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Home My WebLink About0023 NORRIS STREET - Health . �3 Yorr�s 3�.> 1 nos ,.. dam .-.,�I:'�:I.I'I'�,.,I,I.��1'I��--'I�'-,-�,�-!tI.I,�I.'''l."I.,�I.1.:t"'��l'�.�I-.I�.'',.I-,,I,:��t'�I".�I"% ��'��1-I.II II1�1,1',I,i,�I�I..�I�'i.��,I",�1�'%I::,I�..�II.t"-I�I 1l I1.1.,,:I 1-I,,l�.',�)��,IIII��I l I,��:.1 I"II II:'�-.I II.I�I_-'I.,I�I,:I�.�.'.1.-':��:1II,-,',��,�,".,I,,��0"��I,I�s I;1I.AI1�1��II:,.:-,.�I,'��I 1 z,�- 1 . -;'1�II1..,-I�:'I1,o1�,',,,..I"I�',I�,.--�l��I�II,,-1,L�.�",-.;t�.I I�,�-'.�a�.�t�."-,:I.':;-,�"--��7�1�-II��:I�.l��:fI I�:I e,:�.�I7o,:.��I,.I.''.I':1�.1"I.�1�":1-�4,,-I I,�,I wI�.'I I..�-'�-I",,��:'II"�.'-�t��,��'-;��"'".�Ill I 2 `�) 4- ':: ,�.. ° r 7 ,* J1 * e A +''y, ,Y '� 'F. i y^e u' ^7 I:} y I�"It'I�,I'"'I 1 I II,,"I.�I:,1I I,-�.'I1..I.�I.I'.',��11.��"1,1 I'.,1 I�-:I1":-,:�.,�,�I-1,'I,:,�1.��-,.jI.-."�,�-'�1�,��.,.,,,',�.I:-II-�t�,II,'.1-'1 I�I,I,,-,�,-W1.-"':,.�.�1��-��I 1,II�,I1�I",'I,�1"1�I,:2,I 1,,,�I'I�lII:I:-.",�Ii:-I.:��,I."��I.,-�,�..,"��I.-�.�,..I1.�I.'"'l I�-,I,-:�I I1:II�,�1-II�'I,'I,,I. 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S ,. e a I' *'_ l H s , _. - - � a x, c II F I.. 1 ) ;" 't r` L r"." + is f � Jy { � _ .Y> l fi ,. Y 1, _0 T 4 , y t .T. y.* 3 '.t 1 t W� ^ A J'. 3", .: .x .q t n w . '' ) ,. .. . , . '. '. -. , r. •., .. 4 '.9 < Y ', -I, M" o ° :"" «yk fSI z x % r z�!yO k 1 l 41 - - y'l _ - . l r r 1• x.\ y r k� I. _, 'x S ti F . -. y � I - r ' '. .v _ tl f $ p T .; . -. , ph ° r t " Y :.. 1. , ., - - ,r , . ::., i , ,.'l } YC 1 , Py d , I. • „. , n. u .::;i i a c .. - I. ,. , _. ,., I - e ,.x g.: _ +. .. , ,. '» , I. c .. ° t .: , , , .. °�.. i ° , .., om y \ >. c ., .,£ x., o. TOWN OF BARNSTABLE �7 LOCATION r?7Z VIjO(CC)S SEWAGE # VILLAGE S/ —_ ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. Cc, a h I I fru w SEPTIC TANK CAPACITY C, vz-=u\!V v u LEACHING FACILITY:(type) NO. OF BEDROOMS PRIVATE WELL OR PUBUC WAT&t-,I,/ BUILDER OR OWNER VA DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � o w 7- oc � s �- 04 � S 'P- IN j No.,..�J.....".... Fps........... THE COMMONWEALTH OF MASSACHUSETTS ,AA te BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tomitrndi,orn 1krutit Application is hereby made for a Permit.to Construct ( ) or Repair ( L�-<i Individual Sewage Disposal System at: ........... ....................td - -- ........- Location-Addre or Lot No.ss ------------------- ----- ..... w Owner Address Installer Address � f Type of Building Size Lot___________________________S q. eet U Dwelling—No. of Bedrooms- -------------------------------------Expansion Attic ( ) Garbage Grinder ( ) �-+ .a Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ........................ . . w Design Flow........a'S............... gallons per person day. Total W flow____... : ._..__.____._..._.__gallons. G; Septic Tank I-Liquid capacit4 zallons Length._..__••-• Width-__ ..... Diameter________________ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....I-------------- Diameter-----L_.__........ Depth below inlet.....Yf ........ Total leaching area..................sq. ft. Z Other Distribution box ( ) . Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I....:...........minutes per inch Depth of Test Pit.................... Depth to ground water-----------------_-___-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil...............................................................................-------------------------------•------------------------------•--•-••--•-----•------•--- x w x of Repairs or Alterations—Answer when applicable. _ _....9r U Na re _ . �e ....... ��l --------_- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance —has been issued by t board of health. Signed ..... err>�� . �a.`. l - Da[e Application Approved By . ------ ' " ----------------- -- -��--�� ...............---------......----........-. Date --------- Application Disapproved for the following reasons- ............................. --_ - -- -- Dale Permit No. . ..�------------------ - Issued . - ..7� Dare No..f.-...Q"......... FRs.... 014I've THE COMMONWEALTH OF MASSACHUSETTS f` BOARD OF HEALTH TOWN OF BARNSTABLE Application for Disposal Works Tonstrnrtion 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair ( l4-� Individual Sewage Disposal Systean at: ---.......� ___�,�:�U`�.�-?�......-----s-r---•--------------•---------- -.-------------------14-L ru�s-9 Location-Address or Lot No. p Owner ,� Address �. a ` Q ! `. �.&, . r ----------•--------------- ------•---_-_--- F .1. �'��---• L (� � ! _( . .......• .� �- a .........1.. .... .. �I Installer Address dType of Building Size Lot----------------------------Sq. feet aDwelling—No. of Bedrooms-------t;R................................Expansion Attic ( ) Garbage Grinder ( ) p.l Other—Type of Building ............................ No. of persons_______________-___--______- Showers ( ) — Cafeteria ( ) 04 Other fixtures --------------------------------- --- w Design Flow......... 'S:--------------------•--__gallons per person per day. Total daily flow--------- .....................gallons. WSeptic Tank Liquid capacityjf.__.__gallons Length----- ------- Width............ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq..ft. Seepage Pit No....... Diameter------- Depth below inlet.-_.._Y......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results `tPerformed by......................................................................... Date........................................ Test Pit No. 1____at�_{__mmut6 per inch Depth of Test Pit.................... Depth to ground water.......................... Li, Test Pit No. 2...........�minute's per inch Depth of Test Pit-------------------- Depth to ground water_--________--__-.______- ----..rl......=-� -------------------------------•-•----.......-----------.......................................................... D Description of Soil__V.......=._ !_.._......._-:_ ..� . U Nature of Repairs or Alterations-Answer when applicable_ _____L_67a._�� '. �4-._:�_s4_1_1y_�------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by th board of health. �—�---� -t� -. ---- - ---- ------------- Dare Application Approved By --- --------:cl-' .................................................. � Date- Application Disapproved for the following reasons- .........................----- -----------------------........................................................ ---------------------- - - ----------------- • % Date Permit No. ............................................. Issued '' 1 ' �T�� --- - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (Q.1e>rtifi ate of C�umplittnce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by....................... 1------ --------In-stall er...................................... ------------------------------- at --------------------------- ?----- ...✓ ..........S�------------...---------- '`-----------------------------------------------.................---------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ----- -.. ^ Gf.... dated ----X- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE /r I l' r ------------------------------------------------ Inspector ........ --------------------------------------------------------------------- c THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Disposal Works Tonotrurtion Vprrmit Permission is hereby granted - -Vr--L� ..... ------ -------------------------------------•-------- �._ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.....................a ....... I �'`s=-6} ! t r Sikeet as shown on the application for Disposal Works Construction Permit No 4r''_�' _--_ Dated__�a*c+�. _� �_._____ . ................r f�F�.' ze1 1:+�!S _.gl�-�- I✓ •-y..,/rr+�,.y��,_ ................................... Board of Health FORM 36508 HOBBS✓!e WARREN.INC..PUBLISHERS