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Home My WebLink About0141 CEDRIC ROAD - Health Rd QQAttronc 141 - o87 N SMEADO No.2-153LY UPC 12934 amead.com • Made In USA l • SUSTAINABLE FORESTRY INITIATIVE C�effi�d�a I � � T , 1 TOWN OF BARNSTABLE LOCATION �� ( C� Q�C �� SEWAGE # VILLAGE (QY . ASSESSOR'S MAP LOT INSTALLER'S NAME &'! HONE NO.'Faky SEPTIC TANK,CAPACITY 0C )01 bl� r ?LEACHING FACILITY:(type) T- size)) (UGC NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER'OR OWNER 4 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� ..-.s'" / / r f �. �� # . i �� =�o� � � _, = � .�� _`.��._ �� . �� 1 . ��.� � � a . :.�`.�. .', l L1 L0`CATION / SEW PERMIT NO VILLAGE �r•�/��21�s/fry„ INSTA LLER'S NAME //i ADDR.ESS BUILDER OR OWNER R-7-,:;ZSdfi✓ DATE PERMIT ISSUED DATE COMPLIANCE ISSUED //5J3-? �x { Is Oil NCB LOC&TIO, SEWiC,E PERMIT UO. VILLAGE II�15TI�LLERS IJA,NIE � ADDRESS BUILDER 5 tJ &MF— ADDRESS - - - - - Dts,TE PERMIT ISSUED •- - =��= 7r� O ATE COMPLI,hJ ACE . ISSUED : r `j. �� T ,. _ ( t .� �� `� �o �. NO-4--A--- ---—------- A THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Divi-pw3al Mirkii Tomitrurtiou ramit Application is hereby made for a Permit to Construct or Repair ( pj"an Individual Sewage Disposal System aKI JA(.... ........... ...................... -------------- --------------------------------------- ,L(�akp E� N' ..... .................................. ....... .. .4-L .. d �r -------------- ................................... . ......... ......... .............. Installer Address A Type of Building Size Lot............................Sq. feet 4 Dwelling—No. 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. 1:4 Septic Tank—Liquid capnity............gallons Length________________ Width_--.._-_----_.-_ Diameter--.------..___._ Depth_.......__..._.. Disposal Trench—No. .................... Width___-__.---._-_____-- Total Length..._____----.-_-___. Total leaching area....................sq. f t. Seepage Pit No...................... Diameter.__-_._-.-.-._.-._-- Depth below inlet.._................. Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I----------------minutesperinch 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 ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ W U .....................................................................................................................................................................................f................ ................ ---------.......................................................................... -------- ----------- 0 Nature of Repairs or Alterations—Answer Answer when applicable.-Am--..........tOW-4,16C . ......... U .... ...... ------------------------------*----------:------------------------------------------------------**----------------------------------------1-11,111,-------- 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 is ed by the board of health. Sign -------- --- --- ------------------------------------------------------------- /bD lql te Application Approved By .............. ......... ------------- &...-?--s!/---- ------------- .... Dare 0 11 Application Disapproved for the 0llwing reasons: ---------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------................... -----------------D;................... PermitNo. ----- Y----- ----7-0�------------------- Issued ................................................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dhip Sal Work.5 Tonitrnr#inn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( V11an Individual Sewage Disposal System a (c,...Vz ............ .................... 1. ..(..... . � r Lo Nod.----•.................................. r ��---~ O,,t��ner. 11 �/� ddncss f, --•- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.-..---_---_--...._.---_. Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................... .. W Design Flow--------------------------------------------gallons per person per day. Total daily flow. -------.--_-_-.._-._-_._._............gallons. 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........................................ ,� Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ G4 Test Pit No. 2................minutes per inch Depth of Test Pit..__.......--------. Depth to ground water........................ a ---•-•-•--•--••-------------------------•-•-•-•-------•-•-•-••-••---•-•-•--------••-•--•----•---••••......................................................... ODescription of Soil...................................................................................................................................... ................................. x V ...••-•••-•••••-••••---••••--•--....••----•-•--•---•••-•--------••--•-•-•---••----••-••-------•--- ••-•••--••- •----•--•••----•-•-•-•-••---..--...-•---••••••--•••-•-•-••----•................••--•----- W .................... ............................... ----••--•-•-•••••.....------•-••--......-----••-- --•-•------ U Nature of Repairs or Alterations—Answer when applicable-, ------------ �-- .1ti. . .........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 CoWiae., -beenRs ed by the board of health. Sign .......... Z ...`1 Application Approved By -------------- ------------- ..... �^.^-,; / ,...._-;M,e `...... Application Disapproved for the ollowing rearonr: a / ................................................_........................_--------------------------------------------------------------------............................. . .. ............... ........................................ Ca Dare PermitNo. --------Ll ......7.1<�-------------------- Issued ....................._.... ..................---... . -- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate of Contylianre THgIY3,�' TQ-ffk7�I , That the Individual Sewage Disposal System constructed or Repaired by ----- --------------------------------------------------------------------------------------------- ...................... ...... - ---- ---- ---------- ---------- I at ........ ............. ----------------------------------------------------------------------------------- L C- ----- ... 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. 7 dated ------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. lnspectort DATE----------------------------------------------- ...................... —---------------------- ..............k---- ........ '00f,.. ------------ ------ ***--------- ------------------- ------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE.15a... Permission is hereby granted..... ...................................................................... to Construct ( )-Tr Re air dividual eiag Nposal Syst ........... ...........10,.11� ------ at No...... ...... ... ... .............. .........M��........................ Street as shown on the application for Disposal Works Construction Permit No.?41r--06. Dated....- p. ...... lBoard of Health a-------------' - DATF.......... ---------------------------------------- FORM 38608 HOBBS 6 WARREN.INC..PUBLISHERS No............ ........ Ficu.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD H .................OF.......M� ............................................................................... Appliration -for. 43Wpooal Works Tomitrurtion Vautit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Systemat: ' r........................ .................................................................. W ................................. Locatio Addres or Lot No. ...................... ............... ........ ... .... ----------- owry, 0�1 ... - Y A ......Installer Add essss Type of Building Size Lot...../\I...e'vV-4-Sq. feet U ----- ------------- Dwellng—No. of Bedrooms------3----------------------------------Expansion Attic Garbage Grinder ( ) 114 Others—Type of Building ---------------------------- No. of persons---------------------------- Showers Cafeteria ( ) Otherfixtures ......I--- -----------------------------------------------------------------I.................................................................. Design Flow......-....5_0.........................gallons per person per day. Total daily flow-_....._.__- - --._--.----------.....gallons. 04 Septic Tank—Liquid capaci --gallons Lengt -------�z.�s�°�---. Width ... Diameter...---...--..... Depth---------------- a No. .................... IN . ...... 0 Disposal Trench -- To, Total leaching area.... Z_,.�....sq. ft. a. Seepage Pit No)-------- .................. -------------- Total leaching are- -----------------sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed by------- ---------------------•-•---.........--•--------•-------•-•-...... Date.................................... Test Pit No. 1----------------minutesperinch. Depth of Test Pit...--............... Depth to -round water-------------_-------- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..........•------------- ------------ ............. ........�5........(71.............!�: 4 ----- .............W1 ------ 0 - -- ----------- -- - - iption of it--------- ------ �4 --- ---- - ----------- --- -------------- U ------------------------ - - -------------------------- Descr ---------- ---------------------------------------------- ------------------------------------------------------------------- ---------------------------------------------I--------------------------------- 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b$eK)ssyed by th%kog_�health. Signe Z ..........vlol�.............................1 ............. ------ .................... X Date Application Approved By....... ............. .... ----- ........ Date Application Disapproved for the following reasons:----------------------------------- ...................................................................... .......................................................................................................................................................................................................... Date PermitNo......................................................... Issued----------------------- ................................ Date 7G ' NO....... 1--=.......... Fss.-�D.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD20F H TH .._.............OF..................................... ............ -...-............... ............ ` Applirtt#ion -for Riipuiittl Works Tomi#rur#ion Vrrmi# r Application is hereby,made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - f Ar Locaho Addres / or Lot No. Ow r A ss U . � Installer �-�" ; �' Ad ress � -----_S feet Type of Building Size Lot......_�.___.._.__ q. U Dwelling—No. of Bedrooms-------3..................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ___________________________ No. of persons--______________________-__ Showers ( ) — Cafeteria ( ) P' Other Ktures ------------------------------ ------------- W Design Flow________ ________________________________gallons per person per day. Total daily flow._.__._.__.3.Q.-.0........_._-___._..gallons. W Septic Tank—Liquid capaci�iG .gallons Lengt ______al�7 __ _ Witdtl _-___ - - . Diameter................ Depth-__-____-_----- xDisposal Trench—No. .................... I..........._-___.. To t Total leaching area--_-��: :__sq. ft. Seepage Pit No......�.` .................... bow/inlet_..__.-__._..____.__ Total leaching area__-__-________-sq. ft. , z Other Distribution box ( ) Dosing tank ( ) G I_7— "7 6 .Percolation Test Results Performed by---•----------------------------------------------------------------------------------------------------------------- Date-----_---_-__------------------_ry---- aTest 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------------------------ ---------- -- -%--- Description of IL...Q `( • - - --=-- �f ..- x c � ¢ ---- --------------- --- -- W --,. . - U ,`•Nature of Repairs or Alterations—Answer when.applicable________________________________---_________________________-_____-__- _.__-_-_-______.... to .__`_____________________________________________________________________________________________________________________________________________________________________________________________________ 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 undersign d further agrees not to place the system in operation until a Certificate of Compliance has b n ssued by thVboaryjdf health. Signe _ .. -• -- -••-• --------------------------------------------------------------- 4'%- ;f Date / Application Approved By---- - L 17-1 ----- ..... .....- cam Date Application Disapproved for the following reasons:--- ''------------------••-------•- -------•-------••------ ._.._..__..._...... ------ -----------------•-•--...__._...---...--•----•- ............................................---------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARg)OF F��H .................................O F....... ...................................-....-.-..........-.......-.. 'U'rrr#ifirtt#r of 101,rrmpliaurr THIS IS TO CERTIFY That e In ivi al Sew ge Disposal System*constructed ( Repaired _4 / sta r has been installed in accordance with the provisions of A I - 1I of . he State Sanitary Code as described in the application for Disposal Works Construction Permit No._ �lO___.___ _� ______________ dated-'-- 2__-/i.-__7-<s_____________--__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................................................................----•---- Inspector----------__--------•------------'--_-•---:-----•-•-------•-------------------- E COMMONWEALTH OF MASSACHUSETTS BOARD F HE LT�Q� I' . i ---•... FEE No.-----•- -• __- .............. Permission is her by granted---.." � 'r#i>aHt ranw,� i# � t to Construct r R a r an Indiv}• al S a e' Dis o 1 S stetn`� ' t at No------------ -- C.. % .�..�--.--r y --•--- -----------•- Street as shown on the application for Disposal Works Construction P it No_ __ _ __,__ ._ Dated___a_- -��_-7G y� ----- Boar of Health ' DATE--------------------------------------------------•------••-•---••----•---•-•--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS + a ! � +vi fi i ( ,. 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