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Home My WebLink About0187 ASA MEIGS ROAD - Health r�ct-�-�'ir�n s ' f � �Lis ��f�-s' '�`T I�"' �� o—] J l APPROVED THE COMMONWEALTH OF MASSACHUSETTS Barnstable Conservedon DePort"M BOARD OF HEALTH /-,_S-_1'e=j0WN OF BARNSTABLE Applirati�i for Uinpuuttl Worbi Tomit=ividual Prrmit Application is hereby made for a Permit to Construct ( ) or Repair Sewage Disposal System a ----- .t..N---------------------------••------...•---- . Location t ddress or Lot No. W ` —L L J (� ......... Add . \ . �- O a ----••-•••--------- ------------------------------------------------------------------- --------------- ------. ----•-•- ......---- Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) pa, Other—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------------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........................................ 1 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.....------.---..------- ' 94 ------------------------------ -------------------------------------------------------------------------------------------•--------------•-----•----------- D Description of Soil..................�.... . . ....,_ U •-••••--••-----------•---•-•••--••-•-•-•-•------------•-----•--•-•-•----•-•-----•-•------•--------•---------------------•--•-------•-•---•--------------••---•-•--•••--••--•••......--•-•--•----•....--- -------------------------- -----------------------------------------------------------------------------------------------------------•----••-•-•--•--------. ......................... U Natu of Repairs or Alterations—Answe when applicable..------Y`s1-S2\t-c---.-._...� ---------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TITLE 5 of the State Envirorymoptal Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp a ha een issued by the hoard of health. _ n Signed ...... .. - ------------------- I...-- . 5..:...... Date r Application Approved BY � ------ ----- � ,' ` ------ --- ---------------------------------------------- Date Application Disapproved for the following reasons- --- -------------- ----------------------------------------------------------------------------------------------------------5 ............ ................................................. ............ .... ...................... . . . . ....... PermitNo- ----------------------------------------------------------------- Issued to Date ____________________________ ___________________________________________ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (ItlErtifi ate of Tomplianre Tro IS TO CE TIFY, Th t t e Indivi ual Sewa e Disposal System constructed ( ) or Repaired ) Installer D \ ` 'Y 1. J .. ..................----......... has been installed in accordance with the provisions of TITLE 5 of he State Environmental Code as described in the application for Disposal Works Construction Permit No. --------......y......._�j-------__. dated ..............._------------------.._------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTII�ON SATISFACTORY. DATE......---I.. 1.-. ....1.5 ........... - ---- Inspector -----_------------ ------------------ ------------- ----------------- No. ti/f : �-7 r FEZZ.V,(DE) THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � � �'•'• �� 5_'`/TOWN OF BARNSTABLE �- Appliration for Divi-poi3ttl Work,i Tvautrutrtin Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System atj. • S ..------ ........... .... . ....... .•......-•-.......------. ---- •... . ......------••------------•--------•----------------•-----------•-•------•-- Location ddress .............................................. ----------•..............................or Lot No. __. .......................................... -•----•----•--•---...------......-•--------- --------- - a Installer Address I Type ofyBuilding Size Lot............................Sq. feet Dwelling— No. of Bedrooms-----------------------------------------__Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building -------------t_______._____ No. of persons--___---_------------------- Showers ( ) — Cafeteria ( ) Other fixtures ---- W Design Flow.:..:......................................gallons per person per day. Total daily flow......._.___........__._........._..__.___..gallons. 94 W Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter................ Depth................ xDisposal 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. l................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.................. . ......_ V ....-------•--•---•-•----•--------------------•------•-----------------------------------------------•--•------------------------------•--•------•------•-•••••---------•-----------•...........---•----- r U Nature. of or Alterations—Answe when applicable._.._.__ `4"Z_�?��-e..___----.-. .�.5_ �_ ____________O D(7-•�,_��` Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environm tal Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp alha been issued by the oard of health. Signed 1. ....... ... ...... 5 Dace i Application Approved By .............. Dace Application Disapproved for the following reasons: ------------------------------------------ ---------------------------------------------------------------------------------------> ................................................................................................................................................................................................................ f T .. -------/-----"Dace-. �..�f..�.. Permit No. Issued ..............J_=... ..".`1. .................. Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ter#ifirat.e of Tantylinure TI,S IS TO CERTIFY, Th t t e Indivi ual Sewage Disposal System constructed ( ) or Repaired (� b -- _--- �---�-". ........� �,..�� V- �1�-5 y .... �... 5 1� 1 t 1 —la,aue c at ............. �.. ......... --------- ----- ` 5--.-...----------------------�--- `- 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. ..------. -------- 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 BOARD OF HEALTH '71 TOWN OF BARNSTABLE 30 ,OD No... -/-..:,J�..... FEE........................ Mipos#1 Workii Towitrurtinrt Vrrntit Permission is hereby granted.. ..C,_ _r.�. ` -_..__._ - -�5. to Construct ( ) o�r,'Repa�r•-011t an In ividuall Sewage Disposal System atNO... .......................lj.-------.--------Street._--.-qq_------•---- - --•-•--------•------�-.-----..- as shown on the application for Disposal Works Construction Permit Neo/.7 __�J_-__-- Dated....../._'�- _1,.............. A ---•-------------------------------------------------- --------- Board of Health DATE. P---- ---- -----------•-•----------------------------•---- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS L• TOWN OF BARNSTABLE LOCATION O l ASA Yy-,Oi!aS SEWAGE VILLAGBM , YV1�1` _ ASSESSOR'S MAP & LOT630 P-01 f INSTALLER'S NAME & PHONE NO.CcicAt� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) L ` �- (size) f�.007 l o NO. OF BEDROOMS PRIVATE WE L R PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ i 37` �� q3, - 67� O 7l No......APPROVED FEs...... . .. i • oepan ent C�::..... THE COMMONWEALTH OF MASSACHUSET S BOARD OF HEALTH Date TOWN OF BARNSTABLE Appliratiun for Eliipntittl Works Towitrur#inn rumi# Application is hereby made for a` Permit to Construct ( ) or Repair ( L)"an Individual Sewage Disposal System at: "L."5 ........... �a................................................. ------------------------------------------ -------------------- Location i\d s or Lot No. �.1�'1 .........--- =------------------------ ----------------- 5 ...................`.. ......e-``� a �. Ow ` d ess .ne ....-�. ............... ._.._.-_! ----��---- .........mks �P..A..M c, . .... Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling— No. of Bedrooms___________________ ---------------- _Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons_______________________---_ Showers — Cafeteria Q' Other fixtures ------------------------------------------------ W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacitv__.....____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. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water-.--____---_--__-.--.-.. fi Test Pit No. 2................minutes per inch Depth of Test Pit--.___--_---__-_--- Depth to ground water---------------- ._-.-_-. 1:4 ----------------- --- ......... ......................................................... 0 Description of Soil......................... x c, ------------------•--•-........ x ------------- -----------------------------••-----------. ----- ------ _�Z ._. U Nature of Repairs or Alterations—Answer when applicable.-_--.-_----_ -��- ----------------t.00.6..... .�. ..,.._,. --------------•--------....--------•-----------------------•-•-•--------------------.....-•••.••••---------•-•--•.-------------------------------------•---------••---•....._•------•••••--------------- 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 Compii c, has e n issue tithe•bo rd of ealth. Signed ....... ... .. ........ .� ... ..�.. `Q/. Dare Application Approved By ---------- ..�. � .l ------------------ Application Dace Disapproved for th),:, owing reasons: . . ... ........................ ............................................. . .... ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ... .......... . ----I--- Date Permit No. ..... . ................ ................... Issued -----------1.. Z-..^..1. g ------------------- Due 1q3- G 7q MAP � r? l No................--' , `CC e/ (F$.... ..........'. X-2 THE COMMONWEALTH OF MASSACHUS3 BBOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Diupuml Workii Tunutrnrtiun rrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( L,)/an Individual Sewage Disposal System at: 6t --•.... In � �SA cMCiS S= ........................ a_....._....._..................._ ....._.... ............__ Owne d ess Installer Address r VType of Building Size Lot............................Sq. feet .. Dwelling—No. of Bedrooms...........................______-_-_---Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—Type of Building No. of persons............................ Showers g -•-----------------•-------- P ( ) — Cafeteria ( ) dOther 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......................................- 1.4 ,4 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........................ ------------ ------------r D Description of Soil................ -------`-------- - ---- ------ - ----------•----------------......-•--------------•-•---•------•----•----------....----...-----•----- --------•-•-•--'-------•...-------- UW •-- ••••--••--------------------------------------- ----------------•- T--------------------------------------------------................................................... Nature of Repairs or Alterations—Answer when applicable-------------...r-� SA.- !. ........._ 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 Compli ce has (been issue b tDhe�bo rd of ealth. Signed --- ..................... ............ �. ` 1 3 3 ...... Dace Application Approved By . - ��j..` �.r -=- ------ ............................... 1.-.. "c-3-----�--- Dare Application Disapproved for the following reasons- --------------------- ---------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------- ---- -------------------------- ---------------------------------------------------------------------- .... '. 3 Dare PermitNo- ------------------------------------------------------------------ Issued -----------1 'L 1. ..'.. .3................... Dare ----------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ge>rtifirtt#e of C omplianc , THIS ISJ0 CERTIF�'', That the �ndividual ewage Di posal System constructed ( ) or Repaired (� by �. .... .. ...�..: e =-r .�n�`.�- __.............. ........... - InsnJlrr at ......................................... -----------..... ° - 't. '- S..-.._...... -------- ..............`..l...i........ 5.... has been installed in accordance with the provisions of ITI.E 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. -----�.-...-_ ..7. ---- dated ._..._............................_........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �"") DATE...._......'...d`.........1.� . .. ---------------------------------- Inspector --------_-------- ---`'o--......--------------------------------------------- ------------------------•------=-------------------- - ----- ------------- J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 7 TOWN OF BARNSTABLE o No.. ._........ `...... �... � ! � � FEE..�................ iuusl Tur/ku Tonotru 4ion ` mutt', S L`...................---• --------_-`r!-------..................................."•----•.....--- Permtsston is hereby granted�a_ �..V`.._l.................._._.._.____. to Construct ( ) K Repair ( ividual Sewage Disposal�'nstem Vl�i ' Y� t ' atNo................... -"-' A.'•''-- .`' S=---•-...--�"' = • •----•--•'•'. 5 Street —c as shown on the application for Disposal Works Construction Permit No.___.3-4, Dated-___�._�...._!..3.....5.�_. .•r- *-=------------------------- 3 Board of Health DATE.....................................�.-- ........................."--•"-• FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS