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Home My WebLink About0877 BUMPS RIVER ROAD - Health (2) SMEA® No.2-153LY UPC 12534 smead.com m Made In USA 1 FFOORE5TrLE INITIATIVE Co►tiBed Fiber Sourcing wwwAprograwe i eCi ,4 _ 1 _ 5EW/J,C;E PERMIT UO._ - IWSTQLLER 5 UN AE .DDRES5 - __ e Ilk 5UILDERS._ Q.&V,AE �.�DDRE55 DNTE PERtAlT 15SUED -fZ/,�2 2o— — — D A.TE COMPLI&KiCE ISSUED : ��= ='� e g 7' THE COMMONWEALTH OF MASSACHUSETTS BOARD C HEALTH ............................OF......... ........ V-P.61V-k.-L ................................................... Tntififiratr Of Tompliaurr T jS1,1S To,&ERTIFY, That d ual e ge isposal System constructed ( or Repaired stalle ---------- ....... ---------- ----------------------- b -------------------------------------------------------------- .................. ......... y 4P7i i, ........ at .... /V------------- .00e has been installed in accordance with the p ovisions of Arid X1 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. ........ -------------- dated'.4------- ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................................................------------------------- 1nspector............. ------------------------------------------------------ ------------ d * u; fe v)� /6... ............... .. r THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ............ .........OF...... .................................................... No......................... FEE--- ............. Dinipjali 131 15 Tfon t Permission ;shereby granted........:.......... .............. ...---- --------- - -- ---- ....... .......................................... to Construct )\or 1�epair dividitial S g Disposal t at % -- - -- - --- --- -- ----------- --- --------C- ........................... Street as shown on thelapplication for Disposal Works Construction,Permit No. efn- T-W -- ed---- -- ------------------------------ ------4k&f�e 4 4 .... ...................... $oard of.H�alth,,"� DATE---------------------------------------------------------------------------------- FORM 1255 H01313S & WARREN. INC., PUBLISHERS 's i 7 ,0 7 Fits..... .. THE CO O,NWEALTH OF MASSACHUSETTS B A R'D QF H E T H - .... -- .OF.......:........ . : .............. tAl Iplicatio ereby pdir a Permit •Cons uct ) or,Repair ( ) an Individual Sewage Disposal st --�� CP f � V � .�(� C��/d�(r1n. ------------- Loca' n-Address or Lot No. ---- ---------t OWR Address .................................. ... Insta Address -------S feet � Type of Buildi� � �qr Size"Lot____________________ q. U Dwelling No. of Bedrooms---------------d...— .—_:__ __ Expansion Attic ( Garbage Grinder ( ) p`L., Other—�ype of Building ............................ No. of persons.--___------.•--__-_.-_--.-- Showers ( ) — Cafeteria ( ) Q' Other fixtures --•-----------------------•--- --- - W Design Flow------------------------- D--------- gallons per person per day. Total daily flow............. ----_---_-----.gallons. WSeptic Tank 1 Liquid capacity--C�DV_gallons Length--- Wi th..____......._.. Diameter---------------- Depth.-.--.--_-.-. x Disposal Trench—No..................... Wi t .._ ._. .._ .-_-- Tot 4n. s_..____._-. Total leaching area.----.-----...-.....sq. ft. Seepage Pit No ----------- Diameter__ _l _.� et_.... __._._ _____ Total leaching area..--.-.---.-.-----sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �G%� Percolation Test Results Performed by.......................................................................... Date---------------........ ------•-.----.. ,4 . �4 Test Pit No. 1................minutes.per inch Depth of Pest Pit-------------------- Depth to ground water �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--------------- -------- Description of Soil-------- "._�....` l ' ��: ... ---- ------ 2 1.. t W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V .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 Article \I 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 hsoth. Signe / a� ` -•--- y* Dat e� Application Approved By......--- ------------ -J------ Y. Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ------------------------•------------•••-•-•-----.....--------------••••••--••-------------•--••-•--•---•...•-•-----------•...--•-------•••-•------•------••----------------------•••....••-------------- Date PermitNo............................................------------- Issued.----- .................. ------------------------------- "ell r' . ad No......................... Fas.....,1................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... -- -.OF..................................... ........ . . ................................. Appliratinu -for Uispuiitt1 Narks Towitrurtiou Vrruift Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .� b 7 Y 4�) Coca n:Address _ or Lot No. w e Address -----•-•"................................. � Install Address Q Type of Buildin Size Lot............................Sq. feet U Dwelling �e—ff No. of Bedrooms------------------------------ -- -Expansion Attic (4 " Garbage Grinder ( ) p., Other—Type of Building __________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- -- w Design Flow------------------------tiT______-__ 'gallons per person per day. Total daily flow------------- �-------_-----------gallons. W _Septic Tank-L Liquid capacity_ gallons Length--------------_ Wi It................ Diameter---------.------ Depth....-.--___--. xDisposal Trench—No- --_____-•-______--_- Widtli,................ Total Len �...........__ Total leaching area----------..........sq. ft. Seepage Pit No.__________ U }} g< i.Diameter. ` � bq fveinlet,..,, Total leachin trey sc ft. z Other Distribution box ( ) Dosing tank ( ) G?,CI- •�G6 i .41-{-- 7 J--- aPercolation Test Results Performed by-------- ---------------------'----------------'----------------••--_--_.. Date--------------------------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-..------_-----.__-..... fX4 Test Pit No. 2................minutes per inch Depth of Test Pit---------_---------- Depth to ground water_-.-_-_____._-___---. -----------Y""--'----r -------- -- - - - -- - _- ---------------- Descri Description of Soil-----___--�_ /l/ -� --- -------`•- -- -a_�w i1 v c r/�rJ-`---- ----- -- -------------------------------------------------- P _ �� - --- ---------- ------------------ x � , ----------------------------------------------- - 7 � `► ------------------------------------------------------------------------ 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 XI 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 h th. - Dat Application Approved By------.... .i:.- ��Y.......... ................... --------------- Date igne Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------- -•----•-------•----------------------------•----•-•--•---------•------•--------------'-•-•-••-----------•---------------------- ------------------------------------------------------------------ Date PermitNo......................................................... Issued........................................................ Date N,5"ts'-o c.e. `�79f� M. "bo.00 V� NPUN TOP LAND IN BARNSTAI�,Fjj T Barnatablb. ftrvey Consultants Ino , uN o a O F F I C I A L b E 8v T R L D ; C O P Y September 1970 C O P Y � e �O N er5chO�,f�al. � f N O T R• `,�fF p� .I A L 0 so�ue/ No d s" ; c. % � Willio� f• O '� Q •a 1 A /9" 'O•'7Q /� � S � vt w i OV Qcb v to s. �T Y• �� to�Q, v` �9065 OO ' p• R. c �4) a 100• , . ,:c•R. �Pc oo. p �� C 4 y ,I• v b 0 V 4 L.A Nis• ...`U y� e � �4`� LOCus corrpr�bes /otS p/�-.9 list% �" 4exy Copy or it of An t UND R£G/STRAUON Off7C£ 'Zoo. $ca/e of this plan Bo feet to en inchR R L.Woodbury,£ngineer for Court.� _ 4e _ A,_r ' << J i r CA p IZ3 Q � f r r 0 CEATI FLED PLOT PLAN L 0 C A T 1 0 N. C4df 7"E'?e!/G P S.5 . SCALE: � ' .5,20 0 A T E _.. ', 2 ___ R E F E R, E N C E 45,dE/11-IG •C-,=>T /<�.C. �,✓ �/G E O �✓ ?ME ,.l�q.•�0EC7�S T.2 a4 T'l o D A t E I HEREBY CERTIFY THAT T'HE SUILDINC REG. LAND SURVEY "" R SHOWN ON THIS PLAN IS LOCATED ON THE G R O U N D AS SHOWN HEREON AND THAT it `..�lO t CONFORM rO THE ��NOFM'�ss ZONING BY - LAW$ OF THE TOWN OF ryas' �oyG TA.B�Wr H E N C O N S T R U C T E D �' � JOSEPH MONAHAN,JR. N BARNSTABLE SURVEY ' CONSUL.TANTS, INC . �.0STFlk WEST YARMour14� MASS . SUR�F'