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Home My WebLink About0030 GENERAL PATTON DRIVE - Health _(afro % , ftAAO%CS r �qa � 1 y �I • d • l 17 TOWN OF BARNSTABLE LOCATION `30 SEWAGE # I �l VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. mW SEPTIC TANK CAPACITY /OUD 57 LEACHING FACILITY:(type) IQUV LP (size) 6 X f NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ,� � ,Oone/so,01 DATE PERMIT ISSUED: . DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No y �' �` ' • � �, C'� i"'. � �� i )a � � B 1 ._ � �� tl `�..;_ 6 O � �\ .� � "��0„ .. � � � � � J �i - - - - J No... Fss. .. ..... — THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apptiration for Diripuiin1 lUorkg Tontitrurtinrt VvItinit Application is hereby made for a Permit to Construct ( ) or Repair ( wj-'a'n Individual Sewage Disposal System at: �j O G'es+.,e.�t� !"ti!/o�, ,Ur!✓e /77�s�,d��s � /� Lora/�i'"JGt•N Addr ' p� f N r 6/4 ) y�if ...----••-•---bl?. tr �yi ............................ - O icr Ad ress ,C7 �� /SU d�a� � S ,�.s�s u Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..-..��--------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther.—Type•of Building ............................ No. of persons_-_----..--..--.---------- Showers ( ) — Cafeteria ( ) Q' Other fixtures .......................... .. . . --- -----------------------------------------------------------•••••••--•-•••••-•••---•••--••-••-•-••__•__..--•••- W Design Flow............................................gallons per person per day. Total daily flow..........---...._._....._--__.....__....-_-gallons. 1:4 Septic Tank—Liquid capacity/ob.a..galIons 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 ( ) Dosing tank ( ) ..a Percolation Test Results Performed by.......................................................................... Date........................................ aTest'Pit No. l................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........................ Description of Soil '�- ....��f f•---------•--•••-----•••------------------•••-•-••• -•-• --- ------ -•••---•-------••............ -•- y� v ...........-_...---•--••---•-------------••-•....-•---•••-•-•---•-•--•-•-••-•-•--••_--__..._...•---------•-•----....-._..-..---•--- -------..------ •-•-•-•••••-•-•-•-•---- •--.._._......._._..-••• UNature of Repairs or Alterations—Answer when applicable..._ Lq..S ..........._. ..ep-c j.:91/--...JAO, ._...a�•t Gc� :._..•-•......................................................................•------•----•------•------------•------------------------------•-------------------------------_-----•-----•-•-•-_____---- 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 a be n.issuuee�d by the boayd of health. Signed ................. . ApplicationApproved By ..................................................................................................................................................... ........................................ Dare Application Disapproved for the following reasons: ........................................................................................................................................ ................................................................................................................................................................................................................ .............. .................... " Dare Permit No. ��.-.:02 �?............................... Issued .................................................................... - Dare J Fps.....-. ........ THE COMMONWEALTH OF 'MASSACHUSETTS BOARD OF HEALTH c TOWN OF BARNSTABLE Appliratiun 'tnr Di!ipwiIIl Works Tamitrudinn Verntit Application is hereby made for a Permit to Construct ( ) or Repair ( wKan Individual Sewage Disposal System at: �� UP...ardi/ /G/�o'.+ �f'/✓P y-.7 i Loca 11/yS / Q IoF-Lot N y �ti.5 ly.. Oi7G Q�/J /��/ice �f' 1� Address- .......... Gs,h .... f _.. ...... ..... .....--••--•--••---••-•••-••- Otcncr a ••..........••--•••••••••••......fir-_fl h' 11r SI �//�rs llf -•-•- ............................ .... •-•-•••-••--•---••......"-"---...•... 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 ( ) Other fixtures ----------------•-------------••.........-- ------- ..----- •--------------------------- -------------•-•••-. ---•••• •----.............. .. W Design Flow............................................gallons per person per day. Total daily flow..._........:___......_._°__...__.........._gallons. WSeptic Tank—Liquid capacity/,0vv--..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........................................ .aa Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water....,................... Ls. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground-water......................... a - - D Description of Soil $``� ..... •-G� x --••• •-----------------------------------•-------------....----...._.....................•................ V UW ... --•---•--•--•...............•••--•••••-••---............-••-•••••-••••--•••-•-•----•••..................-- ••• ........Z........f........= .... ...,.... ....... Nature of Repairs or Alterations—Answer when applicable..., Zr.S......_ ...__._ _..u. ............... ...!f?...Svh ..4� ..••••-•••••-••_.......•--•-•-•-••-••••••---•••--•-•••••••....-•••-•-••-•-......•...............•••-•••-••----•--•-•-•-----------••--•• Agreement. j 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 a /ben issued by the boajd of health. Signed ............... f/f `� � /3..................................................I ............................... ...... Dare ApplicationApproved By ...................................................................................................................................................... ........................................ Date Application Disapproved for the following reasons: ........................................................................................................................................ ................................................................................................................................................................................................................ .................D....................... PermitNo. .....?, 3' ..... �� ............................... Issued .............. .......:............................... ate...... Date ------------ .o..y_..._,._...»,.,.. _ .e._.._.A,_ goo®m®®®.__�_�._._�__.��..... _..t--. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE `Lertifi ate of (11IIritplian e THIS IS TO CERTIFY, Th4.t the In 'vidual Setwage Disposal System constructed ( ) or Repaired( L/� by .........................................................�70....' ........ d...... .......... !.....................................................................................................................................: %� - 1 i t:uet at ... U....:Gp.h... v..G.. .../.. .'a..-.......f �.1.v.. ...........1.1.G!.v�A'....'.... ................................................................................................... has been installed in accordance with the provisions TITLE 5 of The State Environmental 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........... .:. .. ..`. 3........................................................ Inspector ........... ... � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ...._..._...� FEE.-_ Bisvnsttl nrkn (gun radian "Prrntit U-•� nn Permission is hereby granted. �1.!�....'� t7.----A''174%,. Construct ( ) or Repair (!�-y an Individual Sewage Disposal System at No.•••-•-•-•-•••...3.f-•--.••-- 0 :J' ro�S..._.. (L�dxO �........!�. 2s�...._...�E !'2,uttt?�1......................................................... Street � as shown on the application for Disposal Works Construction Permit No.l��.-, 2� Dated.......................................... ..............••••--•-•- —=------------------------------------------ Board of Health DATE............ -------!•-g••--OL3-•-•---------------------•-- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS No....... FizE.......... ................ .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD H TH q .. .......... 'Ir .4).X........OF. .......... .................. . . . ... .. . .............................. App,firation -for Diiipoiial Works.Tomitrurtion Vrruift Application is hereby made for a Permit Cos uct (k<40rair an Individual Sewage Disposal 0 ' o s System at: , it `._.....—.................- 1% p / tv.i.......... W. ........... .. .... ....... ........... .....S------- ocation- ress or Lot Na... Own ...................... ... ....../l/------------------------------------------Address . ....................................... --- - --- -------------- ..-le ........................................................................................ .. ...... .... stal Address Type of Buildi Size Lot............................Sq. feet U Dwelling No. of Bedrooms--------------------------------- .Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons..._._........_.___..._..... Showers Cafeteria Otherfixtur��..... ---------------------------------------------------------------- ............................................................ Design Flow..f------------------- AK Ions per person per day. Total daily flow...._____._...........:.................. S. W Septic "kink4allons Length................�Wdth....... ........ Diameter__.-- ;......... Depth................ f Liquid capacit Disposal Trench—No. .......... ... ... Widtl�........... �etal '1 -----............ Total leaching area.---- --------------sq. f t. Seepage Pit No..................... D"iam' eter/X0��------- --_- �A�oi r1l/et.................. Total leaching area------------------scl. Other Distribution box ( ) Dosing tank ( ) 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� th of Test Pit... ............... Depth to ground water........._........_..... P4 -------------------------------- - ....................... .................................................................................... - -3 j 0 Description of Soil----------------------------------- -------------- - ........................................................................................ U ............................................................................................................................. ....................%1.1------------------------ ........................................................................................................................ . ...... . . .......................... --------------- -- .. U Nature of Re Alter<O?s—Anse w n appli . e C . ----- a ---- ... . . .... ...... ............................................. Agreement: 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 n is 'ed by the b and. o heo)h. Signed ..... ..... .... ... Date ---- 0?--- --------------- e Application Approved By-- .... .. .... - ------- - Application Disapproved for the following reasons:..................................................................................... ........D.................. ......................................................................................................................................................................................................... Date PermitNo.................................:....................... Issued........................................................ Date ---——--------------------------------------------------------------------------- - No....... ................. F$s........ ..•...•.... THE COMMONWEALTH OF MASSACHUSETTS BOARD F H LTH Crw �'-.........OF...... -.- .......•........................ , pphration -for Uiopoial Workii Tonfitrurtiort Permit Application is hereby made for a Permit-to Construct (�or air ( ) an Individual Sewage Disposal System at: t - �j r ........•. -- U. - --•--•. -•--- -----•.-- Ohl t-- ------- ------ -----------------------------------------•-------•-•- ocation• ress or Lot No. Own Address ____.___ . ............ _ .__._..a ^--- -........•-----•----------•---•----••----•__...._.._..__.....__...___---•--___---•--•-------- nstal r Address Q Type of Buildi Size Lot...-"......................Sq. feet U Dwelling—No. of Bedrooms_______________________________ _ .Expansion Attic ( ) Garbage Grinder ( ) 04 Other=Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtur ----- W Design Flow.. ................... .................. llons per person per day- Total daily flow_...._.__..__..._...__.._..._.........-_.___gallons. WSeptic Tank I Liquid capacit allons Length________________ � idtli................ Diameter---------------- Depth-_--_-____-_--.. x Disposal Trench—No. ____________________ Widt i............. th ....______________ Total leaching area------------------sq. it. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by.......................................................................... Date_-------------------____-----_______. Test Pit No. 1'................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ (4 Test Pit No. 2................minutes per inch th of Test Pit__ ______._________ Depth to ground water........................ PdE --- ---- -- ----------••--••-••----......................................................... D Description of Soil---------------------------------------- C x W ----------------------------------------------------------------------=------------------------------ ------------------ - V Nature of P.epa' s r Alter o s—Ans e wen appli e.---_:I-._�.. . x._... _-__ _____-.1-_ -••------••------------ ---- �_-•- ----------------------- Agreement: 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 n i ued by the and he h. Signed _ . •---- ......._,_ ........ --•-• •.....................•---------__. Application Approved BY- . .......... D e Application Disapproved for the following reasons:.......................................................................•_____________._.-_-_.._.__._..._________ Date r+t PermitNo......................................................... Issued.......................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH wyy.y F.. r4o_4-11 .......OF...... . -!............ rtif irate of Tomp War T IS S' TO CERT That ndividual Sewage Disposal System constructed ( )'or Repaired ( ) by-- • - - - -- -------- - ----- ----` --- -�--------•-- - - -- --•------------------------•-------•---------------------------------------•-------•-•---------•--- rstaller at'_•--r----- - --- - 1 has been installed in accor ance with the provisions of Article r of The State Sanitary Co le a desc bed in the. application for Disposal Works Construction Permit No.......... " ~�.... dated....1.Ate F _ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A GUA AN EE THAT THE SYSTEM ILL UNCTION A ISFACTORY. DATE...... " / ••---•.;L-T-••••----•••------ Inspector ---------------- - to '1 THE COMMONWEALTH -OF MASSACHUSETTS BOARD O HEALTH ' No.__- 2 FEE . .7.. .. . OF.......... .... a o 5 T ten i remit Permission reb ra Yg ' f to Construct �j r Repair ( ual Se a e D�sposal Syste �,..•�- atNo.-. .4. x------ Ll ! --- ----- .................................... Street as shown on the application for Disposal Works Construction Pe I o..... _:.....-_as d_____ '2 i --------- --r___ - ------•-------- ----- - _ --- ---- --- DATE.....= ------- ---(---/-- -----�--•----=----------------- Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i -