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Home My WebLink About1745 SOUTH COUNTY ROAD - Health cc:Ly�L\-t �1GirSTo(I$ {y� . L L S -'-1c) Scov� - i TOWN OF BARNSTABLE LOCATION 'I'-74s SEWAGE # VILLAGE ti`�< �'�'�t ASSESSOR'S MAP & LOT! q INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /2900 LEACHING FACILITY: (type) i vo 1 (size) NO. OF BEDROOMS BUILDER OR OWNER Milb/.i D A `i T' — Gv'tC PERMUDATE: 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 IL •� Coco `Soo 1�> o un.ifT' 0 69 $$ TOWN OF BARNSTABLE LOTION c> Q SEWAGE # `, VILLAGE _ ASSESSOR'S MAP & LOT -OzU—Q INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY 1aQ0 CMG t" LEACHING FACILITY:(type) W&V 44/ (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ' DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � r � _ 4 ,,. •_� \ .. , � �� -�- . �� .4 No...y_1__!:.YfY D 02_1� — 002— FEB ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r . . ..............OF .. ................... ..................................... Appliration for Disposal Works C Application is hereby made for a Permit to Construct 'or"'Repair (.4 ) an Individual Sewage Disposal System at: VA I V\A t�\_s . ... ..................... .................................................................................................. eoT� .........L cation Address ess Lo N o. .......... .......... ......... .............................. Owner 4fZ..CrV&C*..................................................................... ...3. ... SOS at-.4.................... Installer AddressV 4 Type of Buildifig Size Lot............................Sq. feet U Dwelling.—No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons....__.___...........__._.__ Showers Cafeteria Otherfixtures ........................................................................................ Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width__......_._..._. Diameter_______......... Depth...........,.__. Disposal Trench—No. .................... Width.._.._.............. Total Length.___........._...... Total leaching area....................sq. f t. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. f t. 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.__........._.....____.. rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.____..._.....__._.. Depth to ground water.....__.___._......._.._ 9 ----------------------I--------------------------*-------------------*..............."--------------*"*---------*--------------------------*----------- 0 Description of Soil........................................................................................................................................................................ W --------------------------------------*------*----------------------------- -------------------*---------------------------------------------------------------*---------- ----------- ----------------------------------------------------------------------------------------------------------— --- -- -- ---- ..........*......to....... U Nature of Repairs or Alterations—Answer when applicable.___�A_& . ....... .......................................................................... rne .............................................................................................. j— Agree : The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE TI iE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenjis,%jed by the board of health. .A0. C) ...................... ...Sy Signed.. ..... ............... ............ Application Approved By..... Date Date Application Disapproved for the following reasons:.................................................................... ------------------------------------------- ........................................................................................................................................................................................................ Date PermitNo......... ... .....V_?.6................ Issued------------------------------------------------------- Date cl No.... ?.. ..1; FRs........:...... --.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..:::.... .................OF..r ..........1.....+............... Apphration for Bispwi al Works Tutu$rurtijan "[rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...... .............=`' i t-.....+L..Z... ....... ............. .............. ----..........--.----- ----•------. ------•----. ----------••- Lloeation-Address _or Lot No. �..!.! .__..._.._.�: ......... fi .................................................. ..................................... ... -----•--....._......................------. Owner Address 0 : a ..... ...�.__:................•--------......................•--•------_......---•--........... ,-.:......!......•----....:.:...:.....!.................................................... 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 ( ) al 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 ( ) 14 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ GT, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •--•---•--•--•---------•-----......•....------•-----•-•---------••-•--•-•-••......•--------•.............................................................. .-- 0 Description of Soil------------------------------------------••--------•--•---......-----•--•-------------•--------------...------------------------------------------------------..-•-•- x U ---•--•--•---•-•••••-•-•-••----------••----•----••--•--•••---------•------•----•-••••-------------------••-••--•••••--••---•••••-••--••---•----------•-••-••-•••-••-......-•-•--•----•-••-••........... w VNature 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 TIT1E 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............ ......... - -...... '"'^" •--•----•---------------•--------- ----- - r - ?" Date Application Disapproved for the following reasons:-------••-------••-•-----•-----••--•--•-••----•........................•-•---•-------------•----•-•••-••--.----- ----•-•-------•-•••----•-•.............•-•-...........•--•-••-----•-----•-----••....-•-•-----•••-•-•--•....•••••-•-•--••.-----...---------•-----•--.....-••-----.•--••--------•-----•--.........--•----- pp C Date PermitNo........v. 5� -------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............:......:......................OF......'......:..........:... ........................................................ (9rdifirate tit Tautplianrr THIS I TS CERT Y, That the Individual Sewage Disposal System constructed ( ) or Repaired (, ) by-•---•-•------••�............. `� ....... -------------------------•-... ...................................................................................................... Installe at. 7 7-•S--•----•�-�......-----•---•------�'��= .... .. ------------ ------------------------------------------ has been installed in accordance with the provisions oA'l-1 E r of The Slate Sanitary Code as described in the -, dated.....�__'___ __ .................... application for Disposal Works Construction Permit No.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .``..... .1..'.�7._..... Inspector ................... .......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........i. ...............OF...:.......... .`.......i No._. .!.-....1. -.5. FEE........................ Disposal Torkii Tonotrurtion Virrmit Permission is hereby granted - -- -•---------v'1�-•�j-•------------------------------------------------------------------••-------•---•-----•-•--- to Construct ( ) or Repair (>() a}a Individual Sewage Dispose System - •-- (;A at No........ y---j-------- ------ - ... `J --------------------- -------------------------------•-••-•----•-•--- Street � t� 9 ;►-- as shown on the application for Disposal Works Construction Permit N.a'J__ ..\_h�h. Dated.......................................... ---------------•----••-•---••• -d..m -------------------------- -......................... � �-� (ti Board of Health DATE---------------- ------`-•-- % ............................ vvv FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS o o V,- LtO CAT ION SEWAGE PERMIT NO. VILLAGE ,'el S I INSTALLER'S NAIVE i ADDRESS 0 U I L D R E OR OIMq R DATE PERMIT ISSUED � DATE COMPLIANCE ISSUED 3 ' i� Xh No....80- 0. a�� oa J �� F>$... ...5.oo......... THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALTH .......................T.Own........0 F...%xis:tabie..........------------------...............----•------------- I qw ,-i Appliration for MupuuFal Works Tonutrnrtiun thrutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: Q,.5=th..0nunty..RL.,_.Qs t~ex dne.,---MA..... 2655------------------------------------------------------------------------------------•--------- Location-Address or Lot No. athaxti.�l_A�ax�.s.............................................................. 3Bapui t.3d.......QztB2NJ_Ue,..M....D26.55................ Owner Address A &•-B.Cesspoo�..Sax ca.............................................. 328...Bijahops..Tarr.Oe.,.-.Iiyannl .,--NA.----02601.... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.....3....................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons__..3..........._......... Showers ( ) — Cafeteria ( ) Q' Other fixtures ......................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity...........gallons Length................ Width................ Diameter---------------- Depth................ W 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 ( ) 1.4 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........................ ----------------------------------------------------------------------------------------------------......................................................... ODescription of Soil...........Sand-------------------------------------------•----------•----------------------------------------------------------------------------.......-•.--•--- W V --- •------------------------------------------- -------------------------------------------------------------------------------------------- ------------------------------------------------------------- W VNature of Repairs or Alterations—Answer when applicable._.installa.-tien_.of..a__1,500..gal.•.septie-...._... ank__and--a--1,0QQ--,ga-A-Pra-cast,_..stoneL..pacW..le&ch.-pit..�.overflo-w)--------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE; 5 of the State Sanitary Code—The undersigned further agrees not t lace the system in operation until a Certificate of Compliance has been issued by the bo r o lth. ` Sign d- = . •• . ....•-•626/&Q------ Date Application Approved By........ . . ._:____. /Y—, Date - Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------- .........-•---•-----•........................•-----------------•-----------------.....-----•-•-.:. Date Permit No.--80-........................... 6/ 6/ Issued - - $Q... Date No..... FEs...............* wr.. ,THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Appliration''for Disposal Works Tonstrnrtion Prrmit n... Application is hereby made for a Permit to Construct ( ) or Repair ($ )'an Individual Sewage Disposal System.at: .... ... Location- Address + g �y,, or Lot No. p�� p ... ............ .?pia 9t_s�R4A!¢ :-4 5 f A7GA.... d _.. .:......_ Owner Address Installer Address UType of Building Size Lot..........................-Sq. feet Dwelling—No. of"Bedrooms-----3....................................Expansion Attic ( ) Garbage Grinder (, ) aOther—Type of Building ............................ No. of persons....3..........._--------- Showers ( ) — Cafeteria ( ) Otherfixtures ........................................................ -----------------•------------------- -------- •-------------------------------------- WDesign Flow.............................:................gallons per person per day. Total daily flow.._........................._........._.:...gallons. Septic Tank—Liquid capacity •gallons Length................ Width................ Diameter................. Depth............. W 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_.___................... Test Pit No. 2............-'.._minutes per inch Depth of Test Pit................. _ Depth to ground water........................ a ----------------•-------------•-••--------.---.-----------------•----•----------•---------•-------------•------------.-•--- O Description of Soil........... -------------------------------------------------------------- ...............--------------------------------------- U = = ------•-•----•------------------•--•-------------------------------------------•---- _ U ,Nature of Repairs or Alterations - Answer when applicable... ' - . P PP • Agreement: y ; The undersigned agrees to, install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitar", Code— The undersigned further agrees not t place the system in operation until a Certificate of Compliance has>been issued by She bo r oofjpealth. Sign ---- --- Application Approved BY--••• •-- �!' --------------•.---_.. ................. � • " Date, Application Disapproved for the following,reasons:-----------------------------•----�--------------------------------------------•---------------.... ------ . i --------------------------- ------ ---- --_... :-•--- ------. --------•-• ------• -• ................................................. --- pt' Date Permit No.-- - Issued F Date THE COMMONWEALTH OF MASSACHUSETTS ;#V e BOARD OF. HEALTH ........ ..... .... (Erdifiratr of Toutpfianrr T TF�Tt to v � po 'cstr� .*°r ) Q daw by ------ Im south ' ; alley € at- --------- -----•-- --•----- -------- --------••--------------------------•----------------------------------------- has been installed in accordance with the provisions of Td 5 The State Sanitary Code V/ ed 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. Jw 1#j980 DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD. OF. HEALTH TOM 80- .. .OF..................: .�34 No........... FEE......:............• 601 i � orksWstrvwlr tit Permission is.hereby grantd.---__ l �� r � � .. p'. . �_�1��r ��eeD�aa .�,1 to Con 63i T:S3 4i (,k an u era Do S. ;Day is St r et ,N 6/?0/00 as shown on the application for Disposal Works Construction P No �'!___l__ Dated. ------------------------- 4 _---- �=- JU4 Is 1 Board of Healt --- DATE.............. :... ::: FORM 1255 HOBBS & WARREN, INC., PUBLISHERS