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HomeMy WebLinkAbout0313 HIGH STREET - Health 313 High Street A = 111 —044 W. Barnstable r ` - �� TOWN OF 'BARNSTABLE LOCATION c -d�� SEWAGE # ' VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. c ,e v 06 5 67 SEPTIC TANK CAPACITY log LEACHING FACILITY:(type) NO. OF BEDROOMS PRIVATE WELL OF, PUBLIC WATER BUILDER OR OWNER j DATE PERMITJSSUED: 0 f7 9 DATE COMPLIANCE ISSUED_` VARIANCE GRANTED: Yes No u ' ay 3� D �� - � Y4w,����-�'.602a^ ' ~ Fmc-M����-- � THE CowvmomvvsAcrx or MAesAo*ussnS a ^ ^^ ^D OF HEALTH ^L ^ ^ " ' -_---��'y,`� 8�� 0F.x�� -------- ^� ��� �� ��^� �����x�mw ��� � ������ ������4rtWon rainit Application is hereby made for u Permit to Construct ( } or Repair ( \ an Individual Sewage Disposal System at: 3 �c���� ------ - __________ _ ......... -----_. --'----- ------------ ---- -----'--'�. ���-vr--'--'-=-.-'----- '�~-'---'-'---------------'~°--'~~----~~��'--'--' '�-- Address T}pb^o. Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. ofyccaoua------------' Showers ( ) -- Cafeteria ( ) `4 Other fixtures ^� ---.---'-_--.-.-----.----_----__-.--.------------------.-------------' Design I�ow'-------------.-------�ol>000per person per day. Iot� da�y �mv----'--------..----- . Ix Septic Tank—Liquid capacity............guDooa Length................ Width................ Diameter---------------- Depth................ Disposal Trench--No..................... Width.................... Total Length.................... Total leaching area....................sq. f t. Seepage Pit No'---.---- Diaozoter-------.. Depth below inlct---------' ]Cotu leaching area..................sq. b. Z Other Distribution box (. ) Dosing tank ( ) ~~ Percolation Test Results Performed bv.......................................................................... Date........................................ Test Pit No. l...............,minutes per inch Depth of Test PiL.-----.--- Depth to ground water........................ �14 Test Pb No. 2......... ......minutes per inch Depth of Test Pit.-''-----�. Depth no ground wucer---_-_---. 04� D c65o�.----- -'�����-~ -'---`--`-`-------------`--`-----------`------`'----------------'---`---------'----`-`--`-------- �:i '_'_---''--.----------'-_--.-_--.-'_--___---_---_---__----_'-_--_--------_-'--'----. U Nature of Repairs or Alterations--Answer when upplicab��--_--.--.-.-_-.-_------_--.-.----------_' -----`--------`----`---```--------`-------------`------'---'-----``-`----`-----`-`-`---- '`"'-_'_-'. The undersigned agrees to install theufore6escribed Individual Sewage Disposal System in accordance with the provisions of]�TlL 5 of the State Sanitary �d — The undersigned further agrees not to place the system in operation until u Certificate of Compliance has been issue y the boa d of h th. � � ---------- ......... Date � Application Approved Dv------- . ........ -------------------'- ----.c��--��.� - um" Application Disapproved for the following reasons:.............................................................................................................. ------__-----_--'-------------'---------'-------'-_'-_------------.------------.------_.----_'---- �� Permit{�o-'�=�=��-'�z��L��.==�------- ImnzeL------------------------------ FEB THF' COMMONWEALTH OF MASSACHUSETTS _, RD OF HEALTH r.. .. `f....oF..:... ... .. ...�.--.......................................................... Appliratiun for Disposal Works Tonstrurtion "rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Svstem at: '1L/`rr11 .......... ...AdI c on-:ddress or lot ti o. . . !: ------------------------ �/" O r l ddress W = 1=`` •- ...... ...'s4l.��r 1---•............ .r.� _�!!C�C mil/ ._r �r 1��. --.... I aller Address QTyp 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 a 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-_----------------- 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........................ Gz, Test Pit No. 2......_.........minutes per inch Depth of Test Pit.................... Depth to ground water_.-____--__.__---____-_- �+ ---- !?.... O Description of Soil............ . x V •••-----•----•-•---•---•--•-----------------•--•--•--•-----------------------------------------------•------------•-----------•---•-----•--•---••--••--•-•--•---•----•--......_•--•---•-•-•----•------•. W -•----------------------------------------------•---------------------•----------------•••--•••--•-•----------••-------------•--------------•-•---•--------------------•------••--•-----•-...--•-•------ UNature 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 T'IE i of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance �has --been issu�theboajd h lth. r � -- ^- ,—. Date Application Approved B %��.... -. L _ Date Application Disapproved for the following reasons:................................................................................................................ ----••--•-------------------•-•••---------•-••--------•-----..............._..••-----•-••--•--....-_-•----•-----------•---••-----•-•-------•----------------•-•••------••-----•-•-----------.....------ Date Permit No. z--=-'-------- 2== Issued----------------------------------------------------•. THE COMMONWEALTH OF MASSACHUSETTS —_ ..... BOARD OF HEALTH ......;.= .......................O F '. .'"�.:!.��:.... � .. �'! ..a .................... (Irrtif iratr of ToutpliFaurr THIS ISTO-,CERTIFY, T at the Individual Sewage Disposal System constructed ( L, )--or Repaired ( } 'A lby.. " .H ',,-•.............•..---•---------------._................_......----•-•---...............---...._..--•--------••----------- Installer at...........:�.....- ------- i- �', :?.'....._..._ �J has been installed in accordance with the provisions of TIT E 5 of The State Sanitary Code•as lescribed in the application for Disposal Works Construction Permit No...................... ..... dated----- --------------_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................... = - .......................... Inspector.................. c ............................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --''� ,f' f N OF.... �.�"�"? (.J ........................................... �{ =y NOC'f_i-! C.''?P_ FEE--- ..................... Di rooal TWorks Tonotructtion rrutit Permission Is hereby granted '` == nrJ_._._ to Construct ( ) or Repair ( )-an Individual Sei osal System at No. — ;-'�J�` Izz- -- �}------U ... "t " ` !-'--•-----------------------•-••----......--•-------•--•-------•-----------------..._....------- --- _ Street as shown on the application for Disposal Works Construction Permit�No._ ... �2_ 1Dated'_ ! .......................... - 1 7 ��" .. Board of Health DATE..........X '� 7 a FORM IL5HOBBS-& WARREN, INC., PUBLISHERS ti Ar TOWN OF BARNSTABLE • — LOCATION � ,��� a'Vd� ' SEWAGT: # VILLAG ASSESSOR'S MAP C LL 6`.� lc 00 INSTALLER'S NAME & PHONE NO. EPTIC TANK CAPACITY �> / LCACHING FACILITY:(MO NO. OF BEDROOMS PRIVATE WELL QP. PUBLIC WATER_ 1� BUILDER OR OWNER /ti DATE PERMIT ISSUED:�Q —7�i' DATE COLIPLIANCE ISSUED: _-f� VARIANCE GRANTED: Yes, No f ----- /.f 1 • h 14✓✓ 14V ✓..- lid Lro 'C'�yl •* �'''A THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................OF........................................---........_...................................... Appliratiun for Uiipusal Works Tunitrurtiun amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at Loca' Address or Lot IN, , .. .. -_-•_--Lc._- -�----- Z1--__�..�.Ih. l .:. ...... ................. I O ner Address •----••----•------------------y'r"`____•- .......... ---•------•----._._.....__-----Address---•---•-•..._.........._.................. �J Installer dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms___________________>_-:___.................Expansion Attic ( ) Garbage Grinder ( ) �?5�._R ` 4________________ Showers Z — Cafeteria Other—Type of Building d �!�No. of persons.____..__._ 1 ( ) ( ) 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. 3 Seepage Pit No.....................->ameter.___._.___._..___._. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '_4 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........................ 0 Description of Soil........................................................................................................................................................................ x w ..........................-............................................................................................................................................................................. UNature 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 iITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the board f 11palth. C � Signed ---- - ........... ............ .... Date Application Approved By.................. . - -•- ....... ---------- ? ......... Date Application Disapproved for the following reasons----------------------------•-•--•---•_-----------•-----•---•-------------------•-------•-------------...___..-- ......................•.................................................................................................................................................. ............................... Date Permit No-----1 1_.. !_:3:�.---•-----•--_-••_ Issued_----------•---------------•--...__......_..._ •--- --........ Date .......... Fss.... �r .. .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................OF.......................................................................................... 'Appliratiun for Disposal Iforks Tonstrur#iun Vrrmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy. em! .... .h..-. Loca on-Address or Lot No. ..... +m. ..±..��.u .>7..._.... .s�.�::[...._ _ . .1. .. in.. :. .-•-• V. ... .)._................ � pe ner Address M Installer Address F+Qji Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.....................:._________________._Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons.......4.4________________ Showers (Z.) — Cafeteria ( ) W Other fixtures ----------------------------•-•--------------- Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth............._.- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft, Z Other Distribution box ( ) Dosing tank ( ) ~" Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test 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........................ a ' O ' Description of Soil_________________________ V ------------ •-•-----••-•------ ----------------------------------------- --------------------- _------ ---••---•---•------•----••• ......... ----•--•-- W ••••••••••••-------••-•-----•---••._.._...••-•-•••••--••••-•-------•••••-•-..._...--••-••-•••••-••--••••....•••-•--• ••-•••••••---••....•••-•-••••••••--....:.--•...._••-•••••-••---•-•••------••---•••- UNature 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 TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the bo raflth. Application Approved By.... .. .... ... ....�..a =. .7 -...... .. --`---`°� Date Application Disapproved for the following reasons------------------------•---••------•-----------•--•----.....--•-------------------------•••---•••--------.___ -----------------•---........---------........__....-------------------•-----•-------..._.._.............__....--------••----------•-----------••-----•--------.........---•••••-•••••••••............_ Date PermitNo....g_�..:...L 3.a----------------------. Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............OF...... ::................................... (Irriif iratr of Tomplianr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired,(Z-) by........................... �p n.�.�.t,. .... • ................. ........::..........-- •---•--.................. ............_.._...._ Installer at.................... ...t..3.........� :--- -. .. ----�'-••- ' . ,M., .lf..------.......-------•---•-----.........------......................------. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... 3.3............. dated...............,................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................... -. ..:'_ .. ............................. Inspector.................. �. ........................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L2.:..L.al..a. ............/cZP.n.............OF........... ire 2 P:l`�! ......................................No.. FEE.. .......... Disposal Works Tunutrn#iun Prrmit Permission is hereby granted.. .�.......I. IDisposalij ._.._ to Construct ( ) or Repair (X) an Individual Sewage tem at No........�.L..'..a....�Y_.t S.. y3.r.c . ------•--•---•...............•-------•-----•-------•-•-------............. T,._ Z¢.............. �: street as shown on the application for Disposal Works Construction Permit Na-fS- ..1.3.')... Dated.......................................... ........................... )�.......................................................... _ Board of Health DATE..................:3_.:... .-.. ......................:........... FORM 1255 A. M. SULKIN, INC., BOSTON 0w/f oaa %)j T.4w k ®� r r- - i l ASSESSOR'S MAP NO. PARCEL LOCATION r , SEWAGE PERMIT NO. r c L( VILLAGE I N S T A LER'S NAM i A DRESS I U I L D E R OR OWNER r DATE PERMIT ISSUED i DATE COMPLIANCE ISSUED oolZ �J ' d I r Q� Flms..... ....._............._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .........................................OF........................................----•- ..._...... ,X:PVjiratiun for Uiipusal Workii Tondrurtiun ramit Application is hereby made for a Permit to Construct (��or Repair ( ) an Individual Sewage Disposal system at: s._...._ . � �V --...------•------------ -�.............................................................. Lo ati ' Addres or Lot No. �D - �, ................................... � �� � mg . � ----- ... -..... O er Address a .... ...r.�.. . ............................................... .................................................................................................. nstaller Address T e of Buildi g Size Dwelling—No. of Bedrooms---------A...............................Expansion Attic ( ) Garbage Grinder ( ) �914 4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria Q' Other fixtures --- -----------------------•---- . W Design Flow...................... .- ............__gallons per person per day. Total daily flow......3 3®.......................... Ions. . / ® / ' W Septic Tank—Llquld capacity...P_�__._...gallons Length__......4...... Wldth._..7__�..._ Diameter_______ _____ Depth.______........ Disposal x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..........I......... Diameter.._..! .......... Depth below inlet.......4........... Total leaching area...Z.47...sq. ft. Z Other Distribution box (A) Dosing tank ( ) pD '-' Percolation Test Results Performed ........ Date_AL'p..r..... .Q aTest Pit No. 1....... ......minutes per inch Depth of Test Pit-----!.3....... Depth to ground water........................ Test Pit No. 2..._.._Z.....minutes per inch Depth-of Test Pit......L.3........ Depth to ground water....:.-._—......___. --------------------------------------------.................................................................................... O Description of Soil------.... ......... ------ x U ••••---•••---••••-••-•••-••-----••••-•-•-•-••••••---••-•-•----•........-•---.......-•---•-•••-----------••••••--•••••••••-•--•••---••••---•--------•-•-•---••--••••-•---••-•-......---•---••--••---•-... W ----••---------------•----•--•----•------•-•-----••----•-•----•----••-----------------••••••-•--••-•-•-••••••-••--------••-•-----•-••--•-••-•-------••......•... ..........•... U Nature 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 TITLE 5 of the State Sanitary Code—The u dersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by thelpoardof health ined-••--•••... ..... . ••-•••• ---- .................. ..(f ...13_,.Rf Date plicationApproved By -----------------------•--•------------------------------------------ Date Application Disapproved for e following reasons--------------------------------------------------------•----------------------------.__.._..._..---------....__ --.......---•---------------•----•--------------------------.......--------------•------•--•---------•--------••.._...............•-------•-•-....••--------•-----•------••••-••-••--•----•---------_--- 57J Permit No......................................................... Issued......... V .ate------ Z t� Sec. 30, 1985 Slown o f 6a-t�.tabte So atd o t ld eatth Idy , Na" 1�1�c. �ouMafrt�ivi kigh St-,iee t. GU, f3a .s,tab Ce Aft: Mom. �� C'onton, Slhe 4.eptic 4414te t tot tJ-w- aboue mentioned �,ocaton wad, acc64,dia to pin cad erected on Dec. 27, 1985. inc A� Att C'cpe'£ ✓,I e�eA nc� 149 14a,bot, road /dgann i 4, Mcd.. 02601 ;I- t No....................... .......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...................................... Appliration for Disposal Works Tonstrurtion ".truth Application is hereby made for a Permit to Construct (�r Repair an Individual Sewage Disposal System at: 31 .J. ---------G. I.I.L-Y -f..... AI?Rf. ....................................Location-Address �............................................... ......................... ....7.2n---&C'U.M..tj....... No. . ....4..+�T_ ...... ner Address .............................................. .................................................................................................. tT,'/ installer Address e of Build' 9 Size No. of Bedrooms......... ................................Expansion Attic Garbage Grinder Dwelling P4 Other—Type of Building ............................ No. of persons........_.__.....___.._...._ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow................ _!;_4* S's<Z' ............................gallons per person per day. Total da*l flow_.._.............................................olons. 04 Septic Tank—Liquid capacit/:�"O..gallons Length.2°.!�...... Width..5_1 'k" .............. Diameter---- Depth_.' Disposal Trench—No..................... Width_...___............. Total Length.................... Total leaching area----_-_----------sq. f t. .......... Diameter...._'/0 Seepage Pit No---------t ......1 ........ Depth below inlet......4t.......... Total leaching area...f-Z.&I....sq. ft. Z Other Distribution box (A, Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 0_1 -Test Pit No. I........2.......minutes per inch Depth of Test Pit---- ........ Depth to ground water------------------------ ;T4 Test Pit No. 2.......Z......minutesper inch Depth of Test Pit.....!. ......... Depth to ground water........................ 04 ............................................................................................................................................................. 0 Description of Soil.......:1....... ......................... ....................................................... ... U ....................................................................................................................................................................................................... W ........................................................................................................................................................................................................ U Nature 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 TLITILj 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iissued.b theoard of heal Sign .... ... .......................... &Y e7d.. ... Date /Pplication Approved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo....................................................... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... ToWrtifiratr of Tuampliaurr taTHI I TO RTIFY, That the Individual Sewage Disposal System constructed or Repaired b . ..... .........................7/7/.......................... nstaller--------------------- ....... ......r.. .................................. at- ............ --------------------------------------------------------------- ----------------------------------------- a en installed in accordance witl the provisions of TITIZ 5 of The State Sanitary Code as described in the ��t or I application for Disposal Works Construction Permit No......................................... dated_._.______.___._____.____.__.__................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRID AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... ..................................... Inspector................... ....... .....clesm THE COMMONWEALTH OF MASSACHUSETTS L ng, �� IQ 12b ET-T BOARD OF HEALTH ..........................................OF.................................................................................... No...... FEE........................ wifit. ttotnulion VIrrmit Permission is hereby granted------------ H N-••----:...14 ............................................................................ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............... r ...............fft -h '-S. 4............W-C-ST--------B4P_1V.S A.01..c................................. Street 5' —!5z4- as shown on the application for DispOsATorks Construction Permit No........ ........ D d . ........ ...............----------------- ..................................... ... ....................... r DATE.............. ...................i4�........... o d of Health FORM 1255 A. M. SULKIN, INC., BOSTON E LO. C � TION . SEWAGE PERMIT N031 YILLAGE I( ST A LL R'S NAME a ADDRESS IIUILDER OR OWNER �. 14mrlz DATE- PERMIT IS ED DAT E COMPLIANCE ISSUED c , f U O I JN r _ /B O. 4l 94�9• 98.4 . LvT P2 �2 WcLL - a O V� 7. 77,w.2, 48 97.8 QD W�2 Sro;✓� /o N a•f-23' /D , v� l¢� 97 DP! i PRuPvSED j s 993 48, { 9.3. sr /SO 0 77 'Ex0 /o.o,s ,..., = .24 7 5.i'• To EXI,sr11vG \ 1 /pp•U I 'POL, -PL.A SCALE 40, o FNo 99.3 DvZE S-g-BS i 96 g `G� ��O ShETC:s-1. r�LAN OF LHNO :iA/ 1,4kIV5r.49LE, N/// ALL CAPE FbR q9. H.9 eeo 7236 nic Lof''1' QS sA'04,rN, (Dn/ ,I PLAN 6F LrrNo cv,LpCD /A/ 7-HE }i?n1;5Tc!l3tE R cis7-A>1* of K 27¢ OrE, RE✓v)a,1 r/LG (W,V5 /aT�L'GE E03 �i96E 2. k �G✓Cat/On,$ bQSCC�or7 QSS�(n7rr� c1�f�,in M,g r6lz/y L. ro /o Ir/?0 PI /7NO -1R,l-F/LL WLr./ c4roy. SAVo /L.l.. i1 r GENT: ♦7.6n/ST�t7LE C•Aa,7 3F77AL/N TES` /T W,T•t T/M CONLO^/ vo w4741Z FNcda,vrE.2EfD.i rPrRe RAr6L; 8MAN F'�i?• / I ---......... /vD' /va•s ro p T�n C[.ay 97. C[A F 97' y Ss+/VD 54.7 Iti7e 0• WILLIAM yG /V/Ed• F H. t FARDIE -' 3or/Ey 73 y A p No. 8995�v0 2 TtF�G`TE27-7 ��\a(��4. $lu 9 / ®3' 371 ,tom - LOCATION.-' -SEWAC;E PERMIT MO, . Ile - -It�ISTALLER�S-IJ�tJIE-�-ADDRESS.- _ ___ _ _ '.--DIJ►TE--PERtv�1-T_--1_SSUED---.LG.-�_�"..��_-_- -. COA/IPLI_&KlCE -_I_SSUED - lJ �pi e ASSESSOR'S MAP. N0. PARCEL / t ®,TSATION SEWAGE PERMIT NO. �VI 'LLAGE IMST`A`11 LER`S NAM i AID RESS cam ® U 1 LD E.R OR OWN E DATE PERMIT ISSUED ® ATE COM Pl. IA-NCE ISSUED ly 9. No.... ...... FicE ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD Qf HEA1 -rH ........ .1.44-7t---OF....... ................ P Appliration -for Uhipviial Worka Tanotrurtion Vanift Application is hereby*made for a Permit to Construct ()e) or Repair an Individual Sewage Disposal System at; S7�;P-�X J-re_SPZa^`7 ....... ..............................)---------------------------------6..... .................................................. Locatiorf-A�aftfr�ess tF .. 1_41- -,)c • 17 01'e ca&"v ....................... ................................................. ..................... --------- xddr ............................... . ........ ........... ............................. Frfstaller Address Type of Build Size Lot............................Sq. feet U Dwelling—No. of Bedrooms---------3--------------------_---------Expansion Attic Garbage Grinder Other—Type of Building ---------------------------- No. of persons............................ Showers Cafeteria Otherfixtures .................................................................................................................... Design Flow. 76-_----------- -------- .ons per person per day. Total daily flow...... 45?!77V� ................gallon,. 94 Septic Tank—Liquid capacitye_4---�dll(gallons Length................ Width-. .... Diameter................ Depth---------------- Disposal Trench—No. .................... Width...._...._..__ t a^Lh.... ...... ... Total leaching area....................sq. ft. w In et e;v�n et ... Total leaching area... sq. ft. Seepage Pit No----- Diameter/ 44hq Other Distribution_�O_� Dosing tank Percolation Test Results Performed by------ -------------- .................................................... Date-------------------------------------... ,� Test Pit No. 1................minutes per inch Depth of Test Pit-..__-_--___--_.-__- Depth to ground water--..----_-..--.--.----. G14: Test Pit No. 2................minutes per inch Depth of Test Pit_--____.-__-_______- Depth to ground water------------------------ 94 -------- ..:..........10---W_ ._... Z N... ........ --- -------- -'k------------- 0 ...... ....... ...�Z----------- ­—- -- R------/_5­�­ -------- ... ... ......... ... ... Description of Soil__.__7... ...... . ... ./� V --------------------------------------- -------- -----Y *... ..---- .... ..... . ----- .............. U ------------------------- --------------------------------------------------)X&­ - ............................ -------------------------- U Nature 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i by the board of th. . ..... ---- Signed ..... .... .. ........ ........ ----e------------------ ..... . ....... ............................... Date 4 -,e ---- Application Approved By 7��7---7__�7 Date Application Disapproved for the following reasons:------------------------------------------- ............................................................. ------------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued....................................................... Date ---------------------------- ------------—------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, '1---OF...........,! ._ t��l/7r e1.....'....... Applirntion -for Uhipoiial Works Tonitrurtion Vrrniit Application is hereby made for a Permit to Construct (')C) or Repair ( } an Individual Sewage Disposal System at c ns�Liocati ons Addtss/ , 0r '921 Q AZ Alo'-rnan Ile— a ---•......-•---•............•............. -••---.......................... .... •• --•••-•............�...................................Address -� Pffs/taller Type of Buildings Size Lot____________________________Sq. feet Dwelling—No. of Bedrooms-----------2...............................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ---------------------------- No. of persons..._--_.-.---__-____--_-_-_- Showers ( ) — Cafeteria ( ) 0.' Other fixtures _..--- --•-••-•-•-----•-..---- d --- ------------- W Design Flow............fir ......................��Mons per person per day. Total daily flow------ __. .............gallons. Septic Tank Liquid capacity/V�19dlons Length................ Width-_.:........... Diameter----.-.--------- Depth---------------- x Disposal Trench—No. .................... Width---------------e__ otal Length--_-_/--___ Total leaching area--------------------sq. ft. e 4'4L Seepage Pit No:_______ --------- Diameter., ._._d___ Depth below >nlet------h___.. .:.. Total leaching area------------------sq. it. Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by------------------------------------------------------------------------- Date....................................... Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water-...--_----.---.--.----- �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_.----..--._-_.--_----. --------- -r ------- ......................... ' = ' ----------------- --------- _ O ---------- Description of Soil------... T` " "� Ga t :_ _ S mot [ -- ---------------------- J y V --•------------------••-----•---•--.. -1 - .- ...� _....... Fi/:�_7(K� � /--v3�D L/ ..................... fds:. ... Crtt '�1 U Nature 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 Article XI of the State Sanitary 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 ........................................... ........ ....... -----._...._Dace Application •-------.----- A A `' // �., �" .-/ _� / i./ !s•�1�1_l �_._._ / a_�__! % PP Approved B Y Date Application Disapproved for the following reasons------------------------------------------------------------------- --------------------------•------------------- ...----•-•---------•----••-----••-•-•-------------------------•-••-••--••••--•-------•-------•-----------•--------••---•-------•---•••-•-•----------------------•----------....--•-•---••••-------•-•--. Date PermitNo.......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... +!�. rt"?...............OF......... .................. .................................... (E.rrtifirnte of omphanrr THIS7IS TO CERTIFY,, hat the Individual Sewage Disposal System constructed ( ) or Repaired ( ) f In�aller � � J at. ----- -----f---- - has been installed in accordance with the provisions ofrA ficlee.XI of The State Sanitary Code as described in he application for Disposal Works Construction Permit No.-�_''-' __,_?_ !_f..._..__. dated.......... e___. ._._.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE© AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. '/ DATE. " °Z / ............................... Inspector--P-0112"4L�-- ------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF jHEALTH f 1 l .i%,' 7 O F t/ Cry".....L.'�rj�' .d i ........... ....Y,........:..... ..... ............... ....:.......:.....:................:........ No.------•. =' . v FEE----------------------- C�un�trnr/�ion. /,�_rntif Permission i h reby granted.... , r'1_ l t - .�---------. ------------------------------------------------------- to Construct ( jT or Repa it_( an Individual Sewage Dispo�/System at No. n / A� — ,i,, l .L; G,----_------ Street g �— as shown o the application for Disposal Works Construction Permit No-,__ . Dated___ ��-_/_ 7J ---•--------- > / DAT _.: C" -L- 1411) - ?7 Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS I • `'�: ;,.; ; - ;_ I----;-- ,--r--��/s�'-..� -- ,��i/}h �.;...._.....---- _-. . •-_. _ _ ...•i-� . I.. i / •'' is 06 I , I I I I • I I � I (�; :, f I I'•-t _s-•1� :r I L. I ..I , I I , ! � �, I -/I / � ...I � ALL!. !-.. _� . ' _. .� .. _ I I I I ! •. _ I f ' i ' ' l L �y�I _ _ I _Li�~`_-�•�.. �V /�✓ �4.' I i I i i I _ f ' i i, r. • i`�.�. � a „ I I I � � i I I �I�o7 ., •"j �. •.I � i- i�';�• � _ . :-.I _ I_..._ _ .. L...,. _I I I. i .. ' ._ � ..- .. _. __�._,. i I__ j-- I -- - I - I_-_� ' I • • � I ...I . I - '. -.i_- .I ' + L__I.._� I _ _ _ I . i i .. _ - i .- , • i _..f - i ; _ � . _I. _i ! , . • f I AL N 'OttJ, I � � , ' � ,- � .. I I I s io,;ni:" ''��c t. ��r�..!-Si`��l1�Gt//�:T1� � ! iC9T1 S-r'• � , BARN'BTA LE COUNTY HEALTH DEPARTMENT BARNSTABLE, 1Nti AKS. 02030 Te+.tt►Howie 362-2511 Ext. 331 Date: October 3, 1975 To: Mr. George Sutton , Old County Road East Sandwich, Mass. 02537 X 1 f On the basis of a sanitary survey and a laboratory examination on $he sample of water taken from a .. ..well. . . . . . . . .. . . . . . . . . .. . . . . . . . . . . 0 . . . . . . . . located on the premises of .. . . . .GeergS.�4tgki. . ... . . . . . . . . . . . . . . . . . . . . . . . . . q Street West Ba located at .. . .����. . 9 rnstable October 2, 1975. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .on. . . . . . ... . .. . � (Place) (Dais) this supply is approved for domestic purposes at the time the examination n#az made. If you wish further information regarding this supply, please contact us at the County Court House® Barnstable, Massachusetts (Tell 362,,2511 Ext. 331) and we will be glad to assist you in any way possible. C Public Health Sanitarian ' Iron-----.38 parts. per million