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Home My WebLink About0635 PITCHER'S WAY - Health SPA f t� �� S � t a�" w - � Y[;�� d a0 �' '. P tehe:r��s�wa, G u� �� _�� , �'¢'}m.ru.$i��it� b u a7E 2x.t w Y � � �SKw 1 � u 4 1 v i o u 1 a r 9 4 } a 1 n r h n •-�-ram TOWN OF BARNSTABLE LCCATION QY "e SEWAGE # `L>VILLAG SSESSOR'S MAP & LOTR°Al0 INSTALLER'S NAME & PHONE NO.k-,C r SEPTIC TANK CAPACITY LEACHING FACILITY:(type) „� (size) 8DOOS41lot, NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER +Sty �] DATE PERMIT ISSUED: 10 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No E'�' 1� �. �'J._... �e � �� o �, � '� ��. .i aSESSORS MAP NO: ...�� °aZ� F� �..No.r. J/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. ........................O F..........................._............-----------------------...._..................... Appliration for Uispaiia1 Works Cnnnitrnrtinn rumit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: r- ...... eQ e•r �•----------•. -••-•-•----------------••------��..�- --•••-------.....------•-----•----.•----• -----...._..----- -- .--- - �� Location-AddPre p I-SN `�1j�dresse^^��(, e`e OLE% o Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................•-------•-•••... . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter---------------- Depth................ 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---------------------------------------- aTest Pit No. .I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ L�, Test Pit No. 2................minutes per inch Depth of Test Pit--.--__--...____-_-- Depth to ground water........................ - 9 -----•••-- -- -- /.�•--- - ---- ..................................................... 0 Description of Soil-'•-•......•----..._ - 'T.`N_ _... ............................................- - x W ---------------------------------------------------------------------------------------•----------••------------------------------------------•------------------------------------------------------- UNature of Repairs or Alterations— nsw when applicable........_._ °!-a.. .` -�__________ _ ........ •. Agreement: J The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TT T is p 5 of the State Sanitary Code:— The undersigned further agr not to place the system in operation until a Certificate of Compliance has is, d by the board of h Ith 1 ate ApplicationApproved By............................... ------------- - ---- ---------------------- -------------------------............... Date Application Disapproved for the following reasons---------------------------------•-•---------•---•---•--•---'•-----------------------------------------....•••••. ......................................--................................................................................................................................................................. Date PermitNo............................... -1.. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................OF.......................................................•-----------....................... Appliration for DiopooFal Works Tumtrnrtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: .. .t: . O Location \.+t�..1 dG- `�f CA W �� O✓Vr ` (�� GS.. e dress• f ,fie_ O__ C . Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...................................._____...Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................. No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------------------------•------••-------••••-••-••----•••--•------•--••-••-•••-----•-------••----•-------•-•---••......--•------•- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter__--_-__-____ - Depth................ 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water_.:_---________--_____. 4, Test Pit No. 2---.............minutes per inch Depth of Test Pit.................... Depth to ground water.--------__-_____----- i .......... •--••-�D Description of Soil----------- -•_ ..�.` _ _........................................................ •---••----•-•--------•-•-••-••---•----.-•-----.----•-------•-•-•-.---•-- V -----•------------•--------•-----•---•---•--••-----•--------•-------------•--•----•--•---------•-••----•------•-•.........•-•---•-•----•---•••---•-----------•••-•--------............-••---•-••----•--- Wx -•-------•-------------------•-------------------•-----•------------•---. ...� _ _._ .I ------------�-•• -- •------------------••�-- --------------------- Nature of Repairs or Alterations— nsv when applicable N � Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of'T:IE �of t he State Sanitary Code— The undersigned further agr snot to place the system in operation until a Certificate of Compliance has ais ddbythe board of h lth. 2 rSigned ....' ....!!�..... - .............�J-_'�?O ate.-. T.�• t._.._. ..........��p'� =...�__.�.__.._.'_._/ �.. `. Application Approved BY----•---------.---------•-------•-•--•----- ----------•-•-•----•----------- Date Application Disapproved for the following reasons:----•---------•------------•----•-----------•------------------------------------------•-------•------.......... -------••-•--•••••-•-----•-...-•-..........-•--•-•--------•....•-•-------••---•-•-•-----••....---•------•..•---•-•--•----•---•-•-----•-•-------•----•------•-•----------------------•-•----•-------•----- Date _ Issued_ Permit No. ..........................-...................... Date THE COMMONWEALTH OF MASSACHUSETTS �._ BOARD,..OF HEALTH ................... ................O F....... ...1v--� .......................................................... WIL"Erruftratr of f11implianrr THIS I TO CERTIFY, That the Individual Sewaq Disposal System constructed ( ) or Repaired ( } by............... ....... C. ................. --•-••------•--...---...------••-----•---.....------...------------......-----•.....•----- �,�^� t� .� Installer at ____ _.-. has been installed in accordance with the provisioi sls of 'i i i E j of The State Sanitary Code a descr}}-bed in the application for Disposal Works Construction Permit No.__:�= ------�.�__ .2....._ dated_....___-." �_.3!__'_f __..__..- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................��....••-•�-�---.^............--•--......--------- Inspector........---- ........ THE COMMONWEALTH OF MASSACHUSETTS _.._..._....BOARD OF HEALTH — 2. Riip opal. orko �onotrortion am# Permission is hereby granted......��—::. .. to Construct ,R�_air ( )-.an.Indi idual Sewage Dispo System tr Y at �.................' .__1\ Permit... ----•--- -f 1 ? as shown on the application for Disposal Works Construction No._ _.__.___•_...__.__• Date .............. --------. ----.__ 4 _ \ �._. — � Board of Health DATE.;\........................................................... .------.. `I1 FORM 1255`.., ORBS & WARREN, INC., PUBLISHERS AsBuilt Page 1 of 2 `TOWN OF BARNSTABLE LOCATION 1� 5 Q' 1nt rS V� SEWAGE #g(61 j91 VILLAGE LWSASSESSOR'S MAP & LOTRA,10 13 INSTALLER'S NAME & PHONE NO.Ctj�J'J�mw �,�ts, 177�8�5 SEPTIC TANK CAPACITY i DO () q n� S LEACHING FACILITY:(type)_- 6 �O: `..,,` . (size) d V0 0 6--- { NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �-- r° S ll?QT SU DATE PERMIT ISSUED: /Q - a 3 - Q n DATE C011PLIANCE ISSUED: /0 VARIANCE GRANTED: Yes No I http://issgl2/intranet/propdata/prebuilt.aspx?mappar=270230&seq=1 9/22/2016 LOCATION S E W A G PERMIT NO. V LLAGE INSTALLER'S NAM & ADDRESS B U1'L D E R OR OWWN'E_R9 DATE ' PERMIT ISSUED h "l DATE COMPLIANCE ISSUED �_ �� L_, .. 1 \\ �,. �I. �I� r `� ` i � d !i! . it :k �— � ,� r No........-=6.-1. ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD PF HEA T ..........r10-t,64-1-1.......OF..... ... .. ......................... .. ..... --------.......... Appliratinn -for 43hipofittl Work.6 Tutwtrnrtinn Vamit Application is hereby'made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System t: �• ation-Address or L+No. QALJa ' eL ---•--•--- .Addre -------------�.=-�-:-_v_......� r ___...__ ............................ _._ .....__..._._._._._________.._...__.__. Installer Address Type of Building Size Lot... f.X>®----Sq. feet V Dwelling—No. of Bedrooms.__-__ --_ -----Ex Expansion Attic Garbage Grinder P ( ) g ( ) aOther—Type of Building ____________________________ No. of persons----------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures .... -e-------------------------- W Design Flow--------�5.6.........................gallons per pet-son per day. Total daily flow................3_o--Q-____--..--_-..gallons. WSeptic Tank—Liquid capacity./ ns Length---------------- Width................ Diameter---------- ..... Depth_...-__-__-.-_. x Disposal Trench—No..................... dth----------------- _.Total Leng ------ ..__ tal leaching area-------.------------sq. ft. Seepage Pit No..-/ -------:._ n ___________ ____ otal leaching area..-3:01R-___sq. ft. Z Other Distribution box ( Dosing tank aPercolation Test Results Performed by------------------------------------------------------------------------- Date--------------------------- ----- a Test Pit No. 1................minutes per inch Depth of "Pest Pit.....:.............. Depth to ground water.._---_.____--_.-_--_-- GL, Test Pit No. 2________________minutes per inch Depth of Test Pit.................... Depth to ground water----.....__.._. P?A ------------------------ - ------- - - ---------• . Description of ... -----------1 '- = x V ---------- --------------------------- ------ --------------------------------------------------------------------------------------------------------------------------------------------------------- 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 Article NI 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 jhe board of health. tgne - ----- `---•- ------------ ----- --- --------------------- -------�� / Date Application Approved By----------- Gs ........ r....................... Date Application Disapproved for the following reasons:-•-----•-----------------•-•-•---------------------------------------------------................................ Date Y Permit No......................................................... Issued.---. ---- ....-•I..---•-7--�--•-------•---- Date w No........ .,1. +� y . Fjzs...! ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -..... -------OF...............��/ i Appliration -for Dio oottl Works Tottotrurtiotl Prrulit Application is hereby'made for a Permit to Construct (%-)or Repair ( ) an Individual Sewage Disposal System at: f- r. /f i r - . 1 _.t// r.- /,,v,/// `� 4 ---------------------------------------------------=------------------------------••---• ---------1 ------------......----• • •--•----••••--------•••••--•-..................... Location-Address j / or Lot No. .............. ...... -••--••-----...-----•-•---•..................•......._ •-•---......----••• ------..__....-------------•-------...-•----•--•---••---........._.._-- Owner Address pInstaller Address Type of Building Size Lot... .,....>2.U____Sq. feet Dwelling—No. of Bedrooms----------------------------•__-__---___.---Expansion Attic ( ) Garbage Grinder ( ) `1 Other—Type of Building ------------ ----------- No. of persons Showers ---- P-I YP g •--•- 1 -- S (--•-)---- Cafeteria ( ) a' Other fixtures ------ .-.---__ _ _ W Design Flow...............-!..........................gallons per person per day, Total daily flow--•----------_�_0-_---------.........gallons. 04 Septic "I.uik—Liquid capacity''=-"`- tllons Length----------------��Vidth-----.--...__.. Diameter---------------- Depth---------------- x Disposal Trench—No..................... Width-------------------- Total Length:------------------ Total leaching area _..____.____...sq. ft. 71_ Seepage Pit No... __%___ Diam ter ms_=----_--: � - -tf :.__. g t l .Depth below`'nlet......:........ Total leaching trea. _d_5+'__sc it. Z Other Distribution box ( ) Dosing tank 7 7 aPercolation Test Results Performed by------- - ------- -------------------------------------------------------- Date------------- -------- Test Pit No. 1------------_---minutes per inch Depth of Test Pit..------------------ Depth to ground water--------........... ..._. GL, Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water------------ ......... x { j--------------------------------- ------- --------- -------------- - ------------ ----------- O Descri Description of Soil------------ - ------ 2V l_ _. �� -- -,-- -- U w x -------------------------------------- --------------------------------------------------------------------------------------------------- ---------------------------------- -------------------------- 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 Article XI 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. , r / ?-gn ( ------------------- Date Approved BY----------- / ---- Date Application Disapproved for the following reasons------------- ------- P 9 ------- .................. Date PermitNo......................................................... Issued---••- 7 .. Date THE COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH r� _ OF. .. :.. ,. Trrtif iratr of TlImptiattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (-') or Repaired bY---•-_-•-•--•--C.............. .� � t Installer _ - --•--...--...........--------------•--- ---r-=---------------------------•-•-•---•-----••--------•---••-----•--....------------- has been installed in accordance with the provisions of A icle--•XI of The State Sanitary Code as described in the •= application for Disposal Works Construction Permit No.._..._ �_W___/�.__.,__.._._. dated.....�._-��.-__77............... THE ISSUANCE OF THIS 'CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector------------- ,;� C``/ THE COMMONWEALTH OF MASSACHUSETTS _._- -- BOARD OF HEALTH . , OF i . { No......................... FEE Bispatial ork� �ottotrrtiottrrutit Permission is hereby granted......... '= -------•--•--•---•...•-- '-•------ _..._...-�---•---------------•--••----------••-•----.....------•---•-----•---- to Construct (U)or Repair ( �) an Individual Sewage Disposal System !'� /` _. t i Street / ; as shown on the application for Disposal Works Construction Per .-it,Na.._.4--------------- Dated----.-__C/,__n--`-_ 6 7-7" --------- ✓ � 7 C - 7 7 --•-- Board of Healtl ' DATE. ------------ ----- --------•----------------••-••----•-•---- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS t a I Z, -7 7 D us^c a Ex t?a'° GAL. Pik-, £L•P'f')G Nit N�!? � . L o 7 -40 rN LO No a=..we & teno41 CEtZTtF1ED p°I.OT Pt_..f-�hl 3uS4 t O T O'!J CA 1 HYANNIS, MASS, 1 CMGZTIF,f Ti4AT . 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