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Home My WebLink About0044 CEDARWOOD ROAD - Health 44 Cedarwood Road 020-010 Cotuit -- - - - - 1 i No.-- 0--`S Fss... ... .... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Uhipati ai Vorkii Toustrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (L-�an Individual Sewage Disposal System at tlaa . ....................................... ......., -----------------------. ----- --. Location..Address or Lot No. a 1.4 M Installer ress d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms-------- .............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .----•-------------------------------------••----------------------------------------------------------•---------------------....-------------------- W Design Flow............................................gallons per person per Slay. Total dai y flow............................................gallons. WSeptic Tank—Liquid'ca aci yf gallons L ength.44....... Width.......SP..... Diameter................ Depth................ x Disposal Trench—No.7� -Width j� Total Length--aR- ._--_. 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•------------•----------•-•--------------------------•- ------------- ODescription of Soil...... -..�� Rf'2.-----•--....-----•------=----------------------•---------------------------------------•-•----...--•-----.....--- x x ----------------------------•---------------......------------------------------------•....---------------..................................---------------•----.....-•--j------ U Nature of Repairs or Alterations—Answer when applicable..._._ f_� '!_n.9'.__..._1�1',5,� ..................................................... 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 unde igned further agrees not to place the system in operation until a Certificate of Comp ' nce has be issued by t e of health. q igned . 2- _/....... ........... ,... .^ ...--.............. .-f ...............................Date .+ ApplicationApproved By ------------------ -- ........ ------. . ---./ �.....................---------'.'- Date . Application Disapproved for the following reasons- .............................................. ....... ..................-------..................--.................... --------------------------------------- /� Date Permit No. -�LF63-------_--------------------- Issued ...........�Z..^ .�.- �C�.....----------- Date No._`-2.:: Fss..� ...�....._ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ry TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrnrtion 11rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( �an Individual Sewage Disposal eo 164 ....----// /--__...---•-•- ................---- ------ ----------- -......�.--------- ---/6 HI Sy _ Eocati Address /7/1� [gym�. or Lot No....... . . .................... ................................................_.....9...._.....................-------------. :�...... --/-------------v/--- -------e...................--......................�'.: .� /�/Q ir�1' d ��• ,j��OC /'. ....-_ /tw ia/l l-le e � 41g?Aehf69 C� ddress a -•-•--------•-----------------------------------•-----. ----..._....................••................- - ------------- Installer ` ddress d Type of Building � Size Lot___________________________Sq. feet U Dwelling No. of Bedrooms................. Expansion Attic g t ----- P ( ) Garbage Grinder ( ) 04 Other—Type of Building No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures w Design Flow........................................____gallons per person peg day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid pa ��y ga]lons��L•ength. __.___.____ Wide..�.... 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----••----------------------•-......------------.......-......................................................... Descriptionof Soil.......-----............................................................................................................................................................ x U -----•-----•-•----•-•••-----------------•••--•--------•-------•---...._...---------•••-•-•----------•-----••-•--•------------•--•---•-------•---•-•-----•....-------------------•-•--...---•...--------- x- --------•-•-------------------------••••-------•--•--••---••-•--•-••.-----------••-•••-•-•------•--•----•---------�- - 1- 19 . 1- U Nature of Repairs or Alterations—Answer when applicable.................................� .. .................. /C 47-------------- •----•--•------------------•-•-••--------•----•-----••---------------•••••-------•---•--•--•-----••--•-•-••-•---••-...--------•----------•....------.....----•--•--••--•--.._........--••-----.....•---- 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 e bo�a`cr"of health. 70 Si ned . ---- --- -- .-•:.. / d ------------ 'a �....................................... t Date Application Approved BY = u .i....... �`'` f -� 7 q .� y .......................................................................... Dale Application Disapproved for the following reasons: -----------•--------------------------------------------•.......................................---............................... ----------------------------- ------------.........................-_----------------.------------------------------------------.....--....------------------------------------------------------ -------------.................... .. Permit No- --.-. � �Z-"..... .............................. Issued ................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (Iffertifirate of (gompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired b - A c------- I - ------ Y- '-....v..� -r.................. Installer ate......... 4 .-iris . ��' .,!�:�_ -------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental,Code as described in the application for Disposal Works Construction Permit No. -�1 ........ dated/J./ _ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE.CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....... �V? - Inspector ------------------------------ V----- ----------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH gl, TOWN OF BARNSTABLE No .............. FEE 11isposal Marko Tuntrudimin Vanti# Permissionis hereby granted.............................................................................................................................................. to Construct ) or Repair ( --<an Individual Sewage_Dis .op sal System /.Fir - Street as shown on the application for Disposal Works Construction Permit No. .Z.Dated.. ��d DATE._ o .._ ard of Health ... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS y' z ti a x, Y i 7TJ r LO , ) \ TOWN OF BARNSTABLE LOCATION � Sara�( � &24 SEWAGE VILLAGE Op�v/ 4" ASSESSOR'S MAP & LOT A yzs INS.TALLER'S NAME 6z PHONE NO.-� S iG•av�0 ECoCo� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ��®u� G�i't-fu 'da7 (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER rye ->.. BUILDER OR OWNER 70X n ll fi'a DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 1# VARIANCE GRANTED: Yes ].No 9 J 4 t N C jIA) . TOWN OF BARNSTABLE ® ' LOCATION SEWAGE VILLAGEa ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. S 6 .1QVIO oCvyz� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /-Ow w-i (0 (size) /V)( Z Z NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER tale BUILDER OR OWNER -ZX �L'�ir 6X DATE PERMIT ISSUED: r �DATE COMPLIANCE ISSUED: Air VARIANCE GRANTED: Yes 'No i QI G N ` I 77�N C R �'�� No.-- --f = -� Fee--a�--------- BOARD OF HEALTH TOWN OF BARNSTABLE A.ppficationforlDerf Con6truction1permit Application 's hereby made for a permi to ConstrFct ( ), Alter ( ), or Repair ( )an individual Well at: -�- ` � - t --- - ---------------------------------------------------- —. Location — Add re — ------Assessors Map and Parcel ------ ----- --------- - ----- O Address — ----------------------------- ------------------------------ Installer — Driller Address Type of Building Dwelling � ----------------- Other - Type of Building No. of Persons---------------------------------------------------- r/ Type of Well— - —� a - - ------ Capacity----------— - - - -- — -------------------------- Purpose of Well---------- - --U-31-�------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until ertificaatte of Compliance has been issued by the Board of Health. Signed do Application Approved By-------- .v - —. =�-a-"- 1------ �- - ---- ate Application Disapproved for the following reasons:----------------------------------------- ------------- -------------------------- ----------------------------- PP date PermitNo. ---W - -�—----- -- - - Issued------------------------------------------------------- ------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate (Of Compliance THIS IS TO CERTIFY, That the In&idual Well Constructed>e.), Altered ( ), or Repaired ( ) by----------------- ---------R-}----- -}-- -—-- —--------------------------------------------------------------------------- n Installer at--------------V -------- -L`�L - /- f - - - has been installed in accordance with the provisions of the Town of Barnstable Board.of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --_I_L_2`1----Dated---------------'------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL.FUNCTION SATISFACTORY. DATE---------------------------------------------- - Inspector------------------------------------------------------------------------------- - No.- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rVerr Cong4ruction3permit Applicatio is hereby made fora permitio Construct ( ), Alter ( ), or Repair ( )an individual Well at: ; -1'- u L:F - --- ------ ----------------------------------------- -- Loc tion — Addressd Assessors Map and Parcel Jo N _ Address" Installer — Driller Address Type of Building , Dwelling---------, 3Q l � Fti - �------------ — Other - Type of Building-------------------------------------- No. of,Persons--------------_ Type of Well— --- U•C- ----------------- Capacity-------__—_________—__---_—_ Purpose of Well—TQ f 4�l r— Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a'Certificate of Compliance has been issued by the Board of Health. , Signed.,_ _ �/�/l_ Avo �' // f� f _ —_—_— �- — --r__a�;— —: Application Approved By------- r- ------_—_ _ems.-�-i � _ _ ^ 0 3 - v �— —--—-- o date Application Disapproved for the following reasons:------- -------- _— —____ ------------— -- ---- —- -- —_—_------ C� --_____—__—_ ------------_ date �— Permit No.—�! -- - Issued -- -- --- ----date ------- -- --- - BOARD OF HEALTH TOWN OF BARNSTABLE` Certificate Of Com-pliance THIS IS TO CERTIFY, That the In4�vidual Well Constructed,(,x^), Altered ( ), or Repaired ( ) �f(� Installer at—- —G—d---------" � - --—------- —----------- — ------ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -- = --Dated—��--------THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION'SATISFACTORY. DATE-------------------------------------------------------—- --- - Inspector - BOARD OF HEALTH TOWN OF BARNSTABLE Veil Con5tructionVermit No. -- - --- Fee--- '-��- -------- Permission is hereby granted- —z'--- =— - ----------------------------------------------------------------------------------------- to Construct ( ), Alter ( ) or Repair SX) an Individual Well at: No. - ---y ,� -------- --------------------------------------_-_-— - - Street as shown on the application for a Well Construction Permit No.— --- -- - �-— -�- -- -- - - Dated------` �(3- � ---—------------------------------------ Board of Health DATE--------------------- ---—-_——__-- --