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HomeMy WebLinkAbout0259 WINDING COVE ROAD - Health 259 Winding Cove Road Marstons Mills ', A= 076-061 • TOWN OF BARNSTABLE LOCATION � SEWAGE # VILLAGE �}R.SS lYl 1 ( � S ASSESSOR'S MAP & LOTS- 0/0'/ INSTALLER'S NAME & PHONE NO. 77 Z2 '�h�PZ SEPTIC TANK CAPACITY LEACHING FACILITY:(type) � (size) /000 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER � �!/� 13 tl-yffy .DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 1� s VARIANCE GRANTED: Yes No �� i �, ,3y i� � ,3�, , � ��w � fI ��� � �� ., ` r ® . i 8� + t 7 Fizz........... ....3000 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ap,pliratiun for Diripn3a1 Workii Tomitrnrtiun Verntit Application is hereby made for a Permit to Construct ( ) or Repair �X)� an Individual Sewage Disposal System at: 259 Winding Cove Road Marstons Mills Mass . ..........-•............................•------------------••-------...._....__.._...--------••--- ------------------------------•-••-----•-----•--•----..........----••--------.._..-•----•-----•--- Chris Burke Location-Address or Lot No. owner Address W J . P.Macomber & Son Inc . ,-� ---- - ........ Installer Address UType of Building Size Lot............................Sq. feet Dwellingx—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther 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 ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------------------------.. a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ f? Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W •---•----•-------------------•-------•------••-----------------••-------•-•------------....•--------...................................... •-------------- •--- 0 Description of Soil.--- .............................. �4 Sand & Gravel U ----------••••--•••-----••-----••••--•----._..-...•-•--•-------•------------•••--•--------------------------•-----------•----------------------•----•-•-•----••---•-------------------------•--•-------- W -------------------- ---- -------------------------------------------------------------------------------------------------------------------------------------------------------------•---•----_------ U Nature of Repairs or Alterations—Answer when applicable....--A �-i ng---1.0 0 0 gallon leaching............. pit to existing tank box & Dit . ....................................... ..................................A_..---..__.____.__._._.-.-_.---_.-....-. -..-.----...-_--_----__._...._--.-------.-_.-.-._._.__._.__.__-_.........__..-_.- 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 n •ssu d by the b and f health. Signed - --- --- - - ------�/%a - .- ............................ --------1 0./. 4/94 -: Date Application Approved .._.. ........... . ._.......... =------ ........................... `...... --_ Z�...�..� .. / Date Application Disapproved for the following reafonf- -------------- ---- ------------------- . - ... .................. - -- -........... ...-......-............ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ -------------------------------------- Date Permit No. ..... �`- ........ Issued .-...._.. . Dare f'— - No.. Fes$........... ....3 0:00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Divi-pw3al Works Tunutrnr#iun rumi# Application is hereby made for a Permit to Construct ( ) or Repair '.�Xh3 an Individual Sewage Disposal System at: 259 Winding Cove Road Marstons Mills Mass . .......................................•---•--•----•--------•-------.........._.........---------• ------•-------•---------•--------•-----------•---•-------•----------------•---..................-- Chris Burke Location-Address or Lot No. Owner Address W J.P.Macomber & Son Inc. Installer Address Type of Building Size Lot............................Sq. feet .� DwellingX—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ...................................................... d 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per Inch Depth of Test Pit.................... Depth to ground water........................ GZ4 Test Pit No. 2................minutes per inch Depth of Test Pit__.______.-.___--_ Depth to ground water........................ x 0 Description of Soil---- W Sand...&-.Gravel V ----------------------------------------------------------------------------------------------------------•-------•---•----------------------------•------------------------------------•--•------_.---- W ----------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------•--------.......-- U Nature of Repairs or Alterations—Answer when applicable.____AI$ding 1000._.gallon leaching______ _ pit to existing tank box & pit . 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 ..- ...... . ....... :.,.... 10/4/94. Date Application Approved By ........ ..-.... '`�� Z y'..........................- .................. ...... �...�...��-4... y Date Application Disapproved for the following reasons- ----------------------------------------- --------------------- -. .......................................................-- .. ........................ -- ...................... .. . ... . . .. .................................. Date Permit No. % ':...„,�7.. /�.. ........... Issued ----------- 5..` Q- .--�.�........ q:.:................. Date THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH TOWN OF BARNSTABLE (ILler#ifirate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired �XX ) by---- J-..P..-Macomber_ Jr --------------------------------------------------------_._......----------------------------......------ Installer 259 Winding Cove Road Marstons Mills. -------------------------------------------------- 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. 9 .......... dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. y DATE----------------��1---- -----------P... � �_... ----------- ... ��Inspector .:' ��.�. ----- �" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.7 _r �� � TOWN OF BARNSTABLE FEE____.�-.__30.00 �iu�uu�t1 Turku �unufr�tr#iun �ernti# Permission is hereby granted......J.P.Macomber Jr ------------------ ------------------------------------------------------------•---............... to Construct�( ) or Repair ((XX) at Inddivikal Sewage Disposal System 2'W Winding Cbve oa arstor s Mills , atNo---------------------•---•------------------------------------------ ------------------------------------------- street ` as shown on the application for Disposal Works Construction Permit ���o��271)ated____f--6 P---ff Board of Health / DATE........ �._.._ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS F Page 1 of 1 TOWN OF BARNSTABLE LOCATION (/ SEWAGE # ' VILLAGE- HKa A5 1 ( l -S ASSESSOR'S MAP & LOT_V7 INSTALLER'S NAME.& PHONE NO. --T P /S{''/`�i?� SEPTIC TANK CAPACITY LEACHING FACILITY:(tgpe)E ' 7` 5 (size) /000 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ;�� •y/„t , lam = ,�,� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No_ � r 1 � i )c� http://issgl2/intranet/p.ropdata/prebuilt.aspx?mappar=076061&seq=1 9/2/2014 o C4 L0 AT10 SEWAG PERMIT NO. eve : S 1 VILLA d E I N S T A LLER'S NAME i ADDRESS j � 8UILDER OR OW R Xce k DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED � � r i *3I r. YmB.............................. Nam.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................:........................OF....................................... ......--------.----.............................. _ ,����irtt#i�an fnr �i��u�ttl urk� C�un�#.rnr#tnn rani# Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: 4�- ... .................!.- . ........ •..................................... .•••-•-•._...........•-•--•......•-•••--•-•........---•---•••........-----........................ ... cation es Gg or Lot No. � U_ � ----------------•.--..- --------------.-.-.-------•---------....._.._._....----- - - np Owner Address U ..1.,u......................................... .....--•-•-------._ .......--. Installer Address 3 Type of Building .3 Size Lot....... ......I_......_..Sq. feet U Dwelling—No. of Bedrooms......._.. .. ---..Expansion Attic ( ) Garbage Grinder �. r aOther—Type of Building�.nl.... n'!1_y No. of persons..................... Showers (�) — Cafeteria ( ) dOther fixtures .- -------------------------------------------------------------------------- W. Design Flow........................ .... . . WSeptic Tank—Liquid capacity/ llons Length................ Width................ Diameter-___--_.-.__--_- Depth................ x Disposal Trench—No. ... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No 4-X-./l� Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ye4 Dosing tank ( ) �" Percolation Test Results Performed by.......................................................................... Date........................................ aTest 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........................ R+ •---•-----------------------------•--------•-----------••------------.......-•---------•--------.....------•--------------•-•------------............-••--_.. 0 Description of S •1.1j 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 iITL% 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in er ion til a Certificate of Compliance has bee is ued by the boar of health. Signed --•-------•-------•----------------------------------•••-•••--•----------•--- ----•-f D ce...�"'^.. ication Approved By..... C. - Date Application Disapproved for the following reasons:.............................................................................................................. ...........................•--•------•......_._.......----•--------•-•-•--•------••-•--•--•-••••---•...•.•-••...-•••---•••.----•-•--••-----•-------•---•--•-----•---------------•------•---•----------•- Date Permit No..... tP Lt ''--------------•-•--. Issued........................................................ Date r I N 10 Fss.�.�d'r°........_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................:... ....................OF.......................................................................................... Allp iration fox Rouosal Works Cron.6trurtion Prruti#, Application is hereby made for a Permit to Construct (VII or Repair ( ) an Individual Sewage Disposal System at: W -�? A) 1,AJ Al C6 V t /)I, 4k,Ji, cation or Lot No. ':.•.... O...r.. ------------------------- ------------- -•-------- .... --------- �} Ow/n�er� Address a ...................f....... r� ......................................... ...."--•-•......................... Installer Address a 1 Type of Building Size .....Sq. feet U Dwelling='No. of Bedrooms.. � ..Expansion ttic ( ) Garbage Grinder ...... Other—Type of Building �lU..... f� .l.y No. of persons............................ Showers (�) — Cafeteria ( ) a' Other fixtures ... W Design Flow................................jj_._:_�gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacityl..........galIons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.�.X-... Diameter.................... Depth below inlet.................... Total leaching area.................:sq. ft. Z Other Distribution box ye-y Dosing tank ( ) `_ : aPercolation Test Result Performed by "-.... Date--------=---------"•""-"""""-......----. Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth, to ground water........................ Lz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ...............:....................................................................................-•........._...---•--------......----•-------•-----..... DDescription of S�}I •-------•-•-•--- -----------------------I.............................................................. x �/ r: ; V -"-------------------- -------- • .-----.---•----- .. W . VNature of Repairs or Alterations—Answer when applit�dble............................................................................................._.. lo ..--"---------••-------•--•................................•---------......--"-•-----........------•--------•------•-------------•---------•-----------•----------•--------------------......------..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT11 5 of'the State Sanitary Code The undersigned,further agrees not to place the system in er ion til a Certificate of Compliance has bee is ued by the boar of heal h. .,,,`„�► r._, _...:.�, Signed-----••-- -- .....................................• � .�%.��/�-� /G A ication Approved BY " ``�'•-..(!! . .................... f�... .� 1 `^s ....._.. Date Application Disapproved for the following reasons:.....................................................................'_ ...............................................................>...........----------•-......------...---""""-"-"""-""""•"-"--•"--"-"-•"-"--""""-"--"----.............................................. Date PermitNo.--. ............................ Issued:_..... .............................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ......................OF.................................. Z a�................. Tn#if iratr of .Toot lialtu TJS IS.�7 0 £ R , That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) J b ` has been installed in accordant ith the provisions of TITLE 5 of The State Sanitary Code s described in the application for Disposal Works Construction Permit No.-. •......-.i_ .�.-�.... ....... . dated_-_..._!�- 1.y./.g---�................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS TRUE® AS A GUA ANTEE THAT THE SYSTEM WILL UNCCT1 � TiSFACTORY. r DATE ...................""••-•••-•••---•-•-•-•••..•. Inspector-•---.........------.............-•---...........---.....-•---•................•--"" THE COMMONWEALTH OF MASSACHUSETTS " OARD EALTH S l L) ......... .....: V� .........OF......... \ a �'v No..._.....:.'.......-•--- FEE.-----..�............ Disposal Works Ton Permission is hereby granted.... d......................••-----•••------------•----------.....---"..........................._.. to Construct ( ) o e air ( ) an Indio' ual S .wage is osal S s em atN ---"---- ..... .......................... Street as shown on the ication for Disposal Works Construction Permit �N�o`/ .Fn _ �� /- ated..... X y/�...._...._..•. ..........................�:�--•:=-e:l1. 4�!:.K-.. .........................................." .. Board of Health DATE -- ----- --------•--............ol............................... FORM 1255 A. M. SULKIN, INC., BOSTON r 1��si�iy� 0,47�-Q • 'S--40e7- �l �jo � 2i3dGL �rZZ.c%E/Z r�/SposdL �i%-- LJS�--/BOG? G.4L. /2:5't�aa Ar D. .. . To7 A4,4- Af5/G�l= iv i 4L..:Oq/L�' .�Co1�.=' 3 3p G-P. L? • U PCER SAXTER ' � ;� fir+ �O �• a � Pa. U4$" g . Sf04 OD TEST l,�o�.E %�- 47 47&2 3- �L.- 9 r.• / ���) s ••� 9sofc. ( s�•' oisr l E� / igDo .siii Iod3 XW G.4G.. loT$ .�•,. cri G q rr i So U�ll�0 •, c.E,2T/F/EO PGor-o ,01�4�✓ le ID ll l EzEo Y T�,QT TH.E'�r, .4a--��/SHoW.v �-•-,-�-� ��1 - -� /y73 v GOHP Y.S W/17/riy�'S�o�,c,//%� B.�xr�,e �• N E /�t/C. o- ��sr • -�/�IEiYT.SU,2�/EYA�t/.D T.yE o��S�� .S�K/�t/�E.e�OrV.S.�v�oUG�yp7-� USEp `{ Q 1f4 P.TER o SULLIVAN No. 29133 11n �'lsTEA�O`��{4� ON A •� V /07.3 71 YJ RIC HARD 't:r, A. �. BAXTER �+t /oo•� Pe� No:24W \ o® \ GISTS y OP �� I b 6 R K /o 7 3/I / 3� 37 9� Nl �o3c,e.T /�olZ1ZE2 � f 6 0& f � NO.9 ............................. 7'".. b:l;1tii M THE C ONWEALTH OF MASSACHUSETTS BOARD OF HEALTH S OWN OF BARNSTABLE 4!Z9 Date Apphration for Diripo!ml lVur1w ( omitrurtion ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: f •----`-•--•-----•- ................ M ...IL ............. ci //��jj Location-Address or Lot No. .................... .Vic?6 r ILe..-----•--•••----•-•--•-••-- --•---••-----•---•--•••---•--•---••------......--••-------••-•---•---•---•--------..........---••- �c�c a x ........ A1..G-4�1 M-J...................................... Address � Installers Address d Type of Building Size Lot.................... .....Sq. feet U Dwelling—No. of Bedrooms__________ .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity........___gallons Length______________ Width---------------- Diameter................ Depth................ Disposal Trench-- No. .................... Width_-..__........._.__. Total Length Total leaching area..._................s . ft. x P g g q 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... bate........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ t%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 .....---•--------------------------•-------------------------------•---------------.........................---.......-----......----••-•............._...._. 0 Description of Soil........................................................................................................................................................................ x U ........................................................................................................................................................................................................ w ••---------•-------- -- - --------------------------------------------------------------- =- - - - ------ Uature of Repairs or Alterations—An�wer when applicabl __Ia i_._.� �L.. .GSM; ..r0a;-- -. ......... .! Ylvt.��........_1 Gvo_.._... ......_1r e..l 1... s. .f....... ................................. 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 .... ................ ................................ /f��...� ...:-..... 8 ce Application Approved BY ................ --Q--------- ------------ .......... ...... . : �I ..--�._................. Application Disapproved for the following rea o s: ........ .............. ........... .......................................... ............................................. ................... ............................. ........ ------------- .............................. . ............................. Permit No. .... ........I-- .J±...-/�. .............. Issued ---- ��.........................ate...... re ——————————————————————————————————————————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cfertifirate of Cgomplian.ce p TH I ,T9 CERTIFY,/That the.I dividual Sewage Disposal System constructed ( ) or Repaired ( ) by ........_. r l ........�.1 .vV.. ...._---------------- ---------------------- ------...... LOf /01 at ........ has been installed In accordance with the provisions of TITLE 5o e St t ironmental Code as described in the application for Disposal Works Construction Permit No. .._.... .. .i'�. _ dated __..._...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C... NSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE- _- ----------- - .... Inspector -----------------------------------__....: ....................................... -------- --------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --i TOWN OF BARNSTABLE No. _ l FEE..10........... Bifglostt h tr rti> n rrtttit Permission is rb � ed------- -- _ _!/.�.L2. �to Construct d , ) n I f�virI ISewag is sal Sys71at No.•-•-•- --- --.---- •- �!?�+ � e-V �/ �•-"es r.. -f.a A-/C ?-----------------------------•------.....-- as shown on the application for Disposal Works Construction Permit N ._ / �j�Dated........................................... ----....----•-------------------------------------------------------------------•-•--------•-•-------_. Board of Health DATE............-------------------•----------------------------------------------- FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS ..,.�i. `-^ w ln•. •-.r..r`.'«i..r.�?�Y'jJ..a=a...+K.•�'v.'1r..,.•.�.�..:..��^••...i.r[v�.-w�.....-s..r::�.+w."`.f,r'+.._.r,..a,o„r-,..._ �rii......i..�1.�...�;;�.✓i�.,..y,� ._,.'."..�.v...�».y�..,. "i NO..7.......----- THE C� 0 ONWEALTH O SSACHUSETTS f BOARD OF HEALTH 4���✓L L` r �5" OWN OF BARNSTABLE AVVIiration for Diopooul Worlt,� Towitrurtion Vantit , Application is hereby made for a Per � '? ,1, pp y t to Construct (, or Repair ( ) an Individual Sewage Disposal System at: t3` t' Location-AddrenJ or Lot No. .......••--........ t . j l"oc.-- sir.l�4................••----•--••. .............................--•.....-----..,., - ........... caner Address �'10 n/(��nI.......................................... ......••--------------....•-•-.........-. ............. . r - Installer � Address 1 ( � UType of Building Size Lot............................Sq. feet - Dwelling—No. of Bedrooms---y.:-.r5............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther 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. t. 3 Seepage Pit No......... ........... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................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........................ ..............•-----..........-•-•••........................--••.....................................••-•........................•-•......................... O� Descriptionof Soil-••-••---••--•••••••••...••••••••••••-•-•-•.....-----•--•-••••••••••••-••-••••••---•----.•-•••••••-••...--•••••••••••--••••••••••••••••••.-•------•..................... x ` V ............................ ...........................................-............................................................................................................................... UW .......................... . ..•-----------....----•---•------- ---.....----------....-•---------------==---------------- Nature of Repairs or Alterations—Answer when applicable,�.4at a.....-�,�rr._:-..... � s�? .._.d._ 'N.I�..r n,). �. ..........-• ....... 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 nissued by the board of health. f Signed <� � 1.. �t'`1. -_..............---.... -......... . ............ .- /..� -y // C r ce Application Approved BY ,..v............ -.: -...._ .0.......(. :, / ..................... /../��. ... .. Dare.. . Application Disapproved for the following reams rr ... .. .... .................. ................ .................. .. ..-..-. ........... / Dace Permit No. .... ........�...." .... ��. �............... Issued ....... .1. ... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE T-er#tf rate of Tompliance THIS IS TO CERTIFY, That the I.dividual Sewage Disposal System constructed ( ) or Repaired ( ) by ........... .... 0.� -�Cl9 .......... ...................................... .......................................... ... .......... ,..�.. �. at -_...... u/ !. ......:��....�......._� Zt. ..!..L.� - / .-.-$ - .c�..f..._ ..0...!1.1_!- ( ....................................... has been installed in accordance with the provisions of TITLE 5VCNS e State ironmental Code as described in the application for Disposal Works Construction Permit No. ..._- .�- .- dated ....._....-_---------_..-......._......-_. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BESTRUEA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------- ..... --- ---.._._.._........_...........--... ._--_------------------- Inspector .. .. ........_...._ ........_......._..................-._...-..-------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A& 7v FEE.. TOWN OF BARNSTABLE ... --.. ad 1../...-.......... Dispno orkni Tonotrution Vantit 40 Permission is h�ejeby gr ted........�� /... !� �•' t`? ,1----------------- .................................................... to Construct n( �©"P- `mar (' ) an Individual Sewage Disp sal System a at No._.•... .s' ......---� ..../�111(l�t�l J'V/4 � ' J ^'tr«r r 0 �. s,-_ j as shown on the application for Disposal ��'orl:s Construction Permit N ...:1__ ..!. Dated.......................................... •--•••-•-•-........-•••-••---••••-••••••---. •-••---------------••-------•-•------••--•........_......... Board of Health DATE................................................................................ FORM 38708 HOBBS&WARREN.INC.,PUBLISHERS 1