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Home My WebLink About0035 HIGHPOINT ROAD - Health �� :.�. ,\ I 'V -i;; -4 __ -7 No---1-� -�1 F:ms............................ THE COMMONWEALTH OF MASSACHUSETTS � MOVF) BOARD Off` HEALTH v TOWN OF BARNSTABLE -6 Appliration for Dispaoul Works Tnnitrnrtinn jkrmit Application is hereby made for a Permit to Construct ( ) or Repair 1X-) an Individual Sewage Disposal System at: Location-Address or Lot No. - ........................ Owner Add s �n3 5-.,O'Z-l. 0-J Gt,�1l Y _ /lam' ,a ......... �� ...................................... .........�.�........................------------....----- ....... Installer Address d Type of Building Size Lotc�f-. --------Sq. feet aDwelling—No. of Bedrooms...................! -----------------Expansion Attic ( ) Garbage Grinder ( ) C14 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures ----------_------------------------------------ . WDesign Flow.................... --------------gallons per person per day. Total daily flow............. .................gallons. WSeptic Tank—Liquid capacity,,A40-gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No.---•--•------------- Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------�:_ Diameter........ZO...- Depth below inlet.......4��....... Total leaching area..................sq. ft. Z Other Distribution box (G<) Dosing tank ( ) '-' Percolation Test Results Performed by.......................................................................... ,W.a 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........................ P4 .....-........................-------------------------------------•-....------•---------------------------------.......................................... 0 Description of Soil............Q_-mac, .......gam. ------- 5 _. ®_/_l..... V ...-------•---•---•••----•••....................................•--...................__._......---------•-•---------••-....-----..........---•--------........ W U Nature of Repairs or A,Iterations—Answer when applicable_.__.. Q....___/OQ.G` -Q_��`� _!- -cr?---4--�� 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 Complianceli4s been issuMbe board of health. �� - Signed �----------------- ---- - --- - p Dat� Application Approved By -------------- ` Date Application Disapproved for the following reasons' ---------------------------------------------------------- --------------------------------------------------------------------- ----------I--------------------------------------------------------------- -----------.............---------------------------------------------------------------------------------------- -- - -------------------- Permit No- --------.�� .'- � Issued ............................................................... Date-.--.. No... � .�.J..� .� _ Fxs..` ............... p t •� V / THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, TOWN OF BARNSTABLE 1` Appliratinn for Disposal Works Tnnstrnetinn ramit Application is hereby made for,a Permit to Construct ( ) or Repair (y,) an Individual Sewage Disposal System at: - � /GCS Location-Address" or Lot No. ��.�11.......inJ?.................... �= ��-�1/�. - -------•--•---------•-- Owner Address ......................................... ......7�n�`. -4i y .��d ---.... Installer Address Type of Building Size Lot �.10......Sq. feet V Dwelling—No. of Bedrooms_..n.............. .................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( . ) — Cafeteria ( ) WDesign Flow.Other fixtur' _.__-••----_:gallons per person per day. Total daily flow................ ...............gallons. WSeptic Tank—Liquid capacityl�.40_gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......... Diameter....... 11.._. Depth below inlet......_<�....... Total leaching area..................sq. ft. Z Other Distribution box (x) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date---------------------------------------. 1-1 ,4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---_.______.___-•-_-_-_. a -----•-------------------•---•-•--••-•--••-------•-•------.........---------•-----•-•--•----••....•.......................................................... O Description of Soil.------...... " ------.Z-- ....... �lh _� 5�?�G.....� .-. ..�.. '�.�?s s x W U Nature of Repairs or A�Jterations—Answer when applicable/.�......_-4f)Q........ 77 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 ......j5.. .`� .t..t .. V^..... : .... ' , D., ApplicationApproved By ............... ....._--------_ ........................ ........................ ------- ---...---S. e% � Application Disapproved for the following reasons- ....................................................... ------------------------------------------------------------------------ ------------...............----------- Permit No. --.....C�.../....... 9, ........................ Issued ------. ...............Date ..................--.-..Date.---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE / C ertiftrate of Cnontlatinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( _/s< ) by......................................................... �� 7............. ........... Installer at .............- .......................------....... ............. � r 1�'... .................�1!l:.. 1..1...1.c............------------------- has been installed in accordance with the provisions of TITLE 5 g The State Environmental Code as described in the application for Disposal Works Construction Permit No. .....��'.-./4/. ............ dated r THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. ----... '�.-r. ............................... Inspector ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� TOWN OF BARNSTABLE No........1„....... FEE.-'�o........... Disposal Works Tuntrnr#ion "Prrutif Permission is hereby granted........................ ........>!:a--�1sT�.............................................. to Construct ( ) or Repair (X) an Individual Sewage Disposal System atNo........ S. 5............. �............... L .................... Street qq as shown on the application for Disposal Works Construction Permit No.. ll Dated.......................................... .r.. ... ...._.... .......... ••-•.•-• Board of Health DATE.............•. = C�_ /---------•-•- FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS �ay 2s _295;" LOCATION ' SEW&C.4E PERMIT. IJO. VILLAGE IWSTQLLER'S/ N U&M� E �/ ADDRESS - - -" ' /✓- t1-9-al - - � - - - - g- BUILDER 'S Q &MF- P, I.DDRE SS Agg DNTE PERMIT 155UED 7-i2 -74 - - - D ATE COMPLI &KiCE ISSUED : - - - /7DaSP /000 s7` TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ,4�, 4!/GGS ASSESSOR'S MAP & LOT Bad 0V3 INSTALLER'S NAME & PHONE NO. e? Z077 CO JsSI SEPTIC TANK CAPACITY zaz r cL LEACHING FACILITY:(type) V,Z r j (size) JC e® NO. OF BEDROOMS VATS WEL PUBLIC WATER BUILDER OR OWNER V �Liny� DATE PERMIT ISSUED: a� 9j DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No` �_.a2_ o� �bus� �t e �$ . 3 r 9 r e M . � No..................I.....; Fes$.-....a.............. THE COMMONWEALTH OF \SAOHUSETTS al BOARD OF HEALTH ............----OF... ----- ------- ---------------------- Appliratiun -fur 43iipuuttl Workii Tomitrurtiun Vrrufit Application is hereby made for a Permit to Construct (/) or Repair ( ) an Individual Sewage Disposal System at: � �N N... ST�T �..._._... -----;------•---- . Location- dress or Lot No. .a el 1N-e......... °G, N yA o a= %l��syf� er Address W _ / Inst Address Type of Buildin Size Lot�0-,__ PP._.__...___Sq. feet U DwellingNo. of Bedrooms----------- -----------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Pa Other fixtures •-------------- ----------•-- - - W Design Flow_______•r__0------------------------gallons per person per day. Total daily flow____-��..............................gallons. P4 Septic Tank Liquid capacity./o?-__gallons Length---------------- Width................ Diameter__-__-__.--____ Depth..-_-_-__-----. Disposal Trench—No.________ Width.................... Total Length-------------------- Total leaching area_-__-_-.._________sq. ft. Seepage Pit No------i_............ Diameter t3_.__0_._...__ Depth below inlet.[/` O_.______ leaching area_9QO.......sq. ft. Z Other Distribution box (✓) Dosing,tank ( - Total '-' Percolation Test Results Performed by._/l__ T__- _Ne_`? o(J.___ _ Date___� _ /'R�L-__I7 c35 Est Pit No. 1----------------minutes per inch Depth of "Pest Pit__l0 ------ Depth to ground water--NDAIA -------- Test Pit No. 2____ ________minutes per inch Depth of Test Pit---- Depth to ground water__- y O __ _ Description of Soil--- --___- .�oAY• 99• • a,&WAI SG/18se, ------------------------------------ - c •Ras€-Rf--- 98.0 90__0.. �� ' �',es� cSx'Rv�� --_- -- --- � r----------- o McGLONF ------------------------------------------------------------------------ aT2 ENGQu,vTtc ------------------------ �- -------- -------- CIO U Nature of Repairs or Alterations—Answer when applicable---------------__________________________________________________ __o_ .-�--_----_--_---\ PDX, FQtsiG".. , Agreement: Sc�`/01YAL The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accord'tli4 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 n •ss e- y the boar health. /7Cv - Sig ---••••-•-••-------- ----- ------------ ----- ------- Application Approved By...... ---•--•--------------- --- 17-7 -; Date Application Disapproved for the following reasons______________________________________________________________•-•---------•----•--•--•-•---_ __.._.________ •--•-----•--------------•--•------------------------------------__...•-.-------------•----•--•-----------•••---•--•------._..._...--•-••-•-•------•------_..----•----•-------=--------------••----_----- Date PermitNo......................................................... Issued........................................................ Date c. No.. �1 •-.• ~ Flna............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH fi11.1. _................OF.... N57t)�5 ....................---------------- ........ Appliration -for Ui4oiial Vorks Tomitrurtion Prrutit Application is hereby made for a. Permit to Construct (,/) or Repair ( ) an Individual Sewage Disposal System at: .............--...............................................^•�----- ----• --- ---•----------- •-•-•-•----------- -•-- --------------- ----------........------. Location•A dress C/ r or Lot No. ?ie'/J1 _ - u,c r °I y�,�� t�"eE" //F7 nib j?C�• �I� SFIH/ G,/'a /yi S. . ._ ---------------- ------- --- - ------------- --------- - er Address W A ,i !. f y... ............................... Inst Address d Type of Building Size -----------Sq. feet U Dwelling-No. of Bedrooms.-.__-___- 2............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building -_------------------------ No. of persons.--___----.-_...---_-.---.-. Showers ( ) — Cafeteria ( ) a4 Other fixtures ..... ------- ---- d W Design Flow..y:.__._.__=?U........................gallons per person per day. Total daily flow....>'�� .____....______.___._.__..__gallons. WSeptic Tank Liquid capacity/ram_-_gallons Length---------------- Width....... Diameter........-....... Depth.__.._-_-..---- x Disposal Trench—No_ ____________________ Width-------------------- Total Length_-_-___,_--______--- Total leaching area--------------.-----sq. ft. Seepage Pit No....../_____________ Diameter.!�_':_01___-._._ Depth below inlet_K_"__19......... Total leaching area..gq�?---__--sq. ft. Z Other Distribution,,box (✓) Dosing tank ( ) Percolation Test Results Performed by._rC'66T C__Al�`__T c ___..._�2_.��=_-________ Date_-_��__----r'r'--L ---f7-3 o_65 �es>~ Pit No. 1__:_�_____••_-minutes per inch Depth of 'Pest Pit.A-2, O._.... Depth to ground water_.N�^� ----------- G4 Test Pit No. 2___ ________:minutes per inch Depth of Test Pit---�..._v------ Depth to ground water________________________ a -----------------------------------------------------------------------------------------------•••.............................. ------- D Description of Soil t=F% .?:t ..Z,� / l i r , f E �?. vr. 1� ..��,_ia ' , �-\H OF Mgss Ufrx ✓ ,r�?......................................................... �a JMEBRT 9- W -------------------------------- - - ------ -- ---------•------------- ------------1------- -/------ �- ---------C " UNature of Repairs or Alterations—Answer when applicable------------------------------------------------------------ �_ ._... 'CU0 9-------�.y i"k- Agreement: "o RFe,sTE�`�N The undersigned agrees to install the aforedescribed Individual Sewage Disposal System it IF �' t the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place rtritisyAt m in operation until a Certificate of Compliance has been issued by the board of health. jSign --- -----------------•-•-----------------................------------------------ Date Application Approved BY Y -- AAA....%r'": ---� o_ Date Application Disapproved for the following reasons:......................... .....---•-•----•--•-------•----•---• .............................................. •-------•---------------•----------------------------------------•----•--------------- -------•----------------------•------------------------------•--•------------------------------........... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ~...O�s !."...........................OF.... .../ ?✓ 1:... ............................................ ,Q.1rdifirate of Tomphaurr �. THI IS TO CERTI Y; Tl the In di - u Sewa Dis 1 System constructed ( ) or Repaired ( ) _--------•.............. Installer at•--/,- T = = /�, i�n,tt- .f r �'r STf�7 5 ------------- ----- ------- - ------------ ----- ---------------------------------------- has been installed in accordance with the prv"i°sions of Ar eI f T e State Sanitary Code as des�j�' in the application for Disposal Works Construction Permit-No." ----�-.��_:...... dated __�._��._.......................... THE ISSUANCE OF THIS CERTIFICATE SHALLy NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE - =••-'��" ---•-•-------------- Inspector...._._. ::.=� . •------ t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. .......................................... tea. No.-------. -= -1 FEE--.................... nl�n.�#rn�rtiutt r tit . ._�!DisDoa . ..i Permission is hereby granted......1��_�______ ______________ _ _ _----- _.._._..__....------_-•- to �oristrucpr Repairs . . ) an Individual Set k. at No....... r f%' ._lf l i i� / ,� Street --ryry as shown on the application for Disposal Works Construction Per it No .__... ._ ___. ated__---------------------------------------- ,age DATE-- - Board of Health � .--- v---•---------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS PZ. OT 7Z. � /ODO 99� rii,=/�=�r,�=rir�i ; �OPD��"D �11��S,1llZF�9C�' c L,EXIWE AcYlEM �90 To '41V 9117 `�.•(A�ST/,eov V01E 40 AA4,y G ! , a O O/au 9� �. /iU � �,. . .A /cry 9 /// , LiQ vio L ElJEL e j /uU. i ,,hi/ ,� s e ,1 //i/m ar �. _ = cfLOOE G �eFr Ale. L O�t/� �•�J�/�l/EHZIAAl I AV C• J�Zn n 00 00 O /000 �►A110 ' /1�/o' ,�/i.///•c7d.H CU.G/�7. �"�S k/�aHJrv�TO,v cST oE.t?.�� oAeE M-45. _ n /� O O 000 A o o/401 / / %4 �' //�" 7111, //� d a t, 4 O O O O O s V /j/ d a d _// C •a, - .•a,. q . Y --g. ,°- - G"�,e7 -Y T/fF�T THE COrVD/T/oit/S ' j/ • , o .. c711011/.C/ O.v Thy/S AyPE/-�,e. OrV T�6E �.eOUit/G� �4N.0 7W,,g7- Ty�Y A,eE /A/ i w17lf TffE Z0A11n1q , � � 'f OF aqs(�� 5 s�of RQRERT s •r O' ROBERT 4 Xr,Z10 / P�Q/� iSE� Sg/ONAL Lr.L /ELL//t/lar;av � Q P7 • .oo ,e xr�y �,v,�oi� \ � �Oj � t f �\�'- T�iAT T.y/S TEST o XlAS MF�.O� /iV ACC 0.2.OA�(!C� �.1 0 CIO T O� U0 Z , O � BL/C I .� C0,2,Z�C7 TO 8�,57- 90 00 _ Offc. EEU4 770AI ,o/T h'i i q F0 T