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HomeMy WebLinkAbout0230 GOSNOLD STREET UNIT BLDG 1 UNIT 1A - HOTELS/MOTELS 3o�- t 15-01 /� r ot, r l;)/g19Z. " Town of Barnstable R"""M& MASS. ' Department of Public Works A 1619. eb 367 Main Street,Hyannis, MA 02601 Office 508-790-6300 Thomas J.Mullen FAX 508-775-3344 Superintendent To: Town of Barnstable, Board of Health From: Thomas J. Mullen, Superintendent, DPW r Date: December 9, 1992 Subject: Sewer Connection Re: Captain Gosnold Village 230 Gosnold Street, Hyannis The Board of Health, I believe through the recommendation of the Engineering Office, gave Captain Gosnold Village a Extension on connecting Phase II and III to town sewage this past spring. The request was granted to allow condominium owners to collect rent for summer rentals thereby allowing them to pay for the connection construction costs. The Department feels that both Phase II and III should be completed before another rental season occurs. .F THOMAS J. LEN Superinte ent, DPW TJM/kir/gosnold c / L W i-w - �31 -CJh\ ONSO WS 9 //I IX/ _ 4l� d� I - ,Oct O to kw Q I I -woo raa^ca QQ t_w ` ,s W 4 4' vof z11 'Vol �n �1t V` t1�1 VP y Vol �1i >i91 RENTAL RECAP MONTH May and June 1988 28 , 266 .00 1989 23 ,806 .05 April , May, June 1990 37 , 395 .00 April , May, June 1991 38 ,730. 20 July 1988 80 ,620 .00 1989 61 , 383 .00 1990 77 ,065 .00 1991 65 ,035 .00 August 1988 78, 850 .00 1989 72 , 215 .00 1990 67 , 821 . 25 1991 65 , 371 . 25 September 1988 26 . 303 .00 1989 20 ,837 . 21 1990 23 ,661 . 50 1991 17 , 115 .00 October 1991 1 , 725..00 TOTAL 1988 214 ,039 .00 1989 178 , 241 . 26 1990 205 ,942 .75 1991 193 , 376 . 25 November 1991 355 .00 1IDSCI+A10 1 A 0P343 alyN IRWIN 1 BaL KELLY 2 A 43 IQ CANO 2 B 0,02279t�- JOI iNSON 3 A 0,02279 •Lti GARVEY MITE 1.N 4 A 2 ti IiYDINGER 4 B 0 0232 BRAUER 5 A 0,02279L fLYNN 5 B BARANOWSKY/CURLEY 6 A 0,0331 6 B 0.01179 6 C 0.01198 "N 7 A 0.03319 ' 1._c 0.01198 CONDON 7 B� 0,01174 TOMASSO 8 A 8 B 0.01174 'LADSIUNE 1ST ANNUAL 'TRUST (VILIATI'I) 9 B 0 1 l 02.4 9 C 0.0119 PINS WHITE 10 A 0,03312 °1'1• �' 511E17. I 10 $ 74 11' IEA'I11ERBY 1 GULDEN 1 11 C 0.01198 0.0451 1 .0 1 B 0,01174 sl KMN 12A 00 1 S Z FREDERICKS —12-B - v LAcnITA 12 C ' laq TOSCANO 14 A 14 B 0 3- 6 ,0?� 14 TILLINGHAST 15 15 B 0.01183 0.05437 . 15 C 0,011 " DEGWRGE 16 A 0.03071 GULDEN CC)r1'ER 16 C 0.01183 iELLWiG 17 17 B 0.01183 0.05437 17 C 0.01183 ' S 18 A 0.0307 WENK 18 B 0 A 1 1 8 c 0,0119 BACKUS M 1 01221 M 2 0 ` M 3 0.01086 �0 A4547 M 9 0.01130 " KILGOR M 5 0.014Q0 0 DILL C 1RISI'Y M 6 0.01294 M 7 0.01207 (0.03684) (r3�lz -F1�- fiTS� 35 INDIVIDUALS .54 1.00000 ��QbO�� )ESSMENT DUE _ 1#00 .00 ( 1st STAGE ON SEI'E NNECTION) JAM . 1992 TOTAL 1990 1991 TOTAL CREDIT CREDIT DUE A L 234 3 2 8 .02 �1 � 06 1 �0 00 1 ?0 oo N 79 .06 2,219 p �. 78 .02 ,Y 2" 328 . 2 3 iQ 319 06 120 00 120 .00 PL 79 .06 .;ARVEY 3 p 0.0234?I 328 .02 120 .00 120 .00 88 .02 4 A •.�22 3 9 . jtydl Ty--NGER 4 8 2 2 325 .92 120 .00 120 .00 85 .9 BYDI A 279 319 .06 120 0�11.o nn � . �A nh •06 FtYMI B 0.0� 28 .02 1 20 00 120 .0 (''.- 88 -02 BARAM ISKY �GURi.EX 6 A 0.0331Q.._ 6 B 0.01174 .nit.g_1_1_ • 6 C 0.01198 796 .74 115 .00 3 F•' 1 A 0.03319 t 792 _38- C 0.0) 98 632 ..38 120 On ��n nn ------ f.cl..' B• �0 1 fig i6 �n nn 19 . 64 TONASSU A 3 464 .66 . 120 .00 20 .00 224 .66 164 36 120 00 1 �n o0 �I�- 75 .64 KELIAc�G :�. B 0 _ _G1.J1U5'lUNE < <' 1SI' NMUAL IVU5T 33 1 VILt:UI'TI� �B___...- 0.011.1.E 10.056911 .01 796 .7 0 .0 20 .00 fd 576 .74 Erpit•IS Wtli'lE 1Q A 0 164 . 36 00 120 00 fP 44 . 36 lilt W.q B ,74 167 .72 30 .00 .00 pa 37 .7 2 WEA'Il tERBY - 1 C MWEN 0.0jj 98�-.oj D.0 464 .66 120 .00 120 .00 22 0�FIMH ,31 12 4 .3 6 FREDERICKS 1 -1 B --Q`QIJ14 167 72 .00 5p QO 11Z__.1Z_ tz c 7 CA U �.. A� --Q.433 ✓ 4 g ll1� 10.Q56I141 79n a� 556 .46 39 -- TiL,LIMMAST 1 B p p1183 0.05437 t. 391 . 18 C o.atte 429 .94 120 .00 120 .00 189 .94 DEL-Im m 16 A O.O Q71 2-- GULDEN 16-13 0.011©3 165 .62 .00 .00 165 .62 C�7I'I'IIt 16 C 0.01183 17 B 0.0 1 to A0.05437 761 . 18 120 .0 17 C U.01183 0.0"7_1 4 2 9 9 4_ 9 0 0 0 1 ?n n n ✓ 219_._4 64 - 2B - lin dE11K 0 B 0.0 Q.3 __ 165 62 100 00 136 . 35 C�- 70 .73 �C-- 9ji-V Br►ccus 1 --Q,01221 r1 24 r1 3 0.01086 10 A _ U916 ,58 0.01130 636 . 58 120 .00 196 00 120 00 80. 00 CEZ- 4 ,09 KI IGUR (AM 5 0.01294 +UILL -MRISI'Y 6;- _ C`1 7 0.01207 (0.03684) 515 76 12o Oo 00 9 76- $ 14000 -00 3295 .00 3476 .`3� $ cl 65 35 INDIVIt)uALS 54. 1.00000 ����71. 3y, 7� ► �J' �°6 s • 11/22/1992 23: 10 50,877580 JILL BETTY • PAGE 01 f/ 23R �psno�rl c�taEet . Of yQR/3LS tn4 f'lE C76d Aa.%sa AASFtt! o26oi .. (a08) 775-9111 November 23 , 1992 Office of the Board of Health 367 Main Street Hyannis, Mass . 02601 Att : Ms . Susan Rask, Chairman Dear Ms . Rask► I would like to request a re-scheduling of the Captain Gosnold Village hearing on a variance for sewer connections , which . is presently scheduled for November 24 . I received the notice on Friday, but had already made plans to be away for the holiday period , so I would not be able to attend. Would it be possible to schedule the hearing for December 8? Thank you for your consideration in this matter . Sincerely yours , 44 f Eli abeth M. Toscano Chairman, Board of Trustees ,% l vo-v 10, Mir* w. Ca�ta. n Ooinofcl (Wfa F_ 230 0osuo[d c_1t4EEt '/ (50&) 775-9111 October 30 , 1992 Office of the Board of Health 367 Main Street Hyannis , Mass . 02601 , Att : Ms . Susan Rask , Chairman Dear Ms . Rask , In March of this year , we requested, and were granted., a variance to extend the time period to complete the sewer connections at Captain Gosnold Village . We had completed Phase I , as indicated on the enclosed map of the property . At a Board of Trustees meeting two weeks ago, our financial status was analyzed. It became apparent that with the heavy deficit we carried into 1992 , due to hurricane costs and loss of revenue in 1991 , we are still struggling financially . In addition, we had unanticipated costs for utility pole replace- ments , because the power company condemned them as unsafe . Further_, our escrow account , designated for the sewer work, has not built up sufficiently to complete Phase II , without additional funds , which are not available . We believe that if we could be granted a second variance , with Phase II targeted for late Spring , 1993 , that we would be capable of completing that Phase , and possibly able to start the final Phase in late 1993 . Therefore , we are requesting a variance which would allow us to delay the start of 'Phase II until late Spring , 1993 . Thank you for your consideration in this matter . Sincerely yours , Elizabeth M. Toscano Chairman, Board of Trustees enc: map of sewer connections completed �. T►o cr U� !v XIlk t� d r J , s a vj J OLn lo- ct - low. FEE ,d h M a . •) t J cj Q� o cf•. 60 � d J Q lei �•� r� - .. "� I � c � r E �� f der � = % r f ' • IN E TOWN OF BARNSTABLE T��♦� .; OFFICE OF BAHABIL M BOARD OF HEALTH � M0. aj co i639. � 367 MAIN STREET 'E'0 MAY k' HYANNIS, MASS.02601 March 27, 1992 Ms. Elizabeth Toscano Captain Gosnold Village 230 Gosnold Street Hyannis, MA 02601 Dear Ms. Toscano: You are granted an extension of time to connect the remaining dwellings located at 230 Gosnold Street, Hyannis to Town Sewer. All the dwellings located at 230 Gosnold Street, Hyannis shall be connected to Town Sewer on or before December 1, 1992 . The extension is granted because you stated the property is in financial distress due to the Hurricane damage which occured August 19, 1991. You stated that additional time is needed to collect revenues during the summer season. Sincerely yours, JJ seph C. Snow, M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE cc: Engineering Dept. tte =-D-�ti-�''u'-t �cn� "�, (��'�c�-• c� �"`"Q-_ `tea ��,�y - - tee :,, e ; C. IJ—A— R ci `J Ce 'c SAsu4 _czGc� __ Act r TOPS FORM 7525 Litho in US.A � �b r � A ` � ^' A � � t ' +. ' ` '. �i. '�ti J ' ... � _ r. _ i t � � .. ` - � • t. ... � y ' �. i ♦ � ., 4 ' �� s • � ,. ..�' '�,, . � �, fir, - .- .' / tf fiF • ' ! r �. � � �.. r �_J For office use only H • TOWN OF BARNSTABLE • Received by OFFICE OF 1 ssasSrie� 1 BOARD OF HEALTH Date 367 MAIN STREET �o Mir HYANNIS, MASS.02601 VARIANCE REQUEST FORM All variance requests must be submitted fifteen (15) days prior to the scheduled Board of Health Meeting. qAb&kK /U5 e0--t NAME OF APPLICANT Calita i n C4nsnn1 ri Vi 1 1 age TEL. sn 775_�11 ADDRESS OF APPLICANT 230 Gosnold Street , Hyannis , Mass . NAME OF OWNER OF PROPERTY Condominium ownership SUBDIVISION NAME Captain Gosnold Village DATE APPROVED Condominium Trust ASSESSORS MAP & PARCEL NUMBER LOT SIZE LOCATION OF REQUEST 230 Gnsnn1d Street , Ryannis , Mass VARIANCE FROM REGULATION (List Regulation) - Chapter 83 11 of the General Taws of Massachusetts , and Recul at i on 1 ri 02 , of 310 CMR State Envi ronmcntal, Code REASON FOR VARIANCE (May attach letter if more space is needed) Au_Qust 1991 AssPGGmPntG have hPPn made to owners to complete the first phase , but costs have been excessive , to owners this y ar . PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPROVAL Joseph C. Snow, M.D. , Chairman Susan G. Rask Brian R. Grady BOARD OF HEALTH TOWN OF BARNSTABLE L_ _ Ca#tatt2 !Ooin.ofal (11�ffagFs I/ 230 goanofa[eStIEEFt o7iJctnnls, ea/2a C0CI GMa.ssaAusetts 02601 (508) 775-9711 February 28 , 1992 Office of the Board of Health 367 Main Street Hyannis , Mass . 02601 Att : Mr . Thomas McKean Dear Mr . McKean: Per our telephone conversation Thursday , February 27 , this is a more detailed explanation of the Variance Request for the sewer connections at Captain Gosnold Village . We started an escrow .account for the anticipated sewer work two years ago , and have continued to check with the town over that time period , as to when official notification might be expected . We continued to be assured that the notification date was indifinite , and not likely to be decided upon in the near future . As recently as October 20 , 1991 ,just prior to our annual owners ' meeting, at which I reported on the status of the sewer connections , I personally spoke with Walt Jacobson, DPW, who told me that he did not believe there would be any decision on sewer connections for at least six months , due to problems with the sewage plant . He also told me that once such decision had been made , and notification sent , that we would be allowed to phase the work, to lessen the financial burden. We decided to use the entire escrow account , to get a jump on the situation, and to complete Phase I in January, 1992 . That decision and actual work was made before the notification dated January 24 , 1992 . At the time of our decision , we had conflicting information regarding the number of permits needed . Peter Doyle told me that we needed only 18 permits , since we have only 18 water meters . However , when Bill Robinson, our contractor , went to obtain the permits , he was told we would need one for each unit , an added expense which we had to cover . We have completed Phase I . as indicated on the enclosed property map. However , we are not prepared , financially, to meet the July 1 , 1992 deadline , for two specific reasons , and it is those reasons which are the basis of the request for variance . 2 - r We had extraordinary costs , and loss of revenue due to the August 19 , 1991 Hurricane . Owners were assessed for much of those costs , in addition to their individual revenues being adversely affected by the storm. Secondly, ours is a seasonal business , which opens late April and closes the end of October . We could not operate our business amid a sewer installation. It would severely affect our season, and our ability to retain any semblance of financial stability, let alone recuperate from last season ' s losses . We are requesting a variance which would allow us to extend the time period necessary to complete the sewer connections on the property until late 1992 , after our business season, and we , hopefully , are in an improved financial situation, as well . Thank you for your consideration in this matter . Yours sincerely , AEliabeth M. Toscano Chairman , Board of Trustees Enc: map of sewer connections completed map of existing septic system rental recap showing losses in 1991 due to Hurricane breakdown of costs due to Hurricane , submitted to St . Paul Fire and Marine Insurance Co . , of which $13 ,000 was reimbursed. Please note that we have applied for a bank loan to meet this obligation and have been turned down. 1 .LA i-j n p P R 11 333P 3 V-IJ % j33 � t 3, 3 :�� � 3 a 1: P' 0"A. ;_1 • w P � j w �• o' • 1 O Q I RENTAL RECAP MONTH May and June 1988 28 , 266 .00 1989 23 , 806 .05 April , May, June 1990 37 , 395 .00 April , May, June 1991 38 ,730 . 20 July 1988 80,620 .00 1989 61 , 383 .00 1990 77 ,065 .00 1991 65 ,035 .00 August 1988 78 ,850 .00 1989 72 , 215 .00 1990 67 , 821 . 25 1991 65 , 371 . 25 September 1988 26 . 303 .00 1989 20 , 837 . 21 1990 23 ,661 . 50 1991 17 , 115 .00 October 1991 1 ,725 .00 TOTAL 1988 214 ,039 .00 1989 178 , 241 . 26 1990 205,942 .75 1991 193 , 376 . 25 November 1991 355 .00 KAT*RINE FUL_HAM, C.P.A. I* CERTIFIED PUBLIC ACCOUNTANT 898 Main Street Osterville,Massachusetts 02655 (508)420-3456 AMERICAN INSTITUTE OF (508)420-5108 MASSACHUSETTS SOCIETY OF ERTIFIED PUBLIC ACCOUNTANTS Fax 420-0346 CERTIFIED PUBLIC ACCOUNTANTS September 17, 1991 .Captain Gosnold Village Condorninkum Assoc. 230 Gosnold Street Hyannis, MA 02601 -------------------- For Professional Services Additional accounting services required because of the hurricane on August 19, 1991 Refunds Cancellations Owner Statement adjustments for the montil of August due to the lost of business and damages to owners' properties "Total Due $1045.00 Amount Due upon receipt of invoice THANK YOU To:- St. Paul Fire and Marine From: .-The Board of Trustees Captain Gosnold Village Condominium Trust 230 Gosnold Street Hyannist Mass. 02601 Re: Claim for damages resulting from Hurricane, August 19, 1991 *I . Clean-up Costs - Cutting up trees, cleaning up trees, brush, and debris, for access R. P. Home Improvement $7 ,795.00 *II . Grinding up branches , brush - Stump removal Debris removal Frank's Landscaping. and Tree Service 4, 200.00 * The following units were directly involved, either by branches, or trees on the building, or trees/ branches blocking access: �r Unit 1B Unit 5A _`4 Unit 5B V Unit 9ABC Unit 16A Unit 17A Unit 18B . Unit 18C Unit 15A Units M6,7,8 III . Property Damage Unit 1B - window box 30 .00 Unit 2A - window box 30 .00 lamp post, shingles blown off Unit 3B - umbrella destroyed 99 .00 Unit 4A - deck furniture broken 249 .00 Unit 4B - deck table broken 70 .00 window box 30 .00 shingles blown off Unit 6ABC - window box 30 .00 shutter broken 40.00 Unit 7A - shutter broken 40.00 Unit 8C - telephone wire down, telephone box damaged - replace, re-connect 237 . 50 Unit 9A - storm/screen door destroyed 225 .00 Unit 9B - gutter 175 .00 Unit 11B - gutter 175 .00 Unit 12B - gutter 175 .00 shingles blown off 2 - / - III . cont, (Damage Claim - Hurricane - Captain Gosnold Village) i' Unit 14B - storm door closer $ 17 .00 Unit 15C - shingles Unit 16A - shutters 70.00 air vent 75 .00 Unit 18A deck furniture, includ. umbrella 299 .00 shutters 70 .00 window box 30 .00 Units Mlr20 A - window box 30 :00 shingles umbrella 99 .00 patio set 299 .00 Units M 6 ,7 ,8 - shutters 40 .00 Total 2644 . 50 Plus Unit IA 275.00 IV. Property Damage - General Maintenance Shed - L Shed - broken window 20 .00 Fences - 10 lengths @ 23 .95 239 : 50 Fence - corner/driveway - one section 79 :00 Sign - Gosnold Street 500.00 AAA Sign - replace post 45 .00 Gutter cleaning - 24 man hours @ $10 210 00 Window boxes - pool area - 3 @ $30 90 .00 Pool service - pool clean-up 175 .00 Shingle replacement (as noted above) 350 .00 2 clothes lines @ $79 .95 159 .90 Total 1953 .40 V. Additional accounting costs re refunds , cancellations , owners ' statements , etc. 1045 .00 VI . Loss of Revenue -Units inacessible 1B - 4 nights @ 120 480.00 5B - 4 nights. @ 120 480 .00 9B - 4 nights @ 120 480 .00 17ABC - 4 nights @ 225 900 .00 18C - 4 nights @ 85 340 .00 M 6 and M 8 - 4 nights @ 70 per unit 560.00 Total ( 3240.00 > Cancellations - 4B - 6 nights @ 120 0 �� "��-�' 720.00 10&- -: 4-nights• @-'-120 (.XC,\.,_,�,tl, 480 :00 12A=--R--4=nights•:.@- 12.0 480 .00 Total 1680.00 Refunds -(See paper work) it units Total 2758 .77 vo 3 - VII . Pressure-wash salt spray off 19 buildings $1250.00 VIII . Wash windows* , Doors, Sliders - remove salt spray 34 doors C $4.00 136 .00 22 sliders @ 6.00 132 .00 176. windows C $4 .00 704 ,00 Total 972 .00 *Three front windows in large units counted as one. Please note - The 5% Mass . sales tax has not been added to any replacement items . ' t r t t , 11/22/19 3:10 5087758221• JILL BETTY PAGE 01 Ca#taln !9osnofd (ViffagE '/ 2S0 �pinoCd dtRfLt tJannit, enpf &d,eVaisaagwidt, o26o1 (508) 775-9►►► November 23 , 1992 office of the Board of Health 367 rain Street Hyannis , Mass . 02601' Att : Ms . Susan Rask, Chairman Dear Ms . Rask, I would like to request a re-scheduling of the Captain Gosnold village hearing on a variance for sewer connections , which is presently scheduled for November 24 . I received the notice on Friday, but had already made plans to be away for the holiday period , so I would not be able to attend . Would it be possible to schedule the hearing for December 8? Thank you for your consideration in this matter . Sincerely yours , Eli abeth M. Toscano Chairman, Board of Trustees THE - FOLLOWING IS/ARE THE BEST IMAGES FROM POOR . QUALITY ORIGINALS) F. � DATA CVL[[, E 9 tap � 1992 Board of Health 1 Street p26p1 annis ' Susan RasK► Chairman s • ted , a �-� e g � f Att • MS . RasK , e nested ' and mPlete the sewer Dear arr we r q eri to c In March of ,ten is e the Gosnold Via lac ' ed the clos map variance o rie too s at Captain as indicated on en �• feted Phase I financial x We had comp erty • weeWS ago , our the heavy the prop s m n two area that e cos and loss of eeti g t is Board of Trustee It became app° hurrican nancially . Rt II a was analyzed : nto 1992 , d le Str gg llty pole rep lace u ling status we carried are Stil unsafe for utility deficit them S orK , of evenue in 199 unanticipate any condemnfor the sewe vi hout of e comp addition , we eadh power deSlgnate ete Phase II , ats , beCausesh account ' compl e • built P suff1C1ent1Y to abl Further , our u avail Second variance ► with � has not ands , which are not ed a tional f rant t we would be addi we could be g 1993 , tha e to that if Spring ' ossibly able We believe targeted for late _ ase , and p phase II completing that nala e 1993 • d allow us e of phase i ch woul capable a blrt the final Ph ting a varianiate Spring � 1993 • . ores we are tr ofuphase II until Theref Star matter ' to delay the con deration in this si ours for Your Sincerely Y ThanK You e th M• T S a110 - Chairman ' tees Elizab Board enc • map Of Sewer connections completed December 14, 1992 Elizabeth Toscano Captain Gosnold Village 230 Gosnold Street Hyannis, MA 02601 Dear Ms. Toscano: You are granted an extension of time to connect the remaining dwellings located at 230 Gosnold Street, Hyannis, to town sewer with the following conditions: ( 1) You shall submit written evidence of the disapprovals from the two banks which you stated denied your loan applications during the December 8, 1992 Board of Health meeting. (2) Units 3A, 3B, 4A, 4B and the "Office" building shall be connected to town sewer on or before January 15, 1993. (3) You shall furnish the Board of Health a written report of the condition of any cesspools and septic systems connected to the dwellings which are not connected to town sewer. The written report shall also indicate the separation distance between the bottom of each of the leaching facilities and the maximum adjusted groundwater table. The written report is due on or before April 13, 1992. (4 ) You shall be present at the April 22, 1993 Board of Health meeting at which time you shall provide updated information relative to the sewer connections to the Board members. (5) All the remaining dwellings shall be connected to town sewer on or before October 1, 1993. No dwellings at this site can be occupied after October 1, 1993 unless said dwellings are connected to town sewer. This extension is granted because the applicant expressed great difficulty in obtaining the funding necessary to connect all the dwellings to town sewer at this time. The applicant testified that she received loan disapprovals from two (2) banks. . Also, last year's hurricane caused damage on the property which financially set-back the owners of the property. An additional summer rental season is needed in order to obtain sufficient funding to connect all the dwellings to town sewer. Very truly yours, Joseph C. Snow, M.D. Acting Chairman BOARD OF HEALTH TOWN OF BARNSTABLE JCS/bcs cc: DPW LCq 3 9 I6A l�� ►y� JyA toG ts� q A Ito too cti � tYo MSS rt1 c� .a.�s • M S M - 3 a�000. ���eeh` EEEF Mt ( cry rn3 M t (3d � tlb . / c•ly M SA S4 -1Aa - 11A� M �� ---- A to - ZZ f. rA� th 4 August 18, .19.82 Mr,. Richard H. McNealy 793 Main Street South Yarmouth, Ma. 02664 Re: Captain Gosnold Villkage, Gosnold Street, Hyannis Dear Mr. McNealy: You are granted a variance from Regulation 15.03, of 310 CMR 15.00, of the State Environmental. Code,- Minimum Requirements for the .Subsurface Disposal of Sanitary Sewage, to install leaching. pits 16 feet from buildings No. 1 and No. 2, Captain Gosnold Village., Gosnold. Street, Hyannis, in lieu of the required 20 feet. This variance is granted because the existing systems.are all being upgraded with fifteen new systems meeting Title 5 requirements. . The following con- ditions apply: (1) We must receive engineering plans for each system being upgraded conforming to Title 5, of the State Environmental' Code, with the exception of the variances granted. (2) Prior to the issuance of an occupancy permit, the 'designinq engineer must inppect the systems and certify in writing that his design has been complied with. This variance.expires Heptember 1, 1983. Very truly yours, Robert L. Childs, Chairman Ann Eshbaugh F._ Inge� D. BOARD OF HEALTH TOWN OF BARNSTABLE JMK/mm 1 V 0' Lack McNealy - .Realtor 793 Mai►i St., S. Yarmouth Cape Cod - Massachusetts 02664 (617) 3 98-0303 Town .of Barnstable South Street, Hyannis, Mass. August 10 1982 Att• Board of Health Captain Gosnold Village. Gosnold Street Gentlemen Hyannis, Mass. . Relative ctO the above captioned property I am enclosing detailed drawings showing a new Title V septic system for Buildings #1 and #2-Captain Gosnold Village. It would be appreciated if your board would consider a variance on .the above mentioned buildings allowing the installation of the systems to be 16 feet rather than the required 20 feet from the building. Please also be advised that the above mentioned buildings do not have full basements. They are as commonly called Cape Cod basements with a full basement in the center and crawl space under the rest of the building. Your assenting to this variance would be greatly appreciated. Si eFly Richard H. Mc Nealy i iz UN/ TS I � .5•q S6 __ ; i2_ ID ti 9 e.�p ,'7 _ 0 0 �8� EqS E ENT h E o � � 1 !1N/TS Ae i i� l/N/ TS' ��: I 3 ,6 6 EX/S'T/Nq a C/774 6 7-.5' l � 0n1 T.ci/S ,oC Wio/ni c 1�t/•9 YS S.</Oyt/n,� .9,PE' TtiO.SE" O� ,o � �i� F'O.F'' N`1-t.' W.•q Y�` �4RE S.S. ©l-t//u', , ^-1 I Olt v CA 41,V Alf UN/TS I . o ,o,ygSE I S�vED `� �� 1 � , / • V \ f3G E.�7SE ENT h� El7SEME/�/T hI \� i .A 112" ----f rh �f i Z-X IS T/.oVq _: .. 0U74ETS '0/0� .gyp 0o rr T Ohf G WNE'F's'�/�S �9Np TNE- L/NE.S O.r T�rE S 7-� f 7.yG SE" OF' ' S�"-2EE 7S O.p y✓.q Y`5 .gL.�E-q.CSY E-S Tiq.�G./S �' .ti�h �C .1/EY✓ 1-t-;,YS ARE , C/N/ TS 45 -- Ie I A r JIV go 0 CIA- a _ 40 0 LV,4 YES' S.YO�Vn,� q,PE• 7-y p s`c- OF- .o v.B C./C' c7.P 4 •~�°c'�.>>��:'.;,c� ,-;,�� ,c-��P NEJ-V l�v.,�YS ARE -'� Sti0 yt/iv'. i 12 M3 r 98. 70 - - ,� �' EgSE ENT h' I E�7SE MENT h -331 I ° ° o kRp).y EEC/,V 7 "q 0U7Z.ETS voz_ 10 �� qD. 00 w/pE .ovRL /C c re o�vNE�S,y/.oS �9iv0 T.SiE ES Qi{//O/n/� . G/NES OF- TyE- S Tim S T�E'EE TS o.p yt/q ys ,gG�PE".t7 OC7 c�E'S.�;;� �'?�;~ ,<'p� il/EY1.'.J�✓.q YS A/PE s�lO l�t1N. - UZ- Y Fps` ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH X,J62,R............OF.......... .,G1�,,.n.� .,>1;1-1- ................... Appliration for Di_qpnuial 10orkii Towitrurtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ......a.1.---• 4L----11" .. ....... �res . � x Qc�....Yt11�, , .r c a ocation- �— r Lot o. O er Address -••-•-...M. .Ne --•--. --- (lvry -�-.....Gc ------------ -----_�i.�_.._�ms�.L� Ste........ : � Installer Address Type of Building Size Lot............................Sq. .feet U Dwelling—No. of Bedrooms............3-_-•_-•___________________Expansion Attic ( ) Garbage Grinder (N� PL4Other—T e of Building . No. of persons............................ Showers — Cafeteria a' Other fixtures .............................. . . W Design Flow................�.5'....___.........gallons per person per day. Total daily flow..._..._&.S.0..................gallons. 1:4 Septic Tank—Liquid capacityZSZ?Qallons Length................ Width---------------- Diameter................ Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..........I---.-_--_- Diameter--------1-0.... Depth below inlet......... P.... Total leaching area...�+7 C0sq. ft. Z Other Distribution box ( ) Dosing tank ` dd Percolation Test Results Performed b '�!.�) .. (�ST___ Date...._____ __�.� _�_._S?_a a Y Test Pit No. I________________minutes per inch Depth of Test ................... Depth to ground water-_-_-------_--_----__-_ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------- -----...._.__......_..... O Description of Soil---------- �`�!_ --!Ll �----------SQ,.1�1� -------------------------- -------......................................... x V -------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------- W ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------------------------------------------------------------------------------•---••-••••-•---------------•-•-•-•••••••••--•--•••-------------------•••••--•----••....__....--••_. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee d by the board o ealt Ign /� -----•-•-• • . . ......... ....•••• ••••. ............... Application Approved BY - '-/--------- ---------------------- l� f...................... Date Application Disapprove or a following reasons------------------------------------------------------------------------- -------------------------------------- ---••-•--•-•••--•••-•-•-••---••----••-••••--•-•---•----•-••••.....•••••••--••---•-••-••------••••-••......--•••--•--••••-•••-----•-••------•-•-•-•••-------•-----•--------•------•---•••••-•••-----••--•- Date PermitNo......................................................... Issued....................................................... Date, THE COMMONWEALTH OF MASSACHUSETTS y, j BOARD OF HEALTH d t�J-n _ ®F -. 'rJ O�^�lS 1 e- _. C�prtifiratr of ToutpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disp al S stem c nstructed ( �r Repair ( ) by-----------------1--C- --•---. �` =---•- A -t a----�ra......Y-:n-t.m lle Instar at. = �.. - - - It has been installed in accordance with the provisions of TITI� 5/o T e State Sanitar /odd cribed in theapplication for Disposal Works Construction Permit No.--�Z-r���-__------•- dated. ......_..�.................THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS ANTEE THAT THEAhIS SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... Ivo.. .� 3y Fm$..............'............... THE COMMONWEALTH OF MASSACHUSETTS BOARD' OF HEALTH 1..... 311 .. ' ...OF........... .-A.n`�'-`a- .•�----- ------ Appfirntion for Uiipoiiaf Works Tonlitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at �___ -------- Location- $\dress k 3 ,ram iLot No. .. S .�'_r. 1.. t -� ...----- �.� � O ner Address � f,1 Installer Address : dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.______.__. 3.........................Expansion Attic (. ) Garbage Grinder (A/O) aOther—Type of-Building ............................ No. of persons............................ Showers ( ) — Cafeteria (, ) a d Other fixtures ------------------------------------------------------I----------- .................................................................................. W Design Flow..............4;.,5 .................gallons per person per day-! Total daily flow....... ._ ..................gallons. WSeptic Tank—Liquid capacity/. O.Qallons Length................ Width................. Diameter--._____-___.._- Depth................ x Disposal Trench—No. .................... Width........:...._._.__. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......... ......... Diameter........1.0.... Depth below-inlet_.........3_.... Total leaching area...X-7-O.sq. ft. Z Other Distribution;box ( ) Dosing tank ( ) Percolation Test It'esults Performed by...... - r,. _... 1� - ... - Date.......... _.�.,_ .1. aTest Pit No. I................minutes per inch Depth of Test Y ____`_.______..._.._ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ x ----------------------------- O Description of Soil'.. ��' --t4-+ "�' -------------------•-• - --------- -----•--•-•--•---•...----••• --- x - ..: W ............................................................... _...............................................................................L........................................................ UNature of Repairs or Alterations—Answer when applicable_______________________ ..:.___._...______._._____.__._..._... .......................... -------------------------------------------------------•••••... -.-- ......-------...._....•------•----------------------------•-•- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been s d by the board o ealt Sign . /..__._ l- ---- f = ej--- ApplicationApproved BY ........= �...................................•---••••-•-•-••-••..........--•-• G fj Date Application Disapprove i f or he following reasons: ------------------------------------------------------------------------------------------•----------______ --••••-••---•••••---.........••••-•--•••...••--••-••••--_._.......•-••-.......--•-••-•-•----•-•••-•...---•-•--•-••-•--••-•••--•••-••----•-•-------•--------•--•---------••-----•......---•••.......... Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ....:....$..............OF.... ..r .c.N :.....� 'a,..................... C9prtifiratr of f9ontlifiatta THIS IS TO CERTIFY, That the Individual Sewage Disp al S. stem constructed (�O or- Repai ed ( ) by........... .-•-C Ni'c .._.. ......................._..t. ► ._......._. __IUY AC. .....\'A_....-- t..wiz . Installer . has been ;installed m accordance with the provisions of T m r o e State Sanitary Cod as gibed in their ` � -� .. - application for Disposal Works Construction Permit No_________________________________________ dated_-, ___._:j�.____.----____..._.___..___.- - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A UARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.....-........-----------.......................................................... V THE COMMONWEALTH OF MASSACHUSETTS �.------ BQA R OF,,'H ,rEA T No `...............J. ...................... 1. �1�e Tonstrudion amit Permission i r.ereby granted-- --to Const 1 Fpair ( n nd I ui pa/ Disposal System at ......V............ Street � /��• as shown on the application for'Disposal Works Construction Permit N _ _' A_f, �Dat = .. ............ ............................................ .. ....f•-.•---••••---••••--•........_......._....._ DATE............................-................................................... - oard f Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA ii9 • Y - No: ��3. Fps ........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® Off` HEALTH �ol�.n-s AR.................... Appliration for Mipwial Workii Tomitrurmitt Prruat Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal Syst51t t ocatioss dnr ,�o No. . . tvk.... ...............1�. S�r. I5�1.Jt. .... x... ner ' Add fl F Installer Address Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms........... --_-_-_----_------- Expansion Attic ( ) Garbage Grinder . Q, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures -•-•-•-•-••-----------------•-•. W Design Flow............SS.....................gallons per person per day. Total daily flow.................. l_SCD.........gallons. WSeptic-Tank—Liquid capacity.l':549gallons Length................. Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.......•._......... Total leaching area....................sq. ft. : Seepage Pit No........I------------ Diameter--------'__O..__ Depth below inlet.................... Total leaching area.-.—l-20.sq. ft. Z Other Distribution box-( ) Dosing tank ( ) ` a Percolation Test Results Performed by------M—C.��..............�Y%5�.r_.0 Date......._-- __ ..... a Test Pit No. 1________________minutes per inch Depth of Test it.._....__........__. Depth to ground water-____.-_--___-__•___---. Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----- ---------------- -- `------ . ----------------------------•-------------------. ------.-........................... Description of Soil .. x _ . Y ..r U W U Nature of Repairs or Alterations—Answer when a PP l ira.ble................................................................................................. P � �;,, Agreement: .The undersigned agrees to install the aforedescribed- Individual Sewage Disposal System in accordance with the provisions of TITU 5 of the State Sanitary Code='.The undersigned further agrees not to place the system in operation until a Certificate of Complianc has be e `kby.the boar h Application Approved By-•-••..... . --'........ -----------------------•---------..........._....._•..... :l'®--1---------------------- Date - Application Disapproved or t e following n ....................... .............................•-------------------------------...-•----------------------....------------.-------------------•-••-•--•••-••--•--•-••-•-•----•-------------------•-••----•------••-••••--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF................... ...... .......................... CIrdifirtttr of Toutpliattrr THIJJY TO T4 Thate the In��dy�'idua Sewage D' al System c n ct 'Iro Repaired- ( ) Instal er oo ..�LG i1. he provisions of TI"' ` of he State Sanitary Co as to the ed- 14� 'EE THAT THE A` . f .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........OF......... ......... %Ul ��_ !'.� ---------- Appliration for Uhipasal Works Tomitrurtion Prrutit Application is hereby made for a Permit to Construct Vor Repair an Individual Sewage Disposal System at: r A;­ii �ja .......... ............:_5.......'..CL 41"� ..................... .......... Location-Ad ress or Lot No......C :njt . ........ ....................................... )..... ..�r'.I .... . ..... Owner Address - _Z V fit .....................•..... ------------ ........................ - f�;_ _(zZ. Type of Building ~ taller Address 9 Size Lot...........................Sq. feet Dwelling—No. of Bedrooms........... ---------------_--------Expansion Attic Garbage Grinder (�-) .4 t4l' PL4 Other—Type of Building ..................*.......... No. of persons_________.__._._____________ Showers Cafeteria ( ) Otherfixtures ...................................................................................................................................................... Z "") Design Flow___________ __- :_________:_.________._gallons per person per day. Total daily flow..____._.____.____ .........gallons. Septic Tank—Liquid capacity_- ;f�.:.gallons Length________________ Width__.__._.____.__. Diameter......._._.__.__ Depth______________.. ............... Total Length.................... Total leaching area....................sq.,ft.Disposal Trench—No_.................... idth...... Seepage Pit No_______I............ Diameter........i...i-.... Depth below inlet___._:__.________............ Total leaching area____ q.- ZP-4 Other Distribution box Dosing tank 4 Percolation Test Results Performed by......... ..........I... ..... Date......ell �4 14 Test Pit No. I................minutes per inch Depth of Test( it_____________._..___ Depth to ground water_._._..____._._..____..-. 0-4 44 Test Pit No. 2................minutes per inch Depth of Test Pit..._...._.._______._ Depth to ground water.._.._......___.._.____. Ix ........................................................... ...................................!.......................................................... 0 Description of Soil....... --------------_ .............................................................................................. U ..........................................................................................................................................................._........................................... .......................... ............................................................................................................................................................................. U Nature of Repairs or Alterations—Answer when applicable.................•.._._.._______.._.__._______________.__.______...____.__..__._.___»_____.___. ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has?bee e..... by the boar h, Si ---- ----a' ...................... ;..................... .................. .... ............... .. ............ e, ApplicationApproved By... .................2�!�................................................................... ....................... Date Application Disap _ for,` e following reasons:..........................................................................................................Disapprove ....................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 71- .......... ... .. .............................OF....... .. .................................. TyWrtffirab of Toutpliattrr THI TO,- RTIFY, Th%9the Indi idua ewage D* /all Systeiln c9n! ctFdV -r Repaired . ............................... . ....... ............... .. ... . .... by----------------Z.* . ........i A- -------- .......... .............................. Instal er at.................................................... ..... ... ...................... ...................................... 7 ............ ------ .....................pro R 5 of The State Sanitary Co as t has been installed in accordance with Rige�nr visions of T 'I-P e-Criben he application cation for Disposal Works Construction Permit NJ-, 4-93................. date ..THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOA7 OFZ EA TH . ........ ........................ .0 ..44 N 1�v... ................................................... FEZR$................. Map at No. c2....... ..,.jj ........... ., a- rzTom�it0 r u rtion Pamit Permission * hereby grante V..................................................................................... to Consec orRebair ( nydi'i�U ewag Kr 6sal System ................................................................... ...................... Street as shown on the application for D/isposal Works Construction Permit . ...... .. ......................... -----------------.......--------- --------- -------- ------------------------------------------- ard o ealth DATE.............. ................................................................. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS No... ......... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH \jD---V3..V."N---......OF............ ...... ....Q--------------- Appliration for Uhipatial 10orkii.Towitrurfiou ramit Application is hereby made for a Permit to Construct V1 or Repair an Individual Sewage Disposal System at: ...L tion-Add ess or No. ............................... .......N.r.LamA.9. ... .----cam...... .... . ........................ ess oction�-A..!S�.. . .... .'or Ow.nt,., Address QA .... .........? .... ......... ..... . Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder �N6 PL4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Other--Lxtures ......................................................................................................................... ----------------------Design Flow...._._.. ......................gallons per person per day. Total daily flow____._....33.<.Z�..................gallons. 04 Septic Tank—Liquid capacity.145�ftallons Length................ Width__..._......_... Diameter__-_____-____-_- Depth_...._.......... Disposal Trench—No..................... Width__..___.._._._...... Total Length...... Total leaching area....................sq. f t. Seepage Pit No......t------------- Diameter.........VO..... Depth below inlet.....(;­ ............... Total leaching ar 7,:70-sq. ft. Other Distribution box Dosing<tankkA . .. ...... .... .0_!C6 Percolation Test Results Performed by............ ......C. . .......... ....n D-9-1- Date....QM_�l Test Pit No. I________________minutes per inch Depth of Test IV................... Depth to ground water..__......_._.._..___-_. Test Pit No. 2................minutes per inch Depth of Test Pit..._..........._.... Depth to ground water------------------------ -------------------------------------------------------------------------------------------------- ---- ------------------------------------------- 0 D ......... ................................................................................................ Description of Soil......................................................................................................................................................................................................... U ?------------------------------------------------------------------------------------------------------------------------......................................................................... U Nature of Repairs or Alterations—Answer when applicable.______________________ ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordarice.with the provisions, of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system_in operation until a Certificate of Compliance has bee e by the board oL4ealt ------ .... i gn . ........... ...........ign .. . ........... ......................... ...... ........... Dat ....................... ..... ............ Application Approved By---- - ----- -------------------------------- -------- ........ ..... 2...... ....................... ...... ate or t following g r S....................... Application Disapproved or t e jollowing reasons:...................z............................................................................................ . ........................................................................................................................................................................................................ Date PermitNo......................................................... Issue<L....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS cy BOARD OF HEALTH ...... .......OF......... .................................. 01rdifirat of Tompliatta Sewage Dispos�I.Sysqrn const ucted or ,, T1kjS IS TO CERTIFY That the Individual Se,,A,, Re. fired P .........C.42..I.....Installer ...I ........... ................... ........ .. .. . ..... ... .....snem...V co lt- -pro has been installed in ac' raince with lie vi iols of T, r o The State Sanitary Cod 9/as X-cribed in the Z_ dm d/application-for Disposal Works Construction Permit No.,X.--------- .. ..................= THE�ISSUANCE OF THIS CERTIFICATE SHALL NOT.BE CONSTRUED ASeA -UAR�NTEE THAT------TH----4? E SYSTEM WILL FUNCTION SATISFAFTORY. DATE... ........................ . ....:­­­ Inspector................... --------------...... .... No... ��.7.. Fss.. ..........� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. c".' ..'G. ..'r.`. "..........OF............�._.+A!< ":::'.".',.:4: .".".'"'�.: '.t*..?..:C'.,,t�.`• =- ------ Apptiration for Dhip aal Worka Tomlrurtion ramit Application is hereby made for a Permit to Construct ( f or Repair ( ) an Individual Sewage Disposal Sylstem at � �..3 A _� � � ��......�:� k i ,��'r1"�...`1_ ��!+ s����1��� t�i�`tr ` ^... �+.�'c te ... .Location Ad'ess f or Lot No q §a .......................................................Y {. . - •v- � ..._ ...._. a ---.�'v ` ...._. C wn rAddress O ........ ..... .......... ..............t.' Installer �.. Address QType of Building Size Lot___________________________Sq. feet V DwellingNo. of Bedrooms_____________ .__.__._________________Ex g Grinder Expansion Attic Garbage F — P ( ) (»_�)� A4 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) A4 Other fixtures ...---------•---------•--------- . W Design Flow......... ...... _______________________gallons per person per day. Total daily flow__________ _ _:._..................gallons. WSeptic Tank—Liquid capacity__k1`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 ar __ {Isq. ft. Other Distribution box Dosing tank �-+ y ,'lti.li"'_ ate,. Percolation Test Results Performed by................ _? ___ �, Date....... ..x..._�_.._----`--1.. Test Pit No. 1----------------minutes per inch Depth of Test Pit j j Depth to'ground water........................ 1� Test Pit No. 2................minutes per inch Depth of Test Pit------- _._.:___.__. Depth to ground water........................ -----------------------------------------_________________________•-----___--------------___---- ODescription of Soil_-: . 1 '{' t n ..............................................................x --•----------•--••......•••_••--- U ............................................................................................................. W ••••----------------------------------------•--••------•--------••••--•••••••-'•••-•-----------------------------------------------•----•-----------••-••••-•••-•---•---------•---------•-........-•••-- UNature of Repairs or Alterations—Answer when applicable................................................................................................. ----------------------------•---•••••-_.._..••--•-•-••••---•••••-••-•-•--••••----•-_._.............----•----•-•••-•-•------------•--••----••-••-•--•••••••-•••••••••---•--•------••-•---••••-•--__•••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ej by the board o ealt # g •. .....•••••• --- •••••... .- _ -. 1 ri • = Dat = Application Approved BY•---0efollow `Y •-•----.....---•-- .....l.Q_.2/Date Application Disapproved or ing reasons:------••---•----••-•---••-----------------•-----•-•-----••---•--• ------------•--------•-•••--••......-----_... -------------------•--••--......-••-•--•----••---------•-----...••--•----...•••-••......---•••--•--.........----•-•--••-••---------•---------•-•-------------------------••-----•--_--..__..------•--_••. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ....... ..:... ...............:........OF.......... ,xL_:::.................:............_..:.... ......---'-.._........ ... T rr#if irtt#e of Tomptiatta THIS IS TO CERTIFY That the Individual Sewage Disposal'.System constructed ( or Repaired ( ) w ,.. Installer i yr t at............................., t..K.z---;1, -• "3 E------- -- u. f-- ""r.,.....-fir.¢.-�...- -'---- 4�'_ ?y�}ti......- ...... �- � C_ } • S fi has been installed in accordance with the provisions of TI�'� rr lr or��r The State Sanitary Co as escribed in the 'l '- , application for Disposal Works Construction Permit No.l+�__._'": ' !_ ____.__.__ dated ® ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A UARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector............................>----------------------•---••••-•_._._.5a.............. f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /,- No. FEJ ................... ut11poo orhg QUIn#r ion k' mit -. Permission is ereby granted_________________ . .__.___ -----_•..-- -- --------•••• •••--•--•----------•----•- to Const�u orpair . an Ind• • ua Sewa Disposal s -, at No. " ---••- Zi ....__ ... - -----------------•---------------------------------•----- •-•• Street as shown on the application forl Works Construction Permit�.�.___ __._ :_. Dated__f_:-__�__ ---------_-:________ ----_---••----•------•-- ....•• ---�-------------------------•---------------- Board of Health DATE.............................................. --------------------------•--•-- w � FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS Fss...��........_ THE COMMONWEALTH OF MASSACHUSETTS " BOAR® OF HEALTH Q.W..f.Z.........-OF...............lba1.1rvsA' 1Q.................... Appliration for Uiopooal. Works Tonstrurtion Frrutit Application is hereby made for a Permit to Construct ( %oo)"or Repair ( ) an Individual Sewage Disposal System at: Cc " ....G.05rn\A...VA t r— Location ddress r Lot No. .. ._. Owner YAddress Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms......lO►. ______________________Expansion Attic ( ) Garbage Grinder no Other—Type of Building ............................ No. of persons---------------------------- Showers ( . ) — Cafeteria ( ) Q' Other fixtures -------------------------------- - W Design Flow....... S.......................gallons per person per day. Total daily flow.64 --_ ........gallons. WSeptic Tank—Liquid capacity.jS._Q.Qallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.____---�....... Diameter............VO. Depth below inlet......J6........ Total leaching area.._��0sq. ft. Z Other Distribution box ( ) Dosing tank ( ) - '"' Percolation Test Results Performed by........ �...(_o Date.......__. � Z-- aTest 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........................ .....................................................- 1 O Description of Soil-----•_ \xkw\----_ --� 1-----------------_----- W •------------------------•-------------------------------•••---------•----------------------•-••-------------------------------------------•---•-•----•------•---•---•-•--------•-••--•--•.....--.•-•--- UNature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------------------------------------------------•-----------•------••--••-•-•--•--------••-------------....---...-------------------------- ..................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLS 5 of the State Sanitary Code— The undersigned further agrees not to.place the system in operation until a Certificate of Compliance has been ' d y the boardX igne .rT��.............. �Q. ate Application Approved B � PP PP rove By-------- •-••--•----•-•----•-•-----••-••... . Date Application Disapproved f r t e following reasons--------------------------------------------------------•_- -- .--------------=---------••-••............... .....................•-------•---....------------------------------------------------------•--•--•---•-----•-----•-•-....•-•••-•-----...------....•-----=----------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,r .....OF.......... `t1 .......... .....:... j Trrfifirab of ToutpliFatta THIS IS TO CE IFY, Th t the Indiv' ual Sewage Disposal Syst con ructed ) or epaired by. --Y1n C� 5 s7s. at — E�.ati•_ - ---- , has been installed in accordance with the provisions of TITI 5 of The State Sanitary Cod scribed n the Q�h application for Disposal Works.Construction Permit No.. -L..= Y7 ............... dated__ ®__ __.____....._......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............•-•--••---•---•--......................--••-•--•-••-------•-_..... Inspector................................................................................... No._ 2-,3 / F�s....�.�........_ THE COMMONWEALTH OF MASSACHUSETTS Ala BOARD OF HEALTH} s°�?.L• ti--.----....OF................ .< ai1. ................... ApplirFa#ioat for Uigpaii al Works Toustrurtion thruti# Application is hereby made for a Permit to Construct ( or Repair, ( ) an Individual Sewage Disposal System at � �` .,�- .���, �,< � � �- ...: x 4 �t a � c � � e� c�4 t` c > t .1 ---- ..... -- Location or Lot No. •-Y 'rt.......................... '...r';h.~.� ' 1' ►�t 4 ✓� i owner, ,••" Address f (' Installer Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms................ .Expansion Attic Garbage Grinder l s aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a ---------------•----------------------------------------........------•-------••--. Other fixtures --------------------- - - ---------------••---•--....--------- d gallons per person per day. Total daily flow................... ?.. .{�°__..._.. Ions. W Design Flow.......... ` ._._... .-••--- ......g P P P Y Y WSeptic Tank—Liquid capacity]fi{dallons Length................ Width----_----------- Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..........).......... Diameter.-__.___-___1_C). Depth below inlet................ Total leaching area.__.'23.0sq. ft. Z Other Distribution box ( ) Dosing tank ( ) , '-' Percolation Test Results Performed by..___.._`a� . '`� ._ :�___ `�` °" .. ...__... _.. ....a a._.....�,._`�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........................ x ..................................-......................................................................................................................= D Description of Soil......... ti _ _..._...._'_ - -- - - x U W -...=... ------------------------------------------------- --------------------------------------•-----------------------...-------------------------•------------------------------=------------ U . Nature of Repairs or Alterations—Answer when applicable................................................................................................ ..................................................... ---•-•----------------------------•---------------•---------------------------•------•---•--------------------•--------------------------...------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' d y the board ./rJ ................. ..............ned Application Approved BY----- ... ---------- _r ... `'® " _ Date Application Disapproved fo ;effoZ11ozuv4ng reasons: ------------------------------------------•--------------------------------=-------•--.._.._ ------------------------------------------------------------------------------------------------------•--......---------•--------•------------------------------------------------------------.._._.... Date PermitNo......................................................... Issued-............................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 �t4 r �t.;3� .. :.....OF...........+ `. h� �' ,.....,•��... - . ...................... Qtrrfif iratr of Tome iFaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System�g constructed ) or Repaired ( ) Installer * f f has been installed in accordance with the provisions of TIjTLE 5 of,he State Sanitary CO ribed�i the�1� �1�; application for Disposal Works Construction Permit No.-Y-.�.'" r-7.................. dated....__._//.�____._____________._.______._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARpkOF H A T No.!p.-.oj. "0t.....................OF.. ... ............................................. I- r i ro or oatffit Urdt' prrmit r Permission t h reby grantedG:: .................... to Constru r Repair a nd1 uu Sew is oral Ear' Street as shown on the application for Disposal Works Construction Permit D .j Board of Health DATE............................................................... ................ ' FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 9 F . F s.J�..:....................... THE COMMONWEALTH OF MASSACHUSETTS Y BOAR® OF HEALTH �o.u3.!^............OF.......... SMC1S �-- -.................... fv. AVV trFafion for Uhipoii al Workii Tomitrurtion ramit P - Application is hereby made for a Permit to Construct ( \,40"'or Repair ( ) an Individual Sewage Disposal System at: Loc ion- dress or Lo No. ---...` -t'1.�k2�.. o-�t----_--. .. ------.`.. e 1 .�.9 .... .... C C ^ .OP._ `-1�.� .._.. A.; _ ......... �_�...Ad re....ss �......... ?,... a Installer Address QType of Building vvvv Size Lot............................Sq. feet Dwelling—No. of Bedrooms...........3-.__.•-__-___-•__-___-__-.Expansion Attic ( ) Garbage Grinder (r P-4 Other—Type of Building ............................ No. of persons_-_--____-__.__.--_--______- Showers ( ) — Cafeteria ( ) } a � Other fixtures :----•-----------------------------------------------------------------------------------------------------•-•---•------.._._...._...._..__........_. Design Flow..........T-S--- •___.__--_•-•----•--_-gallons per person per day. Total daily flow............. ............gallons. WSeptic Tank—Liquid capacitQ_gallons Length................ Width.._____-_-__-_-. Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length............(_...... Total leaching area....................sq. ft. Seepage Pit No-------a------------ Diameter._-.___-.II).... Depth below inlet.................. Total leaching area..... Qq. ft. ' Z Other Distribution box ( ) Dosing tank-�`) � w y �a Percolation Test Results Performed by.••• r r --•-.�..0. .. _.... Date.------- --- a Test Pit No. I................minutes per inch Depth of Test it.._.__.............. Depth to ground water-___.-_--__-_--_---__--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to-ground water------------------------ R+' • --------------------- xDescription of Soil------...M. ��..._._.'� .. . Qk------------------------------------------ -------------------------------------------•-. ----------- .......... UNature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be 'ssu y the bo ea 9 igne ---••-•-••••••• •• . •.-----•----•..........-•••-••... •-•-•-• ..�. ate Application Approved By.._ 20 �Z - - ---Date--- -•- Application Disapprove o he following reasons:.----••••---•-•••••-•••••-----••---•••-••••-•-•--•••-•--------•-----------------•----....-•••••......-•••--•---- -•--------------------------------•-•-------•--------------.....---------...---------------•-----•-------'-----------------------•---------------•--.................................................... Date PermitNo......................................................... Issued_....................................................... Date } { THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH !....0.. .....OF............... I lay. . . ..... ............... (9rdtftratr of Tomplttattrr THIS IS TO CERTIFY, ghat the Individual Sewage Disposa�,Systgm constr cted or Repaired ( ) 1-VCN W - Installer t at••••••••••• ---------•• - --- ---------••-•-• ••• - Y has been installed in accordance with the provisions of TITHE 5 o The State Sanitary Co e.. aeescribed in thc�e9'a application for Disposal Works Construction Permit No. _^52 .................. dated -:................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................., Inspector.................................................................................... No.1......... ' -f-- ................... THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH Appliration for Disposal Works Towitrurtivat ramit Application is hereby made for a Permit to Construct ( r Repair ( ) an Individual Sewage Disposal Systenx Q--- -- 'Location-At-dressor Lot No. }, Owner �y Address cvn ......... ............ 1.4 M Installer Address r 14 Type of Building Size Lot............................Sq. feet U ( ) Garbage Grinder ( )Dwelling—No. of Bedrooms............ _Ex Expansion Attic � aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) aOther fixtures ......................................................... r - W Design Flow......... .......................gallons per person per day. Total daily flow............. .. ?...............gallons. WSeptic Tank—Liquid capacit _01-:)..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—'No..-_------.•-.------- Width.................... Total Length.................... Total leaching area....................sq. ft. - Seepage Pit No------- ............ Diameter---------- .._. Depth below inlet..........°tt:�...... Total leaching area...... ,! ?sq. ft. Z Other Distribution box ( ) Dosing tank ( ) H !� Percolation Test Results Performed b ........................' '�_:�-_2! a __ _ f'a �' y f.. f ,. Date --=--. -A-� '` . Test Pit No. 1................minutes per inch Depth of Test it______._..._...._... Depth to ground water...._.._............._.. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ob...................••---•.............----... ..................................................................................................... Descriptionof Soil--------{ , < - ......... ......................................................=............................................. x V = ................ W •--•-•-•---------•--- -----••-•-••-•-••---:....•--••-•----------------------------------•---------•---------•-------------------•-•---•-------••-•----•-•---•-•----••----•--•----••-----•-----•-----•-• UNature of Repairs or Alterations—Answer when applicable................................................................................................ ••------------------ --------------••-----------•------•---•-•----•--------...-•---.........-•-•---•----•---•-------------------------------------------...----------------------------••---•--•---•-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be iss by the ea ( r 4.ate Application Approved By--- .. P.. .............................. -= D Ye Application Disapprove f�="the following reasons---------------------------------•-----------------------------•-----•-...------•----------...-•------------.--- ...............-------------------- •--------•------------•--•----------••---------------•-- -------•------------------------------------------------------------------ •------------------------------ Date PermitNo..............••••-•..................-•.....-•-•------- Issued-....................................................... Daze THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH .. .! .. ......Cl OF...............] �:: -�. ................. Trrtifiratr of TompliFattre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired.( ) by.........� '• L_� t �-- 1 _.. sn...... ------. :- k 6 Y 1 ------'" •............................. Installer at............ ..........................- -. ,m . ...... y�� ; G=r ----- �, has been installed in accordance with the provisions of TITLE LE 5 f The State Sanitary'.e�described in the Sl application for Disposal Works Construction Permit No. _� ' ,dated 1t wl THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE t-ktV „m SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS y _ BOARD, OF H r �L 1 V_7��....................... ..... ........... ......... NZ.?...�......... FEE. ..1........----•--- Dispos al Worko tag �n �e mi# Permission i *hereby granted. . £^`� ' '�= � ___ : to Construct") or Repair ( ) an Indiv�A Sewage Disposal System atNo... •-• ................ Street rj ..5!,y� jam .,.,. as shown on the application for Disposal Works Construction Permit No. ...... ......... Dated%.._...,......._........................ ----------------••--•-•----•-•-•-------------------------------------------------••••••.--------------- Board of Health DATE................ -•------•--------------•-•-•-•-•---...........--•-•-•-•._--••-- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS • a: No..4_?_-_1 2 y .� Fnic....3 .......... -iTHE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH\ a- L7r-v....."-.......OF....... :J...................... ApplirFatilaat for Uigpnaal Works Cnonotratrtinat Frrutit Application is hereby made for a Permit to Construct ( %/or Repair ( ) "an Individual Sewage Disposal System at, �` .. Lo lion-Addre or 4t No. LX wne 11 Address --mL�.....................C _ SST.___---------- .............ns._v!\.....J. �__...... ....... Installer Address QType of Building Size Lot............................Sq. feet U ___________________________Expansion Attic ( ) Garbage Grinder (nT� ,..., Dwelling—No. of Bedrooms.......... pa, Other—Type of Building ____________________________ No. of persons............................ ( ) ( )___.___.._._ Showers — Cafeteria Pa Other fixt s •---•--•----•-----------•-----•. - W Design Flow......... _ ________________________gallons per person per day. Total daily flow..........3al.2)..................gallons. WSeptic Tank—Liquid capacity).54).qallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------e........... Diameter..........1.0... Depth below inlet........ ....... Total leaching area.__.-2-1.0sq. ft. Z Other Distribution box ( ) Dosing tank ) ' a Percolation Test Results Performed by-__.�f1(1CV W ........cin, Date......_.._ ,.� Test Pit No. 1................minutes per inch Depth of Test. _.�it._.__._.______._____ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ I-----------------•-•-- O Description of Soil-------� _1V1�-•--- - -- -- - - ... Fs � ----------------------------- U Nature of Repairs or Alterations—Answer when applicable_____________________________________________________________________________________________ ------------------------------------------------------------------------•--•--------..........-•----•-•---•---•--•--------------....-•---•--------------•--•-••----••--•----------•............................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT!- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee by the board Signed- / ................. -• ................ .....�__J�t+..11.Z Date 60 Application Approved BY----------'----- --•- U +< ......................... - ------ ate Application Disapproved for the following reasons:.............................................--------•••--•-••-•--••-• ........................................ -•---------------------------•--.....-------------•-------------...------•--------------....--•-------•--•--------•----••-•-•-----------•-------••-•------------•-•--•••-•---•--------•---••-__...._..._ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Taettf iratr of Taatttpltattrae THIS IS TQ -CERTIFY, That the Individual Sewage Disposal Sys em censtructed or Repaired ( ) r le --•--••------ .................... mc Instal has been installed in accordance with the provisions of TITLE 5 of T e State Sanitary Code as described in the application for Disposal Works Construction Permit No----9Z.- 5__3 ........... dated................................................ 5.1; THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... `YHE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t A#. ................OF....... Apptiratioo for Disposal Works Tutt.3trudion Vrrmit Application is hereby made for a Permit to Construct ( V/or Repair ( ) an Individual Sewage Disposal System at (._ . 1 �/ - - •-- - `f A.�kl* r7 i s*"S Location Address„^,... ° or Lot No r,.3�, \w !---_•"'^'`_'"--r,'•�4,;i wKw' y . i .a;;„—__-}`,d.�'-'s..--- f�` ��cs�* `- r- '..................... ........... t Owne q r Address a ,lc. e�.4 `.... ... ... := ::�.........._ .- .- .�: ...... .......... I sn taller 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 ( ) a Other fixtures --••••.............••-•-•---•--• . . ---•--.-- ••-- -•-- W Design Flow..... . ........-- ...___gallons per person per day 'Total daily flow------------ ..................gallons. 04 .`Septic Tank—Liquid*capacityVS.Gkkallons Length.................. Width----_--------- Diameter---------------- Depth................ •Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area_ ......__......___.sq. ft. Seepage Pit No......... ........... Diameter..........1.0.... Depth below inlet........te:....... Total leaching area.....�_-2 Osq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1-4 Percolation Test Results Performed by..._ "fir `� _.:_._ t:a �:_..... iccat. Date...._.__-__ - -v� --.... Test Pit No. 1................minutes per inch Depth of TestOPit.................... Depth to ground water-___-._-..-_____-_---__- w' Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----•............. •••-------•••••--.......•-•-._..--•--------------........•..........------------...----------.........---------------.........-----•--•- =,i - = i�``� --•-•---•---•--•---------------------------------------------------------------•------------•---------... O Description of Soil x c, W -------------------------------------------------------------------------------------------------------•-------._.....------------------------------------------------------------------.............. UNature of Repairs or Alterations—Answer when applicable................................................................................................ ••--------------------------•--.._...--•---•--------------••-------------------•----•-------------------...-•-•-------------------------------------------•---------.................................... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITlE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee by the �boar'd hea Signed-- •---- .....• ! ..............--- ----- .............. /-�' / Date Application Approved By-•••-•-----.. 4. •• ----*r =�! ....................:. � y �l✓--•------ ate Application Disapproved for the following reasons----------------•----•------•-------------------•-------------------------------•------------------••••---------- Date PermitNo........................... = r Issued.-•------•-----•--- --------------------•----•--•--- Date k p 441� I THE CONK,_- ON WEALTH OF MASSACHUSETTS BOARD OF HEALTH t ....... ......OF............... ..-...:..'±.. `r "" ,.,. ..t -o-�.......... Trrtifiratr of Toutpliotto THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed tom) or Repaired ( ) by----------------i 4r .........�._ :.. ,.It,._....._ #.._...................... 4 :._._ a^, ...--It.......in_c a r InstallprE has been installed in accordance with the provisions of TITI 5 of e State Sanitary Code as Ascribed in theme . r� applicatib.n for Disposal Works Construction Permit No.__ 2..--_,5.. ---------• dated................................................ THE ISSUANCE OF TINS CERTIFICATE,=SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY,' DATE........:....................................................................... Inspector............................................. :---------•-----......--••-- 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No........................ FEE........................ Disposal or Totiutr ion rrmit Permission is herebyranted....... -- ,a/ •...................... ....g ,� �j �e//� to Construct ( ) or Repair ( ) an Individual Se 1age Disposal System atNo.............................................................................................................................................................................................. Street as shown on the application for Disposal Works Construction Permit No..................... Dated.................... ...................... oard of Health DATE.................................... ---------- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS I NOS...........®...... Fps..it� . .:................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTLJ .. W ........OF........ an_r); �-----•---------•- Applirativat for Dhipoual Works Tonstratrtion Frrutit Application is hereby made for a Permit to Construct ( V11"or Repair ( ) an Individual Sewage Disposal system t: kko Locati A dress t % r Lo No. —��, ...5. ._..... �c' .'n ACC ..o .._._.. ._._ Qx> cSa�K-:..._Q ... Y L. O er Address W C.0------- �_ .._._..�aNn----�'_r^-...---�2...... . . a Installer Address � Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.:___,��.................................Expansion Attic ( ) Garbage Grinder gyp) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures .------••--•--- --------------• • .- . W Design Flow..........S!5;.........................gallons per person per day. Total daily flow...... _?........................gallons. WSeptic Tank—Liquid capacity/-54PO.gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. ........ Width_..____._. -•- Total Length_._........... Total leaching area....................sq. ft. Seepage Pit No...........I--------- Diameter........b_0..... Depth below inlet.........(..... Total leaching area..ZeI_Osq. ft. Z Other Distribution box ( ) Dosing tank ( ) \\ X oZ '-' Percolation Test Results Performed b C.._ 1Z�T__ .Date._._______ _ _`_ aTest Pit No. I----------------minutes per inch Depth of Test Pi"t.------------------. Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' - ------------------------- -•--• •--• . ODescription of Soil-----�.. - kkvyx-•-•------ Q1 ......................................---------•---- ------. -----------------------.---- x U ....................... •••-•••---•••••---•-•••-••----•--•••----•--•---••••---••••••------•-----•--.......-•-•-----------•---•-••••••--••-••••....--•----••---••........................................ W -------------------------------------------------------------------------------- •--•••••-•••••••••---•------------------------•••••-•--•-••---••-••-•••-•••-••-•••-•--•--••--••-•-•---•............... UNature of Repairs or Alterations—Answer when applicable._.__._......................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Complian has bee u d by the boar he o2 I Sign -- ----•------•- -• --�-- -•-------------•- ............ ...... Application Approved By.. .-- le. te v ...... . ...... ......••••. -•••-•-----•-••--••--•..._---••-......_.........--•-•-•-•- ------.... -------- ate--••-•-•--•--- Applieation Disapprove or a following reasons:...............................................-------•--------------------•--•--------....................... ---•-•--•-------••-•---••.....-•---•-••---••---••--•-•••••-•-------••-•••--••-•-•-•-.........••----•--•...--•--•-•---•--•--•---------•---•-•-••--•-•••-•-•••-•••-••••---••••----••••-••••--••--•--•------ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..C'N...........OF............ ................ Tatifiratr of Toutplitturr THIS``Ij� TO CERTIFY That the Individu Sewage Dispos Sy tem con tructed or Repaired ) by_ �f. ... .t�. -•--______. �'(�. Q� ..'1..... Instal / 1 at........ . ----•-�----- -............. f�= vl fl -. •---- •-••-•••- has been installed in accordance with the provisions of T T 11r of The State Sanitary Code d ribed in the p application for Disposal Works Construction Permit No..___ '.G�1� ............. dated___.l'® 1���.._._._........ '�' l � . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR TEE THAT THE anpz SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... ---------------------- .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ....................................OF......... Appfiratiou for Elhqposal Works Towitrurtion Vrrmit Application is hereby made for a Permit to Construct ( V11"Or Repair an Individual Sewage Disposal System at: ......�0\6\ -,.g----------(-'.!-<)5- ..............n... Location Address No r .................................... Address Owner r A Add . .......... _` "I' ' -4�\- ::��........................... .................................. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms....... .................................Expansion Attic Garbage Grinder (A0) PL4 Other—Type of Building ............................. No. of persons............................ Showers Cafeteria PL4Other fixtures -----------------------------------------------------------------------------------------------------------------------------------------*------------ Design Flow..........-7 n__11_1.....................gallons per person per day. Total daily flow-______.` ....gallons. 1:4 Septic Tank—Liquid capacityj15cno.gallons Length................ Width...:..........._ Diameter__.............. Depth_......._..._... Disposal Trench—No......._...f.o...... Width_.........-*... Total Length...........&: Total leaching area....................sq. ft. Seepage Pit No.___------. Diameter........ Depth below inlet........4� Total leaching area.. .. .?sq. ft. Z Other Distribution box Dosing tank x Percolation Test Results Performed by....V Q CIL fn� 3..........).Date.........--t.A� .... .....L.............. P-4 I i Test Pit No. I................minutes per inch Depth of Test Ot.................... Depth to ground water------------------------ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____._...............__. ................................... . ...................................................................................................... 0 Description of Soil....... ...............XA-1..f......................................................................................................... �4 U ........................................................................................................................................................................................................ ....................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ ................................................................................................................................................................I..................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI T 11 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Complian has bee . uad by the boank heq^th), Sign .... ............. .............................. ......y.. ApplicationApproved By.............lr.... ..................................................................... ...... ............ Date Application Disapprove or t e following reasons:.............................................................................................................. ......................................................................................................................................................................... ............................... Date PermitNo--------------------------------------------------------- Issued....................................................... Dati THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r­ . .................... T.'Wrtifiratr of Toutpliatta THIS IS TO CERTIFY That the Individual Sewage Disposal.,System constructed,trt -'eor Repaired ............N 3ZA by.....L�-.L,14f.�K31A4............. It-�.........�!:Vid:....................... ........ .......................................... Install r -S ........... ........ w"( 4 ................ .......at................... . ......... ................... ................ has been installed i accordance with the provisions of TIT of The State Sanitary Code a abed in the application for Disposal Works Construction Permit No. -A.-i '- -.................. dated.......... ----2 -.-/.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G AR TEE THAT THE lik SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... T T E COMMONWEALTH OF MASSACHUSETTS 1BOA7R?r" OF TH 5-, ....................10 ... . . .............. . ................................................. FEE..a ........ OWPO rk , onotration "unfit f Permission is eb granted..........:_.. . .. ....... ........... ---------------------------------------------------------------------- to Constr C 0 epair an Individua 'Di Ssn �2/i 4..... .. ......... c�­_A61..... ........... ....... ....*.............. ------------- ----------- Street as shown on the application for Disposal Works Construction Permit No ed...... --IV-----­------------ Board of DATE................................................................................ ............................. Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS N j NJ..24A3 F.HR ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...TO -------.......OF.....16.1( c ry \.Q...................... Appliration for Bhipaaal Workg Tomitrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: 0 L,0*Cati'�.nr edr�e;; tjNo. V --------------- . 52,.... ner dress _TC ............ A ..... ...jo .... . ...... ..... as..... Installer Addres U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..........3.............................Expansion Attic Garbage Grinder (f)6 Other—Type of Building ............................ No. of persons---------------------------- Showers Cafeteria Otherfixtures ....................................................................................................................................................... Design Flow............... .................gallons per person per day. Total daily flow...............3.3.0.............gallons. P4 Septic Tank—Liquid capacity__ C52*11ons Length---------------- Width-_-____-___-__-- Diameter................ Depth__...__.._..._.. Disposal Trench—No..................... Width_...__.............. Total Length......._............ Total leaching area....................sq. f t. Seepage Pit No........./......... Diameter---------LO.. Depth below inlet.........4=..... Total leaching area...Z-'7.0.sq. ft. Z Other Distribution box ( ) Dosiwank i-;.L Percolation Test ResultsPerformed by A )34 4 corv-15 ....60---- -- 4W. .... -Date.......41 Test Pit No. 1----------------minutes per inch....Depth of !­01 .................... Depth to ground water........_............... 7's,' "t"' 44 Test Pit No. 2................minutes per inch Depth of Test Pit__..............._.. Depth to ground water........................ 9 ............ ..... ....................................................................................................... 0 _k ---------- "----------------\ Descriptionof Soil............ kA A,T .0 ........................................................................................................ ------------------------------*--------------------- -----------------------------------------------------------------------------------------------------------------------------*----**-------------- -----------------------------------------------------------------------------------------........................................................................................................ U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ..............I......................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI2 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss the board of hr,4th 'igne ........... ....... ...... ....!7N.. . ...... . ....D Application Approved By-- ............................................................................................... .......... .. . . .............. or Date 0 I Application Disapproved t following g reasons:.............................................................................................................. ......................................................................................................................................................................... ............................... Date PermitNo......................................................... IssuedL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS CY BOARD OF HEALTH 77�.kd..n.........OF.......;2)j0,,,.\,C\;S-4.".k................ /W vywrtifiratt of THI S TO, C4jRTIFY, That the Individual Sewage Di sal, System �onstructed r Re fired i 0 ... ..........If I by............... ....60..C. 3..=--------- "SK---- ------ Installer, 11 1 jj:��J[ at............ ...................... ........... ......... ............ 11[�C�i 111;1111t�11,77 ..... ......... ....... 'c bed * t e has been installed in accordance with the provisions of TITLE of The State Sanitary Code s -c bed n application for Disposal Works Construction Permit No . . .......... dated.. ... . .. .. ............................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A UAR NTEE THAT THE V_�akh13 SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... f, No ............._....... Fxs....-'. ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..TC__).te,)7...............OF..... ,: _......_..------ AppliratiOn for Bispiial Works TOnitruriiOn runtit Application is hereby made for a Permit to Construct (V4 or Repair ( ) an Individual Sewage Disposal System at rR Location ddress kF ,eor Lot.No. r, a caner `• g ress . W ._......�..��{_. L';LS_��f�.;....?, ..-' .....� $ i_.5.... ?• a r pt:• ....... Installer Address t Type of Building Size Lot___. ........ .......Sq. feet U Dwelling No. of Bedrooms...._ _Expansion.Attic Garba e Grinder aOther—Type of Building. ......:..................... No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ---- -------•-------------------=------------------------------•------------------------------------- ----------------•••---------- Desi n Flow...............�y� _ ..gallons-per person per day. Total daily flow _:.._..__.._.___ W g g P P P Y Y --••••••••--gallons. WSeptic Tank—Liquid capacity._j allons 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...Z:"7Gxsq. ft. z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed b .r � ._.. : 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........................ P4 --------------------------------------•-•-----• ----- D Description of Soil............. r h.��11 ` '��+St�,G ...----•--•--------------------•--------------- --.... ---.... -----.... -----...................... x W ••••------------•-••-•-•-•-•-------•---••••-•-•••-••--•-••----------------------•--•-••-•-••-••••••----••••••••-------•-....----••••••••••--••------•-•••••••••-••-•••--•••--•--•-............------•••- UNature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------........................... ----------------------------•------------------------------•-------•---------------- -----•-••-•-------•----•-----------------------••••--•-••••-...................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss y the board of h th lgne --- ..--• --- ------- Application —� Approved By. ........"_ r_:1 `� Date Application Disapprove or t,a following reasons: --------------------------- ------------------------------...... ------............•------- ........----•...........-•-•--•-•----•--••-•-•-•---•-•••-••-.........•-••-....•-•••-----------•••---...--•••--•-•--•------••------•---------•••-•••------------•--------•••--•---•••••-•--•----•----••-- Date PermitNo.......................................................- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........OF...... �" ,� s..:.�,.------------------ Tatif iratr Of TOntViiatta THIS IS TO CERTIFY, That the Individual Sewage Di s osal System constructed ( �r Repaired ( ) by..........fit S. ` �. .ram, �.� -----. -� �� -------\ Installer, has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cod sci abed in the t application for Disposal Works Construction Permit No. .._. d ................. dated.�G? __ _�-_................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A flJA NTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... H''E�-COMMONWEALTH OF MASSACHUSETTS BOAT H A 4 ................................OF...... ?t....-_.ft� N0....�....-G° 0-. ...... FEE., I................ rk � n�.rttOn rrntii Permiss' eby granted ••......_.. --•••- to Cons r pair ) an rInlvi. evv a pos ystem atNo ••-----` --.•_`..• •-• ='' �£�...••-• .••••. Ake --- ---------------------------------------•----------- ---- ----.-•---- Street as shown on the application for Disposal Construction Permit No..................... Date ------ - .44--------------.-- .....................•-----•--•---•--••------•--------------------------...-••-••--••-........----_...._ Board of Health DATE--------------------------------------------------------------------------•---- FORA 1255 HOBBS & WARREN. INC., PUBLISHERS _ l r� R� �, • re,, ��r r T No9.G--..--.-....._....... Fes$ ................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® 9F HEALTH D..1 .. ......_OF........... Q���s.?� t-Q ...................... Appliration for Dhipoii al Work Tonvtrurfiou ramit \. Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage _Disposal System��at: .... 1 1 -.�.�. . C�Sk1�.,Q1.... talc - oS }1.c ._.5 by n _ e►r 1J . L cation-Add s or t o. Owner Address W Installer Address Type of Building Size Lot............................Sq. feet ,., Dwelling—No. of Bedrooms............. __.........._-------------Expansion Attic ( ) Garbage Grinder pa, Other—Type of Building :........................... No. of persons............................ Showers ( ) — Cafeteria ( ) 44 Other fixtures ............................................. W Design Flow................ �j gallons per person per day. Total daily flow........ ..................gallons. WSeptic Tank—Liquid capacity.15-4>_Qallons Length................. Width---------------- Diameter----------------- Depth................ x Disposal Trench—�jo_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........'............ Diameter........ -0----- Depth below inlet....... ...... Total leaching area...Z-.70sq. ft. Z Other Distribution box ( ) Dosing tank ) ~' Percolation Test Results Performed by-----M_—CM... ....... ......�rUZ>...(9•Date.......4-11--];kk_ .._.. 04 Test Pit No. 1----------------minutes per inch Depth of Test Vt.................... Depth to ground water........................ (Zq Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 04 •- -------------------------------- DDescription of Soil----- \%tw --------------------------------------------------- ------------- ------------------•-••-•------ x U •-•••------••-•••••----••••--••-•---••----••---......--••••••-•••----------------•...._........--••-------•--••---•-----------•-------•-----•---•--•-•-••------••---------•-------------••-•-••••...._.. W ••-•-•----••-----•--......-•-•----••-•-•-••-•-------•-•-••------------------------------••••-----•-----------••••-•---------•---------------•--•--•--•----••---•-•-••------••--••-•---•-•------••-_.. . UNature of Repairs or Alterations—Answer when applicable.___________________________________________________________________--------•-----_-------_-----. ..-•----------------------------------------------------•---------------------•-•---........------•-----.....------------------------•-•------•-----•-•......----•-•••••--••---•--------................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T ITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' Ta y the board, gne ApplicationApproved By;-••• •-•--•. ........... •-•-------------•--•.............-••--•-----------•---••--....... A ------ -•--•- Date Application Disapprove r th ollowing reasons----------------------------•-----•--•-------------------------•-----------------------•--•-•-••-•...........---- ----------------•------- Date PermitNo.................................................-------- Issued..................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......10 ..!r'1.............OF.........:.. -A T-%!E�,k.....�.-_-----.-. Qrr$ifirtt � of f�nutpli�anrr THIS IS T CE13TIFY, Th the Iri(�vidua ewage Dispos ystem constructed or Repaired ( ) by ... 1. j-f15d_......... aGA�.J� h!�G.� . Inst ler at......... ----. ..._ ••- •---- -•-•---- .• -•-• --... 1 has been installed in accordance with the provisions of TI"' r 5 { he State Sanitary Cod e-cribed in th application for Disposal Works Construction Permit No......................... .............. dated�0_ .._. ----............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT JCOT UED. A G RANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.DATE--•-•--:..g �..R..�/........................•••-----.-•---- Inspect �,� ........................................................ Nog :.. --�..... FEs. .S/ ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal Work Tnntrurtion ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ....... . �. w �J^ :. x �i:J3...... !..; @r��^ ___.. ... .: a a................ "�- ........„ .. Location Addrs `�( q y T / y or Lot yo ...... . t i y § 1• L .i.:;... k " L `� yi �a:. �. ... f A �,S Owner Address W Installer Address Type of Building Size Lot............................Sq. feet U a Dwelling—No. of Bedrooms____________ _..........................Ex anion Attic Garba e Grinder (;1f aOther—Type of Building ____________________________ No. of persons______________.______-______ Showers ( ) — Cafeteria ( ) Otherfixtures .---••------••. •-•---•--•-•-•---•......-••-•-••-••-••-•--•---•---••-•-••-•......................•--...•-•-•--•...--•--••...............---•--•••••- W Design Flow.................��_ .............gallons per person per day. Total daily flow......... 44 Zr ..................gallons. WSeptic Tank—Liquid capacity.15-Oi allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—: o..................... Width...:................ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........f........... Diameter........._o.__: Depth below inlet........�6_n...... Total leaching area...ZtZOsq. ft. Z Other Distribution box ( ) Dying ��.` ) - -��- � Date_.___._�_. '-' Percolation Test Results Performed b ......f. �. . ' °- �''s_.__.._.__ +`4 �__.____._!�. .... a ,4 Test Pit No. 1................minutes per inch Depth of Test I t.................... Depth to ground water......................... fi, Test Pit No. 2................minutes per inch Depth of jest Pit.................... Depth to ground water........................ = ---- -- •..D Description of Soil------!''�C?I:, t m x..-',� c •---------------------------------------------------- U -----------------------------------------•-•-------•-----------------------== U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------•--••-••••-••--•----••••-•-••--•--•-•••---••-•......._...........;.--•--•-••---•--------------•-----•-•---•---•••-•---•--••••••-•--••-•-•--•-•-•---•--•---•-...._-•---•-•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee y the board, rd. •--- ................................ ---•-- ......... ____---� _____________ ....................Application Approved By------- ----•................. Date APPlication Disapproved r th f ollowit4""reasons-------------------------------------------------------•----------------------------••---••-••----••-•----•--„ .....................................................................::.:.............---•--...•.......................•..•...................._._............._..........-...__..._._........._.......___ Date PermitNo......................................................... Issued----------------------•-•-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......OF............:. ... ................. Trrfifirate of Tompltanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal-System constructed .( i/I or Repaired ( ) -------•�°' .c_•A_f C1 �„...........C i '- `�.....� E� ------------•-- «���.�.�=1r 1 ......_�A_2.....�:A c...._. - by r_�` Insta ler v_....I.... __ ... .de at......---..`I "s` `r . .-_... m r s has been installed in accordance with the provisions of TIii �4he State Sanitary�� �1_e cribed in the :�'. , , application for Disposal Works Construction Permit No.........y.............................. dated.---- .. . ._---_.f__-_-__..................... �� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C UE® S A G GRANTEE THAT THEM SYSTEM WILL FUNCTION SATISFACTORY. DATE......... � - ................ Inspect ... ' ...................................................... ... �`........ v THE COMMONWEALTH OF MASSACHUSETTS BOARD OF TH -S� ...................: ..... . . No.•-•--••----••--......... FEE........................ inn Virrmit Permission is here y gra ted ==�'.... •--•--.... ....................... .. ................................................. to Constr ( Rep ) Miudal e Disp s Systte Street r as shown on the application for Disposal Works Construction Permit N(..... d... ..�..�.................... 'DATE . B fl of Health .....•--•----------------•-•••••----•--_. / FRM 1255 HOBBS & WARREN, INC., PUBLISHERS L • No. ._2 Fps .{ ......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH d ApplirFatinn for Bhgpoii al arks nnidrurtinn rami# Application is hereby made for a Permit to Construct ( or Repair ( ' ) an Individual Sewage Disposal System at .. ! ..... . -�:......... �►� -vb1�o� .G. ax........5... �...... ar,.h tS Locati n Address ` Lot o. .n�� 't22... ok ........... c.� Ye�c1 �.....------. ner Addr Installer Address Pq Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...........-3................. .......Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfit res -------------------------------•---•-----------------------------------,------------------------•--•-•-----•--.....---•--•----------.......--------- W Design Flow.........v2. ......................gallons per person per day. Total daily flow............ .................gallons. WSeptic Tank—Liquid capacitv.J,'S-CQallons Length................ Width................ Diameter--.------------. Depth................ x Disposal Trench—No..................... Width.................... Total Length.......//.'-_----.--- Total leaching area....................sq. ft. 3 Seepage Pit No........./--------- Diameter.....la........ Depth below inlet.....G......... Total leaching area..zl sq. ft. Z Other Distribution box ( ) Dosing tank ) \ Percolation Test Results Performed by.......McA. ......... ..... 1!a T_.. .Date...... W ,-� Test Pit No. 1................minutes per inch Depth of Test IY.................... Depth to ground water.......--................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.---..----------.-.---. C ---- ---------------------------- -------- ... O Description of Soil �� -- -- -- -"................--- x W V Nature of Repairs or Alterations—Answer when applicable......................................................................... ....................... •-------------------------------------------------------•--•--------------------------------........-----•-------•-----------••------------•-----•--------=--------------------••-•-••-••-•------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate ofKas bee by the board o i It // q[� . ....• �+�"'C /�•' --------- ----------• .-•--- -•--..(. -Application Approved By------ -----------------------------------•--•...---•----•------....-•-•-- ' ......-••-•-......... Date Application Disapprov or easons----------------------------------------------------------------------------•----------------...----------...... ....................................-•-----••••------------------------- Date Permit No......................................................... --..... Issued-....................................................... Date WEALTH OF MASSACHUSETTS p[ A—A I— F HEALTH ... ... ..... ...... J Nol' _7571 Fims 3......I................... THE COMMONWEALTH OF MASSACHUSETTS --��---•��'' BOARD OF HEALTH .. .N.............OF............ .��?. Appliration for DWpooat Worko Totw4rnrtion Urrmit Application is hereby made for a Permit to Construct ( /or Repair ( ) an Individual Sewage Disposal System at Cc s+ LocahgnAddress or Lot No. .:� ' z . �......?:- __...... j,7 ---- caner °'`� - �^t �'�,t�, ,�yAddress. pry W .......... �`i<;° '4_ ...�E' ':..---.._ �.s. .-•--•- -•-!_--�-- -'---------=---t`?..�.F...Y--• � - ........ Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........... _Expansion Attic ( ) Garbage Grinder ( ) paI Other—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) w Other fixtures ............................................... Design Flow......... .......................gallons per person per day. Total daily flow----_------ .................gallons. WSeptic Tank—Liquid capacity_,t` _ allons Length................. Width................ Diameter................. Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area____________________sq. ft. Seepage Pit No---------,�--------- Diameter-----/._�✓__........ Depth below inlet.....1�~?......... Total leaching area... sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by....___ n.r.14 z* n " :___. ;_ -Date._......... r . Test Pit No. l________________minutes per inch Depth of,Test IV......... Depth to ground water-----------____________. Test Pit No. 2.................minutes per inch Depth ofTest Pit.................... Depth to ground water........................ �+ -------- -------------------•-----------_------•----___ ------•-------------•---•----------------•--------------------___-___....---------- oDescription of Soil...__.:. f r �' =" ,C,ti°7_;...----------•-------------------------------•--------------------------------------------------------- x W ------------------------------- ------------------------------------------------------------------•---------------------------------•-------------------------------------------------------------•-•--- UNature of Repairs or Alterations—Answer when applicable................................................................................................ ..-•---••---••-------------------------•--•-•--•••••••-••-••••---•---•---••••-••-••••...............•--••••••-•-••-----------•-----------------••---••••--•••---•-•••-•-•------------•-••---•--••-••-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITiE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Complianc as bee is tj by the board of ILI plt Sign p �• �- �/, - <---- ate Application Approved By.`. Date Application Disapprove or a following reasons:........-----•--•-------------------------------------•---•--•---------------------------------------._.._..._ .....................................•----•--•---------------.....__.._.....-•----•---•--•-•-••'•••----...-••••••••••••-•---------•-•-•--••-•-----•---••---••-----•-•-•••-•----------••-••-•----••-...... Date Permit No...............•--•------•--•-•----•--•- .............. ....................................................... "----- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH = ,j ...... ..0 1. .n..........OF...............� ':� ...e .:.. .....±`?•;.. ... ........._.._ Trrfifirtttr of Tomphanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (y'',or Repaired ( ) - 'by... '•1 .. .. -.................. _. 2..s.. ........ ' - -............................. t'.r.,._ . ...;-•--•. talle " > Insr at---•---•--� ............t - t 4T_e_ ',...ly"••. 67 has been installed in accordance with the provisions of T "LE t j.of he State Sa.mtary Cod s escribed in the � -, ti application for Disposal Works Construction Permit No._ �-'_ 7�______________ da.tedl`4'_- _. .______.__.-_______. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE ' ►toti� SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................----••------•-•--•-•----•_...... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOAR, OF H Q.Z .. c«� .... '✓.......................OF.�!�.................`..._.. (J ... / FEE._ Map , o � o ion Trani# Per ission i ereby grante -••----- -•-..___ ..•:` -•- ------••-•-.............................. to Con ) o ep ' ( ) n r3u wage Dis 6' Sy., at N r-- ............ ,..� ... Street as.sh n on the application for Disposal Works Construction Permit NO.. ?_~_ DatW, l y Board of Health ATE................................................................................. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS N68-S� ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................I- ------I...........OF........ . .. ... .......... Appliratiou for Dhipaaal Workii Towitrurtion runfit Application is hereby made for a Permit to Construct ( Vj"'or Repair an Individual Sewage Disposal Sys�� , : V %'-'S ....V-LAN,%I . ........��?a-nnz)-W......5.. .....� dikss Location dd or Lot No 3 ....M"T.A4. 0 .......)?7N.. .......Ic \,n 1W A owp,--r I Address--I ......................... Installer ... .n........cas... ........ ..........M.04.07---- ........50.....jQArn0* QAddress Type of Building Size Lot------------------­--------Sq. feet Dwelling—No. of Bedrooms............3...........................Expansion Attic Garbage Grinder (no) a Other—Type of Building ............................ No. of persons..........__..........______ Showers Cafeteria Other fixtures Design Flow........... ....................gallons per person per day. Total daily flow---------:3.3-0....................gallons. 9 Septic Tank—Liquid capacity-j4Wallons Length................. Width..___.........__ Diameter-----------­--- Depth_.._..._....._.. Disposal Trench—No. .................... Width........_........_.. Total Length____-_. Total leaching area---------------------sq. ft. Seepage Pit No----------/--------- Diameter..........I-0... Depth below inlet----- Total leaching area..2--7..Osq. ft. Other Distribution box Dosing tank L Percolation Test Results Performed by Date......I ....... 04 --- 04 Test Pit No. I................minutes per inch Depth of Test Pit_._........_........ Depth to ground water........................ fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water___.....___.........___. 0 P4 .......... ---------------------------------------*.... ..- ---------------------------------------------**------------ ------------------- Description of Soil..........TY .V)C)�1W A%Uk ........... ------------------------------------------------------------------------------------------------------- x U ........................................................................................................................................................................................................ W �4 ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------- ------------------------------------ ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T I.Zj 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeniverr ge y the board of he Sig .... .. ........1.11y........... .......... ....��� to ApplicationApproved B ............................................................................. ........ . ..................... Date no Application Disapprovefor the following reasons:.............................................................................................................. ........................................................................................................................................................................................................ Date PermitNo........................................................ Issued....................................................... Date - - ---- ---------- - THE COMMONWEALTH OF MASSACHUSETTS 4-Al- BOARD OF HEALTH 7T",nvar.�..........OF............ . . ...... ....S .............. Trrftfiratr of Tompliatta , TO CERTIFY THIS IS _.,That-the I dividu wage Disposal S--zsteqi constricted or- Rep ed r W by.......... 0-Xe0JAA.... ....... ......... ...........................Rkcht Installer at.........=V�kt frim. ...... ..................V .......t a has been installed in accordance with the provisions of TLITiE 5 of The State Sanitary Code d in the application for Disposal Works Construction Permit No.-I�. ---�--�r ---�V ... .............. dated........ .. . ............... . 7 7 - 1 ...............[ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector.................................................................................... No. . ........_ �.... Fps. . ........ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH �.0 V ...............OF........ � - '� � �= ....................... Appliration for Disposal Works Tonstrurtion rrrmif Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at t _ 1 fit. _.�a\�- ' :1.tSi �` f:fit�!(+ t` {C�[_�(((ppp y �{ 6 ....... A............. . ........ .. .... .. ...- .... - ....._ 1V.....: .bsY- _".�... 9...... _n'0 M* 4:S Location-Addi sts s or Lot No. .....It -. Y.... Ow er � Address Installer Address ,�a_r.:, Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.._.___.,_____________________________Expansion Attic ( ) Garbage Grinder (�g� p.l Other—Type of Building ............................ No. of.persons.........._............._... Showers ( ) — Cafeteria ( ) Other fixtures •-------._--•--•-- W Design Flow...........��.......................gallons per person`per day. Total daily flow.........3,5.0....................gallons. WSeptic Tank—Liquid*capacity./50 allons Length................ Width___:___________. Diameter---------------- Depth................. x Disposal Trench-No..................... Width.................... Total Length................. ___ Total leaching area....................sq. ft. Seepage Pit No---------- --------- Diameter.........1.0... Depth below inlet..... ........... Total leaching area...2,:TC>_ q. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by....... u I •-' .. . C ----(,-"'���-cO Date.__.._l-_t--� _� - --... aTest Pit No. I................minutes per inch Depth of Test Pit..................... Depth to ground water........................ GT, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ......................................................• ............................................................................................... O Description of Soil........... 't�_ ..\.A "t.........M�Zf C U •--••---•-•-----•----------•-•-----•--•------••-•-•--•---•----------------•-------••----------••---•-••----•-••---•-----••----•-•---•--___--•-----••----------------___-•-••-••-----•---------- = UNature of Repairs or Alterations—Answer when applicable................................................................................................ ---•----•-------------------------------------------•-............. --••--•------------•-----------------------•---'......-------------------•-------••---------•--------•--•-•••-••••................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been e y the boa of Iiea Sig ••••• • •--•-•----.1)..•••-- ...... ..........--- -- -- to Application Approved B .............................------------------•-••-......------......---•---_:.. :.. � ��" Date Application Disapproved'for the following reasons--------------------------•-----------------------------•---------------------------------------------........._ •---------•---••----•--------------------•---.-•...---------•--------------------•--.........---------------••••••--•••-••-•--•'-••--------••-•-••----••--•••••-•••-•••••••-•••••-------•••-••---------- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD {O" F HEALTH ..........OF............tw~ � �' .CV'.,.� y ,a................ Trrtifiratr of Toutpliattrr THIS IS TO CERTIFY, That the I dividu 1 S age Disposal System constructed ( or Repaired ( ) by..........1 t K XAC a. 1. -t r�_ ....... �. _�.s' l r�r ........"A InstallerrF y at......... `-•---'%'""--•------•------. _.A__.� _. _.. .�.,�.-�,., :_�.-�.__ ��.�� - �t�-`tip~--•--- �-�L•! ��� ��rti-t `yL7� tw.�. has been installed in accordance with the provisions of TI"LF 5 of The State Sanitary Code r,d in the application for Disposal Works Construction Permit No._�?..'.er7y............. dated_--.�8._-y._..__..__........._.____._.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................•--•-...---•-----_.. Inspector.................................................................................... s THE COMMONWEALTH OF MASSACHUSETTS '= BOAR OF HE r r� ............................................ Dispor' 26r%Al tr n� pruti# Permission > reby anted �`�`` G . .............................................................. to Cons t r R an id .wage System atNo ....... '••--••.--••-•....... ... .... •. . --............. Street `� as shown on the application for Di posal Works Construction Per cYl _._ ------ Dated��.. � '.................. t Board of Health DATE............................................. ...................---••-•--...--- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS • � is N ......... .................. 'rHE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....._...-.OF........ . ................... Appliration for Uhipugal Workii Tome bra tion rumit Application is hereby made for a Permit to Construct (�or Repair an Individual Sewage Disposal System at: 13 J_0­11._.—. ..... VLoca. o�.TA aj,,,e s s or I No. .......;S . .. .... .......T"ner s. ............. Addre . .............. ....... ......MJ�kA ----- ----- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............. .............. .Expansion Attic Garbage Grinder (AI* Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow.........5_J5 ......................gallons per person per day. Total daily flow_______.___. _..________.___gallons. Septic Tank—Liquid*capacity,16-Itkallons Length________________ Width________________ Diameter________________ Depth_____________._. Disposal Trench—No_ ____________________ Width_______. ....... Total Length.._.____.__._____.__ Total leaching area....................sq. f t. Seepage Pit No..........I-------- Diameter..........I. ." Depth below inlet.......4.......... Total leaching area..Zj.0..sq. ft. Other Distribution box ( ) Dosing tank ( ) C Percolation Test Results Performed by..__.CIA. ..... .....(�_Q. Date......I �1_y/ ~_. Test Pit No. I................minutes per inch Depth T:ft _ _-------- ------ Depth to ground water..___..___.____.__...-_. )f Tes Test Pit No. 2.................minutesper inch Depth of Test Pit_______.____________ Depth to ground water...___..._.._______.__.. - --- -------------- --------i----ia.ux-10--------------- - ---------------------------------------------- ----------------------------- 0 Description of Soil................... . .....N............ ------------­----------.......................................................... U ......................................................................................................................................................................................................... W - �4 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------7------------------------­ U Nature of Repairs or Alterations—Answer.when applicable------------------------------------------------------------------------------------------------ ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bega-Tisgiedjby the boardoMe*n at Application d igig .............................. ... ........... ------- .. ...... at ApplicationApproved By-----' ... ........ ........................................................................... I....... ... Date ............ Application Disapproved f r Ithe following reasons:......... .................................................................................................... .........................................................................................................I.....................................................................................I......... Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................MOF.................................................................................... THIS IS TO �ERTIFY, Thak the IV.v�idual Sewage Disposal System constructed or Repaired .......................-------- by......M Cf4 Zrsx�.�. ----- ..... . ............ InstaAA., at...... -------------- sc,...............- ——------------ . . . -- '_ \X%_ 0 he State Sanitary Co aplescri d n �hEhO has been installed in accordance with the provisions T TLE of it e i application for Disposal Works Construction Permit No.._T:7A�...................... dated--I-- -----0.. ............................... 154— .. ... .... THE W ISS AN E OF THIS CERTIFICATE SHALL-NOT BE CONSTRUED AS A GUARANTEE THAT THE . SYSTEM L NCTION SATISFACTORY. DATE. ........................................................... Inspector.................................................................................... II ——————- - ————————- Ie No—............. .. Fss-.' ....'............... 'rHE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH —TO LA.) ram, ' �,ZA ��. ......... ... ...... .................OF................................_..._...------------....---....-..........-----------•.... Appliration for,,DiSpoau1 Works Tomitrnrtion- amit Application is hereby made for a Permit to Construct (V1 or Repair ( ) an Individual Sewage Disposal S �{ 1C'OtyoA dress� i or °t No. Sy - �� . {-` Address - i tt Installer _ Address � Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder 6io) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria (. ) Q' Ot!5F$�Ftures ......--............................................................ W Design Flow.............................t ." ___gallons per person per day. Total daily flow...........=�_ .................gallons.. W Septic Tank—Liquid Li uid ca acif gallons Length ___ Width_..____________. Diameter___....__..___._ Depth___________.._.. P q P Y-------•---=g g - x Disposal Trench—Yo_ ____________________ Widtly_ .............. Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet___.'........... Total leaching area I.0....sq. ft. Z Other Distribution box ( ) Dosiwankj( Percolation Test Results Performed by___________________________ _... Dateh� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground wate Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil ✓S^. -------•-•--------•------------------------------------------------------------------------------------------- U -------------------•-----------------•-------------------------•--------•----•--------------------------------------•--•------------•---------------•-----------•-----•-••-•------------------------ W U Nature of Repairs or Alterations—Answer when applicable._______________________________________________________________________________________________ ---••-•••----•-------••-----•--•..................•-----••--••-•-•----•---......•-•••-------•---•---•----------••---•---------------••••--••-•-•--------------------••-•-----•------•-•-•......._..:._.. Agreement: r' The undersigned agrees to install the aforedescribed Individual .Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beqp-tVie by the board oM Si d -:�'----- ...-- ------ ---_.__._._ �` ate Application Approved B w t Date Application Disapproved for the following reasons---------------•-----------------------------•-----------------•----------------•---------------------.....----- ...............................•-----•---•••-•-•••-•--••--------......._....-••••-•-•-......-••••--•-•-•----.-.--..----••-------•--------°•-•--------•-----•-••••-••••-•----------- ••-••--------- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..............:...................................................................... -- - Tntifiratr of Boon i4nrr YT � CEYAYY ividual Sew Disposal Sy em onstructed or Repaired `C �C.b -��.._.. ... --••-- --•-...._. � . ..... ....... : .... L�CX !4 ---•----(---- )-- i Laller at 1 \- :! <tt has been installed in accordance with the provisions of T.ITL. 5 of The State Sanitary Coa described in application for Disposal Works Construction Permit __________________ dated_? THE ISSUA E OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM--- j - -....................................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS y/ BOAt v OF f H / � •�A No. .J.":?. ... ' FEE--'.-�................... DWpogal... arks Tnnstrnrtion motif Permission i hereby granted ___ .'" ____________________ _____ to Construct �( `) ,`or Repair ( j) an Individual Sewage Disposal System at No. Street ?�f' / as shown on the �ication for Disposal Works Construction Pernut--No. _`.')__ �_____ Dated_'..... �'"`.�`.._`:"=�__.___...__. DATE................................................................................ 4,1 Board of Health i FORM 1255 HOBBS & WARREN. INC., PUBLISHERS LOCUTION 5 &(, E PERMIT UO. lWSTQLLER 5 Y&K/ E ADDRESS bUIL E„ R Q LAE ADDR S ;; DNTE PERNAIT ISSUED DATE COMPLI &NICE ISSUED ; Pr► V-( t1ilzi Q o r No._ -----F — y``�y O ICE OF THE BOARD IF HEALTH o BAHHSTABLB, o OF THE y MASS.G 9 00,0, 39' TOWN OF BARNSTABLE, MASa,SI F0 MAY�`' j� I SEWAGE DISPOSAL PERMIT Permission is granted to �1 &s ____ ___ % _____________ to construct __ ____________ - Upon the Premises of -,' j Sketch - PIT �Tn the village of 1 0 or more feet from any source o/water supply 0 feet from building 10 feet from proper. line �• &'111 AAA AtXV C Health Offic r. f f, n � _ t s,� U a , nmaim .cam pOj vZD I �, w vi -- r !� C' _ 41ills Is e to y � n Qd V 0 Jam v W� 12 x. 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