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Home My WebLink About0300 BAXTERS NECK ROAD - Health 300 Baxter Neck Road A= 075—030 Marstons Mills` l I �I I X� LOCATION SEWAGE PERMIT NO. VILLAGE �-- INS,TA LLER'S NAME i A,p,DRESS , P 3 , W � ` 4 4 8 UILDEIt OR OWNER DATE PERMIT ISSU E D _?f- DATE COMPLIANCE ISSUED Idg � 7r D 1� 11_o IV i t k r , No........----... I THE COMMO AL-EH_OF_ M,WSSACHUSETTS BARD OF HEALTH �O ......_....__.. ........_.............O F....................................I.................. ...... Appliratiun for 43hillood Works Tnntrnrtirrn Vantit b� Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal / System at.. ___•Baxter__Neck---Road.___Marstons---Mills__ ............ ot___��1 Location-Address or t o Charles _D. _Rogers 58 Po lar Dr. �serville Mass. Owner Address W _ -,.v'_.... . __� Route 49,___Marstons Mills. Mass. Installer Address Q Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (X ) pa-, Other—Type of Building --------NOne--------- No. of persons--------------------------- Showers ( X) — Cafeteria ( ) Q' Other fixtures .................... Q ------------------------------------------------------------------ W Design Flow....... t ................/ _gWjons per person per day. Total daily flow.............91f d_______--__--_.-.-.-gallons. WSeptic Tank,Z 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....__LQ_..._... Total leaching area.............:.... Z Other Distribution box (Z) Dosing tank ( ) Percolation Test Result Performed by----•-------------------•------•-----••••--•-••-••••-......-------------- Date---------------------------------------- Test Pit No. L- �7.lninutes per inch Depth of Test Pit.................... Depth to ground water..________-________----. f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.__-.-___-________-.... a+ •--•-•------------------------------------------------------------ _ ------------------------------------------ of 0 Description ..... lil---------- _1. -r�- 1.`s�l .._. d �' _ `' - -U W -----------------------------------------------------------------------------------•------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------------------------. -----------------------------------------------------------------------------------------•--------------------------------------------------------------------------------------------j.............. ._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage posal System in ac rdance with the provisions of Article XI of the State Sanitary Code he ndersi eZh . r agrees not to pla the ystem in operation until a Certificate of Compliance has be i d b e b a Si d-- �--• . ------- ---•••-••-•------------ ---y�---1----��---- D e Application Approved By------- F- / Date Application Disapproved for the following reasons:................. ------•--------------•------.........._..------------------......•----- ...----••----- ----------------------------------•••-••••-•••-•••-••--------•---•-••---------•-••••-•••------•-----•--•-------------•---•••--••••-•-•••••-•••-•-----------------•-•--•------------•-•••-------------- Date PermitNo......................................................... Issued........................................................ Date .7�V7 , ................ _ THE COMMONWEALPj O_E4AASSACHUSETTS BOARD OF HEALTH , Appliration for Diipatittl Works Tomitrurtion run it •' r Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ---------------------------••----------- ••--................................................... ........-•---•---•••••-••••--•-------•----•-•-----••-----•---•......•••-•-•-••-•----... .......... Location-Address or Lot No. ----•------------------------------------------•---•---------..........-•----------•--------•----- -•-•-----------•--••••-----••--•-•--•-----•••-•---------•-•--------•---•------...._._......_...... Owner Address W Installer Address d Type 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____. _________________ P.Uons per person per day. Total daily flow............��0-------------------..gallons. W Septic Tank Liquid capacity f gallons Length...__ p -----•----- Width---------------- Diameter-•-•--••----.._. Depth Disposal Trench—No..................... Width----------_-------- Total Length.......... -------- Total leaching area--------------------sq. ft. Seepage Pit No.........�...-....... Diameter.....�.eZ-...... Depth below inlet.....6______-_- Total leaching area __._:__ Z Other Distribution box (1) Dosing tank ( ) '-, Percolation Test Resul Performed by----------------------------------....................••-••-•-•-•••--••• Date--------------------------------------- Test Pit No. ly 7-..minutes per inch'. Depth of Test Pit____________________ Depth to ground water------------------------ r-T4 Test Pit No. 2................minutes per inch Depth of Test Pit----------------.... Depth to ground water_-::---____--_--_--_._.. a ----•• •...j 0 DescriptionA�of oil- * '`'.Y "" r" � -------------------------------------- U ------------------- 0....."-. �j. �L '' ---- ------- ------------------------------------------------------- -- W -------------------------------------------=--------------------=--=------------------------------------------------------------------------------------------------------------------------------------- V 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 been issued by the board of health. t Sied = ---------------- -------------------------------- Date Application Approved By.... .i / r ------ D ate --•------ 1 Date Application Disapproved for the following reasons------------------------------------------"---------------...------------------------------------------------•--- Date PermitNo.--••••••---••••--••••••••-•••.................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � Tprtifirate of TlImpliana T S T,,0 ER , TI the Individual Sewage Disposal System constructed ) or Repaired ( ) t ""- Installer a has been installed in accordance dvith'the provisions of Arti XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit Nc- -- 4(7.- ' -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 e BOARD OF HEALTH rU LG �. ...OF........................ s No.•••-- -••---•-•---- FEE. Di p-0,5a1 ko Cn� t �ti n pramit Permission is reby gra ted_._.--_-- =- ��L� �✓1x- toyConstr t ' Repa (` ) Individual Se wa ^D posal yste at No'`_. tfcl lu - I1. .._ " .. - J_ ' - 1{ ----- -------- ••---- ... Street +t `/�,.. �� as shown on the application for Disposal Works Construction P.e >t o. .....: ......... Dated___�_..7__ ____-•f«_............. lfp• ............ -------------- Board of Healt DATE.......................................................................- , FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ' ' i� ,.. `- �. - c>r' t,; + •�n ` ems. \''.�•�tj''� _ i 1� 'C`_.'� ' �# _.�,N ^'�+' �" �. - ;�. - •. _ fey _ �� ,Y - 'S'_ ' ` � .'+• _ K7, fVW -_ � -M _� . � 1►4 ✓lam j.�/�1,�T,'f��I�"' ,��I p c. 1��Ary`At-may� pl�..ss V1 AP..�}„}f(-�' �{ f�✓ _ 1 ------------ 4-`PYZ. �;. fin• _ �(�f,,. �r�. z _ 1,40 1 Ny. J• ._ i rIt-02, r,Flo T i i��i��% �� I.oNC9 ��11�'� �'�G�r��ial��iln � _- � _ `_ .. r• f ' a NM7 .o- �[�.�. � .:� �-. z.� .K F+,» � -,r�� .�- 'x f` �y �„ �� -�'T'f �S'�r�—si1D�..`t *s.��' s+-,�.-•_-- :aye -3. , ...� �'3.'Y.��v.�. ,c`_" r z `3t;�rr&wnr. � '�� .K$' s"� �Nr".�;.,i {v,.�.'i �� *.�R"^ '."m�`z•-._v^'t��t -7S 0� 0 No.--l1--------- --- -- Fee-- ----------------- BOARD OF HEALTH TOWN OF BARNSTABLE ZipplitationArVell Con.5truttion permit Application is hereby made for a permit to Construct (j",j,rAllt�e,r�o ), or Repair ( )an individual Well at: -�D�----�aX�r�v_.e C l(--- /L�-°--� / /�!J`'►'SV�'kJ__!�U1,�-4- ---D�e�—�� Loc ion Address Assessors Map and Parcel c �4. ��c ►fito 61 . Too �o n,eel --- ---------- - ---- - - ____- -- - --- -- X -- - - � A e� Owner Address — O,tt = -J CSC^�a�e I -- ------ - 0. ►3ox S 40------- Installer — Driller Address Type of Building Dwelling------------------------------------------------------- Other - Type of Building------------------------ No. of Persons_------------------------- Type of Well C -- ---------- Capacity-------------------—---— -- Purpose of Well- 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 Ce ificat—eool°/f Compliance has been issued by the Board of Health. Sign - —AX - date b&_ M Application Approved By — ----- -------- date Application Disapproved for the following reasons. --------=--------------------------------------------- date Permit No. — Issued-- -U - ----- ----- dat BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO C/nE�R 11 That the Individual Well Constructed ('I, Altered ( ), or Repaired ( ) Cuf%j l� Installerat— 30 v 13,.x�of ".e L` /"-A "S N—S --yk.`-` has been installed in accordance with the provisions of the Town of Barnstable Bqar4 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--------- ---- —-- -- 1-7 No, --------- --q_71). - Fee-- --------------`- BOARD OF HEALTH TOWN OF BARNSTABOE,-j Applicat ion fir Well Congtruct ion Permit Application is hereby made for a permit to onstruct Alter (r ); or Repair'( )a individual Well at: 3oO / _ D 7s _) _ — Coc hon Address —— — — -- - --- ";'Ass6so!s'Map a'nd Parcel — Owner !Address l �J--- ---5c N �' - - --- -- - - P°a ,3�x--`�d v------ ```-S _^ `` 0. 15 Installer.-;Driller � Address Type of Building Dwelling------------- - -- - ---------------- Other Type of Buildin ---------- No. of Persons----------------------- -- -------_- YP 8 -- — — - Type of Well I_J Purpose of Well__r_��r � e..� o Agreement: The undersigned agrees to..install the afor described 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�Cer ificate f Compliance has been issued by the Board of Health. h? Signe — - - - date .Application Approved By -- -'- - ----- ------- date Application'Disapproved for the.following reasons: ---------------------------=-- — - -------- — --- ----- --------- ------ -------- date -- ✓' Permit No - — dat .'�1ve�l.aso�RmRi9Wi:.9i.Y�1i4�8s7•�'5�-4eiNi4 '9r:1i!!elJw�iHe�!o14.b'k�lititb�Ioei4alelcAfolLF�"SluffTilf$EafY.83li�ii4ili9iAilC2LS:iN:I.tN"salif+89G131Rll.iCiRfilBlil.IeBEMli+de4iwdli:TY..i31.T�Ttilw BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate O Compliance THIS IS TO CERT That the Individual Well Constructed (''l; Altered (. ), or Repaired ( ) D c4A N by---- --------- ------------------------------------------- Installer / at-3°0 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---- ' ---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- - - Inspector—____-----____-- --- . ��1fili94!►4ifi�'i1iTilNililiaiBi�N_i1MY1illi?feiBiRiliT6Kli.TiKKlisilGl.LR±ieilieiM9il;Siab9NiliSiTNiPf!•64i9i�i!'wti4f�i!.f91i96^d!!Si?i48'!iYSKRf.sb9�4i!i!i�i9iTF4i9ilia' BOARD OF HEALTH TOWN OF BARNSTABLE Well conoruct ion Permit No. Fee------- _r Permission is hereby granted J Ca""�'r/ - to Construct 1, Alter ( ), or Repair ( ) an In idu ell at: No. Sao �a — - -- — Q ---- ---- -------------------- - - - - Street as shown on�eypplicjtjin fora Well Construction Permit No.- . -- Dated ---- -- - - • 6 �J -- Board of a th DATE _ 1�_ R , t F t j-4. MI - - 46441048 a i � xr-r I Y.--+f•.�{"• F►!1� - � �^ �i� 3m� .4..'2 a jZl%♦'i4 -,�"�= _ , ,'} ..ti" F?�tfi•. F.'. 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