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Home My WebLink About0138 RICHARDSON ROAD - Health �3 r2Y TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ' j &OUZ ASSESSOR'S MAP & LOT cA/O /3�- INSTALLER'S NAME & PHONE NO. -SEPTIC TANK CAPACITY , oo LEACHING FACILITY:(type) //��iLr'�9'i`-' �) (size) 7 >e—, NO. OF BEDROOMS o� PRIVATE WELL OK UBLIC WATE n BUILDER OR OWNER i�� s/!��0/^ DATE PERMIT ISSUED: ^_T �L DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes _i hew a / ` 4 .. 1 o �' t76) i THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH �p�v Barnstable Conaonst�ic* gt DMrtmeatt TOWN OF BARNSTABLE ZZ. Appliratiun for Uiipuual Works Tonstrnrtiun Powd Data Application is hereby made for a Permit to Construct ( ) or Repair P,:�) an Individual Sewage Disposal Syste�j at: .....c ion-Ad s o Lot o. -...1. -------- ... CANT" Owne ............... A j ��v�. -7��' �/�9y-�Qt ..." --Addres�A i I ............. /� Installer ress Type of Building Size Lot..fV5.1j.� .......Sq. feet Dwelling—No. of Bedrooms.................. ...............Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ---- •-----------------------------------•------•----.--••••---•---••••••-•--•-----------•••-••••.......-•••--•-••-.................................. W Design Flow.................. ...............gallons per person per day. Total daily flow................ ..............gallons. WSeptic Tank—Liquid capacity,�W_r?..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No............1-..... Width.....7.......... 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........................ 1:14 Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................ P4 •-••--••...--•••••----------•••••-•-•-•-•-----•--•••••---•-••••.....-•-•----------------------------......................................................... 0 Description of Soil........................................................................................................................................................................ x V .........••-••-------••-•--•-•-•-....--•.....................••----•----•-•-----•-........._....•-•••-•...•--•-•---•-•-•---•••••••--••---••------•-•-••----•--••-••••---••-...._......--••---•-------•-•. W U Nature of pairs or Alterations—Answer when applicable._____._ ._�. J ............. .. ....14�JGID/ S...... 71", �?- -•••••.. ' ........a---.....��acc .... Cs,�cS.�. ....................... 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 Complian as en ' s d b he board of health. Signe . --- . . ev_271�� -------Application Approved By --- ............................. ...... .....-- Application Disapproved for the following rearons: ................ ...................... .. ............................................... ............. .. .. ............ ------------------------------------------------------------------- ------------------------------------ ------------------------ --------------------------............................------- Date PermitNo- - ------------------------------- ------------------------ Issued .... ---- ....----------......-- . -- ------------ -------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonsuvdion frfutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Sy"at: Location-Ad ess or Lot a d Aj �T_ ---------- 2.A�_ owner Address ----------------- Z---d� ------ Installer Address Type of Building Size Lot__24 Udv_____Sq. feet Dwelling—No. of Bedrooms__________________ _________________Expansion Attic Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons---------------------------- Showers Cafeteria ( ) Otherfixtures ------------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow----------------------- :5---------------gallons per person per day. Total daily flow------------- �2 _c)-------------gallons. Septic Tank—Liquid-capacity�//OOLLgaflons Length________________ Width________________ Diameter________________Depth________________ x Disposal Trench—No.-----------/------ Width-----7-----------Total Length-_/Za-L-`"'_Total leaching area-----------------sq. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet----.________-------Total leaching area------------------sq. z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by-------------------------------------------------------------------------- Date---------------------------------------- Test Pit No. 1________________minutes per inch Depth of Test Pit____________________ Depth to ground water________________________ (i Test Pit No. 2----------------minutes per inch Depth of Test Pit___.________________ Depth to ground water________________________ a --------------------------------------------------------------------------------------------------------------------------------------------——------ 0 Description of Soil---------------------------------------------------------------------------------------------------------------------------------------------------------------------- W --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Nature of �-ep P airs or Alterations Answer when applicable________----------- ------------a______-- --------7 ---- - -------- 7-D .5 >,-1.5 7;� S�M_ ----------------------------------------------- ------ ----------------—----- Agreement: I 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-,as been ss edVby-he board o?f health. _ - �-Z---77 - , Dare Application Approved By -------------------------------------------- 7------------- --- ---------------- ------------------ Application Disapproved for the following reasons: -------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ..........-------------------------------------------------------------------------------- ---------------------------------------- Date PermitNo- -------------------------------------------------------------------- Issued -------------------------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (gertifirak of 41omplianre THIS IS TO CERTIFY, That thp Individual Sewage Disposal System constructed or Repaired by----------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------ at ----------------------------------------------------- ------ ------------------- -------------j has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code a des r'bed in thec/z 72 ---------------- --------------f- m2--------------- application for Disposal Works Construction Permit No- ----------- 2_ 2 1-(3 -7 dated - --I L--------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE T AT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------------------Il-------- ----- ----A---------------------------------------- Inspector ------------3- ---------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No---9----2-----1L3 7 TOWN OF BARNSTABLE Fim--- Disposal Works Tonotrurtion Permit Permission is hereby granted----------------------�ZC'14��_rj 60 777 (L d/,J_S7__ -------- -------------------------------------- to Construct or Repair (man Individual Sewage Disposal System atNo-----------------------------Z-131 -------- ........ Street as shown on the application for Disposal Works Construction Permit No��_y _7__ Dated________ ------------------------ ------------------------ �9 2— Board of Health DATE------- _/------ . 7 is Z 36308 HOBBS&WARREN.INQ.PUBLISHERS