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Home My WebLink About1187 OST.-W.BARN. RD - Health 1187 OST� MARSTONS MILLS w - A = 125 040 -- - - - - - L, TOWN OF BARNSTABLE { �/ LOl ►TICST�1 f/g7 �S'7 � t�/— �� SEWAGE # 18-e/.5-4 VII: AGEl�i�h�?`o�s �/,�/s ASSESSOR'S MAP & LOT /2f�DYd INSTALLER'S NAME&PHONE NO. f7`7-D3�9 /.�rc.dli L� /3�liHo SEPTIC TANK CAPACITY IAD6) LEACHING FACILITY: (type) 7 'Da 4,gl �(size) �.5- X/3 NO. OF BEDROOMS 3 BUILDER OR OWNER PERMTTDATE: B"-/-Do COMPLIANCE DATE: ,2- OO 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 ell, Trl' I D�1 t v Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: +� Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Rppfication for ]Diopool *pztem Construction Permit Application for a Permit to Construct air( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. j/8 7 4a,al.(J vpvv< ed Owner's Name,A dress and Tel.No. Assessor's Map/Parcel I W,rrf ! 1�' OW/r lyi. .l Installer's Name,Address,and Tel.No. 41 71—G 3 yq Designer's Name,Address and Tel.No. 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 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil x Nature of Repairs or Alterations(Answer when applicable) Z&S rV 2— ,ell 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 the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date g—I-JM Application Approved by Date 7-1— Application Disapproved for the following reasons Permit No.-417V— 7 TV Date Issued l '� tAl No. wV'� /J y t ! 1► Fee v to THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes , PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTSV/ 01pprication for Migpoear 6pgtem Conotruction Permit Application for a Permit to Construct( air( )Upgrade( ` )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. //8 7 Os r 441, Owner's Name,A dress and Tel.No. �1i�oNSt�hs ar-r,/iy /Z/�/�r NUyti�s Assessor's Map/Parcel Installer's Name,Address,and Tel.No. y"/'*7— l.3 Y q Designer's Name,Address and Tel.No. ✓off'�P y /.�.� �.�r.►a� ✓os i!�� /,3�r�vS Type of Building: Dwelling No.of Bedrooms —:5 i'. - _, 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 gallons. Plan Date t' Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil -_ Lis l Nature of Repairs or Alterations(Answer when applicable) 1_-& r�// 9 -. dD fl, 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 the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. �, Signed Date /." Applicatijn pproved by'C Date 7/- Application isapprovedfor the following reasons Permit No.J&flry ^y Date Issued F / Z&� --------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS r.:. (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(a--)-Repaired ( )Upgraded(' ) Abandoned( )by //,T? UST'/-''I"!/i/�/= 4,11 4? H51"4 at 'A",&e 9T 7 ti /4/,%/c has been construct d in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NoZ4'z/a' .1-/S-0 dated J/ Installer Je�� /,._/ �.H�• S Designer t'o s � �.=?J, 1 The issuance of this permit shall not be construed as a guarantee that the sywill functio d d. Dat '4&V Inspecto r a ——————————————————————————————————————— No. /2 S Fee �/��— THE COMMONWEALTH OF MASSACHUSETTS ;PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1=i5po!6a1 *pgtem Construction Permit s Permission is hereby granted to Construct(4,),Repair( )Upgrade( )Aban on( ) System located at //R'7 A21;-4 r < -0[e 4 ri�L9'i Ile 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 It. Date: ��/�� Approved by _ v6;99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTTICATION OF SKETCH .kND APPLICATION FORA DISPOSAL WORKS CONSTRUCTION PER CIT (WITHOUT DESIGNED PLANS) hereby certiry that the application for disposal wor.<s construction permit signed by me dated conce.-finQ the property located at // 7 (/�q,r; Gy��rY1, �� meets all of the following criteria: �Tne failed system is cone-ed to a residential dwelling only. Thee are no commerc:ai or business uses associated with the dwellinz. l�The soil is classined as CUSS I and the eercolaaon rate is less Ll=or equal to 5 minutes ce: inch. mere are no wetlands within 100 fee;of the orocosed septic syse n The:e are no private wets within 1:0 feV;of the proposed sepuc system There is no incense in flow and/or chancre v / ,_ in use proposed There are no variances requested or needed • the bottom of the proposed leaching facty will not be located less than five fee;above the manmum adjusted-oundwater table 6riacton. (Adjust the z undwater table using the Frimptor method when applicable] ,r U the S.A.S. will be looted with 250 fee;of any vegetated we lands, the caaom of cite orocosed leaching facility will net be Iccated!ess than ourteen (1,) fee;above the na cimum adjured zmundwa(er table t!evatiort. Please complete the followin;: A) Too of Ground Sur-,ace _:(r/ation(using GiS information) lQ D B) G.W. E!cvation _the :NLa'(. HIgh G.W. Adjustment D rC— -E`i Cc. a ETINEE N a,and (Skexh proposed plan of srs;e n on backj. a::.-c M ioidcr.ct d 7 oa m 9 9 rl�v � a B aO,S`Y/ �. . �� .. - �. n s r.,-•v;7t•>z �s:' •'^ ems' x - •..x a"5"•- '-_��'. a t••s hs+ra..,,-,.'' ,r _ �?- f — i T k t f f PILLAGE �,.T_ �� ,✓✓>�`' 1S ,SS� '� MAC& ' f �• . _ : , gsTALLEW M u &PHQI�E Ifl ,t � . f �Cr t_ , . i }} kt c PTI7t�'.-�+{��T` -x'i/ar. k-_ /'L Lk f+..11 -#..� �4,y�,a ' t f r µ -, .` '' d. .., .�,-.� 1 C. I`1�k\O�1.M'7Y� kf�tY�,. _ ,a.•T`"' u,R .}i o;z ` Ron, { ILEAC < sir r . �iLrrY *7 I'IINC,3 FA Fh' ) ..':r �� (s�;�e) ..�-� fT ', : ...=°r��"�.- Y } NO :, i O�`EEDR'OQMS' i �tiry I—;.. 4,..'- 4a , e =N�FIr t ff '' S #xA 9 �4 1 f.� ri ©�� `�k M 1 ? - F ty ..+.f'j '�"S tYy ! i`n a :,,,e r.kc t'I.Z 7 {<+'�`.!• 1- I jf - - 7}k� !, ,>� t{ T RRMIT'I�tT .� �., � _COIViPID.4'T '� t� ' to ` �, t a 7 E -r r i s t.-1 s f-F t . Pt : } fF t n °�5 k Y/'•�S` i q, : fi' SeparatlonrDlS�ailee$etWeen the r } ~ `4fcF Iaximuin Adjusted Gru�fdatex`Tail to Ottegttot�a€�eactgFc��iyf7 "TM Fe " f� Y F P vate at r uppiy V�leil t►rtd LOach7nt Facit-ty h( an}'..,-w l ezr I F 1- �` { r 1 on site or Wittnn 200 feet pI 1ect�tg facihry) fee#'f1_11.111 - `11 � ,,$�f 1Flr f. $;�} a r t f Edg{eq/af-i�et,(Idtpl11 d+3l1(j�,C'c#C�i}��3C1�lr��}!W�tY3I1dS6�Cl�if 4 f }_ y.: j�s r� f�;y 1.�r�j 3 t,k:' � »y �, if t �.` t- ! 7 -- �f 1 fitc. i.p.'Y Q. �' ',.�, , N- } 6 1 r ' i `' �� r� •, p• S{ . �if Lam.rrI I yT�'e,/ 1 �••Y*S � l, Y� }✓'F `j•}7� ,'l,rt! T 7 N ;r tf-fir ,S. .R -{ i �" ' 5 (� [� xy-•-�" a ..are 1 } _ t c zs f is m�. f f ! f t .} (Eris rjYfy r s L 7 F $ s r IIR ! t Y ,r„ ..."` „t�3 lt. - - tr -_ - v t s a S 7 c } s e e cs�•. ,rt ,t.T:s.,..u..- '4ii: rARM Sri }iNi sk. .__ - A. ��. ] } f G t F. €. " �4 1 t -`L r --t -.-.7,a + F F g l`4{ice`••a=6t`is}9�x t t f ! S�Mn h t r FI g k �i_ #. I 3 #•f „i T Y. 4 _ - 4 r._. .� ::-- .... ....�:y... - ^ n..a.c _ } .. ... S _ y _._ -. ___—_ - _. _ un �)_ _.-_ _— _ _- /]./ _.. .- __ ._ _.-._ - .. - V_ 44// _ it } -:4• su E,s�:'..,E. iIY4 irk .rm�>q' ..,�. -11 - f 5 tz+- _...�-,-,.s - ,.,a,--Tv ,C - +' - -- _ '�R"e } -_�•. "' N .a '�.-`c. = � vr-�-r - -�• ,,,*f 2ts's - •. f 3 ,�,y..22w "��•,°F rnx'r' •s . - '• - --• -gym:. .�. : fir: 11 5i `7+4*• �'r �� ``��.a "T. = w,._.. '. . a a..m�--•-ism.,.. _ - H _— _ _ =— rrs 4 x . - �— r _= _ ._ _ _ _ . . _ __ ° L�Y_ , - . .:is :' , :°-" "S$4Fr°. - Grp:A.' "!r:a:t.. z:yiI , f F:. - - - _. 1 ao M M . - ui _ _ .- _. . ._. _ . . _ P'A _ -_ ^ .I pip.. e' _ -- - - _ .. f.cam F-, . - ® .� f: T . o a'... . .s .. .-i- "- - _; .., w _ .. -.__, ..,,_-,...��-.o—.- _..''___�I._A,._,.�''.':�2-�*'i-=.-M-_1-6�--__�"1_.,6�-,.,_�-��_6�_�;"-jP-I_.�-..W,___'T6-"�I-,:',.,�.-__-.S�"�-1'1_L-.N:�_,k:,!.��.i� : . '+ _ ,<.. _ _ -. :_. -., - .: _ -:` .-.. .. .. _ .. --. - .. S .. - _. - ....,n ,r 4 y,. . . R y. .. - .- -. -� OW QF BARNSTABLE LOC.ATIONC,p T a1,' G1 SEWAGE # VILLAG&/ ) ASSESSOR'S MAP LOT- INSTALL "D r / 1 I ER'S NAME PHONE NO.PR6R .*'+SST SEPTIC TANK CAPACITY LEACHING FACILITY:(type)&-CAST// T (size) NO. OF'BEDROOMS PRIVATE WELL OR PUBLIC WATER 42 /;- BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No © o L; �3 , - Rom" Z& Fizz THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..Kl .............OF...A�flet. '' .i� �......_...._...._...............-- Appliration for Disposal Works Tonstrnrtiun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System a . ..--•.........!V7...... _-____-... .... ........................... �...Y2 ••• a'�- d Tess +� or o Ktk►W-a _ ----- AddreOw......................— _ a " installer js � Address 6 d Type of Building Size Lot_?4,,1_�_.-._._Sq. feet U Dwelling—No. of Bedrooms..................... :............Expansion Attic ( ) Garbage Grinder ( ) '_l Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other fixtures ___________________________ _ W Design Flow...................................�__t;__gallons per person per day. Total daily 4n....__.________ ____________gallons. 9 Septic Tank—Liquid capacity_/P4v.gallons Length_..-e."_ Width_I.=_46.. Diameter------_' ..... Depth_.I� Disposal Trench—No_ .................... Width........... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------------%....... Diameter-----4 4--------- Depth below inlet____ Total leaching area__?4.0....sq. ft. Z Other Distribution box ( ✓j Dosing tank ( ) Percolation Test Results Performed by.__•4.44n... ¢ 4 o_Date --- ,_l Test Pit No. 1......Z-----minutes per inch Depth of Test Pit...I.Z.&.�. Depth to ground water________________________ (14 Test Pit No. 2.___...�..___minutes per inch Depth of Test Pit.....z/.__. Depth to ground water........................ P+ ---•--------------•-----------------..._....__._....---.........•••-----.._.....•------;--•--.....-------- ------•--------------------------------------- 0 Description of Soil..... ....... .4 x W •------------------------------------------------------------------------------------------------------•------------------------------------------------------------..-.--------•-•-•-•---...._....----- VNature of Repairs or Alterations—Answer when applicable............................................................................................... •--------------------------------------------------•----•--•--------------------------•---••----....-•------•---•--------------------------------------------------------------••----•••....--•-•--•-••- Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of l_111 T- E ;of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued by t board of health. Signed_._. /2 S—`) .........:.... . . . Date Application Approved By........... -e••.�� .: . -•----•..................... .......... ----•--- Date Application Disapproved for the following reasons:.............................................................................................................. ...............•-----•-------•--•-•-----------------....----......__....-----------------------------•-------------..--..----------------------------------------------------------------------...------ /9 ---------------------'Date Permit No.---•--,`..�✓=-.__.��`..�--------•............ Issued.................... ....-- Date No.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System a ................ .._........._... ._..._._............... ... ......._........_......................_.._....._.._ ................._...._; ..y. .. ff,, ca ion-I/Ad Tess / or I- 0 ................. .J ......... ....--.... .._.................._......._.... ........... _..........c:.2 ...................-- -...__....__.... Ow r f /� ^_,�Address, ..............••••• -• ........... ...�........•. •-•---........._ •---........(.��:._m...�.... �. -.........-•-••................. Installer Address Type of Building ^^�� Size Lot_ r=.�` __-----Sq. feet V Dwelling—No. of Bedrooms................... dk...........Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ............................ W Design Flow...................................` gallons per person per day. Total daily flow--_'Q' �a-------_--_---------------gallons. WSeptic Tank—Liquid capacity.<�og.gallons Length._h"._:r.-:_'.'. Diameter_______` ----- Depth_.... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No............/_...... Diameter.....L2........ Depth below inlet.....-:.. ....... Total leaching area..-,5?Z--.---sq. ft. Z Other Distribution box ( ✓) Dosing tank ( ) _ '-' Percolation Test Results Performed by---r . .r.......... Date... :............................... ,`�a Test Pit No. I...... ------minutes per inch Depth of Test Pit....e�._Z Depth to ground water.._.....=0...... Test Pit No. 2.......: .:_..minutes per inch Depth of Test Pit....../.2e.... Depth to ground water........ ....... a' ...........-.................................................S...-•-.....------ •-------......--......................................................... ODescription of Soil------ ��. 4 " w�C., x - -•.. .... --•---------------/----------- % G 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 Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has baep issued byte board of health. Signed... �:_ ........... ............... ...-.... i'fig i Date Application Approved By------..... --� Date L- 1 Application Disapproved for the following reasons:........................................................................................................_..... r I a Date Permit No. �G1/.-.-.1..�.... ..... _._. Issued._... - Date t t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtif iratr of Tontplittnrr y THIS S TO CE, TIFF, That the Individual Sewage Disposal System constructed ( �r Repaired --- ... _ % _ �nstaller n at......... ••-- ---•-- has been installed in accordance with the provisions of TIT TIT14, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No........ 1'-r./ -�..... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 l (..: OF.............. ..�. _s3- , -f..• O No.._ ..--•---........ FEE..�t//_:! . ---...... Disposal al Works 5rarmfion rrutit Permission is hereby granted..........f � ► �.�_ d a . !t to Construct (>Z, or Repair ,�- ) a Individual Sewage DisposalrSyst n at No....-...... /-...�?_2......�1.�....2 .... ,f ...... . .Ae:j.-2 a �':�4..........Y-•----........ - ......................... Street as shown on the application for Disposal Works Construction Permit,No. r):`Z�__ Dated.......................................... ........._,,,w�_` r DATE-----------�...... r .....................0............................. Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS Pot, 6 C.` ►�d C.t3 60.0 � --� Z . 1000 94.t -l3 1009 s� z Za t 7 1 ' 5701 f 26 126 4 zs' 6 'X 4 'pit t 2 �, ,/✓P i J Pi 74 � 13a2n ` I goad, i ,kn. C S. �j bate 4-9-90 j ep .i c ea.i�yt qU Cap e No. bedWO614 3 49 /datbot goad ? 'Jispoac.0 �b �a.� /��rog.r,Ce No Seale Ilya , rla. 02601 Ce.trjrated stow 3305pd i .!'each r 4 a",a 2044.J l2e�iwe " 20444 �. °Cap ac i tq 392gpd l 000 .4to 5'/•.s 13C�f ANC) Sketch fj4ut of Zand in Ma4,to►vs. M", Ma, -- i 9ot J C. I eat ty 5�t. ream .Cat 7 as AJwwn on a plan teco&ded .in _ book, 286 paqz 20. C�"atio" ate on an ate.mwd datm. { �7 y� � feat Pit #P-758 S r 4 Aade 4-6-90 wit. Ed. 6" 'No wa eA enao� - i9etc. 2 /mieg. rr 9 P 1 SG,o P 2 57.1 tops n p p � �. - � t coat4e �coa�e j H� � ' 4, ^'t' At LAND q3,S 95.1 .