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Home My WebLink About0070 DELTA STREET - Health 'lo �e.44a SF. , R�annis d9a � po3 / bad NW 'SONIISVH 0%soo'. tJJE5 ZL�'O(� VELD 3dn ��1JA03� 4 II Q 1 f v 9 i i o f TOWN OF BARNSTABLE LOCATION I D bec w (6 SEWAGE# VILLAGE � -( ct+�� (1 (� ``j ASSESSOR'S MAP&PARCEL .Z O/G3 OLZ- INSTALLER'S NAME&PHONE NO. �ilQ. `7 S ��d,/V Q U q,/V SEPTIC TANK CAPACITY r c0 o LEACHING FACILITY:-(type)5' ome(eSs (G,A4,6e s (size) /XY,5z *33 NO.OF BEDROOMS/, OWNER @ A-YL l A m O✓) PERMIT DATE: q (_ — (�L COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility / Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) 140/1 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin ility) N Feet FURNISHED BY s �3 (3=� 0 V� T UVI Q7 STABLE .Q f" WAGE�k Ass7-7 sali�s` I✓aT il'�5TAI�BXa'S NA11il�Sc PItOIaiE Y+IC3 �BP t'tC TAW CAPACITY LAC 110, O m I5I"DROOMs ' ®'t . : ( PE tViITWITF' GOI�ibC 1 R,'A' ; ...� S�+pnratia�n R �,Pxuarr Coll:4k�e. Ivlaxitn m l cijii9W 1 Gr oils wtiteG'l' ble tp tlae i�auntn of X�euuh�n�t7� ltit;/ .._ ,» »• feet Pi1va2�;w x�r API) V1e i soul Y.cas.�lt�g k7ae�ary f any rel9s exist t :att sst�ae,within 20q fit u�tet�h►at�faciU��1. ;: �.�.....r--.._—• Wt�an Qlld lLe� ttt�r iCacilt¢y�� lt1y�ttelAa�td exi54, t+iiRl��c�:J40 fier t 1eu re L ;s Y j t r � 0 i =If O j _r _39 �Y" 5-7' �Gee f' 1 03 TOWN OF BARNSTABLE LOCATION 70 -D6L7,-4 sT SEWAGE # VILLAGE `H ASSESSOR'S MAP & LOT INSX&LbBW S NAME 6z PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) 1 NO.OF BEDROOMSPRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER lf/od NA- -5// N s oO e%tA DATE : //- `•a� DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 0 � r y� Q.i G)- 4L o y � w . w i f. TOWN OF BARNSTABLE LOCATION 74 h kl 7—A hT/ '-Z_A0,',_� SEWAGE # VILLAGE � /�lco� � , ASSESSOR'S MAP&LOTS 0= INSTALLER'S NAME&PHONE NO. W,/7 0- R0/,?iIt S'®W- 77S eK7Z4C SEPTIC TANK CAPACITY d LEACHING FACILITY: (type) 04-1-EX (size) LAX NO.OF BEDROOMS BAR OR OWNER PERMIT DATE: 9.9 Of COMPLIANCE DATE: T Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any'wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by p a - c , t TOWN 'C-3F B RNSTABLE / LOCATION SEWAGE # VILLAGE_1,1(A4 Nfld%J ASSESSOR'S MAP & LOT li ,INSTALLER'S NAME & PHONE NO. iAtiCd SEPTIC TANK CAPACITY LEACHING FACILITY:(type) _(size) �X y NO. OF BEDROOMS 7 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER CS//��-��77 Q r :DATE PERMIT ISSUED: :DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No rJ O rt a _C7v pj�y� 3 ova _9 ,/ _ �. o L O C A T ON kor�� f — E W AGE PERMIT NO. 7,7 VILLAGE IM A LL>EIt S NAME A ADDRESS B UILDE R OR OWNER " DATE PERMIT ISSUED zo /a�� -r - DATE COMPLIANCE ISSUED G . L �. �oc1 � ,_ � �-� i J # �• qq No-_.!__1L_ ZZ .-............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrurtion Errant Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ....... °---.Q-1 n�s.............................. ................. ......... - ----------------------------...........------- Location-A dress � r ...... ...- ---•- ............................................. ........... Owner I.,AddrFss f ._ri_�_h.?S.0oft :....----•------•-•------------------------------------•-------------- ...W-q 1.S f t._WQ�T ..arI1QGl Installer Addr UType of Building Size Lot----------------------------Sq. feet 4 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. Seepage Pit No--------------------- Diameter________________.... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................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........................ 9 ............................................................................................................................................................ ODescription of Soil...............................................................................-----------------------•------------------------------------------------............._.. x UW --•-------•-------------------------=•----•----•---•----------------------------------....------------------. ------------------- ........................------??-------------•••........... Nature of Repairs or Alterations—Answer when applicable_1B�ND_Sa?t_tn�._ _/'e ._` s +__� _____________________ ----------------------------•--------------------------•----------------------------•-••----.......-------...----------------------------------------.................................................. 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 Com lia ce has been issued by the board of health. Signed ..-... 3-2?--9a............ -- Dare Application Approved By ---- --- . ........ 3-----3 'p/----------- Date Application Disapproved for the following reasons- --------------------..................................................... --------------------------------------------------------- .. -------------------------------------------------------------------------------------------------------------------------------------------- ............--------------- ........................................ Dace PermitNo. ..... ---------------------------------- Issued ........................................................ ...... Dare No .1.1i 1�� ?c� THE COMMONWEALTH OF MASSACHUSETTS~ - BOARD OF HEALTH \ TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrur#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair, ( ) an Individual Sewage Disposal System at: ..................-el ......�:4j......._....n..................................... .....--------------- '' !'�.. Location-Address —or Lot No. ------S N CR t,1 �rr�� ........._..•• 3.7 �; - /n� Owner 6- SFfO I Addr ss 3J(5 CQIY1 QOlt/Il?GU Installer Add4ss/ � feet Type of Building Size Lot......:....................S q. Dwelling—No. of Bedrooms------------- ---------_-----________-Expansion Attic ( - ) Garbage Grinder ( ) `k 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 ( ) I aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ ri Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ...-................................---------------------------------------------------•----•--....=-•--•••--......_.........----------------•-•...---...... 0 Description of Soil........................................................................................................................................................................ W ---•------------------------------•--•------------------------------------------------------------------•--• --------•---------• ------------------------.. U Nature of Repairs or Alterations—Answer when applicable.7i m ,..' 5..4n ..4_fie.5 j W ----------------------------•------------------------------•---•--•----------••----•--------------------------------------------------------------------------------------------............•--•---•---- 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 Corny1hace has been issued by the board of health. Signed ...�-----a----... --------------------- -------------.......... ---------------- Dace Application Approved By Q - �, Date 9 :.. ...:. Application Disapproved for.the ollowing reasons :...:_ �..w'........................................ -------------------------------------------------- ------------------------ ---................----------------------------- -------------------------------............ -------- ....--.................................. Permit No. .......... /��......... ..... Issued ............................. te...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 TOWN OF BARNSTABLE C9ertiftettte of (11antylianee THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by .... ......... .6------ .................... --.........--------- InstAec at ........................�.e......� 02 ......s/ - ---.l�.a. -------------------...............------------.....r.. . ,rtiu�, has been installed in accordance with the provisio 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. DATE--------------------------fib.......- ... 6-....------....----_............... Inspector ............... ----------- --....------......----.---........ S�acA THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No..., 1, --1�o- FEE...J .-........... Disposal Works Tonstrudion Vrrmit N Permission is hereby granted.............. ------•---------------•-......................--------........-•----------••.............. to Construct ( ) or Repair (�) an Individual Sewage Disposal System at No. c ..p ..!l �' ..�� L2..... ! � ............................................ 7 .. - �....>-vGs-.2___________________ Street as shown on the application for Disposal Works Construction Permit NQo..� ... Dated.......................................... -----•--- ------------------------------•-•--------------------- l J Board of Health DATE................................................................................ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS