......../ .................. Issued....................................................... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. f . ......OF.... ..................................... C�rr�ifirtt#r of f�uut�Ii�anrr X f IS CERTIFY, That the Individual Sewage Disposal System constructed (,. ) or Repaired ( } by f; :_ 1., .%t: .......... -------------------------•----------..... - -------------•---•------.--•--.-.---...--- - ---------------.._. gnstaller r at...... _- r '...... .:. ;�{r% �''� r } Ft_` r::�cat.f (w ---- --------------•---•--------------•-•-•---•--•---•---------------•-•-- has been installed in accordance with the provisions of TIT E 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 CO TRUE® AS A GU ANTEE THAT T E SYSTEM WILL FUNC S T 1 FA TORY. ° DATE..............•--............. ---•-•----- Inspector.. ..='... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I/:....d�-1..V .............. f j:... �f'.;*......OF....l' ............................ FEE.No.. ...,�Dn.... Disposal urki Tua�utr ion autt# Permission is hereby granted_.._�t .._...!i°��:__�: :�" p�.................. .. . to Constr�ct (K) or Rea an In lvidual Sewage is osal �st 8 ,,_ r ) g p at No..__� P'V........ ....... `... !'. G*?.....: _< i.t .;... --J Y! yr 7--•--- --... ----... Street as shown on the application for Disposal Works Construction Permit No.19,l --- Dated..........=............................... ...................... Board of Health DATE................... 5...7:ZZ7: 7....-------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS W IT►,l p,��' Ta ?egr Ra►'�C 1 `1 M��,�/ tic 1 touE � .TJ ✓ t a. - - — rr2•-,r�•c. . - -- -- - - 17 1• POU MSL VeOH Muk11UPAL W&TE2 Wdl� 3, Pr Pe Frr(A• 1/4:'/Ff L akgr..C, oTldEeW ISS t4OTEG, 4, Diva Lb&nO4- a,"Poeaer uwrrs Aj4�o - l o -4¢. 5, PtP6+101"TS S4.&LL Ppe Mbcr— y- Turcn&NT, Co• CC5r4STFZUG'ttc, 4 06T44LG To Se % .j eVA#.lC- I-ltTU ' Nta�. En1Vl�rJt�l•ENT� GODS 'T►ZL •�E u�D FaP_eF'IZoP1�E?Ty Ltd S w�6�1D 4�k�oil W t�T 'fbP oG Fau►a•va'flc�l q4.-7 ?'i✓T ��t��T � �. v 3o r,��"'Nut-� 4r� '. tJ IoV �N INo mot_ / 4.0 i --�0 — ��?'1'i G �I',el�l IL-- �j— t7-Pao — -j � C�E4C� �1ti.G l•U� � �fler�s Q , I� c-�v/8e f 3 3o GPP I.�AG�r►,16r i � 9+vE5,�`�+o��,`O6=fo`1.S�( ,l Z� a 1- �• 4 - eCrroM' 4�,x OD = g6o,o� � 211. "o �Ek1dC-� �►� Yb?a1 5�7.Sg � ) 4 x Recc , �oe s ( ilrCti `� c��a�� Ate.. A�+..c�.rj 1�G,�t�1S�i�i.(`%�il.�.'• .� M.� �_.___.�rr k{7� t_o t• (-, V. 1 ra h Dc 1K q I ' - _ .J1 A� l�wa-��h,r ''�. raa..,, ��. yy R�'C.�`'}�,# l} •., 1� q ye� l-✓�N 7�'W Gam.. ��'��^`•".-V �� • � �i'`fy�obya a�, 7.. '$� YW` iy'� �'� L�'�� M�( fYMo � �} y��,t� ♦ i• ��A^3 Y..S �..n�+_ 4 Jdp'4�.y+e/ .� �' pyry, � .. c Pry �f�\ `\\It, \ / f r ARNf "= 4w�r` � inccr'� ire s o,�aUy , cw: ��„ �. • !..l�KiC Ste- �ae� m �T•C: VIA,lC .,. •a.+iw�.+weiw+r.�irrrrrr .i..rwrr.rr�r --' - - i w