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Home My WebLink About0016 GARRETT'S LANE - Health 16 GARRETT LANE West Barnstable A = 195 - 012 - 002 .-61Z oO2 ✓ i TOWN OF BARNSTABLE LOCATI � Cl 00VA SEWAGE #(10 i VILLAGE '. ISS.ESSOR'S MAP & LOT INSTALLER'S NAME A PHONE N SEPTIC TANK CAPACITY r (Size) Cl�x LEACHING FACILITY:(type) i NO. OF BEDROOMS 2s PRIVATE W OR PUBLIC WATER i BUILDER OR OWNER i DATE PERMIT ISSUED: i"'I �" 9® DATE COMPLIANCE ISSUED. / VARIANCE GRANTED: • Yes '✓ No SO � k /71` e IQ/< -®iZEso®z f ll�� TOWN OF BARNSTABLE LOCATI �U (ja(iQ-4SEWAGE #q0 VILLAGE �"tASSRSSOR'S MAP & LOT INSTALLER'S NAME & PHONE N .� �rIc�-+� dCL'g SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) Cox NO. OF BEDROOMS '2, PRIVATE WE OR PUBLIC WATER BUILDER OR OWNER \NTV0 %(\et4- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes ✓ No �� . � �. �- � � �� C-,cr5`I��C� - �� J''�7r � 5��. cpl� Fx$... No.....f...�>.: �_�..........� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Elispniial Works Tonotrnrtinn Prrinu Application is hereby made for a Permit to Construct ( ) or Repair (LXan Individual Sewage Disposal System at: , • -- Location-Address or Lot No. -- ....,�k�L ._s.�.C1.11.�.... •-•----•----•-------•---------- -------------------- -►?.th-$..-....................................................... Owner � A ddress •--•-•-•-••--•-------•--. •----•--... �. ...................... ... Installer Address Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria 04 d Other 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. i .0,� Seepage Pit No.......I ��_.............. Diameter-_____ __-___- Depth below inlet....... Total leaching area..................sq. ft. Z Other Distribution box ( ) 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---_•____---_--_--_-_. --------------------------••-------•--•-------------•----------•----....................----•--•-•--........................................................ ODescription of Soil............................................................................... ---------------------....•..---•--•--------------•--•--------•--•-----......._..----- x U •--------------•--------------------------•---------•--------------------•-------•---------------------....------------....----...........----------------------------•-•--•-•......-------•---•--•-... W -----------------------------------------------------------------------------------------••-••----------------•--------•-------......-•-------••---•-•--------------•......--•------•--••--•-. VNature of Repairs or Alterations—Answer when applicable- +-s._. ��.____.. . ?�?_....bK.r2. ' �i�v � ...................... ---•-------k�i:x� *.,-];;%.cx.4/-,.,-....e.e-:.-_?.�a�c`� ��t�---•-------------------------------------------------------- `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 th board of health. Signed .. ..... '-:� ................... .... f , ...G..------- Date Application Approved By ------------ V "n ate Application Disapproved for the following reasons: -----------------------------------.................................................................................................. --------------------------- -------------------------------------------- -- ------------ -----------------------------------------------------...................................................... --------------------------------------- Permit No. ........ - � .................. Issued ------------------. ------- Dace Date i No................-`�33 FPS....��._.'. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Allp iratilan flar'llisposal Warks Tonotrnr#ion 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair (j..,/an Individual Sewage Disposal System at: ............ ------------------------- -----------------LA-)...tea ................... Location-Address or Lot No. .......... �...�,�... I ��J ............................... .....................5�a ... .-......................................................... Owner Address a Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) �+ Other—T e of Building No. of persons............................ Showers — Cafeteria Q Other 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.....-1------------- Diameter......l01....... Depth below inlet......in�......... 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-.---...-__-_--.--_-.- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' --------------------------------------------•--------------------------------------•------•--•----•-......................................................... 0 Description of Soil...............................................................................---------------------------------•------------------•-------.................._._...---- x U ........--••--•••••••.......-••-•-----•.....................•••-----•-•--•••-•--•--•-•---------••--•....-•-••••-•••------.............-•-•-••••-------•••--------•-----•...--•-.._....-•••-•---•--••--••. W •-•-••••••-•----------------••---•••••••-••••-•••••-----------•-•••••••••••••--•••••••----------••••----•-••••••------•-••••••-•----••--•-•••--•••••----•-•-•-•--•-----•............• ..... x Nature of Repairs or Alterations—Answer when a hcable._..__-- ,,� �� t U P PP s ` !ram-h-T#.n` atfs-mUS..... 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. g ned Sl - a - J� 1.�-`-----�_. Dace Application Approved By ........... ------ ...... - ,-------------------------------------------- .......------------ • - /.✓�-' l/ Dace Application Disapproved for the following reasons: ..............................................-----------------------------------------------------------------.................... ....................... i _ Dace Permit No. ................................. Issued e Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 11 'TOWN OF BARNSTABLE Tier#tftra e of C�omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( L_).:� by....... ................................... caller--------------------------------------------------------------------------------------------------------------------- at ....................... ,....... .-.-tA:.�)R1..----..�' L-f - ...----------------......- ` .✓v�� -0<..--------..... - >a�C`� - has been installed in accordance with the provisions of TITLE 5 ofnThe State Environmental Code as described in the application for Disposal Works Construction Permit No. ......1. ..�.- ��..... dated ...................... ------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI L FUNCTION SATISFACTORY. ...------. Inspe�o DATE.. ` •: ------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 9'0 j3 TOWN OF BARNSTABLE �20 No...................... FEE................' 73 wispos l Works Tnntrnriilan rrrmit Permission is hereby granted............. .....................................................•••.......... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No...................11o....j �_ �'t�='' S..A�.�:r��...._......� �Z�,,-r�r .�1• ,\.................. ............. Street > 7 as shown on the application for Disposal Works Construction Permit 6'2✓ .._ Dated.......................................... r. .. --- •••• _ (y _. . . DATE. T -1 ^ /�.--•----_..----•--••------...--•---• Board of Health FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS I i