The URL can be used to link to this page

Home My WebLink About0064 CHILDS STREET - Health 6 q cA,►js sr Can��nr j il�G SMEA® No.2453L.Y UPC 12934 sm®ad.ccm • Mad®In USA 4aT SUSTAINABLE FORESTRY INITIATIVE CeMed Fibu$ourft I TOWN OF BARNSTABLE 1 i.QCA' tON J, Q SEWAGE VILLAGE CG;�1"t'E`(Zc� \``� ASSESSOR'S MAP & LOT a`'tom(- r � INSTALLER'S NAME & PHONE NO. G Vk P_-lC--' t,.,4w O =ox SEPTIC TANK CAPACITY LEACHING FACILITY:(type) "��E Gvk� Prr- (size) L,y b wl 3� NO. OF BEDROOMS- PRIVATE WELL QCt PUBLIC WATE L� BUILDER OR OWNER STGvG ry DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Now J l I 1; e e �6�ur tit 1�eT- �t3i • r. --//IiSJ%�GGE> /��y/may �✓ ��?---- 1 — -i��}J_a-0 j-c_�1.2,;5 �_�j�P G Pn ��`` � � �`� ✓'YhC 2r-e��,J i� ;-IL5S THE COMMONWEALTH OF MASSACHUSETTS BOARD•"OF HEALTH -. ..0h.4woV..............OF...... Applutttion for Disposal Works Tonstrnrtion jrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - Location_Address or Lot No. ..........�...MUgw_...a.lhc.f¢,'(L..............-................... ----------------•--•-....-+'..:..........: ••---...-•------._..._...----.....---......_.. Owner Address ................... .........��-�1--:.. ......- ---•--........................ Installer Address Type of Building Size Lot............................Sq.-feet V ._...Ex Garbage Expansion Attic Grinder Dwelling—No. of Bedrooms------ --------------------=------- p ( ) g ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ....................................................... WW 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. 3 Seepage Pit No..................... Diameter.._._.._._:_...:.,; Depth below inlet::.................. Total leaching area..................sq. ft. 'i 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........................ Lt c Telt Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground Water........................ •:::: Description of Soil..............• . ... .........------•--•--•---...--•--------....------•---••---------..._..---•-•-•-----.......__............_•-•......--•-----_.. V ............. ...................••-•-•-__----• •.. ---. ................•-•------_..,................•----------•-------•-•••----•...•----------.......••------.............-••................. ----------- ----------------------------------------------------•--------.........--•--••--•---•------•---••---•----•••--------••---••--------._........._......------ .................... Nature of Repairs or Alterations—Answer when applicable.......1 .......11vv' :_.__...�-(.)-..Ca.... �..................... . . .....:..........o. ........ .. P.- �t-------------------•------------- . . ............... Agreement,: The undersigned agrees to install the aforedescribed Individual Sewage Disposal„System in accordance with the provisions of iITAE 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 board of health. Sceigned. ==-� --•----- ------.-•- ---�=---- --•-------- ---•---------•--•- ---�----�=._...----•------- Date Application Approved By........... ..................................... ---......../..:-. Date Application Disapproved for the following reasons:......................................:......................................................................_ .........................•---•----......----....---•--------------.....-----------....---•-•--.....---...--••--=----------------•-------------------------------------------=---.............-•--------- Date Permit No........t ....................•-•--•---......_ Issued...................................................... -- �sY Date Fjmz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH v Xyli iration for Dispasal Works Tonstrnrtinn ramie Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: r ... 1;V(1`� .: .�........: ew�e r2v��,l�P ...... _ _ ,. _ .... . ... .... - ........................._..........._.. Location-Address or Lot No. �__•Ta I:.P:!�:»...... .��i ...................................... .•----•--............tea...�..../U...... .........----................................. Owner 7 Address ^ �+ W � f __In�F?. lM!(� ` t'^»/w _ ) �`A k'�•--t� I.L. G Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Type g .......................,...-No.. of persons............................ Showers ( ) — Cafeteria ( )Other—T e of Buildin — > Other fixtures ...................................................... ` Design Flow..._. __. ...................gallons per person per day. Total daily flow---..�.;::��....._._.........gal W ... 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ L~ Test Pit No.;2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 --------------- -......... ---------- ---------------------- -... ................................................................................................ 0 Description of Soil......................................................................................................................................................................... W UNature of Repairs or Alterations—Answer when applicable.......JAAV...._..!'? ?-�.........`(.*("....fir\. .E.............. /7! N .....�s.—i-_vnIL Catesrk .-wiz r Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'U 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 board of health. F / - Signed. `� � �:.. ` � - Date Application Approved By-•--•--•---.�1. rr-c�.`\ra � ............. ........... �. ---------------------- P Date Application Disapproved for the following reasons:.............................................................................................................. ........................•----.........-------------•-•---•---...----........._.....-•....•........-:........::....--•----•---------------------------------------------••••••=................ Date Permit No......... . ...... Issued ................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... .........OF .................................... (Irrtifiratr of Tompliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired y by---------------------------j<7...Vk!60 ...... .................................................................................................. Installer at........................ ....... 0X 6 �.-_ .........I......m..................................................................................................................... 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 No.....X ................ dated.........._..................._................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. "�\ -,n- DATE................ ............................... . Inspector-----------....._ ——————————————————————————————————————————————————————————— ————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....OF .................. FEE........................ Disposal Marks Tonstrurtion Permit Permission is hereby granted...--.--C..... ---V— L .............. ....................C................................ to Construct or Repair ((—)_an Individual Sewage Disposal System atNo............1n .L4.............. ........I................ .................................................................................................................. Street 7 FIR" as shown on the application for Disposal Works Construction Permit N...................... Dated.......... .................. 11 1 nt-� ............................. ....................................... ......Board---of Health ...) DATE................................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........OF........ ................ v ...v ................................................... Appliratiun for Disposal Works Tonstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ----•(�.�1._.. s.?�:-5 - c• wZ e ill �de ................................La or Lot xo........ --.... .......----......_ -•--- Location-Address ress a c lGY � AOt/ ---•-- ....... �..__.�J r✓c!✓as .�� 2:� ... ................. Installer Address Type of Building Size Lot...:........... Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building a yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.......:_........... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) . 1.4 Percolation Test Results Performed by----------------------------------------•----------------••--•--•••-•••••- Date.:....................................... 14 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........................ a -----... •••---------------------------- ••-•-•-.......___•..... ••__.......... ___... _----------------- ----------------------------------------- ••-------------- 0 Description of Soil---------------------•--...----•--••----•------...-•---........:.....-•---......_.._.._.....----•----•-----..._____•---•---•--•-•--••---------•--------.._...•--•-••--•- x U ...........•••••-•......•-•-•-•-•-•••-••-•••-••---------------------------•••• -----------...•--------------._.................---••-••--••••......_..••-••••••. -----•--•=•--•-••-•-••-•- w U Nature of Repairs or Alterations—Answer when applicable........... 1p_�Q____:.1aJ ......�....�6....._. _�_� _....... / ... Agreement: / The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of.LI'I IZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b ued by t e board o lth.eiss�Signed................... / .--�7 t �� ..................... Date Application Approved By.. .:. . ............ ........... :_. ..: Date Application Disapproved for the following reasons----------------------------------•--------------------••--------....---------•-•------.......••-----••-•-•._.... ...--•--•--------•----•-••-•--•-•---•-----------------------------------------••-•-------._.......__......---:._...-•------------.......---------.......---------•--------.............................. Date PermitNo......................................................... Issued--------.............................................. Date THE COMMONWEALTH OF'MASSACHUSETTS BOARD OF HEALTH ' 7-7-">>.v 0F...... .....-s`.�..b.. ems............................ . pplirat on jor Disposal Works Toustrurtiott-� �0utit ' Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . _ c c- -S-`. wZ �.-v I .....:C .�-`w....: _..�..�...--.e- -------------•----•----......- -• --....�' - - - ................................ Location-Address 1 or Lot No. ..... ✓�ter :_....: -,•• -�M �• .�....... . ........... ............•--....� ' ::�'�-- ..... --............. .........._:...... W ..._.. _� Address COwnez•�-- j ^r f t G �¢ ✓T .......�..'.`.� ..... ... 1��` F! ` Installer Address Type of Building Size Lot: .........................Sq. feet .-� Dwelling—No. of Bedrooms........L4-------------------------------Expansion Attic ( ) :I'- -Garbage Grinder aOther—Type of Building ........................... No. of persons............................ Showers ( ) Cafeteria ( ) d Other fixtures -----.--•-- •--•-----•----••.................•--•---•---•--•----•---••..... ` `• ................................................... Design Flow..........5' ...<................gallons per person per day. Total daily flow?.fi..... t.VA..-�Q-.-_-------.-----:.gallons. Septic Tank—Liquid capacity............gallons Length................ Width.........:...... Diameter..._._......_.:Depth................ W 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.........!....... .._.__. 44 Test Pit No. 2................minutes per-inch . Depth of Test Pit................... Depth to ground water............_....: - # O Description of Soil................. _ - .• txj --••-------••----••••--•----•----•---•-•------•......---•---•-•..................... ......_.....•----........._.......---•--- ...................................................... •----- .----•-----------------------••---------•-••-----•-r .......... U Nature of Repairs or Alterations—Answer when applicable............ __.:.�. t` _._. ...! '..._.`r" ... rc `� -.r--�•'h � I �' ................. -�--c'��' J -i Sf�7�.5�:....10 Q�4? -----•----•-----••....- ` A-L r Agreement: The.undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provi sions of L until a Certificate of Compliance has been,issued LL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in oeration P ,`uy the board of health. `ed b h iss ,- Signed..:...--..r= --••-� �., --=�� ......... .� /.... ---•----••----ate Application Approved By---• •. . ......-•--• =- Q.:..... ... ...........................• .. .- 4 Date Application Disapproved for the following reasons:............•..-•---......_.._.__..__.__..._.•......__.._._....__..__..._....-----......._.._..I........._....... ---•---^..-•---...............--•................•----......---••-----•-........................... •---......... Date PermitNo.......................................................... Issued..--------...-•---.. •----....-----........----•-... i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.......:.......... ................................................... Trrtffiratr of Tomphaurr THIS IS TO CERTIFY, That the Ind,vidualt-Sewage Disposal System constructed ( ) orRepaired. ( k j I V- , by_.. ... f :5 ................................................................. .................................................................................................. in till at...... ...... ............................................................. ............................................................................................... has bten installed in accordance with the provisions of T of to Sanitary Code asdescribed 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..........`!... ...........)...............I. Inspector.............?01:................................................................ ————————---——————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF...................................................................................... .......................................... N ........................ FEE... .......... grji,�p 'IT notrudion Prrmit Permissionis hereby granted................................................................................................................ ............................ t� Constrtg �K) or r 4 a r�gyidu I Semage Disposal System atNo............................ C — ......................................................................................................................................................... j Street Lf� as shown on the application for Disposal Works Construction Permit No..a.i!5..7........... Dated , ............. ....................................................................................................... Board of Health DATE..._.......1Q. .............. ... .........------ ;5, L C'AT10,N SEWAGE PERMIT N0. - ViLIAGE qD- 4e.i :r f INSTA LLER'S 'NAME A, ADDRESS ,N Y-\"es d U 1 L ®E R OR OWNER -j-e/r► fir_ Ge r ILe DATE PERMIT ISSUED'. DATE . COMPLIANCE ISSUED 107Z,4��.�� - 1 s .sy ma's Cl2k° f� �- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .. ..._-- .OF..................................... .. ........................................ Appliratiun -for DiBpuiitt1 Worbi Tomtrnrtinn Vrrnift Application is hereby made for a Permit to Construct (►�) or Repair ( ) an Individual Sewage Disposal System at: columa. ......-�/'7 • ..1/--'----.. .�a.io_. ddi�...................................... .................................. 1. ...�f o.5.......................-•......---"---- Owner Add ess Installer Address 0 9 Q Type of Building Size Lot_--.. .._�____________----Sq. feet Dwelling—No. of Bedrooms----- --------------- --.-.-__--Expansion Attic (✓) Garbage Grinder ( ) PL4 Other—Type of Building 4AFA_________________ No. of persons--------- -__---.._---_. Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. W Design Flow------- .................................gallons per person per day. Total daily flow-------t� (.7__ ____^___-__-.-.--.---gallons. � Septic Tank—Liquid capacity/DOA_ h ....gallons Length________________ Widt ................ Diameter_-.-- _.-._--_ Depth...------------- xDisposal Trench—No. ..._. .'t...... WiSJth-------------------- Total Length................._. Total leaching area--------------------sq. ft. Seepage Pit No../ 0- lsiamerer-/�-'✓----__,_-___----- Depth below inlet____________________ Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........................................................................ Date..AOV_-°O 197 V Test Pit No. I................minutes per inch Depth of Test Pit...h2.._.._.._.. Depth to ground water...--------------------- f 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_.---------_---_-:_..-. O Description of Soil------ V ----------------------------------------------------•- W - - ;--- ---- Csr he�� ts�rt-5 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-of health. SlgnCd__f`- .... .......G- ........ ------------ Date ApplicationApproved By i__1------------------------------------------------------------------------- Datc Application Disapproved for following reasons:----•-------------•-•------._.......-•--•---•--•-----------•--•-•-•---........•• ............................... ................"---'------------'----------------------------•-------------'----------''--•---'-----"'...-----••------'-'-------....................-•--------------•-----...---------'--........---'- Date PermitNo.------f C)....................................... Issued...................--- ................................ Date No..O=...q6& Fiza.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ... . . .---------------OF...................................-... . ...__...__..- Appliratinn for Bifivuiittl Workfi Cnnni#rnrtinn Ppruid AWication is hereby made fora Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: s �Sr-- r ie,r� �- ............---41000r r........................................................... Locatio Add or o ........D Vl nR- -----------•------------------- r� s Owner Addess Installer Address Q Type of Building Size Lot----*?0)®9A....Sq. feet U Dwelling—No. of Bedrooms----- _______. _Expansion Attic Garbage Grinder ( ) YP g �•.•..-------•---- No. of persons----------------------- Showers ( ) Cafeteria ( ) Other—Type of Building - •� Other fixtures Q ---- ---.... :.. ---------------------------•--------------------- -- �. _d ________________________gallons per person per day. Total daily flow........ __-_____._.._ gallons. R; Septic Tank—Liquid capacity,/J*O__gallons Length................ Width................ Diameter---------------- Depth................ W' Disposal Trench—No....... Width Total.Len h__-_________.__-_--- Total leaching area_._.-._._____.______s ft. x; P t-•�--��. -- gt g� q- 3 Seepage Pit No...,`fk.Q.jvame er./7.......... Depth below inlet.................... Total leaching area-___._..-_______-:sq. it. Z Other Distribution box ( ) Dosing tank ( ) ,,��,// yj aPercolation Test Results Performed by.......................................................................... Date..// ._.0Q,�.jV7-/ a Test Pit No. 1................tninutes per inch Depth of "Pest.Pit.../sZ-__-___--_. Depth to:-round water........................ r,4 Test Pit No. 2................minutes per inch' Depth of Test Pit_._--___.._________- Depth to ground water--------------------- -------------------------- ._. ...t... nY ODescription'of S4tl-----:SAWTY........ r................................................................................................... z- /fir L j�-----•---------•-••--•-----------••----------------------------- ---•-------------------------- ---------- + c•". epair's°or Alte"nations—Answer when applicable----------------------------------------------------------------_--------------------- --------- U Nature of R ---•--•---------------------------•-----•---------•-•----------------------------------••----•---•--------------------••------------------------•-- ---------------------------------------------------- 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 t The undersigned further agrees not to place the system in operation until a Certificate,of Compliance has beets issued l y the boar of health. ,r F •',Mr a✓ }t;p'Sigia'e'd�� ar �1 ..................... Y Date •................... Application Approved BY-----;ze -'/-�-------------------------•----=----=-----------------------•------------------ -------------- Date Application Disapproved forfollowing reasons-------------------------------------------------------•-------------------- -----------------------------------------------------------------------------------------------------•----••--•----=------•------•-•-------•---•-----•-------•-•--------- ... •-----••----------••-•- �/ Date PermitNo......f b ------------- --•---................ Issued.-----................................................. Date `" `'THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ............OF....... /f¢ �!t r/9'.b. `..... ............................... Tntif irate of Touttiftaurr e. THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by /� 'GIL4 8`'�4 .. -------------- L ' �tCf. r Installer /cl at --�..-- --..5....'-_...... 1 C. 'ti.•TF/y.v. has been installed in accordance with the provisions,of Article ,XI of The State Sanitary Code as described in the application for Disposal Work9tConstructlon Permit ?vo,^_ '1 .................... dated._.___/r!_: /-.. .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THEE SYSTEM WILL FUNCTION SATISFACTORY.DATE-- THE � COMMONWEALTH, OF MASSACHUSETTS BOARD"bF- HEALTH I ,,�q -° !..... .........OF r—.1....... 9'.�>1c. ............................. �® No. lll(. ............ FEE...............:. Bixilratittl Workil �n� tr rti�aat rr�tit Permission > hereby granted ' 1 S :1J. ................................ to Construct (I or Repair ( ) an Individual Sewage Disposal System at No. '' :. U+ems-------• ....... street as shown on the application fdr'Disposal Worle5-Construction-Pe"r t No.....Vlo.D..__. Dated...__.` �' �_7l� ::' DATE.................................................................................. ....------ . -.-. Boa of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i a , • r yllrtf Ll r y 3 - -�..•-rw.waacuwr....CvsK vrF .a+ss;-nw•w,eu+rrv*? t_:, , - � ` 7S^,+.it65Y^'�.';tlwd;.Pr.'�g+at�,Y^�..'r4i:-e'd•274+ACN`CW.a{:OYF1Wi`r?3.'.�'i1L:A`&; a�+Ha•@,:.ary.:�n,MtnR..!�+ik'li'F$sriu:h� '. • r �r i � • a '� a ' A