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Home My WebLink About0015 WINDMILL LANE - Health :15 Windmill Lane Cotuit _ ! _A 040 =021 i TOWN OF BARNSTABLE LOCA. 'ION �S�//1n/�11 / � SEWAGE #Q04!�-31?Z/ Via. LAGE �U w ! p ,J� ASSESSOR'S MAP & LOT 9- INSTALLER'S NAME&PHONE NO.' •0 V-e 011%J/C 'S��S SEPTIC TANK CAPACITY LEACHING FACII.ITY: (type)/60 aF�i (e-,C!j T%ri� (size) NO.OF BEDROOMS 3 BUILDER OR OWNER C6zcv/T PERMTr DATE: COMPLIANCE DATE: r Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any,wells exist M on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by s /' � � , � a7, c� � �I�� a - �� , 1 � �� - a� . - _ _ �. � � .� .: 3 � 4�.� � C+t -� • t No. 006 s 3 7 rNWE: TH Fee THE COMM OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for 3i.5poal fpp6tem Cow5truction Permit Application for a Permit to Construct( ) Repair 411/'Upgrade( ) Abandon( ) ❑ Complete System Individual Components Location Address or Lot No. J S Zthn% f}vE Owner's Name,Address,and Tel.No. c' /L J 1�A�.1 CAzeFl. i T 5-o.9- Assessor's Map/Parcel 2 ��; •1 ^- �.c7 7—�/0®a Installer's N e,Addre�s,and Tel.�I p Designer's Name,Address and Tel.No. �� d�i9-Yr38- 6 Type of Building: Dwelling No.of Bedrooms _3 Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) e r n .i �— ?�t L - �`S Date last inspected: J Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt . Signed Date C/l 6 6 Application Approved by /. Date Application Disapproved by: Date for the following reasons Permit No. 2026 Date Issued 726 (I6 3 3 Fee THE COMM NWEA TH OF MASSACHUSETTS Entered in computer: j PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes - I - � fic tiott for W5po!gAY *p5tem_ Construction Permit § Application for a Permit'to Construct O Repair( pgrade( ) Abandon'( ❑ Complete System individual Components Location Address or Lot No. S �� rY► ��E Owner's,,N me,Address,and Tel.No. Assessor's Mip/Parcel r0a �Cv11 �^ Installer's Nip,e,Addres ,and Tel.N r Designer's Name,Address and Tel.No. Type of Building: DwelL.ng No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder (X/I Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Dated Number of sheets Revision Date Title Size of Septic Tank 4 Type of S.A.S. - Description of Soil _ —• w� r Nature of Repairs or Alterations(Answer when applicable) e JTx IT nlpvj C/o r _Zi 7�= �5 Date last inspected: i Agreement: �. " The undersigned agrees`I'tdensure the construction and maintenance of the afire described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and,-not to place the system ir�pperation until a Certificate of `,,Compliance has been issued by this Board of Healt = (' (( — Signed"1 v 1 Date �Vl c26 0�DO 6 Application Approved by `�� Date Application Disapproved by: Date for the following reasons' Permit 1`o. oC dU(n C/ Date Issued 7l ——————————————————————————— ——— I THE,COMMONWEALTH OF MASSACHUSETTS 1 Ap��,u Co 1 BARNSTABLE, MASSACHUSETTS :- ert f t to� t ca of Compliance THIS IS TO CERTIFY,that the On-site Sewage'Disposal System Constructed ( ) Repaired (Ai') Upgraded ( ) Abandoned( )by �4 4,ec XA( ens at %5 ZVIDo r»i/� n. has been constructed in accordance -with the provisions of Title 5 and the for Disposal System Construct o Permit No. 3.) L/ dated Installer,/,�Lyn,C r J jr Designer #bedrooms Approved design flow ?o gpd -The issuance of this permit shall of be construed as a guarantee that the system w' 1 fu ctci�s designed. /��Date _.�......— — '_d V Inspector J No. �A r Y Fee / dv / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 3Di!5 po.5ar;*patent Cow5truction Permit Permission is h-,reby granted to Construct ( II) Repair Upgrade ( ) Abandon ( ) System located at / GtJina0)111 G4 C6-17ii% and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Consxuctio must be completed within three years of the date of thi cps,ern�it. Date ' U6 Approved by _/> . i 17-/2 T/ Z Jr -ZONE: �-l5 4,)�"' PERMIT NO: `7Rr 86-,F 00 FLOCATION: N '�WI'�ER OF RECORD: Z&AIA,Q, C A t. ()!0-021 LOT #: q FRONTAGE: DEPTH: 228 TYPE OF SYSTEM: [ ] Septic [ ] Cesspool [ kj'Pit & Tank CAPACITY: '/2 OF BEDROOMS: , TOILETS SHOWERS WASHMACHINE DISHWASHER DISPOSAL DISTANCE OF UNIT FROM SURFACE WATERS WELLS AVERAGE MEAN WATER TABLE PUMPING FREQUENCY DATE LAST PUMPING G DATE LAST PERCOLATION & LEACHING SOIL TEST ®C ! MAXIMUM ALLOWABLE RESIDENTS REMARKS: tflyTl � �a� '7V � ; Q� __ 4' � ��. n .�? ? � •. ;� �ti � 6 ,,� �� o�.: ,r,�vs� I'iL z��'`' WiN,�� M �E. `�-�ANf No........ .��..... Y ...........• �............... THE COMMOMUfjALTH OF M, SSA640SETT.S BOARD, OF HEALTH y_ ..........................................OF...........................-----.......- , pphrit#io for Disposa'[ r' ks Toustrn.rtion f amit Application is here y made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .p....... .............. . ......... --.....:.... ...- --.. ---.....— - j.. ...... ..... ........... ocaf n aAdd ss or Lot No. JJ11 .............»..... »• B.. � Z ��.- /f/G/��......-•-•-----------..............-.......------................_..........------. Owner »Address 6c/c Installer Address U Type of Building Size feet Dwelling A No. of Bedrooms......... .Ex anion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------•-----......-------•-------------•-----•-----------•---------•--•- ......--•-... F W Design Flow.............. .............:,gallons per person per day. Total daily flow_-_... ........................gallons. WSeptic Tank-ZLiquid capacity.f.�::___.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—Nb..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No........1........... Diameter........146...... Depth below i et_... ..... Total leaching area....-.6.4.-,sq. ft. Z Other Distribution box ( ) Dosing ntan ( `�� Percolation Test Resul Performed b (,�_...L-4:z ... _.. .1 �5 /t1�llr:. Date....4t!.1.J.-Vie:..---.... a y--== Test Pit No. L. .......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........................ Ra .............. Description of Soil--------� Z------ �� '. .. *1 z -- f' !y .... ---- V .. . . . ........................... . •-•-•------------•----•----------------------------•-------•---•---•----.............•--•••--...---•--------------. r:-:-- �W ---- ------------ - -- = = l %r 7 e- 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 I11 M 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. igne ................•----------..................-------•••------.---•- ................................ Date Application Approved By........__ L ... .1t1?lJ. [�2--_2 •-7 ".. Vle Date Application Disapproved for the following reasons: ----------------•-•---••......'-•-•--...------------••-•---------------•---------...--- Date PermitNo....................................................... Issued....................................................... Date •, t No.._............._.... Fzcs.... `. ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , r �ir�t#ion for Bispoii al Works Ton rnrtion Frrmit Application is hereby made'for a hermit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ate, t' Sc --•--{�` - --.. •- - ..... .................................................. ocafon k Add ess or Lot No. ........................................... Owner Address Wr Installer Address d Type of Building s rr Size Lot_. *....Sq. feet (� Dwelling No. of Bedrooms ._�:Ex ansion Attic- a { ' * h- > , p ( ' ) ' Garbage Grinder ( ) p, Other Type';Of,Building ......_ .... No. of persons............................ Showers ( ) — Cafeteria ( ) a' 'Other fixtures ._r. .......................... •• ----•.. .....•--•......................----•-•-----.---- - ------- Design Flow __. _ 1 R__ . allons per person per day. Total da>ly flow....._. .._ ....._......gallons. W Se tic Tan' Liquid,capacity > allons ' Length' ............. Width.. Diameter._.___ ......... Depth................ x Disposal Trench No 3 ... Width.................... Total Length.................... Total leaching area.... sq. ft. Seepage Pi: No ...... Diameter f�.__._._ Depth below i et:__ .... Total leachln "ar .. :_ sq. ft. Other Distribution box Dosing tangy' �` ( ) g * •. , a Percolation Test Resul Performed b ._tr�.. ..a......f:........... ...... y 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........................ P+O ........._ •---...... Description of Soil........ z:.... c�'"''? P � 1 U ---•----•••-......• t5----••------ ----------------------------•-•-•-•--•--•.•--• ----.......---•••--...... 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. /')Sign . ---.------ - •--•----•-•--•------------------•----------- ----------...................... �' Date •� Application Approved By...- ! / _::.. ./.. "s Date Application Disapproved for the following reasons::................::....... ............_ .............••__•__.._.__..__._.....___._........._._..F............•................ •.... .............. .•------------ ....-•----------------------------------------•----------------------------------- Date Per it.-NO.........••...•... ....................................... Issued........................................................ - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OX HEALTH r ...........j......�J .........OF............`. ..fbet:-o....:............................................ Trrfifirate of Tomplianrr ,. THIS IS• TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by. .•.•• =..... -- --- -- - ------------------- has ... ..... .....................�V.... .................. at- been installed in accordance with the provisions'of T F r The State Sanitary Code as described in the application for Disposal Works Construction Permit IN ...._....... ............. dated_. ...... ........... THE ISSUANCE OF THIS CER IFICATE,..SH4LL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM�VIIILL FUNCTIO SATIS ACTORY.1~r � I tk - DATE...................... 1-�... �� Inspector... ._. ...............................:.... THE COMMONWEALTH OF MAS ETTS BOARD QF !i T,H .� ... .. � � a '� .................OF...... A......... ---.................._............ .. �. � �- No... FEE........................ - ` Disposal Works T-Lons#r ion perftfit Permissions i .hereby granted.............................................. :..•................... ..•-••-....................... to Const t (�/ ) or epair (, n Indivi ua�l Se;'f�agervil; o System % at No.` 1--�-� '" 1?'.�.`f.... 1'[�/. -----`!( ' : �........t4 - ............................... Street as shown on the application for Disposal Works Construction it N ! '"1____._ Dated_.f % '.".. °.'. ......... Board of Health DATE. ==•- FORM 1255 HoseS & WARREN..INC.. PUBLISHERS _ No.. ....._ _....... Fm .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF _. EALTH Appliration for M-4poii al Workli C onfitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal _ Systtem/�at: / / 6M,1 .............•••-----..-....-----_...- - -.....--•-• --•--••-•--•--....... ----•---••-----•-••-...._......•••------_....�................................................ f / Location-Address r Lot No. ?................................................... ' nez, ddre§s i JIS a .............• --cti = ------------------------- � � Installer Address - U Type of Buildi� Size Lot__, fi----------t -------Sq. feet Dwelling No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder pa Other.—Type of Building t!;...... o of persons____________________________ Showers (Vove: Cafeteria ( ) a' Other fixtures _________________________ e Design Flow_.....____.�$7�__________________gallons per person per day. Total daily flow_-_______-�2-_2_ ..... ......gallons. WSeptic Tank Liquid capacity/,'-a- gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench No_ ____________________ Width.................... Total Length............. .... Total leaching area.............._.....sq. ft. Seepage Pit No....../_........... Diameter------Z__Q...... Depth below inlet...... ..... Total leaching area__Z_/,.,4:_sq. ft. z Other Distribution box ( ) Dosing tan '-' Percolation Test Results Performed b - Y-----`- /k1j-° �--��-�-------�_--e�•�,,P:.!------ Date-----------�---•-•-----.----------- a Test Pit No. 1... 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........................ p� /l/� ® Descri Description of Soil-• ---.11_ .a2- Y'�-�-•---� - �t� �-�----- �'�- x P ,�- d-- V .._..•-•••---•---------•••-•••-•-••••--••-•-•---••----•---------•-•••••-••-•-•••-•••-•--.....•••-•---•---••----•-•••-•--••-•---•••••------•••.._..-•--------............................................ W -----------------------------------------------------------------------------------------------------------------------------=-------------- ........................................................... 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 i T _r p 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. Siged_. . - --•-f ... - -----•---------------------• ................................ q D Application Approved By....... ' ....... ---- - ----•-- •-•• •• ..._... `/ ----------- Date Application Disapproved for the following reasons:-•-•••••-------•-------•----•--...•----•-•-••-••••-----•---•................................................... ---•-----•-------------------•-------•---•__...---••-----------------------------•---•---•----------•-•----------------..----------------------------------------------------------------------...___... Date Permit.No......................................................... Issued....................................................... Date f re 7z No :.....-............. .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF,4HEALTH el*.......OF................ ......................................... Applira#iun for UhipwiFal Works Tow3trurtiun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ......................•-----------------.....-----....------------..........---------•--•---.-_... .......--•-•-----••--•---......--•---.........----•...._....._.....----.....__._............---••- Location-Address or t No -- _ ...... .. Owner • Address f ... .....i. ... •------• ---•-•------•--.--••- a Installer Address d Type of Build' Size Lot.. Af� ,-__7..__..Sq. feet V Dwellin No. of Bedrooms_______________________________ Expansion Attic ( ) Garbage GrinderG ' - �----.-_.. pa., Othejr Type of BuildingMne. 4V a -------- fo of persons---------------------------- Showers .(it Cafeteria ( ) a' Other fixtures .. ,.. ---------•---- W Design Flow'"`__.__.:_!�� Z__....................gallons per person per day. Total daily flow____-__-. -a... .... ........gallons. WSeptic Tank Liquid capacit/ egallons Length................ Width................ Diameter---------------- Depth---------------- x Disposal Trench-No. -------------------- Width-------------------- Total Length......... Total leaching area....................sq. ft. Seepage Pit No...../_........... Diameter-----4-0------- Depth below inlet...... Total leaching area�..I�j...sq. ft. Z Other Distrilution box ( ) Dosing to k ( ) '"' Percolation.Test Result Performed b V'P_`._.__A.-4d.?V4?.4...... Date_ __'__9' ! aTest Pit No. 1__ ......minutes per inch Depth of Test Pit____________________ Depth to ground water------------------------ Gz, Test Pit No. 2................minutes per inch. Depth of Test Pit.........:.......... Depth to ground water------_-_-_-___•--______ �,+�... . J .:.. �- � 6 4 !. i U •--••-••••--••-••--•-••-•-•--•-•------•--•------.....•-••••••-•-•----------------••----•---...-•-•- W ---------------------------------------------------------------------------------------------•----•------------------------------•••--•-•--•--------•-•-------••----•••--•..................•----_..... UNature of Repairs or Alterations—Answer when applicable._____________________________________________________________________•--------------•-----•-__- -------••-•••••------•--------••-----•-•••--•--------••••••••--•----••----•------•------------------•••••-------••---• -------•••------••---•----------................................................ r Agreement: t The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provision of I i: y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation unt_1 a Certificate of Compliance has been issued by the board of health. i Si �f Application Approved BY = 4n--• -• .......... ---------•------- -- .... �' ; -----•------ Date Application Disapproved for the following reasons-----------------------------•------•--•------------------------------------------------------------------------- -------------------•--------------------------------------------------------------...--•-----•-•--••-......•---•----•-- -•--•-•-•--•--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH .,�..... T rtifirFatr of ToutpliFana T IS RTIF ;.That the Individual Sewage Disposal System constructed ( ) or Re aired ( ) Y t n all at.._..... ...................... has been instated in accordance with the provisions of c of The State Sanitary Code as described in the application for Disposal Works Construction Permit N ...... __ . '................. dated___. ---�`__� :___-_--_-_-_--•--. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIOJN SATISFACTORY. DATE............-----•-----•----....=.:?J?��%.................•-•--•--_.----- Inspector......eI-�T__.............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT ti............OF....... . No............... �i��ro 1 � rk� ; �atu�rion r�uti� Permission A reby granted... .... -- ..................... Cons ct )f. r e a' Individuate e e Isposal yst � at No. u ._ .? `..... r...... 17 -•---------------------...... Street / as shown on the application for Disposal Works Construction-.Pe NInn �_. / - - ----- Dated--�-----�---------•-•---._....._ J -• -- —------------------------- �, Board of Healt]a'� DATE----•------- ....�/.G,� .............•-•----........ *��,„, FORM 1255 HOBBS & WARREN, INC., PUBLISHERS CW(o -i I W to Lbor o' 0, A tj JON$ ZA of sAl. -AS vo an. eA,:A t) Top too-6 Ar (-.)15(E F-iET-x t.- qErk-4xll" -C;T-OV-C- I 1 Z.U -7 V- Co 0'54e \,000 -70PTIC TA\ 7-14 Z rg- (OJW z-4 ki LL AM Ke --ALL eZ-EV• 5140K/N ARE McAA1 SEA LEVEL �p. '::�. -?''• . .:.;�;�` --� — - - BASED ON U S c e 6. S DA TUA�I C;'L .4 A /E i w -- - - - - - - - - i. yd. I - P/TGN.4LL L11, ES A MlNIlLfCIM of %8 i DOT �t;x , � a:•� ' / 1 < -AL-L P/Pe5 TD ,AND //V THE 5Y5 rE-Ai( SHALL C—A57- 1'4GK•/ O e SCf•/E O(/L E 40 P• ✓. L . . 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" i 3z f- T -- 7 ;4 —__-- - e -- b rt' t' 4 P�PC� 6'iDFO 2.c, �. `� j�'� �, , '�'� /' i -ScAL� 4 S ti'OTE� O�l TE : OG7- v, 7_ j ----- 3 tib zct A fJ/L DES-ZOT -�-T - S4 q G� �^? _ w..,_I A - ^ 5 S M A,(,' P E. 004 i 1 •f� ,