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Home My WebLink About0016 RAMBLER ROAD - Health ambler oa sterville-P . MA='140-� 178 0 �,,,.._..-yam-.• s: N No..••-.9_—L:_6 Fss.-- .,5 ---, THE COMMONWEALTH OF MASSACHUSETTS _ BOAR® OF HEALTH 41.$a..............OF..... .. Apli iration for Rspaaal Works Tonstrnrttnn autit Application is hereby made for a Permit to Construct ( ) or Repair (K) an Individual Sewage Disposal System at: 1(c3 Ei 1� �o � � ................_......... ....._ 5 ---•- ------• -. ---•------ -----........- . -••--•---- Location-Address or Lot No. Ow/n�er� ..-•-•• •••• -•-••-.-Address a •----�"': ............................^ Installer Address Type of Building Size Lot..... :2 __qpo Sq. f t U Dwelling—No. of Bedrooms-------I___________________________________Expansion Attic C) Garbage Grinder (;)0 Other—Type of Building No. of persons____________________________ Showers — Cafeteria Q' Other fixtgLes .............-•------•--•-------- w Design Flow............. .................gallons per person per day. Total daily flow-.____._____'�__i_-_...................gallons : WSeptic Tank—Liquid capacity._L gallons Length.V:�.___ WidthA-:'-__0.__. Diameter�-�_�. Depth_% .:___-'%. x Disposal Trench—No..................... Width.................... Total Length_.__..__.___._..____ Total leaching area.................... ft. Seepage Pit No.--_-_-!_._._.._- Diameter.__..---6.______ Dep h below inlet__75.�____.... Total leaching area___V_ ...sq. ft. Z Other Distribution box Dosing tank OQP Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fT4 Test Pit No. 2................minutes per inch Depth of Test Pit..............._.... Depth to ground water........................ P4 ----•-•'---------------------'---'-...•-'-'--'-•-------'-'-_........'-'-'----'-••-'••••-••••---••'•.......................................................... 0 Description of Soil.......................................................................................................................................................................x U ---------------'----•--'-"------"--'.......__......__.....___...-•-•••'---"'---'-••••______•------'.......-•----------'-'-••'-------•-'-•----...-•••---"-'---'---'---'--'-"--'••'-'••••---'-••----- 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 iIT12 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee sued by the board of�ea Si ne ••.----"'•--- Date Application Approved By..--' .. ------------•----------•------- ---------- Date Application Disapproved for the following reasons:................................................................................................................ --•----•------••------'--••--------------------------------------------------•'-__......_..... ....•••._...._...._.._._..--•-•-----------------'------•-----1--'----•-'-'-- ---'--•-••••. Date Permit No........k._7 ...... 7 ............ Issued..................................••-•-•---••---------- Date No...... :.., Fimic 7-5-7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .-----. - --------------------------------- } Appliration for 11iopoottl Varks Tonotrudion ramit Application is hereby made for a Permit to Construct ( ) or Repair {i� an Individual Sewage Disposal System at: ( 1 D + r ram— , ......'C..JI(.�..��J....t �`'•'f 1.'ti•,. :FY _..------ .........e . ..... .....:.....c r:.L 1-�:'�: SS�.� t...�:ro-.:m::............................................. A .Location-Address or Lot No. _... ..� ........... ........---------- .-------------------------------------- .......... .............------ Ow/ner� Address W '�✓j.°......-•-v"""r.. ............................... ........•-•--...................................... ............ Installer Address - -type f Building ? Size Lot.......'.-- 0.....Sq. feet awelling—No. of Bedrooms............................................Expansion Attic ;a Garbage Grinder (j,�)�j a, Other—Type of Building ............................. No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtua:es ....................................... .. W Design Flow............ .........................gallons per person per day. Total daily flow............:..y..lr.�....................gallons. 9 Septic Tank—Liquid'capacity.��.'�-Ions Length. --r.--. Width"__:-: __.. Diameter--~'""-. Depth.Ea.:.e Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.............;....sq. ft. Seepage Pit No I............. Diameter....... ....... Depth below inlet...:_:?-........ Total leaching area.... ._sq. ft. Z Other Distribution box V� Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I................minutes 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........................ Pa' ------------------------------------------•------...........................................•--•..-•......................................................... 0 Description of Soil........................................................................................................................................................................ x U --------------------•---...--------------•----------•----...------------------------.......................----------------•----------------------------•--------------.........--••-------------------- W -----•---------------------------------------------••---•-•-------....--•-•-•-----•.................------•--•-•---------------------------•--------•---.......---------------------------•-•---•------- U Nature of Repairs or Alterations—Answer when applicable.......... ....... . -__-.------:---------___-_-----------------------.------. ��,y..._ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT11 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 the board of health. e- Signe,�. t ............... ..... = - Date Application Approved By...............O; ". ----....�' ... :r.,�................ -----------.' �- - -7 Date Application Disapproved for the following reasons-------------•------------._...................................................................................... -----------•--------•------------ .............................................-....... ----------------------------------------------•-------------------•••---------------------------- Date PermitNo. �•-. ..�.....? ...........-- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............OF........**It�e,,,,..,---,3.-l�tigl� Q, C.............................. Tntifiratr of Tuntplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by...................irjl, . .....C. , , ........................•--•-----..............------..............-----------------•---•-----------•----•-•--•-• r' / A Q �j Q Installer at. ..... /y f Edr....... .eea 7..�......... - I!? . -------Q r�-�.� ,:—JSJC.0................................................... has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-_..� .=....�---.7Q....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................L"2.r.:..................--•••-•--•••-•---...... Inspector................... "... ----------..................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No...�.7.-..�.�d .............. .....--------............ .,�......... MoVosal Vorkg Tonotrudion rantit Permission is hereby granted--------- ......c --a--------------------------. ..................................................... to Construct ( ) or Repair (-,Ik-) an Individual Sewage Disposal System atNo..................... -----�r_ .......................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No. - - Dated.......................................... ................................ -F-- .................................................. c� DATE.................... -' .-u..-------•----•-------------- Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 96XCUPyr00 OP 7110 j90 1 TOWN OF BARNSTABLE 4kOCATION f l fii3 `��. !� SEWAGE # S 7 7`0 VILLAGE 3 % -Z 6- < l ASSESSOR'S MAP Cz LOT jta e- ,� 1STALLER'S NAME & PHONE NOA A 2 2 f % 3 G � SEPTIC TANK CAPACITY �- LEACHING FACILITY:(type)(4/) 64 // � NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER :' fifA1 E'tZ DATE PERMIT ISSUED:, / r7 DATE COMPLIANCE ISSUED:,, VARIANCE GRANTED: Yes No = ram+ t\ �k- D C-le, �p V - s a e 47�d1 f� �arr� 4S7C�2 C�?o7 10 C. A T ION A G PE 0C 1T 930. slVILLAGE_ 0 I S T A LLER'S MA E 8 ADDRESS IB U I L WE It OR OWNER DATE PERMIT- ISSUED_. D-ATE C 0 M P L I k N C E ISSUED '1 '. -� U'� / � - _! �i v c _ G �\S� -� .. � �. 's�� ; .4 �' .;:�:d= N0. �` 3 .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - Own___ . dr4�),;r i-c......................... ....... Appliratilan for Bh4posal Works Tnnitrnrtiun Prrutit r Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System, 2. -i)(rK:... ._................... ...................................... -•-------.----------------.---.----------. Location_ ddress or Lot No. CYL> S..................................................... Owne' Address ✓,��-------------------------------------••---•-----------.---.---..-..---------------------------•--- a Installer Address Pal U Type of Building Size Lot............................Sq. feet 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. 9 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 ( ) 14 Percolation Test Results Performed by--------------------------•............................... Date................................ -------- aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-___•---_..__----__--- G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... R4 ......................- ............... ------••-- O Description of Soil.................•---------•---- x W ......................................•--•-•-•--••---•--•---••••-- .............................................................-•----------- ---- ....-------•-------.......................... Nature of Repairs or Alterations—Answer when applicable......_._/� ®-____ — —-I.-/.�............................. -••---•----••••----••••-•••••--•----..._•-•-••--.••-•-••----••------------•---••-••................•••...-----•---•-----•••••••••-----••----•--•-••-•---••••--•••-•••-•••---••----•--•-.....----------•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI,; 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued e boa of healt ign -D.. . ..� ApplicationApproved l . ••••----•--•----••-------•....................................... .....41?•- Date Application Disapproved r e f ollowing reasons:----••--------------------------•---•---•--------------•--------------------•-------------...••...._......------ --••-------------------•-----••-•....----•--•-•................................_..........•--------•-----•----•--•-•...-••••---•---••----•---•-•-- ---------- ----------- ---------- ---------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS 3 � BOARD OF HEALTH �� 7��V .....1V�1.. .:............oF... ,. 5 ) 5 Trrtifiratr of Tuntpliatta TMIS W CERTIFY T1 t the Individual Sewa isposal System constructed ( ) or Repaired by......QL-1!:..•. a.�z'T2.7�. . ..f.�.. a7 �••........................................................ — at----�b ""i��U.ynbk 1--- �} ._._.. t��-_ ntL.-[�•1,/ has been installed in accordance with the previsions of TITLE 5 of The State Sanitary C9d as �irib�n the application for Disposal Works Construction Permit No.___ .T........____ dated_. .l ...�1................•_.__._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE/CONSTUE S UAR NTEE THAT THE SYSTEM W FUNCTION SATISFACTORY. DATE.f!,-� -�---- ---•.............................................. Inspector ---. ...--•-••...•-•-•--------•------------.._......---.....--. THE COMMONWEALTH OF MASSACHUSETTS ¢<< BOAR®, OF HEALTH fi;... ..µ.,I. �. -------------OF C.� .................................. Appliration for Di-spatial Works Cron rurtion 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at , --•--- Location.Address or Lot No. ..................... _. ,,,• �� ,,,r"" Ownea �''� Address u , - ..................•-•--•--.................... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building .............. No: of ersons.........___:_........_..... Showers — Cafeteria G.1 YP g -------------- P ( ) ( ) a Other fixtures ------•---------------------------•---••---•-- W Design Flow .. ..........................:..gallons per person per day. Total daily flow............................................gallons. WSeptic Tank-�-;'Laquid capacity_•••••--•-•-gallons Length................ Width................ Diameter_______--__-_- Depth................ x Disposal:Trench—No..................... Width.................... Total Length......._............ Total leaching area....................sq. ft. T, Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. 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........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ra --------------------- , O i a _.._ .....�-' �....... ........ Description of Soil.................•----•---•-•-- = T. 0 -•-.....•••••••---••--•-••••••---•...............••-•-•-•-••••. ... ..y 0 3. 4X: i." -. 41.... "ham• ----------------------------------- -__. :__:••---------------••--•--•---•--------_ -•- r ..-----•--------•---•-__. U Nature of Repairs or Alterations—Answer when applicable......a `'`f t f 91 c''.. .................................. ..............-......................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of dT:'IL, 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 y the board of health'.,ignek, f P • r .................... ••--= ....... _--- Application Approved = �"'rat ............ .........•-___....----------•- .......-------- � �`?=•--•- ••-_•••--- " Date Application Disapproves jor e f oRowing,reasons:-------••-------•------------------•----...------...--•---•---•----•------------------------•-••----------•--•- _...•••••...--•--••-•---....--•-••---.....--•--••---•••-•------•--•-•-••---•---•--••--....-•-•-••--..............•••-••-----••••---------•-•••-•--•-•--•-•------••-•••-•--...-•-•....-•••-••.....-•---•- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r .........' i::... ...............OF.... �....".. .? ........................... Trrtifiratr of Toutpliatty THIS 1-S To..,CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by =' _.- �.. . .._._�.� - t` ._. �.� .d_ .............- x .., Installer ¢t •' has been installed in accordance with the provisions of TTTIy 5 of The State Sanitary C.�ZR s scribed in the application for Disposal Works Construction Permit No11 .."_Q_7.............. dated_._ . _... ` " THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A. UNTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................•------•-•-•-----•--....------......._••--•-----•••---• Inspector.:.................................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARQ OF HEALTH f Y. ..,''..ff;.. ..... ..OF.... e.a?�J- ..SP'./' d, .., ..................... t" FEE..... ....6'-:.� c � Dispiw t irkii Tialitolnuton Vamit r Permission is hereby granted l .... ---- #_� '.r . _ .. ...........•••- to Construct ( }_nr Repair ,(,i ),an Individual Sewage Disposal System t fi Stre,to as shown on t e plication''for Disposal Works Construction Per ....... Dated_-',? _ .__.., ....................... � Pdo.. ------------------------------------------ - j} ,�'� f Board of Health DATA. (/Y---- ...-••----••-•._...••••-••••--....-•••••--•••-----•--........ r/ f FORM '1255 HOBBS & WARREN, INC., PUBLISHERS i i I � T::�� /y^ In `4 1\--I-iI',-,I.-" ,-,I�,--�i.�"%-��-----�---L-'-L----I--1.-/:- W '" 'N \ ` 6cmr,cy.s, 3o/1s/tS § r 8 16^n l�AGt II %..-o�I-�-I--_-T----�-�I.,-—,.—----—--7�I.--..--4I---_�1I-I1--I',--I,L-I—-;I��1�.�II--L�-I,-I-,��-I,---.I-.-LI"-Iv-YA�I--."-m-�I",.�r-sI-I.--"II�1-TI,---".I-1-�1----'--_, —I1�,.I�-,1--1,,I,-s,�,--!4�-r—�I�-,,i-,---:-�.-I,-,----J�,,;--".'I.--lI-I-I;I t 1-,--�I--Ir:1.I I.1j0 1-i:1�l 1I-A,I 4-T74I�;I� I--,I1-,-.N---,7...-I--I.E e--,I--,--.I-,.I,-,II,�-1 r�-I-rt�,--�,- III I-_ nt - , m scam, ? z. r "p Cl,i_i M t 1 ? - 7 e _ i Y _,. t rj - , - - — / t �/1 . i ..a ,� cJ r . x 97 �.' � �-, . / . _ xts • n+u _ ,- ,-^ s f- '; ". TAra _.._ ►ri +t7 $, s 9 . i.. "y�% �, k k - s ? lo,� .. Ffc T1 _ , x r. �C P,&f Y 1 „ . 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