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Home My WebLink About0310 BISHOPS TERRACE - Health -_ �v��- - - — — - -- - - - - � � V . . . b /r � `� �f TOWN OF BARNSTABLE LOCATION SEWAGE # �� VIL, AGE 4"u ASSESSOR'S MAP & LOT INSTALLER'S NAME 6z PHONE NO.19 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) uma1 size) C9m s NO. OF BEDROOMS PRIVATE WELL,OR CPBLI) WATER ` BUILDER OR OWNERmz DATE PERMIT ISSUED: -2 5 2Z DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ti i �is 4S 4 9 , Y 1 No...,l. :.��, Fss... ..... ....._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Applirtatiaan for Uhipogal Warks Tnnstrtirtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .. • . `Q_.... ................................ -'---•'--'---------'----•..........-"----- ---•--------------------.._...........--- ...._... t. n dress o. Lot No. Qwp a ....... ...... . ........ - J et--- ... ..�'�. .1................. ..1L_� /--1:. !! .�._res.l "_.'A1G./_S a.......---- Installer Size Lot................: Address a d T e of Building ............................Sq. feet V 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. P 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 ( ) a Percolation 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........................ 1:4 ---•-•--------------------••----•---•.._.....•--'•---•-----------•-•-•....._......----------•-•.............................................................. ODescription of Soil...............................................=..............................-........... ----------•---------------...----•-'-------...•------•----•----------------- x UW ------------------------------------;...........................................................--•------•---- ----- Nature of Repairs or Alterations—Answer when applicable.______- , , /DOD �r -•-----------•------------------•--'•-----------------------------------------------...-•--•-----------------------------------------------------------•-----------------------......._......._•-''----- 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 be n issue by the bo rd of he th. Signed -- -- . ..... ------- -- ------ .. Date ApplicationApproved By ...... . . . .. - ...... .............................. .............................. ------� - e 'S / Dat Application Disapproved for the following reasons- ---------------------------------------------------------------------- .................................................. .........................................................................................................................................-------...--------------------------------------------....------ . p� Date PermitNo. ✓� '�.-f- --------------------------------- Issued ---------------...-----......... -------............---- -------.----- ............ Date ...--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ; ti Appliratinn for Disposal Works Tongtrurtinn 1krutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ...• = �` -- <='= = ............................... ..•---......--•--•---------..._._..__....-----._......--••----------------..................---•-• C/...ation- dress ...or Lot No. ........_.. �........ ... ..................................... .......--------........................_...... Owner /' ddress� a : � ....`.��... ... ..7...4! E!!��.._..(./df+7j.-. ............. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms............................................Ex anion Attic� g— p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther 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........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-----------------....... (.I Test Pit No. 2................minutes per inch Depth of Test._.___.........____. Depth to ground water........................ a ...............•--........-------•-----------------••-•-----....------..........------•-----. 0 Description of Soil-------------------------------------------•-•-•----•--..........-•----------.----------------------------------------•---------------------•-•-•......--------------- x x ------------•--------•-----------•--------------------------------•---••--------------•--------•-•-•---------- U Nature of Repairs or Alterations—Answer when applicable....._*r !. ...100®-- _ ,,•, _ y�G --------••-•------------------------------------------------------------•••.....--------•---........_.........-------•-•••----------......--------...--------------•-----•-----------•----•------•------ 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 h-asb/e�n issued by the bld of health.Signed -- �"Y/��at . / aJ - / Date .................. Application Approved BY o -....=�------------------------------ .....................-------- .. '�........,..` , Application Disapproved for the following reasons- -------------------------------------------------------------------------------------------------------------------- ---------------- --------------- ---------------I............................................................................................................................................................................. ---------------------------------...... PermitNo. -------- ..' ..�.� ------------------------------- Issued .................................................................... Date i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#ifira e rr£ Guyliance THIS I I TO CERTIFY,-That the Individual Sewage Disposal System constructed ( ) or Repaired O ; I AY __ 1 r t j W t...=' Installer �In's/t II at .........,.!. �.. .` E' r . .. sz �---------------------------------------•--•-•----------------------------------------------------- -1;,;• 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. ........ ......11. ........... 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 TOWN OF-BARNSTABLE No....1;-�-..,�� FEE.._3�..:.-::.. Disposal Works Tonotr inn "Vrrmit Permission is hereby granted......... 9..-•--....._. C`�-az�t�e. .�. ... ..........................................•--...........------....... to Construct ( ) or Repair ( ) an Indi idual Sewage Di posal S stem / r atNo / • �l .1. � ---°.. .. _;�.,.&�....................................... Street as shown on the application for Disposal Works Construction Permit No...�=�� .. Dated........................................... ......................... r ....................•-•-----................-----••---•_ � q� Board of Health DATE............ rt.. / .............. FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS ' _3 LOCATION SEWAGE P MIT N0. 310 VILLAGE 1s INSTA ll 'S NAg S IE & ADD.RES_ BUILDER OR nOWNER r ✓ i o DATE PERMIT 1 SUED DATE COMPLIANCE ISSUED �;•• �/� � ON Cry � O C a THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..........................................O F............................._.......... Allp irFafion for -Uhipas al Works Tontrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / .-- ..... -....................................... Location-dress ` / or L�No. .... a,�:r_.r .F ............. ........ Owner / / Addrr a ®.......................... h_S�._._......vel......... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.....02...................................Expansion Attic ( ) Garbage Grinder ( ) `k Other—T e of Building ................. Pk —Type g ._.._._._.. No. of persons......,,,�................ Showers (f) — Cafeteria ( ) d Other fixtures ----------------------------•--•. -----------_- ------------------------------------------------- •---------------------------------- ---- --------- W Design Flow............. ®".0.................gallons per person per day„ Total da}ly flow............................................gallons. WSeptic Tank—Liquid capacity/d..�: ..gallons Length------c�._` Width-_- Diameter________________ Depth...J".r. .. x Disposal Trench=-Nq. .................... Width.................... Total LengtlKX _.. Total leaching area�..a�.�_....._.sq. ft. Seepage Pit No.___41..7..... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by........................................................................... Date--------------- ....................... 14 Test Pit No. I................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.........C e%tisF f lyk�l' j /,I ./T -------------•-----------------------------•---•--•-----------------------------------••-•--•---------•... V --------------------------- --------- --------------------------- ------------- •--------------------------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 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 issuedJ)y the boaul of health. M Signed.......!�..�� . . ----------G/ ' � --- Date Application Approved By.......... � ........................................ Date Application Disapproved forte following reasons-----------------------------------.........................................................--a•............... ---•--•--•-••-••--•............•-•••--•---••-•-•....•....-----•-••••.....••---••-----...-••.••-------------------------------------------------------------------------------------------------------- Date Permit No......................................................... Issued-_✓F-,---!_ ---Date c No......-/ Fims...........I.......�..::. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ...............OF....................................... Appliration for Diopooul Works Tonotrnrtion rami# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal SystenLat: ..............el• ............................ ....................................... Location- ress ` / or No. e-1`...... r.C ! e - ,lZ. � , ,. __.. 1.:......- -•4FA.....I-...r-........ .....cs., Owner 1 Addr s aa u lea./�-v ` __._ Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms._._.d.....................................Z Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of persons Showers — a YP g ---------------------------- P ------------------ (/) Cafeteria ( ) 04 Other fixtures ------------------------------- . W Design Flow.............(2.u._-_IQ.................gallons per person pqL-day. ,Total daily flow............................................gallons. 9 Septic Tank—Liquid capacityl��..gallons Length---------- Width.......... ..... Diameter---------------- llepth................ xDisposal Trench—No..................... Width.................... Total Length�_Xe:_:___ Total leaching area........... ........sq. ft. Seepage Pit No /__A . .... 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ a .........................................................., r:.7 -.......................................................................................... O Description of Soil...........:.`�_'''` S i'`_` ..G ' x W -••-•------•-----.....••••------------------------•------------........-•••••-•••-•----....-----••-----••--•••--------•---••----•••----•-•-----•-•••----•---•------•--•--------•--•--•-------•------•--. VNature 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'ITIE 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.--...- .. . c .................. - �----=�- -�"d` .. _ .�..�%� � o' �. /< Date ApplicationApproved By---.--••i...:----------------------------------------------------------------------------7....--------------•-._----- Date Application Disapproved for the following reasons--------------------------------------------------------------------------------•-------------------------••-•... Date PermitNo................•-•J--•---..._..-•--••.............•-•- Issued•....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Trrfifirafte of Tomplitan.rr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( x) or Repaired by------------- � A'e r a -•-•-•--•--•------•------•---.......--•-•---•-------------------------------•-•-----...........-----•-•--.......----------------.........•----•--•--•••. Installer at_................................................................................................................................ ------............`............................................ jhas 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�jUNC 1 N SAT SF�4CTORY. Qr/&"In CT'DATE ... .... ...-------•--•-----...--•---• Inspector.... -------------------------------- ------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 71 , "/ iJrf,/,[ - ..........................................O F.. ............--.._...................................... No........................ FEE........................ lgiapaual Vorks Tonotr ion "permit Permission is hereby granted.............7 /_r:......_..._`.?/---: r`_ - ------•--- to Construct ( X) or Repair ( ) an Individual Sewage Disposal System Street as shown on the application for Disposal Works Construction Permit No.....__.... 5Z... Dated......-............... .................. ........................•----•------------------....-----------------------•--------•----••••------ DATE `I-a 7 ••-••••• Board of health ..................................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 4 - Tyi��'�' �o �vo-E.' Q.M. /S TEST I lot E- 1 1 �'.��OS OR o v� 7'0,� o,= _ :moo r 14 37 / LOT „ 1 S r G � I I� n 1,� �• +, ,: •, 9 4 L.FAC {;f N R E S U L T S ,►�rq f9 1 3/ 11 - PER To wN /2Eeo,eDs A/ �I 42 E �i9v� /c/&tie/PR y MU ; dfBG/f,L2�"G SETC3FjCK REaulREIL-7,E S , DR ) VE �,�/� , I -f`/OT TCO ,BE. LC7CF�'T'ED PROPOSED Z� EDROoMS 0 !/E12syS7',EM UA14ESS DESIGN FLo %/ 4 0.9 D I Al G P,eOF'OSED L EAC�-/. r9,eEA Z o o ' SEPT/0 -�61 ;?�.:� 77-"E M •C on/sT,e(j'c r/ o /V 5h/.9 C O N,F O ie ^~-,T. j . /�/g S S. E/\/ V l O AJ M E/`/7-H �.. PER C CD AT/D/`/ T�'S T CODE 9.77 61V.D T' OJVA/ of /eEs UL TS z M//u� /.v C'�/ -IeEGUL.AT/ 0/V9. S/LL ELEV. TO I3E — FT. '/980V9 RZD. �;'.i.•. , 2 °fo M/N, =//l//SHED FO u N1)FAT/ply( Gae D e c3 o v E L E�cH N O S G' A L. E A,e E,9 /OdQp'��gvy��p1 /Mf-'E,eVIOUS COVE MANHoLE� eovEi2/Q To ExTE1,/Z To 7 . l' OF F/ TO T-'�EYENT F/NES -�--•*" �---� 'W/TH/N NISHED G�'a9DE FROM /NF/LT,2f�T MiN/MG/M /0'M/N/MUM------� Z4 COVE,2$ ,� D/ST. r STONE 2 „ OF "TO 2.. -' ` • � TONE B0)C 2/"I►//DE fi°LL AROUND Q`�OAST f�OM — —— ' 3 '4a s �� D/.y. WATER ° c ^ 2 M ay. " o16,T 4 pi Tc/ /7 FTO !O"H/A/. % / l. " / �i„D//9/4 ' roor O M/N 14 '/FooT . O;N/ 'e h/f�SHED 10001000 _X /n/VEeT Jre* LE190H eSTOA/E GALLON /n/I/ Er /9L4- /NIVERT CFaPi9C /Ty r r PIT ��Q OUAjD • a .. 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