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Home My WebLink About0030 ARBOR WAY - Health Ay, b w t µ M i i t No. 4210 1/3 YEL penuatuene rl C TOWN OF BARNSTABLE �� L d5' �J y LOCATION 'f /7'v +�" L✓a ! SEWAGE # VILLAGE 2)'%"v zS ASSESSOR'S MAP & LOT $ J. CRAIG MEDEIROS 4,,ro h INSTALLER'S NAME & PHONE NO. 78 LINDEN ST. HYANNIS MA 0260 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE' WELL OR UBL1C,`WATERR OWNER G.L► MvL&A8-y DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No y II C. w � fz, Ax U E 0 .0 A'�O SEWAGE P L?�.�0. Jrs VILL,ACE / �O ��y tit.- �� 6�'d d1 Y► l�S� �� b � I N S T A LLER'S NAME D ADORES � J. CRAtG ME;XKOS#�<o4 41 Corporation Street S U 1 L 0 E R OR OWNER v DATE PERMIT ISSUED DATE COMPL-IANCE ISSUED �1i m W i V� I j C (17 i 6 . I Q a i Q r Fxs............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® 5�F HEALTH .. . ..�....................OF....�.................... ApplirFation for Digpag ai 10urkii Tonitrnrtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy xmo at C.4 -b �- is 4►� ................ .................... .. ' .............. ........................................-� ..... .' .. Location Address or Lot No. .................................................................................................. .......--•-------•-•-----............••----..................................----................ r caner Address Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms.............................. .. .....Expansion Attic ( ) Garbage Grinder ( ') ` 'L Other—T e 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................... 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......................... (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r. ---------------- ---- O Description of 'Soil........... -- n r t y x .......--••---------•-----••••-•-•••••---------••-•-••--•-••-•-••--•-•-----•-•---•------•-•-•----•---------•- U --•---••••-••••--••-•------•-•••-•-----------•••-•---------------------•-•-•-••-•-............----•--•---•. W ••••---------------••-•--------••---------------•------•-••--•-••-••••---•-•----••--•--•----••••••......•-•-•• - UNa. re of Repairs or�Alterations—Answer when applicable_-_ _e ..._..._.___ 9.✓`�.._..l._...�................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iILTL TI: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ued by the board of health. Sign -- --------• .................. f Date Application Approved By_........-- ..... --- -•• 11" �.....:.... / Date Application Disapproved for the following reasons------------------•----------•--•----------------------------------........................................... ---•--•------••••.............•••---••••-•--••••--••-•••••-••.................-•------------••-•--•....--••-•--•------•-••------•--•--------•-•-•••------•-•••-•••----•--••••••.................... Date PermitNo......................................................... Issued....................................................... Date ij_ — No..S�J. .L S.. , FEs............._............ THE COMMONWEALTH OF MASSACHUSETTS ,r BOARD-. F HEALTH `'s'`....�•..................OF..... ..................: ApplirFa#ion for 11ispag al Works Tonotrnr#iun anti# Application is hereby made for a Permit to Construct ( . ) or Repair ( ) an Individual Sewage Disposal System a 1— �v t-- ................_........_.................. `I.---------•--.. ... Location-Address or Lot No. ............••........__......................................................................... ......-----•--------......---..._.............._.................................................. ` wner Addresg 1 �1 F / OS SON � 7c. n4 et9� UC� I .....................t = ......... ............. ....... --••----�- ........... ._........... :?:...... !^:... Installer Address UType of Building Size Lot...........................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e 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. 3 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......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -- ----••-----------------•----•---.................._...--•-------......................................................... D Description of Soil..................'z, al x [--------------------------------------------------------------------------------------------------------------------------------------- x ------------------------•--•---------------•--••--•--------•--••-----------•-----.....--••--------•---/� ----...--------------------------------------------... U Nat re of epairs or Alterations—Answer when applicable....✓ "._...�------ ...../o_�?:u!e Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TiT?E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i ued by the board of health. ---------------•---•----•- . ...."/ , / �r-�L�to ..... Application Approved BY.........................��_.---..�:..__ __ r� 7 Date Application Disapproved for the following reasons:.............................................................................................................._ ....................•--------•---•-•--------•--------------.......-----......--------•----------------------•--•-----•-------------------------•----------------------•----------•--------••------------ Date PermitNo...............................••......----•----•------. Issued_........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................I................................... Trtif irate of ToutpliFanrr .. T IS TO CE TI Y, That the Indivi 1 Sewage'Disposal S .stem const cted ( ) or Repaired (too')' � c� . by �'r-- - lL� ..f.: ,,:;install at. sue.�`' • ;a.....-�--.•----------------•--------... Y�,� f'` `"�`= has been installed in accordance wit�4v4he provisions of TITLE 5 of T StaCeXanitar Code as described in the P Y application for Disposal Works Construction Permit No.... -_?c Z: ............. dated................................................ TIME ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................................ ........ Inspector..........2,`-A-�----------•............................ THE COMMONWEALTH OF MASSACHUSETTS -, BOARDS HEALTH ..�/;;;;;777�' ---................................................... No......................... FEE........................ Disposal ran �nn�tr tin [anti# Permission is hereby granted.......'. _"'.�^" !----�� ^-.�.. ':�.......--•------------ to Construct ( , ) or.-Repair ((��Individual : ge Disposal System atNo J � -- �"•-��'µ''---.... ------- ------------------------•-----......-------------------•------........---... Street as shown on the application for Disposal Worlts Construction Permit No......................Dated....._.............._..................... .................... B and of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ASSESSORS MAP NO. PARCEL NO: yl 3_0......... THE COMMONWEALTH OF,MASSACHUSETTS _ BOARD OF HEALTH . - •: ,QTOWN OF BARNSTABLE Hitt t � uri►� �� at 3 >arlt Cnl�at #rr#iunrrmi# Application is hereby made for a Permit to Construct ( ) or Repair /) an Individual Sewage Disposal System at: 6a --•.........................................................•---•-. :................... ................................................................................................. Location..Address or Lot No. 1.�. C=�'a`` E -IJ• - -----•- -••-----•................. - Ad C ,Wa Meef e----oS g� �u'� - _ c .. urE•. .5� .. '�......-h/r-o oLd b� ...........• ��► Installer Addres , Q S Type of Building ' • Size Lot___________________________ q. feet U 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..................... Total Length.................--. Total leaching area....................sq.-ft. 3 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......................:. �T4 Test Pit No. 2...............minutes per inch Depth of Test Pit.................... Depth to ground water........................ � Description of Soil------�._.. .�............./��ov-E �----------•...................•------...------•--._.......--••---•-----.....:_....__...........----• U ---•--------. -----�----------?----------------------- - - _... W ... ••-••..........•--------•..........•-•---. ---••---------------------------------------•-•-•••-•••----•--• ,...... Nature of Repa• s or Al rati s— A er w pplicable.. ........!..I� _��-r��a�.. •...._/_� ................. . 4 ....... ... -••-••....... . . _-•-•- . •-• . --- ...... J.............=.................................................................................... Agreement: The'%ndersigne'd 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 Complia ce ha een issued Y the board of health .w♦ .f�7 / -Y t .. Signed , .nn i,.,4 1••83• y,4, - ,r me . Application Approved By .............C�, C1..� � ..4.................. ............... ...... r�!�!:..✓.. :3 Dace J Application Disapproved for the following reasons: ................... ................................................................................................................... ..........................................:...................................................................................................................................................................... ........................................ ` q► � / - Dare Permit No. ........q.. ..-.5...�.1b........................... Issued .................................................................... ,\ j Dare 021-4-1 9 o y/ n.......... THE-COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 9 -1y - sue Appliratiun for Ui►yiisul Works Tnnstrnrtion 11amit Application is hereby made for a Permit to Construct ( ) or Repair GXan Individual Sewage Disposal System at: 3 ��6 L✓�y ..............................................................•----------....__.._..--•..._.....-- •-•---•-----•-•--•-•----...-----------•----•---------••---------•--•----....----.....---.......... Location- Address or Lot No. ._.__ __._.... ____ V ___________________________ _______________ ..................__ qo ncrddress 2�t�v S 9t� V i-� of s n/-/��h h i S `a/l- ...........................................------------------------='---- Installer Address UType of Building Size Lot............................Sq. feet �-t Dwelling— No. of Bedrooms____y___________________________________Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther 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. 3 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........................ fit Test Pit No. 2................minutes per inch Depth of Test Pit....................,Depth to ground water........................ D Description of Soil....... --- ? v G / V ..........................•-•...-------•-••••----- ----- . ------------------•-•-- ------------------...- - -------------------•--- •-------•-• ---------•-•-••-•••........_..._............_.. W x : ---------- -v o_V Nature of Repairs or Alterations�s—Answer whnappllicable_,_ '3 f./�J_ - . / _ ---_....... ..................................................................................................... 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 untilta Certificate of Compliance has been issued b the board of;health. Signed-.� Gti 1 9'Ui Date Application Approved By ................ . . .......9... -. ..y..-...cr..�j Date ` Application Disapproved for the following reasons: ......................................................................................................................................:. ................................................................................................................................................................................................................ ........................................ Dace Permit No. ........ .. ...-.` ....�. .......................... Issued Dare ------ ..------.__ _.__.---_..__----- -._..—.__.—:_- ------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE QuIErtifirate of Compliance f THIS IS E0 CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (e0 )V 0 by ........ r..I.....h....A`r... ...MI -/ . 'A/1 1C!.G*�..� / ""54 J jhC ...... . ... . .. .. ..... ................. ....................................................-................... at J ?' ............ .J.... ?. '....., y.ah..........'S....... .....vL..............). 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. ...... ..—.....11.,...... dated ............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.9C DATE............................. ......... /A;.. ............................... Inspector ................................................................................................. THE COMMONWEALTH OF MASSACHUSETTS� BOARD OF HEALTH TOWN OF BARNSTABLE 7,—- /(, FEE... II No.... • ........�..... .. ............. - Disposal Works Tonstrudion rrrmit Permission is hereby granted__._ J_.:__C`-_.....;>_.__`�'-�_.--- 1. _s s-gin e: -.._..__...-•................ to Construct ) or Repair ((/ran Individual Sewage Di al alSystern L / at No. i._c_-C, cl f'�� v L► Cd V J I li✓� y �7y�i _rt / U Street as shown on the application for Disposal Works Construction Permit No... Dated.......................................... j •;. 1-••______________________________•---_______--•-•------•- Board of Health DATE..................... ---=' �'-�- �3.......................... FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS