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Home My WebLink About0031 ATLANTIC AVENUE - Health 31 Atlantic ,Avenue A` 265 '= 009 001 0 1 i �d �^ / TOWN OF BARNSTABLE LOCATION / T//9�7 ic- !J�` SEWAGE # VILLAGEfj`y/}"I/ ,o 3R T ASSESSOR'S MAP & LOT�c� INSTALLER'S NAME & PHONE NOA&W(�ST SEPTIC TANK CAPACITY 46> LEACHING FACILITY:(type)F1,%yao,*<i's�2j (size)3 w•7'H NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER VEIL DATE PERMIT ISSUED: -- � s- ' I DATE COMPLIANCE ISSUED: VARIANCE-GRANTED: Yes No f .� � �- . � o - ^J � ' + A W r , \ `{ N ... Chi _. � :, ,. T,. � .� _ _._ R� � � X 'I � � I -� � � �. `b�- y .t �- i � -few No.... ..... ` F�a...� i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Bispwial Works ( ontitrur#ivit runfit Application is hereby made for a Permit to Construct ( ) or pair ( ) an Individual Sewage Disposal Sys ern .... .... ...............••-•---•- ----•--------------------...............-- l Y ' Lo .fit . -•--•---- or Lot No• — .......................................... . • - _•• -•- ••••.._._..-. W Address _ �----------------------- _-----------------.................. ....._____.. ................. a ns alley Address d Type of Building Size Lot...............:...........S q. feet Dwelling—No. of Bedrooms........ __•______________________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other Ifintures ________________ - _ -• ---------------------- W Design Flow_____________ __ nn_ allons per person per day. Total daily flow_._._._.__..__._.... ___ -- ........gallons. WSeptic Tank—Liquid'(apacityltJallons 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........................................ aTest 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........................ GG • ---•-•---------------••---------•------•---------------------•----•--••...__.....................--•-•......----..._............-----•---------•------------- 0 Description of Soil........................................................................................................................................................................ x U ..........•••.............................................................................................................................................................. .... --- W -•-•-----------------------------•-•--•----•----------•--•-•----------------------------------------- UNature of Repairs or Alt tins Ans er when applicable__ _ ___ __..IN? _. _._._.___. _r_ _ ..... ---------------------------------------- = ---- } fa Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acco e with the provisions of TITLE 5 of the State Environmental Code—The undersigned furthe r ace the system in operation until a Certificate of Complia has ben issued b the board, alt a� Signed .. .... ---------------- 11 ---..... . . .. ............ ..:,.-------- --- ----- Application Approved By .. .... .. ................... ............ .... ........... . Application Disapproved for the following reasons .................................. .................................................................................................. ................ ... ..------..........:....... Dsce Permit No. ...... Issued .........(�...�r.... No._� F� -�_l THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphratilan for Disposal, Works Tonshvdiun 11prntft Application is hereby made for a Permit to Construct ( ) or epair ( ) an Individual Sewage Disposal Syst' (#. a A /) AOL _Ag I 1 Locaon-A dt s /( or Lot-No. � I V.0=—"-�..---___---- ------------___---------- Address J.e J_.5. -------------------- -------------------------------—--- — . LT'ns�aller Type of Building Size Lot---------__----Sq. feet Dwelling—No. of Bedrooms-_----_. Expansion Attic (., ) Garbage Grinder ( ) `4 � _______________________._ Other—Type T e of Building No. of persons---------•--•••---•--_ Showers );— Cafeteria ( 04 0 Other fixtures ------------------------•-------------------------------------------------------------------------------------1 = - -_ W Design Flow---------------��_.�_----- -- gallons per person per day. Total daily flow------------------;._/ �--_--gallons. OG Septic Tank—Liquid-capacity-1.��lons Length---------------- Width---------------- Diameter_•"-_.........:�_Depth--_-------_----- Dis Disposal Trench—'�Io_________________ Width---------•-_-__--._Total Len =lTofal`leaching area ----------___sq. ft. Seepage Pit No.--_________________ Diameter•.•.__...___.___..._ Depth below inlet-_------_: P �-------------- � eepag p ,===---.Total leaching area-------------_sq. ft. z Other Distribution box ( ) Dosing tank Y •--.='----`---------- ...• Date------------------- - --------- a PercTestoPit No.n Test Results s��.-••_•-•minutes per inch Depth of Test Pit___ .., P ep -----=------- Depth to ground water;--.-•------------__-_-- " (i, Test Pit No. 2----------------minutes per inch Depth of Test Pit..... ------- Depth to ground water----------------------- ------------------------------------------------------------------- x ;: A O 3 NE f -----•-----•-------•------_ ---' L (, ----.-------•--------••----------••--••--------------------•--••-••--------•' x F •---••---____--------------"'- --__- VW `------•---•--_-__-•---____-••-••---____-•--•_-•-----•---•--••-•••-•--•-•--•-______---__ iY Nature of Repairs or Alt tions—Answer when applicable____ / .J_ .}_�% __ - r ------------.................. - l r -� -------------- Agreement: A �f 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 o to lace the system in operation until a Certificate of Corriplia9pep has been issued by the board o 'he�� y F StgnedF f = ' - --^-- Application Approved BY ----!tom/' "` ... ------ ------1---�l�_ ------------- -- --------------------- - - Application Disapproved�for the-following reasons-------------------------------------------------------- -------------_..--_.....---........---------------------------------------------------------------------- �� -na `---' --- - Issued r �Gs ertnit:' o. � ---- --------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (gertifira P of (gampliance TH ,IS TO TIFY, hat t di id 1 a cDisposal System constructed ( " ) or Repaired ( ) by `� ------------ - ----- + v � T atj L1 �- ---- ----1-- Y02; ---�-�- --- ----------- ml has been installed in accordance with the provisions of TITLE 5 e S to E ental Code a be in the application for Disposal Works Construction Permit No_ ___________ _r. } .0.-__ dated __..._.. .... __.- ___ ______ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B CONSTRUED AS A GUARANttE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------- ....... -------_ ------ Inspector ._...' THE COMMONWEALTH OF MASSACHUSETTS - Y BOARD OF HEALTH TOWN OF BARNSTABLE f No.... .---_- FE Permission i hereby granted---------------- ----...- � �------'-- ��- � G to ConstructyZ r d� d S is at No.--- i ?- -� � 1�l �/ ` ° T '" °' ------- "------- I----- Street � 19 as shown on the application for Disposal Works Construction Permit No.____-_- ted----- l _ ------------—--------------------- -{� - ------------------------ __---- -- DATE-------------------�----'---1=-� �-�?=_-••--•--......-------------- oara or Health FORM 3630E HOBBS Q WARREN.INC..PUBLISHERS i TO'" OF 13-&kNSTABLE LOC4TION Y T /9rvT is UC SEWAGE VILLAGE/jl)'/3,�1rv1S �D�Z T ;t.E ASSESSOR'S MAP 6 LOT INSTALLER'S, NAME & .PHONE NOA&.'l SEPTIC TANK CAPACIT Y_,L DOD G�9 LEACHING FACILITY:(type)f' // � l l�tuGZ F�'cJS 2 S (size)3 w i N 9 NO. OF BEDROOMS PRIVATE.WELL:OR PUBLIC WATER MILDER OR OWNER DATE PERMIT,ISSUED: �I DATE COMPLIANCE ISSUED: i VARIANCE'GRANTED: Yes No - 1 �? l� /000S T T o'✓ 3 f/ova A-1 I s , � --U�SI�►,1 DA-IJ'b • .' � _. 3NC- -T I aF 2 ��N�>al� . Cof,lVr�slv�.!-?� T3�:DQDOtitS No GAer3AGE G(LINDE2 bQlU i SEPnc TAuIIL A- 5 GPI L)6C— loon Gd4, -N2a (oAvIf,IL _ I.EQG�I tJG s s - - d�xg' r�o�D►r woes SErc PI-AtS 014 VA44- ItE250F - --- L� 4o75.�w/ _._._�4o-S�, I_ aWLacATIoW AeEA S1�N LrT 20 4t-x4nc, Qvs PcRLo LATI0I,1 RATE- ('111J 2-)A 14 /-.ESS QFj fiEiUliiD Ada 3G b� I M PETER A � + 1 LU= � S�1,LLiVAN � i I i No. 23733 L yRr�''• 4 C 4lEAV'I- -UuTj_M tTA L.—_�11��rN E_.... - - . �' (T DJ61ZS 'i'o la2dDc .GAS'• FL EL=21•d_ os I ' f wV AD f 4 D15T wJ l oob i lug ;ti LEAN riYD Iur IQ 04, { � � ia'j5T0�1�'r3ASE- : i a F-CF LE �l o Sere L•�. , . I Lv(,ATiON _ t�yAl�►�Is�ozr 4 - i S. ALA PLAN 2EFEPENGZ— 1Or 20 • L. �. G, j12084 ASSE55o% /4 AP 2G5 Pc.L 9-1 BAXTep- i. INyE INc _"_..._`"pRO��SS{OtJAL�I A►��`Su2VE�jOfxS_�"__. _. , . . . 4 ;` IS PLAI-1 .IS ITT BASED 04 A4 IPiTZLAAENT 5�2VEy OSt'Efz�/IC.(.t.. j � AAA55• 'hiF. 0 ET,5 140L)L6-Nor.. BC uSEp: .Tv . I FtiopC-V V. U►J ES:.° ' APP�Ic,AI��" : �IJICE SFIRIVCz— —.......... _...... _.... O" 1q •/ , 1/ i_ zCe Z/ 9 zS S '25 �, •^1 ePl; .1S• OIL 17—X(ST)W,�, _ !Z' O Taus. _ STONE— " DeiVE 12' UJ `I-op. 5T-1Q G J,1 UGA4� A2AUE 1 l �'�c. �•' '�- N v 1 �'.aP 7I' A�zEa� 5-t 24 f LOT. D. sAAT• EL= 141 . 1 OF PETER i SULLIVAI `j co tr tea �S l lei" 2 �F 2t�on�. � MAP. I&S PAL cl-I 44-9�L.� S ts�1 L=3 S 14VD 3