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Home My WebLink About0238 PINE STREET - Health • s !✓. U TOWN OF BARNSTABLE LOCATION 238 Pine Street SEWAGE # 9X--�s'"7 VILLAGE1 �� ,, ASSESSOR'S MAP & LOT45"9— ljP'�r INSTALLER'S NAME & PHONE NO. ,Asx 1 s mtzttc�xznt(; �h�--1221 SEPTIC TANK CAPACITl',1 0,0.0 Q a 1 _ h n 1 d i n g tank LEACHING FACILITYAtype) 1�Q =i t (size), 1 f 1 , 000ga 1 _ NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER Kenny Ellis DATE PERMIT ISSUED: 2n '4 '. G DATE COMPLIANCE ISSUED: 9, " VARIANCE GRANTED: Yes No �� ``� �y 6� j No.- .......L.. ...� Fss...........T.....,9............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -� ...238 Pine Street - f. -✓� !l .. ........ ............ .. ...... .... ....... Location-Address or Lot No. ..Kenny Ellis 238 Pine Street__________ ___ --,-„, ---„ - ...........------------------•....... W -CASH ' S TRUCKING Owner West Barnstab1eddreU2688 a ..................•......--•••------•-•--••--•-•••-------..........-•----•............_.....--•-•- •--•------•-----------...............•-•-•••----•......---••------................................ Installer Address d Type of Building Size Lot............................Sq. feet U DwellingNo. of Bedrooms.............................. .__..Ex Expansion Attic — -----•--- p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — 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—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. 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 U ------••---•----------•-•------------------------------------------------•--.....----------•-------------------------.......---------------------------•------------------------•-•-••-----............ W x -----•----------------------------•--------------•-••---------•----------------••-•-------------•---------------------------------------------------------------------------------.....--------...------ U Nature of Repairs or Alterations—Answer when applicablel..,..Q09. Lag.... enk, l •:l` 000.... l.aac-hdng...pi•t.......one...di_s tr ib ut.i.on._.hay-,....and...3±_t....__pa_c.k_in q.._a t.oae................................... 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 Complia e has been issu by the b rd of health. P Signed .- -- .. .. . . . a ---.- - Sept. 21 , 1994 ------ --- . � Ensi ash dJbja CASH 'S TRUCKING '• Application Approved BY .. - ---- ----° - .................................. Dare Application Disapproved for the following reasons- ................................. - -------- ---------------- ---- ---- ---- - ---------------------------------- ------------------------------ -- ..---- e Permit No. ----6... .....................�'�.---E��-,-----....... Issued .........L:..---...��.�..-..-=-�.�.... x THE COMMONWEALTH OF MASSACHUSETTS BARD OF HEALTH TOWN OF BARNSTABLE . pi ivu fear RoVasid Wanks Tattstrurrian fermit Apoication is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ( 238 Pine , -PPt ja/�' or Lot No. Kpnnu F1 1 i 7-IA Pin,- St-rppt- 94 CASH ' S TRUCKING West Barnstable, 02688 Type of]Building Size Lot—Sq. feet Dwdling—Igo. of Bedroonis Attic ( ) Garbage Grinder ( ) Other—Type of Building — Igo. of persons __ Showers ( ) — Cafeteria ( ) Other fixtures __ __— — --------..__—_ Design Flow --gallons per person per day_,;Total daily flow--- _gallons. 04 Septic Tank—Liquid capacity---gallons Length-----_ Diameter----------.Depth Disposal Trench—No.— —Width—___—_--Total lAmgtla__ 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 Performedley__ _-_—__-- — Dam 0.4 Test Pit No. l minutes per inch Depth of Test Pit_------- Depth to ground water------------ P4 Test Test Pit No. 2 minutes per inch Depth of Test Pit--__ Depth to ground water_—_- P1 ------ o Damon of Sol ---------------- ---- ------------------------- U Nature of Repairs or Alterations—Answer when applicable.1_ -o n -a-a n h^i,a; ,�n t rn k T� lnr n&I N nA The undersigned agrees to install the aforedeszrnibed 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 A ,,." Sept. 21 ,_19 9 4 Ens ' �sl d b/a CASH ' S TRUCKING— Application Approved By -- --_-- � — nffi Application Disapproved for the Joldomag reasons --- ---- --------- -- a � t Permit No. 9� Issuednow THE COMMONWEALTH OF MASSACHUSETfS BOARD OF HEALTH TOWN OF BARNSTABLE - & 1:� of Cautplimm THIS IS TO CER77FY, That the Individual Sewage Disposal System constructed ( )or Repaired ( ) by CASH"S TRUCKING inc. P.O. BOX 7 Yarmouthport, 02675 ----- — at 238 Pinp Strpt--t W. Raen��b_LP___(pwnP_r�-Ka -n- F 1 1 i s -has been installed in accordance with the provisions of T dTJLP 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ��-•� � dated Z - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM VALL FUNCTION SATISFACTORY.- DATEr/i��y'` " % �' Ins or_�- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 9G�,� - , TOWN ®F BARNSTABLE No laid 19arks Taftshitfflan 111trutff Permission is hereby gm T R TT(K T T4(; P,n, R n X 7 y a r m n i T t-h n n r t_ 2 6 7 to Construct ( ) or Repair ( ) an .Individual Sewage Disposal System atAlo- ?38 Pinp Strppt P. Rarnatahl .A (n-.7nar) T(onny R11_is as shown on the application for Disposal Works —PW DATE -, r Z� Board of n—eakh FORM 36MM MMS A WARRM VW- i