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HomeMy WebLinkAbout0077 SPUR LANE - Health Mows pans nrl i LDS � � TOWN OF BARNSTABLE V LOCATION 77 �SplJ2 SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 0 7-047 INSTALLER'S NAME PHONE NO. e,0)W G0/Lv-- SEPTIC TANK CAPACITY /°,Oe)) LEACHING FACILITY:(type) i7 - �� ! (size) NO. OF BEDROOMS v PRIVATE"WELL R PUBLIC WATER BUILDER OR OWNER ,eg5e ' dJdG�O�/3� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: �f. /7 �J VARIANCE GRANTED: Yes No r� ./�'' �/,,fi O �C'h ��� �� ,_._ ..�____....�5���'9.?lam'__..._._._ ASSMRSA90No. a7 ARC8.N0: D/S THE.COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for Disposal Works Tonstrur#iun Frrmit Application is hereby made for a Permit to Construct ( ) or Repair A) an Individual Sewage Disposal System at: ... Location,Add ess or Lot N -----------------------Z7---- . ------- Owner Address 41 ,-I tInstaller Address d Type of Building Size Lo .J.—.....Sq. feet U Dwelling—No. of Bedrooms.................4 .....................Expansion Attic ( ) Garbage Grin er ( )A4 Other—Type of Building ...__E�.AS_...___.__. No. of persons................... Showers ( ) ( ) Q' Other fixtures _______________________________ __ W Design Flow.................625 .............gallons per person per day. Total daily flow________--•--3!3d.••-__--_•--•_---gallons. WSeptic Tank—Liquid capacity/WQ.gallons Length------------.... Width---------------- Diameter________________ Depth................ x Disposal Trench—No..................... Width....... -_--_____-- Total Length............. Total leaching area-------------------- ft. Seepage Pit No..__...�_ p g q.__.._ Diameter Depth below inlet___..�ss__.________ Total leaching area__________________s ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by............................................-•--••-•--•--•-•------------- Date........................................ a 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----•--•-•-•---••----------••---.................--•- O Description of Soil....... ------. ---- 0.......... U ---•-•---42_0_5 �-........... ..........................................----------------------------•---......................................................... UNature of Repairs or Alterations—Answer when applicable /it T1--------J::V 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 Complian has been issue by the board of health. Si_-ned . . .......... ... ...: ..: . -- .----------- --- .................... --�- ��h ApplicationApproved By ------ ------------------------------------ --------------------------_.................................. -----.- �BP S ......... Da e Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------------- ------------ F Date Permit No. ---- -.:.�I' ........ ------_---------------- Issued ------------:5116 ...h/7..v...--................. R I V cP / �p�SCi No... M...... �' Fss............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE , ppliration for Dhip sal Works Tnnstrurtinn runtit Application is hereby made for a Permit to Construct ( ) or Repair (,>e,) an Individual Sewage Disposal System at: Location-Address or Lot No. F 6�L�a......�...1./.l..U......�.....C..�n...T_....:......___......_....__�7 .....S�_ Owner Address /—. ........ ....... ---�/-ll's5 •--- Installer Address r Type of Building Size Lots. - -- feet a Dwelling—No. of Bedrooms.................&_3-_-.-_---_---•-_-___Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building -----_a�_�. .......... No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------- ••----•------•--••-------•---•-•-•--..••-•--------•--------•-•------•---••-•••-••-----•------------------••-•-•--------•....-----•--- W Design Flow.................._5257�.............gallons per person per day. Total daily flow............�,Ean---------•-_---_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.........=5:L----- Diameter.......41------- Depth below inlet.....e_'e...... Total leaching area..................sq. ft. •Z Other Distribution box ( ) . Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. 1________________minutes per inch Depth of Test Pit........_........... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test�Pit.................... Depth to ground water........................ a -••----------•----------------•------•-•-------•----•••...---•--------......---------••-...••--•....-•.-------•-•-•-•--•...••----------.........----------- O Description of Soil........ = -------/G .1 � _ ?f� `}= `� 1�/ lJ =----------- W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.____�!f..... ...... ....... ---------/fir r ?,� 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, --. -- ----- ------------ ...... r_ _11 ...1�'Application Approved By ------- . ' . e Application Disapproved for the following reasons' ------------------------------------------------------------------------ --------------------------------- -------------------- 2 ... ------------- .. -------- . ......................------------ Dare Permit No. 3� d................................................. Issued .............��- /h_ �.... ----------------_ Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate of Tompltttxtce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .........................4 Qee7.rl.ice-?I7----------. --e��--------------............................---------------- Installer at ... ---------------- 7.--------�� lJ --------- —"4.' 1v'/� 5�. mod¢-----_---_------- 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. ...... .- .--.-.... dated .....- ��-- ---..Q. ---.-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE T�IAT THE SYSTEM WILL FUNCTION SATISFACTORY. p r -, DATE.. - -� t - ------- Ins ector -----..:-1. ...,..*� .�-ca�±a/� ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ° TOWN OF BARNSTABLE No ..2�� FEE .......... " Disposal Workii Ton#rudion 'prrntit Permission is hereby granted........ `�� >l p j ----------•......................••---.....-•-----•--- to Construct ( ) or Repair (_) an Individual Sewage Disposal System atNo.........................27--..._. ..--•---------. %Z�+��__ it/ilk------------------•-----........-- Street as shown on the application for Disposal Works Construction Permit No..�..2.35 Dated....- �y Q___..._.__. !� Board of Health DATE---- /-/----- FORM 36508�OBBS h WARREN,INC.,PUBLISHERS rt a L A- I'D I .................. LTH THEBOARD AOF OF HEALTH TS ... .........OF.........je�h0��Z� .. Appliratinn -for Biipusttl Works C omitrurtion Prrutit Application is hereby made for a Permit to Construct (V�or Repair ( ) an Individual Sewage Disposal System at:. _ .��� r1d ra _ J -- ------ - -- ----- �-----. ---- ----•-- �' Location- dr �f or Lo Owner Address nstaller Address d Type of Building Size Lot----------194JZ q. feet Dwelling iNo. of Bedrooms------------- ...........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building .--_----_---_-_-•___-_-__•- No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------------------------------- -- ----------------------------------••--------------------- W Design Flow.............................00__..gallons per person per day. Total daily flow____-________-_��O-___--.-.--.-..gallons. WSeptic Tarik-ALiquid capacity-0 Qgallons Length---------------- Width__-_.._._..._.. Diameter................ Depth---------------- x Disposal Trench—No. ........ Width f.................. Total Length.................... Total leaching area............___.....sq. ft. Seepage Pit No......./----------- Diameter.�'--_6_".. Depth below Total leaching area...0--:v---sq. ft. z Other Distribution box (•V_f Dosin a k ( . )� _ '-' Percolation Test Results Performed by. a a it No. 1................minutes per inch Depth of Test Depth to ground water_�Z"/__ ___... (i Test Pit No. 2.....Z_-----minutes per inch Depth of Test Pit... ..... Depth to ground water------------- ---------- -------------------------- --------------------------------------------------------•---•--------•-------------•----•-•----•------- Descrt P tion of Soil =... �rri .v_ �� r T cc '` 1 ---- - -----------G-------- -+ Mc�LONE C/, U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------._ s1- __..____........__... No 11944 O ---------------- --------------------------------------•--••-----------•--•• -----------•---•--------------•-•--•--------------•------------------------------------------- - .......... Agreement: 90FFss ISTE The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acc the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the sys em in operation until a Certificate of Compliance has be by the board of health. igned- �� ------------------------ 9�Z 373 Date Application Approved By------------- ------` �"''. . .• ....... ..... ............. Date Application Disapproved for the following reasons:---•---••--•------•-----•-------•------•--------•---------------------------------------------•----•------------ ------••---------•-•---------------------------------- --------------------•----•--•---•------...--------•---------.......------........••••--•-----•--------------------------••---•---------......... Date PermitNo--------------------------------------------------------- Issued........................................................ Date No.--- = Fim,.....JL.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' wt ----OF......... r�J ............................ Appliration -for Uiipoiittl lVarkii Tonitrnrtion Vkrmft Application,is hereby made for a Permit to Construct (V�or Repair ( } an Individual Sewage Disposal System at: f _ 7 '.la+ Location- dr or Lot .................... % =-... ....................e -/.?r `�% �f r rr. 1, ........................... Owner Address W Installer Address UType of Building, Size Lot.........'�_37,.VSq. feet .1 Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ---------------------------------- --------- --------------- ----------------------------------- W Design Flow____________________________�0-____gallons per person per day. Total daily flow..............> ----------------gallons. 9 Septic Tank Liquid capacity_-10�Ugallons Length---------------- Width......-_--...... Diameter---------------- Depth-_______-_---. W Disposal Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area--------------.-----sq. ft. x Seepage Pit No..__._I............ Diameter_�%:"__6'---_---- Depth below inlet_±_ _tJ_._`.�___ Total leaching area_-�' 0---sq. ft. z Other Distribution box (V/ Dosin a k ( )r '-' Percolation Test Results Performed b _-t-,/'_d`�_-�� ��_..._. ' ___ Date___ _ '-�''�L___5917� aY .............. - Pit No. 1................minutes per inch Depth of Pest Pit_fP_'G_____ Depth to ground water-,,,/A414-'^__--___-. �14 Test Pit No. 2----_4!,!------minutes per inch Depth of Test Pit_.4-?0...... Depth to ground water------------------------ -------------------------- -------------•--•••-•-------- ---------•------------------•--------••--•--- ---•••----••-•••-•••---- Description of Soil-----------------------------------------.......---------------�--_-.----------� .��f •..,.��r�° � �--.._: ."�- -- 4- �--`- - -------------- {=•----$•---- X1--------�� ----- �w,�S - .._..F>/ .. R W G - aEERT ....� UNature of Repairs or Alterations—Answer when applicable.-_____________________________------------____.....___ __ __G-----_-___-_ !:_ .... McGLONE ) ••---------------------•----•----------------------------------------------------------------------------------------- -----•--•------------•-•-----•-•- No.119�44--6- ---- - Agreement: o P� The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sys with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not t t tem in operation until a Certificate of Compliance has bee ue y the boa d of health. r igned �� ---------- --�--- ------------------ Z 3 7-�------- A _ Date Application Approved BY--:-----------rs " -------- ----"��----�'�'------------------------ Date Application Disapproved for the following reasons---------------------------------------------------------- ----•-•-•-----•-------------------•-----_-•--------•-- ----•---------•-•---------------•----___-_---•----•-----------------------------•-------------••--------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS ' � u � BOARD OF HEALTH ..................................... ftw1rrtifirate of Tlintplinnrle THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (Y") or Repaired ( ) by...........................................................................................--------- -------------------------------------------------------------------11•--••---•-----•--------- !" Installer . has been installed in accordance with the provisions of Article XI of The State Sanitary C le adsdescribed in the application for Disposal Works Construction Permit No----- I _ -----..._-•--•--•--: dated- " -------••---•----• THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAN EE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector...................................................................................... THE COMMONWEALTH OF MASSACHUSETTS ............. . BOARD OF 'HEA TH ......OF.........!13 ........................................... No... -------- FEE......................... L/ Dinpoiial Works Tontarnrtioat rrntif Permission is hereby granted_____--•-•--------------------•------------------------=--------------------------------- =--.....---•-----•-••••......................... to Construct or Repair ( ) an Individual Sewage Dis 'o al System �( a 1Z�.................... Street as shown on the application for Disposal Works Construction Permit-No-------� .__ Dated___-_ - . _..�______________ Board . of Health DATE---------------------------------------------- ••-----•-••--•••-•••-•-------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS No.w-9--`,s--- Fee----5------------- BOARD OF HEALTH TOWN OF BARNSTABLE 0(pplication-*rWrIt Congtrutt ion Vermit Application is hereby made for a permit to Construct ( ), Alter ( ), or an ' ividual Well at: - 7---5 -L �V t _ Yh�c.v t'Icrvt SM LL S I4----- - - ----------- --------- --------------___�nc) ------------------- Location — Address Assessors Map and Parcel ---I��(`uc 77 ��uR c.�a wG N► cr! � ------------------------------ - - --- ---------- -----------—__- ---------------- caner Address -------------------------------------------------- Installer — Driller Address Type of Building `-)--s-e'--------------------------------------- Dwelling----- -- Other - Type of Building------------------------------- No. of Persons-----%5----------------- Type of Well�?_�����`� .� - 1�-------- - ------ Capacity---------------------- - -- — - - --- — Purpose of Well--- Agreement:The undersigned agrees to install the aforedescribed 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 Certificat .of Compliance s been issued by the Board of Health. Signed ---------- datee Application Approved By ----_______________—__________— 2 3 - _-------- ate Application Disapproved for the following reasons:----------------------------_________________—__—___--____—_ ---------------------------------------- ---------------------------------------------------------------------- -------------------------- date Permit No. ---14�- -= -------------- Issued------------------------------------------- ------------ -— - - ------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (I�' r-----------�'a e'--�'-4' —----------------- -------------------------------------------- ------------------ Installer at- S '-�`2 -L 1�j ---- y 5---M%L_L 5 — — has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -�7-3 ____Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- —- — — -------- — -- Inspector-------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Veil Congtructiou ftmit No. W 9`--2-`- Fee=---__- Permission is hereby granted to Construct ( ), Alter ( ), or Repair (�-) an Individual Well at: — Str --------------------------------- Street as shown on the application for a Well Construction Permit 2 -- - No. -------�—�1_-�-��--------------�---------------- Dated------- ---- `-� --��--3-------------------------------------------- - ------ ----------------------------------------------------. ........_ Board of Health DATE---- - - =- --------— - ,�� �... -two ._ 9s�•�i""'Y-i1s'+.--'r'xw i. ��,.x . .. .. _. .. s r +`*` ' � r.r^'•'"^`.rea�3.s.,,.,,�trr,,,,,,.+..n.+*�.,�.�_yf-,,.,•.,Qt��1`,W�,,,ny v`rM��'�.�4ri7Y�'4F``A:ys':,.� Fee---�------------- BOARD OF HEALTH ; TOW NOF . BARNSTAB LE' pp[icatiori otttructionerYtttt 44 reretrg�e(AC. Application is hereby made for a permit to Construct (t ), .Alter-( .),, or Repair ( an individual Well at: ' ---- - -------- ------ Location = AfIdress .Assessors Map and Parcel s wner� —- Address t -A-4U"---------- - r - --- - - - = - -- `� --M---;---- - e-- -= -- Installer - Dnller { ddress,-�_TV_- - _.. TYpe of Buildings - \ 1 Dwelling-----4nv S - ----------------------- -1 Other -Type a of Building -------- No.. of Persons--= -------------------_._—___________ "-Type-of Well'=�tt) - ---•- ------------------------ H Capacity---- Purpose of Well �rt'Fw��__ wt:�✓^ ------- �f --- ---------------------------- --- ; - - - --- -- ' Agreement: The undersigned agrees'to mstall,the aforedescribed individual well in accordance with the provisions of The a, Towri of-Barnstable Board of;-Health"Private'Well'Protection::Regulation _ The undersigned further agrees not to place the well in operation until a Ce'rtificat .of Compliance s been issued by the Board of Health. Signed - ---- -- -- - - - -- - , ��� q � ----------- -------------- _ date Application Approved By -'------- ---- ----— -�--F�3- -__ date :. Application Disapproved for the following reasons:--_—_----------____-----------------------:----__---------______—_______________ - —-- _------- -- - ------- - --- - - -- ------------------------------------ t date IPermit No. -- --'-?----'-- --- -------- Issued---------------------------------------------------------------- date BOARD OF HEALTH r, j TOWN OF BARNSTABLE ,� t° ertificatef xc�om [ arite - THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Alteredf(�r);'or,Repaired (!ir by ------- ` 13 o r-14c�-e •r- - ----- ------------- - ----------- --------- Installer -at- —5 � --ze — - CLV S'h +S ► �- -------------------:------- has been installed in accordance with the.provisions of the Town of Barnstable Board of Health Private Well Protection ! Regulation:as'd'escribed-•:in°the application for Well Construction,Permit No. c-r --T- --- Dated THE ISSUANCE OF THIS CERTIFICATE SHALL;NOT,BE CONSTRUED AS3A GUARANTEE THAT THE WELL ' SYSTEM WILL FUNCTION SATISFACTORY. ,r - i tF - DATE -- Inspector- ' '` �, h� • ,, :t lM yy BOARD OF HEALTH ` t TOWN OF BARNSTASLE Mell, c6n5truct ton pefmtt m A No. w-c- Permission is hereby granted----r-----Z _------- -__-------------_-_—_____________ to Construct ( ), Alter ( ), or Repair ( an Individual Well at: No. - - -51--r --d;r0 N�--- st,✓`� 5 —1h_sl� ---�-- �`C a.6 '- -- -------------- ------ Street as shown on the application for a Well Construction Permit V, No. .Dated - -- - -- - - - - - - w �2�2 �2 -( --- -Board of Health _.. � 1` a _.-sT --.....y.r#'.r",".ya-ti.F«".rr._,,•..•.nnawr .v,�rrw..,..•'....-r.W+..,r—+war v.. —rt•a•.r•.a +v lnun .. _ _ _ , • i ^ , ��Z ,07PZAA1 ' e4157AA�H. M955. - .r • a S . 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