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Home My WebLink About0982 SANTUIT-NEWTOWN ROAD - Health 982 Santuit-Newtown Road A= 021-017=COO Marstons Mills r ` i i i i l No.. ._... -••--------.. F�$.............................. A `THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Murks Tnnitrnrtion Vernfit Application is hereby made for a Permit to Construct ( "I—or Repair ( ) an Individual Sewage Disposal System at: ........... -B.�....S��_.... fo A. ..................................._............................................................. Location-Address or Lot No. -- 1.. ,['g(�e` ....... �?v�t-iD /�-------------------- •----. ............. a� R. �.. On ner ;3 Address 4 - rJcJ!c,� I � - --- ..._.---------SC� ..... Address � UType of Building Size Lot............................Sq:feet Dwelling—No. of Bedrooms.___._.............................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) G� 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. 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------------------_---- P4 --------------------------------------------•-----------------...-•-------..........•---•-----------......................................................... 0 Description of Soil-----------�42u-�Q --------------------------------------------------------------------------------- U .._.. ----- -------------••----•---_---- .._..-----•--•------•--•---------------------------------------------------------.....-------••----- W d--- -LgT A<_4tAS_-=....-4°.... r11 ------------------------- Nature o Repairs or Alterations—Answer w applicable�'rV 1'1? l-___ ------DAJ ._ �41.f! N ------ ......-1 A'!�A....... ......�9.._. 77t-----AoP_o 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 Complia ce has been sued Vye board of�ealth. 'Signed ------- - - ----------------- -- - ..............--- --- -- ---.................... ....... ----........ ------ Application Approved BY ----- -�--- ..-.- . ... .----- ----�---------------- ------------- /--t-'---------- Daze Application Disapproved for the following ream s- ------ -------------------------:--------.......------....-----------................................................... ------.....------------------------------- ---------- ------- -- --------------------- ---- /� Dare Permit No. ---- ..- --C./... .... Issued . Dare l � rrJV � M1 No ...- ---•---- .. f FEs.............................. '.THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Disposal Works Towitrnrtion/Prrutit Application is hereby made for a Permit to Construct ( 1-1—or Repair ( ) an Individual Sewage Disposal System at �.32 . W ' r Location-Address or Lot No. Owner •Address --......-•------------••-•-------•---•-••-•---••— :............................•-•--•-•-• ---•.: . .-•------•--............-•-...-----.......-•-----••-•-.......................... ' � Installer ' Address d Type of Building Size Lot............................Sq. feet U DwellingNo. of Bedrooms..................................Ex anion Attic— - p ( ) Garbage Grinder ( ) `4 Other—T e of Building ______________ No. of ersons........_._.._..___..._..... Showers a YP g -------------- P ( ) — Cafeteria ( ) 0 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........:__-_-__---_-_-. (i, Test Pit No. 2................minutes per inch Depth of Test Pit---------0.......... Depth to ground water........................ 9 ------------------------------•--------------------•---•---•---------•-•-•--------------.........----...------......_..--------------•--------•-••---........ Descriptionof Soil.............=----'---------......-•----------•------------------------•---•-----------------------------------------------------------------------.........-•--•-•..... x t�l .1..... . V Nature of Repairs or Alterations—Answer when applicable----------- ------___-----T____....._------- ...' 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 been issued by the board of health. 'Signed -.. A r R,-T, ... ..... t- ------------------- ---I Application Approved By ..-- .-- 0............. l �C/ �/ -----------.. ---...-----... -1--- ---- -------- -------- -- ------'--...... ---- _�....-Date -— ---�. ----- - {\ Application Disapproved for the following reaso s: .............................................................................'------............-------- -------------------------- ... j -------------------- --- --- --- .. Permit No. .. J Q�Q............... Issued ---...... .. /--Date------ ` Date ------------ THE THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#ifirate of C�umylinure LIP6 -AP -e TH S ISTq CE FY That the nd'vidual Sewage Disposal System constructed ( ) or Repaired ( ) by ��/.V....... �I .. ---------------- - ------- ------ ..------ ------ /r� - 1 toter has been installed in accordance with the provisions of TITLE 5 q The LS e vironmental C as de F ' ed in the application for Disposal Works Construction Permit No. .......... .. .... dated ....... ..... ( -. ..-f-------- THE-ISSUANCE OF THIS CERTIFICATE SHALL NOT BE ONSTRUED AS A GUAR TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE . � r'...�1......... - ''"~— Inspector-. ---- ��,�.... THE COMMONWEALTH OF MASSACHUSETTS • BOARD OF HEALTH TOWN OF BARNSTABLE No.... FEE... RavoouVia ks'�ToAn'otrurtion ramit Permission ' h ranted-------• -='``d.+11_� to Constr fit ) •a Individual Se rage D�Posj,S3��stem y� / at No...._ r e �l t '" �l� � (_..--•(! L.l M j d ,//l!I ................ ...•---•. Street �,� V/ as shown on the pplication for Disposal Works Construction r it No.... -•-----GD to..---•••• �qc-.......... --........•--...... - Board of Health DATE........11--..f/-------- -------•¢-•-----------•-------.......--•----......---• � FORM 36508 HOBBS at WARREN,INC.,PUBLISHERS G TOWN OF BARNSTABLE LOCATION Cl�'oZ W I.' EWAGE # 91 —36 VILLAG ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. iF YC.A-dAflw j_ SEPTIC TANK CAPACITY GD LEACHING FACILITYAtype) lr�nf� (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER-`'C'/r BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIAN CE GRANTED: Yes ° No b� E=clZ Q-r CD F too a- o _ C ZS P i I� �* 4"t } 4 TOWN OF BARNSTABLE LOCATION Sp�tuTu `r ►4eu)T j,c&) 'tzQ. SEWAGE# VILL.�,GE {n1 C s ASSESSOR'S MAP&PARCEL Q 2-7 O t pCj INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS OWNER fOF- Rt*\L IJA C'PiRrvlr_l.W PERMIT DATE: COMPLIANCE DATE: 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 CIF kbo%%- 22 TOWN OF BARNSTABLE 6 .a q - O J 0 1 LOCATION oZ SEWAGE # !A I —36 VILLAbEek. � r Al-,a>IJ ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 1,606 LEACHING FACILITY:(type) 1600 (size) X 9 NO. OF BEDROOMS*iV PRIV T L OR P E' C WATERCl Cf K BUILDER OR OWNER �� '�r .t �t Q f- 0Atc f DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes ` No 1 p�� /� ' i 1 f Iaa` a / r r t ■ { t r O. O EL W. ELIZABETH GOURDIN oft 1367/518 ✓ o o 1 M 0 I891 I001 SQ. FT. Na, M { ao 0 4.34 ACRE 1 ~ G SET co8 r l rl r 00 t t 1 , . lb LL LLLJJJ I ` - — - � 0I co O o - - h Cla F D C,5 .I rs� s3 , 05 t6' G3,, F 96.54, t ` I 13�22,tg CB Fp ROBERT F. HAYDE F