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Home My WebLink About0037 PEACH TREE ROAD - Health 3 7. Peac T.. z adi Marston- h Tree yOj s Mills , ;r v TOWN OF BARNSTABLE LOCATION _.Gh SEWAGE # J3:I.L11CC ._�ASSESSOR'S MAP & LOT 05-7.1" ° ` INSTALLER'S NAME& PHONE NO. 4etUJ SEPTIC TANK CAPACITY LEACHING FACILITY:(tyFe) (size) f�XX NO. OF BEDR.00M.S�3 _ PRIVATE WELI. OR PUBLIC WATER____ BUILDER OR OWNER_��f -- DATE PERMIT ISSUED: DATE C:OLIPI_IANCE ISSUED VARIANCE GRANTED: Yes No. I � s 'f TOWN OF BARNSTABLE LOCATION 3� � v4c `t 2�e-�_ SEWAGE # VILLAGE. vVI. 1M� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. G O er (_�, f�c rn C SEPTIC TANK CAPACITY Zf d -1571y v", c0_r'2 _C2yl LEACHING FACILITY:(type) fee0�✓reCQ"' (size) (OK6 cvle)r NO. OF BEDROOMS i PRIVATE WELL O,Mbr CITE L,--"' BUILDER OR OWNER (.-,,4-�� -ry DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,,� r J ` ' � ��c7� �� 6 ��`FD�T: � �� o`a— - 057 Q�� R r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....OF .K.Xus4'-rs46 ............................... Appliration for Bitipnsttl Works Tonstrnrtiun rrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an,Individual Sewage Disposal System at: .. .3 .. . ...<.x4:h..: .................................. ........... ........M .. ..... \\ �Loccation Address ................ .Y1. {n, �F .t.. �10 ...........or Lot N.... 0 .. y_. .. ................ owner Address a __.^___..........._..• � - l 1^ .................. (�] ' 3�:.Z�._�=1f�51.`:Y.�..............�---ti..�..------^••---... ..........��lQ-�-----.Q..l.�.{_.�f�:GVke;?�\�..� ' p� Installer Address UType of Building Size Lot............................Sq. feet � Dwelling—No. of Bedrooms....3...................................Expansion Attic ( ) Garbage Grinder ( ) a`-4 4 Other—T e of Buildin .p g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fiatures .----•--------------•--------------••----------.....------••--------------•------•--•--- .............................................................'� W Design Flow....... .................................gallons per person per day. Total daily flow...... 3�:2..........._......._....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.....�.b......... Depth below inlet.....b.r........... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test 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........................ Ri 0 Description of Soil.............•-----•---......------..............---...-----..............-•--••---------------------•-------....-----•------.............--••.......--•--•..._......_.. V .......-•••--------•----••••._...•-----•--••---•••••-----•---•--••--•--•---•-••••................•--•-.....-----•••-••-•----......•------•-----•-••---•-•••-----..._........-•--..............--•.....--- UW •---••-•------ . ..•-•--••••--•--...---•----•-•••-••••-•--••-•-••--•--••••-----••-•••-•---•••••••------•••---•-•--------•••-•---•--••-••---•••-••••-•-•-•-----------------•-••-••-•--•--....---......... Nature of R/,eL�pairs or Alterations—Answer when applicable..__1 �1\(�....... ?ti Agreement.: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the'provisions of iITLL 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 health. Signed ---•-• Date Application Approved By.............. . .... '-------------------------- ........... h'�o,-$ .....•. ...... . Date Application Disapproved for the following reasons-----------------------------•------•----------•-•----------•--•--•----------....----.........-•-•-----••-••-•--- ........---•--•..........................•-•--------•----................------...--•---.....-----........---------------••----------------•----------.................................................. Date PermitNo. 89:... ........................... Issued....................................................... Date No.....� Fs$........ .��.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C2lJs__......oFYz:.1n1 1A ,�r-n ...... -----•--�--�, _ Appl ration for Disposal Works Tonstrtir#inn 1rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...................._........... ------•------ -------d M....../ r Location.Address - or•Lot No. ...........:.... ..� ., c vZ� •....---•--......•.... .............. ��! ---------••-----.......------................-•---- Owner Address �J W ............... ...... _1,4 i Y�....... �D'i 5��. �jaj!o_t. Installer Address } -• . d Type of Building Size Lot............................Sq. feet. �-4 Dwelling—No. of Bedrooms.._.tea..................k......_........Expansion Attic ( ) Garbage Grinder ( ) a'_4 Other—Type' of Building No. of persons..............•........._... Showers g --------•------------------• P ( ) — Cafeteria ( ) 04 Other fiitures -----------------------••-............................................................................................................................. Design Flow--_-.' __�---------------------•--------gallons per person per day. Total daily flow-__-.a3C2........................gallons. Septic 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.....K.b.......... Depth below inlet.....h-!........... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-----••--••-•--•-••------•---.......•----••--••-•-•-•-.........•---------- 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........................ a •••--••---•------•--•----•=---------••--------•--•••................................•---•--------•-------•--•--.....-•----•--•--••-••-••-•••--...-----••--•-- ODescription of Soil........................................................................................................................................................................ W U ---- ---------------------------------- --------- .------------------------------------ •-----•---------------------------- •--•------------------ ---------------------------------- •-••----------.-- W UNature of Repairs or Alterations—Answer when applicable__._-.A-.bV2....... Iti` :.___.b.xe(C.7....L ..ry.. .�.. �!-!-��.... •------•---- .......'K `CC ...... .•----•.•----•--•.........--•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I'1E, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until fi Certificate of Compliance has been,issued by the board of health. '• Signed..._.. y `� ---------•--•- ........... Date Application Approved By.....---•--..)* ---..1. ._c=� r--tz�.................. .In , 0 Date Application Disapproved for the following reasons:................................................................................................................ ...---•......................•---•-•-----•-----•---------•---...---------....-•-•-------•----...------...._.....---.......-•---------------•---•--...................................................... Date Permit No..........!�L..L/e�-------•....----...-•----.. Issued....................................................... Date --------------------------------------------.—_...--------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' ......................OF... �-r.................................... Tutifiratr of Toniplittnrr ,THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by.....1,JQ..'C.......... ....... .! .i .------------------------------------------------------t...............-----.......----• /�, •-- Installer - . ............................... .................. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in,'the application for Disposal Works Construction Permit No.---...... ............ dated-_............................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 11, DATE....................... ..�'. - �- - Inspector....................... .......................................... r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF........... y!c .Q..----._............................... No..l�. . . ..- 1...,.. FEE. ..�'... Disposal n Works Tonstrnntion prrntit Permission is hereby Pgra( ) t S P'��'`-"'�-.. ��p l=s '� to Construct or Repair an Individual Sewage Disposal Syst �,, at No.. �. --. C - = ------------ d � �:'j ----------•---•--•-•--- Street as shown on the application for Disposal Works Construction Permit Dated.......................................... ------•-----------•-•---••-•--•--�J . q Board of Health DATE.......... a g ----•---•-------------- C aT 3 z T ION. SEWAGE PERMIT NO.2c� . VILLAGE f CV�'7_ 0?9 '( ICYS � h3 L� / IlS' INSTALLER'S r� NAME i ADDRESS A 7' C R BUILDER OR OWNER DATE PERMIT ISSUED g_,2 DATE COMPLIANCE ISSUED �� 7_ RCA 35 � w F�s...�J.. 0 .............. THE COMMONWEALTH OF MASSACHUSETTS BOA F HEALTH .............I.0W..0..............oF.............r........... A ... ;...-----.....-----.-.....---------- .Appliratiou for Disposal ,ark Tousirurtiun .ermi# A lication is here b made for a Permit to Construct r y t t ( ) o Repair ( ) an Individual Sewage Disposal ystem at: ^ �(� � � , Qdl i ................�:. L9 •••-1__ �� ................------....-•----.;....-"•-�- ---........------............._ (� Loca' Addj ss �� r Lot _ ...................If.� ryt.�....... !f�l-�..-�---•^-----........._...: 1 �`F'�c�Z i lli..�r s ik C Y ,�� ...... ............................ .................. � ..- -P..`An... Installer Address Type of Building Size Lot..........X_5_f:3_..Sq. feet �-� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d R2g es ----------------•-------------------__--_---_---_--__---------------------•--------- ---=--------•----•---------------...-=--------...........---• Design Flow______. .....................gallons per person per day. Total.daiily qVw....��-_ ........................gall.9 •s ° WSeptic Tank—Liquid capacity/-_.gallons Length_d�-.�i....... Widtl3 ________... Diameter________________ Depth.... x Disposal Trench—No. .................... Wid ___._.__.j....... Total Length............ .Total leaching area....................sq. ft. ter.Seepage Pit No.........�........ Diame __. _.._ ... Depth below inlet...(P............. Total leaching areaZ.00......sq. ft. Z Other Distribution box ( ) nk (- Date.--•---- '-' Percolation Test Results Performed bD y�_�xlY�l-- --•_ -... ...._.. Test Pit No. 1....Z'........minutes per inch Depth of Test Pit..../_b_...... Depth to ground water........................ �X4 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ ff ` " ,�............. . 1 . r __. .................... Description of Soil --- -- ---------- - � ............................................. W � ... .. ' s�? ..... ............. •- ------------� ......�-A ._�.............................. ----------------------------------------------------------------------------------------------------------------------------------------------------•---------------------.......---------••---•-------- 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 TITL LE 5.of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has eee the boar o hea h. ned.......... ......... ..... C... ... i ;�.. � -•- _ to Application Approved BY s �,1 - --------------------------- -----------/ �. _G-�1�. rate Application Disapproved for the following reasons:---------------------•----.....------------------------•--------------------------............................. ....-•-----•---------•---•-•--------------------------------••-•-----.......------------•---•---....__.....-------------------=------------------------------------------------------------------•----•-- Date _ Permit No.......................................................... Issued.___.! ----------- •-•--------•--....-•----- Date t�o No....8OLe.550 Fimic.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,4. ................C)F............. ..................................... Appfiration for Bifkpaoal Saar Tomitrurtion .jaermft Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Sjs_t(ii_at:--,, ....CL ........................... -L ................... LV PA,� .t..................-1........................................... Location-Address 1 or Lot No. ................. ....... ........i............. --- --------- ----------- ----- .......... 0(ler_ Address W L, ... i CY -q.. . ......... . . ................\. ......... ....................Z�.... ................ --------------------- Installer Address V UType of Building V Size Lot. '' ... s ...Sq. feet 0-4 Dwelling—No. of Bedrooms...........................................Expansion Attic Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons_____._-_.______:__._.___._. Showers Cafeteria ( ) A4Other fix ent es ....................................................................................................................................................... Design Flow________: _%,. ........................gallons per person per day. Total daily flow____--Z�:: _.n.........................g-dllons. Septic Tank—Liquid capacityZZ771gallons -If Length. _-6.--- �" I ... Width_q..'i.#." Diameter................ Depth...e Disposal Trench—No_ .................... Width....___._._..___._._ Total Length.____.______.__._.__ Total leaching area....................sq. ft. - ---./........ Total leaching areaZ..Cq9......sq. ft. Seepage Pit No Depth below inlet------------- ......... Diameter....6---- Z Other Distribution box Dosing tank Date.......Percolation Test Results Performed by........ ....... 11.4 v_N ,-4 Test Pit No. I...1.........minutes per inch Depth of Test Pit-----/.2 ........ Depth to ground wa/err....................... P-4 44 Test Pit No. 2................minutes per inch Depth of Test Pit___.._.__.______.__. Depth to ground water........................ ta ........... ......................................................................................................... 0 ......VZ�............................... *Description of Soil........... 2. e..........k16.:S_en.kA...1...........2.... a---..... ....................... .......................... ...... ------ ........................Q'SL U ....... �'3 ........................................................................................ ........................................................................................... ................ 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 TI'=- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been "i_s`Sed_Vj- he b d-o f 4-h:ealth ed...........Z; .r.. ...4 . ............... ... ... e Application Approved By........ --- ...---I--..... ------------ ------------------------ ....... Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date fi 7 PermitNo......................................................... Issued------ . . ............................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD,-GF HEALTH ..........................................OF..................................................................................... M.Wrtifiratr of Tautpliatta . Ll--*,*' TH& CEZY:Z-r, That the Individual Sewage Disposal System constructed or Repaired,( by.... ;u-----I-----•a- --------------------------------------*--------- ------------ nst at................... ........... .........................................................................................:........................................................................... has been installed in,accordance with the provisions of E SS-obThe State Sanitary Code as described in the application for Disposal Works Construction Permit No_________________________________________ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE 7N GUARANTEE THAT THE SYSTE"ILL FUNCTION SATISFACTORY. DATE...-- .Z....... ........................................................... Inspector.. ........................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD� LT 90 G ..........................................OF...................................................................................... 3 No......................... FEE........................ to�roaa l a a rtion Upamit Permission Asltdeby granted......................................................................................*j*........................ to Construc&4..I')3QRepair7(�J,jtpA Indq4,qal Sep,isposal;�*1;p� at'No ------ Street as shown on the application for Disposal Works Constr ction it N e ......................................... ermia .......... ............... ?�9?....................................... DATE............... A- Board of Health ................................................... FORM 1255;�HPBBS & WARREN, INC.. 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Co��: B A.ATCi2. 4 U'4'F- 10G- t2C C j,;rC-_M![> "WO 6UZ.VaYOLA T1415 17 t_A" le;, tJoT t',Q►�,GC� t)a„� Aar oSTi`rtvt�t,G a tl•tJr,zcj ut1-4 r %v Juo-, APPLt I..V-LAA A A