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Home My WebLink About0224 PUTNAM AVENUE - Health Lc�j-)Om pfq c TOWN OF BARNSTABLE LOCATION , LJ A-() SEWAGE VILLAGE , ASSESSOR'S MAP & LOT INSTALLER'S NAME 6a PHONE NO. SEPTIC TANK CAPACITY toe) I I LEACHING FACILITY:(type) /- (size) NO. OF BEDROOMS. PRIVATE WELL OR PUBLIC WATER BUILDER OR'OWNER `r-yami�r, _ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: °F VARIANCE GRANTED: Yes. No II /00 n ��y A,r A 6047 Fns.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Biti-putitt1 Worbi Tunitrnrtiun Famit Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System at: --- •- ---_.. .-•--------•-----•-------•. -I---------- - --- --------------------•--------...---------- ocat oil-Add ess - .---or Lot No. wke� Address a ------ -----------------------------------------------------=-------------------------------------------- Installer Address Q Type of Building Size Lot............................ feet U Dwelling—No. of Bedrooms-__ Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building __________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a d Other fixtures ---------------------------------------------------------------------------------------------------------•----------------------•-------....--------• W Design Flow............................................gallons per person per day. Total daily flow....._......................................gallons. WSeptic Tank—Liquid capacityA�_t9gallons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below iplet___................. Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank WA, Percolation Test Results Performed by--------------------------------------------------------•..... -•- -•---- Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R: 0 Description of Soil-----C.o,EI�•`IX..------- 4/� -------•...............•---•------------------------------ -----------------------------------•-•------ x W ---•-------------------------------------------------............................................................. ................ Nature of Repairs or Alterations—Answer when applicable___(,lP ______.____ ?/A..p=/•3 x ------------------------------------------------------------------------------------------------------------------------------------------------------/---- .---------- 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 Complia has been issued by dhe board of health. c Signed ..... .. .... ------ ,/� � .................... ........// y - Application Approved BY --------------------------------- '' .... -" . ''.'............. Date 6a i��!Z�� .... .....---'-Dace Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- .. ........ ......' ' ' .............'' .......' ......... ............................. '....-' ..........' ' .............. ' ' .. ........................................ Permit No. i-- �9 �J -- `y ----- Issued ...... Dre .-. , ....- Dace l No.Z............ � Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE , pphratiun for Bi-nVuuttt Workii Tunutrnrtiun rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. wh' y e Address q Installer Address UType of Building Size Lot............................Sq. feet ,., Dwelling— No. of Bedrooms___.:zi�-----------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 0.1 Other fixtures -------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 0� Septic Tank—Liquid capacity/0-PPgallons Length-------_------- Width---------------- Diameter................ Depth................ W Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area.........._.........sq. ft. x Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ((/Y Dosing tank 0T1 0/1 S W Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................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....-__---_-___--_--_--. a -------------------------------•-------7------------------ •-------------------------- •••----------- ---------------------------------------- ........ ...... ... D Description of Soil....... c�Aiz ter°_........` V •-----------------------------------------•----•-----------------------------------------------------------------------------------------------------------------------..............--•-•--••-•-------. ------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------------•-•---•- U Nature of Repairs or Alterations—Answer when applicable.--- ............1 6dn., .,.,rA..! `.... x ........... Agreement: The undersigned agrees to install the f redescribed 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 Complia/�e has been issued by,/the board of health. f Signed .._1,...//:.�% �r � �y/ r �:-- .z----------------------- ------- Application /� Dare Aroved B y `'' ............. ....'. .... ----- PP Y - ............................. Dare Application Disapproved for the following reasons: .............. ............ --- --- .................-- - - - . ......... ............................... . ....... . ..... . .................. --. ............................... ------------------------------------- /nat. Permit No. - ". -�. ............ Issued -------��''...�� _ �Y Dare -------------------------------------- ------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate of Tomplianre HIS IS TO CERTIFY, Th t the Individual Sewage Disposal System cystructted ( ) or Repaired ( by---- s'rv.... t cR 4 v �` 6 D✓� c c�:.-I r!'.>..... /�..�l�.I.....-- r! w 1��.................................... ................................................. - Installer at ......aA.y........f Ul/ �'�` -A-` J ------- --------------------------...----......------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE-. f The State En -r nmental Code as described in the application for Disposal Works Construction Permit No. �' __._....._..--_... dated ---9 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS-1 U D AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .''--1--- ---------- --- Inspector ---------- .-.t.A�?-----------------..._-------------------------------------- r-------------—/---- --- ----------------- -------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L TOWN OF BARNSTABLE .. Diupuuat Workii Tonu#rudiun tirrmit Permission is hereby granted 7 �f i.� �`-----��- G .'!% :�� to Construct ( /--,), oo Repair (� )an Individual =ewage Disposal�S-yst 1C__ at No.----- ' ?" f � ..... --`"-- �1--�.. Street � as shown on the application for Disposal Works Construction Permit'NNR_. _.__vZ_� Iaatted ---'?._-----"...._._... --------?�r--------- - --_-_v /) Board of Health j DATE _.... �....�`=�... �� ---•--------------•---- / FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION 22 9 y—c)q N,Am AVE SEWAGE # 8(a--l/6 4 VILLAGE Cm't7��?� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. eeAg2 LAELTE q 1 l 1 Io 155 SEPTIC TANK CAPACITY /60a 64 LEACHING FACILITY:(type) L�t4G6f ►��t- (size) NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC/WATER BUILDER OR OWNER DATE PERMIT ISSUED: T�(o DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No �G J 'u PUIVAM AVE o ,. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ••..... .. ........................OF............................---.......------------.............._......................... Z� r iration for Bi_qpnstt1 Works Tnnitrnrtinn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: . ' z �� ii . rU! _.....--/...! --•....................... ..•---.---------------- --------------=---...._..--- ------------------------....-----•-------- ddress •-•or Lot No. -.....--•-•-••---•.............•-•••-•-•--- - -----••--•---•-- ---•--.. -•^•--------._..--•••--•----• -•- n }�+er A r s Installer Address U Type of Building Size Lot_;j_ ._._Sq. feet _Dwelling—No. of Bedrooms......... Expansion Attic ( ) `Garbage Grinder ( ) v Other—T e of Building No. of persons Showers — Cafeteria a YP g P � ) ( ) a' Other fixtures d . ------ --••-------------•. W Design Flow_______________•....._......:...._._.....___gallons per person per day. Total daily flow,............................................gallons. Ri Septic Tank—Liquid capacity.�U..gallons Length__-96...... Width__e_•___.__:- 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 =.vy -•--•---- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..'' (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____. .. R' ........... ODescription of Soil---- •••-- ---•-•-------------------------- .... ---- -- c/ .. ctS 4''�rG G......--° � / �-------- ------fv .------- �! �7".. -r_` roc WA- ......................................................... -'= UNature of Repairs or i -atio s—Answer when applicable-------------------------------._.._._..__-____._.______... __._.____.__.__._ .... ----------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiTLi: p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be ed by the d o th. n Signed . •----- --•--- •---........... - --•- ----•-•--•---•---- Application Approved BY........... . ......................................................... D-------------/o--` 1'"T(. Date Application Disapproved for the following reasons-----------------------••......-•..................................................-----•--•--•-•--•-••--•••- r' Date Permit No.----•- .. d�a..l.�.�. _.. Issued..........................................'............ - Date i * i FEs....C.v................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i ................................. OF......................................................................................... Applira#ion for Biipoaal i9orkii Tonstrnrtion Vanfit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal ` System at --- Loca'on-Address - or Lot No. --.�_ ca. ._ ......................................................... -••--•---•-----••----• •-•-_..... --•-••-•.......................•-----......----••- Q a .....L.[`_ cfCG eS......... r�/ ss ............. •--- Installer Address Q Type of Building Size Lot• .11(MCI.....Sq. feet ` U Dwelling—No. of Bedrooms... ................................Expansion Attic ( ) Garbage Grinder ( ) ......... Showers — Cafeteria fit, Other—Type of Building ............................ No. of persons---......_...._. ( ) ( ) 0.1 Other fixtures -------------------------------- - --- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity/20.60...gallons Length.S'.6a...... Width.Z......_..... 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Grq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...............:........ M ---------------------------------------------------------------------•--•-•............-•-•••................................................................ 0 Description of Soil------------------------------------------ .�..c .. x << cc � .... c.r: 7 Sri .......--J----- � � <fr�i:: icy.._Sf G7 = W ------------ � L: r �%r-s---=�- s ?� �� -------------------------------------------------------------------- VNature of Repairs or Alterati Answer when applicable_______________________________________________________________________________________________ ---------------------•---•--...-------------•-------•------------------------...............----........-----------------------------•--....----•-------------------------------------------•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TiT p of the State Sanitary Code— The dersigned further agrees not to place the system in operation until a Certificate of Compliance has be • ued b th d e lth. / Signe . . ----- --•.... ..... ------------------- l -? c� s.. .... Application Approved BY --- ---------_-`- / � 1 �(.. ..................................... ------•---- jL ------- Date Application Disapproved for the following reasons--------------------------------------------------------•----------------..................................... -•--------------------------••--------------•---------------..............--------•--------------•---•------•-•--------•-----------------------------------------•------------------------------------- Date PermitNo......................................................... Issued•....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................OF..................... 0 Nz� Vrrfifiratr of Tomphanre THIS TO CERTIFY, Tha�the pciivi u . Sewage Disposal System constructed ( ) or Repaired) by............... .....• . ---------------------------------•------------...--------------.......---.......---------------------------- Z Installer has been installed in accordance with the provisions of "�'TjT i E � of The State Sanitary Code as.described in the application for Disposal Works Construction Permit No.i1Lz-_"-��_�,_ CJ" �_— . ^................. dated-------- -- - -------- ---------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT VNE SYSTEM WjkL FWCTION SATIAFACTORY. � J DATE....--- ------------- F1 .................... Inspector---------1 .............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH { / C`- ...........................................OF........... �1....................... �T .I.. FEE._ �........ Dispos 1Works (ton rVX antic Permission is hereby grante ....... j 'Ll-:_ ............_ '� __.... to 1Construct ( ) or Repair ( �)1_a�n Individual ew/a—ge Disposal Systems at 1\TO........... .�+i' '-.__-.__..1�.v1. f._:JIJ+f:l.::7.-..._._.. b!' ...�. ........................................................... ' ------- C 1 Street / as shown on the application for Disposal Works Construction Permit No.................... ated....................:U.:-- ... -- :-.. � . -- ---------------------------------------- Board of Health DATE (-�---------�`. -- ..(............................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS �sr f 0 to t 741� LiNl! q 1000 G TA on Chi � 7-'19 • ro ♦ ti R Material and Labor Sheet Date GERRY LABUTE, INC. Time Name of Job Time Location Quantity STOCK — DESCRIPTION AMOUNT