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Home My WebLink About0554 RIVER ROAD - Health CL TOWN OF BARNSTABLE v LOCATION SSY SEWAGE Al VILLAGE A ^—,,,4� / ASSESSOR'S MAP & LOT 060.0,,9 ' INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) )Aoa NO. OF BEDROOMS- PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: �• � ' � '� I'' VARIANCE GRANTED: ' Yes No Vol g-7 r,,o No.... �-.!3 7� Fims....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Mipwial Works Tnnitrnrtion ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: � M:..: . M. .. T s--- ------------------------------------------- --...--------------------.............--- Location-Address or Lot No. ...................................... .............................................................---.-----------------._-----*----•-- Owner Address a -•-_. 9 i -- A ..................... Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `k Other—Type T e of Building ............... No. of ersons._..._.__._..___.....__.___. Showers — Cafeteria Ga YP g ------------- P ( ) ( ) Other fixtures ---••--••-••......----•----••--- - W Design Flow.....}fe�.s. .r..............gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity-1�_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 (V ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test 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........................ M -----•-••-•-------•---•--••••-••-•-•-•-••-----•----------•-••-•-•--•-•-••-•-•-....-•-----•-------•••......................................................... 0 Description of Soil........................................................................................................................................................................ x U --••--••----•--------•-------------------•-•-•-•---------•-----•-•••-•--•-----••--•-••---------•-----•-•---------•--------•-•--•-•--•-•--••-••----•---•-•----•-••••-•-•-----•-•--•-•--•-•-......-------- --------------------------------------------------------------------------------------------------------------------------------------•-•• ...................................................... U Nature of Repairs or Alterations—Answer when applicable. _V,c ._._ _� ____� SYk__._. i. ....... ...1. _Z'C-1 �T �.1� - ;T �,a� 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 Compl' ce has een iss d by board of hetah. ,c Signed . . .......... .................. ......... ----------------- ------------ Date ApplicationApproved By ---------------- ................................................... - Dare Application Disapproved for the following reasons- --------------------------------------------- ............------.-------.. ----- ---:------------------------------------- -------- --- - ------------------------------------t---...............---..............----------...---....----...---...---....--------- ......................---------------------------------- ------------.....----------------- -- Permit No. ........ ----- ----7�---- � Dare Issued . Date No... 7/ 677 Fx$. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App iration for Dispasal Works Tumitrnrtion Errant Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .....!(:' j,�s... ............•-----------------.............. ............................---.......... --- ------------- Location-Address or Lot No. .............^....................... ..........--................................ .......................................... Owner Address �....:S ..................... .....-••---••---................••-•-........--•-••...............--•.....-•--•-••-•-•._.......... Installer Address Type of Building Size Lot...................:.......Sq. feet U DwellingNo. of Bedrooms.............................. ..._.Ex Expansion Attic — --------- p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) A4Other fixtures ---•------------•--------------- ....................................................... W Design Flow..... 1. n Sup,...............gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.j9.7Mgallons 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 (V ) Dosing tank ( ) aPercolation 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........................ R+' .----•--•--•--------•-•---•••••..............•-••-•--•-•....-•-•..........................-•-.••••--......................................................... 0 Description of Soil.....................................................••-•--•--•------------•-----••-•-------------------•----------...-----•------------............----•-••----...----- xU .............•... w x ----------•-•••-•---•-•-----••••••----••------•-....._...--•----•-•-•••-•••-•--------•-•---...•-------•--•••--••-•--••---••••---•-••-----••••---•-•-•.......................••--•---•--•---••........... U Nature of Repairs or Alterations—Answer when applicable... .\c;r. CY. a.x tnr�- ....... ._..iZ�,�..s�.,�,'^�-•..h__�.----^'-��--••-•----•-•---------------------•-------•------••'-----• 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 een issudd by rlfe board of health. Signed G / ` ..... .-.......:.�/l�-u.� ........ .. 7 Date Application Approved By ................. �,=•-J- -�, v-_ '�- - ! Da .. ..��.. te Application Disapproved for the following rea.ron.r- ........................................................................------------.............................------................ ------------------------=----- -----J--------...--------...-..........----------.........-----------........--....................................................... Date PermitNo. ........` .../......-=�7_ ...7.�........................ Issued .................................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE V�er#ifiratje of C�amplianve THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired s t lz----.S= ........ --------------------- -------------------------------------------------------------------------------------------------------------------------------- `� J1,/��+ Installlt, atJ2_�-t/ / JY .' ... -......... rY!.S.s?.... S....................................................................................................................... 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. .....7Z- .a.....�-,1 2.............. dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION1 SATISFACTORY. DATE....................... ' j . .....�' ��i .. ............................. Inspector -------- .... .....................................------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No..•h�•��7.•7- TOWN OF BARNSTABLE r - ; A•••- FEE........ ............. Disposal Iforks Tnnstrnrtin. unfit Permission is hereby granted.............. A__)A A ,,. _.....o. ..................................................................... to Construct ( ) or Repair (><) an Individual Sewage Disposal. System at No. ,- A S1 .i /,- Street as shown on the application for Disposal Works Construction Permit No-?) Dated.......................................... ----------------------- Board of Health DATE.............�--�--'.�>t-��--".r�.�_..--•---• FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS 9.7 H rrrR�r"� I - - - - - - '• I Q I g �VC✓L b i Ld 155362 FILE # J 1370 #9785 CENSUS TRACT '# ` CLIENT: Prescott' Bullard & Mcleod DEED BOOK PAGE OWNER : Manuel & JoAnn Martin PLAN BOOK PAGE LOT APPLICANT: Sharon Martin & Kevin Bruce ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN of LAND I N B A R N S T A B L E SCALE : 1"= 60' LoT I { AUGUST 16, 1991 s t A. N IF LOT z WILLIAM E, STUSSE + S F 43�565 _ 00' 300.�0 LIMIT_ OF St,.51PECTI OKI • #5S4 x=GRAv[ Q IV DRIVE ► I Rives Road I CERTIFY TO PRESCOTT, BULLARD & MCLEOD, FAIRHAVEN SAVINGS BANK AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION . i THE LOCATION OF THE DWELLING AS SHOWN IS i IN COMPLIANCE WITH THE LOCAL ZONING BY- LAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS THE DWELLING SHOWN HERE DOES NOT FALL tdO. :f3.7 0 WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY #250001C, 41 .1