The URL can be used to link to this page

Home My WebLink About0015 SETH PARKER ROAD - Health SMEAD No.2-153LY UPC 12934 smedt3_Com a Made In USA 4 'fir SUSTAINABLE FORESTRY INITIATIVE Cardflod River Sourcing YaaurdpcOpratanrp VR g TOWN OF BARNSTABLE LOCATION.107— � 90 rf-aj '-2i e& SEWAGE # VILLAGE Cebprf-ttV i ASSESSOR'S MAP & LOTA 06 ` 03 INSTALLER'S NAME & PHONE NO SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS-_73 PRIVATE WELL OR PUBLIC WATER, BUILDER OR OWNER 144AA) S'A�/1 DATE PERMIT ISSUED: 9 " DATE COMPLIANCE ISSUED: — 1 VARIANCE GRANTED: Yes No L vT 5eI7-4 VWk-eK AcK r (_7 No...p('1 . _C A-1 THE COMMONWEALTH OF MASSACHUSETTS BOA R® �HE.ALT...._... �f't^!rL�------.OF........ --• .............................. Appliration for Uhipvii 4 Workii C umarnrtinn ramit Application is her/eb�y made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal system ----- . .... . . ---- . ............ .......... ... ............................................... ... ..._...--- ... ��r?..... L tion-Address or 9 Address a •------ -- --- -------- --------Z ner --------------------------------------- ........... ------..-.--.-------------------------- •----------. Installer Address d Type of Building Size Lot.Zr. _..Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic (� Garbage Grinder (I D p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a'' Other ms . . -•--------------------....------------------------------------------------- Design Flow.......................`�...............gallons per person per day. Total daily flow....................'r�J.... ,z).........gallons. WSeptic Tank—Liquid*capacity/L 06a allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area..__............_._.sq. ft. Seepage Pit No...&-CS_ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing t nk ) Percolation Test Results Performed by.'... .......... .....:..---------I.........._.................. Date.... .............. a Test Pit No. 1_.�i.�'.minutes per inch De th of est Pit._.._, .._...._ Depth to ground water.... .__:...._. P P P Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •---•----------------------------------.................................-................................................................................... 0 Description of Soil.................................................................................................................................------............................... W U --- ••--•--------------------------- ---------- .._...------------------------- ------------------ •------------------------------------------------------------------------- --------- ••--------•----- -------------- --- - - - ...................................................................................................................................................................-........ U Nature of Repairs or Alterations—Answer when applicable........................................................................................0....._. 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 omp ' nce has bee sued by t b Ord of health. / f vSigned .... ...................•--•-•-------------------•-------•- -------- Application Approved BY Date Application Disapproved for the following reaso :•••----------••-•-•••---••-•--••----•------•----•------•-•-----............................................... ................................... ..••--•--••••-••--................._.......... ...--------•••--•-•----•-••-----•--•---......•••........................--- -----....•---- Date PermitNo......................................................... Issued_..........•............................................ Date 1 . j No..-3L. �...�.......... � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---------- .. =--<'7A OF............ ........... . ppliration for Disvnsal Works Tonstrnrtiun ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: f ` y' Location Address/ to,, or Lot,No = .................................. --•--••-• f-}--------- -....................._ --•--•--•--^------------.........-----.. -Owner Address W .. , r / ty 4 Installer Address Type of Building Size Lot.f. .':'"...Sq. feet I—I Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder (,'•).`7 aOther —Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .---••--•-••-•--•-------•---------•------•-•----------•--•---•---•---•------------------------------••----•--•-•. •---•-•--•---•-----•...........---- W Design Flow........................ per person per day. Total daily flow_._................=:.__" r~+_..._.____gallons. WSeptic Tank—Liquid capacity........r: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!.._.__ d? ... a r Test Pit No. 1.. .—.minutes per inch Depth of est Pit-----12-___.... Depth to ground water.......... ...::..... fsI Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' .--••--------•------•-••-•--•--••---••--------•---------------------------------------------•--•-••.......................................................... 0 Description of Soil........................................................................................................................................................................ x V .--------------------------------•---••----•--....•-••-----•---•--------.......-----•----•--••••--••••-•••--•--•-•-•---•--•--•------------------•----•---•--•----•--•--••••----------......-------------- W -------------------------------------------------------------------------------------------------------------------------------------------•--------•-•-•-•-•--•-----------•-----•-•-----------•--•.... U 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 T IT LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compl' nce has been/issued by the board of health. I tApplication Approved By..- ._Ih1. ------- ---•---•--•-..----•- .---•--•-- • Date Application Disapproved for the following reaso :------••-••----•------••----•------•--•---•-•-•-•••---------•--•-•-----•----•-•---••------. -•••----.....•----- .......••------------•--------•-•------•----•-------------------••----••••------......---..._......--------------•-------------•----•-----...------•-•---------•-••••••-------•-----•--•--•---•••------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS R .. BOARD OF HEALTH _-T_13Xq.(U.............OF.........P`.'. ........... Tatifiratr of Tomplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by.................. • • b -1. •----- ..................................................................................... _ _ Installer at..... .........S.E:Z ----••----F �----------- r------------------•----------------------- 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...................--••--- -•----.JY......................... Inspector-------------------- -- Z............................................. F7(D r ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 �+ No..ks 1]._�.� �.� t"4 •��l•.l.. ....I.......OF............1*= 1'� ..�..J�:............... 1 �.....FEE._... ... .. Permission is hereby granted.........�Oixf ........... . ------------•---•--------------------------•- ..... to Construct ) or Repair ( ) an Individual Sew �eDis osal Systemat No.---•-.j.S�:..._......��... �� A- ��- . -----P__I�---.--------•---------------`-- .. ............................ �1 Street // 1 h as shown on the application for Disposal Works Construction Per 't No.._6... IDated.__.. �_Z:_t.. �............. { Boar of .Health d BATE........ '• ...��S.t`'': ' 1 7 tyt........... FORM 1255 A. M. SULKIN, INC., BOSTON i E 51 Nfx E 1•AN()D(- 3'f3�p M5 i �,1.ID �AR3l�.br� �►ti-1T7�I� � , S EP'nIk 1 )G I . L15E 1 0aZa 6CA.cLo►a S�FR�lv,►aK c�G r`. ; 71s�os��rr USE; )ate C-z .�.ou ►�rr �� - ^_1' W t14 1' e.R.t1544c"p' '6TOI,i1~ i 1 r t CaQ�err(=sps>r t.o _ 5o C�P[t 7 All/ -T.O F- -ML-: p6tec�1 V,FSCix mj I Ex S'71 p c-rA t., "Dh1 t_`( �►..o mac! 13 0 %1 -7 . RICHARb t. .� ✓ z. Pl Rf'� A. BAXTEA,CT TE-57' HOLE CAI 4- 7- 7 1=rzt SG.p :;a ToFof FU7 r 1, 57 ro sour �! cL laaa ox Gti!_ MAD �hL 54-5wv INS( S�r�c b A Pirr IUJ54.11NV54-,4 �faS1K C ERTIFI E.D PLZD 'PI-AN BRA- EL Lc)CAT izDN: i LL rPLAx RF- F r.-Rr>AcI- tz:a 44 . r aPo E v H rrvu t�1 -E&15 I :RE 1 R-R -ice+Z1= kpt—YS W(TF{ 7I-4I= 5 M�l^ �NT1 5-F- 1,,k,-K "REGkh�E t�41✓NT'S � " t E �g i T �lti t,L h� rc7Wr.1 F '. $�T1.l�1ST� 1. A►41D 15 rA:0T 1---�IC-aNT A1...'�I� LaCAZ'V--=P W1T14)1.! -rH,F- i-rW F�tAt>.�.. THis R-,kti 15 NC 1 -'bA5Ep nNAM IN57RuMENI 5uK Ti NC 0FF5ETS 5HO N.5H4)Ll�D 1-!oT �'��--I✓'fs 9 E� c l! r3 E US E T a ESTI��3 L15 N I_z�T L 11�t E 5. I t� '0 15,