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Home My WebLink About0988 BUMPS RIVER ROAD - Health r �IJMPS RIVER RO I Tj q 0.ECYQ&DDo 5meQdp i 2z UPC 12543 q- NOS � coNSJ�� HASTINGS. MN No..../.L.7_.�P.... Fss.. ... �..._. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for 11iupuuttl Works Tunutrn.rtiun Permit Application is hereby made for a Permit to Construct ( ) or Repair /X) an Individual Sewage Disposal System at: ,, U/yl�S 2i rJf� Q,0 Location Address t No. 7_? � � ...--• --• ...... .... ........ ......................................................... -..__.... a Q� 0� �t�1� .............................. dres�ALL S Installer Address d Type of Building Size ....Sq. feet U Dwelling—No. of Bedrooms..................�f......_ .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) fs, Other fixtures ..--•--------------------------------------------- W Design Flow.................. -�]�............gallons per person per day. Total daily flow_.__._........5 ` .................gallons. WSeptic Tank—Liquid capacityAW_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. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water_____---_____-___------- Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------------•--•----•----•--'---•--•-------------------------•------..........---------------•----.........._.......---••-..-- Description of Soil CJ.- ps�iLt S�/G------�---�� / x ------------------------------------------•-------------------------------------------•---•------------------------------------------------------•--------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable____ _ _______........... 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 h_p been issued tbp board of health. Signed......... ----------- Dated Application Approved BY - --- -- ----- ------------- ------- --../. ... ... Application Disapproved for the following reasons' -------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- -------------------------- ---------------------------- ------ ............---te................... Permit No. � `"..^. Issued ------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appl ration for Uispaaal Works Tomitrudivit ramit Application is hereby made for a Permit to Construct ( ) or Repair A an Individual Sewage Disposal System at: ......... ., ..._......................................... 2 .. ,f�- -----�=�'`. ,!h¢...:....................... - -- -- - Location-Address or')Jot No. Owner Address camas'?;•_-•--... By ------- Installer Address Type of Building Size Lot A4;��....Sq. feet U Dwelling—No. of Bedrooms___________________.�<..................Expansion Attic ( ) Garbage Grinder ( ) P.1 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures ------------------•--------••--- • w Design Flow.................._5��............gallons per person per day. Total daily flow.............. .................gallons. WSeptic Tank—Liquid capacity 44.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........................ H O Description of Soil............ '�_ Q .._..�.5 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance&hnbeeen issued}�y�board of health. Signed .--....../. 2�- /- • ------- . --------------- --------------- -------------------- ------ Date Application Approved By .......---------------�U. w`U.. -..... Application Disapproved for the following reasons- ......................_............................................................................................................... -------------- -------_ -- ------ ----------------------...---.........------------........--------------------------------------------------------------------------------------------..............--- ........................................ Date PermitNo. ................................................... Issued ------------....--------------------------...----------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (felr#ifictt#e of 01-10r yliance t THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaked ( 5,, ) by07 7---------Ca c�anl---- --------------------------------------------...................................... Installer at - � � ....--- ..............Cf_-------_--------- has been installed in accordance with the provisions of TITLE 5 9fThe State Environmental Code as described in the application for Disposal Works Construction Permit No. ..-..../...f..`....�r.c ........... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------------mod ------ ..: ........................................... Inspector --------.......... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J� TOWN OF BARNSTABLE No.... Z......:1.. FEE...Sb_.......... Dispsat rami# Permission is hereby granted............... .......G.jQN5�; '��OAJ ....--. . ..............••--•---•-__._......._.............._._..._.........._...... to Construct ( ) or Repair (X) an Individual Sewage Disposal System ' ��:at No. . �U/I2 ------ C .�--[--J-i-- .............. Street C��^ as shown on the application for Disposal Works Construction Permit No _/__.. .._ .... Dated.........:......:..................... ............................ / -�•• q Board of Health DATE............ .........��•' ................. FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS i TOWN OF BARNSTABLE LOCATION -,Z= ZZJ/ylP9,,2111,FZ Z6 SEWAGE `VILLAGE ASSESSOR'S MAP & LOT '-INSTALLER'S NAME & PHONE NO. ( jdGO�l7 G'a ��7�6 SEPTIC TANK CAPACITY /lJOd LEACHING FACILITY:(type) `-S (size) NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER BUILDER OR OWNER �D7y1 GEC'/LS DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes =No IL ' %L) �� TOWN OF BARNSTABLE LOCATION SEWAGE # J VILLAGE i�tl-0 L% ASSESSOR'S MAP&LOT UZ *3 INSTALLER'S NAME&PHONE NO. 0 SEPTIC TANK CAPACITY / � % LEACHING FACILITY: (type) /� (size) NO.OF BEDROOMS BUILDER OR OWNER C c 1 Co t,� fYl C)^^I=N5 PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet. Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ► ry 16 f 8/5/2020 ShowAsbuilt(1700x2800) TOWN OF BARNSTABLE LOCATION SEWAGE t. LLLAGE �Ln i/iGQ� ASSESSOR'S MAP&LOT/Gr=Oy.TSTALLER'S NAME&PHONE NO.,&,077GOW G'UA1S SEPTIC TANK CAPACITY LEACHING PACILITY-(type) �1 r=UJ_S (a.) �- NO.OF BEDROOMS Z;l PRIVATE WELL OR UBLIC WATER BUILDER OR OWNER �tYl4 GAG/GS7�`drii DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes / No� r-170 OF t70 U•S� '.,�' i l�d�•p ,S . I � �i https://itsgldb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=168095&sq=1 1/1 t _ 4 No........� .... Fi$.... ..� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH w.+- .. . ..........OF.......�'Ir..f,... .../.e,. ...��... .............................. ApVtirtttiutt -fur J%yoiial Workii Towitrurtion Vrrmft Application is hereby'made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: Locatio .o Address �o or Lot No. �_ . Q_ _.f_TfJ.l 1------------- ---------------- U� � � J OZe ............................Address .. .Address = Inr Address d Type of Building Size -----Sq. feet Dwelling—No. of Bedrooms_.._.. -........................:......Expansion Attic ( ) Garbage Grinder ( ) a4 Other—Type of Building ____________________________ No. of persons_-_____.--_______--.-_---_- Showers ( ) — Cafeteria ( ) Q, Other fixtures ---•-----------• -------------- W Design Flow--_-_--4'0*--__------------------------gallons per person per day. Total daily flow..n.....2-C1,71--- ............gallons. WSeptic T-,.nk—Liquid capacity/Q9.0_-gallons Length---------------- Width................ Diameter---------------- Depth-_..._-___--_. x Disposal Trench— o. Width.................... Total Length----_____--_.-_-_--- Total leaching area--------------.-----sq. ft. Seepage Pit No.= - --- _0Diameter____________________ Depth belo inlet-------------------- to___---__-- Total leachin eea- .-_________--sq. it. Z Other Distribution box ( ) Dosing tank ( ) O 2- �� Z Percolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------- ------------------ ,� Test Pit No. 1................minutes per inch Depth of "Pest Pit-------------------- Depth to ground water...-.-_._-----._-.-.._. 0: Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ - ------------------ A_wd Description of Soil--------- `...-------- �j r.... 'K' z---"-�--- -- ` x 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 Article NI of the State Sanitary Code—The undersigned fur her agrees not to place the system in operation until a Certificate of Compliance has been issued by the of hea th,�Si e ------ -- -- --- -------• ---•-------•--•--- --.�� 7_ ._.. ate, Application Approved By......:........ .. ....... -- .......... '. . Af _..._... - + -- Date Application Disapproved for the following reasons: ------ -------------------•-----•----...---------•--------------------..._........--------•--•----•---------------------------------------_.-....... ......-- -•-•----------------------------•--------------- Date PermitNo......................................................... Issued..-- . •-•-•---- ----I- C t ate y--------------------------- ---------------------------------________________•__—___' _�� No......../1 f.... FEs... ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH M1� ...........OF....... � Appliration -for lh5poiittl lVarko Tomitrurtion Prrmit Application is.hereby'made for a Permit to Construct (I or Repair ( ) an Individual Sewage Disposal System at: • ess tlw.'►�p --•----•--------------or Lot No. : _...LOCatl Add #� -------•---•. ................... Address ----------------- In i aller Address Type of Building Size Lot- ,, e_1----Sq. feet Dwelling—No. of Bedrooms------- ------------------_------------Expansion Attic ( ) Garbage-Grinder ( ) Other—Type of Building ____________________________ No. of ersons---_____----___,_ _____- Showers — a g P ----- ( ) Cafeteria ( ) Otherfixtures .. ----••---•- -•-- ••-••---•-----------•---•-----••••-•---•--------- ._-•-------------•------- WDesign Flow........ _____________________________gallons per person per day. Total daily flow........ ..O --_____-.-.--_...gallons. C4 Septic Tank—Liquid capacity/400--gallons Length---------------- Width--------....__.. Diameter----------------'Depth.___-..--.----- x p t ��idth______------------- Total Length------_-.--------- Total leaching area--------------__...sq. ft. Trench— o Otl er Distribution o Width I Depth belo inlet ...__ Total leachin a a.____--_..____sq. ft. a en Seepage it N z ution box ( ) Dosing tank j W Percolation Test Results Performed bY------------ ------------------------------------------------------------- Date-----•----------------•-------------.... Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water...----__--._-.--.-__. GX4 Test Pit-No. 2................niinutesper inch Depth of Test Pit--------------:.......Depth to ground water-_.--.--___._--.-----._. 9 Irk- -------------------- a O Description of Soil 1 `�-'"�-- 4.4 i4 t�"�^•: ' v .?a # x V -----------.•-----------=----------------•-----------------------------------------------------......_...-•-••---- W U Nature of Repairs or Alterations Answer when applicable.-------------- -------------___....--------------._._...__.._._.......---------- ---------------------------------------------------- .__.___... . a.' Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in:accordance with the provisions of Article XI of the State Sanitary Code— The undersigned fur per agrees not to place the system in operation until a Certificate of Compliance has been issued by the of hea th Si ed. ' �� kr -----• --• - to Application Approved By--------------- ---_ --------`�.'r = " = * Date Application Disapproved for the following reasons:---------------•------•--•------•-------------•------------••-••-------------•------------------------------•-- -••----•--•--•------------•••------•••---------------------•-----------•-•--•--..---•-----------..._•••-------------------------------------------------------------.::•------------------------- Date PermitNo......................................................... Issued......................................................... ` Date } f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /..!..�/....................OF......... .!` ..,..,...:....................... °+ CLrrtif iratr of Tompliaurr TH: S TO RTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by twi '_. e^ j" n, ,Inst?3f@l- r! at- �.. �k 0 ►. _ ... 4' 'r t 1_=lst �.: ' ._ _tl) -------------•--•-•--•--•--•--------••---- has been installed in accordance with the provisions of : e XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No ------- _ �"___dated .._._._.. THE ISSUANCE OVYHIS CERTIFICATE SHALL NOT BE CON,�TRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector--------------- --••--s`-•-•-•-•---------•••----••-• •-•---•-----••---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH NS No.___.._. ►• . ................ .OF.... .....:5��'.� .:._. FEE .3• �. Clonii union rutit Permission is hereby granted............ _-_-_-_-- _- - -- •._.. . to Construct (f or Repair an Individual wage Disptpl Stern at No.- $ f r*3 -----• --•t.k.e ....•--k, -n... P• Street as shown on the application for Disposal Works Construction P t No _ Dated-_-.61w .7............... 4y , Board of DATE....................--------- FORM 1255 HOBB$ WARREN. INC.. PUBLISHERS " M1.T �°^ F , AV . I i d o':t _�• toco 6A L. L�Acl.1 Prr A \ CO , � r IDC04A(- eC /a TA Q e-;x MCHARD 1 o fJAXTEsj 1 • ,�, ��,�, c.EeTIFIE� p�a-r- t�.b.� LOCAT10V-4 S=GAL ( r+!77ta+ SAT!r / /7-7 GGRTIF-{ T►-1AT' TAG- t E7h1U�'�lEJC,� -5"ow►J NEtZEa►� CQMPt_YS WIT44 Lor Awt> SETSACIC VC-QuiQEµcuTs OF T►-l� Tow U C>V= A TA.3l. 4. 31 -3 DATE B,6�XTEtZ . 1JYE 14JG_ 9ZECISCV--iZSD LAWIO SUe-va"(OzS TWS DL.AW IS LJOT E>ASE•D OW A-" OS CER.VILLE co ArCASS� o4-q Qc AAE-%,IT WzvM�`{ 4 714a oFrSeTS 5140wLX> APPL.I CA."-r !` T BS USEO To U�TGeMI%4& Lo-r L.lWaS LA 4 L.�v . L t A T I WAGE PERMIT NO. VILLAGE Pet �INSXA LLE,yI NAME & ADDRESS , v Q-B U I'L D E R R OWNER *001 El�'•�S DATE PERMIT ISSUED S 7 D,AT E COMPLIANCE ISSUED 7 r ., > , .; i� 3�t �0 t 2d 20 � � .