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HomeMy WebLinkAbout0051 SPUR LANE - Health 51 Spur Road A= 027—021 Marstons Mills TOWN OF BARNSTABLE d2 7- vZ/ LOCATION 4Z .��rt� . , SEWAGE # VILLAGE ,,�f� Z&A ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS \3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ��, �. Jr� DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No iN I � f— No. Fee BOARD OF HEALTH TOWN OF BARNSTABLE 0(pprfcation _for Velt ongtruction Permit Application is hereby made for a permit to Construct , Alter( ), or Repair( ) an individual well at: Location-Address Assessors Map and Parcel Owner Address In tad ller-Driller Address Type of Building Dwelling —,z Other-Type of Building No. of Persons Type of Well LA Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protect' n Regulation-The undersigned further agrees not to place the well in operation until a Certificate of C m lia has en issued by the Board of Health. Signed ate Application Approved By 7 Date Application Disapproved for the following reasons: Date J Permit No. Issued at BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of �otn lance THIS IS TO CERTIFY,that the indiv$'dAua`l welfl Constructed Altered( ), or Repaired( ) by � c� V V'.Q..1 {� a Installer at E) ' �l�c�.yS�b n< G has been installed in accordance with t e provisions of the Town of Barnsta le , and oIe 1 Private Well Protection Regulation as described in the application for Well Construction Permit No. J — ated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL . SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. Fee BOARD OF HEALTH TOWN OF -BARNSTABLE 01 pplicatiou -for Yell Cougtructtou Fermat Application is hereby made for a permit to Constructlter( ), or Repair( ) an individual well at: '�1 �.,. �a 1-1� �-;��-ins 1--t,11� c�Z"� ��"7 1 • Location-Address r� Assessors Map and Parcel ✓>�� Cl Lee Owner l ' Address Al \ r ,2(� Unap ` Vic,. \Zl� ��" , "SV c�2� In Eller Driller Address / Type of Building Dwelling Other-Type of Building No. of Persons Type of Well L4 " Py L Capacity Purpose of Well —Cp--,Was ,e t. Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Com lia has een issued by the Board of Health. Signed / y! {j7- / /-�� �} ate l Application Approved By 77 � Date Application Disapproved cfor the following reasons: Date Permit No. C/V[ Issued ratt, a.. i t f BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Comp sauce THIS IS TO CERTIFY,that the individual well Constructed Altered( ), or Repaired( ) by ��e�t�).�. Installer at < has been installed in accordance with a provisions of the Town of Barnstable and of Healtl�,Private Well Protection Regulation as described in the application for Well Construction Permit No. " , ated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector .� ABOARD OF HEALTH✓ TOWN OF BARNSTABLE Derr Cou5tructtou Permit No. Fee Permission is hereby granteoA A Cc-.A k 1.0 0 —% Installer to Construct , Alter( ), or Repair( ) an individual well at: —�— Street as shown on the applica ion for a Well Construction Permit No. J D ted Date Approved By - // s _ Finc....... „r............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ._. .. ..OF.......... ..... .......... Apphratiun -fur ]iiivuuttl Works Tonti#rur#tun Vrrnfit Application is hereby made for a Permit to Construct ( - or Repair ( ) an Individual Sewage Disposal System at -------------------•----•----...--•------••---------------•-••--••--•-•••••-••--.•••-- ....................... Owner Address Installer / Address Type of Buildin Size Lot...�� ��_ � ...Sq. feet Dwelling—No. of Bedrooms..__________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons.______________----_--____ Showers ( ) — Cafeteria ( ) a' Other fixtures ---------............................ Design Flow_____________________________��?_-____gallons per person per day. Total daily flow.............,��?Q_________._.__-__gallons. W _ WSeptic Tank Liquid capacity/?AV 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 (&4 Dosing tan ) �_ '-' Percolation Test Results Performed b � � ®?� X ens.B Y ----- ate -- ✓_�-. a �95 . Pit No. 1________________minutes per inch Depth of Test Pit -.Q...._. Depth to round water. ,_taw a P P - -- ° - .� P g ,ice - -------� f= Test Pit No. 2------a-----minutes per inch Depth of Test Pit---- Depth to ground water-----------_______---. ------.-.-•---------------------------------- --------------------------- ----------------------------------------a Desert --------- Description of Sotl--«---"-���-�----�---�-,y'-------,-/--'--�a--------------------------- .•_.� ---- ------/-�---------------.�� }�� . . ------• -------- G°c�- cd�n f `------------------------ �� RS�aERT...... . VNature of Repairs or Alterations—Answer when applicable.-.------------___-------------------------------------------- _20 .. --.G:-______-_- MceLONE C, ---•- ---- -- ---- - 4 Q- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System In the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to plac 0 AL v operation until a Certificate of Compliance has be issu y the board ff health. Signed.....: .T,.......... ------- Application Approved By_____ / Date Application Disapproved for the following reasons:---•-------------------------a---------------------------------------------------------------------------- --••--••••-•--•--•---•••-••-••-•--•----------•--... ........................................ ......==---------------------•--•--------------•-••---•---------•----------------------------------------- Date PermitNo......................................................... Issued------------------------------------- Date .... FaE......., r................. THE COMMONWEALTH OF MASSACHUSETTS �. BOARD OF HEALTH (!/! '............OF........ ................................................. . C. Application -for Biiiposttl Works TouBtrurtion Vantit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: � ` S7 �� .�' Z//�>�'/ ,��T/` T� Location-A re ss �r Lot N . .......................... ----- - Owner Address Lzl � Installer Address � d Type of Buildings Size Lot_._.R____------------------Sq. feet U Dwelling v—'No. of Bedrooms"-"" ....................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building -_--____"-_____"__----_--- No. of persons."______________--_._--_-_- Showers ( ) — Cafeteria ( ) P.I Other fixtures .............................. :... " W Design Flow-----------------------------.t ___--"gallons per person per day. Total daily flow............... 00-------------------gallons. WSeptic Tank4e!-Liquid capacityAVegallons Length---------------- Width---------------- Diameter-----.---------- Depth................ x Disposal Trench—No_____________________ Width.................... Total Length-------------------- Total leaching area....----------------sq. ft. Seepage Pit No........Z......... Diameter-------_._..__ Depth below inlet....4.1.`......... Total leaching area._. ft. z Other Distribution box (VI DosingX (� ) r- - f,� o , , , r.. Percolation Test Results Performed by ......................•............---•--........ Date. ,aa --'4:+es�t Pit No. I................minutes per inch Depth of Pest Pith..-a f.•.. Depth to ground water-lt 44 Test Pit No.'2......P.......minutes per inch Depth of Test Pit---- 'G. Depth to ground water"---__________________ n+ ----------------------------------------- --.........................................................-------..... ----------------------- - ---- O Description of Soil-� = �'� '�C' C�" � '� .�6. G ...........................� ✓- J <f-------------------- .. r - - _ v _ W / l✓ --✓c.'-'s s-----------" .............................................1 . �r c�-----�-�� `---------- �c - ------------------- - o`� __.f20BERT �G V Nature of Repairs or Alterations—Answer when applicable-------------------------------------------------------------- ---------- .._.._._..- rn --------------------------------------------------------- -------------•--------------=-------------------------------------------------- ----------------------- --- c�3 ----MrGL0N-E----- Agreement: o p No.11944 0 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System. ice the provisions of Article XI of the State Sanitary Code The undersigned further agrees not to"pl F fwnt operation until a Certificate of Compliance has been ' y the board of health. Signed- ----- a.•--e/� x--.. z 3!7. Date Application Approved B -- `. J PP PP Y - 3 x Date Application Disapproved for the following reasons---------------------------------- --------------"------------------------------------------•-- ---------- ---------------------------------------------------------------------------------------------------------'------------------------------------------------------------------------- ..._...-------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS Mom• �,^ �° BOARD OF HEALTH ............14..4r, ... .?�.....OF........!o i�'l�`!7/%e�✓G .................. Trrtifiratr, of OVAompliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY-------------------------------- -------------------------------------------------------------------------- ------------------------------------------------------------------- / ^� C _ Installer �^d at... T.._ .`- /Z----.---- j' -`-----•----��4 --G=---------------------- 5 has been installed in accordance with the provisions of Article XI of The State Sanitary Code a i descr ed t the application for Disposal Works Construction Permit No----------------- _. .. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE© AS A GUARANTEE TH' T THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS A X).— a BOARD f�OF HEALTH .........�U.��C. ........OF... /✓ + fs�Tf t i` ........................ t� s "' No..x ... - FEES""'................. MnVogal Morkii C11on5trnrtion tirrmit Permission is hereby granted------------------------------------------•--•-----------------------....................-----------•..........-----....._.............: to Constryct (-;� or Repair (. ) an Individual Se age Disposal System , at No. °. . ---•-- •-- - Street a as shown on the application for Disposal Works Construction mit N ^.. Dated___. -----� ° -'y....... t. - -- .` Board of Health ` DATE--------------=-------------------------------------- -- ------------------- - FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS iTHEr��' of number ...... ... .. 1' r ..Ord floor)- P� 3E�y/�.eft number .. .................... .............................. r„C SYSTE' � TABLE. i U /!, (� a .,g Department Ord floor): � ' I�-'��`����'L�•,ED IN CO 3 � number ..... • . "NVITH TITLE 5 a ,iPPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only EN"PiONMENITAL CODE .4gs4Z) TOWN OF B A R N S T AVIVD " EGULAT7QNS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......e,6,di... ...........!!Uc��?�.. 7lad. .f .. ........ .... ....... TYPEOF CONSTRUCTION .420................-.. —..... ......... .................................: ........ ....... .�1�..i.C!............... .......19 TO THE INSPECTOR OF BUILDINGS: The undersigned h reby applies for a permit according to the following information: �TT Location ............. —?. ........ /�...... ��..�................... ProposedUse ... ............................................................................................................................................ Zoning District .................!••1. ..........................................Fire District ...........�.. ..1...G.. ��........................ '� / �� Name of Owner o_'/...F1lIlGC./..G�.,.....f ?07 . .............Address ... ...... ...............................................Address .................................. .. `.......................................... Name of Builder ..... Nameof Architect .............—.—..........................................Address ................../.................................................................. ......................................Foundation ............ 4�1.'.y.c-t/ �.... Number of Rooms ........................... ................................ Exterior C.,� .. ....l..i/ ..............Roofing ............. ��j��l ................... ....... . ...................................... Floors ....................... �w`.. ��t..� .................................Interior .................................................................................... Heating ..................................................................................Plumbing ........... 1 . •� ......................................................... -.-:.............................................Approximate Cosh. .. �� . Fireplace ............................... / ... 6. Definitive Plan Approved by Planning Board ________________________________19-------- . yArea�T7f / /.�. .. . leaDiagram of Lot and Building with Dimensions Fee /........ SUBJECT TO APPROVAL OF BOARD OF HEALTH OD 308 Rev.7-82 O W m V 09 0 A W N A A W (,,� W Co W WW W W W N N N N N N N N N N O WOD V O CJ� A G) N O tD m V O Cn A W N O t0 CO V 0 it A W N V M Cn A W N Ccr r O S 'ID i IY� I - �pll1 m v I m OD m m g O z i 1*17 lo 4 . . . . / 6p� _ a JJTT��" _ �O p ; lor / i/%Q��/7 Iva Q. 0. 0 v f _ JToi7d a/� c5ic� , 11 4-**Ie ¢S o0 0LKI •u , _ T TT /F(�M, .5`7�i� ors �hi.SP/ate d/'r�Z• as / =a^+'*•'r _/ �/ / 0,)wz,`A l9 V/M$. 0,0 N. /yRlemd of m y %ten of �,��•�� .� - . i R 36ERT ROSERT G. lVIcGLQNC cs , s3 / 9 No. 12067 + C> fti- , . •� SST/ c5,l1. 9 . . - • • IT PAJ + - Aa5,z5eVwVd 76U. �.1�27- "Aw ' �Rim • �,. ,, V - T a