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Home My WebLink About0512 PUTNAM AVENUE - Health prsa pv�� ojjpD 41 e- 6111116r7 51,2, TOW OF BARNSTABLE ' LOCATIO 4�� .zG SEWAGE # T �. VILLAGE �=- ASSESSOR'S MAP Q LOT INSTALLER'S NAME & PHONE NO.--,IO c SEPTIC TANK CAPACITY /dames Z8 LEACHING FACILITY:(type) /, 4� (size) v?D y o?D NO. OF BEDROOMS-3 PRIVATE WELL OR PUBLIC WATER I BUILDER O OWNERkr-gee- AAwerrd.-A . DATE PERMIT ISSUED: 5�"Z " 0-k .DATE COZiPLIANCE ISSUED: ✓~��f>" y'6`'' VARIANCE GRANTED: Yes No ` � 4 N a .. 1` - .400 , - - _ I't6 a., v No.. -.... .c�..... Flcs.....�,7��..... THE COMMONWEALTH OF MASSACHUSETTS BOARD .. F I-IEA H ............ ...OF..... .................................... Applirat'sn for Dispatial Works auitrur#iun amit # Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Syst .... ..� .--. ........... .......... -- ati n-Addres or Lot - , / / Address /� • /-,y�•/� ---------•................................ . ....._ d.....t 4��(tS.�7� �!!.....:,1`�!�..-... I.. ... Installer Address VType of Building Size Lot..A, ---------Sq. feet �-, Dwelling—No. of Bedrooms..............��..:..............___...Expansion Attic ( ) Garbage Grinder ( ) `k Other—Type of Building __..... o. of persons.................•..________ Showers a YP g -----•---------•----• P ( ) — Cafeter;<a. ( ) Otherfixtures ....................../ --•-----------•-•-------•--•-•--•----------------•---------••-------------------------------.-•---- Design Flow.........� 1. ....................gallons per person p r day. Total daily flow._._._....... a W .. .................gallons. W Se tic Tank—Li uid ca acity allons Len th_. _... Width..X ._.._. Diameter................ De h.. P q g g �--•-•- x Disposal Trench.—No . •----•••... Width---ZQ----•---- Total Length--4---•--...--- Total leaching area---- sq. ft. Seepage Pit No--------------------- Dia eter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing to ( ) `'' Percolation Test Res Its Performed by.__._. .:._....___ lll�.!.l��...� ........... Date C1` a //- -- ------- Test Pit No. I. f.._.minutes per inch Depth o Test it.................... Depth to ground water.._�P�...._.. 0-4 (s, Test Pit No. 2.../... .minutes per inch Depth of Test Pit...... ............. Depth to ground water._ ---..-_-. 0 2 • -- r .......... �j Description of Soil......6."_�.t........,� ...... .........-� - L/�. ._.._3&W....�t . ------._---•-- V -----•---•-------- -- . UW •-------•••----------•------••••••--•----•-••--•-••••--••--•-------------••••••-•-•-----------......---•---•-•-------�7.---=/-•---- --• -� Nature of Repairs or Alterations—Answer when applicable............................................................................................... ... -••------------------------------------••---------------------------------------..._.._.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System,in accordance with the provisions of iI'iLE 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha a issued y th and of health. Signed.. .. / __. _ �p ,1 ------------------ ------------------••---------- •��..,------ Date Application Approved By............. . .� ... -----••-�- � ------• �f Date Application Disapproved for the following reasons-------------•---------•--------•----•--•----•-------•-------...-------------•-------•--••-••-•--•-....---..... -•---•-••--•--•---------•-----------------------•--••-------.........-•----••-•-------------•-------•-•---••---...........•--••-•------------•--...-••-•---•--••----••-•...------••-••--••-•------•--•-• pp •-�--_ Date Permit No.......D. �.9.� ----------•------------- Issued.------•--........------------...........-------•--..... Date THE FOLLOWING � IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A �G� M IL DATA No.......................... FB$.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................O F................................I.... .or Alip iration for Dispogttl Works Tonstrur#ion Pfrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. .............................................................................. . .............. . .........._..-••-••----•-.....................---.............--•........................-...... Owner , � Address �....... =--...r:.... Installer Address UType of Building Size Lot............................Sq. feet �., Dwelling—No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building ....... No. of persons............................ Showers 0.1 yP g .............•---•--- P ( ) — Cafeteria ( ) 04 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... f......... Total leaching area.....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1 a Percolation Test Results Performed by..... :-•--..._.�...L✓�L.!..! .!...::..................... Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit................._.. Depth to ground water.....................-.. Lt, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ GPI' f•� Description of Soil.................................................. -----•---...-•------------••---=-----------------•••-•-------••-_...............:.._.....................-•--•--- W V -------------------•-----------................---•-•-•.....•----•-•-----•--••••-••-•--•--•---.................-•------••.......--------•--•----•••----••-•-•---.._..........••----...-••......_....... W �i , / ---------------------------••----------....-•-------------- .--------------- U Nature of Repairs or Alterations—Answer when applicable.............................................................. ---............_........_._.......... -------------------------------------------------•-----••-•----.......--------..........--------...---.........-----------------------------•-•------......---.....................----••----.......... 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 been issued by the board of health. Signed...................................................................................... .......................... Date ApplicationApproved By................................................................................................- ....................................... Date Application Disapproved for the following reasons:............................................................................................•........-------- ............................................••-.......-•------••-•...---•--•--•--•-----........•---•.........._..------......----........•••••---•.....-•----.........---.............--.......--•---•-- Date PermitNo......................................................... Issued_....................................................._ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (Irrtif uttte of Gautplittnrf THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by..--•-----------•-•-•----------------------------------•------...•-------•--------.------------- ---•-----------.--- .... ................................................ ....... Installer at................... .......... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. •------_. Inspector----•--••..... DATE.-•-------•-•---. ................................�---1•-...�-�----•.................. ..._...-•----................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......................... ...........................................OF..................................................................................... Flamm........................ Disposal Works Tonu#rudion f frutit Permissionis hereby granted----•..........................................--.....-••---•-...•---...---••-..............-•--......................................----- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................ -------... ......... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... -----------------•---.•..._........---•------------....-------•-•--....-•------••--•-•--•••..._........_ DATE. Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON � 1. - wj FEB/ . P No, --- ...---.�.� THE COMMONWEALTH-OP MASS/�ACFIUS(� pS TO /►ApgPa��-1�_a '� BOARD r �E/JLftT " ABLE �DJI`'jo�tlli 1 / COMMISSl�Ja� o C ........!...`... `...!�...............OF..................:...... ApplirFation for MipasFal Works Tonstrnrtion Frrutit Application is hereby made for a Permit to Construct (!' ) or Repair ( ) an Individual Sewage Disposal Sys at: ...... ................. .. ....--- ..—. ................................................ ........L -...- .-... .... ..... .. / Lo t' n-Ad e or Lot No ....... '..._..._.__............... ......-......... .............. ----- .. -. ...... - -... ..._........ W Owner Address a ----------------------••-----------------------•--.............,--------------••-..._.......... ................-•--•---••-....--••-....---•----•--•----..-•�-C•-0�--�•-----..--..--- Installer Address UType of Building 3 Size Lot.........t................S feet �-. Dwelling—No. of Bedrooms.......................•....................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............... No. of ersons_...................._...... Showers a YP g ------------- P ( ) — Cafeteria ( ) Otherfixture..................................�� s-ae+. ----------------- --------------------per Septic Tank L uid capacity��®_�'__gallons Length---k........ Width....._. .--_ Diameter __________ De th...r97..._-- Disposal �Pr i-No..........1........ Width2G"1 ;- /.. Total Length...........:.........Total leaching area---- 0a....sq. ft. Seepage Pit No...... .----- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft:, Z Other Distribution box (PI-_ Dosing to21A4 /Percolation Test Res its S Performed by..._.... .. /-j............................. Date..._� ? ,1..- •�_._...___. Test Pit No. 1. .....minutes per inch Depth of Test Pit.................... Depth to ground water----------_✓`�_........ (s, Test Pit No. 2_.V�0._...minutes per inch Depth of Test Pit.................... Depth to ground water....fl !.S___....___. O Description of Soil.....�7-z.�•.... .......................... ... ....... i� � r^ / Lyle..... - ................................................. x W UNature of Repairs or Alterations—Answer when.applicable................................................................................................ ----------------------------•-------•--...-•-----------•------------•--•••-•••••-•......•-•--•-_...... -••••••-•-•---••---••-••--•--•••-•----•-••••••-•-•----•--•----•--•--••-••-•-•-••-•-...-•-......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLI 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation ntil a C tificate of Compliance has bee s b he board o �� Signed ....-• -- .......... ...... ........ ................................ . pplication Approved BY-•..... 1 ate Date• 5----- A Application Disapproved or the o o in reasons:__ia ..... ... , _- � •_ .••.� �, PP atio PP f f 9 as py/A'7 z-01.. .... Y:A1sr✓=sy.'S�.... .......... aL-.�_.....`�'!r�-' ._y.. .`/X£"^-cr Date Permit No......................................................... Issued................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (9rdifirFatr of &-intph am THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b Installer ....... �"Tf� CCO iat--•..............•� . _ ---- -- N has been installed in accordance with the provisions of TITLF, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... 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 CT TO A?P. r, .............- n ......�... N Ir ................................. n FEE . , gispaoFa1 Works Tnni#rnrtion rrntit Permissionis hereby granted.............................................................................................................................................. to Construct (x) or Repair ( ) an Individual Sewage isposal System at No.--------- 1--.-._ .` ......---- v_1...Nl 1'1.•.••---- Street as shown on the application for Disposal Works Construction Permit o.;T71/J -_ Dated.....:................................... ......................•-• • . '��----��-t.I. --- Board of Health DATE.................................................._...... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS ------ ��- � [ a ....................... ..................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH �.."...Gt..y!...............OF.........-.....��...t..�':..5'./....°�...!<.-L�' Applirtt#ion filar i n �tl ark (� #x r#tun r uti# Application is hereby made for a Permit to Construct (y or Repair ( ) an Individual Sewage Disposal Systemat .. ....... .. ..- -----•..................... ............••••••-.................__--••- ••----•--.......--• . -----_••-----•-• 4c /� o f'7 V � �G � � C a, �yt° f 7 I, t}'on-AMA% fj or Lot No-� 6 �' l I......................»..... ....._....- .....--•--..._..........------------..... Owner \ Address W �. �. Installer Address Type of Building 3 Size Lot_.°�_ !.c ..�..._Sq. feet U Dwelling—No. of Bedrooms................................._..........Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons____________________________ Showers a YP g --------------------------•• P ( ) — Cafeteria ( ) Otherfixtures ................................. ---------------------------------------------------•-•-----_-__-__--•----•-•--___---_____---- W Design Flow......................... ........gallons per-p se�i per day. Total daily flow........................ .......gallons. WSeptic Tank .L' uid capacity`�� _ .gallons Length.__........ Width_...._..... Diameter................ Depth___�7_._... x Disposal No..........!�....... WidthaG'.;G 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___r� r _ ......_... a (( Test Pit No. 1 _c___.___minutes per inch Depth of Test Pit____________________ Depth to ground water----4�........ Test Pit No. 2._ _____minutes per inch Depth of Test Pit____________________ Depth to ground water.... %_•i"____._... Description of Soil �...........................................................� x V --------------------------- •------------ •-••--------------------------- -------------------------- •------------------- ----------------------------------- •---------- ----------------- •--------------- --------------------------------W U Nature of Repairs or Alterations—Ariswer when applicable............................................................................................... --------•-••------••---••------•-----•---------=------•----------•------•-------••--._...--_....._..---••-•-----------------------•-----•----------•-.................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITTIE 5 of the State Sanitary 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 -----'•-------------------------------------------•-------......--.............................................................. Date ApplicationApproved By......................................................._-.-.----•-------------------------------•• --•.._...-•-•-•------------------------- � Date Application Disapproved for the following reasons.% 7'_/,C�{ ___ ". . (,.__.�__ X;w____ � Date Permit No......................................................... Issued-.............. a-!-.Q ....... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................:..............OF................:................................................................... Tertifiratr of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............................................................................................. •--- ---••--------•••--......_•-•-••---------.._._._._...-••--•-....._............---••••-----•-•---- Installer at..................................................................................................................................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................................................................... ... Inspector.................................................................................... r ti THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _d ...................................... ..... _ OF....................................................................................... ...................... _ r.. _ _ FEE---------- ......... Ropmal Workii %Tono#rttr#ion "pa, it Permission is hereby granted.................................................................. Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No Street ' 'as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ..........................-----------------------------------------------...-----.....--•••---•...----- DATE.......... ---------------------•.............................................. Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i a0 FT. MIN. NOTE : I F TNEs .5 EePT/C Ti WAC IS MOR F THAN /Z /NCH&-S Dg40W 4AA0E, A 24 •� /O FT. MIN /NCH .01A/NET�R CoNC.C.�T6 GOV<'R SNi4L L 30.0 4"PVG P/oE dE 8RQ v4NT TO CiRAGF, �AN EXTR/► i'/EAYY CONCRETE MIN• P/TG'H CAST IRON COVER�5/Hi4L4 BE VSE•O IF /N COVERS /S PER FT. D R I VICE WA Y •. - ZX M/N. GRADE � 4"Dou9LE A � PERFi�RATEv '. L/OVID LEVEL <S CLEAN SAND /IQO�t/ PIPE O GAL. ;, ••::'.:;5•;.': ::.•. .:;.� =jjt;:;;;;' :%. M/w PITCH .SEPTIC -TANK D/s7- ..•. . . .• . � PER FT OOX CSFE .. •,�o' /4 P $ C TAaYL4TION, a: LEACHING F/ELD o,• _ ' &cam,Js.9 MAK, Z.g�t SECT/ON OF GROUND N/ATER?ABL£ Pa �l G.�.�,cac ��;�, c •�%z r'e�- SEWAGE DISPOSAL SYW rAEM TAB LIL A71 N �r�c�r :w, cs+�«�.�T►aNs I-REACH/NG F/ELD D/HENS/O/✓ A FT D/ME°'NS/ON 8 Z110 FT. a 3 FT. 6 FT. O.C. D/HENS/ON %Z :"tAv�R 4HDOU04tE SOIL T.E'ST SOIL L.OG r OF %d=310- PERI-'OMATED _ SO/L TEST At/ SO/L TES *2 JN.4SHDSTONE PVC PIPE DATE OF 80/L TEST 9 O ELEN. 2l q �`r,�ey Zo.S" RESU1Ta? WITNESSED BY CLAN. PERCOLATION RATE /#I G Z- MINI/NCH Fitt- pFRCoLAT/ON RATE 0-2 •' =_ 6 DESIGN CRITERIA ` 4"DOh®tB 3�4 / �2 I` 'L NLMBER OF BEDROOMS PEj�FOR11T8�17 J'VASIIFD STGNE WDOD'57ANAFS SET .0 407. 64RVA6E D/ A6aSLStAL UNIT N w,WD tore, 5 AND PVC A/OF - ON GENT R ESTIMATED'FLrOW 332- GAL/DAY LEACHING AREA ��a� SQ. FT. �z�v. is,y �iEV, is.5 SECT/ON X—X RE5CRVW AREA► Yp� 54.��'• ELw, 10,5 SCALE :./.�� I -4' NO GROUND WATER 1.-/VC0UJVT£CE0 _. ,. INVERT ELEI/AT/DNS �GNoU rA WA7'Eie AT EJ- /= OF rye LUi Y7 Pri77✓Rm. R��T/�c ss /N(/ERT AT BIJ/L DI NG 26% FT. 7Iff -cJ P% R%,oEFL a �, INLET SEPT/G TANK ZS2 FT BRU ELCRE E o ORSE y OUTLET SEPTIC TANK FT• w No.1095L O INLET D/STR/Bl1T/ON BOX Y FT. ELOREDG�EN�a/NEER/NG G'O,/NC. r' o P�.C(V1�� <v 7I2 MAIN Sn PMNN/S,'/►�ASS- 90 GISTS �� OUTLET D/STR/8U770N BDX F7 au �FSSJONA��N� END OF LEACHING F/EL l� Z y V FT. r �e su i JOB Na. p�r 3 5HEETZ OF Z Permit Number; Datc: Completed by — HIGH GROUND-WATER LLVEL COMPUTATIONSite Locat ion: h n <ir�:r' .�/:j �__ G, r _r��c'�: /',Z", Lot No. _ Address: Contractor: - Address: Notes: STEP l Measure depth to water table to nearest 1/10 ft . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: . AID A) Appropriate index well . . . . . . . . . . . . B) Water-level range zone STEP 3 Using. monthIy report"Current Water Resources Conditions" ---- determine current depth to Gis water level for index well . . . . . . — mo y r STEP 4 Using Table -of Water_level Adjustments for index.well STEP , current depth to water level for index well ' (STEP 3) , and water-level zone (STEP. 28) determine water-level adjustment . . . . . ... . . . . . . . . . . . . . . . ... . ... . . . . . . .. . . . . .. STEP > Estinate depth to high water by subtracting the water- level adjustment (STEP 4) r from measured depth to water level at site (STEP 1 ) . . . . . . . . . . . ... . ... . . . . . . . . . . . ... . . . . . . . . . . j w. k i i * 17WST-0 3 ire I � 1 `h tti +r t,_G. Pee 6:z+, r � F • t / w .r , 4 ' < t,,,,,is �t� A _ J/ t nz � fir• , +� '� ' + �� - }�i" t /` -t' -..-...t :. ,'� �t , ... t. l e 7 ' ;J < r < , j 4t S"(I f ~}r49 ' ll , r , J i •� 2 r�' ! f � t G /v j -.1. _ i Li�..'" vG., ^;r'*!'*s. .+` i `"a � - T' •"' �r ram' f: ;.�~ r ; y c n Y } J71'`,'.;:� ,'" .,r`°"v,✓:� r�°;.t Ft1 f�.�°'i, f�? /�'t�.: �+"y i�J r�'.ltxT �,�°.":,,� � n� ._M... P /'`_�„! ; ;",_ .. .✓"r._/K f".. �' ) •" >-,a C r Cp'1%"�u'c5.:, f ,�,�3 t� j__ r J�F ._. r�'±•r,`,�,""'.C>}�^�': _ - i _ , ot 7 J r r ; }' W , 'Info 13 HOW •a „ r •r.. y , AA f r�: l / 9 / ':: i .7: ,.�•" ,f., .'�,"� ..�. Si,�a't. ,:� Nh'i '-«k';,,.. �•3' � `,,G� ,h�..t`..: +� 1, tf- ✓„„.�.. a a:. xi : # � j,'S '. , .�:- "y. .. �,�+,sria. ,+�. "7p.. qe Jt`v',.'.,. Cr` .4 (. ,. .. , .. «,.. ,-._, -., __..•3.... �.+ - .., t WAY f" � , } i -. ,>� , .. �� S^p ..�',,.«:" .�,�. - n} •. � j ..:�> 1:... ..... �,.r ... . -�. ';4 > Ar �,:3i'' »..'.Me ,'r 1 .. `t � f 7. � i s i C y VAN:1 0 .. n : , r Y , ,."y