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Home My WebLink About0502 WAKEBY ROAD - Health 502 Wakeby %,0 L LS l I A= 028-006 I ,I �G TOWN OF BARNSTABLE LOCATION ,,-', OZ bi/g Eby /r,), It SEWAGE # Yi 5 VILLAGE,e as S/-?'A5�� ASSESSOR'S MAP & LOTOZ45--D®6 INSTALLER'S NAME & PHONE SEPTIC TANK CAPACITY 0.5"a LEACHING FACILITY:(type) c i / (size) i 0 NO. OF BEDROOMS 2 ' RIVATE WE OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: 3�/Z z l 1� DATE COMPLIANCE ISSUED: �� g ` Z% VARIANCE GRANTED: Yes No / � 1 �p i3 �r No- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Alip irativit for MiVn!3ttl Workii Towitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (off an Individual Sewage Disposal System at: Location-Address V ` l �U� //� or Lot No. _.................. ---------------------------------------- . A- ....................................... V0 Ownerr, Add to �U re .......................... •----•---...----••-------••---•----•-•----......----•----...----- s ' ' LS.............. Instalter Address UType of Building Size Lot_.........................Sq. feet Dwelling— No. of Bedrooms-------------�_________.______.._.__Expansion Attic ( ) Garbage Grinder a`4 Other—Type of Building No. of ersons____________________________ Showers g ---------------------------- P ( ) — Cafeteria ( ) 04 Other fixtures --------------- -------------------•--...........---------...------------------------. ---------•----------•----•--•-•--------•-•-•-•--•...•-•-..... W Design Flow..................5�.--..-____gallons per person per day. Total daily flow------------ gallons. WSeptic Tank—Liquid capacity....A allons Length---------------- Width---------------- Diameter_............. Depth_.............. x Disposal Trench—No. .................... Width.......f._,__..._.. Total Length--------------I------ Total leaching area....................sq. ft. Seepage Pit No............ ...... Diameter--------l®------ 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-.______-_______---__.-. f.Zq Test Pit No. 2................minutes per inch Depth of Test Pit-_-__.-.--______-__- Depth to ground water........................ 1:4 ---------------------------.................................................. .............................................................................. 0 Description of Soil........................................................................................................................................................................ x w --------------------------------- ---------•----.._......_......-------------------•-----------------•....------------------------•-•-----------------------------•------- U Nature of Repairs o Alterations—Answer when applicable._ ._._�.!`r.�-'�'�-___ .__ /W � / SE c--. - �------ - tsl""` - 7--9,.1 tL/ ---�-<<ST -------- Lf 4�Ps rr. -- ----- - ----------------------- 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�benu by board of health. Signed ---------- ------------- — 31-2-1 1'� ---------------------------------------------.....----- ---...... e ---- Dm Application.Approved By ............ ._Y .t.�.,.4 '� - e. ��_ Dat Application Disapproved for the following reasons- ---------------------- ----------------------------------------------------------------------------------------------------------- ....................... ......................... .... ......------------------------ - ------------------------------------- C� Dare Permit No. ----------{ .�-- ,tJ�57./.................. Issued ---------- 3, �a �� ---------------- \ Dace 006 Fps... ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Bi-ti.puual Wor1w Tunutrnrtiun Permit Application is hereby made for a Permit to Construct ( ) or Repair (-C.) an Individual Sewage Disposal l System at: ......-�..IJc�......nl�1Z ----.�.QiA,D------ .................. yVve:f G!N�ls M/t. Location-t\ddress /�. cl QG� or Lot No. L/1�� iti�._.., ✓41?✓-t Owner, �— `' Address 6 ca l t C_rJ 1-,s r�L u c�:t o -7L, t.J/z, I � Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling— No. of Bedrooms--------------�----_-__ _ _ .-__-Expansion Attic ( ) Garbage Grinder G Other—Type of Building ............................ No. of ersons........_................... Showers — pa yp g p ( ) Cafeteria ( ) a' Other fixtures ------------------------------- - - W Design Flow.................. �.�........_.-gallons per person per day. Total daily flow------------- ...........................gallons. WSeptic Tank—Liquid capacity----X—ftallons Length-----------..... Width---------------- Diameter---._-.-._--.-- Depth................ tal hing Seepage Pit Trench �...._ Diameter Width ___ Depth below nlet......�-___-•-_Tootallleaching aarea..................sq. ft. x I 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-.--_-_-_-----_---_--.-. 444 Test Pit No. 2................minutes per inch Depth of Test Pit_-_--.--____.______- Depth to ground water..---------_............ a -•-•••-•--••..............:...............................•----•--••••-----•--•--••-••-•-•----............................................................... 0 Description of Soil...................................:. ------------------------------------------------------------------------------------------------------------------•--•-•-•---•. x V ........................••-----•••--...-•-••--••--••-----......------•---••------•-•-••••-•••-•-------•-•••........••------••-•••-------•-•.....••--••--•-----•.....-••••-••-•---•-..............-••-••. W ..........-•-----------------------------------------------------------------------•-•-•---------------•------•-------------------••--•--------.........._...---•--------..... ........................ U Nature of Repairs or Alterations—Answer when applicable.__._.._LI-J-5; '`� -....f�______��_ �V*.L__. J3'`""` Tf>ti.JtL �..ST------�..... /G U p •��------�G�:--�------- .. r- %.... SiZAJ y 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 b en issuf- by �board of health. ...(........ --�— Signed ....... ............ ........1........../...:..-... Date Application,Approved BY ( ..<�..� -� r ........... Date Application Application Disapproved for the following reasons- --- --- --------------------- --------------------------------------------------------------------------------------------------- ...-............................------------------------------------------------.......-........----...------.......--------_---------------------------------------------------------------- ---------------------------------------- Permit No. j. '....�.-- --.�..:................ Issued ..... ..- ��5=......Date........... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE V ertifirate of Q-1oraptianre THIS IS TO CERTIFY,_That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ) by ------------------------------------------- --------- - -- ---------------------------------------------......----------------------------- m�t.�uet at . S U a- -/a lLf6 ....-1 d2A-.� t ��✓L �''�'� dt?11� 5--------------------- has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..... --.. 5.-/-_.--.--- dated ...-3..--.��t...,..�f.cj ....-. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE - .............. n --. �------- ----------- Inspector \. ... ------------ / ( l T THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE a— No......�1t...tJ:.... FEE ................... Disposal Workii Tunutrurtiun "rrntit Permission is hereby granted--__-_---_-_-•--_�6-�ULo-7-7 ._..._C_`� -�•l-_7c--Q CI-Tu� --------•---••.................................. to Construct ( ) or Repair (>�) an Individual Sewage Disposal System at No. _ � = �P/ ---------/ ��'� wS�///I_/l lS Stre Permit z S5'l as shown on the application for Disposal Works Construction Permit No _.5.._' _ _ _._.__ Dated----�_-�.r�_�./�.�............. ............................. 1_1\---------------------------------------------------------- ^�� `�•r Board of Health DATE................... --------- ---- CJ,-----------•------.•----- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH qq N TOWN OF BARNSTABLE FEE-- - ........ Disposal Tprhp Tonatruaian Virutit Permission is hereby granted......................... .............................. to Construct or Repair an Individual Sewage at No.. 4isp9sal System ..................... .,5------------------------ ......... ?),=;I &-./........6 ----- z4- A4 -zlwS �.1 e_....... s Iree as shown on the application for Disposal Works Construction Permi (t No ff - 5................ :ds�---- Dated---. ................ ------------- --------------------------------------------------------DATE. �.j Board of Health ---- . .......................... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate af Complianu THIS IS TO CERTIFY_Aat the Individual Sewa e Disposal System constructed --)-or Repaired by ............................ ired ...........................I............................. ......... --------------------------------------------------------------------------- at ................................ .......................... S;L.......----- ......................eJ .Y...... -------- ... ... ......... ............W .... -----_--_-- the a plication for Disposal Works Construction Permit No as has been installed in accordance with the provisions of TITLE 5 f The"State Environmental Code ......described ii p dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON STRUM STRUM AS A GUARANTEE THAT THI SYSTEM WILL FILINCTION. ATISF"RY. DATE........................ft,5. ,.............. ............. ...............-----_- Inspector ......................... .................................................................. G TOWN OF BARNSTABLE 4 -LOCATION ;j Dz tyg14x SEWAGE # f.� VIL.LAGE�4/sfD/a5 �f�s ASSESSOR'S MAP LOT DZg"G�6 INSTALLER'S NAME PHONE NO.'Aw)`d&111 LO0l </Z$'—G'9'Z� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (i i (size) C� � f U NO. OF BEDROOMS �RIYATE WE OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: ?/Z Z DATE COMPLIANCE ISSUED: - g " / 7 VARIANCE GRANTED: Yes No e1 lI yM� , � s �„� � k— a �� 5 �� \� � � � � C9 l r Fl V NWINNERy,71r I i V r