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Home My WebLink About0942 MAIN STREET (OST.) - Health 942 Main Street Y O'sterville R A = 11'7 —04'8 0 t : i. i M t � ry 1 c TOWN OF BARNSTABLE LOCATION Glh �S'�' CTy� SEWAGE # / e VILLAGE (2L5 /'14111C ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY / 000 CL. LEACHING FACILITY:(type) (size) NO. OF BEDROOMS- PRIVATE WELL OR PUBLIC WATER !� BUILDER OR OWNER DATE PERMIT ISSUED: 6 -1 --/—* 7 DATE .COMPLIANCE ISSUED: VARIANCE GRANTED: Yes . No 74A 0 ASSESSORS W NO.—,,117 No..... PARCEL NO: — 6�iP �.-7-:_'-_='�'"Y .J FEB.. ....2p.1.40 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH To.Wn-.....................OF........B.a nst-able. .....-......-------------------------------- ApplirFatinn for Uiiipnsal Works Tomilrnnrtinn rrnnit Application is hereby made for a Permit to Construct ( ) or Repair ()L ) an Individual Sewage Disposal System at: 942... -----•-- ----•--------------------------------------------------------------------------------------------- Location-Address or Lot No. 9.math---T-r=.----... ......•---------- ----------------------------------------------------------------•-----------•----------•-------. Owner Address W JP,Macomb.er ,.a ---••--•-•...............•-••-----•-----•••--•-•••-•-••-••---.......--•-..................--•••--- ................................................................................................ Installer Address Q Type of Building Size Lot............................Sq. feet U Dwellingk No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) pa, Other—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............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......................................... aTest 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.--.................--.. 04 •-•-•--•••••--------------------•--••-•---•-------••-•-•-•-•-•---•-••-•-••-----•----....-•----•..---.............-................. ...............•----..... 0 Description of Soil...........Elaad..A..�xray.. ------------------••--......-------------------•-•-------•--------•-------•------------•--------------•--•-- U ........................................................................................................................................................................................................ W x ---------------------------------------------------------------------------------- ....................--••--•--•-----------•--------•------••••--•-•----•-•----...................................... U Nature of Repairs or Alterations—Answer when applicable.......1'10.00---gallon...tail..lk..................................... ----------------------------•------------------------------------------------------.....--•---------------------------------. ------------------------------...---------------------------------••---•-- . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i% ?. p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by he ward oJ health. Signed. �,'*/'/ -----•••--- ........6/_.24*.•$7 Date Application Approved By...... �,.�.. " -----------•--•--- Date Application Disapproved for the following reasons:................................................................................................................ ..........................-..............................................-...........................•--... ---------------------------------------------------------------------------------------------- Date PermitNo...... •--------••-•--------- Issued..............................•........................ Date r 1 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR � QUALITY ORIGINALS) Im ^ACC DATA THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `! .1. j.._ ............. ...OF.............. App iraiion for Disposal Works Tonotrnrtion jhrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ............. ..... -•-_.,.::......: • ....... -••-•-•---•--•-•-•••••-•....------•--•-••••••--•----•---...--•-•-•--....-•-•••......•----.......-- Location-Address or Lot No. .............................................. -•-••------••-•-•---••-------•-••-•--•-•-•-•-.........•---....---•----•---......•......._......... J Owner Address W . ,,;�:c� n�= r Installer Address UType of Building Size Lot............................Sq. feet Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____._._...•................ No. of persons............................ Showers ( ) — Cafeteria ( ) d 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.................... 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........................................ W Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water_______-_----._.____---. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x s 0 Description of Soil..........�.Ai.( =....... =:_v=:?...•-•---•----......-•---------•-•---••--•••--•-------•-• U ......................................................-.................................................................................................................................................. W x -------------------------------•-------•••-------•----•-•-•----••-•----•-------•••----•••-•----••-----••-•-----•--••••-••-----•-----------•--......................................................... U Nature of Repairs or Alterations—Answer when applicable.-_-___ ------ ...t- -;•:,•-•_•_•---_--_-- ..•---•-•••••••-•••••-•-----------•---•---------•-••-----••-•-•••-----•-••-••-••----.....-••-----...-••-•••--------•-•---••-•-•---••---•--••-----•--••--••-•--------•-................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T- E 55 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 Application Approved By...... Date Application Disapproved for the following reasons:.............................................................................................................. -----------•---------------------•--•---•----------•---------•_-------------------------------•-----...----------•_-•-----------••-----------------.................................................... Date PermitNo.---- ..7__-_._! 1---------------------- Issued------.................................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t Tntifiratr of Tontplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired �) by `'_�..:.... =1'=•r•-----•••---••-•--•.................•---......--••-•-- ••-•-•-•----•-•--••••--- •----.............-----...------....._-•-•••------•----..:..--•--- 1" t Installer r t has been installed in accordance with the provisions of T i T iE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-----E..1--__-'.-/--ok1......... dated--._--------------•__-___----_--_--_______----. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................�...-- - --'--.• Inspector........_, ,c�•�-,� ---•--•----••--•-•• V . ...-----• -�....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � .OF.. a•5:2� 1wt .a DisposalA Works Tontr ion rrntit Permission is hereby granted..._.. . k •.........................'. to Constrt (1 ) oreatr, an Individual Sewage Disposal System `,y^$='• 1:: S:'t] ` i,r V , ,l.. ':= 4I +^o ......•..... - --•----••----••----------------•---•---•---------•----•---••---..........•---....--••-- S reet as shown on the application for Disposal Works Construction Permit No(?Z-Y _/�-•- Dated.......................................... `...6..�D- --- -= -------------------------------------- 4/ U Board of Health DATE............... •_._k.... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS r .'e �LOCAT10N SEWAGE PERMIT 40. Zv— VILLAGE I N S T A LLER�S NAME i ADDRESS r a f -� R U I L D E R OR INN R s DATE PERMIT ISSUED ED �I DATE COMPLIANCE I S S U � � 61 t No ---- FE$.. ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... oF.... ............................. lir�ati�an for 14spas al Works Tungtrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (tan Individual Sewage Disposal System at: 17--W ------------------------------------- ---.....----.....--- ------------- ------.....-------- anon a ress or Lot No. � . - ._. ---••-•--------•-- .... ............••--------•-•------.....------..... ........................................... Address �11.GD.diyl t -----�0--�.Z.4/e, ... Installer Address UType of Building Size Lot___•---_----•-------------Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of p ........_........._......... Showers ( ) —)Cafeteria a persons ( 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.................... 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a 0 ------------- Description of Soil......... �_4.._.___ .___ 11i x - - -•----•---...--•-•------------••--•-•••--•--•••-----•----•-•--•--••...... a U ........................................................................................ M ............................................................................................................. .....F+i -_ ---- Y..l U Nature of Repairs or Iterations—Answer when applicable.. _ _ _ �.1��1�,�. _. ._..._DP�,_ _ � ...................... ...........=/4�--�-o................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by t§t boayj of health. Application Approve ... ;•--- •••-----------------------•--•••...........--------•--------••---- ...... D- / Application Disapproved e l wing reasons-------------------------------•---------------------- Date ... --------•------------------------------••--•--•••--•-------------------------- Date PermitNo.......................................................... Issued....................................................... Date Not A THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH d --------------OF...:..'+ .. Appliration for Dispalial Warks Toostrurtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair (ice)an Individual Sewage Disposal System at: ..... ....i tF" Jr :.t�...........:.t��4' f --_------------.---..-----.----_----------•-----.-------___--_--------------.-----------.--- { ! Location;Address or Lot No. l :.......................1..:. ........................................ .......... __ __ _m= Owner Address �� ! f J k.l -•---••-•--------•---•----•-•....----•-... Installer Address Type of Building Size Lot-----------------•-_ ._ .__ ...Sq. feet Dwelling-No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other=T e of Building .__.__.. No. of persons............................ Showers a YP g ( ) — Cafeteria ( ) 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..................._ Total,leaching area---------------------sq. ft. Seepage Pit No....................: Diameter.................... Depth below inlet.................... Total leaching area,.................sq: ft: Other Distribution box ( ) Dosing tank ( ) W Percolation Test Results Performed by--•--•-----•--•-------------------------------------- --•-----•---••......• Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water............._....-..... f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 --- d a •• ..............•••.Description of Soil....... _ ` t c.� •-••••••-•--------••-•-•-----••••-••--•---••--•-•-•...----••......-•----•----•......-••-•----•••••---•-•....•-••--••-••-....-•---•--------- W U Nature of Repairs or Alterations—Answer when applicable . ' 'J. ° "�`.w . •- J . ,A v A� ...................... •-•••••---.-••••••--•••••-•-•.._.._....--••...•-•...............••-•................................... 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. Application Approve B _-- ...... ......... D Z. _--_....- Date Application Disapproved r, a of owing reasons-------------------------------------•------------------•-------------------...---------••-......-••---........-- ...................................... ........... ..•-•...----•...._...-----•--•--•--•-•-•---•---•---•--•••...•-•------•-••••-•--••--•-----••----•--------•----••-••---•••--•-----•••••-•--- Date PermitNo.................................................. - Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` .......... ..'.`:. .......:.OF..:..�.,, ¢ ,d'ry r+•.rj!�: P.1^P�f'¢' ff `- ......... k. err i irtt#r` of JTWV ompli�aurr L {TUIS IyS T.0 CERTIFY,/That the Individual S gage Disposal System constructed or Repaired t� •••LY� r 1/J!" � 7 ............................................................ w` P/C' Instauer r �c at _ .JCa ?smear°af ) r r x r rr J ! vr� f'� �e "o Giai, application for Disposal osal Works Construction Permit No.. «r ? ____-____ y has been installed,in accordance with the provisions of T F he State Sanitaro �s ed in the PP P •.... dated .-._ •. ..................... THE ISSU NC 'OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI F CTION SATISFACTORY. DATE... ........ .. .... . ..............................= - -•----... Inspector.--•-• ----•- --•--•-••--•-•••-------•••-•-..:............................•-••--•- THE COMMONWEALTH OF MASSACHUSETTS BOARD O,F HEALTH _ /.1" / t ! /..............OF .... � °'p ,' !:............ ro No.. ... io�rxro l k. To roti, Permission is hereby granted - ' ._. ... ( -•.......... ...................................... to. Constr t or- a a Iv dual Se age Di sal,, ystem Street as shown on the ap ' do for Disposal Works Construction Permit No.. Dated.......................................... '00, �L -•••....--• . -• ---••--•----. ad ------ Board of health ---------------- DATE..... ----------------------•--------.:..---•-----.....---- FORM 1255 A. M. SULKIN, INC., BOSTON Lp .C:AT ION i EW A G E P RMIT NO. -. la VULLAGE ash • � i�- o.� � INSTA LLER' N ME & ADDRESS R UILDE R OR OWNER i P DATE PERMIT ISSUED. l DATE COMPLIANCE ISSUED o � _ . _ . . . � � ,�l`'� o� n�� . , ,� . . _ sf ��>_, � . , �� ' �� r �' .; �- �,.�� G +C� v �