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Home My WebLink About0517 OLD CRAIGVILLE ROAD - Health 1-4- O I 0 CX-e"5\11 llte'Rops-o S ICI E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR 0 FFORmRY" MIN.RECYCLED WIUMVE CONTEM 10% Certified FberSouminp POSTCONSUMER® wwwsfivroDrwurg SR 011°0 MADE W USA CET ORGANIZED AT SIIGMIZI I THE COMMONWEALTH OF MASSACHUSETTS 14 BOAR® OF HEALTH APPMMD TOWN OF BARNSTABLE btrwtwOC�31q �arn —.Z 7-9 -r Applira#ioo for Biiipooal Workii Too ernti# Application is hereby made for a Permit to Construct ( ) or Repair ( t.,f an Individual Sewage Disposal System at: , _.....c.°A�. �,lle...AW--------------------------- ........�6..s'z...__...Aj__ -................._ Lo tion-Address or Lot o. "------•------------------•------------------------- ---------------------------------------------._......._..-----------.--•------------------------ Owner Address a ..........C.)�----------------•-----...----------•-------•-------.....__.......--•-------•- C--'2--Tc'_-JJ.._�.1�aoto .... ..----... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..............#---------•__-_--_--..__-_-_Expansion Attic ( ) Garbage Grinder ( ) Other—Type e � YP of Building ---------------------------- No. of persons.---------------------...... Showers ( ) — Cafeteria ( ) A Other fixtures .. w Design Flow...........//0.......................gallons per person per day. Total daily flow............��0.....................gallons. WSeptic Tank—Liquid capacity_/Ova..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_-___-__:-------------.- (s, Test Pit No. 2----------------minutes per inch Depth of.Test Pit..................... Depth to ground water........................ a ---••--•••••----------------••----••-----•••-••--•-•••••--•••••--••--••-•-•---•....••--------•--•--.._..--•-•--•----•-------....-------...._.........-.--•••- ODescription of Soil...............................................................................----------------------------------...----...-----------...-•-••-.. ...........-_--••- x U ......----•--•.................•-....-•-.......•-•---•-•---•••._...•--•••-•--•------•••------•----•••••-•-••----••-•••••--•-••---••--•••-••-•-----•-•--•-•••--•--••.......-------•-•----....-----------•. w - ------------------------------- ... U Nature of Repairs or Alterations - when applicable_-__-JS�t��!`d _rr�? _._�,er��_.._F �cJ�ii .b ____._. 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 Compliance has been issued by t board of health. Signed ....... c �r� ............................ -----/ z� �. ------ Application Approved B " �G� �% � - ' /L -- ' ........ .......... --- Dace Application Disapproved for the following reasons' ................... "'------. ' -----'-- ----'----'.. ......................'---- -'----.. ----------'----'----...---' ...............'"-- '----- . .....--"--"-'--......`..- '-- --'--------'---"-................................... ...... a........................................ Dare Permit No. ------ ..r.07-�.... ...... �- -- ----------'-. Issued .......................-...-....................`.......... Dare TOWN OF BARNSTABLE LOCAT ON S-19 6L,1 C.QA1GVd-1— SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. F31Q��y ,) �]�1sSLii1c 121)51-- a4y// SEPTIC TANK CAPACITY /oob rsT LEACHING FACILITY:(type) PAE-c45- Flv jjx�(size) y 5-i-4-/2�,44r NO. OF BEDROOMS .3 PRIVATE WELL OR PUBLIC WATER vlolc BUILDER OR OWNER KEG L,oU _V DATE PERMIT ISSUED: 2.3 DATE COMPLIANCE ISSUED: 2- - /3 VARIANCE GRANTED: Yes Nol ��' �i �� i_ �� ,� a r" � s� �, ' � �� s�1,,� � �� , r v .- c,�4,�yvrl�, ASSESSOR'S MAP NO. PARCEL LO AT ION SEWAGE PERMIT NO. 0/4 CAAlGVlv,JeclI VILLAGE l' INSTALLER'S NAME i ADDRESS s U I L D E R OR OWNER DATE PERMIT ISSUED .7_;L DATE COMPLIANCE ISSUED 7_3 /-YC `�� \ � � I �--_. a t_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE � �_� 7 �7`' AVV iraftou for Disposal Murky TonstrurtioWilrrmit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: .... �'A.�4 uel( ..._�'� ........................... .........W T.__...�;�.�?ti��c��s��T."._........------........ - LoLaltion-Address or Lot .o. ....kKA)...... Ct.s t�, ........................................................................•---......_.... --------••. .............................................. owner Address Installer Address Type of Building Size Lot............................Sq. feet I—I Dwelling—No. of Bedrooms..............411-_----.---_.-._-___----_Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures .......................................................--------------------------------- -------------•-------------------•-------•------------------- W Design Flow...........IZO.......................gallons per person per day. Total daily flow............$"41p_.....................gallons. WSeptic Tank—Liquid capacity./ova..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. I................minutes per inch Depth of Test Pit-_______-_---•__.- Depth to ground water........................ fzt Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Q+' •-••----••••--------•--•••••-------•••••----•-•-....--•-••......-•--......--••......................•----......---•-•......• ............................... Description of Soil........................................................................................................................................................................ U Nature/of Repairs,,or Alterations-nswer when applicable.____.A41, J-__e."—.. -.r�----.F.1'd+ !-� -p.„'. z �21t CJ. �f�er� P ....------•---------••..................................................... 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 Compliance has been issued by the board of health. / Signed ....... c.c_ �-. .i.C -- .....� .zp?l-4 j..... Application Approved B :: ...< -- ....... ---------- ---------------------------- Date Application Disapproved for the following reasons: ................................ :. _------.........--_----....----.... -------------------------------------------- ------------ -------------------------- ----------- ---------------- ---------------------- --------------------------------- ------------------------------- -------- ------------------- ---------------------------------------- Permit No. ...-- ..-.�-- Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�Ex#ifi a e of C�umyliaxn.ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by .. ................. ............ ....: m A,"_)...... ' Installer _ ..------------------------------ ........................ at Sly D[�J v / <-- --------------------------....... ....A1 -.. .-........... 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. .......... dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE�CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE - ...' r-------------,"` --------------------- Inspector .-- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Q�w TOWN OF BARNSTABLE FE4/ �!-Sn. Disposal Varkii Tonstrndinn pamit Permission is hereby granted..........L='t1(1kA_,,4•.C_:Vt-,h a"4� to Construct ( ) or Repair (p/) an Individual Sewage Disposal stem at No...•-------------•- -•---------•-•--------•-----....51/� �'fW. r''Q�4/_�1�!s�� (`� ' fi�S�" w.� � ' ,�, 7 ,/ Street �._�._.tsl... - 4�f::. as shown on the application for Disposal Works Construction Permit N ,�r� !�� Dated-_�__✓1� �'-•�-.��.`�: DATE_ Board of Health FORM 36508 HOBBS&WARREN,INC..PUBLISHERS