HomeMy WebLinkAbout0121 CAP'N LIJAH'S ROAD - Health 121 CaP 11 �►•►A1�
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0 C QT 1 O N._,� 5 E 6kE PERMIT UO.
VILLAGE
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No.......AP ED FEB....�......�...........
ns 8 on" HE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
igna� Qato OWN OF BARNSTABLE
AVV tratiott for Di.,irpo!3al Workii Towitrnrtiun ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at:
----•-- S•--Ra-----•------------------------------- ---------------------------•-••-------------.---------•---•------•------.....•-•..
Peter Auger .........- ....
Location-Address or Lot No.
W W.E. Robinson 9e6tic . Service P.O. box 1089 Centerville
Installer Address
Type of Building 3 Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
P4 Other fixtures _____________________
W Design 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.
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-.____._--___-__---__._.
44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
04 --------------------------------------------------------------------------------•-------------------........................................................
0 Description of Soil......S.and....................................................................................................------------------•-----•-•-•--•-•--------•------
x
U
-
install a stonepacked
V Nature of Repairs or A rations—Answer when applicable------_---------_...............................................................................
precast overflow
--------.....................................-.........................................................................................................................................................
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 ndersigned further agrees not to place the
Signed ---�� bee u y the boar of health. �f
gr ...............
system in operation until a Certificate o Compliance has
Date
Application Approved By --------- .... � --------_------------------------------------------------------------------ ...............
......./ ..
Date
Application Disapproved for the following reasons: .... ....... . ................ . . . ............... ..... .................. ........
---------------------------------------------------------------------------------- --------- ------------------------ ------------------------------------------------------------------------- ------------------are-e..................
2 D
Permit No. ...... .. 3. ----------- ---------- Issued ----------------------------
Date
�y' 3�d 30 00
No................_.. -. F�a............ ..........
THE COMMONWEALTH OF MASSACHUSETTS
30
BOARD OF HEALTH r
., TOWN OF BARNSTABLE
Appliration for Divjipoottl Workii Tonitrnrtion rrrmi#
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at:
•-•-•-1 21..__Capt...L ah�s...
Rd--------------------•-•-•-•---------
Peter Auger Location•Address or Lot No.
......................--.......................................................................... ------- ------------•--------------•--....•---•---•--•--..__._...-•-•-.......---••--...........••-
W W.E. Robinson Septic Service P.O. box 1089 Centerville
Installer Address
*` d Type of Building Size Lot............................Sq. feet
r Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Otherfixtures -------------------------------------------------------------------------------------
W Design 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.
Seepage Pit No----__-.... _--_.__ 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................mmutes per inch Depth of Test Pit.._-___.___-____-___ Depth to ground water........................
Lc, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
G4 .............•-•------.......__.._._...---•---•---•-•-•--...__._....----•••----------•-•------...---.........................................................
0 Description of Soil----gand-----•---------------------------------•-••------------••--•-•---.._..
V ..........•----•..............••-•----...----------••-----------------------------•--------------•--------•--•------•-----------•-----•-•--.....•--•---•••-------------------------•----•••-------------
W
x instal i....a. stonepackEd---------------------------
U Nature of Re airs or A t rations—Answer when applicable--------------..................................................................................
precast over. ow
-----------------------------------•-------•---------------•---•-------•--------------------------•------------.....--------------------•-------------------------.....-----------•-----....._••••----•-
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—TLrsigned further agrees not to place the
system in operation until a Certificate of Compliance has bee - suee boar of health.
Signed G%'L ............. N `^ L
Dare Cy
Application Approved By .........0 --- .".. .. `...1...�r
Dare
Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------
----------------------------------------
Date
Permit No. ? ---------------------- Issued
Dare
a '
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C ertifira P of Graptianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x )
by ... -.W W.E. Robinson....Sept c....S..ervi.c ------------------------------------------------ ----------
121 Capt Lij ah' S Rd Ir"A,
at ------------------------------------------------------------------------------------------.......-------------------------------------------------------......--------------------------------------------------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ....... C> dated .------................_---------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
_
DATE................. .........../.....-`'. -/... _.....------- ---------- Inspector -.-- -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
c� TOWN OF BARNSTABLE FEE.30- ,00
.........
�i��rn�ttl �rk� ��a�c��r�tsti>orn �.erntit
W E Robinson Septic Servic@
Permissionis hereby granted------."--•-......----•--------••------•--------------------------------•----------.......•--......----------•------------------•••..•-•-•-
to Construct ( ) or Re air ( an Individual Sewage Disposal System
at No. 1.2� Capt Lpi;7.ah'.S.... d
Street oo �//��,,
as shown on the application for Disposal Works Construction Permit No._!_ _,�! Dated --__
..-•-•-•••-•-•---•--•--••-....-------•-•-------- v_ -------------------------------------
Boar of ealth
DATEZ2..--- ... .I..-----•--------------------
FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS
s � '
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TOWN OFrBARNSTABLE I
r
LOCATION 7 � 1 C� SEWAGE #
VILLAGE C V-h l ASSESSOR'S MAP 6z LOT� '�
INSTALLER'S NAME & PHONE NO. Z(I� ),i-rs U
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) 4 i' C `� �' y� (size)
NO. OF BEDROOMS -3 PRIVATE WELL OR PUBLIC WATER '
BUILDER OR OWNER, olZ
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �/
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L
�lot �\
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-i&No......410..N3...... .�,.4.....`.........
-` THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN._ ........... .OF ........BA RNSTA BLE.......... ...............................
Applirtttli'lrt -for Prrmit
Application is hereby made for a Permit to Construct ( X) or Repair ( } an Individual Sewage Disposal
System at:
-`'apt 1-n.---L. fah---RQad...... ------ ....LQ.t..#11.... ,3-P.t- n- ---Uja.b....8nad..................
Location-Address or Lot No.
T e 11 a ge n=P e r r o n e A s s c.---z-n R 2.0 b.rp Q.rani oo. RAd., Q.ennia................
Own er
Robert B. :Our Co. Inc, : Great Western .RdT,s, Ul. Harwich
Installer Address
U Type of Building Size Lot_15r 000-2qQ. fLlt
Dwelling—No. of Bedrooms..............3..................---------Expansion Attic ( ) Garbage Grinder ( )
aOther—
Type of Building _____________________________No. of persons..........6............... Showers ( ) — Cafeteria ( )
d Other fixtures -------------_----------
Design Blow..............50........._______.._...-_gallons per person per day. Total daily flow.._.._._...30.....__........_.._.......gallons.
WSeptic Tank—Liquid capacityl,-O. .gallons Length---------------- Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width._...-.-.--_.__._--- Total Length_._________-------_ Total leaching area....................sq. ft.
Seepage Pit No......1............ Diameter.....6X8 epth belo inlet-------- Total leaching area..................sq. ft.
Z Other Distribution box (X ) Dosing flank( s�®� �'L���L— 3 _�/— 70
Percolation Test Results Performed by--------------------------------------------------------------------------
Date----....-------------------------------
Test Pit No. 1................minutes per inch Depth of "Pest Pit...__________.._..__ Depth to ground water...-.._--______.._.-_---
f4 Test Pit No. 2................minutes per inch .Depth of Test Pit._._-____._-_______- Depth to ground water........................
a •.
Descri tion of Soil----------p._-_G..�• !2
x '' " � 1
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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in .
operation until a Certificate of Compliance has been issued e board of
igne ._.a. . 3 �
atBr e
Application Approved By-�...- Ca.��l ;...... ---•-------------------- ---------------
Date
Application Disapproved for the following reasons----------------------------------------•-------...----•---------•--------------------..........----------------
-------•--------------------------------- ---•-------------------------------------------------•------------•--•---------•••-------•--------------•--.---------•------------•-------......---------•--.
Date
PermitNo.......................................................... Issued_..................... .................................
Date
0._.t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...... . .TOXIN. . ........ .. .OF.........BaRN.S.TABLE...............................................
Appliratiun -fur Ui,ipuuttl Works Tonstrurtiun Vrrniit
Application is hereby`'made for a Permit to Construct ( x) or Repair ( ) an Individual Sewage Disposal
System at:
Capt!n- l ,fah...Roa. ...... ....Lot...#11...Ca.p-t.!n.....LLJah---Road............
Location.Address or Lot No.
T e 11®g a n-F e r ro n e--A s s g c_,--_- n c_•................ ....20...C.o.rRosation...Rudd,-.-Dsnnis...-..----------
a COwne Address
Robert.9 ----Our -- -- n -•------------------------------- --•-G reat...Weste.rn...RL.,...�_ ... ----------
Installer Address
Q Type of Building Size Lot.15_r-OOO-ZQ1;9.We
U Dwelling—No. of Bedrooms............... -_--___----_----_-.---.--.-Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ---------------------------- No. of persons----------!............... Showers ( ) — Cafeteria ( )
P' Other fixtures --------------- -------------
W Design Flow______________50........................gallons per person per day. Total daily flow-----------30Q----------------- ----gallons.
WSeptic Tank—Liquid capacitvl.9-0 0-9alions Length--------------_ Width--------- ...... Diameter-..------------- Depth....--_--.------
x Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft.
Seepage Pit No._____1______X___ Diameter__._.6x8.a _t�epj }ae��w inlet-_-_`;i---------- Total leaching area------------------sq. ft.
Z Other Distribution box ( ) Dosing an ( �r �r, (�G - cam- 74-
Percolation Test Results Performed by.......................................................................... Date------••--------------------------
Test Pit. No. I................minutes per inch Depth of "Pest Pit.................... Depth to ground water........................
�14 Test Pit No. 2_______________minutes per inch Depth of Test Pit.-.---_-----_._--__- Depth to ground water.-.-..-..------------_
Descri tton of Soil------ _.�_... _IA _ w ►-�" . . ! ` °l•�s�tr :.. - r ��" ----------------------
_",It-=�'�i•• dm•-!a (r'�A.+•!�f_'f'leE._ �... .. 6�.---- .•---------------------------------- -•__--.---__.---...._.
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 XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issue e board of!heSi ne ... -._.R. .✓ ----------- �Application Approved By._" .... !f.N �_ �A' -: ••--
Date
Application Disapproved for the following reasons-------------------- '----------------- ----..........•--...._..•---•---------------------•--......---------
-----------------------------•----------------------------------------------
------------------
Date
PermitNo--------------------t----•---------------•---•----....... Issued--------------------- ..................................
Date
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH,,,,,,,
... -t.� .............O F................... : s. .. .. :. -..:...................:
�prtifir��r f f�nnt�li�t�rr � �
S fS T4*CE u�IFY, a, the I *idual age Disposal System constructed ( ) or Repaired ( )
by...T e- a-.t .. `--- --,� ...........
Instal 4r
J-f,-�,�^/�}
A `
at...". (.. r( 'r% .' '«''f' =�, W �.=a �'; -----------------•------.._...---
has been installed in accordance with the provisio-is of Artfile,,XI of The,State-Sanitary Code as described in the
application for Disposal Works Construction Permit No. ' -/t�__ ________________ dated..,.r,2_ ^7 _-_____-__---•----
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL. FUNCTION SATISFACTORY.
DATE................................................................................. Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
B A D HEALTH
R
; .
No..-
........... FEE.. =
Permission 's hereby ranted.:-.____ .__........................ .
►� y g to Constrtdet or Repair (t �,) an Individual Sewage Disposal-System
at No... Tf� .. -
Street
as shown on the application for Disposal`Erks Construction Perrilit No;-,�............... . Dated-.........................................
DATE .....__.....•................................. Board of Health v
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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14 PG4r P4 .AA1
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PLAN 2E F��En/CE: fArC LET 1
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