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Home My WebLink About0523 PARKER ROAD - Health .5023 �.zr�- � �, � _ � TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE �_LOZ.Vl J 1 P ASSESSOR'S MAP & LOT //,/•� �� INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY J 5bO -&vkt . 1006 6&L IUro G LEACHING FACILITY:(type) hN (size) NO. OF BEDROOMS�PRIVATE WELL O PUBLI` ATER OR OWNER lei 0 c 6�,g � r�� y DATE PERMIT ISSUED: - :It�- DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Cv CA, , � o ASSESSORS MAP N0: PARCEL N0: 3 f F�$....��.Q............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for Binpwml Worltu Ti n.itrnrtiun 11amit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: 6 ZS ��e.4a,2. CAD Dr�_=?ZV i Lest- ------------------------------------------------------------------------------------------------- -------••-•------•----••-----------•--•--•-...------------------.......--------------•------------ Location-l\ddress Lot -�-�` / L ov\sue t L� S Z3 FAe-V- -e Zj CS\,W e 1 u-,� ......................-................................................................----•---- ---••-•--------------•--•-•------•--•----------------........•-----......................-----•--- r Address , . = f ' Installer Address Type of Building Size Lot............................Sq. feet , Dwelling— No. of Bedrooms--------------A--------------------------Expansion Attic ( ) Garbage Grinder (Ye aOther—Type of Building __________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ---------------------------------- W Design Flow......`J 57.ASP_A__i..........gallons per person per day. Total daily flow-.-----__-�?P----------------------gallons. WSeptic Tank—Liquid capa6tvj&4cN>.gallons LengthjD,,,0-_.____ Width_t5t5:S'_ ..... Diameter.-' Depth_..__'( . x Disposal Trench—No. ------t............. Width.....tO---------- Total Length----ZO_......... Total leaching area.._44(?......sq. ft. Seepage Pit No--------------------- Diameter_-_-_._-__...___-_._ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (Yea, Dosin nk 5 '-' Percolation Test Results Performed by...... (.......... Date...Af`Z;./..9_5........ a Test Pit No. I---LZ-...-minutes per inch Depth of Test Pit__-__�........... Depth to ground water....Z A.4........_. (14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ....................................................................................................••-----•--------•--•---••••--•-•••----------...---.--.... 0 Description of Soil------�?� LO�?``M `� Sv r3S®t c.-----Z-`---4--------�AtUo---------------------------------------------•-.... x W ---•------------------- ------------------------------------------------- .......................................................................................................................... UNature of Repairs or Alterations—Answer when applicable.---.-._dio..- ................................................... ti V --------------------------•-•---•---•----••-----•-----•--------•---------------------•--••••-•-••-••------•••-•------------------•----•-----••--....•--------------------------••--•--.................. Agreement: ` The.undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Enviro mental Code The undersigned further agrees not to place the system in operation until a Certificate of Compli ce has. een is y the board of health. Signed ' ..:. - - _...._....:.............. ....................------------:...... Date Application.Approved By ......... --.. ....D �7...--��e ..-..e/ --------- --- -------------------------------- ----------------------- Application Disapproved for the following reasonr: . ............ ................. ...... ............................. ------------------------------ ------- ------ ----------------------------- ------------------------------------------------------------------------------------------------------------------- ........................................ Date Permit No. - e.. Issued Dare --------------------- ------ �� r+ter ___ '• I ! t `1,- J ------------------- 3--o............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Diupuuul Wurkw Towitrur#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair (yO an Individual Sewage Disposal System at: 5 C—tz. �a7 tz�l1LLC Zo r ............................................... �................... --Lo....... ..................... Location-Address .......-••-••-••---.a. .l... 1'.i�'�K..�,�..�. 1..� �C�vr Address !--•--------------------------------•--..... a Installer Address QType of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms______________'Q Expansion Attic Garbage Grinder - 'f 4 g— x-------------------- ---- P" ( ) g (YE)S aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ____________________________ w Design Flow-----_`a"5.A MYQ--------------gallons per person per day. Total daily flow----------Cc G Q......._.........._....gallons. WSeptic Tank—Liquid capacitvA Q_gallons Length r-__.____ Width..__�� Diameter________________ Depth_.__ . . x Disposal Trench—No. ...... ............. Width..... f.,)____--.--- Total Length....em0......... Total leaching area....440......sq. ft. 3 Seepage Pit No----------__....... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (y65 Dosing,ank (y�j.5 aPercolation Test Results Perormed by P 1C.ts . - ......... Date... ........ a Test Pit No. I---t_ <-._minutes per inch Depth of Test Pit.-.--- Depth to ground water.._ ........... (i Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a .................................................... O Description of soil....... Lc,A,r+_t ~.._So sot_c , t � SAt\)- .................................................. x rw ----------------------------------------------------------------------------- ---------••-----••----------•----•-----------------------•-------•---------------------...-------•------------------------ UNature of Repairs or Alterations—Answer when applicable.___..... t�. - r_r___ Q_. .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 Compli]nce�has been issued- y the board of health. Signed --------— - ----- ----. ........... ------- ...... ................................... Dare Application.Approved BY ----- ----- ----------_.. -....--------------------------- .--- ..---------- ..... -----��e-r..--..1. Application Disapproved for the fgllowing reasons- ----------- ------ --------------------------------- --------------------------------------------- ............... .......................................................-...-..........-....._..........-.............--....--............--.-..-...-..-...........-.....-...............-...... ........-........--.. ........................................ Da[e Permit No. f ..... � Sl _............ Issued ................ ..-./ 9t�7................. . Dace ..�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TlO�WN OF BARNSTABLE %LPrttftCate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X ) b2....... \ 1. :.e :.�."�' ---------------------------------------------------......------------------------------- .............. ...................... Y `� . Incrdler at --------5- _�...... Z K Y2, _��.CQ a7----------------- ------------------------------------------------...._----------------------- 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. -------?_5-33/--------...- dated ....................._....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--- --..r},05.. '`r ------ ------------ Inspector..—: _=....�... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH oo TOWN OF BARNSTABLE N FEE.....>j2.-•-•- Uiupunttl Workii Tunutrnstinn hermit LPermission is hereby granted-----------------------------------------------------------------------------------------------------------------------------•-.------••----- to Construct ( ) o�_ epair ( X) an Individual Sewage Disposal System t? 1_l at No..---•-- -�Z�-----.--\,�K rb ycw'- rQ C�?-------- - - ,. W = Street ' as shown on the application for Disposal Works Construction Peer nit No.��✓.__ _____ _ated....___ - � ................ Board of Health DATE. ...... ---- --------------- --- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS SQ 10 Lb ZZ 4 o N d , � d d � �j• u,r uj t rrS A:jN !w i �E PA ul 14 0. i !� e,MA�� ,FL--p c«� e 10� zo, o � a JA �0 tLL �r,�TuGa S,TA►�K — Cass r-cxx_s ALL jZILL TO ME LLSOtIcO, 1 p(y�� U sGAL SULLIVANPEMR �;� �. 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