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Home My WebLink About0020 SCHOOL STREET - Health 20 SCHOOL STREET, COTUIT A=035-052 LO�C A T,iON � 1 S E AGE PERMIT NO. VIL)LAG- E INSTALL R'S ME & ADDRESS B Ul-LDE R OR 'OWNS DATE PERMIT ISSWED DATE COMPLIANCE ISSUED ,�� - i � 1. TOWN OF BARNSTABLE LOCATION _! r - aV -22. SEWAGE # VILLAGE 7 'cJ ASSESSOR'S MAP & LOT 35- Q INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER_ BUILDER OR OWNER j DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t0 ��'�vE"� �� i �� p TOWN OF BARNSTABLE (c/ LOCATION , .0 5-CooUL, c3T"- SEWAGE # VILLAGE ��! r ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. a/ �� Gati►3�y� 6 SEPTIC TANK CAPACITY lob D LEACHING FACILITY:(type) / (size 6 c—t 0 NO. OF BEDROOMS—PRIVATE WELL O PUBLIC WATE BUILDER OR WNER [ DATE PERMIT ISSUED: - a/—o DATE COMPLIANCE ISSUED• . VARIANCE GRANTED: Yes CNo d ' ��.v �o oy �1� � � ,,� ® „ i�ab a�� , 2S"' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE PApplication is hereby'made for a Per it to Construct or Repair an Individual Sewage Disposal Sys I t rmi:7.. ------------- _L........ ......................... .................................................................................................. _4e ocation-Add or Lot No. ..W........ ------------------- -------------- .... Installer Address ac cl lgj� Z Other Distribution box Dosing tank 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 been is ed bbj the�bo�rd alth. /~�/ -/ --' -'_-''-_-.' 'Jig e Date Date ' ...............-................................................................ ---------------------------------------------------------------------------------------------------------------------- . Date � � Permit Issued....................................*__-__-- ----'''-''-----'---'-------- N-76 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE Application is hereby'made for a Permit to Construct or Repair an Individual Sewage Disposal System or Lot No. er Installer Address < Type of Building Size Lot---.-_-----So feet � DwcUing:w�l�o ofDedr000m.2_.---_---_ --------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------. No. of persons---------------------------- Showers ( ) -- Cafeteria ( ) ~4 ()tbcr Gz,urco ---------------------------------------------------------___.__-________________._____- Deoigo Flow............................................gallons per pet-son per day. Total daily flow--------------------------.................gallons. Septic Ivuk--Liqoidcayocity---..-ga|nox Length---------------- Width---------------- Diameter....----------- Depth - _ - D�pos� Tr��h--No ._-'-_'-- \�@d�'- To�\ zIi.. 6 + 7---- --�- 9t BJu--._-_- .. Depth beow yI�� -,_.--._sq. h. Other Distribution box ( ) Dosing tank ( ) ~~ Percolation Test Results Performed by-------------------------------------------------------------------------- Date----------------------------- Ies Pit No. l--------------mioo+ex per inch Depth of Test P6---.--.-. Depth to -round vatrr --------------- ...... �� Test Pit No. 2L per inch Depth of Test Pit-------------------- Depth toground water------ � -_'--.-_._--'-_---.-----___-.___________________- ! `' Description of Soil-.. .-------_----------------------------------------------------------------------------------------------------------- ........................ ..................................................or Alterations—Answeriwhen applicable .............................................................. Nature of R epairs ��------------------- _~~= ^'�-.------'''--'---_ Agzecoeot: The undersigned agrees to install the afoccJoscribe6 Individual Sewage Disposal System in accordance with the provisions of Article %I of the State Sanitary Code--The undersigned further agrees not to place the oystem, in � operation until a Certificate of Compliance has ~beenissued b the board of -.-_---- -------- �/.��--^..c/ ~� Z u"" Application Approved Dy--.-��~. '1'�-�/^�� -----_-' --/--��...��or-.- n** Application Disapproved for the following reasons:------ ---------------t ----.---------.-.------------.---' ----_-.--_.-__----.__''----_-__--''`------_---_-.--__'___.`----_--_'_'_.--- � Date PermitNo......................................................... Issued........................................................ Date | THE COMMONWEALTH orMAssxo*usErrs BOARD OF HEALTH ---f'"�=��'`---'`^'........ ^�"��....................... THIS-_1(110 CE�TIVBITa the Individual Sewage Disposal System constructed or Repaired I . �A has been installed pr�� of` - —Sanitary . as described in the ayyl�a6oufor Dioyosd �Yorko'Construction Permit l�o''{��_..��' -- Jztc6-'/!;l.�-- ^-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM V�8� FUN��TU��08 SATISFACTORY. r~~�) DA^TII-_---°L. � �--.�-- ^/. ��---'��.- ��- Inspector_--�-' ^. ......................... THE COMMONWEALTH orwAssxcHussrrs � BOARD �� [��^ ,�»^ 2/ --'n�'�zl---�]F_-' �y�� ____^___ �� ..... ^ ` mwustroo | . | THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Aliptiratiutt for Diti-.puiiul lV ark,6 Tontitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (D/Q an Individual Sewage Disposal System at: .... ....... Gu.........--`-5 .....------t------------ •-�- . ......----------------------------•-------------..........---------------------- Loca i n-_1 dress /fv� or Lot 1T ✓Y+Y ��Q��►�-L-� G .�� /� y - .....;-------------------------------------- Owner Address �)-JA 714�r ?Y �4 S ��q /..y r Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No, of Bedrooms........ __________________-----_.--Expansion Attic ( ) Garbage Grinder aOther—Type of Building ---------------------------- No. of persons----------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures W Design Flow............... ----------------gallons per person per day. Total daily flow------------- --__---__--____----gallons. WSeptic Tank—Liquid capacity.(0-W...gallons Length---------------- Width-----.---------- Diameter-----........... Depth................. x Disposal Trench—No. .................... Width-------------------- Total Length-.................... Total leaching area.....................sq. ft. Seepage Pit No.........../...-..... Diameter-------6-------- Depth below inlet......&.......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.................... .............................................. •..... Date.------....--------=--•--•----•--•--- a .a 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................................................................................................................................................................... V W ------------------------------------------------------------------------------------------------------------------------- -_--------------------------------------------- ------------- -•-----•---- UNature of Repairs or Alter tions—Answer when appl'cable....-_�.N-S F '—_--_-�-:._--.1 G�fl._ 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 Comp la has been issued the board of health. ___- Signedti� -�_ �C�. ...._-- ---- -.. .. .. ......._-- ------------'------------ -� Dace ------------- Application.Approved By . ...---. -,c�c.�----- - -... J� �D.-�-`-�5` Application Disapproved for the following reason . .. ..... ... ........... ................................. ........................................ ....... . '......._......... ... ... .. .. .......------------------------------------------------------------------------------------------------------------- ........................................ Dace Permit No. .............IT .....-.-�t -------- -- Issued ._........ l� Y/---_-- ------- ---. sz No.... ?r.Jag-1 ". FEB.... v .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE r Appliratiott for Bi-tipoottl Workii Towitrurtiou ramit Application is hereby made for a Permit to Construct ( ) or Repair (r<) an Individual Sewage Disposal System at: ..S—r7? L i i ....�L.�''J�i.................................................................••.... L^oca�tion/-Address / or Lot No. ......................C.�i Yva.�''L..•J 1 ' ' 7 C"r.iJJ ! f__! .-_— �l�... %., ............. -Tli Y..l....................................... Owner _ Address ............o , =' ------Z.= ,� ?Lvc ��N ''4 �'`!'` y �� /t�✓[1 ! s--•- Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder KJ 04 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther-fixtures ------------------------------------------ w Design Flow.................. .. ....................gallons per person per day. Total daily flow...-.-.---__.__-)a50................gal ns. WSeptic Tank—Liquid capacitvY aW---gallons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No----------./........ Diameter.-.--.--rfj..`..--. Depth below inlet......(r.......... 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 9 ......--••-----------------------------------------•-----•-•-----•-------------•-•-----•---•--••---......................................................... 0 Description of Soil........................................................................................................................................................................ x U •--••-----------••-•---•--••-------•--•-•--•------•----•----...•--------•-•-----•-------------------------•----•-----------••--•-•-----------• ......................................................... W UNature of Repairs or Alterations—Answer when applicable.-----_1.( s �!� -...A.......11O.P --_ -_-- r_s(,Ir-�_t_ 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 l�fl✓mil- I - -Yl�l _./ %-.y5..� Dace ...... `A lication,A loved B .�. -- 5.: PP PP Y - ........._................................... _ bate -Application Disapproved for the following reasonr: ....._.._..................._._....... ------..._....._..------' . ---.............._------------------------------.....------------------------......._.............----------------..................----------------------------------------------------------- ---------------------------------------- " r !/ - — - t Date Permit No. .........:... .... - /----------- Issued. ........................... ate THE COMMONWEALTH OF MASSACHUSETTS ' C { , BOARD OF HEALTH TOWN OF BARNSTABLE V��TT ertifirate of I111ompliance THIS IS TO CERTIFY,_J:Iaat the Individual Sewage Disposal System constructed ( ) or Repaired by ...- _....... - �/��- c�.1:: .�� ---------- GIJ _ 7 C-�--rP ... -.......................................... Inst:dier at - - - — ) - -------------------------i 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. ..----... k_ _=..._/_�T..--... dated ...... t_ .9. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.DATE-----------...._----------- --- �---�'... ... -------_.. -- ------ Inspector -----------------...... ."Ii�-------- ------ ------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q TOWN OF BARNSTABLE No.... FEE...:.......G... ..... � �io�oo�tl orko �uttotr�trtion rrmtt Permission is hereby granted...................... ....... . .,L/C7; 1 Gjv ........ --- --- -----• ........ to Construct ( ) or Repair (` ) an Individual Sewage Disposal System ............... AGat No.......................................==-_.- U L= ------ ..................................................... Street p p� /- as shown on the application for Disposal Works Construction Permit No._�.._-�_,_-. -- Dated.... _-- ..............��.............. Board of Health DATE �� ,�� -��.-•-- ....... FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS ' \ N., TOWWOF;IARNSTABLE LOCATION SEWAGE # �� VILLAGE GuT—v ASSESSOR'S MAP 6r LOTS=0�� INSTALLER'S NAME & PHONE NO. v/�itA 7� GNS ya } SEPTIC TANK CAPACITY L E AC! HI N 7- GF ACILIT (,FACILITY:(type) 7� ( yPe) � (size NO:.OF BEDROOMS ';I, PRIVATE WELL O PUBLIC WAT BUILDER OR WNER DATE PERMIT ISSUED: DATE' COMPLIANCE ISSUED: -• 3. / 7 VARIANCE GRANTED: Yes No Rea'" 400001 U •