The URL can be used to link to this page

Home My WebLink About0217 GREENWOOD AVENUE - Health (2) FF,!FAO/ TOWN OF BARNSTABLE LOCATION C-s ,j`eany� ZJ SEWAGE# nSP VILLAGE ASSESSOR'S MAP&PARCEL Ilismthiffito S NAME&PHONE NO, �r SEPTIC TANK CAPACITY <0® LEACHING FACILITY:(type) �i d' (size) 000 NO.OF BEDROOMS J OWNER G.vw¢ w�t1C8 PERMIT DATE: ` C ATE: Separation Distance Between the:. Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet Private Water Supply Well and Leaching Facility(if any wells exist on site or within 200 feet of leaching facility) feet Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY _i 14 1II ... 57 f Water Service ICI p Greenwood Road TOWN OF BARNSTABLE LOCATION A/y SEWAGE # VILLAGE ASSESSOR'S MAP & LOT _INSTALLER'S NAME & PHONE NO. 1' 5eAl « 'TIC TANK CAPACITY l p o a i LEACHING FACILITY:(type)�O/ (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER Ct DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No L.,-� r 4 t [ t o E �� s G5 �r� � •.*� . � s/ ��1�� e ,. � . t Q g�� , `�k,�i .. i { �i g 7 �. �. � '�' ,- 1.a.._ -.._. :_..:... LOCATION SEWAGE PERMIT NO. 12 VILLAGE INS T LER'S NAME i ADD SS c-� B U 1 E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED o -�" T 0 N W c 0 �, _� r - � � i � . � �. � �F M11 �.� w LOCATION SEW GE PERMIT NO. .w -?)? VILLAGE INSTALLER'S NAME a ADDRESS d V I L D E R OR OWNER -ohr ) cuo n c.4Le c/ DATE E A E PERMIT ISSUED DATE COMPLIANCE ISSUED 6 � � g, _y 1 `4 � rJ, ............ THE COMMONWEALTH OF MASSACHUSETTS Gam_ AR® ® HE LT ......OF,...... . / t� 7- ! ..................... Appliratiun for Disposal Works Tuntrurtiun ramif Application is hereby made for a Permit to Construct ( ) or Repair ( k4-an Individual Sewage Disposal System at . /��_ la ylv ►el � :!! . ................................................... ......................................... Location- ddress o t JU /.l ................. G ��? '�.G� ----•---- G� Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ). Garbage Grinder ( ) '4 Other—Type T e of Building No. of ersons____________________________ Showers P-� YP g --------•----•-•---•-------• P ( ) — Cafeteria ( ) a' Other fixtures ---------------------------------------------- W Design Flow________....................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter________________ Depth................ x Disposal Trench—No. ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter....................`Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY.................................___.__-------______---_---------------__. Date------------....._..----------..._..-_-. a 'Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ---•------------------------•--------------•------•------•---------•--•--•------.....-•-----._._._.............---•-----------------•----•----••------_----- 0 Description of Soil........................................................................................................................................................................ x V W ••••---------------------- ........................... ............................................. ----------------------- -------------- V Nature of Repairs� Alt tions— wer en r�_ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL i� 5 of the State Sanitary Code— under ' ned further agrees not to place the system in operation until a Certificate of Compliance has been is ed he rd o eal Signed....... -•--- ---•-.... ---- •---- -- •• - - - --•-----•--------•--- -•��ce0 1 -•-----------•..................... ....... _••• I..._..._A Application Approved .__.__ _' : ' i Date Application Disapproved for the following reasons-----------------------•----••--•------------------------------------------ ..............------.............. ...........-•--------------•-•---------•--------••--•------------•------------ Date PermitNo......................................................... Issued....................................................... ' AN wy OO . THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ....OF....... .. .. 1j,1� ................. Appliration for Elisposal Works Tonstrurtiun JIrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( kan Individual Sewage Disposal System at ? ...... Location- ddress fro '---'...................................• ��D.. T ,•9 L-ST D Ta,t1 Z41 4iSGS � . / --------------- /c' L✓�sT L.cf/�a�„ Hi/,��;cGi Installer � Address UType of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ..................................................................................................•-------------------------...... -------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter..........--.--- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------------------_ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s, `a-Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil........................................................................................................................................................................ x W -----------------------------------------•--•••-••••--•••-•------------......-------------••-•-•... U Nature of Re airs Alterations— wer en a plica ble•_ ...-. 4 �%__..--_..:.�'X!S?! S____S sTy_.__-_ Agreement: The. undersigned agrees to install the aforedeseribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— under�ned further agrees not to place the system in operation until a Certificate of Compliance has been is ed y/the rd o ealt. Signed........................... -- ---�� Application Approved By � .=- = ' ..,... Date Application Disapproved for the following reasons--------------------------------•------------------- .......................................................... ............................................................---•----------•----------------•-•-----------•-•-•-••••--....•-••--------------------•-•--•-------------••••-•-------••••-•---------•......- Date PermitNo........................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH ................�r/�......0F...... .... ./� �.?�% ' J..... `-................... (Irrifrtt#r of (glint It TH IS TO CERTff Y t.t e wid al Sewage Disposal System constructed ( ) or Repaired Y b .... .,G ��... s� � r� ------ �7 star at- l_..•-----•------------------•-••---••••.................------•• {=ill�U�=� has been installed in accordance with the provisionsgTITIE 5_of The State Sanitary Co as described in the application for Disposal Works Construction Permit No---------- �`.��: �... dated---..----_� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A 6 ' as THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...........................)...... -.......... Inspector........................ :-•••.•=--•••••••........ ---•• .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH No r............................ F - ...... ............p... EE �S..v i ,a �t1 nrk o rrnti� v' Permission is herebygranted ..... ...... -----------2m� ....................................................... to Construct ) or��pair (b-) an Indiv'- al SewYlon sposal System at No.C�z�•---•-G7... Cf�_/4ioc��--- �/•i/ 5 }, Streeas shown on the application for Disposal Works ConstrPermit No. C `. .... Dated : ' ':_............................. a Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ~� .... _ 1 Q ..