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Home My WebLink About0020 THATCHER HOLWAY ROAD - Health 20 THATCHER HOLWAY, MARSTONS MILLS A=148-077 J i 010 Lo7 5 77 L.+O CAT ION SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME 1E ADDRESS 8 UIL0EIll OR OWNER DATE- PERMIT ISSUED //s/�! DATE CO.MPLIA. NCE .. . I.S.SUED _ r 1� �Z I �� . '�� _ � �, .. � ..� �� . w �g ;-�;z��1 .0) Fini... v THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF, HEALTH �/ B✓ ..OF............... .... .. Appliration flit Biipnaal Workii Towitrnrtinn ranfit �/� Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal V System at: ............t H9�7.1�E,Q........1101.&171Y.......R..V-........... ------------------------------------ ...... Loc ion-Addr or Lot No. 5 .#1.Gtx)J-1 — �Q -- --..1.13. rAl�(L�.1.�1#..._.l f ....�.....-•-- { Y---••--•------••-----------•••...... Owner . ....--•.....................................Address Installer Address d Type of Buildingy/ Size Lot............................Sq. feet U Dwelling 4 No. of Bedrooms........................................Expansion Attic ( ) Garbage Grinder ( ) `-4 Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures _________ _____________ -------------------------------------- -------- W Design Flow.....................Ems..........goons per person per day. Total daily flow___ ��_...._..... ••-..___gallons. WSeptic Tank/-Liquid capacity.._..... allons Length----------_--- Width---------------- Diameter---------------- Depth................ x Disposal Trench—N - -------------------- Width.................... Total Length...._.__..__.__.... Total leaching area-____.__---- ._/...Sq. ft. Seepage Pit No.-----/..-__.__.. Diameter..14......... Depth below ' let_... .. , Total leaching area.P`..__ 11.Sq. ft. Z Other Distribution box ( ) Dosing nk,( ) // ` Percolation Test Results Performed by..-.8 -......................................... Date.../z'.,s' : aTest .Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water----IT .............. Gi Test Pit No. 2--_-._..--•.____minutes per inch Depth of Test Pit.................... Depth to round water_________-_•-__---______ 1 ......X. .....----• .. . ----- - :-•--•• - - .A.................-..-..-..- Description f o Q °Z -� '`�----- V ; .--w.--.--.--.--.-.-- VNature of Repairs or Alterations=Answer when applicable________________________________________________•_--.---.______--.__-______-_____--._.---.-___: ...•-•-•--'-•-----••----''-'-•--------•----------'-•---------•--•--------•--•----------------------------------•--------------------------'-----•------•---'--------------•---........................ Agreement: The undersigned agrees to install the aforedes n iv' ual S g Disposal System in accordance .with the T provisions of T T�..>. p S of the State Sanitary o e Th der 'gne ees no o place the system in operation until-a Certificate of Compliance has been is b iea f Si d_ D to Application Approved By..... --- /.<--_ I{ Date Application Disapproved for the following reasons:.................................... ..........--................................................................. Date PermitNo......................................................... Issued....................................................... Date + THE COMMONWEALTH OF MASSACHUSETTS BOARD OE HEALTH .OF................ . 9rtY1:.r: .......................................... Appliration for Bhipasal 10orkii Tnnitrurtinn Prrutit Application is hereby made for a Permit to Construct (;><) or Repair ( } an Individual Sewage Disposal System at: - •...7 AdAL..E LA ............. .....................................�.-........................................................ Loc3lion-Add_,rss� or Lot No. ..-•---._..1-__ afa i _ �7? Alt : 1 ... �►/�� .................................... Owner Address .......1. _..--•.. • .................................................. Installer Address Q Type of Building Size Lot............................Sq. feet V Dwelling No. of Bedrooms.______._______________________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons...._....... ............. Showers — Cafeteria PL4 Other fixtures ------------------- ------------- ------- W Design Flow.. ................ ...r'�......_.._. Ions per person per day. Total daily flow____ . _....._................gallons. 04 Septic Tank Liquid capacity/_e!'�'_allons Length................ Width,................ Diameter---------------- Depth................ W Disposal Trench—N . -------------------- Width.................... Total Length__._. .......... Total leaching area.........._---------sq. ft. x Seepage Pit No......./�._._______ Diameter.../�-------- Depth below;nlet_-- C. T tal leaching area�.4,e_ _--sq. ft. z Other Distribution box ( ) Dosing ank �/ / '~ Percolation Test Results Performed b. ��Ilr��*��<,............................................. Date...J I..-r� aTest Pit No. I................minutes per inch Deptli of Test Pit-__-___--________- Depth to ground water..... �__-__-______- (%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r = -•---. i..... -- - --•---------- --- --- ; D Description of So " a'' .-------./-a. ------, (.�. \{ �✓ •---•-------•----- U 4) ----- -------------- -------------------------------------------------y--------------------------------------------------------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable................................................................................................ 1 ---------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------•-••-- Agreement: The undersigned agrees to install the aforedea $ Tn ivi ual S g Disposal System in accordance with provisions of:iT' the p 5 of the State Sanitary Code Th der ne ees no -to place the system in operation until a Certificate of Compliance has been is bga o iealt ` 1`�''� Date Application Approved By.... _ ....•Sied.........!....l.... I Date^ `{ Application Disapproved for the following reasons----------------•----••••--•••• •-••--•-•••--•••-•--•••---••-••---•------•-••-•-••-•-••---------•--•___---•---- -------------•------------........_..-------•---------------•---•------------------.....---•---------------••----••----••-------•--•------...---•------------•-••-••-----------••-------•--•------------ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f ........... ......OF............. {'��'?' 2'..................I...................... Trrfifiratr of Tl mplianrr TH C TkPY, That the Indi ual. ewage Disposal System constructed ( )•or Repaired ( ) bY.........� s,_ = .. t- - . �---- ............! A. -- ----------------------------------'....--------------------...---.._... O' 4i CI � f �lrnstaI f.. ...: ---•--•--------- - -- v•-•.--- --- .... �1 l -------------------------•------------ has been installed in accordance with the visions of '� T 5,.of The State Sanitary Code as described in the application for Disposal Works Construction Permit N� �:_..... `............. dated------- _`_✓5:__". .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................... i.b ................. Inspector... ,;... -/- - __----___--•---_______--•----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , Q`s - l�� No......._..-- FEE... ` ......... �ttr$Uan =Permission, i�.hereby granT-de "" - •" to Construct ( Rerd( an I �, ivi,.,al Sew e D posal st f Stre t� T,:* _ as shown on the application for Disposal Works onstruction Per wNo: ...... .._ Dated.......................................... ` -. o d of Healtl/ DATE............. ��1- t FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS TOWN OF BARNSTABBLE LOCATI01 ltr/ /Caf. SEWAGE # VIIYLAGE AV41,5-70nS loll/c ASSESSOR'S MAP& LOT 04,?-0�7 INSTALLER'S NAME&PHONE NO. 97-7-O.S,/f SEPTIC TANK CAPACITY 14049 / LEACHING FACILITY: (type) �'vITEC C�i�o��,c`Qsize) 90 X NO.OF BEDROOMS _ BUILDER OR OWNER JIFF PERMTTDATE: 9-.2 T - 97 COMPLIANCE DATE: 7 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 .-� 71 �No. ?7, 5L31 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Migponl bpgtem Con!Aruction permit Application for a Permit to Construct(Z,-)1epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ',Q ��TG,�, 'r, yp/u/�el r� Owner's Name,,Address and {Tel.No. Assessor's Map/Parcel m4ofroils 1q8 0-7-7airs !i`l Installer's Name,Address,and Tel.No. l f 717-04 Designer's Name,Address and Tel.No. Jns-e-,,01 d-e- g 4 s� -e Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil ja,-2,4 Nature of Repairs or Alterations(Answer w n applicable) Zngr lz �/ e., i,cC (_�i11� e� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issueo by this oa�rd ooj Healt . /y Signed l✓r�C Date �' Application Approved by Date 51 -la, `/'7 Application Disapproved for the Mlowing reasons Permit No. 3 Date Issued y 5,31 Fee THE COMMONWEA TH OF MASSACHUSETTS Entered in computer: , r Yes z PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppfication for �Digaar *potem Construction Permit Y Application for a Permit to Construct(pair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components ' Location Address or Lot No. /�,Q N,4Tc4/5 r HOlwiwx- Owner's Name,Address and Tel No. ` JEf/%r�cY _.C�yrH Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. \ Type of Building: 4 Dwelling No.of Bedrooms 3 r Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) p Other Fixtures ~ Design Flow gallons per day. Calculated daily flow gallons. Plan`Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil ,S�A1"a/ /�/ Nature of Repairs or Alterations(Answer w n applicable) �9�� C t��9<C C..GJ�44_';;!_Y Oti{ r��vvH Date last inspected: 'Agreement: ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue�o by this anted qj#Healt . ram' Signed Y10444 . Date Application Approved by Date Application Disapproved for the• lowing reasons t Permit No. 7 3 ) Date Issued --------------------------------------- a, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ` Certificate of Compliance THIS IS TO CERTJFY that the On-site Sewage Disposal System Constructed( Repaired ( )Upgraded( ) 4 Abandoned( )/by x1ja3'e/04 9-e at 2 0 TNw;0"6 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer dos crti /,7� d4y^-OS Designer J19j-&AI V_e The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date - cl 7 Inspector -------------------------------------_-- No. � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Miqu ar *pgtem Con.5truction Permit Permission is hereby granted to Construct( �air( )Upgrade( )Abandon( ) System located at 2 6 T�ikt/G�i�y' P06<1/+�Z and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this-permit. C' c Date:. / " - Approved by , is NOTICE: This Form is to he tuwd for the Repair of Failal wr. / Septic Systems Only CER"CIFICATION OF SKETCH ANU APPLICATION FOR A DISPOSAL WORKS C;ONSTRUCHON I'EltN11'I' (1V1'1'110U'I'UESIGNEll PLANS) I, ,/03 hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at 2 D �l��T��/ ��' � meets all of the following criteria: �Tlletc:ire no wetlands within 300 reel of the proposed septic system Thcrc arc no private wells within 150 rest of the proposed septic system The observed groundwater table Is 14 feet or greater below the bottom of the leaching racil y here is no increase in(low and/or change in use proposed �Thcre are no variances requested or needed, SIGNED DATE: LICENSED SErric SYSTEM INSTALLER IN THE TOWN OF HARNSTOLE NUMBER IMach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, (his plan should be submittedi. TtigT�� Ho�w�y 6/�UF Dw-k s �Xestl�q �� v � • L �X,sTi�y i• I I--- TOWN OF BARNSTABLE LOCATION 2 SEWAGE # VILLAGE `y/.4rs70-?S bV,//c ASSESSOR'S MAP & LOT., z/8-0 77 INSTALLER'S NAME&PHONE NO. 97-7-o34y Jas � p��orNo 4 SEPTIC TANK CAPACITY ma P // // LEACHING FACILITY: (type) 9 r111rC. (!/ZX� y/X-`'Jsize) 9V X /0. C NO.OF BEDROOMS BUILDER OR OWNER (f 0�'// I y,I PERMIT DATE: Q-2 3 - 97 COMPLIANCE DATE: Sep4ration Distance Between the: Maximum Adjusted Groundwater Table and 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 o leac g facility) Feet Furnished by i 1�,.l9,fON THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A�C(, I DATA r f A tf ,r -47 Cal w60 , 7-0 (/�► •'' / VA 41* Al A' Age-"/G-►" 'T'.O G!�/t'f-�/AV may, 00 =e: ,rnz;40 T , :,f� � r iC,,v�s,,/EQ �,e-4o�' �.-.. � ', �1/•t/ Z� S L L D� /•Vd-'EAf; O/S 7' :Q b PROF ! LE OF DISPOSAL SYSTE-M CONSF RUCT1 ON, c! - G -,- A R 'r' �: �; r ._ � ,« _ SYSTEM SHALL. is P ►V, TO ENVIRONMENTAL C 'IDE TITLE = AND THE TOWN Ur ate- �" , ' _ . I- _ PROPOSED L E AL �-; G . , i� • v ! ,,e- .1 _ HEALTH REGULAT ; ONS. `" j' i S I T E PL AN II! HOWINC PROPOSED CONSTRUCTION FOR : i'�'i _ - ' APPROVED SCALE: i D ATE: DEC—,.� BOARD OF HEALTH k REFER E N C E' :361 . - �. '� �"1 "``'`+� <`'1 DATE A G E N T -- 19 7- OAJ ' J . M. MONAHAN, JR. $ ASSOCIATES ' ,•''' REGISTERED LAND SURVEYORS & ENGINEERS !i 7Q sc51 MAIN STIR E ET DENNISPORT, MASS. 02639 .{` .