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Home My WebLink About0443 FLINT STREET - Health ic1 -- 05L� - �1 • (Ul �I�S TOWN OF BARNSTABLE ✓ LOCATION 41L` / 5 7 SEWAGE # �� 'dJ 0 VILLAGE �. ! ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 0 b e �+-S a.— � SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 16 G y (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER O OWNER &.6 ZAZ Z26/ DATE PERMIT ISSUED: c1 / DATE COMPLIANCE ISSUED: L6 VARIANCE GRANTED: Yes No �,oZ _ i 3� �� a / t T3 - bs No....c.,�1::...1 J'O 30.00 n n THE COMMONWEALTH OF MASSACHUS��rT�t�61c c., 0 BOAR® OF HEALTH TOWN OF BARNSTABL Signe w Appliration for Disposal Works Tonstrnrt' n anti o z@� Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 443 Flint St Marston Mills ................_................................................................................ .......---....------------....------------------------.......------.........-----......----....... Location-Address or Lot No. Bob Lauzon ......................--...........................................................-•.......... ...------•-•-•------......------------..........-----•-----...............---------............... Qwner Address W.E. Robinson Septic Service Box 1089 Centerville Ma,-02632 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 ( ) 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 ( ) a Percolation Test Results Performed by.......................................................................... Date.................... •---------- •....... .. Test Pit No. I................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........................ Oa •-----•---•--•••-•------•-•----••••---------•---••---------------••-•-----.......----•-------............................................................... Description of Soil..................................sand................................... ----•----------------------------------- V .........................................................•-•-----------••••------•-•-------•---•-•--•-••----••-•---•-------.....----•••--------••-•---------•--------•---•-•-----------•••----•------•- W VNature of Repairs or Alterations—Answer when applicable----.install...(.1_)---1.000._g&j..StorlepaelEed averlai'' ----•-•••••-•----•-----••••--•-----•--•--•-•--•-------•--•----....-•-------•-•---------•----••--•----•••--•-----------••-----•----•---•--•...••-•...................... Agreement: The bndersigned 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 i sued by th oar of health. . 1 Signed ---- �--- A) - g � ,r,^ F .......:............ Date ApplicationApproved By .................. .. . ----. .............................................................................. ....... i te----------------- Application Disapproved for the following rea ronr- ................................. - ---------------------------------------------------------------------------------------- --------- - ------------------------------------------------------ ------------- ----------- --------- .-..---...--------. ------------------ ..................----............:.:- Date PermitNo. .........71--------"d......................... Issued ------------. --......------------ -- ------ -- Date ` s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Uispuual Works Tunfrnrtiun Purrmit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ....44 Fl.j_I�t it.... ?� Q .. .�ls .......:.................. .... ..- -• ..................... .i Location-Address or Lot No. .... Qla_ U fl .............. ...•-•----•-•----•--•-•-•--•••-•-•----•-••-••.. ..........__...................................................................................... Owner Address a _--•W.E..-Robinson Setatc•_Seyce..... ..... 10$9•CtP ?��. ..Ma.Q2632.. Installer Address Type of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms.___a.....................................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—T e of Buildin Wyp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures W Design ____________________gallons per person per day. Total daily flow............................................gallons. Dest Flow-----------------------• 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---------------------------------------- Test Pit No. 1................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 ----•------------------------•-•--•-••----------•-••-•-•-----••-•••-------._......-••••••-••----•--•......................................................... DDescription of Soil arIG_-__-------•---_-__--•-•---•----•----------------•------------------•------•--------------------•--------------•------------ x W .......................................................... •-•------•-------------•-••--•---------•-----------•------•-----•-•--•--•--••-•-••••-----•-•----•••---------•-••••--••-----•-._.....--------- Z. Nature of Repairs or Alterations—Answer when applicable.__..i _______________ rf104?•--•--------•-••-------••-•-----------•-----•------•------------------------••-----•------------•-----•-------------•-•-•--••-•---•----•.•----•--------•-----•--....------ 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 th oard of health. Signed ... Date ApplicationApproved By ------------------ Cwv \----..........-- ----. .------------.......------------------. --....-- ----------- -------------- -------- Dare Application Disapproved for the following reasons- ...........................................................------------- -------- -- - -- ------------------ --- ----------- -------------------- ---------------------------- ---...--------. -------...------------.----- ..................................... -- ----............................... Date PermitNo. ....... ..-...-;��6--------------------------- Issued .......................Da.e...----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate of Tompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X ) byv4---E-----Rdbinson--Sejp .:Y:-C--Service --- In-stall-er------------------------------------------------------------------------------------------------------------------------- at -----------------44.3...Fi nt---St-.---Maran- ------------------. .-----.......--........------------.----- --- . .......................-------------...--------------------. 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. ....... ,/_..---.-�.J].0....-- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION Sf}�tATE FACTOR /)f am DATE..............................................------ �1-..,''��-�l .----................. Inspector ....- --------------- --------------------�---------- --------f--------------- ---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �f, TOWN OF BARNSTABLE No.--• __---__. - _ FEE'_...&3O.Aa. Diopuual Workii TiInufrnrtiun rrniit Permission is hereby granted....... -E. Robinson Septic Service ---...........- to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at No.----•-..4AKFL?n-t__St....Marchnn... ........................ Street u as shown on the application for Disposal Works Construction Permit No._ . __'-`�� Dated.......................................... ............................................................. DATE_ Board of Health FORM 3650E HOBBS&WARREN.INC..PUBLISHERS