Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0181 MITCHELL'S WAY - Health
81 Mtchell� Hyannis .074.- 002: w McKean, Thomas From: McKean, Thomas Sent: Thursday,June 04, 2020 2:23 PM To: B m, Anna; Stanton, David Cc: j Wackro Paul Subject: 181 Mitch II's Way, Hyannis/Tripp Septic Questionaire (2).pdf Hi Anna, This site is located within a Well Protection (WP) District. This property located at 181 Mitchell's Way, Hyannis consists of 43, 947 square feet. No more three bedrooms maximum are allowed on a property of this size, in accordance with Section 232-5 of the Town of Barnstable Code, Regulation of Wastewater Discharge (copy below). A two (2) bedroom disposal works construction permit was approved on November 14, 1990. The septic system consists of a 1,000 gallon septic tank, a distribution box, and a short 6' by 4' leaching pit with two feet of stone surrounding the leach pit. On November 15, 2005, this Office approved an AAP request for three (3) bedrooms at this property_. This property is limited to three (3) bedrooms maximum. Therefore,this request for five bedrooms is not approved. ------------------------------------------------------------------------------------------------------------------------------------------------------ REFERENCE: § 232=5 Maximum allowable wastewater discharge. Amended 12-16-1993 by Order No. 94-059 A. Within zones of contribution to existing and proposed public supply wells,the maximum allowable wastewater discharge from new individual on-site sewage disposal systems shall not exceed 330 gallons per acre per day. B. Zones of contribution to public supply wells are shown on a map entitled "Revised Groundwater Protection Map," Planning Division, dated February 2002, which is on file in the office of the Town Clerk. [Amended 6-14-2007 by Order No. 2007-141] Within zones.of contribution to existing and proposed public supply wells,the maximum allowable wastewater discharge from new individual on-site sewage disposal systems shall not exceed 330 gallons per acre per day. C. The zones of contribution to public supply wells were determined by SEA Consultants Inc. in their report dated September 1985, entitled "Groundwater and Water Resource Protection Plan, Barnstable, MA," revised by SEA Consultants Inc., September 1989.The GP Overlay District is also revised to include the zone of contribution to the West Barnstable well#15-75 determined by the Cape Cod Commission; and the zone of contribution to proven future Barnstable Fire District well#8-90 determined by Whitman and Howard, Inc.The reports and maps are on file with the Town Clerk. The zones of contribution to public supply wells were determined by SEA Consultants Inc. in their report dated September 1985, entitled "Groundwater and Water Resource Protection Plan, Barnstable, MA," revised by SEA Consultants Inc.,September 1989.The GP Overlay District is also revised to include the zone of contribution to the West Barnstable well#15-75 determined by the Cape Cod Commission; and the zone of contribution to proven future Barnstable Fire District well#8-90 determined by Whitman and Howard, Inc.The reports and maps are on file with the Town Clerk. -----Original Message----- From: Brigham, Anna Sent:Thursday,June 04, 2020 11:21 AM To: Stanton, David Cc: Wackrow, Paul; McKean,Thomas Subject: FW: Emailing:Tripp Septic Questionaire (2).pdf Hi Dave, I hope all is well! I sent this to Tom but thought I should have sent this to you instead. Mr.Tripp is on the Accessory Affordable Apartment Program agenda for next week and I'm trying to complete this package before Wednesday. If you need the original, Paul can provide it (folder is on my desk). Thank you! Anna Brigham Principal Planner I Planning&.Development Town of Barnstable 1200 Main Street I Hyannis, MA 02601 anna.brigham@town.barnstable.ma,us P 508-862-4682 Website I Business Barnstable I HyArts I Barnstable iForum The Town of Barnstable is operating and providing critical services to our community. Town offices at Town Hall and 200 Main are not open to the public, but staff is available remotely and meetings are being scheduled by appointment only. The best way to reach us during this time is by e-mail, but you may also leave a message at 508-862-4682. For updated information on the Town of Barnstable's response and resources related to COVID-19 visit www.BarnstableHealth.com. Thank you for your patience and support as we continue adjusting to the COVID-19 outbreak., -----Original Message----- From: Brigham, Anna Sent: Wednesday,June 03, 20201:12 PM To: McKean,Thomas Subject: Emailing:Tripp Septic Questionaire (2).pdf Hi Tom, Attached please find the Accessory Affordable Apartment program Health Department Questionnaire for your review and signature. Mr.Tripp is on the AAAP agenda for June 10th. If you could complete and scan and email it back to me I would appreciate it. Thanks! Anna Brigham Principal Planner I Planning & Development Town of Barnstable 1200 Main Street I Hyannis, MA 02601 anna:brigham@town.barnstable.ma.us P 508-862-4682 2 Website Business Barnstable HyArts Barnstable iForum The Town of Barnstable is operating and providing critical services to our community. Town offices at Town Hall and 200 Main are not open to the public, but staff is available remotely and meetings are being scheduled by appointment only. The best way to reach us during this time is by e-mail, but you may also leave a message at 508-862-4682. For updated information on the Town of Barnstable's response and resources related to COVID-19 visit www.BarnstableHealth.com. Thank you for your patience and support as we continue adjusting to the COVID-19 outbreak. Your message is ready to be sent with the following file or link attachments: Tripp Septic Questionaire (2).pdf Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 3 MAC GM®'Q' IMEE ACC�Dff��A'��"s` LEGEND EDGE OF WATER P 29 <. ; MA �90' 136 0 STREAM :i AP X — - - - DRAINAGE DITCH #;3 r I ~4 T MARSH AREA 50y�X290 FY2005 PARCEL LINE 29 y MAP 290 . JAQ -- - __ ASSESSOR MAP NU MBER X MAP 9C� 02316 PARCEL NUMBER # #367 STREET NUMBER # MAP 290 1 +, •^�< aa� r ,y : �x�m`+' rite; # I� (\ BUILDING/STRUCTURE BUILDING/STRUCTURE BUILT AFTER APRIL 2001 90 ..:f i �, ,� -AP 2 \L 194 DECK/PATIO s 1. O`a �t!�' 4 .-� u•. h _ \ SWIMMING POOL # 37 Q FUEL/WATER TANK 7 u P y, 0 PAVED ROAD ., s "` •f .ya, `1 • 17'- _ _ UNPAVED ROAD r -�--r-� x i RAILROAD TRACK •; ;J+J. s.'r x•. eF -� DRIVEWAY PARKING AREA `,: ' .ry..I e d •f -" 3 I I I I 1 1 I 1 I I PARKING LINES AP L s J _ -``L F, 073 SIDEWALK/WALKWAY i n t 0 y } �t �• • ,Faa _ _ - 155 - - - - UNIMPROVED PATH MAP 9a " P 290~' ' .j I AP 90 # I 1 21 U' #205 �' r.:_ IA 90 x;.' 0.7 4- 01 BOARDWALK #233. L 7, V T _ r. - # 173 ® EXTERIOR STAIRWAY x t.t• zt F+- 'Tp � •Ir RETAINING WALL lit �, STONEWALL s , `<, k M 290 -x—X- FENCE/HEDGE u YS" A --b " r " �.+ p -+-4--1- +' g" 1 111111 l T` GUARDRAIL s 3.'°L », 'f+ #-107,: DOCK/PIER u x e MAP a90 t= 3 90 t'' 3 R ; s'.fit `l o STONE JETTY 7 { -1t - Q SPORTS AREA/ MAP 2 0 # 00 X O [] U o GOLF AREA 24B , 04 x x x x Fria - - -,r,, - _ 0 10FOOTCONTOUR LINE y',� •. y �.. SCµ 4 Y ` 3 j All ELF/ATE)l96GBED Ol1lgWEE 2 FOOT CONTOUR LINE 53.1 SPOT ELEVATION x� + *•E \ \ i 2 T P b -� ® CATCH BASIN 0/ UTILITY POLE MAP29 t 29 _ p AP�t 90 �(r L �. :0 4 0 ` i- % `_ MAP 290•y .� - OQ MANHOLE ¢ LAMP POLE 4 1 #91 ____ ___ a 0 7 4.0 0 I 'r QFPFLAG POLE -a SIGN Yr o ❑. POST TO SATELLITE DISH O PILING 9$STATUE 1] UTILITY BOX 9 ! _ T v. 5n^ �a> .'st crt• i .q o�ixe row4 N � -y �, �a1`4, ^E:, 'i � �eaas� W E 'NOTE: PARCEL LINES MAY NOT BE ACCURATE. DISCLAIMER:This map is for planning purposes only. It may DATA SOURCES: Planimetrlcs(human-made features) MA The parcel lines on this map are only graphic representations not be adequate for legal boundary determination or were interpreted from 2001 aerial photographs. of Assessor's tax parcels. They are not true property regulatory interpretation.This map does not represent an Topography was interpreted from 1989 aerial 1 INCH-100 FEET FEET boundaries and do not represent accurate relationships to on-the-round survey. Enlargements beyond a scale of photographs. Peroel lines were digitized from F1'2005 0 objects on the ma such as building locations. 1"=100 may not meet established ma accuracy standards. Town of Barnstable Assessor's tax maps. o N too physical 1 P 9 Y P Y P rowx or eARNSTaeLe G.I.S. Town of Barnstable Health Inspector Op THE Tpy, Office Hours Regulatory Services 8:30—9:3o Thomas F. Geiler,Director 1:00—2:00 • snxrrsrABLE 6 9. ,0� Public Health Division ATED GIs Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63 C AMNESTY PROGRAMAPPLICANT- SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: Address: Map Parcel 0,94;91 Name: `J/~/ Phone #: 7 2a. How many bedrooms exist at your,property now? 2b. Are you planning to add any bedrooms? D If yes, how many? 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? �T 2d. Please include a copy.of the floor plans for the entire property - showing the'existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or ONO If the dwelling is connected to public'sewer,skip„questiansr�#4 through.#9Abelow,; 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply well`s? 5. Is the dwelling connected to an ONSITE WELL or to UBLIC WATER? 6. Is a disposal works construction permit on file? ES or NO c= 6a. If yes,how many bedrooms were approved acdording to this permit? Booms; 7. Were any building permits obtained for construction of additional bedrooms? 2- YES N t CO 8. Is there an engineered septic system plan on file at the Health Division? YES or 1 9: Has the septic system been inspected by a DEP certified inspector within the last two years? YES o�y ------------------------------------------------------------------------------------------------- - FOR OFFICE USE ONLY pr , The Public Health Division has no objection to bedrooms at this property. w Special Conditions: Signed: E�� Date: f O;/health/wpfiles/amnestyapp '. . ',r� ?.._ '-. t 'y _ a � � ^" '. S"°sr+�"� gmg� � 111701 IS�''S1h.3 , ^s �IX� .,�� r' 'z'ilSA},R��v/r+4 ,„ ��, v•a7,�,�s` y�zz� 3� �+� y '�a"` _ -'r _... .._ I" I `� �. ,.k .n.a .+`� r"` b >'�.sa. `' ;�'" I .; r .�* +"E•"t3v ., a:Y' 4 - 0 P,f LS r°x /� e� I s •� 'f(v/J'�[J.f' .?.- oGs.,✓r-.r �7 s" y `� " s S r 1 rig ri1 ry t, ..f v'}'"`4 �. "'.' ✓-�+�t c/z .i ,a-- C s' r..,,,,�{-'L i 4 { ,r 'k ,4 •Yr'YS v h �" W`"rt ? -r^-r as: v d,'•'s 3 .`^r,,p L s `�a r-w,'Ir t y,-°�+ `.LSt' Yr,. i-Jea-. rz. '�'ir"ems '-�_. 'i y f .' c fi.y- t3'r a "' ,�- a 3"'g SL�•.,�z r �, u. -¢ A ,-i rjk 4:- y"�A� -w42- e o+.-#�x y rr-s•-: k �� .. k^F c� � -� ,F,.a r r -�- -ra'�MG �+. .1�• r 'wr .��icy s{ ,z ., ��. .�.r- t S s�'� .... _. .. r... 15 ,:-•r u �� �- r s'r�c, -Lt- v.,z r��u I � � s 3„ a �'v„� +, a, ,,. � a� �#...,t dC L 'i � s 7 > �fw ,�yy o-i S! �� x •r < � -.,i -.i., ..tia s rt { .y 7t` `. ' � I ...Aj 1y rI J a r^>= ,�ic- >;- >? s ';` z'"r .'�.v,,. w e +I.� 32i r t rty'.' + .��z a r h {- '• .y, 1 . .. I. 'r - t , � s' UP........... ........ .................. a , - I i h L1 � I i I , I I .......... i , , .! :.... i , 7 .. ........:..... ..:.. 1 -.. t ....-:___.. -_ ._..-.-......_. , I � I I I I I I 1 I „ I I I I j r. - ... _._-................... _.— __-.. .......... I , I ' I I I I I I : I I j .. .......... I I , I I i I I i ........... -.... ... .. I , Td WdTV F-T SOO? Z0 '^ON bZTZ8ZZ8aS: ON XUd ddIdl AUE d0 ASK dHl WOdd WOd_J I r✓ I j : I : i I I I I 1 1 _-27'l1�� It i• , P� } �� } I � T-_— •.!_ .. _._,_ _..-_. ,_._ -_..._ ._._ r *r>n ((��;.ems Y.,v���,��ti��i 7 fi ,.wN I '� ' ..._-I..._-l.._._ ,_.__...�.- 1 - .• I .. ...�. �- j a�e''�''u �N t sA r�.4. ,'lf tiDFre$ki3 .....I�.—I'-__•" I I I I �,K � ) D "'4 S �i J'Ff ltit ; i I �. --'I"-'--"-__-_.-_-._. ��t •''{,YJM�3 13' ,y,• + ty.i. ��l�r- ti g��^r i r y I ' I i� I ... I i r�,c rtal .�a° ts'�� -�"� 4��'� nr r 7 �,a0 s. �,,� � -.� i '�' a ti : raiafr r n 1 ..-I-----•------'--- r '- 1.... ---•-•---�- --- " -- .--- ----- ------- r t �;kart' Scq c� � � 1�xr1 h� �•?I s��1• ��� a 43 I t�yfi-00 gr 1-1- 't-*' i ¢ r W, k t r kxx Y rt ad , rYPg; t� `��� ..T_—�--,_-_- _ I - __• __ 1 r ?.xsa«n ^a 4r�,,,r r•S it�`�i§'�"a. I FLa'}S`#+�N���ii�y��$'l�lr�r .i_._._..._-_. ...... i'�.fY a jLw' -I - ._._.T...._ 1 r._..., �;rr �' r 4 si --'- _ �• r c ads K�'�+t � ....,1....•..._.-_...__.. I._.__' -.__.�_.._. ..._I._._.__-_ _____ '.... _. ._. .._._ ,._..;._.. ,ryµ,r.G ''rka t � � "€�. . l 1 Ns ��q'r I 1 tM Sri y is ir rta; 'v rr"» &�k? 0, r1�� n�` Sn" �*' €�a �r'C� �. Vz -1511 - j I � � � I .��f r �� �r�4 xs r Yhi_ o-a �[�:�f,�•�'3.1�*>r;y ,�c-�;"t' ._..`�. .,.1 ._..-' ,_I ._.i ...�.;..._. ! i- ', .- •- --•-- __.i ... ...I._._ _.. -- -•- 1`,r•�r���6�-Y�'"z��r�f �'h�1'� ���"�" �s���,��a1�� 1 t 1" I• r I:_ .�. ..{ - .Wv �Pr tier I r Lr � u' .... _, -_.. y...- __ _- -_ i �,•>f xH fS'L x'} wb}I M L,PIN.-3 trek d;;SrjV �d � x ��3ti FBI armor ( j7 ��3`�, d� �y��r ��''�4rY..e._''�` 'td�a I'_-...I.._..` ... : ....,-_ ._. .. 1k'5 ' f �xllj�{'�,y, J `"}l -�`kR31Ytn 8 }5 xys dR © Y�F It 44 Ih� 1 I y : .hr 4tF rf v�*z +x 'Fet sJ !1. �.. .t--�—�-- �--.•--._.__ .I._...__._......_. I ..I .-•i---i_' rk. .�$ar{� �1�e � -ttr `z -I - --•-> - r ,i r f !� a n r t z.7 1 ) 61 C I - �. 1.-•--r----,.. --..._ ...__ I r;� !m s. �+ `c�' i a r Ys''�t a,,,v - 4>,} + i- -'I" -........I 'J>y {� t a•R f ( 1 h . V` I n i ♦• 1 a t I � 7 zd WdTb:ZS S00Z, Za'^ON b�LZ2-8LZ80S:. 'ON Xdd ddIai Adf d0 AS8Q 8HJ_ WMId: WO�Jd i FROM :FROM THE DESK OF JAY TRIPP FAX NO. :5087787174 Nov.07 2005 12:42PM P3 I , i ! i I I , i I i I 9: , , ; , ' I I I ., .................. ... rf__.... ......_.._.,...._..I._......:.......... ._._..I... , ! i I , I I , ' I I ' I ! i `^ I I i I I ...... I .._�.... , , , I _ r _.._.-._._.... I , ._.._•_•_•___. I I , : I ..L.. I _.........,._..... .......................L. .... .,............. , ... .l I I i _ I ' i ........._......_._ .-..—_.........._........ ._,._v i I I J 1 iI � • I � , ! i i_ • i I i . I I i I I , , � I I I I ..... .. ...... .._ .. _ 11 ,.. a 1 I - . i .. .. .- :. .. .I .sz g bT�-.{�` SAS P ! �i�� �A ........r ._,,... .... W-W . .._...__._ _ a �{... `r- 'j Au s ' I t I r t�•s "�^,c`.'. .�8�- 4 �i �3��,r{.. sfiv is : I ; s FROf'' :FROM THE DESK OF JAY TRIPP FAX NO. :5087797174 Nov.07 2005 12:43PM P4 1 I I I I 1 i 1 I. I _I i 77' • I � ' i I •- 1 L. I 1 i ..._.....I ...:.:.....1..... i ! ; 1 , J � I I I i j I • I , 1. I I I i i I I I l I I I ; , I I ! 4 cy I , , I -r I i , � I i I I ' I , • t 1 L i. i i I I , , , i I , ! • I I _L.. I— I �. i i. ' I � I i .., , I i I I i • l I . I I , I , ..i. , I ' I ._-_....._._.._._.-----�..._._,_...._..... I I I i i I i I i I I I I , I i ! I` : , , ^I , I 1 1 i , JI i j I I ak q -•-- - A- TOWN OF BARNSTABLE LOCATION ��� "a "'� ' SEWAGE # VILLAGE'A q,34L. ASSESSOR'S MAP & LOT 14 ran INSTALLER'S NAME & PHONE NO, d 1� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) K NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I/S7 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .-._-7�4/..............OF... Appliratinn for llinpnnal Works Tonstrudion rrrmft Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -s'�_.,4! 'ocfa.t.ion-Address or-Lot-No.--•------- ---- . .--- - .....................................•-- ..........--•-------------•-----------.....Addr. ✓ ... Owner ess ...._...._�CP�. .. A..................................................... ............................................................ .......... Installer Address Type of Building Size Lot. i. ......Sq. feet �-, Dwelling—No. of Bedrooms......................... ...............Expansion Attic ( ) Garbage Grinder ( ) Other—TYP e of Building -------------•-•--=-•--,-• No. of a • persons............................ Showers Cafeteria ( ) — d Other fixtures ------------------------------------------------------•---------------------•-----•--•---•----------------••....--•- -- -(----->- W Design Flow................................``5. ..gallons per person per day. Total daily flow----ZZ-iO...........................gallons. W Septic Tank—Liquid capacityMP gallons Length&�."__ Width.4.�._ Diameter- Depth> x Disposal Trench—.\To. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No______________------ Diameter.._... ----- Depth below inlet._.. :. .______ Total leaching area_ ®_ ....sq. ft. Z Other Distribution box ( ✓j Dosing tank ) '-' Percolation Test Results Performed by..... ............ Date..._f .��r� .._..... Test Pit No. 1.....;�t......minutes per inch Depth of Test Pit...../ZZ.... Depth to ground water______ _____________ GX4 Test Pit No. 2.......?—...minutes per inch Depth of Test Pit......eZ�/--- Depth to ground water........................ Chi ............... .................................... 0 Description of Soil.....:ra-' yf... ..a�_�_.................../V x -------------------------------------------••-•-----------•---•----•--------------••--------...-•---------------•-•-•----•-----------•-•-•-----•------------•••--•-•:...•------------•----•-----••-•---- U Nature of Repairs'or Alterations—Answer when applicable........:...................................................................................... -----------------------------------------------------------------------------------------------••-•--------.....--------------------•---------••----------------------------------------------....------ Agreement The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of LIL"Hi; i of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed................. ................................................•. ................I. r ........... -- , Application Approved BY- ------s�. s/Y . .:...._._ �F���.--•--- ------ ----------- --•/�`�"''/ ...... .. ..... ® i Application Disapproved for the following reasons-------------------------------••--- -•••-------•-----•---•-------------------•---•--------------••--------•-- -------------------•---...................---------.....••----...........-•------------•------•--------••---•--------------------•-•-----•--•--•----------•-----••----------------------------------•--- Date Permit No..... �' ......•...... Issued ..._eZ `�''� 4-5 ...... 'Daze -- ----------------- No..l..��..... Fps.. ... . 'i. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF... ..........................•--..........._.................-- Appliratiun for 14upuual Works Tunutrnrtiun rrnti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ... ..•y' S.................................. .•... ................. location-Address f or Lot No. // — .... / r f ............................../✓i✓/ ..� .......................... ........................................................... ..q.. W Owner Address Installer Address U Type of Building Size Lot.4:y.2.0-7.....Sq. feet Dwelling—No. of Bedrooms.........................r ................Expansion Attic ( ) Garbage Grinder ( ) �a Other—Type T e of Building ._.._.. No. of persons............................ Showers YP g •------------•-•--•-- P ( ) — Cafeteria ( ) Otherfixtures -----•..........-----•--•---•---------•-•-••-••-----••.•-•••-------•-••----------------•-••••-•••-••-•••........_....-•---••.....-----•.........•-•--- W Design Flow................................��__gallons per person per day. Total daily flow---- U_..........................gallons. W Septic Tank—Liquid capacityf.�'�:�gallons Length.�..'�.... Width..y'.:'�__. Diameter..._..------- DepthS_.r _. x Disposal Trench—No..................... Width.................... Total Length..................._ Total leaching area....................sq. ft. 11 Seepage Pit No................... Diameter......r ....... Depth below inlet.... . .... Total leaching area. !-J�....sq. ft. Z Other Distribution box ( jam) Dosing tank ( ) '-' Percolation Test Results Performed by._....�4...= f"��...........'. %r ......._.. Date..... ...............................�-� W Test Pit No. 1..... :......minutes per inch Depth of Test Pit......L.Z_...._.. Depth to ground water.......`............. ;T4 Test Pit No. 2.......=-___minutes per inch Depth of Test Pit.......'`- _.'/... Depth to ground water_.......-•••_ ........ - `' �--•: 'r 'S � O Description of Soil------ .� _ •�' ............................................................... x 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 TIT1 , 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ----------------- - ----------- ----- -- // :. Application Approved By. r...................................----,-............. --.... D 1e--...7G C Date Application Disapproved for the following reasons-.................................. ...--..•.........----•-•..._-_.-__________.-_-_-___..__.____.•..........._ . . -------------------------•---------•---•-----•---------•---...------....---•.........._--•------------•-•••-•••--...__------------•--------- •------------•--•--•-•--. te No.....%..�'~----`°/- Issued. -', "' �/ i!3 Permit ie--- Date .. ._...-a-------- THE COMMONWEALTH OF MASSACHUSETTS .....���' BOARD OF HEALTH .................OF....... i "! '��EL� iE • ,�'`;1------....... dw Tntifiratr of f�unt�rli nrr THISe TO CERTIFY, That the Individual Sewage Disposal System constructed ( v) or Repaired ( ) by----------------- ..=/ 1Y�( .. ...!� -------------------•------------------- =--------- / / ins at f ``�- ._..Ae- ---------- ------ has been installed in accordance with the provisions of TI ! 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._ Cs ;�- ......... dated._.. °-�__ � ���2 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH No........................ FEE...1�. �iu�ruu� Turku ��nu�.ri�rn �ernti# Permission is ereby granted. ^ � �� �� �'` y to Construct ( �or f�aair ) n Individual S.w ge Disposal ystem -------•----•--•-........ Street as shown on the application for Disposal Works Construction Permit No.'Ye6.;!e.4seated..__zz A . �.:.. .........................•--...........----------------------------•-••------••-•------......---------•- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - 1 I 32.1 I10 ' vide. 3t.9 — n p a40 .: r, Date l 1-0-90.1 etoni I 30�6 w I - w/z'sroNa 3 4' a r. ,J C 6 !3 El pto 30.0 No 5&a& 3 0.4 t 1 -i- .Pot ? N t4• ° is 143,9147 1606 G = : r74 C 9 �4 � f t .Cot �19 Ra. bo-t A� ad 2" 14q& l-iAj 114P. 02601 � s pep , e'sig"'posat no C44� itow 220 .tpd /\eAe wa rl 204: F C°Peui�ty. "392`9pd Sketch. Nan 6 '.Cand in Myar nz 4, M . i3 .Cot 3 as 4hown on a Marc tieco�d book- 449 page 71 P Resat i ona ate on an ad ume d da t s. JL t 9ee.t p.i,t#p-7648 Made 10-11-90 �A 1 No water encowax ted Pe e. 2 aJiA p ex p 9 n 2 30.6 3a.r ; R ' y 'PFQ l ER o &Y RAL ",44 x . ►nedtuJn s a.and .eared . ILNE + N32490 FJf 9 1STERE� `` H. -r 32.1 '10 ` wide 3�•9 - A.94 q 7j' 4x4p,rt .Date !I-I 3-90 ;300 J� i i Q • pp , TPZ ,loo I I ;cot 4 .. N } N r,OQo ' ZS.� M �t k f. I.' PRoPCSEo i Z t C !3 M pcod;Ce F 30.0 3 N }_ D00 r ° !. GS 14 — i I s I tqV- �9 Idao.to .Cot 2 kgan i4p /W. 02601 } �ep.tic Des.i;gs �-- i No: ''bed,toorwa. 2 L.{-.. D.�po4a.L no , Cd prated $,Cow 220 qpd eaccluAq. - .0 a•�ea 20c1 -Al.�1 _ - e - - - - Pe4�we . 20u:.e ` - Capac-i tq 392 gpd Sketch.n�`o '.Cand .c.e Idcjarvii,e 90-t 9'�p tieing -Cot 3 ae 4hown ore' ayptan• ".co al r 4 in Gook 41 9 .P� 71 . ,_a RwaZtone, ate on an adit K do.&m.a j L s 9ea.t p.i t#p-7648 DaFe.-_Aden , P��Ze-roa td-o?- ia�.�h Made 10-1 I-90 wit-P. .Ca, IlrO WELtPh eacoun�ited /`et,--.Lea. 2 ac'n pest 9P 9 P 2 g 04 H 'top � -top & oFSSIp'4VAl E� r gCQQi((Ili nced�,unr { -f -.r * 1. ea.1d 4artd ' ItNE H fi 9 N 32490, {- ��ss 9 /SlEAE� � its T � /TOWN OF BARNSTABLE. . LOCATION SEWAGE # `�(J VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. i S9PTIC TANK CAPACITY (;Q� LEACHING FACILITY type) (size) K NO. OF.BEDROOMS a_PRIVATE. WELL OR.PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: Ll �— DATE COMPLIANCE ISSUED VARIANCE GRANTED: -Yes No I t