The URL can be used to link to this page

Home My WebLink About0120 BRIGANTINE AVENUE - Health 1�2®'Brig,aritine ; Avenue — 098 Marstons M Its '; TOWN OF BARNSTABLE LOCATION LAO i Yn � 7/"-S,s '�� v Ur g SEWAGE # VILLAGE_ m tA ASSESSOR'S MAP & LOTI -Qf 9 INSTALLER'S NAME & PHONE NOCllkw.,- 1�2dic �7~�U3� SEPTIC TANK CAPACITY (� LEACHING FACILITY:(type) i"�, (size) t"o ��• NO. OF BEDROOMS3 _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: I —' i DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 3610 e a90 a � F THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH APPM ft TOWN OF BARNSTABLE Appliratiou for lliipuual Workii Toms Application is hereby made for a Permit to Const•- ( � ) or Repair•ZAk an Individual Sewage Disposa System at• -/ C� -`1 L`oc on;Address c 4 {n� or Lot No. �y Owner ` At V. w � _ -.--_.-_1 `"' v��-- ............ ..... �5 1 �. ....... �'.........---- q.S Installer Address d Type of Building Size Lot............................Sq. feet U 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_-____-_..___.__---•-_-. 44 Test Pit No. 2..........6.....minutes per inch Depth of.Test Pit.................... Depth to ground water........................ 9 --------•------------T----- O Description of Soil........... _________. ` ._ _ __ . ... V ------------------------- •---------------- ------ ...------•--------------•--------------------------•------------- -.............................. UW -------------------------- ------------------------------------------------------------•-------------------------------------------------- ---- --------------------------------•----•---------- Nature of Repairs or Alterations—Answer when applicable.- . _----_�rtiV_&_ __ \..._.•_._..__ L®r .............. ------------- - -- Q �.... � . 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 Co Qlis been issued by theaboard o ealth. Signed \ G....-- - ---.................. Dare Application Approved B /...al..-..ft...-..9i. PP PP Y ................ .... ..... Date Application Disapproved for the following reasons: .......... ................... ..--......----............--..--..........------.....---............................. - -------------------------------------------------------------------- . ---.............. ----------------- ...........-------------------------... gDate Permit No. ....-----gl' --------------------- Issued ........�... ---- j ±---- Date 1 L i No...,<�-J. Fss.. O�8 ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apli iratioii for Disposal Works Tonstrurtiort �irmft Application is hereby made for a Permit to Cons t�' t�n�'(� ) or Repair -('?4�, an Individual Sewage Disp a System at: �oc n Address^ �or Lot No. .................................... .fir.. ._...... ..1.. ....�. ..................... ..... ' ---- - -G►.SM. _!x�:�........Y 1...'.' Owner � () cp � W ` ._.......:�-......---....... !�-� �` -` ?.............. ......�1J,1� rY1c?l Ad e - --�S -.... ' ----- ... .. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ...._.....--•-------•-.......--••-••••...................................................... 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 ( ) 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........................ P4 ..................... ....•--.........----•...--•-•••.....•-----•-•-•----••••----•---------••------•--•---........_..................._..---......---...... D Description of Soil---------••S -0- - --•-----------------------------------•-----------------------------------------•---------------------------•----•-------------- W .----- ...:............................•-----------•--•-----------•--------....-----------....-•-•••-•----.....---.......----•---.. UNature of Repairs or Alterations—Answer when applicable__ ____._. ._ _ �.._.____.___ .�'.4cS,1.........._.. i .............................................................................�.�_5..�{.f-f..... 3.0�._ _ ._________......... .......y............................................. 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#ice as been issued by the board ogpealth. QQ Signed -� ay...:�' 1. r'Z 1 ....1_.. ...... ........ . ............... Date Application Approved By ....... 3 ......0.. ...n... Date Application Disapproved for the following reasons, .........-------------------------------------------------------------------------------------------------------•---------............ .... ..... -------- -- ------------------------------------------------------------------ ................--•---------............... ..q.......------...............--------- Permit No. .......... 1-------�� .............. ............................... Issued � �� ..1---�-.1...... Date...... ' Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ger#tftrate IIf (fainpli xnve (Ala IS TO C RTIFY, That the--�I iidividu Sewagte Di$p�sal System constructed ( ) or Repaired ( ^ Inst r has been installed in accordan with the provisions of TITLE 5 o 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 f pp ..................... -! `..r.. l......�..... . . ....... . . ............ Inspector ......... ✓ I . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 30 C� No......................._ Fes........................ • -== Permission is hereby grantedt l ... fsl,Trkor�n pr i me. C 1 .............................. to Construct ( ) or Repair Q_j,-an Individual Sewage Disposal System atNo................................................................................................................•---••---•-•--------••----•••-•-•._....••-•--•.......--•-------------......... Street {{ qq as shown on the application for Disposal Works Construction Permit Dated... _1/..7.1__1.... ` I ............................... -•---..........---......----------.....----......---•. J- — 1 I 1 Board of Health DATE................................................................................ '[ FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS 00 CAT ION LQf 4 10 SEWAGE PERMIT NO ILLAGE d9si p�� INSTA LLER'S NAME i ADDRESS -� a I?),(-(O . GUILDER OR OWNER DATE PERMIT ISSUED l � p � DAT E COMPLIANCE ISSUED 12 _/jai 4 ,r. __ ,/ :..�• �.. e�� ;� � � " ��s� I ,.� • ,d �, ,, -• 9 .. ST2�cT �(� SL,,SJECT TO. APPROVAL OF E PONSERVATION No.. YAQ......... , CARNSTABL FEB..,,&.. .... OOMMMION THE COMMONWEALTH.OF MASSACHUSETTS BOAR® F" H.EALTH , . , ation for Roposa1' urks Tonotrnrtiun Punfit Application is hereby made for a Permit to Construct V,) or Repair ( ) an Individual Sewage Disposal System at: ................ � ........................... �t P ......................................1-7-F... . ® ...................... Location ,ldd ess or t No. Owner Address ................................ Installer Address d Type of Building Size Lot_. ... fi :.-..Sq. feet U Dwelling—No. of Bedrooms........... .............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures ----------•--------------------- ._.. ----------------------------------- s�� •--- W Design Flow t.._......_..S.5...........f..........gallons per person per day. Total daily flow..............�.�4�_.........-..---gallons. WSeptic Tank—Liquid capacit, LW.gallons Length................ Width................ Diameter---------------- Depth................. x Disposal Trench—No .................... Width.......a........... Total Length...............k....Total leaching area..__.rr��......_..__sq. ft. Seepage Pit No........../....__... Diameter.........6..... Depth below inlet.........6....... Total leaching area.M0...sq. ft. Z Other Distribution box Dosi ank '-' Percolation Test Results Performed by. I .-�446. Date_______ _____ __ s . - =- Test Pit No. 1....Imen----minutes per inch Depth of Test Pit--------(.Z t.... Depth to ground water........................ LL, Test Pit No. 1_._ ...... per inch Depth of Test Pit........12e.... Depth to ground water------- ............. �+ ------------•---------------•-•---......_......------------..........---------•--......•-----•----••......................................................... 0 Description of Soil----- ........ .................--•-•-••----------------------------------------------........................................................ x -------------------------------------- U 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 of TITA U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in ' operation until a Certificate of Compliance ha been issued b the boar Signed------ ..... . ----- . ........... ................................ Date ApplicationApproved By..------�IA/-------------------•---•--------------..............._.................-----• ------------•------•-----•-------------- Date Application Disapproved for the following reasons:............................................................. ......................•---•--. .........._.r .................•--•-----•--•-------••--------------..........-•----------------•••-•••--------.........--•-----..........----------------•----------•--------•----------••••---•-- ---------•---- Date Permit No........ C).................................--.... Issued ....... ....� Date T i No. -yo0_....... Fmc...... ... .� ,. .. THE COMMONWEALTH OF MASSACHUSETTS BOARD�,OF HEALTH CL�J ----------------OF........?.. ...................................... ApplirFatiOn for DiipOsal Works TonstratrtiOn ermit Application is hereby made for a Permit to Construct ()4) or Repair ( ) an Individual Sewage Disposal System at: ..........y !C_!1-- rl�J 1 ........! C- ---------------------•--------...-- . (Q-----.........---•............. ----•- - Y Location-Address q y�osr JLot No.� .._.....T_ .....1 :....... �:f..t{ .{�1 rf: :;.�............... i../ •� e •t�,.,:�_•L....•-----....................__•.... owner �'� Address W Installer Address tt c Type of Building Size Lot..ftll feet U Dwelling—No. of Bedrooms............ . -Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures •----•--•-•--•--•-----••......-• . W Design Flow...............r'___5?_..........;...........gallons per person per day. Total daily flow..............�"� `��..................gallons. WSeptic Tank—Liquid capacity!).gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No .................... Width........r------•---- Total Length___............... Total leaching area....................sq. ft. Seepage Pit No..........7...._... Diameter.......... Depth below inlet.........6....... Total leaching area..Y0_0...sq. ft. Z Other Distribution box Dosing tank ( ) Percolation Test Results Performed by.__ AT `_:._.......I......_..._.I.._ .. ...A& Date....... ^.:. F-1......... 1 Test Pit No. 1.....L--__._minutes per inch Depth of'Test Pit--------�.:�t�„;.... Depth to ground water----.._-~:-.-.......... Test Pit No. 2........--.....minutes per inch Depth of Test Pit. ..... Depth to ground water..................... Pa' -•-•--------•••••---------•--•-••••-•••---••--•------•---------------••-----•---------•-••----------......................................................... 0 Description of Soil......__.... � -- --------------------------------------------------------------------•------------------...------------.------------..._....--------•-----------------------------.......---•-•--•--•......•--••-------- 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 TIT?, . 5 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. Signed....................................................................................... ................................ Date ApplicationApproved BY ------------------------•--------------------•-----•••......-•---•--•-•----•- i Date Application Disapproved for the following reasons-----------------------------•-------•------------------•---•----------------•-----••..........-••--•......--•-- --------------_/..---------•----------------•------- --------------------------------------•--.....-.-_•--•-•---._...-•----•-•-•--•--•--••---•--...----------'---------------•--•--•--•-----•---•�_�f / Date ' PermitNo.----....'..::. ........................................ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS r . BOARDOF HEALTH ......�.��.«,l..r��,�1.................OF..... . ................................... Trr#if irtt#.r Of TOntpliFanrr r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) le re le- b ------- ;•-•_.....--••-.........•--.._.........---••••-------.....•---....••-•--•-------•-•••••-••----........._...---•-••------••-••--- ............ Installer at.............................=-••--•......-•.......................................................................................................................................................... has been installed in accordance with the provisions of TITIZ, 5 of The State Sanitary'Codeas de'sc4ibed 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..................... -Z-1111j d..'................................... Inspector...._ THE COMMONWEALTH OF MASSACHUSETTS I ' BOARD, OF HEALTH 1 / 10W (�. .OF._....1 _f�.r' to C1.1 :. ............ �f No......................... FEE........................ �trtul rrani# Permission is hereby granted......................... • to Construct%( ) c r Repair`%(�' ') an Individual-Sewage Disposal System-, atNo........................................................................................................Street-------.......... - � �' as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... l --•---•-••-----••--•-------------••-•--•---•--•••••-•---••--•••••-•••••...---------------•--•-•-•.•...._ �)> r /�// DATE....... --...................... ... Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 9 .. 1 1 $ 3z .a 7,4 /14 rw t ti w.A+ I � i 4 " { Ae t 1=71 1 mo 7 PA ro x Tla __�.�. .£"'._S.is. k�...w"4.-.��,..,......��4't_.,.�....aL►`..��._1.�.� h4.a_..... `, �'"l _�...:........._- �,p�y � ,.F -..." „.r*^ 8` g'B . �.4',w,,,,. , ,.,.�" ��'`_.. ,.� ,..�,y �' n _ y • y q8. 4 �I '' LC # .a. '�� . VMT,,�a"�•>. ...,$,r,. �Z# ,tikY kM+wvr. � � `# •��.s*.'♦ Ty;.Y� :'\ a d a� ,