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Home My WebLink About0008 ROSELAND TERRACE - Health 8 ROSELAND TERRACE MARSTONS MILLS A= 103- 121 4' r' c'�.f� TOWN OF BARNSTABLE LOC14TION�� ,� L� �.'d 1`c/ _L/=_SEWAGE # �J 41 3 ,j VILLAGE ASSESSOR'S' MAP & LOT INSTALLER'S NAME PHONE NO. 11 G SEPTIC TANK CAPACITY /6 6 LEACHING FACILITY:(type) l — 6 A (size) NO. OF BEDROOMS .3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No�/ .� � �; i /J � � �� O > � ;A r No.._/..APPMOi D F�$...3 0 .0 0.......... list leComm THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Dato TOWN OF BARNSTABLE Allp iratioit for Diopoottl or1w Tomitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 8 Roseland Terr Marstons Mills -----------------------------•--•-•---•------...---•----•--••-------....----•-----•-•---•---_._... -------••--------••-•--•--•-------••-----...---•----••------•-•-•-••----•----•-•----....-----•-- Location-Address or Lot No. Gerry Wollak --........--•-----•---....................... .......-•----•---•-----------------•--•------••- --•-----•---•-------••----•------•••---•------•----------------••---••-------•---......-•----••--- W W.E. Robinson Sepn is Service P.O. Box 1089 Centerville MA Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-------------3_______-_-___-_-___.-__-__-Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons---------------------------- Showers — Cafeteria Q' Other 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 ( ) aPercolation Test Results Performed by........................................ ................................. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ GZq Test Pit No. 2................minutes per inch Depth of Test Pit-------- ........... Depth to ground water........................ a •-•---•-•----••-------------•-•--------•--•---•--••---------•-•--•••-------•----------•.....................---•-------------------------------------•-.----' 0 Description of Soil..................Sand........................................................................................................................................... x U -•----•----••-•--•••...•-•---------•--•--•-•••--•---•-••--•----•---•-------••------•-•--•---------•-•-•-•--•-•--•---------••---••-----------••-•--•.................................................... W x ..................... ' ----------------------------------------------------------------•-•--•-•---'---•••--------------------------------••-•-------------••-----•--•-•---•......---•--••-••-----•-- U Nature of Repairs or Alterations—Answer when applicable---last-all...a._..pie_as_t---S—olaep:ached.......__. ..--9Y.r f.I.Q-w............................................................................................................................................................................. 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 bee/n ' ed the-board of ealth. Signed `��.�� /- ----.................................. /'---'� -.........q.../ Application Approved By .............ben ............-.......... f® Dace Application Disapproved for the following reasons- --- ------------------------------------------------------------------------------------------------------ --------------------------------------------------------------------- ------------ - ...............-------------------------- Permit No. ......0/.y--- Dare IL -- 1 fF THE COMMONWEALTH OF MASSACHUSETTS / 3a � BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di-npoottl Works Tontitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 8 Roseland Terr Marstons Mills ---........-•------------------•-----....--••---•---•------------•--•--......------------. •--•---•-----•-•------•--•---------•----•._...-----•--..............---••----•-.................•- Location-Address or Lot No. Gerry Wollak h y� Own r , . ' W W.E. Robinson Septic Service P.O. Box 1089 Cedii'serville MA ,-1 •-------------------------------------------••• •-••-•-•-••••-••-•---•••......---•-•------•----• Installer Address UType of Building ,' 3 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------------gallons Length----------------_Width---------------- Diameter---------------- Depth---------------- x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No...................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank4( )-`F aPercolation Test Results Performed-Fy.......................................................................... 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........................ 9 ._....-•---•....................................•-••------•-........_............•........................................................................... DDescription of Soil-------------------aarld........................................................ ----------...------........----------------------------•-----------..........._.. x U ....--•-••••••---•••...••••-•----••--•----------------•------••--•-------•-•••--••••-----•---•-----•--•-----•--•----•--•-----•-•-•------•---•-...••-------------••••--••--•••----------••----•••-....... w UNature of Repairs or Alterations—Answer when applicable.-1115:tal1-.,a_. TjaCAat.-stonepac ed.......--. overflow 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 Compli�e has been�iss'ued the-board of ealth. Signed t .. ...._...:..:....................................... ... _ .�� ................Date............ Application Approved By ---------------We_� -� v'~^--�� ...� Dare Application Disapproved for the following reasons: . ............................................................ . ............ ...................-- ------ --------------------------------------------------------------------------------- --------------------------------- Dare PermitNo. -------. ._. .�� ........... Issued ........................................................ Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH } TOWN OF BARNSTABLE �� tJ-ertifiratE of compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) by ------W.,E.......Aob-i.nson....S.enti.c .jer..vic.e--------------------------------------------------------------- ---------------------------------------------------------------- h.,�aue 8 Roseland Terr, Marstons Mills ------ ------- -- -------- ------ has been installed in accordance with the provisions of TITLErS of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..----- .�....3_1...?----------. dated ..........--------------................_. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. •-� w L/ DATE1. ... l / -- ----- -- ---------- ----------- Inspector ..... ..�.- .= THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No... FEE... qq G TOWN OF BARNSTABLE 3.0. 00........-..r'J / ....`...... �t��lY��tl ork� �An�trlg.Ctiun �Prllttt Permission is hereby granted tic Service - ----------- -----------•-------------W.E. Robinson Septic ...... j to Construct ( ) or Repair (� ) an Individual Sewage Disposal System at No...... 8 Roseland Terr Marstonsj..Ki_jj-s-----------------------•----------------•--•-•••-••-•--•-----•---•••-•......-•............. Street ? �j as shown on the application for Disposal Works Construction Permit No7_y 36_f Dated____ ..' -"- Lf.-•- .........................() —'----- - - --------- ATE......... -=�---------1--��- ....................................... Board of Health FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS r f TOWN OF BARNSTABLE LOCA:TIONA, SEWAGE # VILLAGE , ". Pt ASSESSOR'S MAP & LOT l) /� INSTALLER'S NAME & PHONE NO. 0 � SEPTIC TANK CAPACITY / 4 6 v LEACHING FACILITY:(type)__, --- / (sue) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No'� K } LOC&TION ��'��'4 �✓�'��EW/J,C,E PERMIT WO. — — lot /a_ /dos{t000I 74`W4F C-c — — VILLAGE — — — — — - - WSTIaLLER 5 ► &ME ADDRESS BUILDER 5 Q &v AE ADDRESS DD,,TE PER"VT ISSUED DATE COKAPLI ,&KiCE ISSUED : 3 3y, � � 1 No......f-• - Fnx..t� .... ........... . THE COMMONWEALTH OF MASSACHUSETTSl�C��d BOARD HEALTH OF Appliratinn -fur Ditipnittl Workii Totw4rnrtinn Vrrnift Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot N Owner Address _ ----•- - ---------••-----------•----•-- - Ita�----� ------�[.�/c'c '/ ,.t /i 1 .. ..--- Installer Address Q Type of Building - Size Lot_ a __ I _�- 'q. feet U Dwelling—No. of Bedrooms______---------------------------------Expansion Attic ( Garbage Grinder ( ) Other—Type of BuildingWj0t9_.0.../74,4 o. of persons.------ __ _6?-_--- -- -____ Showers Cafeteria ( )a' Other fixtur s ____ ____ W Design Flow---------------- __ __________________gallons per pet•son per day. Total daily flow._.___________._._..__.._.__________.__.__..gallons. WSeptic Tank Liquid capacity/'. allons Length---------------- Width_.__.,._.._._. Diameter---------------- Deptli--___---_--_. x Disposal Trench—No..................... Width-------- -_ -_- f-+octal L Ot t._. Total leaching area.--_-____-_._-_____sq. ft. Seepage Pit No................. Diameter_�l .........._ pth`fie r�' in _... __... otal}sca ' ig area__._..____._.___sq. ft. Z Other Distribution box ( ) Dosing tank �' `'� `v �� 7 Percolation Test Results Performed by------------------------------------------------------------------....... Date------------------------------------._.. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..-._--_---_---.-_____-- f� Test Pit No. 2................minutes per inch Depth of Test Pit_-_______.._________ Depth o ground water.......--__-.__.-_-_.... O P ................................. /---- -- — - - ---------- _ LY Description of Soil----------0 _........... •. c - - --- ' - x ---- --•••• —--------------------------------- •---•-••------------------- --------- -----------------------.......--•-------------=-------•---------------------------------------------•-•-----•-------------------=------•------------------------ V 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 Article NI 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 bo of health. igned.-- ---- -. -----------600' -- Da Application Approved By---------- -- - ------- --- = y --- ---------------------------------------- Application Disapproved for the following reasons:____.._,.............................................. ------------------------------------Date----••-------- ----------------------------------------------------•----------------------------------------------•-•-•----------------------------- =------------------------------------------------------------- -7 ate Permit No. Issued- C------------------ ...•-•---•....-•••-----•..... Date .n 3, Fi THE COMMONWEALTH OF MASSACHUSETTS rL e BOARD HEALTH ... .....OF...... Applikatinr1q. :fur Ii,iiamal aarkii (naaat� r rttaatt rr�ii# Application is hereby made.-for a Permit to Construct ;< ) or Repair' (; ) an Individua1-`iSewage--Di7posal System at: a ___-76 RA.CE_____________________________ _______ c------------- &......... __/''Ili 4 � Location-Address or Lot No. Owner Address _ n Installer Address d Type of Building --- . , Size Lots��...�A6_- q. feet _ ._ Dwelling—No. of Bedrooms----- ............. Expansion Attic �)" Garbage Grinder (, ) p, Other—Type of Buildingw_04,�.__F_i?114"1Vgo. of persons------&------------...... Showers (If — Cafeteria ( ) Q' Other fij:tures ---------------------------------- - Design Flow------------- _-_-____.__...-_..gallons per person per day. Total daily flow----------_----------- .....................gallons. vSeptic Tank Liquid' apacity�As. gallons Length---------------- Width...- Diameter-.._...-_:----- Deptll__._........... x [b1lsposal Trench—N ..._.__.--- Width........... .. Total L h- ..-_ Total leaching area.......-.._.._.-._sq. ft. 3 Seepage Pit No.._-��.,,._--._---. Diameter_+1 . __ pt � m Total}}y�ea ig area....... .........sq. 11. z Other Distribution box ( ) Dosing tank ( ) !fl•' / dam aPercolation Test Results -Performed by.............. .......................................................... Date_-_.---------.---------------------.----. Test Pit No: 1................n inutes'per inch Depth of Test At-------------------- Depth to ground water---------------.._..___. fs, Test Pit No. 2................minutes per inch Depth of Test spit.................... Depth o ground water..... ----------.__.. W. 'O Description of Soil--------- -. . ► V 1 ------�,K A9 ------ ------------------ U -----------------------------------------------------------U -------------------------------------------------------- '--- -------------------------------------------------------------------------------- "w UNature of Repairs or Alterations—Answer wen applicable.----------------------------------------------------------------------------------------------- .......................................................•----•--------•--•••-•-----i•--_-_-___-__------ --------. _........-__-...-_-_-...._.----------------..-._....------_ ................. Agreement: F i The undersigned .agrees, to•install; the a Aredescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanity Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has�15een issued by the boa,W of health. } grie :. `-csit�! - !f�a<' t-------------- A lication Approved B ;4 t__� _._ --_--- --- ----------------- D DateApplication Disapproved for the following reasons-----------------------------••-• ---=-•----------------------------------------------- ................ -----•------•---------•-•----- ...............................................................-----------------------------------•-----•--- .......................................................... Date PermitNo......................................................... Issued...................... ................................. Date . r y THE COMMONWEALTH OF MASSACHUSETTS �r BOARD OF HEALTH ~ � ... / 5 :L3 ........................... nT Tntif ifdr of mWIlutolittnrr,. THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( ) by... a ifV----------A-al_?"&..............................................---------•---------------------------------------------=----------------------•-------••------ ...+-> Installer _ ------ � E= �� .11�± ---- /----- ?��' !`- e+' ...... / -------- has Been installed in accordance with the provisions of Article Isf 0The State Sanitary Code as de ribed in the a lication for Disposal Works Construction Permit.No-.. .-----_. dated- a ,� PP P ---- . r srn"".Al.......... THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CO TRUED AS A GUARANTEE THAT THE E SYSTEM WILL FUNCTION 7ZC3_1� DATE------ �-- Inspector -- ------------ --- -------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ®.. .N......... ..O F.. .I?WS719/34 AF .......................... -•- Na-0-.......... FEF/d............... �i��aa�tt1 �faark,� �aatt��r�tr�iaaat �rr�ti� �� Permission is hereby+granted._ Y -------=-�''' •A1A1_Ah At-------------------------------------------•---------...---- to Construct (x) or Repair ( ) fn Individual Sewage Disposal System trect as shown on the application for Disposal Works Constructio ermit Dated.._ -- •-_- - ---Lt.- --------- Board of Health DATE...............- ..................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - a ti f 9