HomeMy WebLinkAbout0043 ABLE WAY - Health rL7
43 Able Way
A = 046 - 106
- _ Marstons Mills
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TOWN OF BARNSTABLE
LOCATION .3 -�- �� SEWAGE `1
VILLAGE �j e t . S ASSESSOR'S MAP & L"OTQkkK.- 4�,3
INSTALLER'S NAME PHONE NO. C- r �C AL, / c
SEPTIC TANK CAPACITY 1535 r t & d ti
LEACHING FACILITY:(type) PRIP—eAsr- '1 (size)
NO. OF BEDROOMS . PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER,,, ISI'C-(pe—, �<r v L,t/t A.2
DATE PERMIT ISSUED: ";" ;;?-ti 2
DATE COMPLIANCE ISSUED`:'"
VARIANCE GRANTED: Yes No
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No..... �...7 FInc.... .......
AMOM THE COMMONWEALTH OF MASSACHUSETTS
Barnsta �ti BOARD OF HEALTH
%2_ �-!�LJOWN OF BARNSTABLE
pates
Appliration for vurip !ml Wor1w Tomutrnrtinn Prrmit
Plication is hereby made for a Permit to Construct ( ) or Repair (�n Individual Sewage Disposal
ysta at: 1� r
.. ._ h ' . ..�..:_... .... � f_._.....
----• ---------------------------------------------------
,. ..._
o a iou Bess or Lot No.
-----------------------------•----- .............................--------...........-----------......---...------....----/.....-----/---
,., .---- ..---- --- % --- -------------------------=•-----••-----•------ M. ... �-------------.-.---------------o
Installer Address
UType of Building Size Lot............................Sq. feet
►, Dwelling— No. of Bedrooms--------------------------------------- ----Expansion Attic ( ) Garbage Grinder ( )
Pa., Other—Type of Building ---------------------------- No. of persons.................._--------- Showers ( ) — Cafeteria ( )
Pa 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........................................
a Test Pit No. I................minutes per inch Depth of Test Pit-_-_-_________---- Depth to ground water-_.__._.--.--___--_--._.
�4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
P; ------------------------------------•--•--•-• ...................... -----••---•-------•--•----........................................................
0 Description of Soil........................................................................................................................................................................
x
U ---•------------------------------------------------•------------------------------------•-•----------------------------•--•------------------------...----------------------------........-------•••--.
W
--------------
U Nature of Repairs or Iterations— swer when pplicable.I.htZ_._._.__:..�._.._.._.�_00d._....,{`er-__�---ptt.....
�. 115 l�l �c occ,1/.ei ,... �-�-------------
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 bee issued bv t heals
Signed ---- ...... .......... ..................
.................................Da te :......
Application Approved By ............... 01... (-/
Date
Application Disapproved for the following rearons- -----------------------------------------------------------------------------------------------------------------------------------
... ............. ....................................................... . . ................ -- -- ............................ ... ----------------------------------------
D
PermitNo. ....... ....-. ------------------------------ Issued ......................................................... ate.............-........
Iy Date
THE COMMONWEALTH OF MASSACHUSETTS ✓
1 BOARD OF HEALTH
�
-13-sy'� >---- TOWN OF BARNSTABLE f
Appliration for Di-nipw3al Hlorkii Toustrnrftun rams#
f,plication is hereby made for a Permit to Const:uct ( ) or Repair ( n Individual Sewage Disposal
System at:
r
fiae �Urc f r�'l f..-..............................................................• •----•. ------------------......--------------....-----•--•••---•----•._.....-------------•---.......-•--
oca io'(- Address or Lot No.
/ ICU/d )
-� _ ......................................................... •-••••••••----•--•-•••--•--•••-••-•-•-----•••••-•••--.........•--•..............................._
vxr Jd7s i
.. T .; _ _ ................. ..................................
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling—No. of ----------__Bedrooms----------------•--.•----_-.-_- _Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures ............................... .. ......
4' 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 ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test 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........................
-----------------------------------•----•----------------------...--------------•----•-•--•-•----•-•.........................................................
0 Description of Soil........................................................................................................................................................................
x
U --••--•--•----••••--••••-•-••-••-•----•--••----•---•--•-----•---•--••-••-•--•-••••-------•-•........••-----------------••--•------••-•••-••-••--•-•-----•----•••-••••-....•••.........-•-••-•..........
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UNature of Repairs or Alterations—,,Answer when applicable.-�_�l�i`Cct.----_ _.I.d�7b_....�YOCt c��1..._DI t .__.
,fir- l !-----------_---- 1�- U ` ' �' '�-3 is c �c 11 Gi.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 Compliance has bee issued b the board`of`he ltjb.
Signed ............ ..........:..... r-(--- e..........:......
r
i Application Approved By ................ ._ �. = .:_.
Date
Application Disapproved for the following reasons. .._------------------------.V-..$..._------------------
---------------------------------------------------------- ------------------------------------------ ----------------- ---------------------------------------------------------------------------- ........................................
Date
PermitNo. ........`. l-- (e-7---------------------- ------- Issued ..-------------------------------------------------------------._.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C'Ierttf rate of Tomplianre
THIS IS TO CERTIFY`-That dividual Sewage Di posal System constructed ( ) or Repaired
by -------------------------- -----
Dt f
msua�et
i A/Ile 16
at ........- -- ------------------------------..-._...--- ..................----....------------------------............------------.....-------------------------
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. ......-- .-.4..7........_.... dated ........_................-------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SA�TISFAC��TORY.
DATE------------ ---------------------------._------......------ ----1- -- ------------ Inspector ` = _.....
THE COMMONWEALTH OF MASSACHUSETTS
t
-BOARD OF HEALTH "
/`� TOWN OF BARNSTABLE
l 7 Y�1.. FEE___„ -/..No.•• r ........ .
Utspuial Iforkv Tongtr diun Verntit
Permission is hereby granted....:..........
to Construct ( ) or Repair an Individual Sewage Disposal System
at No.......... /.. 0� L il--L v L(
.........
Street QQL
as shown on the application for Disposal Works Construction Permit No._!_ :�/�__ Dated-------- ......
� . P,
..............................iv
----- - ------------------------------------------------------•--•--
- Board of Health
DATE...............�---�--•----•-----------
7-...................................
FORM 36508 HOBBS♦!t WARREN.INC.,PUBLISHERS
LOCATION ' , 5EW6.64E PERMIT UO.
VILLAGE k/% - - -
IWSTQLLER 5 WW-.AE ADDRESS
BUILDER 5 Q l "F- P, ADDRESS
L'o
DATE PERMIT ISSUED '- - - - - - - -
D ATE COMPLI &MCE ISSUED.: - - -
1'
AZ
wel�
4
N ........................ F.Ell .................._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
( � / 1.......... OF................................
Appliration -for Dttipusttl Workii C outitrurtion Prrmit
Application is hereby made for a Permit to Construct .( ) or Repair ( ) an Individual Sewage Disposal
System at• p!
a L .. �
cato dde
.Loi s r TLot No.
� -------------------------
wner Addr�esss �
..r.............. A..__ ..... • ..�' !! �................ ............. ce4!i:............................
Installer ETddress �f
UType of Building Size Lot.94B..l ....Sq. feet
Dwelling—No. of Bedrooms--------25--------------------------------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-----a4_s---------------------------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--------I.......... Diameter.4f1C'._'P.S:Q-Depth below inlet__. _._._.. Total leaching area---_--_.---.-.--.sq. it.
z Other Distribution box ( ) Dosing tank ( ) o .-. l,2 — 1/- 7J~
Percolation Test Results Performed by------- ------------------------•••-••----•---------•-•-••--•----------•-- Date..............•------------------------
a Test Pit No. 1----------------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......_..__..__.--__----
W .._...... .. � A
+`...-- ----------------
Description of Soil •.... ..... ..... ` � .
V -�.t� �r NZiF '-----1----- .�
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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be n issued and of health.
Si --------------- � �.
Date
Application Approved By...n _ ---- ------- -_-�-J-------
Date
Application Disapproved for the following reasons:----------------------------=•--••------•------••------•---------...............------------------._....--
............................•--------------•------.....-------------------------•-••.....----•----••----------•------••-•-•----------------------------------- -----•------------------.-•- ----------•-
/ Date
Permit No. Issued.�.r�— 7 l�
Date
Ficxk...................
�`- r
y' THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH k
1 ,
Appfiratioaa -for 4i.iv.uiiFal oM"" t x�trtt�Y� Pxm�it
Application is hereby made for a Permit to Construct ( ) or Repai (' ) an Individual Sewage Disposal
System at
------ -- ,. - .--__,__, �.................... -------------- _.......---.
Locati Addr s r Lot No w
.- z Z-X. -- ..ter..
wner r _ Addre�ss,,,h
.4 Installer Address
UType of Building Size Lot a ----Sq. feet
Dwelling—No. of Bedrooms.--_--_�:.-------------------- ,_a-__---.___Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ----------------------_-:-_ Nd. of persons.--------------------------- Showers ( ) — Cafeteria ( )
Other fixtures ...... -----•----------•---------------------------------------1�'='-...
W Design Flow..........,S'9'_--------------------------gallons per person per day. Total'•daily flow----- ----------------------------gallons.
WSeptic Tank—Liquid capacity_ -____-gallons Length________________ Width................ Diameter................ Depth---
xDisposal Trench—No_ ____________________ Width-------------------- Total Length...._--------------.. Total leaching area--------------------sq. ft.
Seepage Pit No--------/---------- 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 Test Pit-------------------- Depth to ground water-.-------.__.__._-.-----
(� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__.-.._--_-.__-._--_.---
p _ ,. ;,
Desert --------
Description of Soil.. -'G.• "T , •" �'
P r� 5" "".
----------`----- '�� --- `�t =-�' S
W ------------------------------------- ----------------------- ---------------------------------------------------------------------------------------------------------------------------
VNature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------------.-.__._...._-..-----.--.-..
..-•---------- -----------------=------------------------------------------------•------------------------•- -------------------------------------- ------_---------••-•------------------------------
r.
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 b n issued L and of health.
1,00
.�
.-.Y Date
Application Approved By.--- ........................... "`,�a� -------
Date
Application;Disapproved for the following reasons------------------ =
Date
PermitNo----------------r......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
,.-''BOARD OF H ALTH
04,
Trxtifiratr of V5,11 mpliatta
THIS—IS TO ERO That the idual Sewage Disposal System constructed ( Repaired )
by ` - --------- - -------------- --.
Installer
[Q6 d► ''�+rl
has been installed in accordance with the provisi, of . e X of The State Sanitary Code as descriked in the
application for Disposal Works Construction Permit No. _:.__. ............... dated.._ ...y`. J..................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT'BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
.a
DATE-------------------------------------------------------------------------------- Inspector-------------------------------------------------- - ------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
6' BOARD OF HEALTH
wF.3 .......................
No-------------=----------- �'�'""1.. FEE--��_--.........
�i� 11£M D 1 5tx1Yr` , ' mit T
Permi'ss'o ereby granted..'`'. :-
to Constr O or Repa ,. , a Ind'vid 1 Sewage Di 1 Sys -'
atNo . . ---- ---- .:....----. . - ---- - ----- ---
ftk
Street ..
as shown on the application for Disposal'Works7onstruction Pe o.______._ _-�; ____ Dat 1 .�_ __7 ______________
------ .
�._ �� 7� Board of ea •
DATE.....�.__.:._--,................................------------------------------
' FORM 125%'Hoees & WARREN, INC.".PUBLISHERS '
Fee----�-J--�--------
BOARD OF HEALTH
TOWN OF BARNSTABLE
ApplicationArVell (Con5tructionAgermit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
dre --- __--— -- ----
Location — dss Assessors MaP and Parcel
--- ------------------------
Owner Address
CUivc,�e1 ---------------------------------------------------- .-- . ------/ -------
Installer — Driller Address
Type of Building
Dwelling-��'r
-- —
Other - Type of Building —----------- No. of Persons-------------------------------------------
[ /I
Type of Well— -- - —=---------------------— -- Capacity--------------------
,e — — - — - —-- - —
Purpose of Well-- n.�cS Tip -- -------------------
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate .of Com fiance has been issued by the Board of Health.
Signed 4,1 ` _ --
date
Application Approved By ----- - -- - �'
---------- ----- date
Application Disapproved for the following reasons:----------------------—---—----------------------
---------------------------------- --- ------------------------------------------------------------
date
PermitNo. --- - -=--�r---— --- - Issued------------------------------------------------ --------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate ®f (Compliance
THIS IS TO CERTT/��F ,((That the Individual Well Constructed ( ), Altered ( ), or Repaired (�}
by--------------------!/ �_�4Nn.c ------------------------------------------------------------------------------------------------------
Installer
Y313 /P l.JC,. - -----------------------------------------------------
has been installed in accord ce with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. �- -----Dated------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE----------------------------—---------------------------------- Inspector----------�---------------------------—— - ------------
.� �_...� y� �' /�t•f Fs ��"� - tc�'v'rYA''?'`-d`'s��`,s{"�ynP�i'1flt�-J'`+w:,n-.�i+,:�'fa-.,j'�'}�yrr�,'��'"••!}"''+_c,.e_.'+.
No.- Al--- Fee'----_; -=�-- ------
BOARD OF HEALTH
TOWN OF BARNSTABLE
ApplicationlorVell CongtructionVrrmit
J
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
---------�!�=- f - �C' — --------—-- --— — -—
Location - ddress Assessors Map and Parcel
-Yc'i 'r'y—----—----—----- —y----- — M-
---------------------
Owner Address
1 ------------------------------= - - 3/ / �� ------/ ----------f- ---------------
Installer - Driller Address
Type of Building
.Dwelling --------------------------------------------------
i
Other - Type of Building ------ No. of Persons---------------------------------------------
Type
of Well— - -- -;------------------- -- Capacity -------- ------------=--- - ---------
Purpose of Well-- n<< ri----------------- _—-- -- -------
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate .of Comp iance has been issued by the Board of Health.
Signed ✓.t�,.if — -- ---- ---=-- - � �o ��`_- --
date
Application Approved By
date
Application Disapproved for the following reasons:----------------------------------------------------------!-------------
� i
-----------—-- ------ -- -- — ---------------------------------------------------------------------- -- -
date
Permit No. -- - =- ---- Issued--------------------------dace-----------4-----------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
— -- -- ------ --- --(n ----- -------- -----------p_ed.(�
THIS IS TO CERT,�FY,�T�al�{ �Individual We11,Constructed ) Altered ( ) or,Re air
��by - - -- -------------------------
Installer
y3• G � 1,- w�
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. Dated-------------------------
i•-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ---- —- —-------------------------—- Inspector--- -- -------------------------—— - ------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
loeCl Con5trutt ion Permit
No. Fee--'fit- 1�--�----
Permission is hereby granted_,im—----- - ----------— -- --- -------------------------------------------—- -
to Construct ( ), Alter ( ), or Repair ( an Individual Well at:
No. -----------------�y-_F=---"_/_Z----- '-u- - -—— - — - -- -- -�- - - - - --
-- Street
as shown on the application for a Well Construction Permit
No. --------�-' ��=-1� - ---------—___ - Dated--- ---"-�0---n-9--L�----------------------------------------
------------—-------— -- - -------------------------------. -----
�i of Health
DATE---- --L- d-
,L o r _51 j17v C
At —
s � � l CERTIFY THAT THIS PLAN SHOWS
44 THE ACTUAL LOCATION OF THE
STRUCTURE CAN THE LAND AND
THAT IT CONFORMS WITH THE
BY-LAWS OF THE TOWN!
.CO
v
a
PLAR OF LAND
/99. zd IVI MASS.
OWNED BY
Q 4 a:
FRANK C.ONERY 5 TRENTON ST.
FRANK HYANNIS. MASS. 02601
FRANK CgNFFlY REGISTIRty tro� CER a LAM*SURVE'YOP
COfY€�Y I rj r�N0. 6513
C�ST1`P��f . ' �a�E�
� CISry ��Nac, SCALE 1 IN =..?o r.f��G 8� /,97, _
Nn SItR ; \S ONAI-01
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