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Home My WebLink About0439 SCUDDER AVENUE - Health y3 cuc! T TOWN OF BARNSTABLE LOCATION �-I 3� c v�Q�Q� yz. t SEWAGE # 7 VILLAGE 4. 4 ASSESSOR'S MAP 6z LOT INSTALLER'S NAME & PHONE NO. p.a � SEPTIC TANK CAPACITY \,'5 o-`j -ivL —r)AoAoc— LEACHING FACILITY:(type) 'yy�f� ��.�5 (size) NO. OF BEDROOMS PRIVATE WELL PUBLIC WAT BUILDER OR OWNER DATE PERMIT ISSUED: 1�( DATE COMPLIANCE ISSUED: G VARIANCE GRANTED: Yes No �/ Q O � m r G $ fiJ 1.01 NO..v.. r(.'V FEs.........��r..�- THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Appliraation for Bi-qVnsaal Works Cnumtrurtion Vami# Application is hereby made for a Permit to Construct (3/) or Repair ( ) an Individual Sewage Disposal System at: M `AA Location-Address or Lot No. LLl dD `fi✓ —d17� Yl4�r�-YJ1i., Address a Q ... ........ Installer Address UType of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms..._.................................Expansion Attic ( ) Garbage Grinder ( ) Q, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P' Other fixtures ................ ................. W Design Flow...... ........................gallons per person per�day. Total daily flow.....7FC.�5-.O......................gallons. 94 Septic Tank—Liquid capacityLS gallons Length---l.D....... Width._Sa.....__.. Diameter________________ Depth................ Disposal Trench—No. ..A-------------- Width....g........... Total Length__.'-aQ-!_..... 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...............................r...... aTest Pit No. 1................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........................ •----•-------------------------- ............:............................................................................................................... 0 Description of Soil......................................................................................... ------------------------------------------------------------................. x U --------------------------------------------------------- -------------------------------- ---------------------------------- •----------------------------------- ---------------------------------------------------------------------------------- ---•-----------•-----------------...------------------------------------•----------------------------------•......-- V Nature of Repairs or Alteratipns—Answer when applicable.____-�-S.T �_.___\S' ____`T�4w�[____-___car.1.Gwr .......... ---------y�f_.y....G.A4rr1)i,r........... sx.P u.I C.--------- ........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T"_7 y g g p y} of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certincate of Complian issued by the tI i ned.------......... ..........-- 8 d 0 Application Approved By----- --- ----- ...... ...--- Date Application Disapproved for the following reasons:---------------------------------•-----------------------------------------------------------------............. , .................................. .... ................................................................................................... ................................................ ......._....-- g / n Date PermitNo.--•----......�..---(-�--•--- --•------...---•-----...... Issued-----------------------------------------•-------------- Date Its r1 0 7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Z-;k j�.. v----------------OF..�ZZ�,..� s�� ..................................... Alip irn#iaan for 14"nnal Works Tonstrnrtiun ranfit Application is hereby made for a Permit to Construct A)� ) or Repair ( ) an Individual Sewage Disposal System at: .........L�� -�} ...........S.C...j._ r�S; ._�a......... C ....... .......... ht �K. .� Location Address p0 r£cLot No. - •----•---------------------•---------•-•----Address ----•--••------•---------------------------•------•- ��- ��_r V`y�.•. •�.�v —Uwrer W •------•--- Insta:l g � ddress Type of Building Size Lot............................Sq. feet V Dwelling No. of Bedrooms-__ _. Expansion Attic Garbage Grinder �-+ g— P ( ) g ( ) A4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................ . Design Flow...p-�...........................gallons per person per day. Total daily flow.._r-._, gallons. W � b � 1:4 Septic Tank—Liquid capaclpg;LT�.....gallons Lengt�_otal e......... Widtll�.I............ Diameter................ Depth................ W Disposal Trench—N?o. .................. Width . ___...___...._ Length......._............ Total leaching area....................sq. ft. Seepage Pit No._...__-___----__-_ Diameter-__--__�j_--._. Depth below inleID".o.1............ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) I~ Percolation Test Results Performed by.................................----•--•••----•--••--------------------- Date........................................ a ,.a Test Pit No. 1................rmnutes 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................... 1:4 ----------------------------------••---------------•-----...........--•--------•-------•----.....------•----•-----•-----•.....-----•-•...--.--------..... 0 Description of Soil........................................................................................................................................................................ W --------------------------------------------- -----------------•--• ----••-•-•-••-•-.._..........---------------------•--------•-•-•-----------•------•--•--••-------•-------------•-•--------------- UNat4f a of i4 or A-ejf ttion —AnW wC ep applicable.------------- ---------------- --------------------------------•-----.. /- / _.�.......5 To cn�� µ:s ...q! O L��Z_! i ------- Agreement: The undersigned agrees to, install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of l_- 1: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until•a Certificate of Compiia as >Secs.'ssued by rd-"-f h€a� g"" .......... ..........................................................................-�� a av - Application Approved BY--------- -7.. ------ Date Application Disapproved for the following reasons:................................................................................................................ =" ......-- ----- R (� Date Permit No.-" --.._...--0 - Issued_ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF................................................`.Q................................ Ilarr�if irtt#r of f�unt�fi�nrle RTHJSj �;�, T�FY, That the Individual Sewage Disposal System constructed ( ) or Repaired-j(., } .... Lf V^Installer C at 3 y S G v� ..r.'z....."9-----•--•-•--•--•----•------•------ �_,,>,"`- ..................................... has been instailed in accordance with the provisions of its yoFT State Sanitary CA a the application for Disposal Works Construction Permit No....---�--------------�------.... dated-.----------- -------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................1,6.. ............................ Inspector................... 0....---..............._..._...............-- THE COMMONWEALTH OF MASSACHUSETTS BO . D OF HEALTH aVv�S"'rq� C1....�(n_..................OF..._.....---•--................... ............................................. iw0.. .................. FEE-....-.----•••••-------- Mop orkn � uan anti# Permission is hereby granted__...._............ .......'P�........__..•....:...........✓`... ............................................................... to Construct ( or Repair (--) an Individual Sewage Disposal System at \o.. r - -•-- --•-• ........ Street as shown on the application for Disposal Works Construction Per a N ._. .-.e... _ Dated ._.a._...... __.1_.'._...__. v ------- Board of Health DATE ( ............................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD/OF HEALTH !.. .........._O F.......�mJ��.��,e��L�---•.............................. Appliration for Biiipmal Marks Tomitrurtion j[rrmit Application is hereby made for a Permit to Construct( ) orr� Repair ( C—ran Individual Sewage Disposal Systt: ....................... .............................. ..... Location-Address or Lot No. ................ .............................. •................................. ..................-------------------••- - -^•-•........... .............._......... ... ��► Owner �^ •------•---•----•-•-------• Address. Installer Address Type of Building, Size Lot............................Sq. feet �., Dwelling JZ No. of Bedrooms__________ ___ --------------------Expansion Attic ( ) Garbage Grinder Q1l` �`k Other—Type T e of Building No. of ersons____________________________ Showers YP g ---•-------------------•-•-- P ( ) — Cafeteria ( ) dOther 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. 3 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. 1________________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........................ a' -•-•--•-----P-......................................................................................................................................... 0 Description of Soil______ _ ______ x w U Nature of Repairs or Alterations—Answer when applicable_....p ---� �0 ................................... --------------------------------------------------------------------------------------------------------•--•--�� ----�a------- -- - �s. .._.. -------- 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 issued b he Viba,r4 9f health. Signe .........................� --..._----�.... --------------••- -----•--• Date Application 'Approved By.... _ . .................................. .............................. Date Application Disapproved for the following reasons:........................................................................ ..................................... --••--•-..._.....•••..._..-----••-•---••----•-••----••••..............•--•••------...._..._._..........--•-•••--•-•--•-•----••----•-••-••---•••••--•--••••--••---••--•-•-•--•-•••-•--•-•-••--••-•-•----- Date Permit No... .��..�.�------•--. Issued....................................................... Date .......................-........._..•,............_._._........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT ......... .........OF...... . . ............................ (Intif iratr of Tantpliatta 3UVSWC. RTIF , That the vidual age. Disposal System constructed ( ) or Repaired (Zr by... 1 .. � ;�. ...s _�....... - . Instal r .............••-••••---_...••••••-•-•__ _......--- _••••..........• - k-.,- at = has been installed in accordance with the provisions of TIC 5 of'The State Sanitary Code as des ribed i the application for Disposal Works Construction Permit No.__ 9E>_._�` ?�CJ..... dated.._.-___.). THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................................................................. Inspector.................................................................................... No.:` :..:.. FEB....e!.. .......» THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 :..--....--.OF....... �' tf.: . ..... '• Appliration, for DiSposal Works Tonstrurtiun Permit Application is hereby made for a Permit to Construct ( ) or Repair ( 9j'%n Individual Sewage Disposal systems /11.._.» --- ........--•- r Location-Address - or Lot No. owner Address------ ---- ddress ..... .:' r .......... :...._..... -• • Installer Address Type of Building , Size Lot................ Sq. feet aDwelling.I'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. W�; Septic Disposal Tan nk—Liquid capacity_____.______gallons Length................ Width................ Diameter..............__ Dept h................ _____. Width____________________ Total Length.................... Total leaching area--------------------sq. ft. 3 Seepage Pit No.:':`:_:_______________ Diameter.................... Depth below inlet.................... Total leaching area.................. ft. Z Other Distribution`box ( : )• Dosing tank ( ) 0-4 Percolation Test Results Performed by.......................................................................... 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........................ a {',. :::. �` ...._.....--•---•----•..........................•-••-•------••-•••••-•-..............._.. -••... ........... D Description of Soil....... . # "� -------------- W ._-•.•-• -•--...•---••-------•--- _._..._..-•--------•---•-----------------------------------------•-••-----......._....--•---•----• •------....-•-•----------•----------•---....-•-----.._.._ -------------------------------------------------••-----------------___---------------------•................................ .�-,.. •-----•-•_---•••--•-------- U Nature of Repairs or Alterations—Answer when applicable__.__ r � �' ��. ✓.... ................... ..--•----------•.....................•------•----•-•---•----------........_..._............._....... '�-• tr �"'�' -�.ar � c ............-........ Agreement: The undersigned agrees to install the.aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TITIS 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 hoard of health Signed....f a1 "t .�* .N.. r' - ...r :. o Cr4r yv� 71 } yrr Date .....».... cew� Application Approved By--.. : // •— ---_.. _. f � • t't. ........ Date Application Disapproved for the following reasons:---•------=-•-----.....-•--••-•-•------•-•............................................•----...-•-••......._.:» •••-•-•-•...---•----•------•--•-•------•--.......-•....................••-----._..._...------.._.........._...--•••-•-----...._......-----•-••----•----•-._.....--------•--.....•----••-.._..-•••......» Date .`..?.Permit No.............. -»--- Issued..........................•---•......_..._....---....... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .01 f«gam ..! ,+ ° r"r N .� 'r . OF...... Y..... ......... ......... .Y ............................... Trrfif irtttr of Tontpliunrr T I JI S Tr CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (Z'Y' by....l ...»? ....�`��".r.�€?.f.`......✓..:..w r ,iy� ay t ... ........ r ............... f r err Installer- f t at. ✓r r 0 ... •G r ...... has been installed in accordance with the provisions of TITLE of The State Sanitary Code as,described infthe application for Disposal Works Construction Permit No.__ z ......�.49._0�__ [ __�.... dated_...._._. '_ ?�'............... 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 f No` ... ' ._...... Fn.. 4'' ......... Zo in Perm Permission is hereby granted ...�, �_.:..... �`�f ? �� 'i ..... ...... d` .............. ..........»»»........ to Construct ( ) or�tzepair ( w Individual?wage Disposal S tem at No................:.. ...to . /r .�. ."` Stree{ , ` ' ! /as shown on the application for Disposal Works Construction Permit Nod__. . ` ? Dated.._.... _ ...1.................. ........ Board of Health DATE....................... .... . ..11_gJ5_-..............•••- - FORM 1255 A. M. SULKIN, INC.. BOSTON - -