The URL can be used to link to this page

Home My WebLink About0029 SOUTHWINDS CIRCLE - Health (2) a i. o e a •. .d• , : _ • • a • u E .. o „ Y o a, pia one phone:1-886 7` 67'6 URV10502 MADE IN USA - n No. . FEB,__ ...... APPROVED THE COMMONWEALTH OF MASSACHUSETTS Barnstable Conservation Department BOARD OF HEALTH C;2- �y 1';*r&.--CT-A TOWN OF BARNSTABLE 0 ► SignedAppltltt# 14 for Di-ripmial .Uuxks Tomitrur#tnn Prruttt Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ---------------------------------- �anjon-Address 0 t No. W Own ............................../ c �. ��/f AddycSs, 7 Installer Address Type of Building Size Lot............................Sq. feet aDwelling— No. of Bedrooms............... -__--__---________..____Expansion Attic ( ) Garbage Grinder ( ) p� Other—Type of Building ____________________________ No. of persons________-.__--_-___--_..._-_ Showers ( ) — Cafeteria ( ) Q' 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. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water-------------_.......... fi Test Pit No. 2................minutes per inch Depth of Test Pit--------_........... Depth to ground water....________-___----___. Description of Soil...... � V --------------------------------------•-------------------------------------------- --- ---------- ----------- -------------------------------------------------------------------------- ---------=---------------------- ----- --- ... - U Nature of Repairs or Alterations—Answer when applicable./-&tAV��J_�-.___Je__J��___.?a-I.._�� ._ 'PC�X '...t5?!.�✓ � .....l�'1 :/� o! � r �' ..................................................... Agreement: 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 undersign d further agrees not to place the system in operation until a Certificate of Compliance as been i / ed h b rd of he h. GEC/ Signed ..................... - ------ . . ......................... .. --------------------------------------- Dace Application Approved By --- ------------ _C/.-'t-� �t ........................................ ��..Gf/y/_/� / Dace Application Disapproved for the following reasons: ................ ... . ......................................................................................... _..............._... ---------------------------------------- Permit No. �`.............(�.1--- ----------------- Issued ............................................ ...- Dace L ---------- — — — -- — --- _ — -- _.__�-------- _._I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (9jertifirate of (famplianre THIS IS T6'CER,Ti�Y, That the Individual Sewage Disposal System constructed or Repaired by ..... -a.......................-..................................................................................................... In,ta II• at ............ --------............................................................................ 1.)---------Lift .............. .. ....SoQ.th ............... ..... has been installed in accordance with the provisions of TIT I E of The State Environmental Cod6 as described in the application for Disposal Works Construction Permit No. �..... dated ----/P —. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ""A x DATE.......................7.,.. ........U........ --------------......... Inspector ------------U- ,- )- ------------------------------------------------ ------- -------- ------ ---------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No... -,/24• FEE....................K) Raposal Tonstr i,nn prrmit - Permission is hereby granted....... ............................... ............ ........................................... to Construct or Repair an Individual Sewage Disposal System atNo...�ZQ-7..... ------------------------------------------------------------- ..................................... Street 47.— / -;7,_ as shown on the application for Disposal Works Construction PermitN?97ie�--��atcd----- -------------...........t_;l ................. Board of Health DATE...-----.._,................p--------------------i ---------- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS No..9.y •- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE l G f v\4 Appliratinn for Bi,raltnial lVork.6 TomitrixltWu ramit ✓Application is hereby made for a Permit to Construct ( ) or Repair Q\() an Individual Sewage Disposal System at• ,-e �r"1 d _I -ation-Address or Lo"t No. j!!'1•:..... �i Q-r- ........................................ -•---------------------••--•-•-•-..• _.•.-...•-••--------•--------:....................... Own a ��:. = �`` �r?5�� ? 'fC Se✓'c�• D,__ -o�Y/o f r Add n......................................../�•e_. • -•------••- •--• --•- e Installer Address UType of Building Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms--------------- ---------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building -------------_---..._..--- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) al 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........................................ Test Pit No. I................minutes per inch Depth of Test Pit.......__.._..---_- Depth to.ground water..................... Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............................................................................................................... 0 Description of Soil------ --••---••------•-•--•••-------------------••--•----••-•••••-•--•--------.•...--•-----•...---•-•-•••-•-••---•-•- V ' -------------------------------------------------------------------------------------=---------- ----------------•-- U Nature of Repairs or Alterations—Answer when applicable./-tZS ��_a-...-��_ ?�O!1 4-z j �1f�7� �'I, 1 . C17l f!�...../hz,511 :2.65 -an-0...... ..................... ---•---- 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 undersig�d further agrees not to place the system in operation until a Certificate of Compliance has been is ded b� h. beard of health.'. Signed ------------------------------------------------------- ------------------------------------------------ ---------------------------------=------ �'^'�. - �- Date Application Approved BY ,��II .� � y ' 7. ..�'.`�...: ._ Date Application Disapproved for the following reasons- ----------------------------------------- --------------------------------------------------......------.._..---------------- ------------------------------------ ------------------ ---- ---------------------------------------------------------------------------- ---------------- ........................................ .... ...................... rb Date Permit No. " f.:�----------------- Issued ----------................�� ..., _ Date -------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#tftctt#e of Cfnmplianee T ' IS W CERTIFY, Tl}at the Individual Sewage Disposal System constructed ( ) or Repaired (�) by1-..�. tt2�S �?" .-------------------------------------- --- --------------------------------------------------------------------------- � / _ ltxtaller at 15X ,,--.... -1..._..., .0-a71- 1Z11 '-C7---------. °.<ec—��-- ..._--- ------- ------------------------------------------_-------------------------------------------------- has been installed in accordance with the provisions of TITLE of The State Environmental Code as described in the application for Disposal Works Construction Permit No. dated s» , ,�J o"� PP P ...- - ..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE'CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY DATE----------- ►....... '... ... ".,.... ... Inspector,... _ .:��`,f`... - - -..... ._...------- ------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L� TOWN OF BARNSTABLE //ffjfJJ No. .•.. "- FEE. :.v.. ...... Dispniial Workii .0 omitrurtinn rrmit Permission is hereby granted•••/--r=..._& ttzcS ......................................... to Construct ( ) or epai�r//Y,J an Individual Sewage Disposal System at No�71•-- J �i..7.t2.1 r!'!!-I C/_/' I{�............ stree -------------------- as shown on the application for Disposal Works Construction Permit ------ O./Dated:------I----- ..... .,> , -: Board of Health DATE....... % -._--_--........... a FORM 36508 HOBBS h WARREN,INC..PUBLISHERS