HomeMy WebLinkAbout0351 MAIN STREET (CENT.) - Health 1■M■■■M■E■M■■■■■■■■■■■■■■■■■■■■\r�MrOMrOrE��EEM
1■■■■■■■■■■■■■■M■■■■M■■■■MMM■■■■■■■M■■■■■■■■■
IOM■EMEE■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MEMO
�1■�■■■■■■■■�■■■■■�■■■■■■■■■■■■■■�■■■�■■■■■■■EEO
IEEE■E■■■■■■■MM■■■■■■■■■■M■■■■■■■■■■■■■■■■■■■■O
AIM■■��■■■■■■■■■■■■■�■■■■■��■■�■■■■■■�■■■■■■�■��
IEEE■■■MM■■■M■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
!■�■����■■■■■■■■■■Mil■�I���Y,fi��i■■■■■■■■■■■■■■■■■�■
1■■■■■■■■■■■■■■■■■■■■■■■■E ■■■■■■■■■■■■■■■■■■■
SEE■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■�■
ON��l���■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
';IEEE■■E■■■■■■■M■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
IEEE■■■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
1■■ ■■■■■■���■■■■■■■■�■■■■■��■■■■■■■■�■■MEME■■■
IE■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MEmmmm E■E■
IEEE■��■■■�■�■■�■■■��■��■■■■■■■■�■■�■■■�■■�■■��
No on
IMMM■■■■■■■E�E�ESE■■■■■■■■■■■��������■■■■■■■■tom
TOWN OF BARNSTABLE �►
LOCATION ,351 SEWAGE # 90
VILLAGE ASSESSOR'S MAP & LOT,--*O--//9 ®/
INSTALLER'S NAME & PHONE NO. �DG�k77 C'l>rUsi yam '
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type)
NO. OF BEDROOMS �-2 PRIVATE WELL O PUBLIC WA
BUILDER OR OWNER / �.�r.�✓U��r �� �QcTfs>� r�G.
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: 4:5�''` L
VARIANCE GRANTED: Yes N
4� � � ���
� ->� ,� ��
- o
ASSESSORS MAP NO:
,PARCEL N0:
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Disposal Works Toustrnrtion Frrmit
Application is hereby made for a Permit to Construct ( ) or Repair (pe,0 an Individual Sewage Disposal
System at:
�//lam
p Locatio Address or Lot No
.........._— �
Owner Address
w �7._..eo.v. �.-----....._
- - - -------
Installer Address
Type of Building Size Lot--n.di-000 .....Sq. feet
a Dwelling—No. of Bedrooms_................. .....................Expansion Attic ( ) Garbage Grinder ( )
44 Other—Type of Building ........., ....... No. of persons............................ Showers ( ) — Cafeteria ( )
W Other fixtures -------------gal
Design Flow................... lons per person per day. Total daily flow............... ................gallons.
W Septic Tank—Liquid capacity�l'Dd gallons Length............:... Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width..._................ Total Length__......._._..__.... Total leaching area....................sq. ft.
Seepage Pit No----------- Diameter......A ..... Depth below inlet........a........ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by......................................................................... Date........................................
a
a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
�14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ----'----------------------------------------'------------•-----------'--'----'----------'---'--"'•.........................................................
0 Description of Soil................................................................................•......................................................................................
x
w
UNature of Repairs or Alterations—Answer when applicable..l �� �. 'EGG <SSRG_._./ - t.
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 b n issued y t board of health.
Signed .. ............ .... . . .... -- .---------- 1� Q..---
_ /fi Dale
Application Approved By --------------- _- Yv tS�
------. ............. ....... ....................................... ....................................................... Date..�...._
Application Disapproved for the following reasons- -------------------------------- -----------------....--------- ------...-------------....-------- --------------------------
---------------------------------------------------------------------------------------------------------------------------------------- ----------------------- --------------------------------------- ........................................
/ c� Dale
Permit No. 1�..-r-- Issued . ..................................................... ,_
Date
FEi3
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF. HEALTH
TOWN OF BARNSTABLE
Ap liratiou for Biopasal Works Tonotrurtinn Vantit
Application is hereby made for a,Permit to Construct ( ) or Repair (pQ an Individual Sewage Disposal '
System at:
-Location Address --- or Lot No.
1�/.4 �i4nJ �r�fUit/T/ �.I.t�uSJ.e/ �z�
Owner Address
a .�Q2Tl>l C Q;ie c 'T.�GrG-�/ 7 l ����Y 9 ......
-•--._....-•-------------- ------- ------•---.._.___.._._........-------......---•------------. ..---- --------•-----------------•------•----------•-------.�_..-------•------Sq. feet
Installer Address
Type of Building Size LotO ODd __.
U Dwelling—No. of Bedrooms................ ....................Expansion Attic ( ) Garbage Grinder
a`-4 Other—T e of Building �__-_-- No. .of persons............................ Showers
YP g ---------�--------------•---•--------- ( ) — Cafeteria ( )
dOther fixtures --••------------•--- •--.....---••••-••--------•--------•--••-••••••-•-••-•••••-••••-•..............•••..............
W Design Flow..................,S2S"..............gallons per person per day. Total daily flow.._........_...sS'_l i'.a...............gallons.
WSeptic Tank—Liquid capacity,.,P .dgallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
-
Seepage Pit No.--__-_--__-Z..... Diameter......./14._r___ Depth below inlet........G r--_._-.. Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
IH Percolation Test Results Performed by.......................................................................... Date........................................
1.4
Test Pit No. I................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........................
--•-----•--------••------•-----••--•-••••------------------••--
0 Description of Soil................................................................................:.........................................................................................
x
U .............................-------••--...------------••••••---••••••••--------•-•••••---...........-----•-••••--•-----------------•••-•-----•-•-•-•-------------•-----•-------••--•---------•--------
w
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-••--------------------
U Nature of Repairs or Alterations—Answer when applicable-_-Cl _- ...... ..................
..................................................
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 y the board of health.
Signed .-..-.. /
Da
Application Approved B "` 1
PP Pp Y -.. ......... ..-.. ------------------------° ----------------- ,...
Date
Application Disapproved for the following reasons- ------ ---------------------------------------------------- -------- .....................................................
- - - ----- -- -------------------------------------------- -------------------...................................-------- ---------------------------------------------- ------------ -----------------------
rr i q Date
Permit No. 9�J.. a ... Issued . 1 ->....
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-TOWN OF BARNSTABLE
CLez#tf ra e of CETumpItttnce
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( �)
by .................................... ...6.,>..7.7.............. ow.,1_T-... �ti-�'......---------...........------------------------------ -------------------
Installer
at ............................ 5� /.. .../ ✓ / 5' / ... - - �'r/�IJL.I�I
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. ................................................ dated ---------.......................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
f
DATE--------b..- - .............. Inspector --- - . --- --- --- ..... _ ........ -------------.--------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
400o" TOWN OF BARNSTABLE
No.................... FEE........................
�i��la��t1 �ark� �uat��ritr�ilan ��eruti�
Permission is hereby granted------........ ----•----- .. :............................•---•.
to Construct ( ) or Repair ,(�C) an Individual Sewage Disposal System
at No-------- ---------•--•-...... �........... l.�S✓..._.,r5 �1 f✓ -�
Street pp
as shown on the application for Disposal Works Construction. Per t No•._±0-0—�"_Abated...................--------------
. ....
Poo'
/ �J Board of health
DATE............. ....."'.._ ./_ ..
FORM 36506 HOBBS h WARREN.INC..PUBLISHERS
TOWN OF BARNSTABLE �►
LOCATION ,351 SEWAGE # 90
VILLAGE ASSESSOR'S MAP & LOT,--*O--//9 ®/
INSTALLER'S NAME & PHONE NO. �DG�k77 C'l>rUsi yam '
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type)
NO. OF BEDROOMS �-2 PRIVATE WELL O PUBLIC WA
BUILDER OR OWNER / �.�r.�✓U��r �� �QcTfs>� r�G.
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: 4:5�''` L
VARIANCE GRANTED: Yes N
4� � � ���
� ->� ,� ��
- o
ASSESSORS MAP NO:
,PARCEL N0:
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Disposal Works Toustrnrtion Frrmit
Application is hereby made for a Permit to Construct ( ) or Repair (pe,0 an Individual Sewage Disposal
System at:
�//lam
p Locatio Address or Lot No
.........._— �
Owner Address
w �7._..eo.v. �.-----....._
- - - -------
Installer Address
Type of Building Size Lot--n.di-000 .....Sq. feet
a Dwelling—No. of Bedrooms_................. .....................Expansion Attic ( ) Garbage Grinder ( )
44 Other—Type of Building ........., ....... No. of persons............................ Showers ( ) — Cafeteria ( )
W Other fixtures -------------gal
Design Flow................... lons per person per day. Total daily flow............... ................gallons.
W Septic Tank—Liquid capacity�l'Dd gallons Length............:... Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width..._................ Total Length__......._._..__.... Total leaching area....................sq. ft.
Seepage Pit No----------- Diameter......A ..... Depth below inlet........a........ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by......................................................................... Date........................................
a
a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
�14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ----'----------------------------------------'------------•-----------'--'----'----------'---'--"'•.........................................................
0 Description of Soil................................................................................•......................................................................................
x
w
UNature of Repairs or Alterations—Answer when applicable..l �� �. 'EGG <SSRG_._./ - t.
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 b n issued y t board of health.
Signed .. ............ .... . . .... -- .---------- 1� Q..---
_ /fi Dale
Application Approved By --------------- _- Yv tS�
------. ............. ....... ....................................... ....................................................... Date..�...._
Application Disapproved for the following reasons- -------------------------------- -----------------....--------- ------...-------------....-------- --------------------------
---------------------------------------------------------------------------------------------------------------------------------------- ----------------------- --------------------------------------- ........................................
/ c� Dale
Permit No. 1�..-r-- Issued . ..................................................... ,_
Date
FEi3
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF. HEALTH
TOWN OF BARNSTABLE
Ap liratiou for Biopasal Works Tonotrurtinn Vantit
Application is hereby made for a,Permit to Construct ( ) or Repair (pQ an Individual Sewage Disposal '
System at:
-Location Address --- or Lot No.
1�/.4 �i4nJ �r�fUit/T/ �.I.t�uSJ.e/ �z�
Owner Address
a .�Q2Tl>l C Q;ie c 'T.�GrG-�/ 7 l ����Y 9 ......
-•--._....-•-------------- ------- ------•---.._.___.._._........-------......---•------------. ..---- --------•-----------------•------•----------•-------.�_..-------•------Sq. feet
Installer Address
Type of Building Size LotO ODd __.
U Dwelling—No. of Bedrooms................ ....................Expansion Attic ( ) Garbage Grinder
a`-4 Other—T e of Building �__-_-- No. .of persons............................ Showers
YP g ---------�--------------•---•--------- ( ) — Cafeteria ( )
dOther fixtures --••------------•--- •--.....---••••-••--------•--------•--••-••••••-•-••-•••••-••••-•..............•••..............
W Design Flow..................,S2S"..............gallons per person per day. Total daily flow.._........_...sS'_l i'.a...............gallons.
WSeptic Tank—Liquid capacity,.,P .dgallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
-
Seepage Pit No.--__-_--__-Z..... Diameter......./14._r___ Depth below inlet........G r--_._-.. Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
IH Percolation Test Results Performed by.......................................................................... Date........................................
1.4
Test Pit No. I................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........................
--•-----•--------••------•-----••--•-••••------------------••--
0 Description of Soil................................................................................:.........................................................................................
x
U .............................-------••--...------------••••••---••••••••--------•-•••••---...........-----•-••••--•-----------------•••-•-----•-•-•-•-------------•-----•-------••--•---------•--------
w
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-••--------------------
U Nature of Repairs or Alterations—Answer when applicable-_-Cl _- ...... ..................
..................................................
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 y the board of health.
Signed .-..-.. /
Da
Application Approved B "` 1
PP Pp Y -.. ......... ..-.. ------------------------° ----------------- ,...
Date
Application Disapproved for the following reasons- ------ ---------------------------------------------------- -------- .....................................................
- - - ----- -- -------------------------------------------- -------------------...................................-------- ---------------------------------------------- ------------ -----------------------
rr i q Date
Permit No. 9�J.. a ... Issued . 1 ->....
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-TOWN OF BARNSTABLE
CLez#tf ra e of CETumpItttnce
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( �)
by .................................... ...6.,>..7.7.............. ow.,1_T-... �ti-�'......---------...........------------------------------ -------------------
Installer
at ............................ 5� /.. .../ ✓ / 5' / ... - - �'r/�IJL.I�I
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. ................................................ dated ---------.......................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
f
DATE--------b..- - .............. Inspector --- - . --- --- --- ..... _ ........ -------------.--------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
400o" TOWN OF BARNSTABLE
No.................... FEE........................
�i��la��t1 �ark� �uat��ritr�ilan ��eruti�
Permission is hereby granted------........ ----•----- .. :............................•---•.
to Construct ( ) or Repair ,(�C) an Individual Sewage Disposal System
at No-------- ---------•--•-...... �........... l.�S✓..._.,r5 �1 f✓ -�
Street pp
as shown on the application for Disposal Works Construction. Per t No•._±0-0—�"_Abated...................--------------
. ....
Poo'
/ �J Board of health
DATE............. ....."'.._ ./_ ..
FORM 36506 HOBBS h WARREN.INC..PUBLISHERS