HomeMy WebLinkAbout0229 RIVER ROAD - Health 229 RIVER K MARSTON MILLS
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TOWN OF BARNSTABLE
L4,-jCA'll0N -`� �.� SEWAGE # ' 25?
VILLAGE 22LkA "L-A- /'1�
� ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO,I X `7 f.
SEPTIC TANK CAPACITY L9(9 .
— y
LEACHING FACILITY:(type) 3 — F, /-)r (size)
II� NO. OF BEDROOMS , 3 PRIVATE WELL OR PUBLIC WATER
v
BWe&BR OR OWNER
DATE PERMIT ISSUED:
DATE . COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes !� No
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THE COMMONWEALTH OF MASSACHU-SETTS
BOARD OF HEALTH
H
.................
.............................*....... ....OF............ :..
,�pliliration for Uispo ' al Works Towittrnrtion Vamit
Application is hereby made for a Permit to Construct ( ) or Repair ('�) an Individual Sewage Disposal
System at:
..........�:a�a� -. .....MAY& ��'t�I(s,P��-s S
----------------------------------------------------•---......-----------.......-••--......--
ocation-A dress or Lot No.
...A�4 ---1C!1:..........�h1�_........................................ ----�--��'-- ----; t'1S...L1`IL�.(.� �..�.!'1?9 5.._
Owner Address
W
Installer Address
Type of Building Size Lot._41,_40d...Sq. feet
�-, Dwelling—No. of Bedrooms........3...............................Expansion Attic ( ) Garbage Grinder ( )
a'4 Other—T e of Building __.... No. of persons............................ Showers
Other—Type g ---------•---•-------- P ( ) — Cafeteria ( )
dOther fixtures ......-•----------------------•----•--•------------------•--•-•---------•--••---•--•----••---••••--------•--•-••--•-•-.....-•----•.............•--• _
W Design Flow..........)./.o.......................gallons per person per day. Total daily flow...........S_3 ?----
.._.____.........gallonsl�,g
WSeptic Tank—Liquid capacityl(?!?Q.gallons Length................ Width............... Diameter______---------------- Depth................
x
Disposal Trench—NoA.__A!A:A 4'Width..._...&/..... Total Length....3n�....... Total leaching area.Z (a.........sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box Dosing tank ( )
aPercolation Test Results Performed by__ e44 .t ._ .. ............................... Date_ 2_. .__���Y.._..
Test Pit No. 1(�A Z_minutes per inch Depth of Test Pit------r4_tS_�_.. Depth to ground water.T__.6_t .........
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to .ground water........................
--••----••------------------------------•-----•----------........------•--...---•--. -----------•----------------...........................................
O Description of Soil.....Q _la!Z�---UA�rtj.. ....... ......................................
W
V ----------------------------------------
------------------------------------
----------------------------
-------------------------
UNature of Repairs or Alterations—Answer when applicable_____N��w___ Sf ..__` 2... �>Z........
4 "_1 ?Z ,11Z ......................•--•--....-------------------------•---------------•--•-------------------------------.............----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLi:. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
o ratio unt a tificate of Co .pliance has be issued by the board o iealth.
Signed. ._ ---- ------------- ------•--- • ----- ........ .
ate
Application Approved By Y*�' ------------------ - 6
ate
Application"Disapproved for the following re ns:-•••--•-•--•-•----••--------•-•----•--••-------•--•--•-••••------•••------•-•--•-•••--••-...-•---------------•.
.................•--•-----.....-------••-----•-----•-----•--•------------.....------------...----------------•-•••-----.....------•----•-•--•---------•--------•--••-•----•-••--------••------.....-----
Date
PermitNo....................................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
S ........ ..................OF.................... ............. .........•--••-...................
C11r ifiratr of Tompliaurr
THIS I TO CERTIFY, That the Individual Sewage Disposal System constructed ( 1<or Repaired )
by----------------------------•------------•--.---.-...---------------••-----------------_---- - ------------------------------------------------••.......---•--•----•------•-----------•-------
Ins ller
at �taY� i
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.
DATE................................................................................ Inspector..................................................................................
No................_.._.... Fim..........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
---------------- -----------------.-.-OF.-.......-:-........-....------..:..-----------------•-----•-------•-••••--•.......--•••-
Appliration for Diopoottl orko T000trurtion Frrmit
Application is hereby made fora Permit to Construct ( ) or Repair (**/4 an Individual Sewage Disposal
System at:
..... �__.... ............ .......................................................� .... ._.... -, ..... s....Locatio -�ddress o�Lot No.W Owner Address
,-a --......-•-----•----------------•-•--------•--•--•------....__.........-•---•-----•------•_..... ___...--•---------......_..._._......--•-.............--•-----_....�----.....__••-•-q.=-_..._
Installer Address
UType of Building Size Lot__�..I.._.............. feet-
t.� Dwelling—No. of Bedrooms......___
........................_------Expansion Attic ( ) Garbage,Grinder ( )
Other—Type of Building ____________________________ No. of persons___._.._____________________ Showers ( ) — Cafeteria ( )
dOther fi tures ••--------------•------------•••••••------••--•--•--••-••--------;••-------------•••-----•-----•------ ----••-
W Design Flow...........f ______________________gallons per person per day. Total daily flow..__._._.__: .f�.....................gallons./13,9-y
W Septic Tank—Li uid ca acit allons Lei th________________ Widt .........____.. Diameter__-______._.____ De th_.___.______.__-
P q pacit g g �P
x Disposal Trench—No. '___tat -��__. Width___._.._._.__. Total Length.................... Total leaching area_.z7.G______sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box Dosing tank ( )
p 15 P -----y! P Date- .......... 7___ _____
,.4 Test Pit No. 1 f '???. minutes per inch Depth of Test Pit_..___. !________ Depth to ground water___
Percolation Test Results Performed by Ay �' __ �'' _ tfi� 2
� . �
(i 'Test Pit No. 2................minutes per inch Depth of Test Pit............_....... Depth to ground water........................
----------- - --••--••--------.... -------_:------------------------•-•----------------•------------------
D Description of Soil..... v!•=�--- -?d t t G�'su43SU l(.,----•-�!. =-`----fj1�t3-S�... .....................................
U ..............................................•----------••--•-••--•----------•-•--•-----....---•••--------•----•----------••-•-----------•--
W
UNature of Repairs or Alterations—Answer when applicable...___'' ..`:`'___..�`.._f=:`? '� �C=`"���•�C i.
c>V 1 -0,/4 j&� s('_ TZ y�
------------------------- ..__.........--------•...._----•--•-••---••---------••-------•-•...-----•--•..__...---•-------•._...:.._..-•_-•---
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with.
the provisions of T I TiE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operat u�ae of Corkipliance has been issued by the board o ealth.
y , l
Signed--• '-1== �•�t-=-��.-- --�/'.."'.''
----------••----- --
ate` /
Application Approved BY { •-••-------• -•--••• 4----------------- -------
ate
Application Disapproved.for the following re ns:---•---•-------••------------------------•••---=•-------•••••------••-•-•••---•--•------------•--•----........._
-•-----------------------------------------------•-----:-•--•--------••.....---•-.....__._...-------...-•••-----•---•--------------=•--•••----------•-•-----•••-----------.__-••---••••••-•--•••--------
Date
PermitNo....................---------------------••-•-----•-•--- Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..................................OF.............................:......................................................
(9rrfif iratr of Tontplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( for Repaired (\IQ
by.....
........ ......... ...................................
----------•---...----•--...---•----•------ ----•--•-•-........----•-•-----------------•---•--------•...---.........•-------••-----
AA _ ``Ins er d�
at__.._.�1.a`?�So�S hnll� Sp �rce 1 �:... � •mac
+ -�-•-•--•. -1ND..
i has been installed in accordance with the provisions of TITI,E 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 CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY:
DATE..............................................:.._._._...--------------------•_. Inspector.....................................................................................
VISE
MUST SUPER
THE COMMONWEALTH OF MA r4 " ETF-DINE CERTI� 1N WR1T1N
LLATIas`q AND 1N STRICT
BOARD OF H .firYSTEM WAS INSTALLED
RDANGE TO PAN "
G — a .................... ............OF..--....-�-- -_-__-......-_...._�.:,�� � Ov
No.................... I /.J........
DispnoFal lVorkg Twilmitrudion funfit
Permissionis hereby granted......................................................---------•---•-•-•.._..--••-•---•-----•••----•-._...._.....----................._-_....
to Construct N) or Repair (�aq Individ�l Sewage DispoRal Sy em n
at No......... SS..................... ) .... ,�,�( �""rP V f i
Street
as shown on the application for Disposal Works Construction Per No.__ _�'_ �Dated______.8.I�
.. f-------------------------•--•--------------•----
Boa of Health
DATE -----------• -- -• ___:`
FORM 1255 HOBB3 & WARREN. INC.. PUBLISHERS
TOWN OF BARNSTABLE "
LOCATION 22 gi t>;-,e f i SEWAGE # 7j
VILLAGE ASSESSOR'S MAP & LOTS
INSTALLER'S NAME & PHONE NO. �,E
SEPTIC TANK CAPACITY � ®
1 _
LEACHING FACILITY:(type) 3 A1cbUAcw& (size)
NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER
gBUILDER O WNE lL�'lxOti� r t�X` /y�
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: `''l
VARIANCE GRANTED: Yes No G�
�-- �,
Va _.
..—
i.s f;,�
Y s!
ASSESSORS MAP N 0 vim' Fim
No. .__ _.----- Z PARCEL NO• ,-I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
AvOration for DiBvasal Mork.6 Towitrurtiuu Vrrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at:
..........................
o -Ilion-:\ddress -----••-•
or Lot No.
--•--•---------•--•-------•-.....-•---------------------------•-••------••...........---
Installer Address
Type of Building Size Lot..............-.-----------
Sq. feet
�-, Dwelling— No. of Bedrooms----------------3------------------_--Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ------------------_---.--.- No. of persons------------.-.-_---------. Showers ( ) — Cafeteria ( )
a' Other fixtures
W Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank—Liquid capa6ty./0-.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.
Other Distribution box (,Y) Dosing tank ( )
Percoiation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I----------------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........................
0 ----• --: ................... •--------------••------� - -----•........
:a
Desg�ollVP� rd �=3 !N�' -/" j. - _�.._. �t' ---•-------------
U fJ�Liar� / .lLQ
W ............C441,?----------------------------------------------------------------------------------------------------------------------------------- ......................................
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 Co rice has been issue by the b and of Ith
Signed .. 94. .. j
Application.Approved By ...... - - ... ...... ........ . ....... -
Daw
Application.Disapproved for the following reasons: ......................................... ........... ............ .. ........ ..... ...........
..........................................-- ----------------- --------------. -----------....-
Permit No. l...---..._.. Issued -----7.... 'L ...
......._.............. Dare
_— --------------_�_____
THE COMMONWEALTH OF MASSACHpUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
, VVftratintt for Uiiptiml Works TouBtrurtioii Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at:
In
............... Z?....-... .r_.c� .... 1'YII
• •itin - ---....----•-----•----•-----------•
o
��a�.....- o Address or Lot No.
1?------------------------------------------
Otvn A
a ---------- ----- �4�------. Per -------------------------------- .................��_.0?-(----Z11--- V t-s
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./0._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 (,e) 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__.--___.---____---.-.._
---- --------------
Deser' f-foil.--------
y ---------- -
r r_. �15 •----
x ------------ ----------------------------------------------------- .........................................
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 Co ce has been issued by the b an- �t �
d
Signed . . f l � --------
40
- � -
j
Application Approved B r�-� •^ ✓
Application Disapproved for the following rea.ronr: ---------------------------------------------------------------------------------------------------..._...--------------
--- - -----------------_..-------------------.:_.._...-------------------- ------------------------------------- ----------------------------------------
Permit No.
A
L, . -�-------- Issued ------
Date
_ — —. aw. w �� � K��:�.�. - �,� ��,�-.� � � .�_. . _ �� . _�.,._ ,�����Y ��" F—.
--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(11ertifiratE of Cfompliance
THIS TO ERTIFY Th t the Individual Sewage Disposal System constructed ( ) or Repaired
�' _.by ' -
�aue= M
at ------ ------ ----�-�:.�----------- � C.t/1--'2-----------------�------------//1-✓ S 1�;5-------�I(-L.
has been installed in accordance with the provisions of TITI, of The State Environmental Code as described i
the application for Disposal Works Construction Permit I- -._. ,.+. ��./__;.1--.._ dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION S TISFACTOR,II�....-•
DATE ` ( - Inspect �-". :. -^",�
- -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
� TOWN OF BARNSTABLE
No.. ......'�../t..,�/� FEE--- �)
Permission is hereby granted_---------_ ... �.GC� -
12
to Construct ( ) or Repair ( an Indio' ual Sea ag Dis osal System
isp
at No. .�! t.!/lee------ .. /'�_l�-`-_ 5 /Ll-. g :.....
stre j r�
as shown on the application for Disposal Works Construction Permit r! t` Dated. ;��- 727_ ✓C
„� `� Boar H
DATE-----•---'"�------------------ - ----------- ---- ----------
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS -
Gov F- Ul LAkQC �«
19 4 S
RIVER ROAD 197-9 L
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- MAP A I W - Z 30 z C,Nc C
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DUG, B1JM Montwlt3pt.TH G-tlr.1'It�it C e.
� ''�J► DE' N DATA
\� S 10&4LKc FA M 1 A-r 3 44CI
1 AVG. DAILY r-LOW % 3 K NO - ' 'l$,1•,
uSti 1600 4p*6.TM"vl
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4° PETER s ,�
a SULLIVAN � v� RICHARD GN ., F'F2Col ATi e rn 1ZA� 1 �N Z Mph, o fL LTI.L
i No. 29733 A.
/ BAXTER
No. 21049
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DATA
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