HomeMy WebLinkAbout0854 MAIN STREET (COTUIT) - Health 035- v-7(o
TOWN OF BARNSTABLE
LOCATION rsq- yYY k S i SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT 03F)=�7�
INSTALLER'S NAME PHONE NO.
SEPTIC TANK CAPACITY cl)�
LEACHING FACILITY:(type) (size) It ��y
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNERS �-
DATE PERMIT ISSUED: Ua��a
DATE COMPLIANCE ISSUED: 2 �� -
VARIANCE GRANTED: Yes No
n
M
�� � � � � C �
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliratiou for Uiipooal Vork,5 Toogtrurtiou Vamit
Application is hereby made for a Permit to Construct ( ) or Repair k- ) an Individual Sewage Disposal
System at:
� i
Location-Address or Lot No.
\� _ �:!�17.�. ti--------------------------------------------- ..........--......................................................................................
Owner Address
w , �.ti?.� 5.�QJ ...._....•---•-----..._•--_-_.... i_ _z�.....s7..R__ �!_hs.Shp:eA..................................
Installer Address
d Type of Building Size Lot............................Sq. feet
U a Dwelling—No. of Bedrooms............... ---------- -----_.__.Expansion Attic Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
04 Other fixtures ----------------------------------------------------------------------------------------------------------•----------.......-----------.......__------
w Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity--jS 'gallons. Length Width.S_'!f.``.... Diameter................ Depth_...Y,
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........................
LL' ---------- --------------•------ --------------------•-••-•--------••---------•••---------------•----------------•----------•••---
0 Description of Soil......O- A-------------- SQ.1 1 ......... ` .......... l?eJr,. c -
x
w
.........................................
U Nature of Repairs or Alterations—Answer when applicable---____-_-_Z ------- ks�S?�!�}_...CQ�S Qua.L................
- -- ------- ---
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 Complia1n;e has b issued by the board of health.
Signed ....--- (� ----
Dale
Application Approved By ..............
Date
Application Disapproved for the following reasons: .. .. .............................................. .. ............................................ ........................
-------------------------- ---------- - - ----------- ------- ------------------------............................................. ---------------.............................................. --------------------- ----------
D[e a
PermitNo. ------C a ........................... Issued .-- ---------------------........----- -------------- --------
Date
#, ♦ 'M a t
No--- --
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Disposal Works Tonstrnr#inn rumit
Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal
System at:
.... `f-_...._..m :`:^... S.. _-----........"�.�--------------- -----------------------------------•------- .........................____.._--_......
Location-Address or Lot No.
Owner Address
/V . D't_x?.ci-....7n ...__1M s:SP -'?---------------------------------
Installer Address
g ............................Sq. feet
� Type of Building Size Lot____________________
U Dwelling—No. of Bedrooms---------------3_._.__....__._._..._.....Expansion Attic ( ) Garbage Grinder ( )
aa Other—T e of Building No. of persons............................ Showers
YP g --------•------•------------ P ( ) — Cafeteria ( )
Other fixtures ------------------------
1 daily flow............................................gallons.
WSeptic Tank—Liquid capacity._.�� gallons Length._(A?.`_ ::_ Width.. :K`'_.. Diameter................
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 viater........................
44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water_:-`_-_:_......,-.::___: -
a' - _ �... ----------------
O Description of Soil...... ................. k. Sn...L._-=------a-------=----------- t7 c�s.,.%cw �f, '
x t ------
U. •--------•------------------------------------------------------------------------------------------------------------------------------
W
UNature of Repairs or Alterations—Answer when applicable............ te --------- _n� ...............
..---c��o.2="-P :............�---..-..=.i 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 Compliance has be= issued by the board of health.
Signed -----
p
Date
Application Approved BY -------------- C r� 1�
------------------------------------------------------------------------
Date
Application Disapproved for the following reasons- -----------------------------=-------------------------------------------- ...................------ --------------------
............ ---------------------------------.....................................................------------------------------------------------------------------------------------------------ - ------------------------------------=---
Date
Permit No. -------/..�...... .�. 7..---_---------------- Issued ......................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Ter#ifi a e of Q-11-lanipIianre
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired (k- )
by - ......1(' � . '
-----------
- Installer
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. .........� ...�. 5..S._.. 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=
c� Q No.... TOWN OF BARNSTABLE
/..�..::..�:.�U FEE.��...^....
Disposal Works Tonslrudion frrmff
Permission is hereby granted.......... ��!- -----------------------------------------------------------------------------------__
to Construct ( ) or Repair ( ) an Individual S�-A age Disposal System
atNo...............................................................................................................................................................................................
Street
as shown on the application for Disposal Works Construction Permit No. ..::�?_ Dated..........................................
.................................. ' '----------•--------------------------------------•--
DATE.................. ! ..............................
Board of Health
FORM 3s5oa HOBBS R WARREN.INC..PUBLISHERS
°r I L L .A G i �ASSESSORS MAP NO:
PARCEL NO.:
4--
I H 5 LLCR' NAME & ADDRESS
2 U I L D E R 0R OWNER
DATE PERMIT ISSUE D
D A T E C 0 M P L I A N C E ISSUED ; ' _ IS �
n
�Z
FAtJ ,
i
ASSESSORS MAP NO:
PARCEL NO.:
`7 -
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® HEALTH
.................OF........... .......:..... ..aS�S --9Y. .......................
Appliration for Uigpnsa1 10orkii Tanotrurtiurt 11amit
Application is hereby made for a Permit to Co t~uct ( ) or Repair an Individual Sewage Disposal
System 4L,.......
�
.�'�._..� s. �
.... .......... _
Addre s orLot No.------------- - t
O er Address
..... ...:...... ...YA!� _
mc, 5,
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
►�
'4 Other—Type of Building No. of persons............................ Showers — Cafeteria
p' Other fixtures ............................... ..
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4 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 ( )
'-� Percolation Test Results Performed by......................................................................... Date........................................
aTest Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water--------_-___-_-___-_..
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Description of Soil..........
..� .`-S-------
U ----•------------------------------ ••. ............................... . .....-----------•.............................................----------------•-•---...---•-•---------••--
Wnn--_--- -- --------------------•--------- ---------- ----------
x Nature of Re rs o Alterations—Answer when a licable..-9�!'� ..__ �a. Q° \� 0 �a�
U P PP .. - P.
-- ------?z-,t
---- --
Agreement: too 0
�•
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iT FILL:- ; of the State Sani Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance h s n�ist ed by the boa d of h lth.
Signe . --"�..----- --•-•------- `�
Date/
Application Approved BY----------------•--••--••-• =«°�.. � /
. Date
Application Disapproved for the following reasons:................................................................................................................
.........-•---------------••-----------------------------------•-•---........----•---------•---........-----------------••------•--•----------------------------------------------------------------•---
Date
PermitNo................................................ Issued_.......................................................
Date
N _12:.:5-1 Q, Fps............`...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ,Of HEALTH
_7T�-----............OF.. ------------------------------------------------------
Appliration for Disposal Works Toustxnr#inn Prrmit
Application is hereby made for a Permit to Co�gs1ruct ( ) or Repair s ) an Individual Sewage Disposal
L system t: 60 �'NS
... ... ......... .�. .1.�:�------I- ... .......:�? ,;...r1 1r�l ....�l .��__......-_..•. . --.... ......_.
`' (...........
t at:on-Addr ss �.p -•or
Lot•N--_--�•_.
` ..• -------------•....... ..........R_- _1. YY 1 ! \
i Owner Address
:_.. ! Y
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures -----------------------------------•... -
W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons.
f4 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 ( ) ._
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. I................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........................
O Description of Soil..........
H�.: .
x
W •---•----•-•-------------------------•--------------•-••--•--....--••--••-•-------•-••••--••••--••••---••• --------------------- -----
U Nature of Repairs r Alterations—An wer when applicable. 5:< ..._ 's _ ?'____-_----- �1_ D
Agreement: 1 0 Q 0 `)A t(v c.c.s. .
The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with
the provisions of i:'I t ;of the State Sang y Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance s,b en I•s ued by the Ord of l��alth. � ;A `
Signed.- -----•. --•---.....=......................•--- . f
�/' Date,
Application Approved B ......__�: - �✓ �� - -- - . . _
Date
Application Disapproved for the following reasons:-•-•-------------------•----•-•-----•----•--------------•---------------------....--•---•--.....--•---•-----....
----------•------------•--••----------------•-----------•----•-•-•---•----....--------..............----•.--•••-----------------------•-•---••-------••-•---------------...-----------•--•---••........................
Date
Permit No.....
.......................................... Issued-----•-•----..........................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
'a - I
Trrtifiratr of Tomplianrr
T Q1 IS TO CERTIFY, That the dividual Sewage Disposal S-stem constructed ( ) or Repaired
r../ v
Installer ti
has been installed in accordance with the provisions of IT c: j of The State Sanitary,Code s described in the
application for Disposal Works Construction Permit No�` ram- .._ ....... l ` '"
I
...._.. dated --i��¢--''=--`=�'-----------•
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................. ......................................... Inspector.............. .---------...----.i-_ -----................ ..
THE COMMONWEALTH OF MASSACHUSETTS Ai
BOAR F HEALTH
1
� .........................OF......
"... "'..C...........................
FEE........................
uisp . at nrk Tnns#r iou Prkmit
Permission is hereby granted_ :�°^ __---.-.-: .y dc__ti= - _`a....,.
to Constwt N__L r Re ai• an Indivi ual Sewa Dis sal Syst
at No 1.# -\w..1.ti�>,5 ltm. .........
�)--------------------------------------------------------------
Street
as shown on the application for Disposal Works Construction Permit No.................. Dated.__� ���_�C'.............
r — Board of Health
DAZE.- '= 4 i�
FORM 1255 HO�BBS & WARREN. INC.. PUBLISHERS `��-"-��T
LOCATION SEVJAGE PERVIT . ISO.
VILLAGE
(/In L)
INST- A LLER'S NA-ME A ADDRESS
6UILDE111 OR O,�wNEIZ
DA T E PERMIT I.SSY E D _
D-ATE C 0 M P L I A N C E ISS-UE0 P ��
i
1
� I
l
4 0
�s
J`�
82- 316
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town ...oF..Barnstable
.............................................................
App iratiun for Uiipuual Works Tumunrtiun Vami#
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
N1A-------------•--•--------•--•---------- ..................................................................................................
Location-Address or Lot No.
..Nei?.?:... ab k.....................:............................•--••-•----•-. ........................................
Owner Address
W A & B Cesspool Service,............ .28.. ho�1 ..T_�xe�..ii� nn .s.►...P�1....-•------
a .......
Installer Address
Type of Building Size Lot............................Sq. feet
' Dwelling—No. of Bedrooms..............3............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons...1...................... 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 ( )
~' Percolation Test Results Performed by.......................................................................... Date........................................
1.4
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-----------------.......
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
•--•-------------------------- ---------------------------.----------------------------•------------------------•......
.••-•-•••-•---------------
Descriptionof Soil.........................................Sand----...-•---.....---.....------------------------------------------------------------------------------•-----•-------
x
W ...............................................................=--------------------------------------...----------••-•-----------------------------•-------•------------------•----------------........
UNature of Repairs or Alterations—Answer when applicable:installation---of a.-11000 gallon1 precast-,
stone packed leach pit (overflow
--------------------------------------------------•-----•-•----...-•------------•--•-----------------._.._......--•-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITI: . 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has en sued-by the�boar f health. D
Signed 6l� �-`: r " �------- 6-15-82---------------
Application Approved By--- .... t ....._..6-15- 9............
Date
Application Disapproved for the following reasons:-----•-------•--•-------•-•---•-----•---------••---•----••--------------•------••--•--•----------------•--•----
....................•-•...............................•-----.................---••---•--------------.........-----...........--•------•-•---•-•-------•-------•-------•------......-- .I....----------
Date
Permit No...82-...._-•--- -_.._.. Issued-...................... 2---------------------••-_....
Date
r
Nd02--..` .:.... _F�s.:.:+ ....r5..40.......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....................TM..----....OFTA=a'1;,A'rl1 .............................................................
Appliration for Uhipvsttl Works Tomitratiun remit
Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal
System at:
-9-5444 -•��.i...�of 4 .; -------------------------------•------.- ........................................................................................................-----•-•---•-••---.................--•-•-------•--------------...................---.....---
Location-Address or Lot No.
-- 811 4urbue fe.............................:.... MA�SI-.,�'t r �Q U�+r -----------------------------------------
Owner 7 Address
A._&..3_.Caszpza1..Service............................................ 128.. isb-aps..Te=sae.,---H,Yannis,.-- %........................
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling No. of Bedrooms............. .Expansion Attic Garbage Grinder
p, Other—Type of Building ............................ No.-of persons...I...................... 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.
Seep e Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area............-.....sq. ft.
Z OtherDistribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date................................
_.------
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--___..._.___-.-..------
Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
...............................................................•....................................
O x Description of Soil.........................................Sand.................................. •••------•--------••-•--...----•-----------•--•--•-•---------....-•••-•-•-----•---
-
U ...-------•-•••••••-•--••-•------------------•-•---••...---------------------------•----......--•--•------•-------•----•--•••....••-•---•---•-•-----••--......-•----............---•-----.-••---:_......
W ----------••------••••--...••----•-•-•---••••-••-•-----------•-•-•----•----......--•---•-•--................-••---••-----••------•••--••••--------••---=•-.----•••....-•--••.............••---•-•-•----
UNature of Repairs or Alterations—Answer when applicable-in8talla,ti on Of__$__1,000___gallon�__pzeea$t,
.9n ._paDI aC1...10ACh.sit.t per£190.9.....---•--------------------------------------------------------------------------------_------------••---------•---.
~ Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITs:,-. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has en ssued-by the board;of health.
Sign(dlc`Q'y?`: �`��,��x) '- 6-15-82
�+ .................
Application Approved By------. = ! 6-1 j- Le--••-•--------
Date
Application Disapproved for the following reasons:.................................................................................................................
--••--------------------------•--•--•-------•------------.....................----------.........-•-----'-----------------------------------•---•-----------------------••----•......--•-•---•-.........
Date
5-92
PermitNo g.......................•--------------•---......... Issued---------•---1------------------...........-•-------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................... own............OF......Barnstable....................................................
C�rrtifiratr of Toutplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X)
by.................A.&... ... 60-------------------------•-------
Installer
at- s'_=_54.Main..St_..+-.C to +.. 1A--••-.-....!!Urbu.0k.....---------------------------------------------------------------------------------------------
has been installed in accordance with the provisions of TITLE 5 f The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.._�2-��1 ................... dated.-_. -----6-15._92_..._....._.......... �
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
4 / i 1 , /
DATE.... a ;... Inspector ......................./�---•-------•----------••---•--...--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
'�' owx1......OF............. >...r .......................... $ 5
No....�2.3........... ,. FEE........ 00..
Disposal Works Tnns#ratiait Vamit
Permission is hereby granted........A__&__B_Cessool-•Service___________________
to Construct ( ) or Repair (X) an Individual Sewage Disposal System
atNo.--. ----......Turbuck----------------------------------•.......................................................
Street
as shown on the application for Disposal Works Construction Permit No.__82.-.......... Dated
-----------------------
------------------of Health
DATE-----------------;------------------ -,� �1,.:...----.......
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS