The URL can be used to link to this page

Home My WebLink About0111 SETH PARKER ROAD - Health SMEAD No. 2-153LY UPC 12934 amead.com • Made In USA �OOYCt 42sr FFOUAINAW RTESM INITIATIVE certified Rhar$ourft w wafiaroarymara ' ) /I TOWN OF BBARNSTABLE LOCATIONZC% LL 5, ' . 15�C SEWAGE # "7 VILLAGE ASSESSOR'S MAP & LOT%7o INSTALLER'S NAME & PHONE NO. ,/7',0✓V'Z(fV 4-1.3�'0 2-20 SEPTIC TANK CAPACITY l LEACHING FACILITYAtype) (size) -�— L NO. OF BEDROOMS PRIVATE WELL/ OR UBLIC WATER BUILDER OR OWNER 11Z,441 DATE:PERMIT ISSUED: DATE'. •COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No * j/. r Act< q oLP L� - o l W .. 3 No .. Fx$ ............... ! THE COMMONWEALTH OF MASSACHUSETTS � _ BOAR® F H T -------- V.. ..OF........................... .............................. Alip irFation for Bi-gVog al 30ork,i Tontitrurtivraa rumit Applica 'on is hereby in de for a Permit to Construct (,,,)—or Repair ( ) an Individual Sewage Disposal System at• 6 4'0* 4. ................._.._............. ........................ �.._. ocation- ddress 40 No. ... ......... ._... -- ................... ......................... » ... .. w - -- Address a .� .—.................••-•----- .................................... Installer - � Address Type of Building Size Lot---1. ta...Sq. feet Dwelling—No. of Bedrooms......... ..........................Expansion Attic ( A6 GaZge Grinder ( � Other—Type T e of Building � yp g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) OtherOxtures -----------•---------------------------•---------..-.-•--------•---------------------------------------------•-•--------- Desi n Flow....... "' .. .............gallons per person per da Total daily flow........- n................._gallons. W g �' -- g P P P Y• Y ��- WSeptic Tank—Liquid capacity allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. ................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No----C&14-,b Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 14 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........................ a -------------------------------------------------------- ._-•------------ ---------------------------- ------------------------ •---------------- •---------- ..... 0 Description of Soil----------------------------------------------------------------•-•--------------------------------------------•-----------------------------------------.......----... x 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 i T T Li: }of the State Sanitary Code— The undersigned f l:er agrees not to place the system in operation until a Certificate of Compliance has been ' su d by the d of 1 alth. Signed --•------------ ------ -• ---------•--•----•-----------•. vD_t G Application Approved By........ ----••-•-•-•••-- •-•----�......----.••---.. _` 0-------- • -•----•----------- Date Application Disapproved for the f ollowin easons:••-•---•••••---------------------------••----•------------•--•-------•----•-•--•---------••-----•-----.......-- ........----•---•....................................•••------•----------..---•----------•-••---•-•-•---•--••-----------------=•••----- ----------••-----------•---•---•-------•------•-••--••-••----- Date Permit No.........Y . l-�--3......---...-•------------ Issued....................................................... Date -`r vs: i Noj, .......L FE$.::�..................... THE COMMONWEALTH OF MASSACHUSETTS ...- BOARD OF FtE,.ALTH - � trpliratiott for Bispaaal Works Tonstrurtintt Prrmit Application is hereby Made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ate/ ,� f � "'.1f . .. E. 6 Location Address 2 Owxae Address ; �'�c� / ) r._r. c e a �?' J :; -`• .............................. .................. C ..f...... '�= ..................................... Installer Address Type of Building s Size Lot. .........�'_--_Sq. feet «4: �--1 Dwelling—No. of Bedrooms...... 4..............................Expansion Attic e-y Garbage Grinder ( ly O aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other tures -•---------• ..... Design Flow....... �~:""2. ._gallons per person per day. Total daily flow____..._ ....................gallons. W g ------ --------------- g P P P Y• Y �-- ------ WSeptic Tank—Liquid capaciti- q.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. . Width_------------- _ Total Length___..........._..... Total leaching area............._......sq. ft. Seepage Pit _ Diameter____________________ Depth below inlet.................... Total leaching area..................sq.'ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date......................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water----__.____-_-____..___. 1X4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •-------•---•---........-•-----------•----•----•-----.....-•--------------------•--•--.......__...-•......................................................... 0 Description of Soil........................................................................................................................................................................ x U •--•---•------------------------------•--•----------------------------------------------------------••------------------------------•---•-----•---------•--------------...-------•••----•--------------- W UNature of Repairs or Alterations—Answer when applicable................................................................................................ -----------------------------•----------•-•------.......•--•--..............•-------•-•------------•-••--...--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with t�+x�. the provisions of I TT }of the State Sanitary Code—The undersigned 1111 tl:er agrees not to place the system in operation until a Certificate of Compliance has beenjrn sued by the board of Uealth '.'a Signed - 1 -- Q_ Dates Application Approved By..... ~--•-......•---•- �'�' �' } . ............................... Date Application Disapproved for the f ollowin reasons:------•-------••---•---•--------•-----------------------------------------------------------------------------» --•-----_.....-•--•-•----......•--•..................•---...-•--`-......•----------•-•----••---------....I-----•-----------••----•---------------------------------------•---------•--------------------- �� Date PermitNo........ -----------•----••---•-------•-•--------•-- Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH .. .. ..... .......OF............(... ... ...4-A.._-.-......... Trrtif iratr of Toutpliattre THi S A., T I dividual Sewage Disposal System constructed ( ) or RepairedbY-------_------ . _ .:................................... Instal f; at110 �9 ....j.....00"t, .................................................................. has been installed in accordance with the provisions of "IT ' 5 of The Setae Sanitary C de as dlescr'bed in the application for Disposal Works Construction Permit No....... =_r [_�� dated--- -•_�.�._--��______________ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION 5ATIS14 TORY. -- DATE............................... ................................................ Inspector................. v........................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARQ^0F HEALTH 3_a... ....OF....._.... ................................................. FEE..._7- 40®�-•----•--• 11ispas tl rk T o ptr Uan rrmit r Permissio f hereby granted.......... .. -------• •--•---•-•- .............•--•---........--•--------------.......---.....-----•-- to Construct or Repair ( ) an Individual Sera a Disposal System at '-TO.-"-'-------'•-•----•------•"^• •------------- - --- -- -' ----- ---�► --�_._ -_....i--'�---�!.----------------------------------------------- -__-__------ S--eet C� as shown on the application for Disposal Forks Construction Per lit No.. .�. 3_� ]fat d...._ �l U d �' ....................{{ -�----------------------_ f Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS � SI Esf1 ��, km - r S1Nfz1.E ;1-AN(jl.�( 38>rpt5 Lla C��sw C-r�►u�t~ ----!.b5.cso - _ i � stt.�C F'i. c/s '_tta x3 4 33a6L?A GSj ' S EP'nGTi�s�C s ;33D x�saX: •q95�� ,�39 UsE I OCRZOI LLC>m s�Pi1t IataK 11 7�'sYosi.'Prc=�=:us tcaa Eza,.�,o t"��- u �lr4i•�'.GRt.1S,fIG'17 5To?�t� 46� --- `._..-. / IEJI" s l57 sTr• �, •. +. 1 C�IQIk.tT�(t7£3SR �•0 �o a-M1: "[7Mist6c&A 'FLows 4f 1 Et"i TOTAC �hiL?{ to•,c! 330 C�Pp �viT �t�.�.CA�LA.TtaI.1�T� 1`'9rtn9 U.t 2trtttl.aeLs55 IF \� d� �o' WCHARD t"2a0 3 it-its AU _ iz 15 �TO $mil NG cbvr=iz:. W 17 µ i N. o '-ZZ. .�� 5f. t' of 1=1►JISH �aR rFr T(� 500 -rq?a ( ! �/ cjy6 F Fug W,77 -Box �7l+lt_ h 1Nqv.� 47714v �uY4g,a . P R' tu�4z3 t3JV 4� TA utC p1.a-T pL,gt,1 s-iaur '. 2 P&Efit ' c'c EL o SULUVAN:'` 1-ocATtaT�l� � 1�T�- V11 1 t46 ' f P 1_AN. "R 1=F r.'R r=N LG B-Zo-86 I G E>`'i'tFY TEIpcT`T4E rt 'S Hzrul.! R E& SiERET? �kK_Q ��.iZ��}•l GA�Pt-�.S_;��T'k:l T�•4� 51T��.l-.lr 1� 'L�vt t_ �.1Ecttl�st5 \t�tT� 5l=�`T' K`Fib C1tE MINTS a'F t E �'� .�1�1 t��.t✓�^ t�lhX �v5/lt aF: uM IS Na.T 4W 1TF tiJ TH IS TLNU 15 N07 76 5 T) ONAN Sur�vC� AND THE OFFSETS 5HowN SNA�It,� "I 3(-$b u . 3 E uS ETA Ta ESC'l4 T '�L15N I..a-i� LIINf;S. `•6' y�'i- !d0.7QAQlnttltu,:.. AR!.• C-st1�J�TA �✓lm6tLF- 1-AM)V. - 3Brz.PrDz;,TRS ' fb5 4Z � ^DA i{..`� �f•.Dw : . 1 t a ,C 3 a 33D 6.'P7i � I � 5-9- 1 115E IODD C .�LOr.f S�pi1��aa�K izop 7)S I.'PoS� PfT^- US F.. )O� �XhL.1.U{.f; 4�CT" ?=?- —_` " p Aw—. e TAue. y / C 2.6 s EXisr U' AJLMil = -715,s F 1 ,1T Ct14/4CC1�e-18.3p e; 1.0 - 7D E616c/J t=t•o vcw= 4•i'1 Ez?-P -DA,)L`C F t.o-44 U O Er?D �1 �.I;.CALA.T'1a�1�/�TC 1`�v..QY IN 2Mt�•AQL6S5 t I � �! .: ��}- --_....,.ti.,�,�•'�k, , SET!-� �A��E?�, . ��7. l . 2 ' ZV? N�_.'t 1�.:.f1 i v��;; TM ST �- 4-4(,0: C('` c��'l,, F3lzl1� GO�l�TZ WI�NIN ADO }—.0 4n I' of r-ftils� U �r= �� -C•a�aF FNf7 5C,; c�l_1" N cx 4771NY 0 7- pnt Ec�A� p cr ) V V-3 )Hv g C ERTIFl ED pLaT ?L-AN EL ri- � k.ocATtaN: �->=�C uulvar4`• -. 1�1• 4„ rI7. 25733 ' " ,3s�.� >=. 't1= T2►\-rF- AU -) P t-A)q �Z >✓F>✓-x mac. 8-�- �. J . . ^3�.xT•� �• uYE• its c G �H a wt�l E&I s'�E1RE Q I f=KTIF`( "T't-�/�'�1-T4-�1- •tX1ST: 1=tf� �.�.�1 L �.tErlsl�sZS HF-1 EEC)" c-Z;'MPt—f5 W c-ClA 77-4F- 51=F-1-1N5: �1� t_�--�-- t-Ahss . ,C--WxJ Z:;,F . >~ A Uzi IS Q1o.T � ��a t�-r': ,��L �� `�Vf ll�\,L-l— L.aGA�� W1T }2!JI-HE 'F'Lz.)O�L.�-,)1,A TH15 R,kki 15 NOAT -13A5C.D ONAN INSTRuMF-NT Q SuK.VEY AND THE OF"FSE75 •5HoWN SH,�)UL-D TloT r &�,�' 5 E us E'[:� T'a EISTN{3 L15 H t_z-�'7 L)N E S. ri..`L.. to x 10 11)THt .— ,