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Home My WebLink About0009 WILD ROSE LANE - Health "Wild Rose Lane Barnstable A=.336.- 087 01 2U 1� � cr 8c� t,4h� r _TOWN Oy B4RN7 TA,Ai�E� L a7" 4- ` -0 - F LOCATION SEWAGE # 6 97. r VILLAGE 16ArhS �y �✓ ASSESSOR'S MAP & LOT '3 3� _6.6 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 11 � LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER pf' DATE PERMIT ISSUED: yr DATE .COMPLIANCE ISSUED: 7 OL %4— $ 7 VARIANCE GRANTED: Yes No v � f , it a THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH lv..6.1.............OF..... ��AI'hf .............................................................. Appliration for Bisvoiial Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Re ( Individual Sewage Disposal System at: 3 30 7 ............... --••-- i.a ... � ......_.. �� . F?- ................... .... ........ ............... . .... cats n-Add re i t No. ....................... . ... --� -•----..�.s------------ -•----------- -•-------- •vra f!s�/!..-•----------•-- -------..._....--..._.. �`T^/-�' /��Qwne/sr� �/ Ad r/es�s 4 a ^-•-------•-------..._:yl..�_... ___....[./.....lf-•!t.i`f!-'.............................. .........L.II.Y�rd1..5C --- .-f....._.Y..`..L.... ...l-/� /':�.... Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) W Other fixtures -----•--•--•-----------•--•---- . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. R: Septic Tank—Liquid'capacity____-_--____gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .............::..... Width.................... Total Length.................... Total leaching area-______----._-------sq. ft. Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water_____________-_-___-__-. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •-------------------------- ..... •................ -... -............... ------------------------------------ ------------- ---•--------- •-----------•-- 0 Description of Soil..........................................----------...-•----•-••----..•...-----------------------...-----•-----------------------•-----------------------•-•-•.•--_.. W x ------ ------------------- U Nature of Repairs or/A��rat ons—ewer when applic ?le.-f___. '� ty l._._.1. ��___S c._..�",�C------__, ----------------------------- r -`"-----Q------------.�j�7%c'....l ----------------------------------.....-----------------------------------........-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i T T I E j of the State Sanitary Code—The ndersigned further agrees not to place the system in operation until a Certificate of Compliance has bee iss d by e board health. Signed.............. ......................... •-----. --7s/7..-...v7 Date ApplicationApproved By......... `-`p•.o-- -- ........................................ ---------------------------------------- Date Application Disapproved for the following reasons:.............................................................................................................._ --------------------------•---.._....------......------........---•----•-------------•----••-•-------------•--•••----•-------•••----••- -••-----••••--••••••--••----••-•---••••----------••-•••----•-- Date PermitNo.---- 7. - ._ Y---------------------- Issued....................................................... Date r No. .........................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD�OF HEALTH ��,L'L• ' ' ----..OF..../?4.,r ti s h h�.A ...................................•----....__............_...__... / , pphratiun for Biuputia1 Works Tunitrnrtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systemat:............/7 ....... .. .......��.V........................... ..................................................................................................-Add s or rat No. a a 1 wn Lf r j ? r ----------------•••- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ........................................................... W Design Flow............................................gallons per person per day. Total daily flow----........................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter-_-_-_-.._______ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.___..__-_--_--___- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground 'water_____.__----___--.-____. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.._______-_-____••-__-__ a _ 0 Description of Soil........................................................................................................................................................................ x U ----------------------------------•--- --•••-••-••---•--•--------•-•---•-------------••-•-•--•-•-•-...--•••-••- U Nature of Repairs or Alterations— saver when..applicable______/_ �+---j_-_•.. -�--4�_._S e_ �_��t_ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T? 'L 51 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee iss ed b fhe board • health. Signed............. .........................•--•---......N`........::..._____--------- •-f�--:7 --/................... Date Application Approved BY -a I_ .............................-•••••••-- Date Application Disapproved for the following reasons----------------•----....--------------------------•-----------••---------------•--------------------........... -••••••••••••••-•---....•-----•••----••-•---••-•••••••--•---•----•--•-•--•••••---••-•---•-•--•-•........_-•---•--•----•----•••••--•-••••-•-•••-•---•••-•-•-•----••--•-••••-----••--•••••--•••--.......•- Date Permit No..... .......L/L/A.1y....................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARDf OF HEALTH ��:........OF...... ............... r Cprrfifirtttje of Tampfianrr THIS IS TO GEEgTIF YTha thVndividual Sewage Disposal System constructed ( ) or Repaired ( } by-----_------•-------------`� 1.....-'._........._._�r'-._.....-----....._..------. --....._....................._.....--------------•--------------....---------......------- ------ ----- 00 - f 1 In taller • • • - has been installed in accordance with the provisions of TILTIE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit `o......r___7_.___y_.�_`f_.... dated--- ................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................... ...... l...-.. ................... Inspector.......... '-"� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,,•-,a No.---•................... ........... Permission is hereby granted.._.._` =_ ^....___.__.::.. :...t... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at NO I ---r, :1 �.................... ............••-•-••••--•-----..........•.. ..... ....._.. street ti as shown on the application for Disposal Works Construction Permit No...••-..--•-.••._.:: Dated.....:.__I._°.1... .................. ?, r ( /� ................... _ ',+-7t ....Health f. '' .,,,,_�_ -•-----•---- Board of .}ATE..,_.. f 4 } -------------- FORM 1255 HOBBS, & WARREN, INC., PUBLISHERS �� eue '6clou4e 7 n Remove pine floor replace with oak Install new 42"cased opening w/20(2)header 10'-0" Install new 31/2"Steel 5tud5 at brick chimney Install new cabinets and tops a5 5pecified in cabinet detail Cn OD - 6 Refinish existing oak floors Remove tile floor to replace with oak L _ _ — _ _Remove false beam C2 -----------, s ------------- Refinish exi5ting l� oak floors I . 0 Install new appliances and fixtures - 12'-1 0 FLOORFLAN 41 Lewis Residence The House Company w`I �Je . P.O. Box 1166 0 CuMmaquid Barnstable MA 02630' V