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Home My WebLink About0052 HOWLAND LANE - Health Sd c,o I CZA d L4, - , II I /oil /ool J No.... . THE COMMONWEALTH OF MASSACHUSETTS 111/ 11_, APPr,��;: BOAR® OF HEALTH ,a TOWN OF BARNSTABLE � V// Wi-T—1a Signed -"+`VftratjmM lltipnsttl Works Tomo rttrunn Frratit Application is hereby made for a Permit to Construct ( ) or Repair ( '-�an Individual Sewage Disposal System at: .V-A- ............... ... - :w-...a� :. ......... ------------- -T O w` L t��On-Address s or Lot No. aL�J.. ...0.!. .... �' '_ D. 6 Add 'L(O Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms____-jam........................... _Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building ............... No. of persons............................ Showers — Cafeteria a' Other fixtures ............................... . . W Design Flow.....s�.........................gallons per person per day. Total daily .........................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench— fNfo. .................... Width.................... Total Length......... ..______. Total leaching area....................sq. ft. Seepage Pit No-----1------------- Diameter---/0._......... Depth below inlet---S�-.. .... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date--------------------------------------- Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fZ4 - Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ g ---••----------------------------------•-•--------••-----•••--•-••••----................•--•................................................................. 0 Description of Soil-----------------------------------------------------------------------------------------------------•-------------------------------------------------...........•---- x V ....---•--------••................•-•-•---•----.........----------•--••----------••••-------•----------••-•-------------•--•----•••••---•-••---••-------•---•-•------•-••-•----•----......-••••-•----••. W ------- U Nature of Repairs or Alterations—Answer when applicablej� �J .......... ___ ..._ _ l ...........................................� 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 issue e b rd of health. / q Signed ---------------- ----------- ................... ------ . --------------------- .. Dare Application Approved By .................... -� - fv:- %_......9-.-Z Da e Application Disapproved for the following reasons: ................................................................... ............................ .. ............................. ------------------------------------------------------------------------------------------------------------------- -- --- -------------------------- PermitNo- ----------- - --------- Issued ..-- -------------------................---------------------- Date i .! _ o� ' . Fss........�_��_.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLEt-i --- ppliration for Pispnsttl Works Tonstrnrtion rami# Application is hereby made for a Permit to Construct ( ) or Repair ( k.j`a*`n Individual Sewage Disposal System at: L d•,-�r .................5....j4v!� •=.................' � ... - `��v`i�( -....................._...... . ---- lLocation-Address or Lot No. -c{,v t ..... . ... ....._.... ... - ............................................... ••---••---•---------•-•••--•••---------------•--........--•--------...._........--_.__------ Own 6 y Addres- Install er Address S Type of Building t i Size Lot........................... q. feet Dwelling—No. of Bedrooms.._: .......................................Expansion 'Attic ( ) Garbage Grinder ( r) a'4 Other—Type of Building No. of persons............................ Showers YP g ------•-•------------------- P ( ) — 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— o..................... Width.................... Total Length........._.._._.._. Total leaching rea....................sq. ft. Se page Pit No..................... Diameter...1l_�_.._..... De th below nlet...k....._..__ Total leachin area--------•---•----_sq ft. z Other Distribution box ( ) Dosing tank ( ) f a Percolation Test Results Performed by.................................. ----•.................................. Date........................................ Test Pit No. 1................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........................ a 0 Description of Soil...............................................................................--------- - x W UNature of Repairs or Alterations—Answer when applicable...__77,4—S_�_4-1�.....P �G�� f a � �''' ..`'.... ----�,v c_4V 1 f.iaL.... ....Ls A/A.!•- ...........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 r _ system in operation until a Certificate of Compliance has sbbe-e-nn issued by th_e board of health. / qr Signed k_-•�-��.:. .� � l ................................�7 C, i. -p ......,v�..__---...�� .._......................... Date Application Approved B ..--G_'�_-�-.-_�--- PP PP Y ---'-'--'---------- -- - -- -----'.'-----.... --- - �Dace - Application Disapproved for the following reasons- --------------------------------- =-------------------------------------------------------------------------------------- ---------------------------------------------- ........................................ =...........................................................--------------------------------------------------- ----------------------------------- ^ y ., Date Permit No. ?.,.. oZ0..91----- ---------------- Issued ......................... ----------------------------------------- a Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cex#ifira e of C araptiane.e t THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by--------------------------------- ------�7 -(f a fl _(>A rat✓1... r1- 1.t. ------------------------- --------- Installer at -----------------------------------------............... .-- Q=---�",........... 1/1- ..................................................ST &AI?^tel -- ---------- 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. ........c7_. _ 7. ............ dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .... .....7....r�---......................................... Inspector -------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Disposal Works Tonstrnrtion rrmif Permission is hereby granted-------------. &L- ....!�- 11� 7--7/ __.. to Construct ( ) or Repair.. ( L)-an-Individual Sewage Disposal System at No.....................�!,- a ra"_ _A oa o10 t a I n !...... - ;•, J' •�T I�� .C'. ............ Street as shown on the application for Disposal Works Construction Permit No.. - - 7�.- Dated.......................................... �, n Board of Health DATE ./...... ......Y-......:/................---- -------........ FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION C-r[x�� _ SF SEWAGE # VILLAG bt�I�ES�a�� ASSESSOR'S MAP & LOT - /. 0o INSTALLER'S NAME & PHONE NO. � SEPTIC TANK CAPACITY LEACHING FACILITY:(type) P1 -C{A�j1� Pri- (size) 3� NO. OF BEDROOMS 3 PRIVATE WELL O fiI R BUILDER OR OWNER 'T'oW\- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: _ 1 VARIANCE GRANTED: Yes No `/ ulcil i` i7at G..s No....g.Y. ._1. F�$............._............._ THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH ...................T-own.--.......OF..............Barnstabl;e - •••.......••.... Appliration for Dispati al Work, To-uBtrur#ion Errant ' pplication ' hereby de for a Permit to Construct ( X) or F �paar (' ) an Individual Sewage Disposal st at �, � ...- -.......Maple S - W....Barnstable Lot 5 ...- ......................................... -,,, j........... _ .................... ....--- r.. Location-Address A or Lot i r. M ........................................... wrier; .... - —Address a it ..... � T{��► ..._.. --------------•----•=+ ... •-----.......-----.................------^--............._.. nstallerF Address Type vloi Building K 77 Size Lot.._1 ,000 Sq. feet aDwelling—No. -of Bedrooms................................_..........Expansion Attic (�, ) Garbage Grinder (nol Other—T e of Building No. of persons.....:............. k?... Showers — Cafeteria dOther fixtures ----------------------------------•-. ---------- = =: : \, : W Design Flow....................55_..................gallons per person per day. Total daily,flow........ 9 Septic Tank—Liquid capacity...._,,.0.0;0lons Length_$'.6°.'..._ W dth,_�._'.�.0."_ Diameter................ Depth....VA.". •. x Disposal Trench—No. .................... Width.................... Total Lengt _._..... . Total leaching area....................sq. ft. Seepage Pi u t. rion box 3 o iameter... Q- tank Depth below inlet.._4_'�,. :_... Total leaching area..... 8 2......sq. ft. Other Percolation Test Results Performed by.._CaP.Ei...COd_.S11rvey.._Catlsi lta In ��_ ... c ............. aTest Pit No. I................minutes per inch Depth of Test Pit.........,............ Depth to n ofek... _yam ........... Li. Test Pit No. 2................minutes per inch Depth of Test Pit.....................,Depth t(Ag and wEtter...-- `" ......... CHAPMAN yQ k ::--- -•------•-- ---- • •- .----.- v A No.27654 O Description of Soil T�St P1 �........S B...�?1an_.. Or..SQl =-Ot3� -�� ` ........ .4......... ------------------l:Q...min.,Dina---Pjercalat.ican---rate-------------== :.--- . '��s sTEa <�� --------------- AL r�l r...-------------------------------•---••-•-•-••.....------------------............................. •----------.._...•---..........•... .................. .................... U Nature of Repairs or Alterations—Answer when applicable................................. k: --------- - -------------•- L% -- N. --------••---------------------------------------------------------------•--....-•---------------------------------------- Agreement:Nk The undrsigned agrees to install the aforedescribed Individual Sewage Disposal System in.accordance with the provisions of TITTIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i dj peal h. --- ............-- --- �fey ApplicationApproved BY------- ---•- .........A..... ----..................................... ------ Z. ---------- �� Date Application Disapproved for the following reasons- --------------------------------------------------•-•------------•-•------•---••--•••---• --•-•.._.......•... ................................................................................................................................................................................. ---------------------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS v BOARD" OF HEALTH ....`..................................... OF..................................................................................... Trrtgfiratr of (6,a t�rli�a�trr THI,KW 10 q4frXPF ', That the'Individual Sewage Disposal System constructed ( )•or Repaired ( ) by ----••...----••••-- at •------•------•----•---------•--•----•-----•--......---•••......--•-•-••-•-'t-..............-•-•---•-•---•••-.----• ---•--••----•---•.................................•---••-- has been installed in accordance with the provisions of TIT � 5 of The State Sanitary Code as described in the application for,Disposal Works Construction Permit No.___� .......__ .......... 'dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® A5 A GUARANTEE T14AT THE SYSTEM WILL FUNCTION SATIS ACTORY. DATE._... ••-•-•........._.. 1 ....._...•-•-=jU-�.•�`1" it...---- InsPector.: : ... .......... :c�-... THE COMMONWEALTH OF MASSACHUSETTS. , ., BOARD OF HEALTH' �i��o,�atl �a� flan. rranit 4E Permission is herelvy granted...........ti. - * -------------------•--`................................... to Construct ( y�Cpt]Z fair Iild fiial SVaX Disposal Syste,_ 1 kat No..................................------•--••••.............•---.........---••.....-•--•-••-•-.••---------------------•---•---•-•--•-------•----•--•-•-•- ' Street as shown on the application for Disposal Works Construction Permit No........ . ... ... Dated.......................................... ; •� - -_• Board of Health DATE -�• �. } ..x4 FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS __Awik