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Home My WebLink About0093 SEABROOK ROAD - Health 93 Seabrook Road t Y r Hyannis = �� A = 307 035 r . j- - x FeeNo. �� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for Vsposal *pstem Constr tion permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon k/ ❑Complete System ❑Individual Components Location Address or Lot No. 934zib �``II Owner�sNa v,Address,anti del.N��5 �� ' r 3�3 Assessor's Map/Parcel.3U 9 D 3 R &n n l5 a, a '=7(0"" F'Cell� OaC, Installer's Name,Address,and el.No. Designer's Name,Address,and Tel.No. Q�or4%, k 11A. IA 0-)L Type of Building: )/� Dwelling No.of Bedrooms /V rT Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) /UI 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 14ANature of Repairs or Alterations(Answer when applicable) S 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 a an�n (o place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Siwwd Date Application Approved by Date Z/ 1 Application Disapproved Date for the following reasons Permit No.o 1-( — (6 " Date Issued No. � Fee !/l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer'. PUBLIC HEALTH DIVISION -,TOWN OF BARNSTABLE, MASSACHUSETTS es Nplication for Vesoosar *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon X ❑Complete System ❑Individual Components Location Address or Lot No. Ji3 �5e0.brC*k r— , O ner's Name,Address,and Tel.No.p s 73 fX1 C�O C�cd Y �J1�Lz Assessor's Map/Parcel 30 1-)tl 15 Installer's Name,Address,and Tel.No. 50 '�9/— ! J Designer's Name,Address,and Tel.No. (&r4-,,ktt.- iCv'N�`TJ . . -Lai t s• i f, i't/5fvt�s;i/i/�s, ii7G4 07to�� Type of Building: A j Dwelling No.of Bedrooms N� 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 AT4 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil V-• 141 Nature`of Repairs or Alterations(Answer when applicable) f Date last inspected: ;Agreement: 1 " 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 -o'a and n o place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S' d � ,Date / / •( Application Approved by Date Z/ 1 Application Disapproved Date for the following reasons Permit No.Z,0 1 Date Issued ! ?( ?b l ------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS I TO CERTIFY,that+that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned�y B�. r"Llctt _ a0sn rvC�I,O1 •=;�e at L�L�eQ.�t c�C�`C�'fY.l 14 jacy 1 S has been constructed in accordance with the provisions of Title 5 and the for'Disposal System Construction Permit No.201 y' 6} dated 0 /Z,01 Installer 1,,"�L,'`;C:�rtL L c r,=, ct_ i- e\rN Designer ,, ) #bedrooms �� Approved design flow /`�� +' gpd The issuance of this perm'"t shlalll n`o"t`be connstt d as a guarantee that the system will dnnc-tion as designed. r f/V Date Inspector f------------- ---- --.-- ---- No. Z0 1 Lj I6- FeAG THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) I Upgrade( ) Abandon(X) System located at 9 3 IX 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 h��//��y Approved by ' �— L TOWN OF BARNSTABLE LOCATION Q '� S�E'�,,lp� ®��(� SEWAGE # VILLAGE ASSESSOR'S MAP & LOT7- _ INSTALLER'S NAME & PHONE NO. �-®G SEPTIC TANK CAPACITY .C, ALCM LEACHING FACILITY:(type) p/�- S (size) 44;w _3 NO. OF BEDROOMS PRIVATE WELL IC WATER' C BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 � C� � �6 � e � � � �� ____ THE COMMONWEALTH OF MASSACHUSETTS '^�'�" •—�•+ BOARD OF -HEALTH TOWN OF BARNSTABLE a Appliratiou for Dispnaal Workii Tomitrurtion thrutit Application is hereby made for a Permit to Construct ( ) or Repair (G-<an Individual Sewage Disposal System at: • - -- 'rZ` - Ig fir................................. -------- r=' I ' `°Z - .................................................. Locatpmn•Address or Lot No. OldV f�✓�` i'a f/�: ........ -----..(�....................................... �._.... ... 'v"=............................................................ �� Omer a .......................................................' ........................................ .......,�?.C� ----- ..;i.t. ..... l ��S------------ ------ Installer Address Q Type of Building Size Lot----------------------------Sq. feet aDwelling—No. of Bedrooms......................................Expansion Attic ( ) Garbage Grinder ( ) p4 Other—Type of Building _____________•_--_-..____--- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -•---•--•-----•----------••---......-••--••--- Q --------------------------•-.----.------ w Design Flow-•"��•--•-----------------7. gallons per person ear day. Total daily flow____.c ........................gallons. WSeptic Tank l Liquid capacity/(677..gallons.. { ength----r......... Width.._._...._ Diameter................ Depth................ x Disposal Trench—No` Its"„ ._ Width...__._....__._ Total Length__j.&.......... Total leaching area.................... 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. 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.............. W' ----------•---------••-•---••-. ......-............................................................... 0 Description of Soil............................................................................---------------------------------------•-----------------------------------............._.. x w Nature of Repairs or Alterations—Answer when a hcable 4� ________'____.___ D r U P � PP ... ----• --•-•-•-- �� +. s - -. .S - q - ------- ------- ----------------------------------------------- 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�hasbe issuedby the oar health. Sign--- ------ -------- - ..... ..................................... ( ""-Dow .. .'Z_.' ` Date Application Approved By ----------------- - f � to �--- N"'- --------- .................................................... Application Disapproved for the following reasons- - ------------------------------------------------- ------------------------ ----------------------------------------------------- ------------------------------------------------------- ----- ----------------------------------------------------------........................................------------------------------------- ------------------- ------------------ .... � Date Permit No. ------�--`-- - ............. ... .. Issued ------------ --- -- -- Date A Fmc.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Disposal Murks Tuttstrurfinit 1hruat Application is hereby made for a Permit to Construct ( ) or Repair (C,,an Individual Sewage Disposal System at c7c` 1-0?_' .....................•--- .............. l`'!�t1!�! v- .................................................. Location-Address or Lot No. .......... = v ' V/ /k....................... �....`..._......--•-------.............---------...............---......... Owner Address .........._.............................________________y..........._...........__..__........... ......___--......_.__......._...._..............__...._._._..._...____._.._...-..-....._..... Installer Address d Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms--- ....................................Expansion Attic ( ) Garbage Grinder ( ) p,, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ---------------------------••--- . ------------- W Design Flow___` ..........................gallons per person per day. Total daily flow___--57_.1 t;)....................._..gallons. WSeptic Tank--� Liquid capacity.( gallons Length.... ..... Width......... Diameter................ Depth................ x Disposal Trench—Now j Q��,C_. Width..... Total Length---1/I.._....... 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................... --•-------- Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 — •---------------------------------•----••----•------------••--••-----------............----._............................................................... ODescription of Soil..........---------------•-•-------------------------------......-•----------. ...........................................--------•--................................ U -----------------------•--•--------•------------•----------------------------•---•----------------------..: ;------------------------------ ......................................................... 0 Nature of Repairs or Alterations—Answer when applicable._=.Xr S` Y'(( _--___-1__ ` � '~6.L_.` _........... -------------tea C l✓C/ y r?"�< �'` rv,�, _�� r�c.... t_,` ,C_-c t fa4-r --------------...----. ------......---------------.......----..... 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. � ..� `�w ---------.-- --- .. 1 t-"P .' � ...,�.-� ...v _y...w„\ !v\... Date - Application Approved By -----........----3 - '-� ,a - _.J -1�+._-/"-'_' �.�-. ------------------------------------------------------------------ Date Application Disapproved for the following reasons- --------------------------------------------- ..---------------------------.....----............................................ .............................---------------------- .------I......-----...... Q " Date Permit No. I" Issued ---------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF.HEALTH TOWN OF BARNSTABLE Telrtif rate of Graptinurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired O� by................................ -6--pr--- iP(x-0--.`7 e-PAC----------------------------- Installer at .................................. ------------------------------- ---_...--............--..------..........-------.-----.---.------....--.................. `. U_ z` `<l�ti6t.(rt has been installed in accordance with the provisions of TITLE 5 o -f The State Environmental Code as described in the application for Disposal Works Construction Permit No. --- 9ca�..-.. ... .. -.---- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ' r DATE...............jam.- ..-.`'j ..�= - ......................... Inspector V % Vp --------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.. �.� FEE.:3- .r,..' �- Uiuprrsttl Works T.uuutrurti.uu rrutit Permission is hereby granted............r_..._A 0C_L_i��r-_?" _�_�..................... ........................................................ to Construct ( ) or Repair ( 4. an Individual Sewage Disposal System at No..................................... `' ��--'•I � -�� / G..fiL 4... Street as shown on the application for Disposal Works Construction Permit No._ "P 26_4-_ Dated......................................... �7 ............................. ----------------------------•------------------- DATE_ 1 �- V v Board of Health FORM 36508 HOBBS h WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE. t i LOCATION _Z, -�fo,lpq�®�) SEWAGE # VILLAGE j y� C�/�{` ASSESSOR'S MAP & LOT ;�7 0_ INSTALLE.R'S. NAME & PHONE NO. SEPTIC TANK CAPACITY J6 M ' LEACHING FACILITY:(type) Glued/�-7f (size) 4�r�/—x NO. OF BEDROOMS _PRIVATE, WELL IC WATE/t,0-"' c BUILDER OR OWNER [� � � DATE PERMIT ISSUED: - l 7 f DATE COMPLIANCE ISSUED: VARIANCE GR NTED: Yes No 1 v I A NO... . THE COMMONWEALTH OF MASSACHUSETTS BOARD F HE �� -OF.... e)cn ..... .�t�.......... ------------------ Applirtttiuu -for 4%yuottl Worko Tonotrurtion 11nmit Application is hereby'made for a Permit to onstruct ( ) or Repair ( ) an Individual Sewage Disposal Syf� ,s at� S S� .......... ........#'y....e��' o anon-Address or Lot No. •..... ...•-� ................. ..................••----------•--•----.......------•---------•-•--•-•............•.............-- .�_ �Ow�ner � '---•--------••--•-------•--Address Insta r Address d Type of Building Size Lot----------------------------Sq. feet U _--_-Ex Garbage Expansion Attic a e Grinder Dwelling—No. of Bedrooms_______________________________________ p ( ) ( ) aOther—Type of Building ............................ No. of persons......... ................... Showers ( ) — Cafeteria ( ) Q, Other fixtures ------------------------------------------------------- WDesign Flow.........................................:..gallons per pet-son 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 ( ) aPercolation Test Results Performed by............. ------------------------------------•----------------------- Date-------------------------------•----- a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--------.--------------- (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_------------.-------- W -------------------------------•--•-----•---------------•-•---------------------------•-------------•---------------•--------------•-•--------•----•--.----.. x Description of Soil.... ----------------------------------e--�-�...._.............•.----------------------- -------_--------.------------ ; Tti �t r v ------------------------------------- � «c-� f ''------ /3...f=_!".-. '��''"� ----- ----- ` ------------ ---- ---------------------------- UW -� / /�C J�isr� - -- ----=-----------` �`' /. fl Q --------------- Na re of Repairs or Al atio —Answer when ap li ble. l j .- - ------------------------------------------------------------------------------- Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with I the provisions of Article XI of the State Sanitary e e The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ssued the boar o al i Date ApplicationApproved By------- - ----- -L............................................................................ -------------------D .--------------- Date Application Disapproved for e following reasons----------------------------------------------------------------------------- -------•--------------•-----_------ .................... --•--•----------•••----------------------------------------•------•------------------------------------------------------------------•-----•---------------------------•-......... Date PermitNo.---- �-�...-------------------•-------•--..... Issued........................................................ Date 4 FEs "`"`"" THE COMMONWEALTH OF MASSACHUS.ETTS BOARD" F HE r ., ... rF . ,. Appliratiou'lor Ii,npl fial Works Tongtrurtimtt jj.rrmft Afiplitc-#tion is hereby'made for a Permit to onstruct ( ) or Repair ( ) an Individual Sewage Disposal Systemaat ,,,,, -••-••. � �''----•• - ""' - ........................................... - ron-Address_ _ or Lot, z ------ e Ow er Address �YW Wa3� _ ...._.... _ ._ ____ __ ______ ______ ...____...._ ..__ .______........_.._.__.._..__........_ M Inst r k,,h' ` Address <;«�d f. Typ-@,of Building 'Size, ize Lot -* .................Sq. feet Dwelling—No. of Bedrooms__-_ _-___'_________________________-__-Expansion Attic ( ) Glrbzge Grinder ( ) j Shotw�er$ s'> a�;;rt Other—Type of Building ..................�__-_____ No. of persons _._ :- __. s,I r(� ) Cafeteria ( ) Other fixtures --------_-- _, d ••--•-•------•- ------ -•- -••-• - -• •-__--•- W Design Flow........................................ gallons per,,getson per day. Total daily flow.............. �� ;_ allon�. 9 Septic Tank—Liquid capacity_--_.__-__ gi lirs �Len�gTh t._ Width-- -- Diameter ":_ Depth---------------- Disposal Total Lett th x Trench—No ________-- Width�� g T�7 Total leaching area ? Sq. ft. Seepage Pit No..................... Diameter _.._..:MDepth below inlet ,:_.__.__ Total leaching.tre.t__ -_.. __sq. ft. z Other Distribution box ( ) :a V.. ostng ta`k ( ) Percolation Test Results Performed"by.____-. Y_:1t " "'' Date__ ' a Test Pit No. L_______________minutes per inch Depthof _Ilestt'Rt Depth to ground water----__ . ------------ riq Test Pit No. 2................minutes per inch!?,41)epth of;;¢_Test Y t ------ . ".``bepth to ground water__-_..._-____-^_-___---- : . P4 ? .._ ....----•----•• ---- ---- ---- - D Description of Soil__. x .. �» U N re of Repairs or Al ratio s—Answ/i Ilk vice er whe ' ble ._ ` e_%/__ j : -------------- pal Agreement: The undersigned agrees to install the aforedescribed individual Sewage Disposal System in accordance with the provisions of Anti: le I of the State Sanitary, de— hie undersign d furt ien-agrees not,'to,,place tli yste n"in operation until a Certificate>of Comp Iance hast e" ssued th l�0ar a'' ra ,5 " ' = ign ' Date ApplicationApproved By------ :', ................................ -------- --------------------------- a:. ....................... ---- --------- Application Disapproved f or e following reasons: ,r _ r 31 .. a ................................................................. __ 4 1 i s __ _ ______________ _-_ .. 1 F,,. al ,. . Dar. ...> to r PermitNo....... 11 �. ^` Issued---------------------.................................................. .--•------------••-... Date ti $THE"COMMONNVEALTH OF MASSACHUSETTn^ v/a, 4 BOARD" THIS TO C TIF , That th Indivi al Sewage Disposal System constructed ('w } or Repaired by-••-•-•-•••• ---------- .-1... =••-•-•--•--- ---------•-••••............................................................. Installer . ., ._ ---- ------••-- has been installed in accordance with the provisions 'of ,Article XI of The State Sanitary Cod a des ed in the application for Disposal Works Construction Permit No-------- s— ________ _________ dated--.._--_ - +__-___.-..:.._._._..____. THE ISSUANCE OF THIS CERTIFICATE SHAD. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r �7 � DATE Inspecfbr s THE CO M;MONVVEALTHL O.F M, TS,, A,4b��t r, y s` BOAF2D OF 1-1f-WLTf-I a��{ f�^� OF ........................... h swNo........ ---....---- n trot n amit ,v i Permission is hereby granted__ __ to Constr ct (, ) ,or.,Repair 4diM Se e Disposal System atNo.. - . t,4------------------------------------------ Street . as shown on the application for Disposal Works Construction Permit No f� _ : ....... Dated___.!Y'o�/' , Y aVt i y __ __-____ -___ _ ---------------------------------------- DATE........... '7j�--------------- n FORM 1255 HOBBS & WARREN, INC., PUBLISHERS �i ll v, • .. -.. �Y -. -. �.1. N_..- _I'S^i3kc�:ilt2..-._.. .. `- f�. .. .�A W.nSC'J� .. _.J LOsC AT ION 4SWGE PERMIT NO.. 11 VILLAGE I N ST Al L c DIC NAME & ADDRESS BUILDER. R 0 ER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED r 1 . /d S", � d u`� la. v f �'