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Home My WebLink About0018 THYME LANE - Health (2) 18 Thyme Lane A = 165 -014 Osterville No... .__._. . 3.3 t J A k G F/� O 1 q �s......t.�.��2..•........... THE COMMONWEALTH OF MASSACHUSETTS NAMOM BOARD OF HEALTH TOWN OF BARNSTABLE I' L y 1 Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal st 1 em at . nV)./ -_ ._ _----- ------.................s a-------------- ------•-------- or Lot No. ...� .._. -f - .................................„� --------------------------------------------------- �oncr n «S d s ------•-- - • -•- U....-••••----•••------------- histalli Address Q T e of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms...... .........--------------------------Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ---------------------------- No. of persons---------------------------. Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- -- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. R: 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 ( ) aPercolation Test Results Performed by.......-................................................................. Date........................................ 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........................ 04 ................. ... Description of Soil.-------.oz.)�-----.-�.�-..��..... �'�' --- ••----------•--------------------------------------------------------------------------------------------------------------- ---------- ----........------...---- U Nature of Repairs or Alterations—Answer when applicable...----uJ�. A P....... .... ... ......................... 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 been issued b the board of health. Signed . . . .. . . . ...............-� .. . . ..- .ef.. / Dare � Cam/ V Application Approved By ........... 3..... .................................................. .................... . ........... . cc Application Disapproved for the following reasons: ............. . ................ ....................................................................................... ......... ............................... Dare ................................- -`-`- - _................................- - -- -----... ...................................................................................... ................ r................ t PermitNo. .......... .....Y-, .3...................... Issued .......................................................:............ Dace !t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.... 4 5.. 3?e- lull k1 ntrudialt Vernfit ' Permission is hereby granted..--.— - ------------ Individual Sewag to Constrg orPepair,(X) a _te—Di ---------------------------------------------------------------------- ........... ------------------------------------------------------------------------------ at No�wi .....0).4? Street as shown on the application for Disposal Works Construction Permit No.193:37Z--- Dated.......................................... • Board of I I calth DATE....7...... ..................... FORM 36508 HOODS&WARREN.INC..PUBLISHERS �:-.�vw'--...- .�...c. �.'1s..,.... �•.�.c...ra..�4,r-::c".->`.�A= �.i.:.,..s�.-,�-+�...-,.rt.;t.:.—w7.--i�,.x...w-ss�---�.�......-4..�.---....,--�.,,�:..�`�+ua+�...:•--•w.��w.�.•- No.--•f- --..�.3 .� r _~' + 'PA! C Fi 10/ F s.... `/r ......• fit, �. 1 � C. THE COMMONWEALTH OF MASSACHUSETTS sY� BOARD OF HEALTH TOWN OF BARNSTABLE liralivit sfur Di►pvml Works Cal ustrnrtinn jinmit �)r t Application is hereby made for a Permit to Construct ( ) or Repair X ) an Individual Sewage Disposal S stem 1- y l - .!�?.5�,..f.n.l.< .nyy -------------- ------------• - -•-••--•----•----------- Lo n-A,l or Lot No. opener d1ress ,.a �� r� Install Address UT e of Building Size Lot............................Sq. feet g— ; ..._____.. p• ( ) Garbage Grinder ( ) �. Dwelling No. of Bedrooms.____.__ .................... Expansion ansion Attic a _ Other—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. 3 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........................ rZ, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P,' = 1✓- ------------- 1 -----*�-_....-•-- x Description of Soil._... �; ��• �C,'� '2 )-(.....--- -&!" -1---- -- / i. _.� �t" �/P .................... �., ---- j , w -------------- U Nature of Repairs or Alterations—Answer when applicable._-__..(j�_ _...; _ c� ..._T Te� ._,__ � �" �;------- ------------------------------------------------------- -.-.-....... ........ 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 J system in operation until a Certificate of Complian has been issued by the board of health. Signed ::..: 4m-.. ...y./'��...Sj/J/�,`� ......... 1../...c?1....-�.-- �i!��t7 V ApplicationApproved By .......... .. •a. q�ti. e ._........................................................._................ ... , /.... `m........ Application Disapproved for the following reasons: .. . .................................................... . .......................................................... ......................................................... . . ... . ._....................................... ......-- ...-- ........................... ........................................ Date Permit No. )g ^^.[[ �/ 2�/y Issued . ................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifi ate of TIIittylianre TH • IS TOERTIFY, T g the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ........... '....0.6 .....Q.)v....... .. .0..A--,-1�5 ... ........_............................: I `�l<r at ..............._...e...5.......�� E.......M..X. ........ ... ....... �U _Ul). .... . . ..................................._............................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application fcr Disposal Works Construction Permit No. -..f.. ... ... ............ dated _... .................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r. DATE------___........ "-?�.............._............. _...____ Inspector ............ . . . -------....... _.._.__.....___..... ...... ------------------ --------------•------------------__--------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 03 TOWN OF BARNSTABLE ' No..J... '... FEE.....�n!a �i��r�as nrk� ��an� Milan rruti� Permission is hereby granted_______ ___ __ _ .......... ............................................................ to Constpct ( )� Repair (/�) arndivulal Sewage��sposal System- Ie----------------------------------------- at No.... ;...... h/AM •-------C,.\ . -4_4..--f��-.oI S ��-1.6 R uJ.)Street 9 as shown on the application for Disposal Works Construction Permit No.�`:__..-r�. �� Dated........................................... U 'Y `nn ---•------------------- Board of Health • DATE-----•-•--------�--'....,.----7.._� FORM 36508 HOBBS&WARREN.INC..PUBLISHERS tz, C,o-� TOWN OF BARNSTABLE LOCATION Awoe LA-4 e SEWAGE # 5 3—113 VILLAGE / �jc-rc,j/f P ASSESSOR'S MAP LOT L INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY li too o GvL LEACHING FACILITY:(type) /1 6)( (. Pl't + (size) :NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER !"OP„A I- Cr�usE��I DATE,PERMIT ISSUED: l 2 93 DATE COMPLIANCE ISSUED:. y 3 t - 93 VARIANCE,GRANTED: Yes No n 43 ,57 63 1 '• L-