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FLOOD ZONE _"C" FO UNDA.TION CERTIFICATION RES ZONE RF"_
TOWN.• MASRTONS MILLSSCALE.• 1"=30' . FL.REF 2 73-22 ELEV N/A SETBACKS. 30'-15'-15'
I CERTIFY THAT THE ABOVE � ����m� YANKEE SURVEY CONSULTANTS
FOUNDATION IS LOCATED ON P. 0. BOX 265
THE GROUND AS SHOWN, AND ® �r F� ' ' ��� ® UNIT 1, 40B INDUSTRY ROAD
IT'S POSITION = EF
J. MARSTONS MILLS, MASS. 02648
CONFORM TO THE ZONING LA DGtL=
SETBACK REQ UIREMENTS OF -Z e TEL: 428—0055
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B R STABLE FAX 420-5553
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STEPHEN J. DOYLE, R.P.L.S. °v DATE'10_03—05 NVMBER53967FND
AsBuilt Page 1 of 1
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TOWN OF BARNSTABLE
LOCA'TIONM_kQ V� ,.SSESSOR'S
SEWAGE #
VILLAGE 1C�S��li7(� (vS MAP & LOT �, Q f
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACMJTY:(type) ��� (size) (19 L.)
NO. OF BEDROOMS PRIVATE EL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED: Iciy
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE
LOCATION ko \ �� � SEWAGE # � �®
_VILLAGE )CG.S.S 71� (��L�� ASSESSOR'S MAP & LOT ,100,1Q
INSTALLER'S NAME & PHONE NO. CX
SEPTIC TANK CAPACITY �.000 C-ra`- t- ID (304�
LEACHING FACILITY:(type) (size)V(,p
NO. OF BEDROOMS PRIVATE EL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
54 K�
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IOC .T 10 %7"Z j </ SEWAGE PERMIT NO.
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VILLACE
4-�L4-j LL'.1
INST L L E 'S NAME 1 ADDRESS
41
B U R D E R OR,�-- - ER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration fur Diipuutti Madw Tomitrnr#iurt Vrrnti#
Application is hereby made for a Permit to Construct ( ) or Repair ( (�/an Individual Sewage Disposal
System at:
.... ..c.M� ...............&—��1�� -------- ----•-----------------------------•--..--._...._..__._ ..._...
,._
-- a-Address - '-..............
-.._......or-Lot No.
Owner ddr s
Installer v Address
d Type of Building Size Lot...........................Sq. feet
aDwelling— No. of Bedrooms_________ -----------------------------Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
dOther fixtures --------------------------------------------------------------------------------------- --•---------•--------•••---•-••-----------••...........---••-
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacitv---JMC)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. 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........................
1:+ ----•--••--------------------•--•--------•--•------•-----...................................................................................................
ODescription of Soil........................................................................................................................................................................
x
U •-•-------------•-------•-•-------------------•---•"-•----•••---•----•---•-----...---------------------•-•----------•---------------•------•----------••-•--•---•---•-..........---------•-----........
W ............._....._._..._.._..._..................._......__.._....._.._..........---...._-.........._..___ a....G
U ,f re of Repairs or Alterations—Answer wen applicable.-.._ __ _.._____�____ .d.� -................. .
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 Compliarice has been issued b_vulie b of health.
Signed ........ Id/y � G/
---- ------------------- ------------- -------------------------------------------
Due
Application Approved By ------------- --- -- „�,e�.,,,. ,
------ ....." Dace..�... _.�..
Application Disapproved for the following reasons- -------------------------------- --------------------------------------------------------------------------
..................... ............................................................................... . . . ..................
(� Dace
PermitNo. ..........L..�..-........7.D...�.................. Issued ---..._..-_---------....- ---------------------....._.--.......
Dace
No. .. .. FEB....: . )
THE COMMONWEALTH OF MASSACHUSETTS
r
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Bit n!ttl Work Tunitrurtiun Vantit
-`Application is hereby made for a Permit to Construct ( ) or Repair ( (J/an Individual Sewage Disposal
System
L 1 at
.... .�.._.... e ..�. G' 1 �e ------- ----- ----- ---- -------------I'll-------------
L a i n-1\ddress or Lot No.
Owner >Address
Installer v 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 ( )
a' Other fixtures __________________________________
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity_.lid(,?gallons Length---------------- Width---------------- Diameter---------------- Depth................
x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area...................sq. ft.
s
Seepage Pit No.....................-Diameter.................... Depth below inlet.................... Total leaching area...:.............sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) A ,
aPercolation Test Results Performed by.........................................................................- Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit--.----_______-_-_ Depth to ground water........................
GLl Test Pit No. 2................minutes per inch Depth of Test Pit._._-_-.---_____-_-_ Depth to ground water........................ '
a --•••---•......................•--••----••-•--•-•-••-----••-•••-----•--••......----------...................................................................
0 Description of Soil........................................................................................................................................................................
x
U ----•••...................•--•------•-•--•-••-------------•-•----•-----------------•-----......----------•----•---•---••••---------•--•---•---••--.....-••--------------------------...........--•-•••.
x ••-•-•----------------------••---•-••---•-------•--------------••-----........----------••--•-••......---••--- .
U Nature of Repairs or Alterations—Answer when applicable.__. ��.______�____I .C.� °U^G . •-._.�-G G.. L.
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
issued bhe board of health.
-
Signed --- - --c. �--`.x-...`'`�t� -�- ----------------------------------- la� �/
-------------------
Date
Application Approved By ...... - ��c `1...°��: .ca=.<,- -� - - --� ...-...`J.�l...
Application Disapproved for the following reafonf: ............. .......... .................................................... -- . .................
....... . ............................................................... ....... ... ................ ....... .. . .. . --- ..............................
Date
PermitNo. ..........�.Lf✓..............'7_0--V----------------- Issued ...........................................................
------------------------------------------ ---------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Q-Tertifirate of Compliance
THIS IS %CE�TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by .............SC..............._.c-c.,r.. ---- -----------------------------------------------------------------------------------------------------....--------.:...............---------------------------------------
at .. - " 6u_.. , Installer
- ... ...
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. ------7..L,/.-----... ..n._ .. dated -----------------------------------_..........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-- ---1... ". ---------%J----------------------- Inspector^.....� ��.
--------------------------------------------------------------- ---------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CC�� TOWN OF BARNSTABLE -
No...d...�.'..�.�-J._.� FEE...
:.........'...fr../
Ewpaiial urk,5 Tunotnutiun "Urrmit
Permission is hereby granted _< _. ----------------------------------------------------------•----•----...............
to Construct ( ) or Repair (Van Individual Sewage Disposal S stem
at No...._t. ---••- �?� ���G ----....( TN. 1�5 ----- M..i f........
PP P street �� ZO`
as shown on the application for Disposal Works Construction Permit No.;_-_o-.--_-__.��Dated___.. .._.........
----------•-•--••----•--• - . - ----
•................................... 1�Bgard of Health
-----
DATE......... .._-.�-----=-.(�--� ��/
FORM 3830E HOBBS Q WARREN.INC..PUBLISHERS
F I LE # E5374 CENSUS TRACT ,.
CLIENT: John Conathan, _=, Esauirs DEED BOOK _5y3 PAGE 10
OWNER: Jasres 3. Ruth Anne hiue1%er PLATS BOOK PAGE LOT
APPLICANT: saute ASSESSORS PLAN PLOT
MORTGAGE I N S P E C T 1 0 N PLAN -OF LAND
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H Y A N N I S
SCALE: 1"=46a DECEMBER 8, 1986 j
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I CERTIFY TO JOHN CONATHAN, TI, ESQUIRE, BANK OF NEW ENGLAND, N .A. , AND
ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR
EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY
IMMEDIATE SUPERVISION,
THE LOCATION OF THE- DWELLING AS SHOWN «^`
HEREON IS IN COMPLIANCE WITH THE LOCAL `Y '
SECT TO HORIZONTAL ZONING BYLAWS WITH RESPECT �': � :..,.:,;,-��•s;.`,
DIMENSIONAL REQUIREMENTS
THE DWELLING' SHOWN HERE DOES NOT FALL
WITHIN A SPECIAL FLOOD HAZARD ZONE AS
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7W -VAM.IA/D .4J.Sf+bw� NE 6tlN.
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AND 7M7, /T C'� AR IfS 75 7W-r%A 4or—
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD ,OF HEALTH
-------..OF......�'.A............
, pp4irat uu -fur Di,�ivuiitti Works Tuustrurtiuu Vrrmft
Application is hereby made for a Permit'ito Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at•
Y ,/
------------ - a - °- ,
I.oca4 cress /t or Lot No. ♦�� ' '
-------- ----- ------ ._.-.r __•.._...-..:C "!r'' .._._.__._...._.... .._____..______+�_'.____��E._"___,:br.'. .�...A1 _ _ c.____ I!' !^y!r!____��__..__.. *'
Owner Address
W ------------------- ----------------- _ .- ................................ ---------------- --- ---
Installer Address
Q Type of Building Size LoA4011 ------Sq. f et
Dwelling—No. of Bedrooms---------------------------------------------Expansion Attic ( ) Garbage Grindete
per, Other—Type of Building ____________________________ No. of persons.-_______--______________.,_ Showers ( ) — Cafeteria ( )
�-I Other.�stures ------------------------------------------------------
W Design Flow---------______Q__.____._______ a_,-gallons per person per day. Total daily flow............................................gallons.
P4 Septic Tank—Liquid capacit .............' gallons Length---------------- Width------.......... Diameter---------------- Depth.____.___.__...
x Disposal Trench—;i N Width____________________ Total Length------------_------ Total leaching area-_-__.---_-_-.-___._sq. ft.
�p<_
3 Seepage Pit No.._________.____::_ )Slameter____________________ Depth below inlet__._____________.___Total leaching area.._.__._________sq. ft.
z Other Distribution box ( ) Dosing tank (' )
a Percolation Test Results Performed bY.......................................................................... Date--------•_..------------ ----
Y-------
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.- —tr--_-__----_
G14 Test Pit No. 2................minutes per inch Depth of Test Pit_________________.._ Depth to ground
� ('
w_
ater-_._____-_---_-__._--
-- - -- -----
`,Description of oil-- -----------.--
-
U ..... -
------------ - ------------------------------- -------------------- --------- -......
. ..
V Nature of Repairs or Alterations—Answer when applicable....................................... ______________________________ '__..._._.....-...
----- ------ -------- -- --- ------------------------------ ------------------ ---- - - -- ----- --- - - ---------
Agreement: s
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acror&nce with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place tle:system in
operation until a Certificate of Compliance has b n issued by tlial rd of..health.
Sined -. --- ---- - ................................
Application Approved B ,�. _..
PP PP Y - .
ate
Application Disapproved'for the following reasons- %____........................_..........................................
-----------••----------•--------------------------------------------•••--'--------•-•••----•--•-•-•------•----------- -----------•------------------------•------------------------_._.__•-•------.._..--
Date
r
Permit No. Issued....................................
_
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......
�l
ntifira r of TompItaurr
THIS 0 ER , That t ividual Se e Disposal System constr cted ( or Re ired ( )
by-- � -_._. .--- --
�++. I,sfaller w
at •----- -•--- -- ---- ------ -- -� ----- .- --• --
-- .......................has been installed-in accordance"`with the"ptovisions Artic I of e State Sanitary C de as'de'sc a in the
'r
application for Disposal.Works,.Construction'"'Permit No.. ---- -------------------- -- dated_.:_j... _. ��_ �___..._..._
THE,TSSVANCE OF THTS�'-CERTIFICATE .SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............................................ •---•--•---- Inspector => ------- ------------ ---------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
C7)1 BOARD OF EALTH
No......................... FEE..... ... .......... _::.
All An t tau r
Permtssion i eby granted a - •
to Construc o Rep r an di I al Sew Is o5a tem y
at No.- ....................... ---- - ..................................................
,,..e/�
Stree
as shown on the application for Disposal Works Construction Per o...... f6�._ _._.___________ ________ ____
:..,
Board of Health
DATE-- "7
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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No.. Fmc.y..lY. . ..
THE COMMONWEALTH OF MASSACHUSETTS
EOA R E HE L
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Appliration -for Bi_qpagal Work,5 Tomitrurtion Vrruift
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
s at
R . ... .._� .......
......./ •
......_ ___ _ ..._ ........................ ._ :_... .__......_....__._.___.__._.._..__
'oca t A dress 2 9 5 or Lot ®'Je
4! _._--_____-� ..................! P....... __ ______ _______ ______ ]l..._...... ._ -------------------- ..__....._.....__ __._.__
Owner Address
W
st Address
W '
UType of Building Size Lot#71,.-/ ______Sq. f et
Dwelling—No. of Bedrooms---------- -----------------------__-.--.Expansion Attic ( ) Garbage Grindet�0
aOther—Type of Building ____________________________ No. of persons.--------------------------- Showers ( ) — Cafeteria ( )
Q' Otl-ter fi tures ------------------------------
d -------------------------------------------
W Design Flow_._-____._ __®_.......-.-/�®_gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank—Liquid capacity.____.____-_gallons Length................ Width....._.._-.._._ lliameter__..-...__..____ Depth................
x Disposal Trench—No....... Width.................... Total Length-------------------- Total leaching area--------------------sq: ft.
Seepage Pit No..���� .�;
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 "Pest Pit-------------------- Depth to ground water.:: -1�--_-.-...-
riq Test Pit No. 2................minutes per inch Depth of Test Pit-______-.._____-___- Depth'to ground water.................___-.__.
Ix ---------- `� `�� --------------
x Description of Soil---------(� l.� !t �1� .�l-� - -
W
---------------- .-� --9- � . � �``
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 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 issued b*.tlu:_�5rd of health. _
,Sin ed-- -- ----- --- ..........................--- --------------------------- ---j .....-� ..
_ ate
Application Approved By---`--------- - --- •--- ---••--- --- ..
Date
Application Disapproved for the following reasons------------------------------------ ----------------------------------------------------------
•••••--•••---•---------••-------•---•-----•-•-------•------•-••••---------•---•-•------•---•••--------••....----•-----------•----•--•--- -------------------•------...--••-•-••- ----------...•--------
Date
PermitNo......................................................... Issued....................................... ..........
Date
.�..�. ��.._•_ --_---------------------------