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Home My WebLink About0035 WEQUAQUET AVENUE - Health 35 Wequaquet Avenue 251-123 Centerville No. 4210 1/3 ORA Pendaflex' 10% f NO ,[ Fxs 7� ,'dd........._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 3 TOWN OF BARNSTABLE 1"' Ir �Q Allp trathin for Diapasal Works Cnnnitrurtilan JIrrutit Application is hereby made for a Permit to Construct ( ) or Repair (-iy an Individual Sewage Disposal System at: d�� ----35-..._......u4�a�'...---� .---------------------------- ..........-------------------------.....--------------.....------------ ..... ?. AL.�ition r-e-ss �s.. . ozr No. D.._ -C ------------------------------------ w ddr.� ress � •----------------- ...... _.:.....-•-•--•- ---- ----- .......................... ------- Installer / Address q• --.. ____________________________Ex Expansion Attic Garbage Grinder feet U Type of Building Size Lot............... Dwelling—No. of Bedrooms........._. _ p ( ) g ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures .........................................................------------------------------ ............................................................ W Design Flow...........................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.t1�._1...gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........_2--___-_ Diameter........ ........ Depth below inlet.-_......G........ 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........................ 40 Test Pit No. 2................minutes per inch Depth of.Test Pit---................. Depth to ground water........................ P4 -----------------------•-•---------------------•---------....------------........---•-•••---••....•---••-••••---•---------•-------••-•...................... 0 Description of Soil..................................................................................................................................................--.................... x c.� ----------------------------------- --------- •---------- -------------------------------- - ------------------------------------------ -------- •----------------------------------------------------------- W x ---- ---------------- - ------ ------- U ----�----- ......................................t fc N oreo Rep irsorAlteration s—Ans e r whe n a piclable___<u _---_-� -----1�- -� - l -------��.-.... - Ft cep ...... E-------------------------------------------------------------------------- Agreement: The undersigned agrees to install the afore esc - ed Individu Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Enviro men al Code— e dersigned further agrees not to place the system in operation until a Certificate of Complia c has been is y e board of health. Sign -------- ----- - ----- ......0- ------------ --.�- . . ApplicationApproved By ----- -- ------ ----- ----- -------- --- -- . .............------- ............................... ---- ... . Application Disapproved for the following asons: --- -----------------------------------------------------------------------------...............---------------------------- ................... ..... .................. .. .... J ...... ---- � .. ....... Issued Date Permit N -. -_--------------- to- --- Via.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (.�) an Individual Sewage Disposal System at: oca ion-Address or Lot No. ...... fi ----.---- --------- � � d� ••- -----------•---------•----- --------- l 4, ..................................� Address nsta er UType of Building Size Lot.................... ....SqAeet a Dwelling—No. of Bedrooms......... .•----------------•----------._Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .. ---•-------- = W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.j flC_..gallons Length................ Width................ Diameter...----......... Depth......... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area................. 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......---............... f4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to,ground water........................ ODescription of Soil......................................................................................................................................................................... U ----------------------- ••------------------------- - : --•-------------------•-•----------------------•-----------•---------------•----------•--------..-..-----------------------. .._......---------- x --------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable... ....._41..... --.--- Agreement: The undersigned agrees to install the aforedpsesibed IndividuakSewage Disposal System in accordance with the provisions of TITLE 5 of the State Environlnen al Code=Th//6 undersigned further agrees not to place the system in operation until a Certificate of Complia ce as been iss 40 the board of health. Si ned - ........ - ca —�J . Application Approved By v�l _ -- ---.....11 .. .............. ..-�1.�1 .....................----------....--- ------ ." Application Disapproved for the followin ns: ----------------- ----------------------------------------.................... -- --------------- ................ -- 1 ` Dace Permit No. ...... ............... � . ................... Issued ---0......�..� - ` . Dace' ------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#ifirate of Compliance �S—W.f:EERTY, h_at,the—Indivas_dlual SeWkageDisposal System constructed ( ) or Repaired (✓ ) by--- + ------ ,. W G�J`V1.�.��`ih•^ `i'_ VG ��'C�� nscalle� �'�� I`�� ...... at ..................................................... --1. has been installed in accordance with the provisions of TITLE'5/ The Statj/E�vironmental C-de s de c ' eed in the application for Disposal Works Construction Permit No. ....�. c ./ "7 dated .:�� i ...qC7/.--.�-- ---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TIE SYSTEM WILL FUNCTION SATISFACTORY. q DATE................. ....`, - ......-v Inspector ------------------...--.-'k --------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 4 o c) No....�.. ........ .... FEE........................ �i� �a�tl nr1� ��n�trnrtilan rrmit Permissionis hereby granted .......................................-......................................................................................... _._.. to Construct ( (t);�of 2epaiSe-( )�,4=Individual S vt gel Disposal cSystem C l nQ Slut l�s at No .............•---•-MY1 ...•.... Street as shown on the app ication or Disposal Works Construction P rmit No....� r�7.-.. Dated_ :f?�. ......... DATE. Board-'of Health l �v ---•-• •- ------------ FORM 36508 HOBBS Q WARREN,INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION 7!> SEWAGE # VILLAGE Qqp. 0,f U-a ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. &8W 8, QJt(j)loc. - A 3z-0530 SEPTIC TANK CAPACITY 1900 Pp.e-CA-eiT Vtji LEACHING FACILITY:(type) 2 - �X(o Lq I Fr 9Usize) NO. OF BEDROOMS_ PUBLIC WATER BUILDER OR OWNER Bat)cs GL�Dy I� DATE PERMIT ISSUED: S�9 DATE COMPLIANCE ISSUED: 3�/ VARIANCE GRANTED: Yes Q06,�M No 1 1 r Z� r 34, S 17' { TOWN OF BARNSLE LOCATION W SEWAGE #�' VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. OttIvIll SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: �la DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i/ \ ,r r L&'C-w't ION S EW A G E PERMIT N . VILLAGE INSTA LLER'S NAME i AD-DRESS . d UILDE R OR INNE DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED L, r Ll �0/pip i I Ro l t Are ' g.. t _ F r• 7 + t ,.i ti^CY I � \ �' Ll f7"'7'-a^ 1'• � �. � 4. 1 1, + � I U i i .,�rill{� � T.L•.,� • 1 w-.„t -aSi�a..+- -p ' J ,/ 1 J 1 fl I � � r +^� �< ,11HTTl�'.1 - ,cf� r •i � r� �.:��A'k ..its 7:i! *� -..a '�''Y * ��uNi 'tt _. ._._._ _-- .. . _ �I t- ' <: :� P �• r ':k •� L �{. -i; r .t r�''-�f l <'4 a'{:. � is _ �. v � t,,, „ ,� ' �Z li. F 3J x .# . 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