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Home My WebLink About0060 GUIMQUISSETT ROAD - Health Coo s-srer 96A OI - I/D �1 TOWN OF BARNSTABLE LOCATION l , v SSe tt rd, SEWAGE VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY IWO LEACHING FACILITY:(type) f (size) SY NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUDDER OR OWNER )Qa=,6 t-7'_ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 4io Fizz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tqup►�1. . .............OF.....�A.R.r�A.R.r45_.rA.e)LE............................................... Applirtttinn for Diiipniittl Works Tomlrur#inn ramit Application is hereby made for a Permit to Construct (x) or Repair (V")'an Individual Sewage Disposal System at: CauiMauss.E..---= C�r... M ?...- --- ------•-----�oT 11.0...-••----------------------•---.......----.......----•-.....-•-...--- - Location-Address or Lot No. RAP..HanlS Q.! 4i 1i 3�"!N...Z T.....•----•------------ - //L�inn�.sT.........IITT!r ?►: �?.,.MR........................... Ow e Addre �.. r ....................................... . --4=- ------ . l� .:f... Installer Address UType of Building 3 Size Lot._7 g 2b__...._..Sq. feet ,., Dwelling— No. of Bedrooms............................................ Attic WO) Garbage Grinder (IJp) a Other—Type of Building ►� No. of persons............................ Showers ( ) — Cafeteria ( ).___1.. ................... Other fixtures ---------------------------------------------- Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacityAaO(--..gallons Length------F......... Width....t��.'_-- 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.......!M------------------------------•---•---•••...----•----•----- 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........................ W' ._..-------- 0 Description of Soil-----------�y. ...........................-.............................................................................................................. x U -----••---•------------•--•--------------------------------••--•---------------•--•••••••....•-•--------.....---•-------•--•-••---------------•-•-----•••------------..........._..........•-----...---- W -•-•------------ --------------•----•--------------------------------•-•--------------------.....--•------•-••--•------- .................•............................................................ U Nature of Repairs or Alterations—Answer when applicable...__. ,44...A t_5t��.._....5:{f syrae?y ._c•'C_� __.. .o ---------------------------------------------------tQ.o.a....s ��_`......T.-:i_/c. �3 `� �oo� `�4 ®C/.._.-`ys. ._.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of iITLL 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee *ssu by the board of h lth. Signed------. 3 2 7 967 Date q Application Approved By.......... � ------ --.�------------------------•--------------- .......... Date Application Disapproved for the following reasons:------•........................•-•--•--••---•-•--...---•--------------------•-----------....._..-------•------- -----•---•-----------•--...-•---------------------•-----...................---------------....---.......-----------------------------------------------------•-----------•----•-•---------•--•--••------- Date Permit No....../f1_ /___ _L...................... Issued_..._...__..___.___.. Date No. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0 W Nj ............0 F.........549&STA&L-6................................... Appliration for Disposal Works Tonstrurtion Permit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ....... a6� ..... .......... .............................................................. . ..ni L..I-- q Location-Address or Lot No. ...aflq......................... ..51.....&11 BQ.RP...MA........... Owner Address ------------------ ............ L 5 ........................ ............ (_4 J.�j.Q...WA. .AT ........ . L Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..........lkik t..................Expansion Attic (NO) Garbage Grinder (moo) 44 Other—Type of Building .........WA........... No. of persons............................ Showers Cafeteria Otherfixtures ------------------------------------------------------------------------------------------------- ............Design Flow............................................gallons per person per day. Total daily flow...........................................gallons. Septic Tank—Liquid capacity.191ZQ.gallons Length....B!....... Width...qi.5....... Diameter................ Depth....._.......... Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No...........I....... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (K ) Dosing tank ( ) 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........................ ............................................................................................................................................................. 0 Description of Soil..... 7..................................................................................................................................................... --------------- ----------"................--------------*----------"**--------------------------------------"-------------------------------- ...................................... ....................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable... ....................... ......................................... ---TYW.K.....D-13....!:J.tm. ....Q !!;14-P.i.T.0.1.5Tqfi.E................................. 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 ybn Lined by the board of�ealth. "107 -3 - Signed.. ............................................................................... ............................... Date Application Approved By...........3��__ -- ----- *1A,1..... ...................o......**........ .......... Date Application Disapproved for the following reasons:....................................0...................................................................---- ..................................................................................................................0................................................................................... Permit No........&0-.._J.f_.L.................. IssuedL..........................................Date__ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... c�_ . �.......OF............... ............................... Tatif irate of T-ompliana THI IS TO CERTIFY That the Individual Sewage Disposal System constructed (>e) or Repaired by.... ...............0......................................................................................................................... ns,t f,...... . . . ... ....... ............................ at........ .......Cv_ ...............................................0................ has been installed in accorda e with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...........>11,1_12 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 ....... OF........... ................................... No.. 70...... Fzz DisposalVorks Ton Atrudw, tt Vermit ILA— Permission is hereby granted.......... .......a'n.-U-4------------------------------------------------............................. to Construct (>4 or Repair an Vdividual Sewage Disposal System- atNo...............:......i1.eZ2.... ------------- ...................................................................... Street as shown on the application for Disposal Works Construction Permit No.3a.151... Dated.......................................... ....................... .......................................................................... Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN. INC., BOSTON i i I Lo-T 11 i ! _h(_oT•,PLA�1 ._..tcn Cauit�Qu6S5ETT ,.CoTu�T� MA. -- - dVJNI'-R• ALPHGNSC Atj6 ELi-t#)6ETH -Z1To iI 11 01"6 5r ATTLE13CRo, MA f �lli�DER �03eRT •�.PAD[TT l.(CFaSG 04 P,1359 li PAOr Bu'iLDE25 lac. 1 41 i , �XiSTiti1C.�SUEb . 4 �'LI 4 • . I t i DECK i 1 I I . 2 —;,` - �XiST�NCT: j 0' 1 IOoo SEPTG .................- __-- CoTait MA. : f No.-- . FEE. .... ................. THE COMMONWEALTH OF MASSACHUSETTS ®AR® I-IE�L�' 7 � /� ....oF............... ...... Applir�ation for Dispasat orko Towitrurtion unfit Application is hereby made for a Permit to Construct (/ ) or Repair ) an ndi�'d�al S age Dis osa System at: • � ., _...�-• -••-...... . . •---•-. ...... -- - /V. ................. _ .... / •.. Location Addre --.__.....•..................................Lot No. caner Address ............................................ Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Q, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) PL, 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 ( ) '-� Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Dept of Test Pit--- ......... .- Depth to ground water........................ ----•--------------------------- • ---...-•-•• --•--•-•--------......................................................... 0 Description of Soil------------------------------------- • -- . . -- ---------------------------•---------•-------------------••--•----••............---•-- x w --------------•-•-----•--------•---------•-----••-•-•-------------••--•--------••---------•---••--••----•••--- . --•---. ................ UNature of Repairs or Alterations—Answer when applicab ------ ._.__. __..._ 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 be is• ed by board of heal gned-- ---- . ..... .....�. -•-- -------•------------- ----........................... Date _ Application Approved By....... •. . - -- ----------- j E' -- -•- ate Application Disapproved for the following reasons-----------------------•--------•------------ ---•---------••-------------------••-----••-------••---•----•---•- .....--•--......----•---•-•--------------•--...---•-------------•----.....-----------------......•........---------------------------------•----•----•---•---------------•--------•---•--•--•-------_.... Date PermitNo......fal.0.2.1.............................. Issued........................................................ Date No...v__. _ .f ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OFf HEAI_.T „ � .. Appliration for Disposal Works Tonstrurtion rwrmit Application is hereby made for a Permit to Construct O or Repair )("a'n ndi�vi al So %age Disposal System t: .. �e ............ .... ......�...t.. .................................. :_ ._. Location•�7Addre or Lot No. -: .$ " ° Owner - Address Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pi Other—Type of Building ____________________________ No. of persons............................ 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 ( ) aPercolation Test Results Performed by.......................................................................... Date-----••------- --------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch DeptW of Test Pit___ ............... Depth .to ground water........................ Ix • ---- - .................. Description of Soil---------•-----------------------------�:-• ', � ! . '="---t-----------------------------------• U ------------------------------------------------•-.._...------..•----•--...._...-•-----------•----------•-'•----------------------------•-------------------------------- W -------------•----•--•---•.............................----•----••-•-•-•-•----•-•---•----••--'---• - - f ----•-•-•__--•-- d UNature of Repairs or Alterations—Answer when applicably __ __ ----- � r 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 beers`s�sued by lie board of healtY 1-1 ig ---------------•-••- 1 / lr ,I /DaApplication Approved BY----- '' *'! _ '/' `"' !''� ff .._•---- Application Disapproved for the following reasons:.......................... --------- •-•-•------••---------------••----•'-••----------------_.... --•-••-------•...............•-------•------•--•-•-----•-----•-----------•--••--•--------•--•'-•--•----_.._._..•-••-•--•-•--•-•--------------••-••---•--------••----••---••---•-----•-----•--•--•---_.... Date Permit No........4,2 ........................... Issued.......................•--•----_:. Date .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................I..........OF.........�-..... �'��; ...... 1' ;: dw wrtif irate,, of 'Out liana THI IS TO C �TIFY, hat the Individual 6ewage Disposal System constructed ( ) or Repaired Installer �c at. ` . : .`---•-----------•-----...•-•.....................................•------------------ has been installed'in accoy ante with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..........e_ -2.. ........... dated......... ..7 Z 7...9__________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE COMS77UED AS A GUARANTEE THAT THE SYSTEM I1LL FUNCTION SATISFACTORY. DATE./_ f�� .� ....... ...............:::::....---•-------------------------....._..._. Inspectors..--.!.�,� ! .....�-'=•=��=�t�--�''E'r.:r:..--•........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No. .........�.. rc0. : P FEE.. _ ............... Disposal le- �orks T r trurt4n Vamit r Permission is herebyranted____=_ g - 11�1 .._.._... - .R': .... ............:t..:..:. to Constr ct ( or Repair (A-Y an Individual Sewage isposal System at Street as shown on the application r Disposal Works Construction Pe "it o._._.______*__-_�_, "" .m= - / oard of alth DATE........ is ..:.:.. ; .:::.......................... FORM 1255 HOBBS &.-WARREN, INC.. PUBLISHERS i