The URL can be used to link to this page

Home My WebLink About0007 BAY VIEW TERRACE - Health 7 BAYVIE TTERR, CENTERVILLE' A= 187-011 I i I' No. 42101/3 ORA ESSELTE 10% 0 a 0 0 co// No....-...... _.. 7-S Fas.......3(---.- THE COMMONWEALTH OF MASSACHUSETTS 3 BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Divi-puti al War1w Cnowitriir#ion Prrmit Application, hereb i `fpr a Permit' t Construct ( ) or Repair (� an Individual Sewage Disposal System at: t _7 V �'w Owner Address ............... ............................. • .............................................. Installer Address � feet Type of Building Size Lot......................._....S q. U Dwelling— No. of Bedrooms------------- .------._.-..-----...Expansion Attic ( ) Garbage Grinder (^—�yCZ aOther—Type of Building ............................ No. of persons----------.-----------.----- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- •. Design Flow.................5�---...._-___..gallons per person per day. Total daily flow.-.------.-- S.16........ � Septic Tank—Liquid capac17.. 00gallons Length---------------- Width....------------ Diameter................ Depth................ w Disposal Trench—No. .................... NA7idth-------------------- Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No...................... Diameter..------------------ Depth below inlet...--............... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by_--------_------- ...................................................... Date........................................ a Test Pit No. 1---------- ----minutes per inch Depth of Test Pit-------------------- Depth to ground water................-.------ fi Test Pit No. 2................minutes per inch Depth of Test Pit._......_.....__••.. Depth to ground water........................ 1:4 ......-•--•------•------•---------------••.............-•••••••-••-•-------------•--••-••••......••.......................................................... 0 Description of Soil........................................................................................................................................................................ x U ----•-•-•-•................••••-•-••--••-••-----------•--•-----•-•••••--•••-•---•-•••---•--••-•....-•-•-•••-•--------------•------------•-••....••••••--•------------•-•••-----•••--............••-••••- w U Nature of Repairs or Alteratio s—Answer when applicable. f-.nl� ..._.. AL !4--.__..L_1�1d0....�' ...- '. L `�. .... �g (�.! ' oar 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 Compliant�aseenue bySigned -- - . . --------------------------- -- D�,� Application,Approved By ................. ..... `j... ..... Application Disapproved for the following reasons- --------------- ------------------------------------------------------------------------------------------------------ ------------------------------------- ---------------------------.....-...------- --- ---------- ----------------------- ------....---------- p, Date Permit No. ....../--�-�. .' Issued ..-...-�� 7 5.... ............ UaM .......... THE COMMONWEALTH OF MASSACHUSETTS r , BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Diti-pa ial Worth Tomitrurtiun Prrmit Application i hereb r a Permit to Construct ( ) or Repair (b4 an Individual Sewage Disposal System at: 7 �V ►'�'-�`/4 C� G/vT�.....Jd/C 4, /l rvN� ;�Cst.s'� /y/ .SCE�J a p �/L � &W(N =----...-•--- Owner Address � g_a 74 ,-1 .............................................. Installer Address VType of Building, . Size Lot............................Sq. feet .-t Dwelling— No. of Bedrooms..............___..._________.__.__Expansion Attic ( ) Garbage Grinder 04 Other—Type of Building ___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures .-.----••-----•--------------- d --------------------------------------------------------- DesignW Flow..................5 ._._._.__.____ allons er erson er da Total dail flow_..___._____-5_-•��._ _. g P P P Y Y --------------gallons. WSeptic Tank—Liquid capac -/�I?ogalIons Length---------------- Width________________ Diameter_............. Depth................ x 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. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water--____----.______.___._- �X4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a --------------------------------•------------------------•---------------------------•-._...--------......................................................... 0 Description of Soil........................................................................................................................................................................ x U ---------------------------------------------------------------------------------------------------•--------------------___---------•---------------•---------------•-----------•------------------- W U Nature of Repairs or Alterations—Answer when applicable.---_!N .___A..__...(J>�Q _ -_ .. ....... 7 f) S �i. . Y �-----Z^( -i /va-�zrifJ r' f1 `_' - v!.r . Agreement: 7- ^'►ti.5jorrft 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 has been issue by the board of health. Signed .......// ��^-'/ - -----------(.......---------------------------------------- -----3/ 9a� Dare Application.Approved By .. --, �^ ............. -�527 `�5... Dar Application Disapproved for the following reasons: ---------------------------------------------------------------------------------------------------------------------------------------- ----------------------------Permit No. Issued �� h.S......... ...................Date..... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s TOWN OF BARNSTABLE �:t ertifirate of ((.. l.tlomplinnu THIS IS TO CERTIFY,That the Individual Sewage Disposal Syst onstructeed ) oorRe aired ( ) _........ G S i by ----------- ------------------------------ - ............ -------- at --------- ----------------------�(�/_... .. --2—CI/J.p. �.a er i� —7 1/�iw _ B Insr vl��- .11LC.-C £ C_ l i tll l l ti has been installed in accordance with the provisions of TITLE q5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ....C.�...��_ .��......_ dated .... ..... _772.. .... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARD TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 1. � DATE-----------------..-----/� ---; ---.."...........� f yf ............. - Inspector .. -�>�,..-.-.....1`�. ... ---- -._... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE.---' C-____ �i��nstt1 .�rk� �u�t��r�r#i.�iT �erntit Permission is hereby granted_____________________1_9C1`�-��._W_!-t______.....CG!v , `.u0�l�l�1 .............. -----------------_...----------- to Construct ( ) or Repair an Individual Sewage Disposal System _ _., at No-------------------------------------- 1 tiS c/Q(J - -y.....C:(rC CL , C 'r�' ' L �I��.c� Street / as shown on the application for Disposal Works Construction �Permit NoNo.7...5----6-74-5-- Dated-------- -Slfif/.......-------------------------------------------------- 2 / S--------------------------------------- Board of Health DATE- --••---- -- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS SARNSTABLE LOCATION SEWAGE # 2 VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NC SEPTIC TANK CAPACITY LEACHING FACILITY:(ty %7` TG✓.1 (size) �,� NO. OF BEDROOMS PRIVATE WELL O BLIC WA_� BUILDER OWNE:jR� J DATE PERMIT ISSUED: 3��7�� DATE COMPLIANCE ISSUED: 16-10 VARIANCE GRANTED: Yes �No a , ov S ' 6�`3 v ' g No......... A� I��NEO Fx$.............................. ft�'foMbloConeMat�i e(b�HE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH sow Date I OWN OF BARNSTABLE Appliration for Ui ipwi tl Worlui Towitrnrtiun ramit 4� Application is hereby made for a Permit to Construct ( ) or Repair (C5< an Individual Sewage Disposal System at: Location Address or Lot No. !._..------•�-e-ud lJ2------s-��f4 ..................................................... Q rner Address t�T7 ��U J G�L41lzq� ,✓1/i J Lt� 4 ....--•• -••- ......•--••------------------ •---------•------ Installer Address � Type of Building Size Lot___________________________S q. feet ..4 Dwelling— No. of Bedrooms............... _.-__-__-_--__--Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons__________._-________.______ Showers ( ) — Cafeteria ( ) Otherfixture^--------------------- ----------------------------------------------------------- .............. W Design Flow________________ --------------gallons per person per day. Total daily flow------------ a.........._..........gallons. WSeptic Tank—Liquid capacity- ..gallons Length---------------- Width________________ Diameter--- ------------ Depth................ x Disposal Trench-- No. Vl'idth___._ �___.__. Total Length___-3�a�Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.__--._..--_---__-- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--------- --------- ...................................................... Date........................................ 1-4 Test Pit No. I................minutes per inch Depth of Test Pit.............. Depth to ground water........................ Gr4 Test Pit No. 2................minutes per inch Depth of Test Pit--------_........... Depth to ground water........................ a -----------------• -••-------------------------------------------•---•--••------•---------•----.............----•-----.........-----------...............•--- 0 Description of Soil..................................................................................................................................... .................................. W c, w ------------ ----------- U Nature of Repairs or Alterations—Answer when applicable_ _. .. ----._....1 0 ®_ ._.__ !®.... .� C.... 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 h e is e by board of health. �._. . Signe�dr............. ......... _..................... . ............. - - a/e Application Approved By ..............�In..... ..-.-....._...... - - L ' �. -'..�../.-.. Dare Application Disapproved for the following reafonf: .... - ------------------------------------------------------------------------------------------------------------------ -------------------------------- ------------- ----------------------------------------------- ----------- -- ---------------------------------------------- --------------------------- .................I.......... Date PermitNo. ............. ---"-----1.. ------------------------ Issued ......................................................... Date No....!_..e�.......... Fxs......��.. ... THE COMMONWEALTH OF MASSACHUSETTS 4 BOARD OF HEALTH TOWN OF BARNSTABLE Ap.pliratinn for Diripmi tl Workg Towitrurtion r.erntit_ Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: ........ Yam... -s uea a�2 �� / �,� ✓� ter _.. -------------------------------------- Location-Address or Lot No. ......................t_4-5 �� /Gl i b_-u t�0�% y =J7 1; �_`-"J'--= ..... -.................•-••--••••.--••• O�cncr _ _ �U �% ",4 /a- s'�� A ss�/1/11 a ti Installer Address Type of Building Size Lot............................Sq. feet V,., Dwelling—No. of Bedrooms-----------------—------___ ._ ._ __Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons........................... Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------------------------------- -------------•---------------------------•-----------•-••--- W Design Flow...................`.a_-S --------------- per person per day. Total daily flow------------ .....................gallons. WSeptic Tank—Liquid capacity e>qQ-gallons Length________________ Width---------------- Diameter................ Depth................ x Disposal Trench-- No. .........1......... Width---_ ........... Total Length---:3S!:�9_Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... 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..................... rZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •..•------•...............•--•--•-•....-••--••--•------••............................................................................... .... ................ 0 Description of Soil........................................................................................................................................................................ W V --•-•-••••••-•••••••-•--••------•..............•••---•-•-•-----•-•--•-----•-•-•-•-••••--•--....-•---•••---• •-------•----•--•--•••-••...•--•-------••-•---•---••--••••-----•------------......----...... W x -- •---•-•••--.-•-•--....------•--------------•-••....------------------------....-•-••----------•-----•----•----------•-------....---•---_-•---/-------••---•-•-•--•••---••-----•--•-•••....•-••-•..---- U Nature of Repairs or Alterations—Answer when applicable--ZIP-0...._-__ ✓G _ `- Sn �o S lac-: .-•-•-----•----•-- /- cj Agreement: i 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 has/be issued'byy the:board of health. Signed ----------- �f�-' � 1,.�......-- �......._.......... . ........ ..................... j. Dace Application Approved By -------------- 1, ..... ..11416..�.�....</................................... - _ -------- �..�...1. _ LTare Application Disapproved for the following reasons:. .... ...... ........ . .... ............................................................ ----------------- ......... ...................................................................... . . ... ... ................................. ................................. Date PermitNo. .............. .... .....t?---------------------- Issued ..................................................................... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (�ertiftrate of (11'omplia ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( _A<-- ) by ......................... - -----------..C:(_L .� .!✓c: Aj........................ ...... ............ lnsta�cr ...................... /... ---------- .....r;............................................................... . ... 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. .......�C.y..-.._�-- ------_.._. dated ............ ... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL ^^FUNCTION gSATISFACTORY. DATE.................1.r.(` .'...t..U._.............._... Inspector ..... �. .--*-------- -..........------ ------------ ......-- - ..._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / p q TOWN OF BARNSTABLE Rspoiittl Workii Tomitrurtion Urrntit Permission is hereby granted--•----•-----_-- '_.1. . f` l_(.)7 0 I`.l 5 �C.vL_�/Ln�)....................... to Construct ( ) or Repair an Individual Sewage Disposal-System ` � �/ ` � sat No. � ..._.. .. r�U? r [/!t_t_ .....- .. Street as shown on the application for Disposal Works Construction Permit No._7�6:17... Dated........ _.1Q.�.�.f ........ = ----------------------------------------•-----•--- ---_-_•-••••-------_•_.--.---- Board of Health DATE.............J. ..1. ...- - --•---. FORM 36506 HOBBS Q WARREN.INC..PUBLISHERS G` C TOWN OF BARNSTABLE LOCATION t'A)" 4 2X SEWAGE # 9V— l VILLAGE: ASSESSOR'S MAP & LOT /F--7-— Ql/ INSTALLER'S NAME & PHONE NO., &w�7'J ✓� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 'A-F,_l_> v,S C�j (size) `e_ NO. OF BEDROOMS -6-- PRIVATE WELL OR 5Z IC WATETC . BUILDER Ot OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No V' 1 - 3� 197, \ F 1 TOWN OF BARNSTABLE lz p E� LOCATION % SEWAGE # 9/ - Y� VILLAGE ASSESSOR'S MAP & LOqT:-P:T INSTALLER'S NAME & PHONE NO. 00F ,t/ G' .ciE�2s3/ - yak-SP6 yo SEPTIC TANK CAPACITY ®O® LEACHING FACILITY:(type) /Poqc11 % (sue) Oo O 6?o#1 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC'WATER BUILDER OR OWNER DATE PERMIT ISSUED: /0 - DATE COMPLIANCE ISSUED: - VARIANCE GRANTED: Yes No IQ13 � � � ay � ., 0-Y = �a TOWN OF BARNSTABLE LOCATION -/y/ S('vp1)CCZ2X Gecl SEWAGE # VILLAGE ��i. S pis I ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. S SEPTIC TANK CAPACITY - U(,) o ti LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL O PUBLI ATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r - 1 ' - �� . �- �,��,� ��.� �6 � . � see y - � � � ��.' a� ��a d ��_ � 1 .. ASSESSORS MAP NO: �a �5S PARCEL NO: Girl No....-. -- THE COMMONWEALTH COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uiopoiial Works Tutuitrnrtion jimnit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / .............f�!/ C �✓��? i97-................................... ......---------------------------------------- ....... - - ocation-Address or Lot No. ....•��..1�...=- c`..C4.. �.T----------------------------------------- ------------------------------------------- ..-----------------------------............... / Owner Address Installer Address Type of Building Size Lot----------------------------Sq. feet .� Dwelling—No. of Bedrooms---3...................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building � yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------•-----.----•-••---•-------•-••-•---•----------------------•-----•---•-••••......-•-•-•.._............. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacityf gallons Length................ Width................ Diameter................ Depth................ x 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water................._-__--. ;3. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ tx ------------------------------------------------•------......---•--•--------.........-•------•------......................................................... ODescription of Soilt......................................................................---•-•-------•-------•----•-•-•-------------••--------------•---•-......•••....--•-•-••-•-.-•--- x U --------•-•--•---••----•--•--•--••••--•••----•••......---•-•------------•--•••--••---------------------•••--•---------•----•---••-••------••--••••---................................................. U Nature of Repairs or Alterati ns—4nswer whe appli le--------- .0 0_0.._�'r'`3 /�,�....... C, _- ------------ ----------------------------------- r-- �x s .a . ...%.T ------------------------------____�----------------------------------------------------------------..-__..__..--.__.._---------------. 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 Complia e has beet3 i ued by oard of health. Signed - ------------------- ---- ------ ---------------------------------------........................ QCT/l Date ApplicationApproved By ......... ...................... --------------------------------.................= ------ ..... Date Application Disapproved for the following reasons- ------------------------ - -- --------------------------------------------------- - - -------------- ---------------------- .. . . ............... ..................................................... ............................... .. .. ... . ........................................... .................................... Date PermitNo. � '"..-Y.1��--------------------- Issued ........................................................ -- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE &rtifira e of GraptianrE THIS IS TO CERTIFY,Rat the Individual Sewage Disposal System constructed ( ) or Repaired ( yam) by ----------------------- c 7......... --------- --------------------------------------------------------------------........----------............------...------------------------------- Installer at �..LP-.... ��j ...... - �'� has been installed in accordance with the pr isions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..�;$.'f,-z/,65-6 ............ dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ^�� DATE .............�„ .....:> a"..-... Inspector ...............�` --1.1 ...........I................................................... THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH TOWN OK BARNSTABLE Appfirativit for, 11hip li ai Works C9nmUndion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ......... y� S�r�•a� ._1�� 2C -•-••--•----------- Location-AAddress ,� or Lot No. ........................................... ........................................... . ............................................. /Owner Address Installer Address Type of Building Size Lot............................Sq. feet � Dwelling—No. of Bedrooms...3----------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) al Other fixtures ------------------------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/ooD..gallons Length................ Width................ Diameter....._.......... Depth................ x 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..--_.-.-_---._--..-.--- 44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ ...............•------------------....._...---•---•-------•--•-•--------.............-------•-••----......................................................... 0 Description of Soil:.--•-•.............•-----•-----------------.............------------..........•--•--•----•••---•------••-------...------------------------.......-•••-----........_.. U ------------ ----------------•-------------------------------------•------------------------------------••--------------------•---------------------------•-•------------•---•---- W ------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alteratigns—Answer whe applicable.-_----. .D..�O___ �?1/s� �� 1 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 has been is ued by tice oard of health. Signed - � ................. (ACT//... S/ Date ApplicationApproved BY .......... -- -------- -------------------------------- --- ----------------------- -- --- ....... 91 1 `/ V J Date Application Disapproved for the following reasons: ---------------------........................................ ------------------- ..................................... --------------------------------------------------------------------------------------------------------*------------------------- ....__........ --------------- ------- ..........------- ------- Date Permit No. P .........y. '- Issued ---------------==---------------. Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNS ABLE Certificate of Cnomplianre THIS IS TO CERTIFY, That the Individual Sewage-Disposal System constructed ( ) or Repaired ( }� by.........................��--�-��t--------- =-��-��,.-�•.- Installer q n at ..................../-.L /... S r. r A_r---------------- h s� .2x�o.--------------- -------- ------ has been installed in accordance with the pr isions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .......� ....................... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS kGUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------- - �_..- .. .�1' ........................------ Inspector ------- . ............:................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE---... ....... No.......�: -�•-�J ` � ��rg�tt� �ark� �rrn�trtrrn rruti� Permission is hereby granted•• . ... - to Construct ( ) or Repair ( fan Individual Sewage Disposal'System 'n, at No............!- V- C n.i P VI Street /z// /� 17 C/[11 as shown on the application for Disposal Works Construction Permit No......... .. ..... Dated.......................................... ............................. - Z.....------•-------•---....----••---...•......_ / �oard of Health DATE.................. -o--=---Z�•-• .... .................. FORM 3860a HOBBS&WARREN.INC..PUBLISHERS THE COMMONWEALTH OF MASSACHUSETTS Application is hereby made for a Permit to Construct or Repair (/-<an Individual Sewage Disposal System at* or Lot No. ess Z Other Distribution box ( ) Dosing tank ( ) Descriptionof Soil....)4:�........................................................................................................................................ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLITLIZ- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by e bo dgeal.1h. 2 Ao Y— Date Application Disapproved for the following reasons:.............................................................................................................. - ' ............_--------_-_---__-_'-_..._--'_----___—'-----__- "=" Permit Date THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH ............ .L ' . .....OF.... Appliration for Disposal Works Tonstxn.r#ion rumit Application is hereby made for a Permit to Construct ( ) or Repair (4-")f an Individual Sewage Disposal System at 41 , f, -•-•------•------ •--- ------------------------------------------- r I tion-Addressfi or Lot No. x+ �R O Owner Address J � i s f-s; r . ••......._t.�` 9y:!dR?w t�!c %f�•! - ...'�/`....: t ems.....-•-- Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling-Zo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ....................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter_------------- Depth................ x 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 ( ) aPercolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..................... rX4 Test Pit No. 2................minutes per'inch Depth of.Test Pit.................... Depth to ground water........................ 0 < ... �--�d---------------------------••---------...---•-----•----......---•--•------------........................................................ Description of Soil r ----------"----..."-- ---• ----- --•---- - --------- x U ---•-•-----------------------------------------------------------------------------•--------------"•-..........-•••••••- -- -•--------------- -----------------------------------"------------------.... •-••••-•------•••••--••••----- ; ............. ------------------- U Nature of Repairs or Alterations—Answer when applicable...../__ ,� .............. E -............. . ........ ---•----------------------------------"------------••-"--------------------------------------•••-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 boj'rd of,health. '' Signed ---r•Y C..... . ------------ ---•-- --...- ` , at Application Approved BY . .....•••••.....................•-•--••-•-••--••-"•--..._..---•-•".-- ------"•-"= ---------------------- Date Application Disapproved for the following reasons---------------------------- ---------------•-------•--"--------------,-----------------••..................-- -----------------------------------------•-------------------------------...------------------.........--•••-•-•--.......-•"--•......••-••--•--••-----"-••-•----•-••---•••----••----••••--•-•-....._.... _ Date : Permit No..................•----== Issued.__........-------- ------•---------•-•------•-^-• ------- ----------•------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH., ................. OF.....f`a ' , s�t`�'1'f f. o''✓ ............................ Trr#if iratr of Tontplianrr THIS IS,-0 CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by , :: s...........f...� ...g. . , ...t••.. r '.'...... ,P .. ,. ...... ....... . .. r yF, Installer y '� sr:1�.F fur_ �+_',n------ -------- ----. -.._. _.,..-..........- v at_ A'r�..6"� qde-�.:�. {'• ��t }. ! P ��-�,-�-- *--�r��..� ! t ..•`d ,�,. �fs°.,v F� �................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit ............ dated-------c f ,✓ , .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. (�„ DATE `'7 ..::.. . �_ �' S 5 ... Inspector............. .. THE COMMONWEALTH OF MASSAC .......C................. .............. SETTS BOARD OF HEALTH N ...............OF..... � : .... . ........ .. ........................ FE r :................. -� Disposal Works Tonstrurtion rrwit Permission is hereby granted....!,s, r _. 1 E; Y i f `..V........... ........."'='� to Construct ( ) o epair ( an Individual Sewage Disposal Sygem , ? at No , t as shown on the application for Disposal Works Construction Permit Na, 9`__ Dated �a'f,�'"�: Y l Board of Health DATE....................... .... FORM 1255 A. M. SULKIN, INC:, BOSTON • o 'A0 CAT ION SEIMAGI P RMIIT NO.- ScolyL-y /J,#Y _ VILLAGE INSTA LLER'S NAME A ADDRESS 6 U I L D E R OR OWNER GATE PER III IT ISSUED D A T E COMPLIANCE ISSUED ` �J . I, ��o �°'� � � i � �,� $� - o L'0-C A T ION , r SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME i ADDOESS e UILDER . OR OWNER 'Dpq • Fair.,qStE DATE PERMIT ISSUED -.DAT E COMPLIANCE ISSUED 6 ?5 F Or r i THE COMMONWEALTH OF MASSACHUSETTS j BOAR® HEALTH ../VI :.-...........OF......... , ..�./C. -,4 --------------_----- Aplifiration for Diupuuu1 Workii Tonstrnrtion thrmit Application is hereby made for a Permit to Construct ( ) or Repair (4_)_� Individual Sewage Disposal system t V'..ys, A,-&m. .... .� .� - ----•-- ..•. Lo i - dr s Lot No. ......g—p ............... ---- -- U1, ._ .............................................. .................................................................................Address....................................................... Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) PA Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) . a Other fixtures ------------------------------•. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x 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........................................ aTest Pit No. 1................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........................ ........ --•-•-MIN-- - . t ODescription of Soil................... MIN-- .-----------------------------.. --.----------------•-•-------• ---------- x c., -•----------••••-••----•-----•------•--------------------•-----•--------------------.------------------------------------------•-------•-------•-------••----•--------•-•---•----•--•-•••-•-----•••- x ----------------------------------:-------------------------------------................................ f U Nature of Repairs or Alterations—Answer when applicable_.____._._�___,� V.6....��,�--l..c_____jby--),............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITIL 5 of the State Sanitary Code—The undersigned further agree not to place the system in operation until a Certificate of Compliance has be issued by the/b�VRrhealth.Sign !- •-• •-- ••--•-•. i. -J- _ ApplicationApproved By. . ---- �------•---•---•---••-----••-•------•-•-----------------•--------•- --••-••�� I��--�---�. Date Application Disappro d f the ollowing reasons---------------•--------------------•----------------------------------------------------------------------••---- .................................. ... ....... ----------................-----------••-•-•--•----......-••-----------•--•-•--••••---•-•--••------•-•----••---•••••••----•......•-Da......----•----- te PermitNo--------------------------------------------------------- Issued-....................................................... Date No Y-2----. Fims............ :...'....... THE COMMONWEALTH OF MASSACHUSETTS BOARD-OF HEALTH , - , pplira#iou for Dirjpnsai Workii Tnnitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (• -) an Individual Sewage Disposal System at: ':...............€.......... ... ...................«.............. --•--•-------•--•-•------......._.....--- ------•--••------------------.........---- Location-Address or 4t No. .....«_ .__ «_.. ..... 1 ............................................ .......................................... .............................................. oymer Address W r f --r` i f Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) G4 Other fixtures ------------------------------ .. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_._.._.._._gallons Length................ Width---------------- Diameter.--------------- Depth-_--_---__-_-_- x Disposal Trench—No. -------------------- Width-------------------- Total Length.................... Total leaching area....................sq. ft. SeeFage 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. 1---- -----------minutes per inch Depth of Test Pit___________________ Depth to ground water..____...____-________ (i Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------ ---------------••--------- ...............................................--......................................................................................... O , . Description of Soil _= ` -= -•-•.............•------------------------•------------------------------------------------------------••--- x 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 iITL L 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the boardi,of health f Signed ••--• ••.........'-=--- --•--r a _ pate Application Approved ............................................................... 'f Date Application Disapproved f or,the following reasons---------------------------------------------------------------------------------------------------------------- ------------------------------------- ---------------------------------------------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS - - BOARD OF HEALTH .......OF.........:....:....... ................................................................. Trr#if iratr of Toutplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ` = -I ------••. K.......................... ...-- ---- r'---••• -•---- •' Iristaller F ...................................................... -•--- - ----- ----------= ••-----••-•-•--••-........• ------ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary CyAp r a j�esct} e�m the application for Disposal Works Construction Permit ................ dated____'._._.r:-----------.____.._._---.-_-_-._-_- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO UE® AS A GUARANTEE THAT THE SYSTEM WILL Utt'CTION SATISFACTORY. DATE........././/7,1-- Inspecto THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH :......................OF.........:, :....;:..:..:...:. .r..:...._....::......................_...._.... No............. FEE.........•._:. Dhipjaiial ks ( .vnitru;tian Vgrmit Permission is hereby granted ': ' _. :_: to Construct ( ),,or Repair ( an Individual Sewage Disposal System r Street as shown on the application for Disposal `Forks Construction Permit No-----_-------------- Dated-----------------------------------_...... ........................................................................................................ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS