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Home My WebLink About0092 OLD MILL ROAD - Health 92 Old Mill Road ` Marstons-Mills A = 064 081 �. TOWN OF BARNSTABLE C V LOCATION (jgw 1'�''ICL. SEWAGE # VQ 'SSS VL.LAGE pp�� ASSESSOR'S MAP & LOT t INSTALLER'S NAME&PHONE NO. L'YQ k9)/Ri"617° SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 9' (size) NO. OF BEDROOMS BUILDER OR OWNER N�r�✓� PERMITDATE: 02 COMPLIANCE DATE: D Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r .: .��. ` ,�� ,. � rA � �� )m �� I r � �� .. �G� A`� a� No. ��,,�_SJ� Fee r�� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes �� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppIication for 3Di000ar *pztem Construction Permit Application for a Permit to Construct( )Repair(L- )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.67,� afim rG(W, , - Owner's Name,Address and Tel.No. fA/agw Assessor's Map/Parcel& q2_ 010 iJ��(1/111 Ittns-.aller's Name,Address,and Tel.No.�Jgvl j�,oVI�L Designer's Name, Address and Tel.No. 4. P r oL4 0.9 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building &5 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow. gallons. Plan Date ��`-�� Number of sheets Revision Date Title Size of Septic Tank Mao Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of th ironm 1 Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by B f H Signed_ Date��G�f/a Application Approved by Date Application Disapproved for the following reasons Permit No. ZGc2—,2ZT-- Date Issued ` ————————————————————————— — — —————————————— 4 t No. Qll/la-SSS, _ f _ _.r Fee 1 -TH,E COMMONWEALTH OF MASSACHUSETTS Entered in computer: i PUBLIC,HEALTH DIVISION —TOWN OF BARNSTABLE., MASSACHUSETTS Yes k:�— ZIpprication for Migozar *p!tetn Construction Permit Application for a Permit to Construct( )Repair V)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.Cq Owner's Name,Address and Tel.No. 4110AW041 p trnRdeSTaMSINIU5 9,Z OWMl1t-RD, yy,� Assessor's Ma /Parcel/�� i Ins=.aller's Name,Address,and Tel.No.e,40X1I JVv - Designer's Name,Address and Tel.No. 1 f�-.�5�� TELff. SC/uir/a�✓S Y''i A6 1S lus 00 SX$ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 7'6 gallons. Plan Date 16-16-a2 Number of sheets 44'0 Revision Date Title R Size of Septic Tank Uda #f Type of S.A.S. ,�� flL�crY r�/1i(gC/�S Description of Soil Nature of Repairs or Alterations(Answer when applicable) Data last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of th iron al Code and not to place the system in operation until a Certifi- t Cate of Compliance has been issued by B f H� Signed_ DatellYK062 Application Approved by S Date -2/'UZ Application Disapproved for the following reasons Permit No. G o 2-<;S",C,— Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at qj b rj N1a I I M Up56 1 !A has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.)W p`SSS dated //-a/--a z Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will functio ak designed. Date Inspector l')" 4 ��, ,.•) .5, v ---------------------------------------- No. a 00 2^SSA Fee J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 'Wi0po.5ar *p5tem Construction Permit Permission is hereby granted to Construct( )Repair Upgrade( )Abandon( ) System located at �I a� ,, c� I H• 2 "-��v,-'��,L and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be:completed within three years of the date of this permit. p Date:_ I i- 1- U 2 Approved by TOWN OF BARNSTABLE C. LOCATION C +t "J PULL A& SEWAGE # ) 002 'SSS VILLAGE ,/ ). ASSESSOR'S MAP &'LOT-- j INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /0®6 LEACHING FACILITY: (type) "_ E�C7 P _ (size) I NO. OF BEDROOMS— BUILDER OR OWNER N� PERMITDATE:_ __ 'a _ 02 COMPLIANCE DATE: ° O i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 4 1 L0ClT10 S IMAGE PERMIT NO. VILLAGE A/l INST A LLER'S NAME i ADDRESS 0_U I L D E R OR OWNER 0 `k DATE PERMIT 4ISSUED ED oDATE COMPLIANCE I S S U 9 �� E3 OCK No... I.....5.......�J Fss!®....._T........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH IZ)J.N...........0F.... G.3`( p "-- ............. Appliration for Uhilimial Workii Tomitrartiun Famit Application is hereby made for a Permit to Construct.( ,) or Repair ( ) an Individual Sewage Disposal System at: - ? ..... . ..... � .... ( \.:-�:..-- --•----. _..\__....---__fir----NA - .. Location-Address r Lot N ••• -- .1 -------------- -••...... ? ... o Owne •••--•%Addres-•• - Installer Address d Type of Building Size Lot............................S U Dwelling—No. of Bedrooms.-.----.. _____________________________Expansion Attic ( ) Garbage Grind pa-, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteri a' Other fixtures _..•--•-------- -•----•--...--- - d Design Flow_._...._..\10.......................gallons per person per day. Total daily flow............................................gallons. Disposal Trench LiquidNocapacity�F..W dthns Length Total Length idth-....:----: Total leaching area_•_Depth._:::::sq. ft. W i x Seepage Pit No---------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq.'ft. Z Ot:aer Distribution box ( ) Dosing,�ank ( ) Percolation Test Results Performed by....... ...�......___.t ... ........ Date..... .......... aTest 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........................ -----------------------------------•---- _ _. O Description of Soil------....C) '. vim.........` rn------------------ ----- ............... (x ----......-•---------------------------- .1 _..._..--- - ---- -.........ca :./�.2__ .lx�...... ,) ---------------- W -----------------------------------------------•----------------•••------•----•---•--------••-------•--••----------------------------•--•••--------••-----•----------�---Q ............... 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 A ITLL 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 wealth. ^ � V Ifollowing .. e - c ............. ........ Date Application Approved B y --•---••------.............-•-•----•--•---•---..__.............._.._. Date Application Disapprovereasons_________________________________________________________________________________________________________________ -•...................................................................•----....-------••---......----•-•-----•----•-----••-•-----....-----••--------------------•--••-•---------------•••--••---•-------- Date PermitNo......................................................... Issued....---....---•------------._...•-----------------_...: Date t:y I No....Afti?_'�... Fmc ....... ~......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................... Appliration for Diipu,ial Workii Tonotrnrtiun rrtnit Application is hereby made for a Permit to Construct ( I) Or Repair ( ) an Individual Sewage Disposal System at: fn ...1.. .......---•---........ ...��•••.-b^n.... . ...:A:. ......�...rn...... ........t: . ... :.........:= - � \Location-Address , 1 r Lot N ..........;.s. 1.. ':^.............. ............ C� (1.r�}.... �' ......'....................... t : 4 Owner' 11� :C�1 A(d ss W ..........I.ns•---- ........ .........._ .... ---. ...................................... � Installer AZresS Type of Building �, Size Lot............................S . Dwelling—No. of Bedrooms........... -............................Expansion Attic ( ) Garbage Grinde '4 Other—Type T e of Building No. of persons............................ Showers a YP g --------•--_..-•-----------• P ( ) — Cafeteria QI .-Other fixtures -------------------------------•--------------.---. .d % .. _. p .--•---------------------•--•---- W Design Flow........_.. � ......................gallons per person per day. Total daily flow___...._......�.�n.........................galIons. WSeptic Tank—Liquid capacit. .`��`....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.....��?.4t..-�..h ^..........�.J_..... Z` --........................... a G�............. Date Test Pit No. I................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......................... ......----•---- ----------............................ O t� _ °>; s 5ko-`; ��' J �- to (-y-N Description of Soil = -::_...... -------------- -------•--•. = .................................................. ...................... U .. _.� ................................ _ `-:..-----`�•` !�_'�r. A--------- :: ------------- �W1 ........................................................................................................................................................................s.._ W .`.... ..�'C.� ... 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliances as been issued by the board of�,ealth. S fined _ �I�JY`C�...........-� f = v-'----..��...... .. � ................ _.... V Application Approved By. Ifollowing .....-•................................................ Date Date Application Disapproved or reasons: ................... ..............................................-----------------•-••••--•-•-•----------••••••--------•--...--------------------•---...--•••...••--...----------------....-----•------•....--••-----•...... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............OF............ U- :�?. ..«, .. ................... Tntifiratr of Toutphaurr THIS IS TO CERTIFY, That the-,Individual Sewage Disposal System constructed Or Repaired ( ) at------------- _.--]_:...........\\.-----........ •==............1 n'.......................................... -•�.._`!`.._.._... `_{_.. has been installed in accordance with the provisions of TIF _5.o The State Sanitary Code s bed in the application for Disposal Works Construction Permit No... .-.-�!- '�.............. dated--------:------- THE ISSIJA E THIS CERTIFICATE SHALL NOT BE CONSTR ED S A GUARANTEE THAT THE SYSTEM L U TION SATISFACTORY. �. DATE. Inspector --- 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ..0.�.O..........O F.........�CLJN No... .. FEE........................ iu�ruuttl orkii Tunotr. . ion rrrntit Permission is her by granted......... =-----.. '.... ----------------------- to Construgt ( or Repair ( an Individual , wage ispposal S tem at No.......... - \ d 1GlnJJ ......•�.--------`----�- --------M1-------------•-•--.--------------------. ----------------c...' S Street E/f �r� as shown on the appli tion for Disposal Works Construction Permit No.._w _. _ ated---_................ ...................... •• ---- -•••----••----•---•••......... ....•• -------••-•----•-----------•...----------•----•••-•.--- Board of Health - DATE------.............. .....----................................................. FORM 1255 A. M. SULKIN. INC.. BOSTON � 1►JG► FAM1t-`( - BEOR�oM i ►.JD GAQBA.Gf✓ �jW1.lAE2 ,oD ' If D�1LY F'k-0W 306.Pp illy SEPTnG TA►.JK USE- l o0o GAL. i o15Po5aL PIT v5E 1000 GAL. IS ►DeWA�u A2EA = I�0 5.� gpTTOM A2EA- 5o g•r, /!�B l /may � /�9 G 5 -ToTAI- DESIGN ' .�}25 G.P. D. Pir -TOTAL DA 1 330 G•Po. II PE2CoLATIoN FZATE I IN 2MIN o�LE55 �� T • u /06 3 S �I � ��7• EN/ST, ; /D N CHARD O/ �ALA w.N JgCy /� V /ems• G / ,�� fiI — \ A. � t.''. Y . BA.XTER $ �� JONES No.24W 0. 251 O �IA- - L Z:> �✓I/L L -- TE`�T /D7. INV. /Gp i 7^ y� .Co.4M 6 1000 lN�• .ivt3.Soic- 6 X I o a . NV. P /Osli SET .3/G - z I Uvo INV TANK 6a�. /a:5 z:3 Lcacu PIT INV. INV. cel.Fill✓ GeA✓rG� WASNGD 6TvNE �. GEStTIFIGD PLOT PI-At-J a-r_I o N P L.P N REF E2EN C.I✓ e-E aT I F Y -TVA AT T µ,r-- FvuNDAT1or.1 5No�YN NERtrON COMFL• 5 YJITN �CH� S1o6LIN � �oT /� Awo 5-G,T5AcK 26Qv►R.EMENT� of -CI�� -(cam W N o F C3Al2ASTXEi L-r-- A N v ► LOCAT D -WITNI T11 F1-ooD PI 114 D A•T 1✓ Zo 9 e W E INC. BAXTE IZ Y u 7-v R.EG I S^c�Q6•� I�.W c>5 -fta15 PL,�ti 15 KlUT' Bt"2 o o� AN UST<✓�VILL� - MASS 1u5�'R'�M6NT 5u2VC-y �- -TNE lot-FSETS 6uau� NoT DE `V9EDT0 CJETER/^I►-4E APPLICP.►�'T /Tiy -- i s E L• 1 1 rJ,7. RC Mo�E 'toy ot= 1n1 A1.,L Ul -C' EL I o S.T M ATE: p�YAt S 5 AR`:)vNA f� � J'i 6h2 EL EKI S7j NG GR- Et go�.0 SYSTEM r o ):,L-,104,�� -2 SLOPE F1�LD ACCESS w/I,v G "ot=GR�_ 6"'lllnJ./3'MAX COVC� �R I 1 c)�y,ELV- � g"M1►� . Co�ER �� 2 LEV EL loG.� 1-Izo ST i I ACCES5 POPTS C"pEAS1bNE c� 000 GAL�EXI5` -6 102.0 ` c. CCNJG_ "I nr1 K104.�- 0% t p V.,j o • O e o D a D V CD. I( �—6„ORC19ri�5roNE zR co►A?AcN U) 3/4- i�l Yz Dovz 01 2o'M(N. WI�Sr�tDSvo*IE I p LOG U S lhlN '4 - — r -r L D'c�r��, - I p �-� 0 13L- LO\n/ J J t�-%arlu - �4'" EL 96 o Iy OTES: !. 015P0SAL SYST C8N5TRUCTED STRI CT CL DANC` oI= C01�11u1. or N)ASS . EHViRDUJ CODE - T1 FRo7-1 Ll o> DIS? CjSAL S � STE �4\ 2 S U ,V F Y D J\T JN, 1 ;zest, LAUD G C>UF.T F'L 11 J\1 3 7, 7 I Z �� S N T 3 or- 6 -- cNo-'ro scAlE) E- CDIIJTTFACT-OR i a CALL D1GSAFE A; LEAST- T2 1 RS- RIF07E S7 A��I U L� Ca N S-TRU GT J 01tJ �} . F) E LD C N--1 v- L O G N�' 5-. Y,LNG3l M TaP oT 1= ZSVMDA7JCsM _ 1 0 6_ nss� SSo1P ' s N1 HPc04 Pe ri L o i / 0 7. USE- -;S - �'x 5'x Z' P. C - CDW-, L�ACI-I CI-l.J•Wl'[3EWS w rm-I � ' oi- 3J4"To I I/z" DOU13lJ- WA51-1ED 5TQNE AKCIVND INN7 ETV/EF-M L. 0 ?',P " to WASHES oWTot-'- I 4 4 � . i't11 " T "s �, � n Gi�S T3flFFLL i� �xJST1N � SLP i IC TAM K_ r 7 a 43 ' Imo- p ` 9 i NI ro _ � I i (_ I - _ D — -- -- HEF�`T 11 I�C�tNT k PP,.r�\/AL DATE TI_ S 1 Pi r £ PEPC-TEST �EXISTIA' G Iii cF ¢s C ��er� SiAO.:�)y FILL I' I ,. EAItL m1 c� ALLAN G� IQ-(.O — L OA) i — l 07•�- C. No.25575 � K!NGSB)J'RY sn #21slol Si I P �� ,iv DES 1 6(.� ,�:�E-�c.�� `., - < 2 M)Nsl��l. 5IN13LE FP-,Mi -N DWELLING \l//z4 13E1)7,DaM5 ne c MAD A��ry�t_ ID 5P03A-L )9FV) Ef�, DHI LEI FL D W = 1 ) D X = 9- 0 C7.P.17. 90 eu o 4� 80 lzo coA-j�S,67 1=aR S� PTI CTNNY. CVaL. RZF-Q' D� SPND 4ANDREW NGRTOPJ G}4 0 CG.1P_p. X 2 .O = S `a D GALS , i 5'a/o LEA D lv1AR5�oNs M 1 LL S, JV A oo l, oOc� GP.L. T1� 1`1V\ - O , Y, C E/V\ I5 T ) NG7 a t.� L C P\Cl a ) N Cn /ate PROPOSED ,0NT0U'i� 9 Z C1L D MILt RD USE 3 - +' 57ON C ALL AR4UN.D , ` CXtSTING COiV►oU2, I� SS E SS OP.'S 1`lV\)-Xo9-FC,BJ CT F ECTIVE DC�T1-I - �' I�II\RS)ON S M1\LL_ . -2 C s D i Z ( x 0.T q = 1 S 7 13 � L)- Ox 0.74 335 "c'' 96. 0 -- �,}.lzv r/DJJzo _ g6.4 AflVAf�lCED T�CI-I . SOLU� ROfU S - FIRZM �DN)L C0NSVLT CIIG'R _ E . ShND. MA T O T ILL C ACi T V = 5 GALS . � T� 5TEE) ►o OZ DATE-, 1 0- 10- o Z I I Ii L j I I I