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Home My WebLink About0171 SOUTH MAIN STREET - Health v :Q d' SMEAD No.2-153LY UPC 12934 smead com - Made In USA 3 �Y� SUSTAINABLE WRIATNE CutlNodRb�rSourcLw I a60 t .- No.._J...1.__`_1- 2- FRB....4/50......... APPROVED THE COMMONWEALTH OF MASSACHUSETTS A Barnstable CWSOn iM Dq'2B O A R® OF HEALTH 1 ��T.C�,WN OF BARNSTABLE SigroW Appliratiou fur Diripwml Work,i C otuitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..........•----.1...'�.1............. N�----.....r:-•��------ -----------•--•------............................................................. Location-Address or Lot No. .............. G Y1 ......... .`__ .� .................. ------------------------------------.........-------••---......-•----......••-•----•-••.........-- Owner Address a i staller r UType of Building - Size Lot....... .�"c .Sq. feet ,., Dwelling—No. of Bedrooms............. .. .-------.-..------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.--------------.------------ Showers ( ) — Cafeteria ( ) a' 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......-f........... Total Length.................. Total leaching area....................sq. ft. Seepage Pit No...--..... ... Diameter-------/0------- Depth below inlet...... .......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `4 Percolation Test Results Performed by.......................................................................... Date........................................ W - „� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.--................. Depth to ground water--...................... 9 ----•-------------------•----•---•-•-------•-...------------------••--••----------------------......--.......-••-•....-••-•-.........................-••----- ODescription of Soil.........................................................................................................................................................-.............. W V ------------------------------- ------------------------------------------------------------------------- •------- .._..---------------------------- *.............. .... --•------------------- W U Nature of Repairs or Alterations—Answer when applicable...A0.0..--....A.0.o)-�lvN!o:4....&&5. N)� -•- 1 � `1 ,�-------- 57 Agreemenr. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of..TITLE 5 of the State Environmental ode—The ndersi ned further agrees not to place the system in operation until a Certificate of Compliance a e is e y t and of health. Signed --- -------------------------------- ........... ............................................ ----------------- ApplicationApproved By .....................:.. .................. ..........................................---........... ----.. ...—.1...-.g� �re Application Disapproved for the fo wing reason r: . ................................ . .. .................................................................................. .................................................. . . .................. ... ......... ................................ ................................ . ..... ........................................ Permit No. .........7LI................. .....l —.......... Issued ..... Date..... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cfelr#tfirate of ComplinurE THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired Y ' b .... ...... .................. (f/ Z G... ..... ........ -- . ................... ........................... Y Installer at ...................�. -71 ..........�...< .....f.ty. ------------C .. .................. has been installed in accordance with the provisions of TITI.E 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No- ----- _�.....L .. . .. 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 TOWN OF BARNSTABLE /1 Permission is hereby granted.................................� __............ .!`��- to Construct ( ) or Repair an Individual Sewage Disposal System at No... 7� v �=x e _ ------------�-.S�c ......................................................... i street as shown on the application for Disposal Works Construction Permit No.--. Dated Dated......c:5;_.....I.,,,a?-..-J�?�. ............................. j�r. ............•......................................••. `J Board of Health DATE............. -------_------_---------•- FORM 36508 HOBBS Ca WARREN,INC.,PUBLISHERS 60 t 10.......... No.. y lzz Fimic THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ).7`/`"` 5� ................/. ........... V ...Y.... ............. r ..le ..........................................................................................') Location-Address or Lot No. ...................... ..........172'..�:..k.0 V�. . .................. ................................................................................................ Owner Address _ � >?�.r............................... ......J�,k/ . .............................� - 7 ��.T.. .......... f..... j� staller C' NJ 7 Type of Building Size i_"o t-------V7_.j1(_. P.t.Sq. feet U IL Dwelling—No. of Bedrooms-------------------------------------_.-._Expansion Attic Garbage Grinder �1 aOther—Type of Building ............................ No. of persons.-.-----.-._..-..__.,------. Showers Cafeteria Other fixtures ---------------------------------------------------------------------------------- ----------------- -------*---------*------- Design Flow............................................gallons per person per day. Total daily fl `61 4? e!�L,2,.................gallons. W yn1NW1____-4--------U U- / /)'-') I 1:4 Septi6 Tank—Liquid capacitv/bW...gallons Length---------------- Width................ Diameter.--.---._.---.-.-Depth................ Disposal Trench—No. .................... Vidth.................... Total Length............_..._._ Total leaching area....................sq. f t. Seepage Pit No....--._. ------ Diameter--------/A------- Depth below inlet..._..4�.......... Total leaching area..................sq. f t. z Other Distribution box Dosing tank Percolation Test Results Performed by.......................................................................... Date---------------.....------------------. Test Pit No. I................minutes per inch Depth of Test Pit................._.. Depth to ground water.............._......... LZ4 Test Pit No. 2................minutes per inch Depth of Test Pit............__...... Depth to ground water........................ ...................................................................................................................................... ---------------- 0 Description of Soil-------................................................................................................................................................................ WI........................................................................................................................................................................................................ ................................................ ....................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable....o .......... ,�� 7.......77�1;-i__�=-, ........5.7...................................................................................................................... *......... ------------------------- - Agreement: The undersigned agrees to ins-tall the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental/,�, ode—The�indersigned further agrees not to place the 1, '1—) system in operation until a Certificate of Compliance h be is e�)dy the board of health. Signed ............................ ....................................... .................. ........................................ Application Approved By ................... ------ ...................................................... .......t Date i5;te Application Disapproved for the fo owing S: -----------------------------------------------------------------------------i.......................................................... -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------i---------.... .................Date .................... PermitNo. ........7-L-/-,...... . .......... Issued .................................................................. Dare r, TOWN OF BARNSTABLE . LOCATION 7 IAA1.-1 - SEWAGE # tea. i VILLAGE ASSESSOR'S MAP & LOT-W-dri- 601 INSTALLER'S NAME-& PRONE NO. SEPTIC TANK CAPACITY /6 ,Q LEACHING FACILITY:(type) , c J (size) NO. OF BEDROOMS y PRIVATE WELL O PUBLIC WATER )R BUILDER OR WNE DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes �� -171 � d yal 33 f J bl�J�r C,9 I No.—Y-IL-3 2 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ...........................OF7-3.,.�apoj.g7,su��...................... .. Appliration for Disposal Murk, Tonstrurtion 1hrutit Application is hereby made for a Permit to Construct or Repair tea Individual Sewage Disposal System at: \/\A cA S. ....... A- ..................... ---------------------------- Location-Address or Lot No. 4 VY\Q LVCL=74 r� 0 ...................................... o �0 n Address �A........... ; ...................... ............ ......... .............. k-A ....k.o Installer Address 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 Otherfixtures ...................................................................................................................................................... Design Flow..........:515 .....................gallons per person per day. Total daily flow.......... ....................gallons. AG Septic Tank—Liquid'capaci gallons Length................ Width Diameter................ Depth..._............ Disposal Trench Total Length...-_ ..._..._.A-No.JJ(.............. Width...._....__.___._t4........... To !K='T' otal leaching area...................sq. ft. Seepage Pit No......I............. Diameter..... ...... Depth below inlet.....6............ Total leaching area..................sq. it. Z Other Distribution box ( ) Dosing tank ( ) 1-.4 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....................................................................................................................................................................... ..................................................................................................................................................................................................... . .................................................................................................................................................................................................. Nature of Repairs or Alterations—Answer when applicable...., .....1.0.7rz.>...;�� .V.,-1 ...... ............... ... ....... ............................................................. .......... ......G7 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'L 1',1S 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 bo4rd ofUlijalth. Signed_....... . .. .......................... ......................... .... Date C_ i Application Approved By............... ......................................... ........... Date Application Disapproved for the following reasons:..............................................................................................................- ......................................................................................................................................................................................................... Due Permit No....... 57z> -------------------- Issued..... --------............................ Date TOWN OF BARNSTABLE LOCATION `-7 k S(SU'� -1 4,;�., SEWAGE # (:�-t0"'30 ,4 VILLAGE G�C.�}�7C�'fL�a�� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 'P1$ 'Q SEPTIC TANK CAPACITY -� Ci`<L� LEACHING FACILITY:(type) Ke—(-,AFL PS`- (size) L NO. OF BEDROOMS_ PRIVATE WELL O,k- LIC W�-T BUILDER OR OWNER p t,,uY- '+� r DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t � ate. �a�►�t c Zc, 3y , r . -THE COMMONWEALTHOF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal Works Tonstrudiuit Prrmit —Application is hereby made for a !Permit to Construct ( ) or Repair an. Individual Sewage Disposal Systmi at.. ' .............. ......&:r........ ......................... Z:c! .............._._........... Location-Address or Lot No. je-43..--- -------- ....................... V VV- .....-••--•---------..... .... ........ .. ...- Owner Address a .....:. � .1� .. . ; .� ....................... ...............�D,. .. --•�,-� ^ ----..9... - - Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No, of persons........................... Showers — Cafeteria a Other fixtures ...................................................... ....................................... ••.....---..................-------- ---------------------- .......... Design Flow..... .....................gallons per person per,day. Total daily flow....-. � .._._...............gallons. Septic Tank—Liquid capacit ............gallons Length...:..........:. Width................ Diameter................ Depth................ W x Disposal Trench-I--NO.._L........v._.. Width..... ........... Total Length.....!Z......... Total leaching area....................sq. ft. 3 Seepage Pit No......J............. Diameter.....UD........ Depth below inlet.....6............ Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................... Date........................................ Test Pit \To. 1................minutes per inch Depth of Test Pit.................... Depth to ground water....................... GL, Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water,..._................... x1 . l 'D Descniption of,Soil ,:..:::.................. W ---••-•.............I--•---••-•------- ..... --------...---•--------------•------•--••---. ...-------- ==------------- . . x Nature of Repairs or Alterations—Answer when applicable...... k..._l.07r?).:.-cam. __..�-`y.. ..,...:...... { . ........... `_ nY.......-•--- �_�. ..... Q .....; \ `. i 1-- ............................................................... Agreement: The undersigned agrees to install the aforedescribed .Individual Sewage Disposal System in accordance with the provisions of iITLi 5 of the State Sanitary Code—The dpdersigned further agrees not to'place the system_in. : operation,until,a Certificate of,Compliance has been issued"by he board of I I ` ^ F y Signed ................. �_... Date Application`Approved BY - .-r l -- .�`. . ".ter�j Date Application Disapproved for the following reasons:-------•--------------------------------•-----•--------------•-•--...---.........---....._.........••--•.-•--- �. ri.....--Dater ......... Permit No...- �r�t = -------- ---- 4 Issued. ... 'Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........OF 1 �rrtif irtttr of faum�littrur , THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired. by------• - ..... �4_.........••......•--------------------•-------•------------------------•------•-------•---•-•--- Installer at-........................I... .......� 1�... ....... "------- Z I------------------------------------------:---------.------_----- has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No........ .........0 dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE:. !� J.......---•........................................... Inspector:........ ....................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH( No.. F Disposal Works TunstrWiutt Vrrmit Permission is hereby granted......... .d�- .-�� h. ................... to Construct ( ) or Repair ( )-an-Individual Sewage Disposal System . at No.-----••-----�. ' .1.........S Wit,/----.---mac c� .: = -............_... .c-�5{ c!2y1.� ...... .......................... Street as shown on the application for.Disposal Works Construction Permit No.?K�: Dated.......................................... ............................. e._ .,y ................................................... / ¢,} Board of Health DATEr•-•----------- 1-�.J-------------- --------------