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0026 MASTHEAD LANE - Health
26 MASTHEAD LANE Centerville A = 1930• i ".. .�� wwtrr■ rr�rr�� rwwwwwwww�l �r �lwwwwt. lob■■■■■■■■■■■■■■■■�■��■■■■■■■■■■■■■■■■■■�■■■■■1 1■ ■■■■■■■■■■ ■ ■■■■■■■■��■� ■■■■�■■■■�■�■■■��■ 1 ■■■■■■■■ ■■■■ ■■■ ■■■■■�■■■■�■�■�■■■■■�■■��■ NO INN No 00m- ommommoommom ME 1■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■� 1■■■■ ■■ ■■■■■■■■■■■�■■■��■■■■■■■■�■■�■�■■�■■ �� ONEEMENME MEN mmmmm INEEME moons Immoss son \■■■■■■■■■■■■■■■■■■■■■■■■■■■■sue No. 00 fit" o e 3 Fee `4 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplitation for bisposal *pstrm Construction permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System ®Individual Components Location Address or Lot No. 'hP �Ol/1S'�i-I "&X--' Owner's Name,Address,and Tel.No. ✓<<.G£ V(tAGc(ric A &-j4c.(/_5vN Assessor's Map/Parcel ® PAS—tNG) 4-A#J-6 (L tL # Installer's Name,Address,and fel.No. :Yo2-147T--g�ry7 Designer's Name,Address,and Tel.No. CAD Glt�.d f)C ��P�sim_ �IA Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Q3E&t 0 T(At No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided / gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1341:3--67 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f H Si Date Application Approved by Date /it ZO(6 Application Disapproved by Date for the following reasons Permit No. zv(6 O �� Date Issued ®t,117-01 b No. (V' Fee ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliLation for Vsposal 6pstem (Construction Permit Application for a Permit to Construct( ) Repair(* Upgrade( ) Abandon( ) ❑Complete System )d Individual Components Location Address or Lot No. a(p 164AS; C94D L.II&)r--' Owner's Name,Address,and Tel.No. 09. C`✓t c,c.E v MAS rN ('b AOS c ewyc y(L.L Assessor's Map/Parcel Installer's Name,Address,and tel.No. S o8-477 r$SS77 Designer's Name,Address,and Tel.No. I <2AP GW 106 �� AAA" NIA r Type of Building: i Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building _��_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Ni- gpd Design flow provided 4 gpd Plan Date Number of sheets Revision Date Title ip Size of Septic Tank Type of S.A.S. Description of Soil i Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: j The undersigned agrees to ensure the construction - P and maintenance of the afore described on site w gn �' sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f H 1 Signod Date t I 'e�000 Application Approved by Date tt ZO(b Application Disapproved by Date for the following reasons Permit No.'z016 — Z'i'S '3 Date Issued_ V Il/'TA I& --------------------------------------------------------------------------------------------------------------------------------------- �/ l THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by aAP6 GJ f f)* &J(ZxFd s-fEr L e c at W IMASI OED4b 4 J,I C 1SPLLIS has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NoeM m ZD 3 dated PY I fJ-60/b InstallerCAPEWIZjr= 5 Ekrr OIU & L(3on Designer MIA #bedrooms A)A Approved design flow gpd The issuance of this peymit s all not be construed as a guarantee that the system 7r# as design Date �(� Inspector ----------7--------------------=--------------------------------------------------------------------------------------------------------- 00 No. Z V3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MIBposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at A(. �� /��ey�]) L,,�/V� Caj7ZEh,,1!/4,(, G and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Cgtistrpction must be completed within three years of the date of this permi Date ( Approved by AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION, 2J2 211 T,4,1 . �p, SEWAGE 9 - 1 O S C 'VILLAGE (,QjJj,zo � ._ ASSESSOR'S MAP & LOT lq3--66� INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITYC� { A LEACHING FACILITY:(") L, i I NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER"" BUILDER OR OWNER ��74NL'�;y�. DATE PERMIT ISSUED: /6117/,6 DATE COMPLIANCE ISSUED �d l VARIANCE GRANTED: Yes —No—, { vs _� _. _- -.—...._...._. \`l I v Ap i http://issgl2/intranet/propdata/prebuilt.aspx?mappar=193068&seq=1 8/18/2016 LO=CAT10 SEWAGE PERMIT NO. VILLAGE ' IN TA LLER'S &AME & ADDRESS B U I'L DE R OR OWNER DATEf PERMIT ISSUED DATE COMPLIANCE ISSUED �� �� a � `�-7 y�� � �� � ZESSORS MAp NO: OARCEL NO.: FEic THEA EF rs OA RDOF H EAT u � Jl k "'A 6�a1(�� 4-A ------..�fl�Co ................OF...:/3 l Appliration for Bi-4pnaal Works Tonotrnrtiun Vamit Av A Application is hereby made for a Permit to Construct ( ) or Repair (//5'�an Individual Sewage Disposal System at: ----------- Tr-�Q!> `' ` ------------------------•----.•.... ...---------- Locatio Address ................................or Lot No. .__ ------- Address W � f� ...............................�A,O er Installer Address UType of Building Size Lot............................Sq. feet Dwelling o. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) W Other—Type of Building ............................ 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. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................-- Date.------------------------------......... Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-_________----_.___-_-. f-T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ................. O Description of Soil............ . ..a.............................................................. U ..............................................•----••----------•-•---••-•-----------•..............•-....-•-------------•----•----------•---••-••------•-----•--••-•-----•---•----•----------------••--- W x ----- ---------------- •---•---------••-----••----------••------•---•-----•....---•-•....--•----•------------- V Nature of Repairs.or Alterations—Answer when applicable...... = �4�_._..< ___.--•-•-.--•---•--_----__--•---•-------------------- --------------------------------•-------------...-----------------------------------------•--•---------------------------------------------------------------------------.............................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiTLi: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued y t e boar of health ..................... ............ Application Approved BY � ._........•• ----•---•---•--- •••..4� ? Application Disapproved for the following reasons:-----------------•----------------------------•---------------•----------------------------.Date ---- -----------•-----•--•-----------•-•----------•---....----.....---••--•-•--.....-----...---------------------------•-----................................................. Date PermitNo......................................................... Issued....................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH uEntifirate of T antliliattre TH��SO C IFY, T `t the Individual Sewage Disposal System constructed ( ) or Repaired (� by......... _._..'-f�2t.' - ----- --- - -- at.---.. - -- ------------� -•-----•----•--------------------------------- ' has.been. installed in accordance with the provisions of T I T IE j of The State Sanitary Code a scribed in the application for Disposal Works Construction Permit o::L �____w _ ___ dated___..__(_ V . THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FU/NC IQ SATISFACTORY. DATE.....................r... . ................................. Ins ................................................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �?C1, .............OF..... ��, , ', amit Permission is hereby granted ..-•-----------•-------•---•---------------•----------........._............... to Construe ( �.OAr epair.( an I ividu 1 Sewage Disp S stem at \o ------------------------ Street as shown on the application for Disposal Works Construction Pe t_N - o`..(�_.A.,z Dated---------- ---••-•--- DATE............... }- ©..,_- M Board of Health B - FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 1 N,ifcr� �, THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........ .......OF....f7P . ?}'� Appliration for DhiposFal Works Tnnitarnrtann runfit Application is hereby made for a Permit to Construct ( ) or Repair (6lj'an Individual Sewage Disposal System at ... .1.. ,t �1 ............ -- ....................................... ------------------------------------------• " Locatiop..Addrs or Lot No. --� ,... - ........-1 es •--------- h1J .................... ...............•------------•-----------....--------------....-------...•-•.....••-------------_.. / � O ner Address Installer Address PQ UType of Building Size Lot............................Sq. feet ,., Dwelling . No, of Bedrooms................................._..........Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 0, Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—INo_ ____________________ 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........................................ a 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.............. ;�_ ________________ x UW ----------------------- ------------------------------------------------------------------------------------------------------_- = . Nature of Repairs or Alterations—Answer when applicable._...- _-, � �''-_-___._ ........................................................ ............--......................................................................................................................................................................................... Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of i T ��.: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issue by e boar of healt _ y � m Sig � ________ . Application Approved By______________<` _ _ �� �! �� Date Application Disapproved for the following reasons:------••-------•...................••----•--•-----------------•----------------------------.._..-------•-•--••-- ..................................................=....................................................................................................................................................... Date PermitNo......................................................... Issued.....----.......--- ...--- ....................................................... Date TOWN OF BARNSTABLE \` LOCATION �jQ� l �� SEWAGE # I Q VILLAGE EQz,,/� ASSESSOR'S MAP & LOT 'l7=13 INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY Z7, fi LEACHING FACILITY:( pe) (G, l?/ (size) ,J J! NO. OF BEDROOMS '�rI PRIVATE WELL OR PUBLIC WATER�� BUILDER OR OWNER DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� r 5 1 09` 10 \ .I 9 17 THE COMMONWEALTH OF MASSACHUSETTS Application is hereby'made for a Permit to Construct e__I_,O�r Repair an lndivi�dpal Sewage Disposal lnst�'ffler' Address ------------- Seepage Pit No----- -----------_i"V"bM1101n' ..Total leaching area_-------------...s(l. ft. Z Other Distribution box Dosing tank ( ) - ' /- -�--'77 0 Description of Soil ;411,kblecl :77--------------------------------------------- --``--``-`----------```---`----'-------'------------------------------ ______________________ _ _ :AL___ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA No........ ........... FEic............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` .....................................................................--- AVV1irFa#ion -for Biiwosal Works Towi#rur#ion Prrutit Application is hereby'made for a Permit to Construct ('') or Repair ( } an Individual Sewage Disposal System at: t/ i Location.Address or Lot No. ------------------------•----.................-----------....-------•-•••-•--••••••--•••---•••--.. ......................--......•••••.......................•...........•....:•...................... Owner Address , � .! '• 7 Installer Address UType of Building Size Lot..��(__-__0_J._....Sq. feet Dwelling—No. of Bedrooms.......... .............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons______-_--_-_-___-_-_--_- Showers ( ) — Cafeteria ( ) a' Other fixtures ----` W Design Flow__________________` ©.._...._.....___.gallons per pet-son per day. Total daily flow-----------------------------__...._......gallons. Septic Tank—Liquid capacity-,-- --_gallons Length................ Width_----.__..__.- Diameter---------------- Depth............ xDisposal Trench—No- ________________ __ Width..........._..___=-Total Length-._�____�......eTotal leaching area_.._=--�.:Z__.sq. ft. 3 Seepage Pit No.....!. `�__ Diameter`"""........._.-Depth below inlet____________________ Total leaching area-----.- ----------sq. it. z Other Distribution box ( ) Dosing tank ( ) /- r- 77 aPercolation Test Results Performed by.------____----------------------------------------------------------- Date--------- ------------------- ------._.. .a Test Pit No. 1----------------minutes per inch Depth of 'Pest Pit-.------------------ Depth to ground water..______-_-..-.__.-___. f=, Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water.................... M+-I ...'--..._..,i----------- ----------• ,-•-•-------•----------------rr------------r---•---------- Z-----••-::-- ------------------------------------- -- D Description of Soil & ` ...... — _ x _ I _ V 7 lS. `� f E`er'' " = ------------------------------------------------ x ------- ------- -/� - - I •. 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 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 health. .-- / Date Application Approved By--_------------ C.• � y ��� � - - � Date Application Disapproved for the following reasons_________________________________________________________________________ -----------_----- ------- •-•--- ------•-----•----•-------------•-------------•-----------------------•------•-•---------------------•-------•-----------•--•-----•--•--•-----------------------•-------•--------•--•------------------- Date PermitNo........................................................ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.........,:- ................::................................................... Ir wwr#if iratr of 0111m;i iaurr � THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed:(--)_ or Repaired ( ) by . •••-••••. •-•----_......---------•••-• •••••••--------- -----------•----•----------•--_-----• ------•. --------------------------------•••-•- • Installer ! Lac r�� has been installed in accordance with the provisions of cc e XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-f-_-_-_,__7---------------------- dated.-_-A.::_7-__27----_____--.._------_. THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �� ,? DATE........ j /�'.e.1 ......_;.---- /` 2.-! Inspector._ _ } THE COMMONWEALTH OF MASSACHUSETTS r' BOARD OF HEALTH_ / ....OF_. ..:.���1 - Jr/ ............-. - ... /.S No........................ FEE........................ Bi Vniial park �� #razr#i at rani# Permission,is hereby granted_____________ t'�•`-�"�- <�'__: - --------------------------- •---•------ ---.---- to Construct•(- ')or Repair ( ) an Individual Sewage Disposal System,, f !--- -------------•--•---•.-.----................... ........... .__..:__.-------------------------------------- ----- ------.-.---/------•---------... Street as shown on the application for Disposal Works Construction,!Ijermit/No)......:I----------- Dated.-_- __.---�_7 � Board off aJfh DATE............................. ----- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 ` IUp 1 ooca ant, t' K 1 p'r co 1 oL G a t, TAN1L 40 � r LO 'i' 4 N Fes, f t�1 1 1 0 OF c�f'4 HWHAFit .1 4 g } c] f3Ajii{F y - xr �} r1u . '•J#n pLC> a 30' bA i i; -214 ! GGtZTti- TI iA-r T14 i= P 00I%M ATIOW 51aaw►.1 PLAt,l Wr=QLb1-1 WiiN TI-+G 'SiDELii-IC-- �<NOTTI' SETR,1vC- C VC-Q 3i1ZCoVkE -Ire, Gi= TNc 3 G P. t 4-t rL L�I� L0T 41 B A ATE-� ;�, ""(ti 1•JG: LZC-- ; iL_izi-C,> /at.iD 45uZva (L)ZS rl-�is ut_AE_I lS 4. 07 »aS`o vim A-u ���'- s?v►Li_1_ :v�i�55. 1t�1�Cv`�,�li=tJr �,OZVi-f * TiiC-- cat=r=SCrS e,1Ar-.Jt:[> I APPLIC/--,"T t�Z' t3C-� u,>C-o ru DCTa;ZNk%*,t_ Lc;iT- LlWi=5 1 CAC,-. '�� ��:•� �C?