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Home My WebLink About1495 FALMOUTH ROAD/RTE 28 - Health (2) /4q5- �aPmoFh RIB, ASSESSORS MAP NO: PARCEL N0: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' . Town............... ...OF.............Barnstable .' Applirla aan for ]9jj VVSa1L lVarkaTongtrur#ion Frrmit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: I . •,,.1.495•_Falmouth Road e (?h � _I�ci.._.Assessor ' s Map 209 - Lot _81 Location.Address or Lot No. • -S_: J. Pendergast. Trust. •--• ---•---- -•----....•----------•....................•••••----...-----••-••-----..................--••--_.... Owner Address W Installer Address Type of Building Size Lot3 5$S 0±-_ ___..Sq. feet Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) (Rkiwd=yes 4452+-------s.f...Offac ;--3350±--s..- -.---�Z�t;�a1;-_3647+---S..f...,Storage........... W Design Flow............................................gallons per person per day. Total daily flow........ 84_--..__-_._..................pllons. WSeptic Tank—Liquid capacitylSOQ..gallons Length------ .._._.. Width...... Diameter________________ Depth6.-1"..,. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area..___........._.__.sq. ft. Seepage Pit No 2._._______-- Diameter----14.---------- Depth below inlet....3...5......... Total leaching area..616- sq. ft. Z Other Distribution box ( X) Dosin tank ) Percolation Test Results Performed by.9..._J. �onovan__.:-P#-7027 Date_._..A�16/88 Test Pit No. 1.......2.------minutes per inch Depth of Test Pit.................... Depth to ground water _-_______ _--_____. f.14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ..........i-•----------------•-----••----•--•--------•-•----•-r-------• --- - - 6---------- O Description of Soil._0 - O.5 Top and:Subsoil- 0.5 - Medium to coarse sand- - -- --- . . -••••-•---••••----••-••-•------•••-•••-----•••--••--•••---•-•-••-••-•••-••................ W ----------------------•--------------------•------•---------------------------------------....---•----•---......------------•••-----•-••-•••------••••-•--••-----•-••••---•------•-••-•--------•---•--- U Nature of Repairs or Alterations—Answer when applicable.---Remove old-_leaching-_pits-_-(3)•,... nstall•-•. ......new_septic._tank,__D._.-_.Box,.........ng p ts___Q) and grease trap. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary 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. Signed.....................---------------------------------------------------------------- -------•--..................... �i .� Date Application Approved BY �1 ..�_- /Q..�. Date Application Disapproved for the following reasons:. -----••-----•--------------------------------------•---------------------------------....................... .....................�...:..................••----•-•---•-•----•-•--•••---•-----------------------------••-•••-•--•---•---•••--•-•...•-•-••---•-------.....--•••-•-••-•----------------------•-•-•--- QDate Permit No. �/ -......................... Issued...--•-•----------- Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........Town..................OF..........Barns table ... .. .. .. .. ............ .. . ........ TwprtifirFatr of Tnnaplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired O bY-•-------•----------•-----•-•-----------•---.......•...........................•----.....-------•-•----•--------------.....--------------------------................._....-------•---••------_..... .. B Installer e at ¢ 57_ { •-----� --•---------e_m-ot d - ----•-•----_------ has been installed in accordance with the provisions of 1111' �; 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------76_-__-_q;..L7._.._.. dated_.---------___________________________________•- THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................................•--.................-•-----•--•---•----•.-••-_. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CIO Town OF..: Barn_s.t: bl �. .-.. :.-.. - /CS.._. __ ,�;._,,..�� •� TG..:... ��' _.,__ �. _.�.• FEE. ^-- Dispo a1 Workii TINInitrnrtinn rranit Permissionis hereby granted...................................................----------•---•---••-•-••••---•-•---•---------•-•••-••••--••---•-•••••..............•-•--- to Construct (X or Repair )),an Individual Sewage Disposal System 9.5 1 -..... ........................ at No. t Street rC�v as shown on the application for Disposal Works Construction Permit No.7e... -- Dated.......................................... •-----------------------------•--•-•••-••---............................................................ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS No.-7&.:..)__12 FE$...1..�� ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town.......................OF...........Barns-table Appliration for Disposal Works Tontrurtion 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair CV, ) an Individual Sewage Disposal System at: 1495 Falmouth Road Assessors Mai 209 - Lot 81 Location- ddress or Lot No. t S. J. Pendergs:s t 'rus t - ................ ............ Owner Ldress W Installer Address UType of Building Size Lo45_$An................Sq. feet �-� Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa-I Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) wum s4452±-•---•sa.f_..._saffire.;...3350;Ls...f-._--K_etaiI.,---36.47 --.s..£....&torage------------ W Design Flow............................................gallons per person per day. Total daily flow____._684..............................gallons. Width W Septic Tank—Liquid capacit}.5GO----gallons Length___.6 o......... .....11t ._._ Diameter................ Depth.'-._:r....... x Disposal Trench—No.................... Width.(------------------ Total Length.................... Total leaching area-------.............sq. ft. Seepage Pit No...... ............. Diameter... °:............ Depth below inlet..:.5�_....... Total leaching area. ? fj .......sq. ft. Z Other Distribution box (X ) Dosing tank ( ) Percolation Test Results Performed byMr.. ....�b��V.:�.... '..�2..._..•................. Date___. �1.. 88 /88.••-••-••.......•-- Test Pit No. 1-----Z........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........................ 9 .....• T..................................--•-----•-•-----I......-----•-•-•••........-•--------•---..._...•--••-----------•........................••------ O Description of Soil�...-..U.S __ op arc, ubsoils..0.5 - Medim to ;.oarse sand x -•----... ---••-•••-------•••-••-----•--•--•--•-••-•----••......•...--•-------•................ U ---••-----••---•-•••---•--••-•--••••._....------•••...••-•••-•-•-•-••-••-•-•-•••-•--•-•••....--••••-••-•••-••--•••-----••-•••-•••--••---••--••...-•------••-•--••-•--------- UW -•-•••-••-••-----------------------•-•••••••----•------------------•----•--•---•-•-•••••••----•--•---•-•-••-••----------------•----••---•••••-•---•-••••-•-•-•--•-••-•••-••........................... Nature of Repairs or Alterations—Answer when a$plica§§le_jRemQVe._®l$_..l—eaQ. ?D,&-pit5_._�3�. new septic take D - Box, leachir P.i ..l`�._and- gres�e trap, Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT11, 5 of the State Sanitary 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. Signed...................................................................................... ................................ Date Application Approved BY ------- ------ ---/q. �'E>--..._ J ate Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------•---.---•- .........-•-------------------------------------------------------------------------------•--------------•--•-•-•••••--•-•----•----••••---•-•--•-•-------•--•--•----••• ............................... Date PermitNo. . ... •--�-----------•-•--... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........'.owr....................OF........1;arns table i .. ........................................................ ff wrtifiratr of Toutpliaanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ) by-•-------------•--••------------------------------------------•--•-----------------.--•--------------------------------•-----•-•-------.------_.-------•--•------------------.------------•------•-- II Installer has been installed in accordance with the provisions of ,� T i 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-{ .-_...pP-1.2........ 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 7 Tcw11 E rns.iable No...-- �jz FEE---.�pfJ..... .. Disposal Works Tuntrurtion rrutit Permissionis hereby granted.............................................................................................................................................. to Construct or Repair,( an I,n�j'vidualSewage Disposal System _ /j/J at No......J. ........... . yJ��` !!7... 1'�?� It -F'-L_ Zvll4�I Street Cp as shown on the application for Disposal Works Construction Permit No. =.�Z/.7_. Dated.......................................... •---------------••--•---------------------------•••••---------•••••--•----••••-•--•-•••••----•--...••---- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 10 _.1...6. -Gt1W------OF.....6.. -----o--------------------_------- ------ Appltration -for Bii uiittl Workii Towitrnrtion Vaniff Application is hereby made for a Permit to Construct ( ) or Repai ) an Individual Sewage Disposal Syst, at .......Q-4.�_ - �r Location•A ress d or Lot No. t•••-••--••---- --------•---•-•--••-•••---••-•----•-----•---_.. OW ............................................Address s aller Address d Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 0.' 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 ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date-------••-•-•----------•-----------:.... ,a Test Pit No.,l----------------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-----------,------------ ----------------P4 Description of Soil---------- ___ x W ----------------------------------- - ---------- ----- x Na of Pe irs or Ale i swe when a tcable. U .. , PRl Q 8' - Agreement: , The undersiVd agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n i ued by the board f he th Si ed ---• •••--•----------- -- Y K.! Date Application Approved By--- -------------------- -�6 Oate Application Disapproved for the following reasons:--•------•-•--•-----Y---•--•-------•------ ------ --------------------------------•------------------------------------------------------------•------•--•-----------------------------------------------------------------•-----•----------------------- Date PermitNo---------------------------------__...................... Issued.---- .-F••!__ _--•-•--- - ---- ------- - Da —'--- - - FicNo..---- ----•- i THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH , ' _.... -c iF . ............................................. .-._... Appliratinn for'13hiplillttt 10orks Tonstrnrtinn Prrmit Application is hereby made for a Permit to Construct ( ) or Repair) an Individual Sewage Disposal Syst at '-� 1'Q-�a �...------ r .................. n,�rg-ss- .z'�.I rf!' d�i" '!.e' or Lot No. ' � .__ ... ------------------ --------------------------••-•---- �. > O Address w �w' - -- q . : staller V' r Address d „Type of Building r .fY Size Lot....................... ...Sq. feet U ' Dwelling—No. of Bedrooms........................................:...Expansion Attie ( :)„ Garbage Grinder ( ) Other.—Type of Building ---------------------------- No. of pe,rsons-------------------......... Sliotivers Cafeteria 04 Other fixtures --- - - ..................... _ •------------------ - 1 Desi n Flow............................. __ Mons per erson' er day. Total daily"flow -----------.-.-.- ... Mons. W g -g� P P P Y• Y`t ---�•:- -�-- - g� WSeptic "Tank�Liquid capacity gallons Length---------------- Width.. ,i Diameter:... .....-._$Depth---------------- Disposal Trench—.No. .......... ..+'Widtl......... ........... Total Length---------------,..Total leacliing area.-------------------sq. ft. Seepage Pit No........:............ Diarrieter` ' �: Depth below inlet-.._,_. Total l� ehing ake i........-..-..._-_sy. ft. Z Other Distribution box ( ) '� Dosing tank (� t a Percolation Test Results Perfori ied by may..... ....-.._- ........_1.-__-- Date---------------------------------------- Test - >.1 Pit No. L---------------minutes.per inch Depth••of Test_ P'it....--_............. Depth to ground water....--------.... .....- f� Test Pit No. 2----------------minutes per inch Depth ' :Test TitY_................. Depth to P; - , groui�d,water................-....--- - ..................................------------------ ---------- --.---.•--- O Description of Soil .. . ..................................................... U ------------------------------------------------------- UW -----------------------------------------------------------------------------,-------------------------- == "`----------- f Na e of Re irsyor Alt i nsw when appjicabl = ../Q.L'I .................... t -- --- ' ------------- ---------------------------------- ---- Agreement: 1 The undersiVed 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 en i sued by the board f he'It Sia ..•.-- ................ /_!Y�•- 14� Date Application Approved B ate Application Disapproved for t e fgllowang reasons:..........:. ..A... _:____.___.............�f ....................................... -------------------- ----------------------------- f_-_--- - _ .--.......'___..._._.__._.. 4 1 - s � D a`te ` a ,- .�Permit No Issued t " �. THE COMMONWEALTH"OF MASSACHUS.-ETTS `BOARD OF HEALTH4, .., �rrttfirate gf f��aln�li�tnrle THI TO RTI That the Individ Sewage Disposal System constructed-( ) or_Rgpaired (41 by----• . --------- ----••. •---------- --• ---- -- �^ Installer at.- ------- --.... .: "' rth.. Imo--+--- has*been s�in accordance wit .,the provision f Article Xl.of The State Saniiary Code as described in the e. :application for Disposal Works Construction Permit No.............�.. __�.___.-....., dated. .... . -,o ----- - THE ISSUANCE "OF .THIS CERTIFICATE SHALL NOT BE CONSTRUED-AS A GUA TEE�THAT THE SYSTEM 'WI F NCT ON SATISFACTORY. J DATE---- ` J�l -------•-------- F;Inspector....... - f, THE COMMONWEALTH OF MASSACHUSETTS ' BOARD F HEALTH No... ....... „ FEE ................. Permission is hereby granted"...:. &0... . .. .y to Co uct ( . . R air Individu wage o S to at N �' --- -'----tT--eY----`t '- ------------------------ . .y.. ..- 111 f. e as shown on the application fob Disposal Works Construction it N .:... :.::_-.- Dated_-V /6 .1............... .✓ ri ;s� ._ __ _. ._ ..,....................... ••.•- a: - oar o yr DATE " _ FORM 1255 HOBBS & WARREN, INC...PUBLISHERS `�