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HomeMy WebLinkAbout0045 MOCO ROAD - Health bay 7 - '. R. .t • .: [Y,'t' +_•. _ z ;- - ♦4• s ,. ' tL'rY. ..E `.--"S< i� '4 "F• �.'," 7+,r3�'.. I. rY s t r �.. a ti , + y. ' �y� t. '� i 5 t l.�./.�/ _ �J'�/7/+i k/.�/� _.. ,Me r ,'° �J ���`,i � ,Y� c� n-, r ,� ' 7 `' \1[�. `* �' 'N T-r { l; �'t !' / � //,�!V C..C.J /CY,1p,aL�Y V l..Sf� 11, 0 S��, � �tq ' , , .... r¢ A•T w, C ..L x �.r*,V4 rt 1 �'.y '(JA." 'k, + � ro s. Xa V��;•. .r ri t . r 1 tw r rl> x '7 r. .� �ti� t 1`. r, ' ,r ,t' a n !yY ' x:^:.X'tt , r r~ P r , � . s .;j t 1I 1i ,r�1"i/a ;t k' !' ' t p. , 7a ' y`. `1, r�S ..t r* ' �' +P .,.t r ?r ,.+ r , �t� ., 2, F `-" �.4!yJ, ! ©V 7,q,.t Nt, ✓ f i .I,h'r•i ,x.x r t.} 3 t s 2r .:y ; .y 7'.''�' 4 :a`" r r� '`n `"' '« w!I. y `f i; -� r..r. rtr''f,M. .T :.. „.. 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' ,�' r r +"4"�. � i't �F�'`1. + fh +' ,:,f. 4;1 �;' "+ y'r '�` f +.';'y.L.i(` r '.. a,/qi yl!; ?- �- i,6'�l rh. �a.T J J^`�n'v r ax"A's'f iJ � fi r� fi-, 1. c 'i" ss 7 '�" x ruy,'• r. r "n3. .x i '!r 4.`''E' . y. '�•S fed{f'.» of 'AMn't� r i �E• ✓kli'°x ++. m•�Y`' '�t°X. "! sil% '.v`.t i dry ~-fs, M t ,� 'tr A""',11 " r 't., ✓• +rS�,r '.r , :Jt'ii ' ', ':' 4:,3 J-�17 b«�t,•e1{„£.r t• r.' , - t2 Y { t✓ • r • t. '' t.^ + A .LA a r +t.r"+ t, t� `k , t;. t" +r "' f eT�s+ r ».., �{ a J °sw °`�S' Yx .Fa's } ` �� 't 7 ' - d '^,,a+ „ '!, ' Y• i t SA .. .br �... �,, , .t' 'w 4,a'' f x l. ; .� t:E^ F 3: `s•z t!� „r i"'+>'jb i} f r ♦ f d, r.. PA 1. d. Tr.ee•., +,�..°^ ris *i_Sr' fF t `.,tit ,1 a r r It y I k c�. .;'w ,! `;i T'?k{� ,r �' ` Y j '•:: F ;L mod'• - �`# r�'.; ^",,?t t.''^i i A; ;+K .7 S :{u' ,0.'tr +"t -r g'3 F�l r. 1. �♦ P.'�d 4''; ,'+ Ird:. cf'�rt'd' `,,,,, .. 1. ., '-'Y I 'lit 4 , 'Y$ t." % "e'r I 1,,,. t 1 K.1Y ii .,. + - , ',' -4' `' p + ,* 4 , t v `A •.; e tit S � oi,' fm '' eA .+ r y�,, ,� , '� • * ' a' �f ,j ✓<�r,`�.r1. Ye a{ i t j r a �'''"` + Y :.., „� ;+4t,Y. t i« , e n ; r I.r, r; .� V,7 .,h, .*,'r'•+.;.+`,' . t' • '+++tttr..%of� , •*''R ?: t'.c-- t_j•rx,,.4 h',a Ft . r d. �`i r. t ro� + ' E r j1 . r d k i 1 t M , ,^W;.4 S, ; y f • fi , i h .�,r "r 'i i.s . rf11 t •_ r - v1 r r iS" v, :� ' 0 tt? I'•c, I `• s Ir , Sri .i zc r, . 7 , �. "r" l:n- J. r�;r' wn• 1 io ttk. t t � `' ,.t r r , . �T soi,,». tti. r r .s , 'i1 i� .•+ b,r a"•, z^s F Irk' a .: ^x -t t *;September. 17, 198G ¢� .. t � l t ,. > ,` h , ,� i I' a 's 'R �,...-o i. {s: :'�r,A 1. d s .+. ,t x _ r « ` 'f, b,, t r ,% ea $g� „•�, ,Z _ A `� r +.ya.' kt� :'ri'fi`1�,`r t �' V'1 - ., �• r �� .f f 4 rr {'• `w _;• N: { .. *"° ,t y.d y "•t.'. + s z ,t r E y. "' ai r p)1� r t ^ ,..I , Mr. John=T1rew�L$4, Z , . �75 X . y� Yf�to, .'s ,T ytrl!} :,� ' r;• � rt4� ut a. .sxt �'1 �R� ,{ I C.i 4 Y $ a1 �}' .k , n' I i , .,, .a'.� .. r r T • .�4�.'r R 1.4 , ,' A�° � r,.:x ..J48'Oak Hill"':Road:' r; tr ;�`* :..p� � I.. V t s• tom ;' ;y '� � [ rt,�•'t � ,r`�. E eri �,fi, r w� =% h.� I , tt e�.. x�r r ur «k j h t.:•-. r^ 4 . ,+� ?Hyannis, MA. 02601 x ,, . ' a,t•: r ec ;ti ie C x�lk% r a a� t t,, �., t t.1 lxlo, , " '.1 -,;' ,. _ 4 ` 4 +/ri'A'. • ^.A',j 'i r.f t,� s r" �. '^i4A,.d y i^Q.wr i %. A L ; S .,.+ f� 4 ! �'' v , } e� b,y 1 Vr t. ♦t P x 2 ' e r' r 'L'+e F f ?„ Vr-11 . s >L �+ ? .,}.- s, . ,, .S `IT a. a I -Dear bir Drew• .s t;a , t -." y s kts ''+u ! rw..: '{ J s. `� .A, ✓T• .� 4i ,w a} % a«�t'1.°. r ,. s - r�"k ''.. . °` rr�t'{ + �" '_`1' i . s .I. , •tt i1 *'Fq 4h{ t. ' -' 4�t x p. �1 .1 Y ,� r` `'`"rYou are granted 'a variance bn �behaif,otX EllenzrMoulaison-`to.,in`stall a',well,bn'kLot h r=?�" 'I is $ { ,I:} > a : 4,' 96w,`Road; West Barnstable;: 105 sFeet'fiom .ati.,'existing a iage leach,ingtrpit • ' ,.` T " ,, 4 'on Lot 5'in lieu of.the required 15(� Feet with the�following,conditions.�'� , �� ,� 1.` x t `•*° *� ., �. .e,:: ° tf �.r '?- k f' r "'F s,,.^..-e..q tC-:. 1 $� L r aTi, s y ✓Z^r. rA.yw� �,}.. }rrJ .:,. f ,t.., i. 1 y, a.V:. p.,•. � i k •,,� ''` r i ;.;.. ''R�'� "i"i a. F k '4, .' �� (1) ,;;The witer,°from"the new well musttbe;tested and meet;the-standards�of ":�, , ;r r r x.� ; ". +„y.. . T 'A". h ^dx ♦• %" i r ,, t ,t'y.. ;, a�, :� the Safe+;Drinking Act and Massachusetts ,Drinking 1Yater.jRequirements: a • r . . 7 I"' ""#It'isalso'recommended4hat;t i' ate YfromLot�'5"betested"� z {�` " ` r ✓ -`- '� 3SY ti • x..,' 9s' ."A. a.,,3' 'zsa" '.•`F f y ,f .�H.r>> .ice '� , i _, . i+K x� [py, d ., ' '"� % t `�F .. - r,. r ' rAr, k , C a.4 t y $ r t c p ' ,x r- This ;variance is.granted becausetRthe applicant,did not have a potab11­leYwater�supply, ` A° `y; ' 'furnished bye a weil'�Qh her. lot.';',,Water 'was -obtained-.fromi,,a awell�ono l.ota 5, they` ," °[ " dead scent''lot. v:Y +:5�% • x. ,xtt4,y ,^�" r k t .�I.Y f4 h�F'.+ r ,:1 h M T F'{4r �^H '. F Y * �} 4. M1A/ 3 r '' .:4 d fi. • ,, ty+��� 6 t,} y�t - t ,I + T ,k_ 7 -, r,h'} t� .�,� . :t. r :G rt F {{ r: x ,J. d N ,r �E- t p'6 �1 4. !' i i... ✓�..�� ff., `„C ;. p ,�,,,�''. niy A j w ?A ar " ht .( F *rIa Eetr r at,.. pis t .t. x ;,This'"varian6 dl expire October 1 1987 ' t . °� ,, .'s r a y ,' ' ,s x ": n S ,' r i r + S + r `i :i :. x( + ,� < i v 9.x t s '� .. ,� i igS"'t^ ',...' r i '•x ° A. y :,�,r,t4�,so '.,, "?�.`ztt P.r'rr i i"rr. tr;.4 a x, i,t ,.✓ x !, ^fir, ,� a^�w ,' '7, , `;» t i j. +� r x a v [A C •;s { w E • r,g'y} .t.. .•g r i a w, d ff' 1tl �z r` V tr yotir8,'++�ri 4 w y f4/J..'l tf # f �'u',tr'{-~ ' `� I , , - J•��,+vi-fs, t �,'•A, y, ,xr Y, µ y_y rL K+F„a ,y Ewa: r,l.`r 'x� %x r .y v. A$ S '" -!� i t i v _ "' a�ab " �r .' t a,. d A e! :, c,Ad „N-. , 'ih h .S `+ . 5'' i a . d, T L. : •i` x r t� 'y 4 x:j ♦ : ,r' f fr d,r 4r r d ktx} r ti,; t�k t`•1 P�* % rt ¢..r • .!. �f.w. x lr •� 1I t x t. ., r it r 'L `#' < f 'r'[' ;r+rst '7 1 :'h t t` : F !":; ,, t *J.'• ,,:J 11, obert,L. ilds :. a x , , r w -,&t i r - t ,. . r . f "-y ;, 't i 4�... " CT t .y {`. tS),t,.r `9 ty° , -w• w1� ,1Ci, ' .. � ,R t. }' '+;.�f a th'' .b , ,I, ¢ r s %. Chairman,. .- _ P �' ." v .r : , .rK !r �*.. ` �� t ' ",� r _ 7 " BOARD�OF'HEAT:TH ,, a ,� $ a r . �, _, �, ,r: . �'t y^c x' A+E �p j' 'L;' . � .r! .LAB 36 K J n a .t'F rd 'A, ,tX. r `'' w �::_ tp„ >TC7Wid OF -BARIVSTABLE t. ', rye..'_•y . •` t{ .'a : ' ''! ,. -� �fr ' Y`,," ,.f "' , `�, - R y., t., r r I t l 3 z ip t S y i+r ,°4�.', { 'f ,, C „•# v. �p y r•' ,t.' 'b�•, t.K 3` ° [.:'. ' '�. «.1,' Et^ ;4 ; fi i3. a rrts :,� t r S�' 4 "�., .W `,,« ,r ,,. r { 'J !r i� - i - :r z .r rG a 4a y, a%,. F .,x� .,{ y rr 4''Y` • 4 T:`.>. "[ t t`. ''•."s. +rµ{ r ui ,y j .3 Rfi+, ,fi a� ' e 'i K''e .'; a r r. ,,,.dX I `' 3r f'+{'4 x', t' k' ` . 8 d, r i 4, L ;r: ^ ,,yh``S .(. y ` 1J j't ^, i� s ` `n k- F ti-! ". °Lr ' sk.,t:� a d ,+.,r V, ,, `r, , is lr'`-1 . . ~` RLG lCar 'J r ,!„ fi#t:^J ��' ,.. =6'!° �h'V ' I. '��''�, t� ri � r. J. � .. + , .;•"` v t' 4T a?4. / ✓..- ' ""' c :?y .,r,,7. ,},,, ..r:+,i�,'" r � i q'' Y�'t d` r, "S•4 r.,,-`s.{,r 'j • a.t +`AX.'A�+ � • f », .•*,� r a ,t:v+S 'r rrr, ,'x 4r't 1�'.� t ,'' '} �,11�1 ,k, *. „t, 3�, s" ,t« :f.. M, r1. v s ,'X' as „..y A`' T""''J`2 r �•y .' r r '`}'°"'/y }✓ry j'^v..' t % �� o Vt i' f t w' ..a ! 7+ tr,9 It it. � 0" `ti xs Y*tl� �,..,..' 17'. .� R.. M. `1 l t:r,x. y� l,�r"', j'1� `r 'fir t p� G,t� � s � ', Y x rr. % i •s+ C h µ } < r ?' 1! '•ram r 4. r h r ,� •�,t 'a �'2.;.,Y „x .p..Pr V t-t'i }w.,� 7 ,:t A y a '. t a' M a r t 4.' w ( v �y F 'fix,,,' Av i. .; • ..'> 4 Pi.'. A it'4' if R. • 11 T k A de L .8.y. S !" 5 d 7 . r }` - , , ix "„ „r C . :d, ` n.. �'F 'rti 'A x'rt.. .,, +,.., "t,t , r x �y 1;Io +r, ,..ra � { a. � Y= r. ♦r ��r j �� . : /' r K r »nfi#x it `+� tiS r ':i „r x �'j'. L , r rq< , �' �.�. rF l ,i•% i - > erf's M A, o'.'. r) , � t 7 '.• , • ,^ -. �4 L' .} ¢ x'} •'„ r ,1: "* ^i +. - t r ,,t {R F L �[f.- +:. . L Irj r i I' +L n- ,, 1 r��w,, t`.. C. - . t "t r r !, 4. ° . F �t .I?.R5 + i $11,1 j v Vb Ile ar e✓+! u • #x•a ', �' cdt r j »ti, Yt , '. #r. s a .t V. Itrlt?.r..2 .r- -s,Y-`-` +,,x . .r," 1q '!r µ rr.,% �.� Y.� 3.a i Ffia� -- ,y •,. E" 1 '=r big r,�,r.f ]„'" t 5, t Ir >-y tt h , e- �` '`�i+'th `�:` rh,�` ` 3 y: f Yak' E br t ` ;i r % t +T , x y*y w�%yrK4,E yx w t a': °",,t '� 2"1tt w},3 .el x ty r rt.'V r IrtV-f t t .J f• - !' 4,"*� r�lt.:+* i`4 .:'a *✓r t' a O (. 7 ,'4 - + •` e t Jt` i+`f L"� r 'Ma ..% '*",c„ Cf 0 ,c . a ,. � : S. ? ..:t i :. 4 y; f �, +y t- I 11 �` 6:•r r F1' i, x %,.,, . Al i k fit, .�5 3 t 7 +• T r ,r t H t d i 3 Ir •'k .;. X�l' i� - ` w. n} r r. i i .i 1s7 tr [ u.: J,.s r , Nf♦5,.,4 rJrV f ` wy t ,rx i z, k t r x .. r : r . r r�. f _ 2 n, 4 LLi� 4 .,y1. + : Y M 3 Ci S ut3•r'r , V }•~ A 1. `! f �. l . t y Ij r ,,, , ,..'• r, '�,M. y = h ` },! ; o M {. s- ILr , r ra.77r k t#t °" t.. +kt i�,,� ! ,, !r It`T;. _"[ A lv i � �'Y I[ t +' ,.3 y r•• ..`+ r a;' t l� ,z r ¢ r ,Y. ,I t K s,t,#gtlK;ia,,,; L* rea` >Ith rf r� ti�"J�It ' � 't4 . F� .,` 4 a "t � 'i �"`r '..• 114n ,`I- r� r?`+" k T', P ' xI ti !r}5�,O; � lT;. �i s iw. r a s U?:r ,4 %. ¢. it 4 +✓ r w x� v s.,t:t'lt "f° + A r. ih,. �k-� 1�c q, s a �rtb _ yT .ti x ._-4 f :d. •" ! '" , �. .3.;: t r -,.-rh .,. N S;. zr "t '' cf t (:. ,,, �ri ",q a !.r :;x,,VY?,t n:; ` fib- t,4W r u y ;• #rr#, } F ".�A . x,I,.' .,g °. syi' yq.`{ !, ♦• . %'.' "'Ay g q .r 1 f9 J �`Ta r6� Fx yk tM C r' °L1 d, y�� :Jt, L k'" �L tl<::f Y' 8 4 i ',P^• y P r t•tc S: Y h x. + G ` w t '� t r a. a r . .�;w ak s.. r'zr .c,kxrr, A .SW., � .,. A.. .x~ R y 6... x.�. ".� .°.. t�, .. '. 4 ,..4:.5, . fir t.l.Oa.. .'� .p Fa rt.,. 8+1 E� '•6Z'11 '^1 �211 LS � Pro 00 orqzl 16 301 LL_o r I o + �- 9 i ce% z +DOS ` I _ o ► W O b`61 � co OD Cb N0 eo O'as`I Is \C i 0 300-t-v ILS O 00'S� i 00'SZl 00-SZI oo'SI 00'SZ1 { +�OSZ LI o +mS2°J`9tA� +L05Z`St + 09�`£Z + 11 s9-1 o. 0t so yo S cv ° so °0 rl z 2 L _�1 - �t �\\ M p W W t � • ', \ 5 ap 0;� O p� o co m Q OD I+ .p ►V A. o ao m <. Q,..y �,E L S I SL .� 3 TOWN OF BARNSTABLE Hof zNe r DATE 4iP-S 6 " OFFICE OF i-z e BARNSTABLE MAS& o BOARD OF HEALTH FEE o2�'� y j639. 0� 367 MAIN STREET HYANNIS, MASS. 02601 9�/ VARIANCE REQUEST FORM Y All variance requests must be submitted FIFTEEN (15) days prior to the scheduled Board of Health meeting o NA11E OF APPLICANT L. f��/J 0�/ �Gt /mod n TEL. N:)• G� "-�� ADDRESS OF APPLICANT :2 NAME OF OWNER OF PROPERTY �j� �I G'/(.T %S C7/I SUBDIVISION NAMEL/y/1` DATE APPROVED ASSESSORS MAP AND PARCEL NUMBER ZZ2d� J -- LOCATION OF REQUEST j- lY/D VARIANCE FROM REGULATION (List Regulation) JY` e 1,0, h I0 " c�r r V, 1 t S24 P>ACJ2 yN we-I c4v\A LA(Vin OLV-c- � —1 REASON FOR VARIANCE (May attach letter if more sp (ce is needed) Ae � �O /�" � /'moo/✓� -.—� -Z* xv PLAN - TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL o O Health Dept. j Town of Barnstable n 7 r (?I Robert L. Childs, Chairman _ Ann Jane EshbaughU AUG 2 1 1986 Grover C.M. Farrish, M: D. BOARD OF HEALTH o TOWN OF BARNSTABLE I n August 21, t986 I Town ob Baurtabte Board o b Hea th 367 Main StAeet Hyannis, Mauszachusett6 0260.1 Dean Ladies and Gent- emen; My MotheA-In-Law,. Etten Moutac"ison, owns a house ok Lot #4 on Moco Road in West Baustabte, Massachuzetts. She pnezentty has waxen piped to hen-home bnma we.Pt toeated on Lot #5. Lox #5 is owned by Matrganet Mouta 6'on, a S:iisten-Tn- Law o6 tten''.s. Managnet is s.et ing het% pnopexty to lien. Gnan6on and it is neca.sany bon €P en to have hen own we t .instatted. The pnopozed wett would be 1.50 beet bnom EtteW'..z teaching jietd. HoweveA,' the pnopoded wed would be about .105 beet bnom MoAgatet'.s ees spoot. The haAdzh<ip exizt'.s because E2en",s husband never had hi,6 own wed .inztatted ption to: his, death, .east October.. Your bavonabte action woutd be most' appreciated by a t the Mouta uson Famit y. ceAet y, ,ohn: A, V&ew, John A. Drew 48 Oak Hit Road ffyann", Ma zachuzetts 0260.1 v� .: 5 2 6.68 - t 5,74 03_25 E _ 75 f 135't (04 73 t s - O O o \x o OO W m 4.1 +1 +\ M Q p Q CA \ Z M .�9 M o lsi N M m -Z � 4' 13 L0T 7 2 Z LOT J LOT 10 o LoTco 11 23,360°± S` 15;-250 ± ��16,�25m} 1'7 250�± ' � _ v J, 1 - 125.00 125.0 10 IS.00 105.00 125.00 O - -�J n S71-4-4-30E 7 1.34 , O pl . +1 Oi {`r l 1 v+i'N '- ISo.ICo , 1 127 23 r`' 1 / 1Ldi LLJ ocbo' _./. N o M1r l " _.. L L N�/ ' L.OT 3 N M �- N 19,40 ± - a° 1 , 50�+ z f^ 16,37 N _ ��'M z z - o Sy70 7=10E 9t.56 ,. 30 � FNo Y_ ` Al H 5'14-03-25 E _ C 135'+ ro475' ±. o� 73 4-1 41 0o 4 F` co 4-1 N In M10 \ c7 _ N OT a Z Z LOT 9� LOT 10 o o LOT 1 �S 0 . ± 23 360 ± _; S 157-250 ± _ V11G)G25 17 250�± r 125.00 195.00 JS.ao 125.00 .34 125.00 '7 I O' �n 571-44-30 E O � S71-44- 3oE 7I2:Ii 150.1Co � !2723 150.0 51 r ej4 a' — Lo 1 1 O ' N O / lt1 / T= N _....�. QI_ LOT ma' w 19,40 N"1 �50 + z ' i 6 } o � �M ' Z ,37 N 1 11 , M z N - asp 4 z X ioE 91.5--8 _ 0=77 �g 58 566 _ `THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH { ...... ...... ...Town......OF...B..arns.tab.1.e........... ........................................ w Appliratilan -fear Di,spustt1 Works 'Tomitrnrtion Vrrntit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at ............ �.at-A........Moc o Road Location-Address Lot No. lalson... West Barnstable W Owner ddress _....---.•.-.J_. P..__.Macomber•_•& Son Inc Centerville ass . .� ------------------------------------------- Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons_----------.-.---....._---- Showers ( ) — Cafeteria ( ) QOther fixtures -------- --------------------------------------------------------------------------------------------••-••-----•-------------...............--------- WDesign 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 teaching area-------...........sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------- ----------------------••-••--••---•-. ........................... Date---------------------------------------- � .1 Test Pit No. I................minutes per inch' Depth of "Pest Pit.................... Depth to ground water....--.................. riq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wat ............. I - --------• O Description of Soil_.-._Sand &---Gravel........................ U ..........................................•------------.......-----•-------__.__...-----------.----.---- ............... .........y. _.._ .. _... sasas._._ .. .. .--. •----...--%yt--------------------••-.-.-.---.----------------------------------------------- . ...---- .-..-------------- U Nature of Repairs or Alterations—Answer when appl" 1— tank & 1 Pit Agreement;! The u`ttdersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en ssued by the bo d q h alth. C�`7.. tgne .••-- ` -Zet.- Date Application Approved By-- ---f .....-- -- L `% .. � 3.'. �'• Date Application Disapproved for the following reasons:.......... ---------------------•---------- -•...........................................--- ......--•----- ............................................................------------------------•-----------......-------------•-----------•-•.....••---------------•---------------------- ----------------------- Date I' Permit No.......... Issued L . .................................................. - -- -- -- ----- Date No:. . ....... FEa... .....o�.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T o.iA..n.......O F_Baril.s.t ab.7:p....................................................... Apphratinn -fur Rfip oal Marks Cnnnitrurtion Pumit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ..__...•--- ........?noco Road -•--- ............................................................... - •--•-------•---------•----- Location-Address or Lot No. k C)iAl on WestBarnstable --..•-----.._..--•-----•--•...............••-•-----•-•--•••--•-......._--- Owner Address ------_---- -=----P_,---Nlacolr�her--&--Son___Inc__ Centerv=_lle Mass . -•---•=--••-----•--••-••---•---••.a...... ........ Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.--------------------------- Showers ( ) — Cafeteria ( ) 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 ( ) aPercolation Test Results Performed by...... ------------------------------------------------------------------- Date........................................ Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water..........-------------- riq Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a ------------------------- ------------------------------•-••------•••....--••--....-----••--•-•-•-•-......................................................... 0 Description of Soil..... '-1? .-..& a_.Gravel l x U ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- W U Nature of Repairs or Alterations Answer when ap •cable..--.--.taXlk.-- -_1.-__1`1 --------------------------------------------------- ----------------------------•--•--- --•------ pe. 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. fgne .. . // .i I/�r�r !-_---- ---r-------- � Date Application Approved By..4..-.. It - .---- -__/�, ,. �.... r Date Application Disapproved for the following reasons:............................................................................................................... i •--•••••-•-•-•--------•----•----•••------------------------•-•-------------------------------------------------------------------------------------------------=--------------------------------------- Date _ Permit No. = ==-•----------•----•-------•---...=-• Issued..---•----------------------- -------•=--- ........ Date fj « THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town ...OF..n�.rns tab le'k M.{ ....................:............................................. "I'Mifirafr of 101.nmpliaure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) staller at......�±___4_..Mocc-•Roa.d, West. B��rnsteb e Moulaison ------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisioris�of A rti le XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No . 1,3-1------------------- dated...J_!.. ................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE •---- y-----•--•-------- . Inspector.................................................................................... , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable .......... ...... ..... _ ..............................................' FEE$5A:2n--........ DisVviitti Workii Tomitrnrtion Vrrmit Permission is hereby granted_.J! 5Q)h___P. Macomb_er__-&__Son-_ Inc . to Construct ( ) or Repair ( X) an Individual.Sewage Disposal System at NoL.9t_._ _ .'R0jC.Q---R 0Rd. e_a t__3z.......................................? ---- -------------------------------------------Moulai-s°n---•-- Street pp Disposal Works Construction P,,et�'rIit -A".af ----- Dated-..�-.!.,i?--.7.P............. as shown on the application for Dis o# �� --------------------------------•-- �ep4 h DATE'''`�"-�-�-�--��-------------------------------------•-• FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS C �. �� 2 � 2 � � � �� , � � � �_ � � �} � x. �- � _- ____� __ __ __ � � � ��` � L �, �- �, ----- `� ,. r �_ _ � SEWAGE PERMIT NO. WATER TABLEtlh�';V �-;-t r LOCATION NO. STREET 1 NSTALLERS NAME & ADDRESS D ATE PERMIT ISSUED DATE OF INSTALLATION ` $7 DRAWING OF INSTALLATION ON BACK �, rR �` TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO._ SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by