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Home My WebLink About0242 JOE THOMPSON ROAD - Health 242 Joe Thompson Road West Barnstable A= 174-001-048 Z42- TOWN OF BARNSTABLE LOCATION LA 14-D 3X `O�^QSu�^ '�\0\� SEWAGE # VILLAGE w. bckly%)4,� ASSESSOR'S MAP & LOT J7y 60J 0}�8 INSTALLER'S NAME & PHONE NO. :M, SEPTIC TANK CAPACITY 101NOV$ LEACHING FACILITY:(type) L4014'1' �' S (size) 00 f-(W,5 NO. OF BEDROOMS "/ PRIVATE WELL OR(PUBLIC WATER BUILDER OR OWNER bA j), 4 DATE PERMIT ISSUED: 5- ZI' 9 j DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 �� 1 8� �2, � _ � �„ i No........�„�----- Fes$. ....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 3c, 4_z/ 2 TOWN OF BARNSTABLE Appliration for Diipuiai Vorkti Ton,itrnrtiurt Permit Application is hereby made for a Permit to Construct ( �or Repair ( ) an Individual Sewage Disposal Syi��_....``U._. ... --=✓`�-..... .......��......... .....••... .............................. Locatio dress or Lot No. ....... — .... .................................... •. •----••-----•--•--•--•----••--••••..._..............•-••-- W ` Address a .................................... ....................•-------..... Installer Address Type of Building Size Lot....aA.:3 97T_..Sq. feet U DwellingNo. of Bedrooms................ ...... Expansion Attic — � -• ------------------ p ( ) Garbage Grinder ( ) aOther—Type of Building . ._! L��Y�_-No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ..................................... gallons per per day. Total daily flow..._.._.....Z1y_ gal W DesignFlow-------------------/1Q d Ions. 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 t k ) Percolation Test Results Performed by -----v-- --•----------•-----_ Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX, Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ Q+' ........................ -----------••---....-----•-•---.....•----•--.....-----•---•-•.....---•-•-•.....•-••----•-------........------------•-•-.•---- O Description of Soil...... ... ----------------------------•-.:. ------•----•-•--•-•-----•-----••----------------------------------------------- W UNature of Repairs or Alterations—Answer when applicable._.__.................:......................................................................... ------------------------•-----------•----------------------------------•-•---........--•--•----------•--------------------------•--•---•-----•------------------------------•.....•--•-----...... Agreement: The undersigned agrees to install the aforedescr'b d Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmen a Co —The undersigned further agrees not to place the system in operation until a Certificate of Com liance been s kbye rd of health.gned --- ------ < --- --------- --A lication A roved B epP PP Y ......-.. .. - - ... ........... ----C .`-:. --�Application Disapproved for the following reasons- -- - .............................................----------------------------...............................------- ------------- ..................................................... ---- -----------------------------------------------------------------------4-ati-6 Permit No. q'..a�' -----/............... Issued ..... ... - J�� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 �, II t� C TOWN OF BARNSTABLE 7 Appliratiun for Dispotial Works (funutrurtiun Prrutit Application is hereby made for a Permit to Construct ( ✓S or Repair ( ) an Individual Sewage Disposal J SWta -..................... _l&.. .. '� �Y 1"- . /�� ........................... . C .Lo:...... dr�s r 1 or.Lot No. .... Owner ?� ......Address W \/ n I � nstaller Address l D d Type of Building , / Size Lot....__......t.:.............Sq. feet U Dwelling—No. of Bedrooms.__......._`?`.............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building '�. � -No. of ersons-----_.-_-_-•_______________ Showers Cafeteria P� YP g ----- - --- P ( ) — ( ) Pa Other fixtures --------------•-•---••----•••--- -- --- -------- ------------------------------•-----••---...-------------------------- W Design Flow...................IZ0.................gallons per .person-per day. Total daily flow............. ma.....................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 tt k ) ~' Percolation Test Results Performed by.. /. -----.�...-� -.. ---------•----- Date........................................ ,.� Test Pit No. 1----------------minutes per inch Depth of Test Pit___.____..........__ Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ m •- - -•----•------------------- ----------------------- •--- ------- ---------------•----- --•-------..--------.------ Description of Soil ��J �� -----------------------------------------------------•--•... V ......-••••-••-•--••--••----•-•---•-•••.....-•---•--•-•••---•-••--•••--•-••-----•-•-•---•--•-----•-••--------•--•--•••-----•-••••-•---•••---••-------•-•-----••••-----------•-•-----••-----------------•- W U Nature of Repairs or Alterations-Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescri,bed 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 as been'ssued by the bard of health. Signed y /1_ �% ----` -- It .._� -- - --------------------------........- .. to... Application Approved BY F- ......-1.1.` - - ----------!� i-----`----- I........ -- Application Disapproved for the following reasons: ." ---------------------- -----.... ----------------------------------......---------- ---------......------...----- ,..-- .............................. --------.------------------ Date 7' Permit No. - 7 Issued ... -.�. .--"/_ --- -- (Date / � v,,r� ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Gertiftca e of Compliance THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired ( ) by .. ....................... --......................-......................................... at ------ �--- ------------�... .............�'.....-- �../..-:-.....----..........---- .................................. has been installed in accordance with the provisions of TITLE 5 4 The St En/vironmentaI Code as described in the application for Disposal Works Construction Permit No. �- ........: .. ....._�...-.. dated .-..............---.....---.-..--............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................t....=-----\...-� - Inspector s...... .................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE. 0 ......................... � ............ Disposal Works Twuni#rudiun Uprutit Permission is hereby granted.....J............ --------------------•-•-------------------------.........------............---•......... to Construct (✓) or Repair (/ ) an Individual,,Sewage Disposal. .System at No... .+; .... .54 __. 6 .. -- ..........- -=---� r , .................................................... Street r, as shown on the application for Disposal Works Construction "1 No _.�!_ Da d/.e,._/. ....................1D.c..... 11�11q Bo rd of Health DATE FORM 36508 HOBBS h WARREN.INC..PUBLISHERS :1JE516 N .._ -DATA" .2 ... SEPi'lC TANS � pXlrjp�; YSL 'P Sri D15P05A .::t��T 1 loon�k� S`It?►Jia _ 51DEWALLL AR;A` -152sF Y SF x ti - 33o�P� �DE Tb AM'�I.� Zito BOTTOM A� .- 113..5E _ _ 11?� cEOTC 7orAL VAILY Fro)+% Pa` 1•c1� CRA,►e.- Sgaer- 'RE, J%k OF uiTER -:-PETER �s9 d�t SItLLIVAN • : i TtS r P-��25 E 0LE- 11.2d•87 : I} TF=I/,o EL=/G2 FlnZ.15g -- Lonrn Z �� ✓�. �o ;lobo.:. �Nv" , l57 c �u AL :. roc Bo�c /X ti .. s�v a GAL i53 V- � 4lfrWl STONE; y MD2F T1WN 4 DEED Sr-�1cL 'BE � Z.o , CeZrlr-I® RE oldN IDS/Elopt ( l N o scnc Lo T1oN r yTF .vILL GQ L 1=o z /✓a u��._ S 1 6EIZ70 dT T►{E Dw -�► ; ' PLAN QE ERE�tC.E Stlour►J NE2EoN CoMPL S wWA r 'ct1 51 UtJE (� Aft►JA�a f�viJr1 BT, . Stac. ; A+tD 1= ,lroaTVD. . i �tJ TI� av_ .lstt`l, 'l�L: '3►L �- 1��, . �� Q XY�11 � NEE iNC. TNIS Surzu A1J1� O . CY: ± . _' � : iE'-TS I tXU :.Qor .. ' o;5' vtlLE MAC , " uSLi� TD ESTQBL 15E� flzoPy la+JeS APPLIcANT ,. '�Aqs1te 5QysMe BolQ>iJJG Cv MAP t-4 Pu,. �P ` r Pit / // Atu% I,DWEt.rrlL.i /. M f 71 al All "\ \ I d. i ;. 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