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Home My WebLink About0015 CAPTAIN BAKER ROAD - Health a, ck, l< e r Jac da Gls 1 No. 4210 1/3 YEL 10% TOWN OF BARNSTABLE �,7 ��° r LOCSkTION k &16z fed SEWAGE # 7 3 6� � VILLAGE ASSESSOR'S MAP & LOT -o rf INSTALLER'S NAME Gi PHONE NO. o d� I•+� r--- rJ � SEPTIC TANK CAPACITY_] 0 60 LEACHING FACILITY:(ty - (size) - NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER N ap DATE PERMIT ISSUED: `�� DATE COMPLIANCE ISSUED:It-/2 VARIANCE GRANTED: Yes No _v/_ 1� ��, 1 �.� � `..-• . . � � � r /��"�✓ $30.00 No...... ..... .g6 Fss............._............._ APPROVED THE COMMONWEALTH OF MASSACHUSETTS rns le Consery on Depa ment BOARD OF HEALTH TOWN OF BARNSTABLE igned , pplir tin for Dtipuua1 Workii Tomitrnrtiun Permit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal Stem at Pyyss apt Baker Rd Marstons Mills ...•- -- _...................••-------.............----•-------...........---•-- --•---••••--------....-----------------------•-•------------------•........•-----...........•---•- Location-Address or Lot No. Mr. Hodkinson ......................-.......................................................................... ..........--...................................................................................... W W.E. Robinson SeOFEic Servic P.O. Box 1089 Centerville Installer Address Type of Building Size Lot----------------------------Sq. feet U a Dwelling—No. of Bedrooms...._�•-------------------------------.....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) A4Other 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........................ GT4 Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................ a --•----=---•-•----------•----•-•-•---•-----••-•-•••-•••---------------------•-----...----•-.................................................................. 0 Description of Soil............gravel...................................................------------------------•------- x U ----•----•--•-•--•-•-------•••---------•-...-•----------------•----.....--•----------•-•---••-••---••-•------••---•-•-•----••-•------••--------•------................................................. W ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.--________________________________------------------------------------------------------------ _ install 1 , 000 gal precast stone—packed over—flow •-- •------•--•-•-••-•--•-•-----•--•-•------•--•-•..............•. 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 ' ued by the board of health. i d Sgn e 1.�....1 ------------------------ Date-- Application Approved BY .. ..... ... `--L!N............... Date Application Disapproved for the follow ng reasons: ........ .... .......................................... .. ................................. .............. ... ........... .................................................................................. . --.........------------.....................--.............................................. -------------------------------------- Date PermitNo. !........ --'...:: ............ ----- --------- Issued ...........................................................-- -- Date No.11--... �6 Fas_$30.00 , - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE�3/ UAppliratiun for Disposal Works Tonstrurtinn jJamit Application is hereby made for a Permit to Construct or Repair an Individual e PP Y ( ) P (x ) Swage Disposal System at: 15 Capt Baker Rd Marstons Mills --....--...................................................-........... ---------------------------------------------------------- - Location-Address or Lot No. Mr. Hodkinson .._. -- - ----...._........... ...........................................---- -----------_-------------------------------------------------------._...... _ a W.E. Robinson S pwTic Servic _ P.O. Box 1089 Centerville Installer Address d Type of Building Size Lot-------------------_•__--Sq. feet V Dwelling—No. of Bedrooms--_.�-------------------------------------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--------------------------------------------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 ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date---------------------------------------- 1-1 ,.a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-------____-_-___-_____. (i Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water_____--__-______-_--__-- x ------------------------------------------------------------------------------------------------------------------------------------------------------- ODescription of Soil----------gram'nl---------------------------•---_------------------- ------------------------------------------------------------------------------------- "W V" ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- W ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- install 1 ,000 gal precast stone-packed over-flow ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - - 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 b njglued by the board of health. Signed J 37 ------------------------------------------------ � -�-------------- Date Application Approved BY ........ - � -_- ---�--`-�-�?---------------- -- Y-'-------------...--"---------------------'---'---'------------------.._ Dare Application Disapproved for the following reasons: .----------J--------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------- PermitNo. ----------/.. -- .... �� ----------- Issued --------------------------------------------------------ate------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fPrtiftratE of Tompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) by W.E. Robinson Septic Service ---..........................------------------------------------------------------------------------------------------------------- ------------------- Installer 5 Capt Baker Rd Marstons Mil at -------------------------------------------------------------------------------------------- ls --------------------------------------------------------------------------- --------------------------------------------------- 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 i SYSTEM WILL FUNCTION SATISFACTORY. yInspector----------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �3- FEE-- . ---$30- - .00--- No.-•-------•-•-•-----•- -------------- Disposal Works Tunstrnrtion• rrmit W.E Robinson Septic Service Permission is hereby granted -------� -------------------- ------------.--- ---------•...... ____ to Construct ( ) or Repair x ) an Individual Sewage Disposal System at No..5-Capt...Baker...RdX-----Marstons.._Miiis -----------------------•-----------------------•---------------------------------.------ Street (t 1 as shown on the application for Disposal Works Construction Permit No------------"----_.-_V__ Dated------------------------------------------ -----------------------------�--= ------------------------------------------------------- DATE-----------�--�`--�--� .................................. Board of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS L CATION ,e S .—' 1.10. er il�lSTQLLE 5 1J�,NlE � ADDRESS err BUILDER 5 IIJIE ADDRESS DATE PERtvtiT ISSUED =-4- —�- �-�� D ATE COMPLI &KiCE ISSUED . — �~ b 4 At, , C r . No......... 17 ... Fuic.... .................. E COMMONWEALTH H OF TS BOARD 0A HEALTH --....OF.........A..... .d1k(,.777 .............................. Appli atinn for Dispout 15orks Tumtrnrtinn Famit Application is hereb made for a Permit to Construct, ( or Repair ( ) an Individual Sewage Disposal Y S stem , 1. . .......r� :__ . ... .../ ,�_. :.All.... __... ......... .._... _ ...... . .... ation-Ad res or Lot No. s Owne( Address Installer / Addresses Type of Buildi Size Lot_._%Z q . _._ . feet Dwelling No of Bedrooms..... ...................Expansion Attic ( ) Gar lfge Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ------------------------- W Design Flow__............... allons per person per day. Total daily flow..- gallons. WSeptic Tank I—Liquid capacity/_ ____gallons Length................ Width................ Diameter................ 15epth................ xDisposal Trench—No-_----_----------- Width............... al Len .....:...... ._ tal leaching area....................sq. ft. Seepage Pit No.---------/------- Diameter---1�`�-- e Total leaching area sq. ft. Z Other Distribution box ( ) Dosing tank ( ) , "0C A& — ��r—�Z•�/. "-� Percolation Test Results Performed by.......................................................................... Date....................................... aTest 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........................ --.... . ..-Description of Soil..................(J_..._...---... ... .... �R U W -•------------••-••----------------••••-----------•-••---•••-------•----••-••-------••----------------•-•-••-----•-•-•----------••••--•••-•--•--------------------••-------•--•-•-•-•••-•...------------ UNature of Repairs or Alterations—Answer when applicable._.............................................................................................. •---------------------------------------------•---•------•-------------•-----•-----•--•-----...--------•--•-------------------------------------------------------------•-•---••••-•----....-----•..... Agreement: The undersigned agrees to install the aforedescribed Iftdividual Sewage D pos l System in accordance with the provisions of,Article XI of the State Sanitary Code 1-lie undersigned furt r agrees not to place the system in operation until a Certificate of Compliance has be e b the board of It.. Sign -- ...... ........ = . ••-• •--• ....... ------ ............. Date Application Approved BY----•. ,, . .. . ....... A Date Application Disapproved for the following reasons:................................................................................................................ ..-----•----••-•--••......-•-----•.................•-----------•------•-----------------••--------•------•••-----------------------••--------•--- ---------------------............................ Date ` 7' S*� Permit No..... ..._. Issued... :�... a__t 1e..�............................ ---------------------------------------------- -------------------------------Date-------------------------------- No........ ...... Fxa. ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD ® HEALTH -------OF.......... ,.. .� ............................................ Applirativit far 43hiposad Works Tonstrudion Vrrmit Application is hereby made for a Permit to Construct (kor Repair ( ) an Individual Sewage Disposal System at: /ww .. ......R, ... ._ ..... _ I L cation-Ad res or Lot No. s �. wne Address ..m... P:.. ... ............................... .............................. Installer Address d Type of Building f Size Lot...+. ....... feet aDwelling No. of Bedrooms --------------------Expansion Attic ( ) Garbage Grinder ( ) PL, Other—Type of Building _____________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . -------------- W Design Flow.................. allons'per person per day. Total daily flow- ......gallons. W Septic Tank —Liquid capacity _.._gallons Length__ �' ------------- Width...---------•--. Diameter----- -------- Ilepth................ Disposal Trench—No..................... Width............... tal Len- __.. /'Total tal leaching area....................sq. ft. Seepage.,Pit No Diameter.. --_ ft S< a .._ leaching area sq. ft. Z Other'Distribution box ( ) Dosing tank ( ) . C aPercolation Test Results Performed by............ ........... _..._.- ..._..... ...._............. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs, Test Pit No. 2................minutes per. inch' Depth of Test Pit.................... Depth to ground water........................ P+' -�'---------------- !. O Description of Soil ... G "- �..' '' ----------- �� x v ----------------------------------------------------------•-•----------------------------•----------•-•-----------------•---------------•----•----------...--•------------••-----------••--...---.------ W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................ ---------•----------------•-•-.......------.........--------------------------------------------------------------------------.....-•-----•-- Agreement: The undersigned agrees to install the aforedescribed dividual Sewage D' o System in accordance with the provisions of Article XI of the State Sanitary Cod ze undersigned furt r agr es not to place the system in operation until a Certificate of Compliance has be by the board of t Sign ' - .......................... Date APPlication Approved By „�.'" --•••-...... � '" Date Application Disapproved for the following reasons:............................... .................................................... ...-----...... .........................•--•----...-----..........------------••--•------------------------....._........------------....-----•-----------------------------•-----------•------------.................. Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH yZ. OF............... ,,".,�,,................................... IYur T IS IS TO CERTIFY, at the iv'dual S ge Disposal System constructed (�or Repaired ( ) C by ,� -------• j�j + __i� �.,.J staller /�1,,�y! .... ...... M�#�( . Y ��'�G r -•--.... (V/(•� has been installed in accordance with thei provisions of Article XI of The State Sanitary Code as des ibed m the application for Disposal Works Construction Permit No............. .. dated._ f... ___. _.. ---_: ..._.__.___. 'y THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ................................... Inspector-•---=---•-••---•-•----•--•--------------............------•-•••••=----•---....---- rJ�J THE COMMONWEALTH OF MASSACHUSETTS BOARD 'O HEALT � .t .: ,.OF:. ............. :....... . ... FEE. ...`..�w ..1 No. �....... ipo "rk r i Apr i Permission i by granted . -_..... ��'.' .... . to Const�t ('*ror.Repa' ) Individual a isposal tem atNo.. ....... ------- 1. -....... �� Street as shown on the application for Disposal Works Construction P No. .... .._. _ ated...._+��....�1. '.. ..... .... - Xard o Healt DATE.'... ................... . ...................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS l,� � . � �� , � �. O � v J �M" IJ ' ` /_- r 1 �� ; �J �} �/