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Home My WebLink About0070 LAKESIDE DRIVE EAST - Health Asa-tip �. .... FHz..$.5.....0.0........... THE COMMONWEALTH OF MASSACHUSETTS C) BOAeR® OF HEALTH Town....-.--..oF......Barnstable Appliratiou for Diopooa1 Works Towitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (g ) an Individual Sewage Disposal System at: .. 8...Qha ..aS. .s.l... RAx1 .S......A iat. L........... .................................................................................................. Location-Address or Lot No. .Eli C hcn.-•-•-- ...-- 84...Ro.QseYe . ...St..3 .Xedrlord-v...Man..... -- Owner Address A 8 B Cesspool Service 128: Bishops Terrae _ __ _-_ -__-__•_•_______________________ _ ._. H Massa Installer Address Q Type of Building Size Lot............................Sq. feet U g— .Expansion Attic ( ) ) Dwelling No. of Bedrooms................2..._...............--... Garbage Grinder ( Other—Type T e of Buildiii a yp g ............................ No. of persons....3..................... Showers ( ) — Cafeteria ( ) � a 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 ( ) 14 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.--_-.--.--.___-__------ (z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ----------------------------------------------------------------------------------------------------........................................................ ODescription of Soil------------Sand.................................................................................................-------------------•-------------------------- x W --------------------------------------------------------------•••----•- U Nature of Repairs or Alterations—Answer when applicable-._I..00-0--_-(.one...thous.and-)---gallon............ .�,re:Ica t.,..._a tone---.packed...leach...pit.------------------------------------------------------------------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT i.; 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 y the and f health. Signed ,�`.: ..... _11/347a......... Date ApplicationApproved By.................................................................................................. -------------- --------............... Date Application Disapproved for the following reasons:................................................................................................................ ----------••-••---•••---•....-•-•--------••••-•••-----••--•--•----•-•--••-••---••-••.......•----••-•••••....-•---•-•-••-••-•--------••--•-••----•--------••---•---•-•--•------------- Date PermitNo..7,?----- ........................................ Issued....................................................... Date ti, 1 $5.00 FEB............................. THE COMMONWEALTH,OF MASSACHUSETTS BOARD OF HEALTH Town..........OF...:.Barns table Appliratiian for Uhillo al Marks Tonfitrnrtinn ramit . Application is hereby made for a Permit to Construct ( ) or Repair (x )Ian Individual Sewage Disposal System",at .38...�e' ..liya nia.-•--- .t_----A-----•------ ...---•.................................. Location-Address or Lot No. 4...�a00evelt t.z. Kelfard.a ae_e...... Owner Address A 8e Cd epo4 a v3 ce ------------------------------ B ehop8,_ e� Installer i, Address PQ e of Building ....S feet d Type ding � !Size Lot:............... q. U Dwelling-No. of Bedrooms................2.........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons f11 yP g P 3..................... ShowersCafeteria ( ) w Other fixtures - ------..•-••••......•------------- W Design-Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------2...... Depth................ x Disposal Trench—No..................... Width.................... Total Length__................_. Total leaching area--__--_---;........sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet...........:........ Total leaching are a...:..............sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.................................................. I--•-••-•--.••• Date--------------------................... Test Pit No. I................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........................ P4 --•----- ....................................................................... ODescription of Soil.............• d----------------------------------•---•----.----•-••------------------------------ ........................................................ U ------------- •--------------------- ----------------------------------------•-•---------------- ; W •-••-------•--------------------•----------------------•---•---------------..._.....•-•••••........•----•---•--•------- ----------••---... ........................................................ UNature of Repairs or Alterations—Answer when applicable---1i 000----(GAB-.=, ho:usa 1d.)...gallon---_-----. pr.e•-caat•1....stone..,PaBke&...leach..p1t.................................. --•••-•••---•----------------------•---••-............•........•..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 y the ar of health. ~ illSigned•••-�''ff ......... Date ApplicationApproved By................•-•......-•-••-•-••••---••-•-•-•-•••-•--......................................... ........................................ . Date Application Disapproved for the following reasons: ...................................................... .......................•-•---•••.....•-•-•...-•••-•••--•-.........•••••••---•-•-•------...•--••-----.....--•--•-•----•••••••------••---------.......................................................... Date PermitNo._7t�...._..'------------------------------------------ issued.------- -- ...................................... ,,• . 'N Date . THE COMMONWEALTH!OF MASSACHUSETTS O BOARD OF HEALTH ......................TQvxx�.......oF........ arnatabl.e............................................ THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructedP ( ) or Repaired (X) by-.A..A...B-Zens .P.0.01...Serv. ce,:..J.2 ...,U sicps.---Te mu e.o...Hyannia;---- dasl Installer A'...3$A•-•Chase...a -.-s 79T Y'anu a= --. -EU.-C.ahen--------------------------------------------------------..----._...,------------------ has been installed in accordance with the provisions`of TIT r 5 of The State Sanitary Code as 'described in the application for Disposal Works Construction P'rrrlit No..� �y'...-_._.��,,� dated........................:.....:...:.:...:... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE.THAT THE t; SYSTEM WILL FUNCTIONS -ISFACTORY. DATE.................��.•. _::.. ..-•----- ....................... Inspector................................................................................... ;THE. COMMONWEALTH OF MASSACHUSETTS I BOARIJ OF HEALTH ............TOwii oF... ..............Barnstable.................................. N ............. i FEE _ ..QQ......... Dinpnlittl Wrkn f umitr ilan rrntit Permission is hereby grantedtA. `.B..'e.68.P,*1...,Service------ 2-8-Bi$hops---�.°d;}rruas,....Hyannis to Corim C7h' gr Rg? ♦(�H i i i vidua�l�Se�r D1 p$ ystemm at No 7�AA +� Street Works Co struction Per as shown on the application for Disposal �-- Permit `N .�1�.._�„�'_ Dated..__f�-_�.�..��.'............... Boar of Health ..DATE. . ... ....Id., -. •--•I .... .......... !._.._.. r FORM 255 HOBBS & WARREN, INC., PUBLISHERS T YWI`T CIE BARNSTABLC t MON / 0 �a�e ��e �� .5 �SEWAGE�� LA C C� T ,U °fir SIrSSOIt'S MA!'& STA�,.LER'S NHAIIE 13c.�'itQ1dE NO EF'I"`C TANS CAPAc ry �� `9 :.... PAc; rx: )9UJLDM oR hl3RNlITDA ;1�A'['1r; Sepivat�an�9��B�tvreee�:Lho MaxlamumAd}test dGtaaiadwrate`vTahlgb,tW00ttamofUid n Fkxility :� .... .�, el l�iv l l�t�r 5u �+ly V1s:91 yd LeW ag ftdj i,7f eny rrelfs cxtst A etcs ac4ith,nl7tf f�et,ui tensEitg facility) __ _.._ a� Fxl�ri�,cyf i>~let9attit�quad l c Glttn R; ly.{ uriy w tI d�exist: AM 1vitlai- 300 fe' t of:461 :taciao) T rcoevr , A- o a � 1 `f G)- 3 .�_ ao,6,1 b-d- 39 4,3^ 199 ' -3- V6f -5- 3q . G 36 � �3 1 LOCQTIOtQ 5EW6,C,E PERMIT MO. VILLI�G,E — — — — — — — — — IsJSTNLLER'5 .1J& E ADDRESS — — -- — — — 5UILDER 5 Q &MF— &,DDRE SS r DATE PERMIT 155UED DATE COMPLI &MCE ISSUED : --- � �� ., �.� ( , 1 �J � � � `� - � n. ,. V�i �,�6°" �� .� �� . \`� _� Alp No............ ....... Fss....�c ............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH "�11�✓11 ........O F........... Z2I I03 .............................. ApplirFatann for Uhipvii al Workii Tnnstrttrtaun Vautit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal ¢ System at: r' Location-Address or Lot No. Owner Address a ................. C24� 14 ... 'i' - F_ Installer Address UType of Building Size Lot____,45", ......Sq. feet Dwelling—No. of Bedrooms______________ ......................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) PLC - Other fixtures -----------•-----------------------------•-••- r� W Design Flow.................... �______._____..gallons per person per day. Total daily flow...........�?'Zd____.____._.___.____.gallons. WSeptic Tank—Liquid capacity,15.'do-_gallons Length_/44'_-A__ Width.... Diameter________________ Depth__..57'-_<t. x Disposal Trench—No_ ____________________ Width_.__................ Total Length.... __ _.___.__. Total leaching area................___.sq. ft. Seepage Pit No-_______-_:'a2___ __----• Diameter. 40. -_0... Depth below inlet... r ..... Total leaching area___ ..sq. ft. Z Other Distribution box (P-1, Dosing tank ( ) Percolation Test Results Performed by...... Ts�, 9 ..__ '!i'c4 ,€??" Date....&__.8m ............... ,-a Test Pit No. 1_L 2..___minutes per inch Depth of Test Pit.../9.......... Depth to ground water_"we'.......... Test Pit No. 2__A-.'.=...minutes per inch Depth of Test Pit---ZZ......... Depth to ground water.. a ------------�-- ........ .--- -�---------- ------------------ ---------•----____-__--------------•----___---__------•------_-_----- O �9E v sy- ,�.� Description of Soil..... .e� r� ..�:1.5E � .......wwz� •---------------------------•-----� ......Z._._�B �"1 a _..---.. __._ e___._ / ..--••--�--.-----------------_. U Nature of Repairs or Alterations—Answer when applicable.___--------------------------------------------------___________________(,f --------------------------------•--•-------•----------•--------------------------------•------------•-------•-------•--•----•-----•-••-•............................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 f health. Signed. .�% - _ • ------•-------------_- 01 Sig.— Date - Application Approved By_....-- ° Ae----•------------------------------------•--•---=•--- )........---•-----•• .... Date Application Disapproved for he following reasons:-••-------------------------------•---------------•--•-----------••----•---••-------••--•- -••----..........._ ...............................................••---------...•--•-------•...-•-------.......--------••-----•-•--...---•-----------.------------------------------------------------------------- �1 ..---ate .. ................................ '. PermitNo....................................................... Issued- A..-_ -__- - --D�•-•----..:----- ----... , i No. - 0 ..::' � ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 6/,tl .......OF...........w /�/��'? •........................... w =` App yatiun for Disposal Works Tonstrurtiun Errant Ap #&iion is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal PP.�.� Y � ( ) P ( ) g P System at .......:. _ ................ yr ....... .�.._.. E.�sl s L r:��r-sue.. Location-Address or Lot No. .... /�ZQ .....1�1r1 ... sQr'............ ........ ? fC.:..��f,Y..., Q.S . . Owner Address a ................. ........... ................. ...-.l41e.; Installer Address Type of Building Size Lot....-�-,jz-"Zn.....Sq. feet U Dwelling—No. of Bedrooms.__...••...... _.__.Expansion Attic ( ) Garbage•Grinder ( ) Other—Type T e of Building __...__..... No. of persons............................ Showers — Cafeteria a YP g ---------------= P ( ) ( ) Q' Other fixtures ---------------------------------------••-••..•... W Design Flow.................... S...•....•.....gallons per person per day. Total daily flow.............5-: c_....................gallons. WSeptic Tank—Liquid capacity,--c.gallons Length./G._--.i�.. Width...s.`d__ Diameter---------------- Depth..... —.D. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No____________ _____ Diameter...,0_-.4'__. Depth below inlet.__`ram:-0—..... Total leaching area...ZZ.6-,_..sq. ft. Z Other Distribution box (k_� Dosing tank ( ) aPercolation Test Results Performed by........ . ��1/.... SS!G��A,�!..F? " Date___.11=. :_?------•----.-•-- Test Pit No. 1_<_.Z____minutes per inch Depth of Test Pit.../�."...... Depth to ground water..Z.e:.4e ........... Test Pit No. 2..-_'. .2,___minutes per inch Depth of Test Pit... ....... Depth to ground water.: -------------- ---- -- '--------------------.----------------•-----•-•--•--•-----•-----------••------............--•------•------••••------•----------•---- O Description of Soil-----PT.�I.......��:. -= .G� /T - .1 / :_�,Z N_.�. t�_h%'�4'•�' a1�?11 -•------------------------------ V --•----•-------•---•------ r2'.2_--_c.=f'../�,�L�l --� ' 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 TITI j 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. Signed.---•---'��r��:►.�-•..: _..��r.`. ..-.......................... Date ApplicationApproved BY---- ---.--°••�`.........................•------------.......-----••---•----•--...•........-- ........................................` Date Application Disapproved for he following reasons:.............................................................................................--a••.............. -•--.....-----•..............•---•---------------------------....---••----•--•-----------......--------:..---•-•--........--•--._....----------:....----------------------------------------•-•••-••••--- // Date Permit No.......................................................... Issued_... .'° L--^ .' •------------------- Date .re,.A4 a yF�'sh'Rgxa, , COMMONWEALTH OF MASSACHUSETTS 4 BOARD OF HEALTH ........OF.........:3•,�.,4 .X.,7n l d�.g�................................... Trrtifiratr of Toutplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (4,.)''or Repaired ( ) by----------------------- � Gr r........;"? ...................-aa._.�. ? '�R:!.4.c.d.......I rc�s.5:7.....fir......---•--•---...-tea!--=- Installer at............ ........ ................................................................................................................... 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......................................... dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM! WILL FUNCTION SATISFACTORY. DATE..................................7... ..--•--•-•-••-••---•---•••----•...... Inspector............................ ............................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,t .......... r /5 .pv.7�i 3 ...........44,-e OF.........�lll/U.Sly� �t ................................... No..... ......... � FEE........................ Disposal Works 0-punstrurtiun ar' A t Permission is hereby granted........................................................................•--•••-•----•--••--•••••••••••-•-•••--••-•--........•••.............. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo...............................................................................--•--•--•---••-'••--••-......--•---••--•••••-•-•--•-•-•---...•••-•-••-•--•---••-•••-•-----••-•••••............. Street as shown on the application for Disposal Works Construction Permit No..��_.___._._ Dated.....��/� /,/'» 77 k. t. ............... v G a A�oarHealth Y ` ----------------------- DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS .f , �;a` x K M.• t2+;t } ^4+lets iS��, +js 4 -sue• .KY ti++ s i 4 r 1 /� � I ��N+S H G�IPA a�• _�6 F'��v k5#j , A%,,f OvER TA NK : q ;, Oven ^7, s 44x Tor' a or Ird4mv. ,�1./✓.s 47x o • 1�i',C�7/ley►,.1�1'�`�9�v.��/!J(`N�.�$��' - w D wQ L.G. 1 N G --- � _-- _�'�'G"-- � �� .M�e4•�l�s7s _ --- _GLK,�cF/L L � �' 3:P�.!s�o.r 6 4�X�0 C.lctA R 0 0 f61f✓ + �..�91C 7$ !.�"00 �r41• '` � � � � ` � e p � o � � � -'_•�4� to f%� � Ilk - " R��N 'D CAMG• D I S TT C3 4 x �I / � ! o o � o o • irc'� � c4usti�o s�-a.vE i o o C O q 1 /MeT ro sc,*t 6 • ,co r t 2 S . o --- �/4.9� ----- 4 21 GRE' lGE GRlNZ7�+Q T is 7o ai d�v To rA� oAfL y FLoa/- 33 a ti LERGNiA/G A,eeW R&C D o T'rDc<<,.•,v�.L A•,Qc"A= �6►�j,�7�'2-5 = Y7a�.oG .� ; 6L � N+ - IF3oTToN 76 FF=48�co A ALE✓- 6ASf`D al/ uS C f G.B. D.o"r wAf 7o7,4G = C46 GAG• ° c _ls-o'J' u7 ------ j Ny>. 5-J.W. +4?X6 GP CuATE.2 EL E ke. S Z s-4 y \ ,Soo as� f At 7w L 1 - STANK •�� .' 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