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Home My WebLink About0037 BAIRD WAY - Health (3) ��, ��a, A ASSESSORS MAP NO: No.--- � PARCEL 0: Fic$.... df. THE CO(JVIGI SETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Diripwial Wor1w Totuitrnrtinn Permit Application is hereby made for a Permit to Construct ( ) or Repair (--r_a`n Individual Sewage Disposal System �t � � - ............. �•+ Location-Addressor Lot No. - �F'T,O 2� ,3 v g�.v p� It T v.o� �y....E > ....................._..... ...... .__.___.__...•..--................................................................ Owner _ Address ------------- --- ------•-----------------------------------...•.......---•----------------•-----.......-----•---- Installer Address UType of Building Size Lot............................Sq. feet - Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) pa Other—Type of Building No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtures ................................. . W Design Flow............................................gallons per person per day. "Total daily flow............................................gallons. Ra Septic Tank—Liquid capacity............gallons Length________________ Width---------------- Diameter--- ............ Depth.............. xDisposal 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ GG 0 Description of Soil.................•----------•----.....-•----------------...........-------•-------------------....------------••----•-------------•--....----••-••-.............••.••--- x W ...........................................----•••---•--•----...--•-•--•-------•---•••-----•••......----•..... UNature of Repairs or Alteration—Answer when applicable._./ ..............��9 �_�....f�_�.7 .... !?-��... ..._... Si ss✓� T r sT .t�Y.. lf' S_t"'1 ----------- X / 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 issu ob 'he board of health. or Sign( 7.. g ... .... .............. Application Approved B �..s/ 6.�.�..�.... PP PP Y .......... Date Application Disapproved for the following reasons: .............................: ................................................................................................. ................................... .... .................... , .............. ................. . .....--............................. ........................................ oe Permit No. ,7�.�"..`......... �� Issued G... .. -------------- ........ ................ te...... Dare '�. -.�.�w..Yi��'...s..:�•...•.:.ik�,jui:...i..v�-�•Trr•J,..-...•L'.'.*.'�t,.�-._....5..1-.m-w..=Xy,vc...y.:C..:..>=',:.-..+iY`rv��F:,:4iL,.s'.v3a.^..a.a•^•.�r..•.+`wti..a � ... .z�m 171 No..._.�__._ .,� Faa.... .................�f !� �j�H ......... x THE COMMON Ei4L OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Diiipwial Work.. Tomitrur#ion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (--7—a—n Individual Sewage -Disposal System at: r 13,g ...............7---------------•.... ............................. S.- Location-Address or Lot No. Owner � Address -.--•-•-•---------•• ..................................... '�j I✓'?/ J W ---------------1----•-...._..........__......_......_._..._._ Installer Address UType of Building � Size Lot............................Sq. feet Dwelling—No, of Bedrooms--------------------------------------_.---Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------. Showers ( ) — Cafeteria ( ) Other fixtures .................... WDesign Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity._..........gallons Length---------------- Width-------_-------- Diameter---------------- Depth................ x Disposal Trench--No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------_-------- Diameter........... ........ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I................mmutes per inch Depth of Test Pit.................... Depth to ground water........................ LEI Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ri ......................................................................•-••-------•-••......•-•--••••..................................... 0 Description of,Soil......................................................................................................................................................__... . .............. U •--••----------•--••...................•--••-•-•-------------•----......-------•....•-----•••••------•-----•-•------------------••-._...•--•-----------•••-•--------•-•---•--•................--••...... W x ------------ ----- ------ ------ U Nature of Repairs or Alterations—Answer when applicable.-_/ -----___..+% .ly_____ .l.T_... ! f!.... ....... ----------------------------------------------------•---•--...-•--•-------................ 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. Dare Application Approved B /r` `" / PP PP Y .............. .........::..------ l' ------------------------------------------------- �/.... - 1' Dare Application Disapproved for the following reafonf. ....................I.................................................................................................. ....................................... ...................................... ........ ............................. ..................... Permit No. .... ` ........... '`/ ............ ..... Issued ........!' Dal...."".... `........... THE COMMONWEALTH OF-MASSACHUSETTS BOARD,OF HEALTH TOWN OF BARNSTABLE C�e>r#ifirate of Q-Tiomplianre THIS IS TO CERTIFY, hat the Individual Sewage Disposal System constructed ( ) or Repaired by ................................ ........._ ....................._.............. . ............................... ................ .. 1nsr,J lcr ------------ has been installed in accordance with the provisions of TITLE -of The Seta -4nvironmental Code as d scribed in the application for Disposal Works Construction Permit No. 5 � !� ._ � dated //!.. -''�.. F V THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ..._../ ....... _.._.....!.._.`T..................... InspectoC7.. .`-` l ------------------------__---------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No._..._..,. FEE. ................... Dislimal Workii Tannotrudiott *11amit Permissionis hereby granted---------------- A�z�------------------------------ ---------------------------------------------------------•----.--•------- to Construct ( ) or Repair ( -, an Indivitl�It ail Sewage Disposal System at No.-•----------•-•------•------•-• �i�-Y-- .-----C-��-------. 13.E ---- - --... strc as shown on the application for Disposal Works Construction Permix//.9 Dated....�1. /{j..el� I Board of Health DATE1 s/ ........................--------------------•------- FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS - THE COMMONWEALTH OF MASSACHUSETTS Fim n11101 BOARD OF HEALTH Apphration -for 43i,ipusal Worku Towitrurtion Prrutit Application is hereby made for a Permit to Construct ( k11000'r Repair ( ) an Individual Sewage Disposal System at .407---. ......VA-he LZ 1P..................................................................... tion-Address - r Lot No. ............ ... _1. . _ . . ... ., �®ter �g _ /Owner v Address OA,a ------------ Installer Address Q Type of Building Size Lot............................Sq. fee U Dwelling—No. of Bedrooms----------- ---------------------------Expansion Attic Garbage Grinder NO aOther—Type of Building ____________________________ No. of persons...______--_-_______________ Showers Cafeteria ( ) a' Other fixtures Q - ------------------------------------------------------- ----------y ._____.__.________.____.___......_.. W Design Flow.......5-!q............................gallons per person per day. Total daily flow-.....a.....Cl'Z....____________...._.._..gallons. WSeptic Tank-L Liquid capacity.l gallons. Length---------------- Width-------I---.._.. Diameter------.--------- Depth.-_-_--.-_.----- x Disposal Trench No. _ _. INidt ------ ___ Total Length..................... Total leaching area--------------------sq. ft. No. _Seepage Pit kh f. --- a ................... epth below inlet.................... Total leaching area---------------__sq. ft. v Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................... Date..........----------------- ----------- ,� Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water-------._----.-_.-_-- f� Test Pit-No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_.-.-.---_.-._-_-_.__. W ..----•-•-------------------••----......---...----•----•---•--•--•-••-----------•-•---•---•---•-•--...-----._...----••----•--------•-•----•--•----•---. ODescription of Soil------------------------------------------------------------------------------------------------------------------------------------------------------------------------ W x ---------------- ------------ ------------------------------------------------•--------------------------•---------------------------------------------------------------------------------------------- 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 Article \I of the State Sanitar C e—The and st fur i agrees no to place the syste in operation until a Certificate of Compliance has e is ued by tX a d f al Sig 2 -- .. _ /--� -- ', Da e" Application Approved By. � .-...--. " .................. , ...... �f..-_. Date Application Disapproved for the following reasons:----------------------------------------•....................................................................... •-----------------------------•------•----------------------.------------•----•------------------------"-----..-------------------••-•------------•-------------------------------•-------------------- g Dat Permit No........... ------------------ Issued--- ....... Date 1 No.._> ../--s......... FRa ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _... . ._ . . ...._..........OF................................................. ..... Apliliratiun -fur Di.ipn ial Works Tuntrurtion Vrrntit Application is hereby made for a Permit to Construct (V11 or Repair ( } an Individual Sewage Disposal System at: ---- ation-Address / /or Lot No. Owner //'� _ Address Installer Address UType of Building Size Lot............................Sq. fee Dwelling—No. of Bedrooms__-______-.�__________________________Expansion Attics Garbage Grinder aOther—Type of Building ____________________________ No. of persons----------------------------- Showers (� ) — Cafeteria ( ) QOther, fixtures ------------------------------------------------------ ---------__---•--------------------------------•------•-------------------------•------•--- w Design Flow......_B_____________________________gallons per person per day. Total daily flow._....�4��. gallons. WSeptic •.C:alk—Liquid capacity/OM-gallons Length________________ Width................ Diameter................ Depth...-__-______-- x Disposal Trench-No.140*�r-_-__. Wid ................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit NO/__C)_ ___`�19t tF...L... � e th below inlet____________________ Total leachin - P g area--------------_-sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------------------------------------ ---------•--•-- ..................... Date.--•--.._..---------------------------- a Test Pit No. I----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water.........__-._.-_...__.- I:r> Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ Ix •---------------------- ----------••------------------------••------•---....-----•--•---••-----••••--•---•---------....•---••------------------•---._..__.... ODescription of Soil----------- -------------------------------------------•-------------------------.-------------------------------------------------------------------------------------- x U ----- w V 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 Article XI of the State Sanitar e—The un si fur i.r agrees not to place the syste in operation until a Certificate of Compliance has n is tied by tie ea h Signed= =�`•-��----- -- ....=---•--- ----------- --- ... y' Date Application Approved By f -/i, i. f~--_ __ _.. f.!!'f,t.fvG �� `'f ------.9. Z/------ - f Date Application Disapproved for the following reasons:...........................//........................................................................_...... ........................ ----•-•---•--------------------------•--•----------•-----------------•---------------------------------------------•-----•----------------------------.----------------- PermitNo......................................................... Issued••• ........................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ;... . f �rrtifirate of f'unt�hattr TINS IS TO CER"fIFY That the Individual Sewage Disposal System constructed (' ) or Repaired ( ) b - -� - --•---. = --••-/...................................................................---------•••---•---•--- Installer has been installed in accordance with the proisions of Article XI of The State Sanitary Code as described in the _ application for Disposal Works Construction Permit No._ =�__ / S_______________ . dated_._..Y..'./�C " r' .. .-..----_--_. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCJION SATISFACTORY. DATE......... -Q JV Inspector... THE COMMONWEALTH OF MASSACHUSETTS BOARD O'F HEALTL-hr`_1__, C—,;77 J�_� No.... .I FEE. r......... ..... Bitipuiittl Norkii (n/i-nitrurtiu i) Prrutit Permission is hereby granted ..__... �i1_�'-2------ 1 '1 ` J - to Construct�(� or Repair ,( �) an Individual Sew gevDisposal,-Syste/� atN ✓ .__ ,._ -w!-�' f= ----- --------- --------- ................... ------ street as shown on the application for Disposal W(As Construction Perit No/i.__-Z--______--)ated__%_. _` � :.�.__~.. (:. _.._.... _______ (— Board of Health DATE....... /l--^--J-- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 s s 1� a d a 9 - sr l } 4 'o t Ar u A IR +c'8C?.Vi17. p'1�ICf X$— C111F13P '• / P!d 0n�6 S.t3 a° Scale 111 40 Building location plan Being Lot #1 as shown on a T-plan entitled subdivision r plan of section 2 Lumbert-- Mills in Centerville, Barnst Mass. , by Newell B. Snow,R.L.':S. .! ,Buzzards Bay, Mass. , dated Feb. 9th, 1973 and recorded Barnstable Registry of deeds Of. gS� in book 275 page 55. Se f � loth 1975 l i. ,Thomas A. r pt. o � JacKsoN No.8937 ti 0 Builder: Yarmouth fort Homes. i 11 Uncle Jimmy Lane Yarmouth, Mass. S � i i f F Ar i. r 1 p ® i "; . `'�.g✓�1_'_-3 ry _5�Pry_.��a:T-EM � j Scale 111 = 40 Building location plan 1 Being Lot #1 as shown on a '_plan entitled subdivision j. plan of section 2 Lumbert i Mills in Centerville, Barnst.° �►` ! mass. , by Newell B. Snow,R.L.;S. Buzzards Bay, Mass. , dated Feb. 9th, 1973 and recorded Barnstable Registry of deeds in book 275 page 55. � y x Sept. 10th 1975 Thomas A. W 1 1 d JACKSON No.8937 rn Builder: t SUR4 Yarmouth Port Homes. 11 Uncle Jimmy Lane Yarmouth, Kass. i . ; r