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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH APMMO
TOWN OF BARNSTABLE
Appliration for Disposal urku To Ur r r t L�
Application is hereby made for a Permit to Construct ( ) or Repair (V� an Individual Sewage Disposal
System at:
e .---=-•-,
3 . _[. ►�i.. s:u.�l...!e:. ... ,�.a1 �,��1.L - -----------------------------------------------------------------•----._......._...........------.
lion-Address or Lot No.--
Owner Address
W
� Imiller Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.-_-.-:--.-3----------- ---------------Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ---------------------- ----- -------- -- - - ---
W Design Flow................11`4!..--._-----_---_-._gallons per person per day. Total daily flow--------------- Q....................gallons.
WSeptic Tank—Liquid capacity__/Co-Ogallons 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. 1____•______--___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........................
------------------------------------------------------------------------------------•--•-------•----.........................................................
0 Description of Soil------------------------------------------------------------------------------- -
x
U
W -------------------------------------- -------------------------------------------------- ----------=-------------------------------------------------------------------------------------------------•-
U Nature of Repairs or Alterations—Answer when applicable Gut---_5,r--T1G-___4- S/'�----_--_1.Qs!_a-C�-�---.
U P PP • -P -'�-- -
, z'._�ax 1.0 aB•- lv� z' i c�/G-.:.�G�oct4
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 oard of health.
Signed ....-- �- - C- l ------ ---- ---------- y� ?4--------
e -
Application Approved By .............Ie-"- ------------ ----- .. ------. . ...-... ----- ... a-
�p Date
Application Disapproved for the following reasons- ----------------------------------------------------------------- ............--------------------...........-------------
=---------------...............................c Dace
..............................................................Permit No. .......L..�-.. � .:'.. Issued ........................................
Date
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH �.
TOWN OF BARNSTABLE
7 -9 ,Z
Appliration for Disposal Works Tons
trumrrrrmit
Application is hereby made for a Permit to Construct ( ) or Repair (Pol an Individual Sewage Disposal
System at:
-36 la.� rU_LtI _- •--•---..._C.LAI a�i_L.� - - - - ..............
r Lo ation-Address .. or Lot No.
.. �A24� ----------------------------------- -•----.......
Owner --------------------------------Address
Installer Address
d Type of Building Size Lot............................Sq. feet,,
Dwelling—No. of Bedrooms..........3............................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria
P4 Other fixtures
W Design Flow................If 0...................gallons per person per day. Total daily flow...............3J.lz...................gallons.
WSeptic Tank—Liquid-capacity../M-ogallons 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 ( )
i T Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_____--______-_-__---_-.
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-------------------------------------------------------------
••----------------•------------•---------
•-------
------------------------------------------
0 Description of Soil........................................................................................................................................................................
x
U ---•••-••....---•---••----•--•--•-----------•--•-------------••----•--•-••-------•-----------------••-•--------••••---------••••-----•-•--------•...----......•-•------------------------------------•--
W ••--•-----••........---•••---------•--------•--••-------------•-•---••--••-••--•••••••----------•---------•---•--------------------------•---•-•••••-------•-----•••............._...•---.....----------
UNature of Repairs or Alterations—Answer when applicable_.__ IG_.w-----5r p-Ts%__-.-- ......
�?r57� v K +� 1�•--C f�-tw1G�� ._2�__ ?. e� -!-- •-----------•----•-----•-----•--•------------•----•-----•-----•---------------------
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 th1X1%L'!r
oard of health. /
Signed --- ... L�l--"j&AAj C� --yf..... 9 -
Application Approved BY --._-------- v im'~`^-`,--*7.. = .........k=------------------- ��- Date
Application Disapproved for the following reasons- ---------------------------------------------------------------------.......................................................------
. . . ...............................-------. --------------= • ------....--------------------------------------------------------------=---------------------------------- ..
......................................
a ...
Permit No. F�-.::46..6------------------------------ Issued ----------------- -----------------------------------ate------
Date
" THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(fextif rate of CZumyfia cee
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( t/ )
bto.J --(s-zL-J.`'- ---------------------------------- ----- -- ------------------------------------------------
Y------------------------------------------ ----------- ----------------------- -
Installer
at - ------------------------------------------------------------.....#.,34 ------ ---------C--
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. .........F91----..1. .. .......... dated ......................................---------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE........ ' ' : \0...--(v------. - ---------------------------------- ----- Inspector ------......-................. . ...................................----------
C
` THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
N.o. .. 2 7
.......� ... FEE. .3: .
Disposal Works TonotruaJon "Prrutit
Permission is hereby granted.------••._.�a...... '-4 = ..............'
to Construct ( ) or Repair (,/) an Individual Sewage Disposal System
at No........ t3f..:r.LS=e�l..t sa:2s�d3...:�. ..... C ,�T E�u_t( ...................................................
Street qq
as shown on the application for Disposal Works Construction Permit No,l`�AKL.... Dated..........................................
................................. . .......................................................
QQ Board of Health
DATE.............7_.� ....-..f_ ...................................
FORM 311508 H0813S 6 WARREN.INC..PUBLISHERS -