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Home My WebLink About0176 TOWER HILL ROAD - Health t - TOWN OF BARNSTABLE LOCATION rhlll �fWO/ SEWAGE VILLAGE �7 IrC)We_ ASSESSOR'S MAP & LOT -6/6 INSTALLER'S NAME & PHONE NO.&4,6 f a-ml. SEPTIC TANK CAPACITY 116 n r LEACHING FACILITY:(type) CA (size) (o K/O NO. OF BEDROOMS-PRIVATE.WELL OR UBLIC WATT BUILDER O OWN R t ,2A�/Y15 'DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes �No i a 0 76 3 ' 47 No..---� ..J Fes$.. ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uiopoottl Workii Tonotrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair Qom) an Individual Sewage Disposal System at: —7(Q � E2zK COIL-uL�e�- ........ ------------------------------- ..... Location:Addrtfs,, � 64 _�,A -L� or Lot N OwnCer � Add r ss o �L � `�7fv vJA y IUD /1�1,ivl l I.t_s Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms_____________ _.__Expansion Attic ( ) Garbage Grinder ( ) + ------.----- p`L., Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ W Design Flow............................................gallons per person per day. Total daily flow..............66.0.................gallons. WSeptic Tank—Liquid capacity.-gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length..............f...... Total leaching area....................sq. ft. Seepage Pit No...._=X-------- Diameter.-.-�..---- Depth below inlet......-_lo........... Total leaching area..................sq. ft. Z 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........................ C3, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ----------------------------•--•--••----•----------------•-•------------•-••-••-••••............••-•......................................................... 0 Description of Soil........................................................................................................................................................................ x U ------•-------------------•-------------•------•---•-----------------------------------------------------------------------------------•----------•-----------------------------...-••--•............-- W ---•- ............ --------------------------•----------._.......-----•----•-•---------------------------------.....----•-----...------. --- UNature of Repairs o Alteration Answer when a plicable_Aj '4:.. __ .fir.... .'7—/qN -- ------.� f�T. �x.... ..... .. ..........•-� L fk�o- --Q-..�- .... �----....w,...7 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 s een is d the board of health. Signed ...... --------- ----- ......... .......................... � . ,00 A lication Approved B _K Date Date Application Disapproved for the following reasons. ..................... ..... ............. ............................. . .......-- ........... _ ---------- -------------------- ---------------------------------------- Permit No. ------. ..f... Issued ............r �`...% l�te...... • Date f No..... .........-....... Fmc.../.... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Divi-poml Workri Tonotrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (>/-) an Individual Sewage Disposal System at: /-/& £&.t`�`>< C 1. RZ G tJ� U/-�S�t—kt J l c.1 r ---•------•-•-••--•---...•---•-----------•-••-----------•--•-•-----•----------•................... ....••-----....--•-•-•----....--------•----•--------•-.........---•.........--------••----• ...--•- aLocation- \d� J. or aLot No �Jn�4�J/ L �� I.••... _... __T..._.._..•.. •-••--......--••^••^.............. ...................-.. .............--...--••--. Owner s � l� 4 Installer Address UType of Building Size Lot............................Sq. feet ► Dwelling—No. of Bedrooms.............6?---------------------------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 capa6ty4'aa'Q._gallons Length---------------- Width_-------------- Diameter.--------------- Depth................ x� Seepage Disposal Il Width Total Length leaching q SSe page Pit No _�...._._ Diameter ..... De t below et.._.. `...... Total leachigarea..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 1.4 Percolation Test N I Performed dr in 04 Test pi o. ch Depth of Test Pit___________________ Depth to ground water........................ fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__..-__-___-____----__-- a •-•----------------------------••-•-•...........---------.....•--••--•••---••--••--•----•---••..........-•--------------.....------........----......__...... 0 Description of Soil...................................................•--••-•-------------•-------------------------------•-----..._..---------------------------------•-•----------.--_.. x U ..................•----•-••---•-•----•-•--•••---•-•-------••••------------•----•••-•---•-...-------••-••••--•----------•-•--•-•••---•------•----•----•••---•-•-•-•-•--•----------•---••-•••-•-••---•-•-- w UNature of Repairs or Alterations—Answer when applicable_ftvs `i--_-_: ____- �r--------_S ?'7 -:__... .. ----..•••...........5 ........................................... ............................. �- r -1�. 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 Compliancehas een issued by`the board of health. Signed .....�/�'--------- -----........................................ ............................... ------............. -_---------------- Application Approved B !� Dare Application Disapproved for the following reafonf: ...................................�fir- - ... ... ................. r _Dare Permit No. �'..`^"�. ..,'�-------------- Issued --------..b/-+'_t�......... ........... ........... Dace ---------------------------------------- --------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�Prtiftrate of (XIT10 ytiance THIS IS TO CERTIFY That_he Individual Sewage Disposal System constructed ( ) or Repaired (. �) by ------------------------------------------ G1------------.. ----- ----t �-' 0*V Inualler ----------------------------------------------------------- at ----------------- -/ .(n. ..1..-----'`--j1�--L--- _�- ....... ....1. ......... 1-f ,E has been installed in accordance with the provisions of TITLE 5j of The State Environmental C de as described in the application for Disposal Works Construction Permit No. �� ' dated ... r' THE ISSUANCE OF THIS CERTIFICATE SHALL NOTIBE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................................1......... ..._. ..... -- .. Inspector ....__----- , .'...: - ------...-------- -------._............... Q ---------------------------------------------------- ---------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �� N ........................ FEE...-•--••............... Biopooal Works Tomitrurtion Prrntit Permission is hereby granted.................... u j c, to Construct ( ) or Repair an Individual Sewage Disposal System at No....................................................../-�7-(.....-•.=i v cz�L 1-L...�/ = �� (J 7 76- C /J/Lt�L Street ✓ as shown on the application for Disposal Works Construction Per t� ��__�Dated--- ....... ----------- z !/ ................................. Board of Health DATE.......... ---•- FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS Y� �s THE COMMONWEALTH OF MASSACHUSETTS ,�- BOARD OF HEALTH' t�.6-<rC;^'►- ... _.........OF...7 1:7 S.T;t �..L.�......... Appliration lar Uiiip gal Works Tomitrurtiou Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ,,/ / 7 k, V +cam c�F si r�� t...`�.....-- -----------------------------------------------------•------------------•----- --------- i ,s Oocatio -Add res ° or Lot No. Owner Address ------•----•................................ staller 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 ( ) 0.i 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 ( ) aPercolation Test Results Performed by--- ------ ------------------------------------------------------------ Date--------------------------------------- Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water........................ (4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----------.---.------_. W ------------------------------------ - l Description of Soil_�a-, r. . C -----I -- .4`&' C'` - - - - - - - - U -•--------------------------------------------------------- W x ----------- V Nature of Rep '`�LLAlterations—Answer when applicable.....lG �a...... T �___.___._._�'�`__ _.__..��' �(___-. --------------------t -------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued the board of health. Signed ------------------------------------------- Date ..71 ..._ Date Application A A PP roved B Y Application Disapproved for the following reasons:._.__ ............................................................... .............................................................•---------------•-•--"--------•-----......----------•----•------------'----------"------'-----------. ---------------------------------- Date PermitNo......................................................... Issued......... ...J�---- �.....------------...... Date No. f �••..... Fa$.........6............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH E yL.............OF.....�.CC. 1Z r"v..,S��......... ,. .............. Apphration -for lhtiputtl Workii Tonitrurtion Perutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ul �?e••------------------•-----------•--------------------------�6/( J ••t- �V e i^LgCtiolr_ r l,l, or Lot No. -----------................-----"--------•••......• . Owner Address ............. =«-..---.r-• ..............................................................•--•--•--•--••---------... I staller Address Q Type of Building Size Lot___________________________Sq. feet U Dwelling—No. of Bedrooms------------------------------- - -----Expansion Attic ( ) Garbage Grinder ( ) pW, Type g p Showers ( ) — Cafeteria ( )Other—T e of Building ____________________________ No. of ersons._______________._.____.___. Otherfixtures .-------•.......................•--•------------•-•----------......---••----•• -•--............----...----•----------------------•----------....----- Design; Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. W , WSeptic,; I ank—Liquid capacity-_---.-__gallons Length---------------- Width................ Diameter_-.--...-..-____ Depth.-..--_-_.-.---- x Disposal Trench—No_____________________ Width-------------------- Total Length_-_____-__-.---___-- Total leaching area-------------.------sq. ft. J Seepage Pit No--------------------- Diameter-------------------- Depth below inlet-------------------- Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date--------................. ------------ a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water.-..----._-._-.._-.--._. f1 / Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----------..__.-----._. P4 •---------------- ---------- <c�_C(-----_K--•-•.. : O Description of Soil_- -- -- - U -------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------• ------------------- W x -- - - ::: U Nature of P.e t p`•- Alterat�ons—Answer when ap livable...... mil a------ -- �'G.�-----------�.- `�------- -- -- � �-/a ............. � � iz;4X ------------------------------ --------------------- --------------------------- 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 been issued b the board of health. /Date Application Approved By---------------- ./ L -1 G Date Application Disapproved for tlae following reasons:..................................� � ..........._...._._____________..................._............ ------------------------------- •---....---------------------•-•-•---------------------•---•-•-••---•----.............---------------.....--•-----•------•---------------_-.-••----------------------•--- Date PermitNo......................................................... Issued--------------------------- ............................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..... �L,�N-s.(, ot-4 /)t. .................................................... (11.1rdifiratr of f61ompliattre THIS I. TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (tj by.. 'C l ce-C c ----- --------- T"'._ — � � Installe- r--------------------- ..............�� .... at... ------..`--. �_'_ -,_.....__.� - S C� / �- ...'(/!!t... C.. has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.---- �_ dated------ ---------- - _ ..'Z . THE ISSUANCE OF THIS CERTIFICATE SHALL. NO BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----?1--2�' --- -----------------------------------•-------- Inspector.................................................................................. THE COMMONWEALTH OF MASSACHUSETTS 70 BOARD OF HEALTH/ ........... ............................. No.- /� -••••- FEE.. Bi-tivolittl Pork,i Qlonitrurtion "rrmit Permission is herebygranted.............. �.......�.�'..- '___.--_____ r--- to Construct ( � yr Repair ( n.Individual Sew ag�D.isp sal�S stem J C _ c / Street as shown on the application for Disposal Works Construction P it N ..:_ _/�_ Dated............................... ......... - - '� oa�Health ---.. DATE--- .......................... ...................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ' No.. ............... Fps .....................- THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH .......... ---....OF.......e6eZA.AAot . aY Apphratiun -fur 43hipuutt1 Works Cnunutrurtiuu Prrutit Application is hereby`made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at• q ---- ... ........................... r Loc;tion-Address /AL�� ,�/►�1Jp/� ♦ or Lot No. .. 1...=--- ............. •.. •--- - .......— -----------T' --- --------------- •-- ••----- .--•---••--•-•-----•-------------------------------- ,� Own Address --• .... ............. �'�' d! „[•-... ="...... ........ .......-------•----•-------......---..........----•--•---•-•----------............................ Installer Address d ype of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) —.Cafeteria ( ) a' Other fixtures W Design Flow.......................................�-g�lons per person per day. Total daily flow............................................gallons. WSeptic "Dank+Liquid capacitv.%___..gallons Length................ Width................ Diameter-----........... Depth---.--._-.----- x Disposal Trench—No..................... Width............,__�P o aWL th__ ___-G)_ Total leaching area........_......._...sq. ft. Seepage Pit No.--•---I.....•...--_. Diameter-f��7A----- pp b �---4- - 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.........__.---.--.---. fq Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-----....__..__.____-.-. �+ O Description of Soil----- ``- ...........°.. x ' ' ............................•- .--------------------------------- --------------------- - ------------------------------------------------- V ....................................... -.................................................................................................................................... ......................... UW -------------------------------------------------------------------••-••-•••-•-•-----•--•--------------•--••-- ----------- --="--------------------------- Nat ,,e of Repairs Alt tion Answer when appli 'ble..._ ..__: y__:_.._f:. _ '___ _...._. . .- -------------------- � 'c fir. � ;G 1 �' f � --------------------------- ------------------------------- Agreeme t: / 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&bbs�u�ed by tl e bood of ea th. Sign, ( !` _ o ....._. ...� Date Application Approved BY t�� e-� -------------- - Date Application Disapproved for the following reasons: •--------------•;-------•--------------••---------------------------------••••- •••-- -•----••-•-----------•-••--•----••-•......•-•-••----••--------... Date PermitNo......................................................... Issued........................................................ Date r i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / �(�C�` IL DATA i i 7J w G No......................... Fps... . .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i , ....-1... .................. .......... Appliratiun -fur Diipuiittl Works Tomitrurtiun Permit Application is hereby made for a Permit to Construct ( ) or Repair ( l,)an Individual Sewage Disposal System at: � f ...,..r......... Location-Address or Lot No. ........... —•-........................................... i f.I_-1 -._�4L�'!'rl.I4/i f(m/1 Owner Address ' Installer � Address Q Type of Buildin® Size Lot----------------------------Sq. feet Dwelling'No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------.-.-.-- Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------..---------------------------------•-------•---------•---------------------•-•--------•-------- WDesign Flow............................................gallons per person per day. Total daily flow.........................._..............---gallons. WSeptic Tank Liquid capacity-1h!1.(_)..gallons Length................ Width_----_-------- Diameter---------....... Depth.__.........._. x Disposal Trench—No..................... Width................. Total Length._.C.....!!------- Total leaching area....................sq. ft. Seepage Pit No-------/------------ Diameter„41 ...� Depith�behw n"1e4�''�G(-.......... 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 "Kest Pit..............--.--. Depth to ground water..----._.............._. f4 Test Pit No. 2----------------minutes per inch Depth of Test Pit................---. Depth to ground water--.-_---..----_-_-.__. --------------------- - ----------------- -- ---••"---•••--••----•----••-••......-•....................................................... O Description of Soil.---- °.. '` -{ == f =� 1_,.,,, t x ------••-•--•----- ---------------------------------------------------------------------------- cU -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- W U Nature of Repairs or Alterations Answer when appl-iccable...( )�� r —r�+,__,�_/--__._:. ._.. ...:-........--'. "."............... .. 11,�i� r l-a �%7,L-A '/.. ..:------r -�'7 ,•ati .. .... --------------- Agreement I 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 ee issued by the b �d ofhe�lth. - 7 c �. Signed...:. -•-••-•. A.... ................................... -------------------------------- Date Application Approved By_-! —_.Y u•;_/�/,7/I ._,,_ :_�ri === .... 211— / - -------- Date f Application Disapproved for the following reasons:-------------------------------------------------------------------------------------------- __.______.__.• -----------------------------------------------------------------------------------------------------------•-••--••••------•------------•-----------•--.....---•-----------•--•---------•------•--••-••- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................................................................................... Trrtifiratr of Tumplitturr THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired b - Installer ...................................... ----------------------------------=-------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the �7 1 application for Disposal Works Construction Permit No: _ --%Z.................... dated._! -.....2.. 7t!....................... THE ISSUANCE OF THIS CERTIFICATE SHALE. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL UNCTION SA ACTORY. � DATE TIS Inspector .. -•----•--. -- THE COMMONWEALTH OF MASSACHUSETTS !� BOARD OF HEALTH ........................ . : ......................... No. .. FEE........................ �furk� C�un,�trttrtiutt rrntt �� ! Permission is hereby granted---1' ` ................................- ---------------------------- .............................. to Construct ( .), or,'Repair Individual Sewage Disposal System atNo............................. ef ----•---------------------------•----------------------------------.---•--.....----------------•--•-------•--•----•-------------------------•------•----••-••_----- Street as shown on the application for Disposal Works Constructions„Permit//No..::................ Dated....- .-..''--_--... ...._.._._..___ = / % ................................. 7 _ 7 �� " 'Board of Health DATE.---•-----...................................................................... � FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS LDCL,TION PERMIT MO. &44( 1 IWSTaLLERS U&ME ADDRESS BUILDER 5 Q W INDDRE SS DATE PERNAIT ISSUED ' — DATE COMPLI WACE ISSUED : —�"