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Home My WebLink About0043 SEABROOK ROAD - Health 43 SEABROOK ROAD" Hyannis A = 307 - 012 No. C90`✓ __4 T Fee 0_6 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21pplitatlon for Disposal *pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon X ❑Complete System ❑Individual Components Location Address or Lot No. 43 5`G% Owner's Name,Address and Tel.No. Assessor's Map/Parcel 3,0 Q /X 41 s t1XJ( Installer's Name,Address,and Tel.No.TO 9-477 -1"j Designer's Name,Address,and Tel.No. 153 C,0Aka4Q9Zj4C_ 'ar N/A Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) On IAA� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date ZO Application Approved by Date l� Application Disapproved by Date for the following reasons Permit No. -;�a Date Issued No. /✓ ` / Fee �� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ' 4plication for Disposal *pstpm Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon X ❑Complete System ❑Individual Components 1 Location Address or Lot No. 6113 •5 GAB k00r— $b 14"1 Owner's Name,Address and Tel No. SSH l; ZiAECK Assessor's Map/Parcel 30-7 0 1 oZ $�14(3 A� � 1cS Installer's Name,Address,and Tel.No.,T8 8��77' g�"] Designer's Name,Address,and Tel.No. C�4PEc,¢>t1�ta �vt�2PQlstg c.c,� N/A � - i S �1eCt �z' d�.64.SN P Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures j Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil , Nature of Repairs or Alterations(Answer when applicable) AT4000 &lUsTt)VG, SE7�T(C- j YSTeM Date last inspected: F Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date _,.z6 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. /- a 5 Date Issued �3� --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Ccrtificatt of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( by �pE1 Q�( �dJ p t�lS� LLC at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No �j�—O S t°dated / /�5 Installer <1AQ-r—_uL)ryE CiV CG YQ� �-e-C- Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as aguarantee that the system will 7_6 o designed. i Date I /�) Inspector �'� ------------------------------l---------------------------------------------------------------------------------------------------------- No. c r'� �5 p Fee S THE COMMONWEALTH,OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( System located at q✓ and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be/completed within three years of the date of this permit. Date / CP �� Approvid by UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • `Public Health Division SEWER CONNECT. Town of Barnstable I 200 Main.Street '' I -Hyannis;MA 02601 I I I I wL I COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signat ue item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Print Name) C. Date of Delivery is Attach this card to the back of the mailpiece, �•�a h ' �� I or on the front if space permits. D. Is delivery address different from item 17 El Yes 1. Article Addressed to: �P 60 YES,enter delivery address below: ❑No I Shirley M. Clark 43 Seabrook Road � 3. Se pe Hyannis, MA 02601 'S fled Mail ❑Express Mail I egistered ❑Return Receipt for Merchandlw—j W Insured Mail ❑C.O.D.4. Restricted Delivery?(Extra Fee) ❑ l 12. Article Number 7 012 1010 0000 2848 1490 I I (Transfer from service labeq PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 D llAir�i� 0 •. • .•. cr ra ca _ I I s ro Postag ru Certified Fe _ 1 2U13 �p�ostmadt 0 Retum,Receipt Fe Here O (Endorsement Require O Restricted Delivery Fee O (Endorsement Required) Uc '? r9 / 0 Total Postage&Fees (/ ra f1J Sent To Shirley M. Clark n" 3`ireet,Apt.No.; ---------- orPOBoxNo. 43 Seabrook Road c�rysYaie,ziP+4 Hyannis, MA 02601 ................ Mw e Certified Mail Provides: o A mailing receipt n A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. a Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for dupllicdate return receipt,a USPSS postmark on your Certified Mail receipt is o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. if a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Town of Barnstable Barnstable .�.. Regulatory Services Department r MAW- Publi,639. c Health ea h Division � 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -1490 April 1, 2013 SHIRLEY M. CLARK 43 SEABROOK ROAD IMPORTANT NOTICE HYANNIS, MA 02601 Map &Parcel: 307- 012 The Department of Public Works informed us that public sewer lines are now available in your neighborhood. According to our records, your property has a septic system. This letter directs you to connect your dwelling, at 43 Seabrook Road, Hyannis, MA, to public sewer on or before 3/30/2015. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street,Hyannis. Failure to comply with this Board of Health Order may result in a complaint against you, in a court of law. For additional information pertaining to the sewer connection, please see the reverse side of this page. &PERORDER OF BOARD OF HEALTH McKean,R.S., C.H.O. Agent of the Board of Health Cc: Barbara Childs,WPC/Roger Parsons,Town Engineering,DPW Enc. QASEWER connecALetters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc Public Health Division March 28, 2013 ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS: SAVINGS AVAILABLE/GRINDER PUMP: A reminder to those of you who need a grinder pump for your connection: Department of Public Works (DPW) sent you a letter in December 2012 stating the town, for a limited time of two years, only from the receipt of the DPW letter, would provide you with the pump at no charge. (This can save you thousands of dollars.) Please note: You must pay the installation cost through your own contractor. Please make your contractor aware of this, if interested. Also be aware: this is a shorter deadline than the Public Health Division's deadline in our enclosed letter 3/28/13. SAVINGS AVAILABLE/PERMIT FEE: The Town offers a waiver of the residential sewer connection fee of$420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: http://www.town.bamstable.ma.us/cdbg (under the"CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.barnstable.ma.us/PublicWorksTech/sewerinstallers. Contractors, approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors,please call Dave Anderson at(508) 790-6244. FOR ANY QUESTIONS/ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEWER connect\Letters Stewart Creek Sewer ConnectsMAILING LetA Page Two Sewer 3-28-13 Yr2015.doc R o wOFF I C .I A L � . c Posta $ r ru Q Certified Fe k Return Re C3 Postmarceipt Fe ®� 0 (Endorsement Require �6 y Restricted Delivery Fee O G N C3 (Endorsement Required) d rq cb O3 Total Postage&Fees a TIMOTHY M. CLARK o } ,w,. E r 4. SEABROOK RD -HYANNIS, MA 02601 Certified Mail Provides: :a o A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important ReMinders: a C*ified Mail may ONLY be combined with First-Class Maile or Priority Mail®. o Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 'I UNITED STATES POSTAL SERVICE First-Class Mail Postage&Feep Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box •j. Sewer Connect OPublic Health Division Town of Barnstable 200 Main Street Hyannis,MA 02601 1 ■ Complete items 1,2,and 3.Also complete A. Signature n item 4 if Restricted Delivery is desired. X 4K' d ,__ �� 00� ❑Agent, I ■ Print your name and address on the reverse "� ❑Addressee 1 so that�ip�e can return the card to you. �� (Printed Name) C. Date of Delivery ■ Attach triis card to the back of the mailpiec ,� // �' or on the front if space permits. �Q' VD "ddress different from item 1? ❑Yes• 1. Article+Addressed to: r delivery address below ❑No SHIRLEY M. CLARK43SEABROOK ROADHYANNIS, MA 02601e Mail ❑ Tess Mail d I Meturn R Et andise c,�,,` ❑ Insured Mail ❑C.O.D - q3 &A\j,0 O U 4. Restricted Delivery?(Extra Fee) 2. Article Number l 711112 1010 0000 2 8 4 8 0981 (fiansfer from service/abeQ Ps Form 3811,February 2004 Domestic Return Receipt 102e95-02-M-1540 ...... ... fir ----------- Town of Barnstable Barnstable .�. Regulatory Services Department ;er`caN j Mom 9� "�: �� Public Health Division 200 Main Street, yannis MA 62601---- 20B�-- -- Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 - 81 March 28, 2013 A tn 6�L �I 5 SHIRLEY M. CLARK 43 SEABROOK ROAD IMPORTANT NOTICE HYANNIS, MA 02601 Map & Parcel: 307- 012 \� The Department of Public Works informed us that public sewer lines are now available in your neighborhood. According to our records, your property has a septic S system. This letter directs you to connect your dwelling, at 43 Seabrook Road, Hyannis, MA, to public sewer on or before 3/30/2015. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. Failure to comply with this Board of Health Order may result in a complaint against you, in a court of law. For additional information pertaining to the sewer connection, please see the reverse side of this page. PER ORDER OF THE OARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Cc: Barbara Childs,WPC/Roger Parsons,Town Engineering, DPW Enc. 3 QASEWER connect\Letters Stewart Creek Sewer Connects\MA1LING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc rA. Public Health Division March 28, 2013 ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS: SAVINGS AVAILABLE/GRINDER PUMP: A reminder to those of you who need a grinder pump for your connection: Department of Public Works (DPW) sent you a letter in December 2012 stating the town, for a limited time of two years, only from the receipt of the DPW letter, would provide you with the pump at no charge. (This can save you thousands of dollars.) Please note: You must pay the installation cost through yggr own contractor. Please make your contractor aware of this, if interested. Also be aware: this is a shorter deadline than the Public Health Division's deadline on the reverse side of this page. SAVINGS AVAILABLE/PERMIT FEE: The Town offers a waiver of the residential sewer connection fee of $420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: http:/lwww.town.barnstab]e.lna.us/cdbQ (under the "CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.barnstable.ma.us/PublicWorksTech/sewerinstallers. Contractors, approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors, please call Dave Anderson at (508) 790-6244. FOR ANY QUESTIONS /ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEWER connect\Letters Stewart Creek Sewer ConnectsMAIL.ING L.etA Sewer 2Pgs Merged 3-28-13 W2015.doc _4 r TOWN OF BARNSTABLE LOCATION �� R SEWAGE #73 - VILLAGE , ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO, � �A c. ��SS�;.A)G '1')Y, y SEPTIC TANK CAPACITY LEACHING FACILITY:(type). 1 (size) mmo NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No y t i 3 I E 2s O 01 No....11.4-ol. FIn$.......��2..4: ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratilan for UijVv!3a1 Wnrk,i Towitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: A.afts:..--- ..... ` ' -----------------------------------------------------------------• �1�I / Locati9n-Address f A�/ ordLot N�o( A`d •i/J ........Sc?lk � ............................................ •... l K/7�+CL !C t/ .,a..... l � caner Address x1/S°trcl W.......... __.v �Qw9�✓f Installer Address U 'Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.____--•---- . --- Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) A' Other fixtures _______________________________ _ _ W Design Flow....................11A................gallons per person per day. Total daily flow..._.___.____._..__32. _____________gallons. WSeptic Tank—Liquid capacitv._ 6co-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........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit_______._._______-_ Depth to ground water........................ 444 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 9 ----••-•--•--•--------------•-•••••••-----•-----••-•----•---•••--••-------•••-•••---------•---•---•...---------•---•-•------•-•----•----...__.....----__--•- 0 Description of Soil........................................................................................................... -----------•......•.••••--•••-••......•-•••---•------_----- x U W x -------------- ---------- ---- - ---------------------•----- ------------ - --- - --------- - U Nature of Repairs or Alteration] Answer: ,when 4...... m;Kivri.4_.......I. ! @_ K Tr 1 _------------------ ------.CA � G� _ 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,thg board of health. Signed ... u ---G-. d,1`\cam-" ............ - ------ -- c. Dare ApplicationApproved By'..-.. ..-.4 ...�- ------------------------------------------- ------ ---------- ....... ....-�` -...3...- Dace Application Disapproved for the following rearons- ------------- ---- --------------------------------------------------------------------------------------------------------------- ------------------------------------------------- ----------------------------------------------------------------------------------------------=------------------------------------------------------ -------------------------------------- .. - + _ Dace PermitNo. --------- .�...- .. � �--------- Issued ................. . ................................ ...... Dare No...n..ikl / FEB THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ,��lirtttiun fur �iu�uutt� �urlt,� C�un,��rnrttun �Prnti� Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location.Address r o// � .-Lot No. ✓�dt �.�.C. s._.....G L�1.it k�"....----•-....••----------•.................. ..... J-ft?.....�}is /! C� t✓I r-`A C 1 C3} - Owner r - Address a .... �-=�--...0 - t_ss/_r.l --------------------------------------- ---- �T _A ... 1?i_[, �'__ '�!-_.. ! ► s�'_.v .:Au_to✓tGp Installer Address Type of Building Size Lot............................Sq. feet I-� Dwelling— No. of Bedrooms-------------->_3_-------_--.--..-_.._.-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d Other fixtures --------------- ------------------------------------------------ W Design Flow................... ............--..gallons per person per day. Total daily flow-------------------3-a-c.............gallons. WSeptic Tank—Liquid capacitv....14nr?.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. I................minutes per inch Depth of Test Pit......_....._.-_.--. Depth to ground water........................ 4o Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ................•---•--.....----•----..................-----•-•--•----•-----•---•-•----------•---....-----...---•-----------•----•-•-•----.....-••-•--•------ C) Description of Soil........................................................................................................................................................................ W U •-•--•-•-----•--••-•---•-••------•-------•-••----•--------•------•-------•--•••-•••--------••---------•-•-•----•--•-----•---------------•----••--•-•----•------••-•-•-•-•---••------..----•------------- W -- ----------------------------------------------------------------------------------------------------------------------------------=---•---•---------------•-•----•----•-••------•--......---....... U Nature of Repairs or Alterations//—Answer when applicable.......%.:. �-_3tt: t; _._._/gran-- fi_C SC%�z<<_••.••__. .. _�h---• ---a!7/a''T_ _Y.-.....�!........l.� ie __-...... ..[e ic'S X S 1. / •.:........................... 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 the board of health. JJ Signed ........ ............................. ..... Dace Application A .... ..y....ham.... PP Approved BY ............ J -------------------------- -------��.. ------ Application Disapproved for the following reasons- --------------------------------------------------------------- -------------------------------------------------------------------- ------ --------------------- ------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------- ........................................ — ` Dace Permit No. ----- ----C-/-`-a-------------------------- Issued Date -------------------------------------------- ------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certi irate of (11omplti nre, THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -----------------------I ---- ----k 4•.-i.-&,-!-------...------- ----------- --------. ---------------------- ---------------------....--------- ------------------------------------------- at ----------------- ��--_ Q nZ" '�----- F :.. { ` -nil r ytr ------------------------------------------------.....-----------........--------------------------------- has been installed in accordance with the provisions cSt TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..��J ..��'�._�_............... dated ............._----------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ ..�... --------1---- ----------------------------------_ ------- Inspector --- -----3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No. ......... FEE-- O G?.......... �iu�uuttl urla� �unu#r�rtiun �rrmit a Permission is hereby granted--_-------�_-nc�----------�e.:�,.�Q�r-"-----------------------------------------------------------------••-----•-••-•----- to Construct ( ) or Repair (.,,) an Individual Sewage Disposal System Z at No c ------.... ---- P .� ... .........t! A, ----------------•-•------------•-------------...-------------•---.....---..... UStreet as shown on the application for Disposal Works Construction Permit No.��-��/.-.. Dated_.-...��"-I��.=..�...�........ --------- ----- �1 > Board of Health DATE.------•----------•I/••-.--�•--�-!-------.............................. •. FORM 36508 HOBBS&WARREN.INC..PUBLISHERS G LOCATION SEWAGE PERMIT NO. VILLAGE 4 INSTA CLERS AME i ADDRESS S U I L D E R OR OWN R G , DA T E PERMIT ISSUED DATE COMPlIAR10E ISSUED J 3� �,' i} I� / % "` f r< ., �- $5.00.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................Town..---..........Barnsta....................l .......................................... Appliration for Dii niitt1 World Tnnitrnrtion amit Application is hereby made for a Permit to Construct ( ) or Repair (K ) an Individual Sewage Disposal System at: .4.3_Seabrook-,Rd; liy�un,:kr .Q?6�Qj ' Seabrook..Rd. ---•--••---------------•--•-----•--....._._...------------•-------------------••-------......... Location-Address or Lot No. ---------- ---- Mrs. Leo----_n.C.. Turner .4 „Seabrook Rd-,,,, y_a j, .....g2.601.--__,•......,,,•,___ .... ...... Owner Address a A & B Cess2ool..Service „128_Bishops_Terrace,---Hyar is--_-02601_„-_„_--•- Installer Address dType of Building Size Lot............. ._.__...Sq. feet V Dwelling—No. of Bedrooms................2..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons....................2...... Showers ( ) — Cafeteria ( ) Q' 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 ( ) a Percolation Test Results Performed by................................................................... •-•-•- Date.............................. --------- ,� Test Pit No. 1................minutes per inch Depth of Test Pit---------_.......... Depth to ground water_-___--______-_-_.--_--. G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P ........................................................... •--- ------------------------------------- --------------- -........... -.... ..... ------------- ------- 0 Description of Soil.........Sand..................................................................................................................................................... w UNature of Repairs or Alterations—Answer when applicable...installation-.of-_a•-1,_000_.ZajjpXj__5ton9_--_.. packed pre-east__leach_-pit.......yerflow�. .................. ---------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage,Disposal System in accordance with the provisions of TITL% 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. • o Signed.. C"- � .a14.�_ _y� ._g�21�Z.9....------... Q D to Application Approved By.................................................................................................. .......... �21, 7 ............. Date Application Disapproved for the following reasons-------------------------------------•------------------•-------------•-------------------------------.........._ ........--•---•-------------------•---------•---....----------------------------..........•-•-----••.•.-_.. Date Permit No...............79.................................... Issued------•--..._..--9L21/79_: ------------------ Date s No.-79 -`/ � Fes$....$5.00 ...... THE COMMONWEALTH OF MASSACHUSETTS <' BOARD OF HEALTH Tl7�On.. ..OF....i 3TTit3 ab e. Apptira uoi .fug Uiapas al Works Tonstrurtinn rnmit Application is hereby made fora Permit to Construct ( ) or Repair X ) an Individual Sewage Disposal System at: 43 Seabrook Rd. I1 an3zis '02601 ...............•-__- - --..._•-............. - .... Location` Address N s • or Lot o. 14rs. Leon C. Turner. x Seabrook Rd HS A e_ -fl2 Q ...._._-....- - ._. .... , •• . ... eta... -- Owner �- -• Address W A B Cesspool Service 128 Bishops Teeace,__-N_ranrl s_---026q�.•._-•---•-- X a .............. Address Type of Building U yP g Size Lot............................Sq. feet s{ Dwelling—No. of ................... __________________________Expansion Attic ( ) Garbage Grinder- a Other—Type of,-�Buildi i ....... No. of persons....................2______ Showers (s.l yP g -------------- P ( ) — Cafeteria' Other fixtures ,`_ - -•----- ----------------••---------.----•-------•-•••--•-- a Design Flow_____ :____gallons per person per day. Total daily flow____________________________________________gallons. W , 1:4 Septic Tank—Liquid capacityl x � .;gallons Length................ Width................ Diameter................ Depth___ aC x Disposal Trench 'Vo; 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 te a Percolation Test Pit NoRl suitsm nutes p e inch Depth of Test Pit.................... Depth to Daound water........................ i f=, Test Pit No 2 iiunutes per inch Depth of Test Pit...........:......Depth to ground water......................... O Description of Soil......: -- ___. -•------ .•----- -------- ------- x U ...................................... Y '._____________. __.____---------------.- _.---.-------- ..-__-_-------_..----.-.--___-------------------------.--___-__--.-_ --- L W ........................... ...._ .._._...__....._ ............___......__.._.._...._ _________________________ ._._ .._.-__ ' U Nature of Repairs or Alterations `Answer when applicable.._installation of a 1.000 g@.l n atoms s ----------------- . peeked p east,3eacYspat (oves-flow). -•-- .. -----------------•-----•----•. Agreement = The undersigned 'agrees:to install the aforedescribed Individual Sewage Disposal System in accordance with Y the provisions of TITI , 5 ofrthe 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. �. ..................... -----• x< 9217 Application Approved;.By 21 � ., rt / £ gDate Application Disapproved for >ahe foldoiving reasons:..................................................................................... , ...................................... __......---.......------_..._.----__--___-_-__-__-•_.-•___------_.-__-___-_-'_._.._.......__.............___.._............ Y /7F Date 7 Y X Permit No. = ----- Issued 9/�/79 Date r f THE'COMMONWEALTH OF MASSACHUSETTS t - BOARD OF HEALTH x� Town Barnstable a tnftfirttte of T-11mottFatur I T-1 at I .i •d al 5.% e Dis , sal S stem nst or Repaired # chips 1 ezace,p` Yanr - r�, . ( ) P (X ) ...-••-•••....-•-••--------•-•-•-•..... .•-----------•--.....-•--•--•-•--•........... by.. -.___._ 4 ... > Installer at.. 3-.Seabrook Rd.t Ia a�.QQI ,..� N ..__1,a. n_ �-- 'garnr ,. has been.,installed in accordance with the provisions of TI r of The State Sanitary Cod �dp�y�ibed in the application for Disposal Works Construction Permit No.... ........ ..................... dated-.... ..................... THE ISSUANCE ®F,ThIS ,CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r` DATE.............. I Inspector J4 4 ff THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable a 79- /;2S". ........OF..... ......... ............................................................ No....................... FEE...... 5.CO..... �t �att1 nrk ��nratrilan anti ` Permission is.,hereby grants A & B-Cesspool Service, 128 Bishcs Terrace, iyanni.s 02601 t ° to Const4• t��yy//,w,,�� J2ep it"�( )i Jgdiv Se��ag i�po Sy L�e l'urner atNo......... r -----------------•------------•------------ r Street as shown on the application for Disposal Works Construction Per t No._:__g _.._.___ Dated....._......9�21� �.-_.___...__ " - - _ _ s Board of Health DATE ............................................. FORM 1255 HOBBS & WARREN I% INC:.`PUBLISHERS - „t