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Home My WebLink About0464 BAY LANE - Health (2) ��- Bay Lone C,entt r v i u-e /// SMEAD KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE FORESTRY MIN.RECYCL:D INITIATIVE CONTENT 104 CetifW Fiber Sourcing POST-CONSUMER w .sfiprogram.org SFW12 0 MADE IN USA f=ET ORGANM AT SMMCI M No. e/:... e Fps.. .......... , THE COMMONWEALTH OF MASSACHUSETTS _ BOAR® OF HEALTH ....................OF.... ...... .. ................................ Appliratinn for Disposal Works Tonstrnrtinn rnmit Application is hereby made for a Permit to Construct ( '") or Repair ( ) an Individual Sewage Disposal System at.: ..... - --- -�.......... ... ... 1 Ltz :�e ... - -.- LLo ation-Addr •---�.............................. ......................_.-s4F _.V�..c ..-�- - .� ------- .t M �r.� ......r_.O;. -- T t dn Owner Address -----------•-------------------- .................................................................................................. ^........... � Address UType of Building Size Lot___•24, ....Sq. feet .� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (Alo) 04 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 capacit _.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—N�. .................... Width.....t------------- Total Length...............j... Total leaching area--------------------sq. ft. Seepage Pit No......... ......... iameter------6........ Depth below inlet. ....... Total leaching area. Z Other Distribution box ( �') Dosi ank ( ) g �--•sq. ft. Percolation Test Results Performed by _ " •---_-•k...410 t . 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........................ fx ® Description of Soil----------- ..... •------------------ ----- - - - - ---•---------• .................................. W x -----•--•-••------------•--------•-••-••---•--••-••••-......--•-----•-- ...............--•-•••------•-----••--------••-•-------••-•••--•••••---••-••••••••••••••-•-••-•---••-••••......-•---------- U Nature 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 iITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hWbDssuld by t and of eal h. /Signe = ---••- ✓;� D to Application Approved By... -= /�l /%✓ .....� / ..), Date Application Disapproved for the following reasons---------------------------------------------------- ----------------------------------------------------------- ------•........•••-••-••••-•--••-----••••••--------••--•••-•-•••-••------....-••-------------•••-•-•-•--.--••-•......--•-••--••••••-•-•---•------•-•-••-•------•--•----••--......---•••......--...------ Date PermitNo......................................................... Issued-....................................................... Date 1 • No.. 3 .. Fss....�' .................. THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH [O. h� OF..------------------ ...' . r'k f 6►......i'�.A .-................................ Appliration for Disposal Works Tonstratrtion Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: C ..... .......... ......................... Loc lion-Addre -, or Lot No. Owner Address -------------------•...... -. . .�7�-....4�� E.C--W-.................. ___________ Installer� Address d Type of Building Size Lot_____Z4a4J.1J....Sq. feet a • Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfi u s ............................................................................................................... Design Flow................�.-_.....................gallons per person per day. Total daily flow................... . . .................gallons. e4 Septic Tank—Liquid capacity.CX.I.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—N - -------------------- Width......f............ Total Length................,r.. Total leaching area....................sq. ft. Seepage Pit No.......... ......... iameter.........�-?....... Depth below inlet........ ....... Total leaching area... 0..sq. ft. Z Other Di ribution box ( '° Dosi tank ( ) f �j I Percolation Test Results y 7 .......1_ � .� Performed b ..._ /�:X.7.�3..�__:.`�:' ------Q�Fz.�%._ ate---.`J_�....� --................ a Test tPit No. 1......... .....minutes per inch Depth of Test Pit................. -•--_. Depth to ground water................... (14 Test Pit,No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................... 9 ). ODescription of Soil ------------------------'---------•-......._.....----•................................ -------------------- - - �p ifs ;� �r ; ._ ti _ x ...................................................... -----------------•-.............................................................................................................................. U Nature 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 TILTIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance;;has b- .ssued by t rd.of b !�eal . Signed------- �-- � �,✓ Date Application Approved By.... .y.. ....... ..... �✓'�;' l�.1........... ...--------•---••-•------•-•-•--• Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------•-------......•-- •----------------------•-----------------------------------.........------•--•--.....---•---------------•--••-•--•••----•---------------------•------------•------------...--------•------------------•- Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................0F...........,...........................4..L..................................... (9rdifiratr of ToutpliFaure THIS IS TO CERTIFj: ThV the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-------------------->'_'Z . .--n&&< ---.--•--------------.-------------- --------------------.--•--------------------.---------------------------------•------------•--- -- ,o Installer at ---- ��• ------- -r------------ --'k....-------------•-•-•--•---------------•------------------------------ has been installed in accordance with the provisions of T=` 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit ........... dated---------------------------------............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFA TORY. t- DATE.................................................. �.` .----..._. Inspector.............--l v l...................................................... THE COMMONWEALTH OF MASSACHUSETTS --•--� BOARD OF HEALTH ............k...........................OF..................� v _�1�i.�I.�'C-� ........... No... _. ... . ... FEE....,, .................. Disposal Works Twonotrnr#ion rrutit iPermission is hereby granted............e..ze.......... ------------------•----...---------......---......------•-----............----..... to Constr t or-pepair ( an IndividZg,08ewage Dis os d Syst Street as shown on the application for Disposal Works Constructi/ofnn GYPermit No..................... Datfd......................................... .................................. . �/ Boa of Health DATE...................................... -,//---• FORM 1255 HOBBS & WARREN, INC., PYBLISHERS 1,.►'J Ca�4fr8AG� l�21�.7DF1Z `' 2�a 1 t Lr{ FLow 110 ,c S • 330 G.P•D. �EPT"1C To'"K - sso" Ir7G % • 4gr2 6-P.D. U Ste- l 000 6.4L. I?ISPDSAt. PIT - vSE tOoo G,o.l. sez RAa 0� StLZWALL AtzEJ� = lrj0 S.F. L(JT t��0 SF '2.S 3—lS G.PD. $o'T'Tt7,Vl OtZEA� �jd S 6i5' SZ=. '' ll I ( ^ � . A I .p So 6.P.P. � H LEAF W IJDI N V� TOT'aL -r->ESIGW - 42S G•QD 'TbTQ t_ FLOw t 3w 6.P.'D. PT-=aGOl.&.TI0Q J"IQ 2.MIW* OIzAf OF P. �1t141 O`er ALAN o� iiAfD 3t A. ��t W. F-R t-;'S v i JON[ BAXT y Cr �STE? 4' svi°� nAL TEsT II3Z rG , 28 Tor \� Y LoAw1 �Ppe I Doo IIN aA I 2 -Box ZS G S�nC 10 GDcl;�a; IJV 1000 2S 11Ny, 1►N• T/sNK I (�� SaaoY GAL. 25•d. —+ ZS•'L LGAak WIT►J •i , w • WASHED 'A:rl C-SZTtF1EL7 PLOT" PZO F't L-E: L d CA T I O� n U1 aT� R o I CGIZT11=ter TI4AT T1-I,C-. DtUL�C1-I1JCe 5t!ow►J PLA►�1 RL- �.Rc►milG W ITI-i TWA SI v� LI►-�E: �'r AWE> SE7"U�CIG �'C4UI�EMG►-ITS OF Tt-+C: -TowU o;= pig Ap t ; D CoufzT t?LAO 44::93I CP��t►Jia) 1BA)(TctZ • RCGISf'ER�D I-A1•!G 5U2VEYa1:'-� T1�15 h t_A� Imo,-, tJOT L'ASC�7 v�•-� A�.I OSTEfLV1t_LG c� IurLSS� TiAL. UFCZ5r=T--, 'jI4GWI-'D APPI_1 GA.I-_l-T'_ -EMIw� �o�c' t_I`�`'' - --- SiLVIA L SIU/IQ 1F�Er ♦'Lod 2 Q.D ` tot t � 2 AY �� 15�i�tt3JT /3t Dw �20otl 0 ' ` w q V. 1000-1 � -•2Z �i E N, FiEVATto 'WE ,> r O • �x � 7 y �ut Q ��PttN OF Mq�� / /✓�/ RICHARD G,� Gr ALA A. W.. f i � <s anxr� y E / Rio. 2 trga 4 a1sr �yc�' ST h rj 101 / CEtZTiF1E� pLbT P[_./�1�i ��t�+fiRs�rt�� !�n a 1. `• KCA .t+, ie L- p2opoiaD PL A tJ v-L r- c a j cc-_ l LGizTtl=�f Tt4AT' VAG-- *DW5U--10& 5"cp%,utJ t-IE�Co�-i GaM�I.�IS W tTN Tt-1s✓ �tvC.trt►��. f At.ta SLTt3ACtC �'C-QUtcZENt��TS ot= TNT - \ ' -Tawu Ov= $AtZk),iT,&?L.l A.t-tt> 1S udT LAITO CovQT 44)q:�I cvetAD �Jtt LOC ATC t> VL l'T't-t t-1 T AC—. Laol PLA l►.l �aXTL-� � uYF t�•!G_ pAre 4-l�s-g2 J � ac<..t�, tc.tz�� l-A'Na TI-Al'S pLAW IS LJOT aA C-V 0" /*!J US'1Ct`'`/►t_lG c� �.Kp.S�i� -t, AucwcY �• T:tr� ut=c',t:T': ,tIG"•Jln 0, /' 0�2 136 l0 C T ION SEWAGE PERMIT NO. Im VILLAGE INS J A LLER'S 1, ME i ADDRESS 1 a BUILDER OR .. j 0 ,)— r• P T DATE PERMIT ISSUED DATE COMPLIANCE ISSUED , s I - . u LPN No....v?/'-4// --- Fxs.....-3.0......� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Bispnsal Works Tonstrnrtinn firrutit Application is hereby made for a Permit to Construct ( ) or Repair ( C4-15'Individual Sewage Disposal System at: ............ �Oy.. -y- aAl ..................................... -•--•-•---...........C.....►..!" _x.-------•-•-•---•--.._.......................------- `Ito tion-Address or Lot No. ----.•i.L%luYk.._�'................................. ...•-••----_- ........ � .__. ... Owner Ad es "• ._.. ---- ,� .________Cvv. t. . sn!r�._.___Se .1,._4._______________ ____________C>�,a�._. ...... Installer Address QType of Building Size Lot____________________ _____Sq. feet U Dwelling—No. of Bedrooms.______ Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers Cafeteria Q' Other fixt w Design Flow_______... _ __________________gallons per person per day. Total daily flow_.___733_Z_....................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.,....I............. Diameter....40!..... 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........................ a ............................................-................................................................................................................. 0 Description of Soil........................................................................................................................................................................ x w U Nature of Repairs or Alterations—Answer when ap licable.__.__1+449__../L_�cIQ__.1Q�!_7-__ _ ��.� 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 Co been sue i the boar of health. Signed ...... ........... ------ - -------- .......-------- .....----................ ......CP' Date Application Approved B : . - PP PP y --------------------` .... > - r�' :.. Application Disapproved for the following reasons- --------------------------------- -- -- -------------------------------------------------------------------- ---- ------ ................................................----------- Permit No. ---------�1-- //- / -,!--............. Issued ...... I r ...........................................................to ( Date ...... pppp---- rw� THE COMMONWEALTH OF MASSACHUSE77S BOARD OF HEALTH TOWN OF BARNSTABLE Gertiftrate of (foutplialtrie THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by---------........... .....4V- - ................................ .................................................................................. Installer at ........................... ....-------------------tee. ........................................................................................................ 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. .......... ......... dated............................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..a.-.15-79A............................................................... Inspector --------------..------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 19 - Y/ TOWN OF BARNSTABLE No.. ................... FEE...—3 e Raposat Iforkii Permission is hereby granted...........e:: 1A ()r-- A 4,(Ikl) to Construct or Repair -ag Individual Sewage Disposal System atNo....................................Lji,� ..... .............................................................................................. 7, Street as shown on the application for Disposal Works Construction Permit No. /....... Dated.......................................... ................................. N , -------------------------*------ ----------------- DA .............................................. Board of Health TE............... .......—.5 FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS No......� -.;rz... Fps....... :... THE COMMONWEALTH OF MASSACHUSETTS i, BOARD- OF HEALTH t: TOWN OF BARNSTABLE , ppliration for Diapasal IVarkg Tonstrurfl o tt Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( &,an-Individual Sewage Disposal System at: $I �•-A 0_ ----------------------•�;Pt= ................................................... n Location-Address or Lot No. Owner Address W l7. 1 _sA.a %!/1....coo ,•.• /l� .( c( (m ��d Installer " v T ............... .. ...... Address c � a ��r--•'--•-• , U Type of Building Size Lot.............................Sq. feet �-, Dwelling—' No. of Bedrooms...... ��...............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building .............. No. of persons............................ Showers a YP g P ( > — Cafeteria ( >. � Other fixtures ........................... Design Flow..........., ...�..................gallons per person per day. Total daily flow......... l W gallons. ..v WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No—.._.I--._.-_-__-. Diameter...... _11(..... 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..................-_---. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 --------------------------------------------------•---------------------....--••---•--•-••••-•..--•.........................................................O Description of Soil..............................................................................-......................................................................................... x .. fiZ -•••-•-- _. ------------------------------------------------------------------------•---------------------------•---•-------------------------....--•--•--------•--•------.......•-- U Nature of Repairs or Alterations—Answer when applicable..___3 .A.)---- A±±.:?:".._�•!_-_.��..��A, f 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 Complliia�nce has been issued by the board of health. Signed t ` .') 5,ci/ y / ...----- • A^ ` � � v ; � �✓ � fi. - - Application Approved BY :....... }.�.`j.. �. - _._ .y.. ... - um Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------------- - - ------------------- --- -- -- --- -------------- ------------------------------------------ ------------ --- ..-- Dare PermitNo. . ------.?/--- ----- ------------------------- Issued .---...--..i...----------------....------....----.................. Da[e ,