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HomeMy WebLinkAbout0440 OST.-W.BARN. RD - Health 440 Ost.-W.Bam '94. ,, Marstons Mills A= 122 — 049 . Y L4140 TOWN OF BARNSTABLE f Fg LOCATION W bu i it SEWAGE # MoAA VILLAGE ASSESSOR'S MAP Cz LOT ;)S- 0 3:7 INSTALLER'S NAME & PHONE NO. ZJa4-4-- SEPTIC TANK CAPACITY 000 `LEACHING FACILITY:(type) (size) 0 0 o,�A NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: IG 7 ` 9 2- VARIANCE GRANTED: Yes No L� 37t No.__/..: ...Z.1; Fmc......400 0....... .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH OWN OF BARNSTABLE # 9 ar'je r 'lispus al Works Tunstrusttun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: s - W. 'CUCC-is J* �w ?� �f- ................- -................................................... ._......._... --•--------------......---......-------•----- ...........AA.44LC.......... �'' Location-Address or Lot No. ................ ................................ --------............_....--•--• W Owner Address a ••---•-•---•...............%!D.-rzec..ej................................................. ...... Installer Address _ Type of Building Size Lot_ ?5Z,(:D.....Sq. feet Dwelling—No. of Bedrooms...............................................Expansion Attic ( ) Garbage Grinder ( ) ._._____ No. of ersons____________________________ Showers — Cafeteria p-, Other—Type of Building ____________________ p ( ) ( ) a' Other fixtures -._.._.__. ................................................................ W Design Flow____________________________-...............gallons per personger day. Total daily flow.....7 �?._______._______________gallons. WSeptic Tank—Liquid capacity/Ef?_O__gallons Length______'_ v. Width_4_'!o�".__ Diameter------ ------ Depth' d...._- x Disposal Trench—No ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------- ......... Diameter-----1........... Depth below inlet.......I......... Total leaching area_X?� .....sq. ft. Z Other Distribution box (-/) Dosing tank ( ) '-' Percolation Test Results Performed by-__�«<' ��.. �✓ �2______________________ Date___ ~ 2-�' 'z a r---- ,.a Test Pit No. 144�5 g__minutes per inch Depth of Test Pit..../.— Depth to ground water......... .._..__. ri, Test Pit No. 2...... .........minutes per inch Depth of Test Pit------ _sO./...... Depth to ground water_-___:_..__—.._.._ ..................................... O Description of Soil s - �1-7!y r, �!SI�.Sx�, S. � U W '----------------- _____-----------•-•---___--•---•---------•--•--___-_____------•----------------•-•------------------------------•---•-•-•--••---------•---•-----•-•-------•-•-•••••--•-•---- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -----------------•---------------------------------•-- -----------------------•------------------------------------------------------------------------------------------------ ------- Agreer�nent: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance w:th the, ovisions of TITLE I of the State Environmental Code—The undersigned further agrees not to place the z' sy m in operation until a Certificate of Compliance has been issued b the board of health. , Signed — � G ._ - ....1-�9 4, Da lication Approved By . :'b_ -=- ..........-`-----------------------....... ----- ��'--------�i �-���-- A ,{ � + Dace (pplication Disapproved for the following reasons- ...................------------------------------------------------------- ......------.......................................... � -•r Date Permit No. 7;X-- --- S- ---------------- Issued --- .----._.................................................... Date No..-_,F_.�'_ ..j' ; laza....... THE'COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE- '� �irtt i�an ur DisposFa1 Works Tonstrnrfion Wrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: l/V �,4AF'.r/ i ��. 3.c_•_ i�� `f Location-Address or Lot No. Owner r Address a ............................ '--------------------------------------------- Installer Address d 2 Z,SZo q Type of Building Size Lot.__.___ __________________S feet U Dwellin No. of Bedrooms.............3 _--__Ex ansion Attic g— p ( ) Garbage Grinder ( ) a'4 Other—T e of Building ............... No. of ersons....___..._..........__..__. Showers YP g ------------- P ( ) — Cafeteria ( ) Other fixtures -------------------------- W Design Flow............................S_}........gallons per pe'son per day. Total daily flow-----33E'-->........................gallons. P q P g g --- .. 5--��.--- W Septic Tank—Liquid uad ca achy_�TQ___ allons Len th_. '��. Width_�_.!a.... Diameter__---- ..... Depth: Disposal Trench—No..................... Width•--_•--__•--__--t_. Total Length.................... Total leaching area....................sq. ft. x , Seepage Pit No---------/--------- Diameter-__.61--___--___- Depth below inlet....._'^........ Total leaching area_.X3.:�t.....sq. ft. Z Other Distribution box (✓) Dosing tank ( ) '-' Percolation Test Results Performed by.-- GL-- �✓� �2 ? :7 z_ •----��---------•----••---------- Date---�-'--�--•• - - - - ,`�a Test Pit No. 14455.9__minutes per inch Depth of Test Pit.... Depth to ground water....................... Test Pit No. 2................minutes per inch Depth of Test Pit...../i- ........ Depth to ground water....... _.._... O. . � --------- Description o Soil....... - yam__? AA� _. . .V � .... ............... .........................................................•._•.._._..------.--..�.....-..-_......._�-....._........_..............._......... W 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 Environmental 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. f Signed ( 2 ---.:�-� -�7 .�/ Da Application -------------- Application Approved By -[ -- ----- .----- -.mac"1'�.' "t� -.` .-,/� :...... - Date Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------------- --- ------------------ -- ----------- ----------------------------- --- ----------------- - ----------------------------------------------------------- ----- -- ----------- --------------------------------------- T Date PermitNo.) ----- ........... -�..5................... Issued --------_-------------. ---------------------------------_--- Dare THE COMMONWEALTH OF MASSACHUSETTS ti BOARD OF, HEALTH TOWN OF BARNSTABLE C�Ez#ificatte of Tontylia n e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( x ) or Repaired ( ) by.................)D- .................................................................. ----- -- ------.......-------------- ......--....-----------------...------...: ...................................... Installer at --------/'-.ar------- .............. ............ - - i --Cr.-f,.(.c.e:-r�--.-Cot---------------------........A--t M-- ---------------- has been installed in accordance with the provisions of TITLE 5$c�f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......l---02.........Xls......... dated ------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS AIGUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....... -------------- Inspector .f .1 . A-----....--- ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �3S TOWN OF BARNSTABLE Mc) No... .............. FEE........................ Disposa orks Cn.In#rurtion rrmi# Permission is hereby granted........... ....................................... to Construct (X or Repair �..) an I ividuQ Sewa.e Disposal .•ystem at No.------ L' � _ .._._�_.__..------ (jJ' crmXt Street g ? as shown on the application for Disposal Works Construction Permit No.l __ J Dated__________________________________________ I� - i Board of Health DATE................ .....--------._.--- ---•---• ...................... V FORM 36508 HOBBS✓k WARREN.INC.,PUBLISHERS No......................... Fim..........................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App iration for Dhipaaal lVorkii Tnnit`urtinn 1hrutit 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 Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms....:.......................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers a Other—Type g ---------------------------- P ( )__— 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 ( ) Percolation Test Results Performed by.......................................................................... Date----------------.......------... ------ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water---------------:-.-.-..- PLI Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---------------------------------------•------•-•-••---•----------------....._.....-----------...---------•-•-•-•-••----•...---._......... .------------ •---.. 0 Description of Soil...............................................................................----------------------------------------------------------------•-----------...--------- x U -----------------------------------•--------•--•------------------------------------......-------•-----------------------------------------••---------------------------.........--•-------------------- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... s 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 by the board of health. r Signed _.CV) . ............................ �../.....D A .......... f lication Approved B ............................................................ `` .....�- �.-- --- �-----------v---------------------------- r' PP PP y - ---- Da[e Application Disapproved for the following reasons- --------- -------- ---- ---------------- -------------------- ----------- --------- - ------ ---------------------------- -- ------------------------------------ --- ------------ -- ----- --------- -------------------------------------------- ---- --- ----------------------------- ----------- -- ------ ---------------------------------------- Date PermitNo- -------------------------- -- --- -------- --------------- Issued -------- -- -----.....-----------------............---------..... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by........................................ ......................................................................... -----........... . .....---...------....------------ -- ------------- . .....----------- --. -- Installer 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 SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------- ......................................................................... Inspector .. ....------------........----------------......-------------- . ..............-------_.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No......................... FEE........................ Disposal Vorkg Tunnifrur#ion fautit Permissionis hereby granted--------------------------------------------------•----------------------•--------------------••------...................................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... -----------------•---------------------------------------------------•--------•---------------•....---•- DATE. ----------------------------------•---------•--------- Board of health FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS C."^• 4 i 1o�.4t I �ca.1,e 1 1'-40 1 . . _ .Cot 4 FILL Cape Cw nez jptf 22, 520 Is 9 49 / boa 1`6ad I �d yayuu'sf T M^02601 0.9 4g!a lot 5 44, zs .('off 3 - 28, PROPOS£7 Septtc den' n No. bed/c000ld. .3 419 %•.. ZSTpi � C4iim4ted. tow 330 ¢pd Vsr q.g,� .teacAijva oiaea 233 a� nd as �eoo f�PiSP/cVe . �� 233 C.R.n 7P% air Capatil. 440. gpd A? 4 ®� _.- IV / arx P. OF �qf iI ; IL , 50.0NE 0.32490 srEa ��'• F�/ 479 s/oN � A( LAND C.">. 39 C.ft va te�tv-i l.?'e-,V ed t l�o and tabt e ,�o ad �F�-�«As� z IT EARNEY. #t260600 �FG/STER�O.���/� SSA ��6 14 DZQ 000' 1 I 1000 pat �+ , w/2'�tows ;t V j c5 e• Ck pIAW 0`? Xa d ,in Ma ,j tofv� Mill r1A + gent pat# n-7874 9o�`9oyce.Rbbey Made 3-26-92 i e ng Lod 3 aa,�lioffln on a ptan iA bofok,286 wit. �. liar wt i fug pale 20 No Ovate& wco�tezed r�tc. 2 ,spirt p et / " £.Levafii on,:s. ate on an ac ed dci 9 P ! h 2 y C�-cite;_- exit;_-Ra%c►2ctc�Ze- atcZ-o f ec .Ti- : - s' p ¢9.6 Ova 9L 4�.0 T:I 4ArLP/S C.6• ' C.1.5. " . . . 47-9 - +o3.4t - - 47.z .Cot 14 Iqu Cape CA 22, 520 49 Alatbo�t bad - 14y �.AR 02601 47.9 48 to 44' o t 2,? PROPOSE? No. becfaooms. ? no 4,.3 2s,:Qz L .ated ttow 330 gpd s* 4.8• .Ceacl�.snr� a>Gea 233 1 °g too* 2?3 a AA Capacl-tq 4u0 gpd : E N II _ 1 3 too , LWXA t i 1M OF Mqs. 50.0 ILNE No.32490 9FC/STER�� h' E C. 147�9. A� LAND ()4,tA2u .e-we4.t 8'moAtabte ,1?oad of Mqs'., 5a.� 40 EARNEY #12606 ,o �P O 4✓ Fc/STE�� SOQ P-to4te / cSeaf',C: A/o nd - - i 1000 0/2 Mace 1 41: IP �: �`i� �:•�J Z , ; SN etch Nan o -Panel .in Plat toir - Mr t,Uis� gat �yce Abbey geyt Pit# P-7874 - 6ade 3-26-92 Ne i.ng. -Cot ? as �,Vwojn on a ptan yin boob 286 Wit. 31WW A-et pane 20 No cvatet encounteaed Ueuati,opwt ate on an a6& ed datai Pura. 2 ^in p eic _ t pp ! i p 2 ZZFe;--me t;-_t3 Ze-� k1 a 373 v d�k 41.0to Coa44e ! 1 1 ~ a.tOl'bP.b pj fine i t t i L O C.,AT�h r S EW A G�E PE RMtT N0. � IL IAVIE INSTALLER'S NA, & ADDRESS zIZ BL=DT'R OR OWNER iv� DATE PtRMIT ISSUED ' DATE COMPLIANCE ISSUED �� _.23� ,. �� O .S� � ,� �.. l � �� �� � � _ - ti, � 't� No................r..... Fi%B....�r..�.••..•-.........._ THE FCHT TS BOARD OF H EA ---------�t.,- ............OF........ .06*. .....................V........................................ Appliration for Disposal Works (fnnstrurtinn Frrmit Application hereby made for a Permit to Construct ( ) or Repair ( ) an �ndividual Sewage Disposal ' , System at: e - G�,yL ��® ?� � "...w4w C....-•-------• --•--•-•----------. -•---•------.._... •--•--------------............ s vLot ---•-------••••••-••--••-•••--._..._ .,!.C_ -•- - --•- ........... *' • -__Address........ f%e Installer Address PQ d Type of Building Size Lot_.2G'________©____©_____® .....Sq. feet 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 capacityR V allons Length................ Width................ Diameter................ Depth................ x Disposal Trench No. .................... Wid ............_...... Total Length.................... Total leaching area....................sq. ft. 1. Seepage Pit No--)---------------- Diameter.._.. ._........... Depth below inlet....___-......... Total leaching area..................sq. ft. Z Other Distribution box (1/j Dosing tank ( ) a Percolation Test Results Performed by.......................................................................... Date................................... ... Test Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a 0 Description of Soil------'L f :.r ....^ --. _z� .. !du' .._.. x 8 W ----•-••-•-•-------------------•---------••••-••--•••-•••••--•--•---••---•••---•-•-•-•-.....-•••-•-•--•--•--••. ----------- .............5Z......---••---•••----- U Nature of Repairs or Alteratio s— saver wahen appl ca 1 l........ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by the board of e h. Sig _.--•--- ............. ----••-_•••- lz.� - : �-IA Date Application Approved By...�.... .._. _ ✓! ZA.—.f' -4------�Z. J Date Application Disapproved for the following reasons:................./-•------------....------------------------------------------------------------......----.._._. .................................•-•------•-•---•------------•---•---........----•--------...--------•-----------•----•------••••-••----•-•............................................................ Date Permit No................... -. Issued-,IaZ. 7Z................ Date r No.. .. . .. Flcs.............................. THE COMMONWEALTH'•eOF-MASSACHUSETTS BOARD F f-I T I-I .. ..............OF...... .......................................... ,NVp irahou for Dispa' s al Oaks Tonofrul � rrmit Applicatio s.hereby made•,for a Permit to Construct ( ) or, Repair. ) a Individual Sewage Disposal Sys +�Q � .. �.. -b- � .•-- ............................................... .... ..e -•.....................••--.........---- • •- = c Address r •.............................. e a� A re W — ...... ....................................... a -...... ......._ a Installer Address Type of Buil 'ng Size Lot_ , _ Sq. feet -------- ------ Dwellin —No. of Bedrooms_ ..................................Expan§i, Attic ( ) Garbage Grinder ( ) Other—T e of Building ............... No. of ersons__:__:..__.______. Showers — Cafeteria a YP g P ----- ( ).. ( ) Otherfixtures .............................................................----------------------------- .......................................................... W Design Flow__________________________________ gallons per person per day. Total daily flow............................................gallons. WSeptic Tank Liquid capacit Q .gallon's Length................ Width................ Diameter.:-------------- Depth................ x Disposal Trench—No_ ____________________ Wid h_.t•_----:_.-_:---__ Total Length.______::_l.------- Total leaching area.................... ft. Seepage Pit No.�_________________ Diameter__ .,:_.,.__..._, Depth below inlet-_4._........_.. Total leaching area..................sq. ft: z Other Distribution box 4000) Dosing tank .( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date....................................... aTest Pit No. I................minutes per inch Depth of Test Pit................_.... Depth to:ground water......................... Test Pit No. 2...............nunutes per inch Depth of Test Pit;:''.:...........::.. Depth to ground water........................ O Description of Soil____ ........................... _ _ U •--•-------------:..._. •---------------------------------•---------- --•--•-----------------------------------------------------------------••-•- -----_:.- - U Nature o Repairs or Alterati s— sw r w en ap i ,_ /c�a o . •--- -- ------- ----• -------- ------ ---• . ................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions-of TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed b the board/of4th Afi.}�Pl/fil+.4 Si d -•--- •----•-------•---•- -: ............. .i --....... Application Approved By..... !` �' date Date Application Disapproved for the following reasons:. ................................................ •--•--•-•--------•---------------•--•-------•------------................................................... -----•----------------:•--•------••---••-----------------• •--- ------••---•--- Date PermitNo....................................... ............... Issued-............................. ::...: Date a THE COMMONWEALTH OF MASSACHUSETTS BOARDOF�HEAL�T.........................:O F.................................................................................. k TrrfifirFatt.,_of (l aotplialtrr THI I p6C T. T the Individual Sewage.Disposal System constructed ( ) or Repaired ( ) by.........: { �. I stal has been installed in accordance with the provisios!of r r of The State Sanitary Code as described in the ,,fi�rr application for Disposal Works:Construcfion Permit No.. ��7. ...... ......... dated-_../_�". : . � ._.........._... THE ISSUANCE OF THIS_`CERTIFICATE SHALL NOT BE"CONSTRUED A A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .. Inspector....: ..DATE......-•---•--•- -..�...�.�. ... .....---•---•--------•- •--•--•-- -------------- ----- --•---•-----•--••---------._...--- THE COMMONWEALTH OF MASSACHUSETTS BOARD 3F HEA TH Gly� No......................... FEE::...................... s t it'SFY ur r#ion amit Perm' ssio Is hereby granted•-- .............. ----- --- ................................. to Constr ( ),,,or atr an In ivid ,Sc� r 'e >y� osal S }st �' Street as shown on the application for Disposal Works Construct. rmit S. Dated--�"T:"�.a__'�`7�.............. • T ;,Board of He r DATE..... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS y .fix• WN OF BARNSTABLE LOCATION 7 SEWAGE # '7"7 ,.Q � VILLAGE ASSESSOR'S MAP & LOT 1-22 r INSTALLER'S NAME & PHONE NO. Pn-(£c_� SEPTIC TANK CAPACITY i OC� LEACHING FACILITY:(type) t+ (size) 100 0 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER Mu-r'k Lo-r- DATE PERMIT ISSUED: I -L -"Z z — V7 1 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No x i 9 1 (�C i �3 !T