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Home My WebLink About0024 ABLE WAY - Health � 24 Ab k-- t a -n .-ih - �G ipit� �2Q r ST s LL s .V TOWN OF7NkARNSTABLE LOCATION llq �� (.tJ`�`1 � 3.0 SEWAGE # VILLAGE �n (UPI L-LS ASSESSOR'S MAP & LOT ' - 2, INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) C (size) NO. OF BEDROOMS PRIVAT WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: Z DATE COMPLIANCE ISSUED: mil VARIANCE GRANTED: Yes No i� i •1 t C 35 - ,� p ✓ P L 36 �a C- ® Z � No....-•- � .... Flms.......................... APPRwim THE COMMONWEALTH OF MASSACHUSETTS p p��Coc BOARD OF HEALTH w TOWN OF BARNSTABLE AlipfirtttioWfur Diipuiia1 10orkii CnmwUU' .rfiuxt rruti Application is hereby made for a Permit to Construct ( ) or Repair QX ) an Individual Sewage Disposal SystemVa - djL ��L...`� )/�� Foc� o dress �,Aq5or Lot No. .... -.._. ........... /`c-/.......-•--•--•-----•••-•••-•••••-••----------•... ...............•--•-.---- ---.....1...... ......-•--•-•------•-----••-------••..............-- r ....... D.k 3 I ------•--•--.....�.. .............. ,.a � Installer Address Type of Building Size Lot............................Sq. feet t-, Dwelling—No. of Bedrooms.............. .........................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building No. of persons............................ Showers .YP g --------•------•---••----•-- P ( ) — 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........................................ Test Pit No. 1...............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-_----_____--___-_____ 9 ----------------------------------------------•--...------------•--.......----------.......-•----•--......................................................... ODescription of Soil..................................................................................................................................................................... U -••--••••-••-•-••-•--••-•-••••-••••--•••--•••--••----•---•---•---•---•---•---------•-•-••---•-------•-•-•----•-•------•-....•---•-•--•-•----•-.....-•-•---•--------------------••••-•---•-•............. W U Nature f RepairsZo`r�A erat ns—Answer when applicable_____________ . . ....._ ._ ................--- Z. �'J.. -----•--•------------------------------------------------------•-----------------------------------------............... 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 has been iss ed by e board of health. Signed ............... -...-.....-.... .......................... ----------� t - Dace Application Approved By ............. .... _ �. ... ........ .......................... ...-------------- --- ----.... �.-' C!a� Date Application Disapproved for the following reasons- --------------------------- -- ------------ -------- -------------------------------------------------------------------- ------ Dace Permit No. ... kj Issued --`-�.Z...'. �...... Date NO..l.9 .:`.:.�.a..: � FEs....� THE COMMONWEALTH OF MASSACHUSETTS AA BOARD OF HEALTH 111 It ClkTOWN OF BARNSTABLE ApplirFa#inn for Disposal Works Tonstrur#inn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at* ....... ... - -------•-••-- oca'on, Address or Lot No. .._.......- - /• ... �-- - - ------------•. ..?..... E. ............................................ 1.�,�1 ,/S_..X ------• -------•._..._..-•••....•-••-...•••...........••.................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms---------------3----------...............Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------------------------------------'-------...-----------------------------------------------------------•-••••-------------------. W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. W Septic 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........................ a ..--•---•-------------------------------••.....-•--------------••--•------------•-•--••••-•••-----•-................................--............... ......... 0 Description of Soil........................................................................................................................-.............-•--............................. ----•--------------------------------------------------------------------------------------------------------------------------------- ---------------- U Nature of Repairs or Alterations—Answer when applicable.............. w _` --:.._.__.�C � ._._ C- -=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 has been iss ed by e board of health. // hSigned--------------(1.�� _ ` ��- -Z -------------------------------------------------------------------------------------- -- Date Application Approved By ��%t�� ` -- ------------ '`� '�� . `'� .... -- Date Application Disapproved for the following reasons- ------------------------------------- ---------------------------......................................................... ......................................---------------------------------------------------------------------------------------------------------------------------------- ------ --------------------------------------=- ---------------------- - --- ---------- Date Permit No. ---------G�'-- `" ------ Issued ..........- •� . Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (JgertifiraU of (gampliancP THIS IS TO CERTIFY, That t e Individual to Disposal System constructed ( ) or Repaired ( ,�) by �j -----------------------------------------------�--------------------------------------------------------------------------------------------------------------------------- Installer at ------------- � G ----- ------ ------------------------------------------------------------------------ ----------------------- has been installed in accordance with th provisions of TITLE 5 of The State Environmental Co e as des4cribed in. the application for Disposal Works Construction Permit No. ' .. -+' -��. dated ____.-�'.-__ ..- � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-----------------------------_--X �� ---------------------- Inspector --------------- - =,� �.�----•-------------------------------------------.......------. THE COMMONWEALTH OF MASSACHUSET.TS BOARD OF HEALTH No..•L, .� y'. •� ,�J TOWN OF BARNSTABLE Disposal Works Tnnn#r�ts#' n rrruti# Permission is hereby granted............. ------L �Y_-�'� to Construct ( ) or Repair (Y) an Individual Sewage Disposal System atNo---- - _; _�� / /--------------------------------------------street as shown on the application for Disposal Works Construction Permit N��a_:_'�- Dated-_--- ------------------------------ / 7_ /J DATE----------------�-----------------..1_/_...G--.-�--.._------------------------ Board of Health FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS LQCATION 5EW&C.4E PERMIT UO. r , r INSTALLERS U&NlE ADDRESS_ � Y UyY _ - - - - � lJ- �3 4 y v. .��-� - - - - - - - BUILD R 5 tJ ANTE ADORE SS 1�- ly-,z - - - - - - - DINE PERMIT ISSUED '- - - - - - - - D ATE COMPLI &t 4CE ISSUED : - - - r ,, � t . ` S. �. S g� `. Z � � � � �� ,, , I No.------...f Fim 1)................. THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH _;:�---------OF ..... ..... ............Appliration -for Mfipaoal Workii Tonstrurtion Prrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: T Y/ .........Li/.A.%.�... Z_Z......................................................... ... ........ LocatipQAddres ...... . .. ------------ ----------------------- er Address .................. . ............................ ........................... . . ... C.... .......2.... ...W Installer Address Type of Building Size Lot.;?h.A.P._j--------Sq. feet U Dwelling—No. of Bedrooms-.-__-_-.-2...............................Expansion Attic Garbage Grinder 114 Other—Type of Building -------------_------------ No. of persons............................ Showers Cafeteria Otherfixtures ..... ------------------------------------------------------------------------------------------------------ ...................... Design Flow.._....4,0 ..: -----Arg'Ifflons per person per day. Total daily flow......... ......----gallons. 04 Septic Tank Liquidcapacity.'--- VV_gallons Length________________ Width-.-_-..__._.... Diameter---...-..--...._ Depth----------_--- Disposal Trench—No..................... Width._.................. Total Length_-_-_____---.-_--... Total leaching area--------------------sq. ft. Seepage Pit No--------/----------- Diameter/A;20..�FR- Depth below .nlet --- Total leachingarea..................sq. ft. Other Distribution box ( ) Dosing tank ( ) 0;4-�� - /A- "-/-7,A— Percolation 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------------------------ .........../.... 0 40- -- -- -----I----- --- -------- 6- ------------------ --------------------- Description of Soil ----- ... .. .. .. ..... J.- L ---------------- ------ ........ --------------- -/ U ------------Y_ --------------- -------------- -- - - ---------------------------------------------------------------------------------------------------------------------------------- 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 Article XI 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 d of health. ,4igned ............... .......... . ..... ..................... ................................ Date Application Approved By-- ...... ---------------------- ..... ---9. Date Application Disapproved for the following reasons:._..__.......................................................................................................... Dates PermitNo......................................................... ..C. Date o.---� .•- ....... a .................... THE COMM �Q(� TH�05�e 'ASSACHUSETTS BOARD '`='-�Hy _.�. / ...... .....OF.... ... . .. .. ................ .... AVVIlration -for Uo oottl Workii Tans#rurti n Vrrniit Application is hereby made for. a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ::. �"'� i _ a 7. o Locat `Addres s � -•o'.Lot No............i-------- ................ ............... - M. Addr ss a ....................... .•".•-�--"........ -- - -�=-- ................ --.__..----__. -�-.. . - -- ......Mn.`---• ........................ Installer Address UType of Building Size Lot;At._d_.a__f--------Sq. feet Dwelling—No. of Bedrooms----------2...............................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_----�r'--•e---___m- gallons. WSeptic Tail�—Liquid capacit __... _ ................ _ _• .gallons Length________________ Width Diameter_...........__.. Depth.._..-. ._.. . x Disposal T>tiench—No...... Width-------------------- Total Length.................... Total leaching area--------------.-----sq. ft. -___- Diameter NV PPt Depth below inlet____________________ Total leachtn area.--_-._------_-..sc ft. Seepage 'Pit No.___...�----- � P � leaching area 1. . z Other Distribution box ( ) Dosing tank ( )...by........ ......................................... Date--------------------------------------- 1 Test Pit No. 1................minutes per inch Depth of "lest Pit-.------------ __---Depth to ground water----------._._--_-.._.. LX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.;.....---._-.--_-.__. __-•--------•---•----------•------------------------------•-----•-"---------------------•--••-•--•-•••••-•••-•-•-•-••••--.:.................................. ODescription of Soil-------------- ----------------------------------------•---------------------------------------------------------------------------------------------------------------- x w UNature of Repairs or Alterations—Answer when applicable----------------------------------..........____----____-.-_.---_---.--:-.--._..-.-----;-..._..- •--•--•--•--------------------------••--•--------•-------------•---------------___._---••-•----"---------------=-•=-•-------•-•-----•---------------•--------------------------------------------•----.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions oft�krticle XI 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 d of health. `Application Approved By---... ---•--------------------------------------•-----.._. . -- ---- Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------------------------•--- ---------------------------"-•--------- ------------------------==------------=`-------------•--------------------------------------------------------------------------------------------------------- Date PermitNo.............. I•-••---•••••......-••-•-•------_.... Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH .I ....................................:.....OF..................................................................................... , Apr irtr of f�ontIittnrr C/ 'T RT t the dual Sewage Disposal y m co structed ( ) or Repaired ( ) byc•--- • -----a'� -------- =' U0 .."� - � -------•--• -- . ==-- tau .» �j�� '+t.�r...�"ypr ---•- at.•.r --- ----�---------------- -------------- �r� - - --------------------------------------------------------- has been installed in accordance with the provisions of State Sanitary or.4- �'�scr e %in the application for Disposal Works Construction Permit No------------------....................... dated ----------------------------------------------- * THE `ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................................................:. Inspector.-................................................................................... THE,COMMONWEALTH OF MASSACHUSETTS axle Zs�Z BOARD�' .- d No. �. FEE.--------•-•----........ PermjAroyr is hereby gran _,,---•--•--- -------------- _...-------- -------- --- -- ---- .--------- -----•••--- /� to Con .( �pri' Repai��% ��„�'�-,�"'d�v,�r � Disp �� t reet /J as shown on the-application for Disposal Works Constru • it _ Dated!��_ ....._��___ ______________________ f" �L+L'�i'11 ......................................................... DATE_ Board Health -- of h , ------ ----•--- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS ' ec T Z Olc 4S .5 /7 a to » D 7'7 �, / Joe /�l rr ljavk ,� 73 a� e 2Z . , Jed voo n-, / �l u //7 / - /0040 J . t f 11 c T;,k [GGC/i i h l 2 17� aS 7 077 C' t// �. 40.34 _ � l o -- `46 ,1 8, j A .. N o a All PLAN oF LA `o f19 A 4 AS/4 tt /(I/4ifi ro/y / 1'/.� s MASS. owNSD 8Y 1 CERTIFY THAT THIS PLAN SHOWSs� THE:, ACTUAL LOCATION OF `t'HF ��' n�� 'l FRANK CONERY 5 TRENTON ST. STRUCTURE ON THE LAND AND � � FRANK � �so FRANK � HYANI�IS, MASS. 0254t THAT IT CC?r O - pgGiSTERCD 104GI WISP a '4-Al4t7 SURVV_7 " `.FORMS WITH THE: U cONE32 co, 6573 No, 6232 No. &573 4 E3Y=LA1J'dS OF THE TQIA/N �F,� �� \��'�;, �� 'Z? SCALE tH =�o I mac , ,�9T�1_ 1, Tt �� (� �a� ST- �? d`r/4�Gi F r�'n •;,;a 1�, �� FSS/0NIC1-��