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Home My WebLink About1947 SERVICE ROAD - Health . 1947 SERVICE ROAD WEST BARNSTABLE A = 194 - 047 k ,I y gM 1 y N Q o a o � ` LO CATION f� SEWAG PERMIT NO. L o z:2 3 VILLAGE �Ee INSTA LLER'S NAME i ADDRESS R U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ��/ f ' r.' � 1 1 of I R No.�..�...�7... ........................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ,11 r for RspwiFal Works Tomtrnrtion Vamit Application is h e made for a Permit to Construct ( 1,Kor Repair ( ) an Individual Sewage Disposal V' System at: Location- ddress or Lot No. - u M. ...... =------------ ................................. ....................................c ............................................ .. (JL1I n J .......-A--ress........................................... Installer Address dType of Building Size Lot. 3��_..__._Sq. feet V Dwelling—No. of Bedrooms...............a......................Expansion Attic (tip Garbage Grinder (�)® Other—Type of Building ............................ No. of persons............................ Showers — Cafeteria a' Other fixtures .................................. W Design Flow................._`........._........._gallons per person per day. Total daily flow.......... �3-__--.._.•...............gallons. Septic Tank—Liquid capacitP?.`. gallons Length................ Width................ Diameter-------------- Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) DosingA. ( ) '~ Percolation Test Results Performed by._...._� ... . '�....... _.._ Date........................................ a Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water-.___________-_----_-__- 4, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R'+ --••----•-----•-----•...-•--•-----•--•--•-----------------------•---.....--•-•-•----•......•--------......................................................... ODescription of Soil........t .�L.----• .to> q-n'-`--------`Y__.....-.3,.� ---------------------------------•----------------•--------------------------..........---- (xj ..................................... - `------ 1 '�� ------•••_.S G✓� --•------••---••------•-•-•--- W UNature of Repairs or Alterations—Answer when applicable................................................................................................ -----------------------------------------•------••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL U 5 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. Date Application Approved B ............................T— r Date Application Disapproved for ' e f wing reasons---------------------•--•----•-------•--•••-------. ` - ................................................•-•----•-----...---.......-----•---•--------•-----........_................-----------•-----...----------------------•-------•----..- ................. Date PermitNo......................................................... Issued....................................................... Date • ti THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --------.OF....... .4 c. .:5::e.-t � Appliratiun for Bisvuiial Warkii Tomitrurtion ramit Application is hereby made for a Permit to Construct ( 1,4'or Repair ( ) an Individual Sewage Disposal System at 5 1 tom,-•--- = � C.r�.._.ct-�'•--..=-- ------•-V -`. . --......----•---------•--- Location-Address —•.� or Lot No. _..... ..................................... ........................................................ c Address ----------- -------------------•--------....-...-....=..------------........._...--- ..........................................ca rl � � Installer Address Type of Building Size Lot _...- D.._.........Sq. feet Dwelling—No. of Bedrooms............... ........................Expansion Attic �Q Garbage Grinder ))J aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures W Design Flow................l.,_.0.................gallons per person per day. Total daily flow.........-.�'"=1—n)......................gallons. WSeptic Tank—Liquid capacdt.........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 b ._.....��__ l�!__` '_--------a ...._ '—" Date........................................ �7 y _ ,:------------ Test Pit No. I................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........................ P4 ----•---•------------ ---------------------•-------------....-----------------•••---•-----.......---...-•--••--••------•------••-----•----•....---.._..••... 0 Description of Soil....... ......... ' cA -------:t ''---•--------------------------------------•-----------------•----------- U ..................................... •..... �=....-- -^ ------------- ...................................... W x •----•-----------------------•-----------••-•-•-----•-----------------•--------------••...-•----•--------•--------------••------------•-------------••................................................. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -----------------•-...... ----------•----------------------------•----------•---------------•-------•--------..._._....•----• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 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. S' r,�- .................................................... ......................... Application Approved .........L*1 r .'"~�^� � = -- Application Disapproved or, a owing reasons::....................... Date j Date PermitNo..............................................----------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ..5= `'.1..............OF................ ......... .................................................... C�rrtifiratr of Toutplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (1/1 or Repaired ( ) by ' ' =' .............. ------------------------•••. -----•-•....---_..------•-•--••-•------•---•-....._..............__......_..._...... Installer ---------------------- has been installed in accordance with the provisions of T vT� 5 of The State Sanitary Cod as s ed in the application for Disposal Works Construction Permit No.I.�. .�-.��................... dated_...... ._..... _... ......................... THE ISSUA CE THIS CERTIFICATE SHALL NOT B E®E CONSTRU S A GUARANTEE THAT THE SYSTEM W FU TON SATISFACTORY. DATE1 ............................................. Inspector.... ..... --••-•-----•-•---•••--•---•--...---•--------••-••-••-----•.......---•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTHY L \�4`...r`.............OF.:......_..� .4 '` ..`...................................................` FEE Y Elisposal Workii Tonstrudion rrmit Permission is hereby granted.......v.P_. Ex.n�............. to Construct or�Repair ( ) a�j Individual Sewage Disposal System ---� at No.-----.... - `� �-----•--- - j= 1.�..5.<*- -` ' �C A � �:.._ Street as shown on the appli tion for Disposal Works Construction Permit No.... ... ....... Dated.......................................... /�i ...................... ---- ...•--•--•--------•-----•--•---------------------------••-----•---.. Board of HealthDATE `? ........................................................ `. FIRM 1255 A. M. SULKIN, INC., BOSTON Nj �1AIC.IL. FAMILY( - '„� BCOt2O0M {.l0 GAGL5A6E �jtLIJDE2 -�� /�L.•QAI. G/t/ DN%L%( FLOW z ItUX 3 - 7306•po $EPT1G. TA►.�K = 33ox15o% 49 �6.P• 0 i 00o GAL. Dt5POSAL P1T u5E too S/IpE 4AegrA = 22G s /.✓ e �U �AI�NCr' M4 ALAN RICHARD w. A. o BAXTER sn N Y i 10O N;.2MA8O } TOP FWDs�.3sv2 '� F ►00a INS• '• I � DUST. INS. SCPTiG 12?j t B�K GAL. 29 LEAGu INV. INV. • P t T 670HG ' '^ a•=123 GE2TIt=1Cp PLOT PLAtJ 1 P R U L 0 4 4.710 W fj�E3gp,�/.STsl t3L� Wo SCALE SCALE � 3 l�o GUAT�Z p L P.N RE F:E cZ.EN GE GEQ•?tFY °THAT TvV-- �W'�. SKC) tj g6•R6aN GOMPI-`(5 V�ITN"THE S t oELtN � �-OT 3 ,/• .; r A u D S 6T�e►GK R.6 Q�►R.>✓M 6 NT> o F '�N� ��,5/,� � ..�.a/�I�S� •.s�I/f� � o W N or- U11P�15T�►' ' A N v ►S No7� .SZJ LOCP+ . E •WIT 1J T 'E G 000 P n.lW DI�.TE� t IJYE I�iZ.VEYo2S R.EGIST�Q6V ��DS Tull PLAN t 5 Nam' a�5c p OSTC-9-VILL& ob AW • ASS• i 1u5.1-R�ME►.iT 5v2Vt✓Y 1� -rNE o►-FSETS SuoUL, aT - ti1�s �! S�irh� ►.l�-c �a,F 'USEOTd Dt-TEFZ/^t�� oT k- INE`> APP�-ICA►. ��Q 0 �' 13° ti / ti � 1 Ir \ A .' L � vr =da,,i �SH OF M 'eta RICH ARD A`AN A. v�� c� JO.NES rBAXT R N 1� ?Sill to' <..., / •cif iF � � P�n j15TE�Ci'<;• '� C� i