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Home My WebLink About0088 HIGH STREET - Health NNW Q�O o3s-vua. TOWN OF BARNSTABLE LOCATIONTr�e,� SEWAGE # 9 ',A 41J` VILLAGE � I lA g"T C� ASSESSOR'S MAP & LOT 03 INSTALLER'S NAME & PHONE NO20-j-( I�Q W�r�C(�S 41 77 r q3 47 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) L , `Pi 3 (size) j®O NO. OF BEDROOMS_1" PRIVATE WELL OR PUBLIC�ER BUILDER OR OWNER Ylne-s C 0. v— DATE PERMIT ISSUED: 4� '93 DATE COMPLIANCE ISSUED: w VARIANCE GRANTED: Yes No ✓ .. .Z 1 �� ® �►,}y�' A4 • LOCATION ' 3 SEWAC,E PERNIITI '.1 .10. - V INSTALLER 5 U& E ADDRESS _5UILDER.5-Q.L MF-- i�-.ADD_RESS-___ DATE_P_ER_N�1T_ISSUED_ - DATE- COKARLI.W ICE.- ISSUED 4 1 f ,N 5 r No.. .... L.. O `f Fps.. J.O...`� ®, THE COMMONWEALTH OF MASSACHUSETTS ®arnstabb Cattion�rtmer�t APPROVED BOARD OF HEALTH io TOWN OF BARNSTABLE Y i-I 2k-5? ,NVV_r irathRfKfor Tli;ipwiai Work,i Tonlitrurtiuu Frrutit Application is hereby made for a Permit to Construct ( ) or Repair 4-1-an Individual Sewage Disposal System at , .. ..... :.._. .... S -. ----------- -....- ' Loritinn-: ddress or Lot No. 1LYL 2 ...........C C_--•--•. ---••---------•••-•--•----••-•-•-••••••---....•------•-------••---•............................... . . o�, 04 ... ------------------------ .......................................Addreess s s- -- ..---------- Installer UType of Building — Size Lot............................Sq. feet ,.. Dwelling— No. of Bedrooms............ ..............................Expansion Attic ( ) Garbage Grinder ( o) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------- -------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. R: Septic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter................ Depth................ 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. 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........................ Description of Soil........... .. w._ -----------------------------•-•••-•--•.•.....:�....•..- — — — — — . —..... --.• •-••• --.............-- --------- ---•-. .. -.. -----...--.••-•-•.•..........._...—••••............. W ---•-•--••-•------••----•----------------•-••--•-•--------------------------------------•-•-•-•-......---•-•• ................................ 0 Nature of epairs or Alterations—Answer when a plicable...... - ✓`�:.. . [ .........C. : ._.. ``�}} 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 Compl' nc has keen issued by the board of health. �t Signed `1 _ -.U` c� .1�-..................... J ...^....dam. ................. Dare Application Approved By .............C .�..u-��-�- �..............:.......... ........... ................. '.a .".g. .... Dare Application Disapproved for the following reasonr: .......... .... ............................................................................... .. ................. . . ......... ....................................................... ... . ............................................................................................... ...S................ Permit No. ......... ..-..-a- .j.. Issued ...........j..."�.a .. �7.................fe...... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARl!..��NSTABLE Certifirate of�G raptil nce THIS IS TO CERTIFY, That t e I, dividual Sewage Disposal System constructed ( ) or Repaired < < . by C..... 1 A-_........ ............... ._,« .`_ .�--`-�- 5 .. . .. ......................................... ................................. --��- .Z.....--------- -- . -C-O. .. -.......\. ------ `---.............--------.......-----------------....._..------ has been installed In accordance with the provisions of TITI.E 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..----7�3.......vZ•... ��.... dated -.......... ........_. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 17 r qq DATE ..............!!�-- ---- - t. .--..........1.�...--- --��. ----- _._.-�... Inspector ......�_.-....� _....:.........._-----------------------_------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE........................ Dispnoal Workli Tunitrurtuan "permit Permissionis hereby granted.............................................................................................................................................. to Construct ( ) or epair �—ran -ndividual Sewage Disposal System Q. Street as shown on the application for Disposal Works Construction Permit No.--73-.-Y--5_Dated-_'.-:.-- .:__r��=�..3....... ...................................�..,._a�:?---- .-•----•---•-•... G i•-� � � Board of Health . .............. --- ....._.. FORM 36508 HOBBS R WARREN.INC..PUBLISHERS i"ti^t;.�.e-.'^��--t"- "i��.�Ye.-'�--:':.u:.fitf,...3:t,7�+a'.......51:�:.-.::'as:-:�.taf7's;,x„�l�'.14�v..a�,'ya,�s'1;;iisf•;,,rr;,:' � .. �r -� '�=i�..^a'..��,..�I.�''�''fr:f..:.+rds.;y�'4tij ._ V0 V No..f 2 2-t� c L. Flms.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J _SAWN OF BARNSTABLE .c�pphration for Diripwial ffludw Tomitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (4<an Individual Sewage Disposal System at- `n ----------------» �............ �!......• ............ -•-••-•••-----•--•-----•----•----••---•---•-•-•......................-•---•-•-•---••--....•---•... Location-: ddress ��+ or Lot No. ...................�._. ._ .S,S..a '_��— ...... ....------.._^_......•...._................. ......._... J Y O en¢r\l \ 1 Address c�� Installer Address < Type of Building q Size Lot............................Sq. feet Dwelling—No. of Bedrooms._-....... ..............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit_.__ ...... Depth to ground water......................_. Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 Description of Soil ------------------------------------------------ •.................................. .---------------- x .... V 1' V ......................... ----.........------•---------------------------------------------------------------••......---•••...-- UW --••---------------------------------------•----•-••------------------------._...•---•-...._..----•--------••--............................................._---•• ••. -•-•••......•......._...--•- Nature of Repairs or Alterations—Answer when applicable.-_____.� __5. �_r��.` _ --W-y�.__.._._.�r S P ao.S_ -••------------- u.S w ............. c�0---..... �- --.lJ`J. t S 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. Signed _.. ... �- ,-.... -. . ............. ..-..��v- --3--- Date Application Approved By ............. .;� J�...'.. .use" c!.... Dare Application Disapproved for the following reasons: . . ........................................................... ..................-- ...... .............................................. . .... . . . .... ... ...-.a.�..�5.�... Permit No. .......... .. ..-... t/... Issued ....... ...- [e Daai ....-c-13 ............... ...... re