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Home My WebLink About0519 WILLOW STREET - Health l " - West Barnstable TOWN OF BARNSTABLE LO 'ATION J-/g? SEWAGE # - t VILLAGE ASSESSOR'S MAP & LOT 136. INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY �ppd yL LEACHING FACILITYAtype) (size) NO. OF BEDROOMS _PRIVATE EL OR PUBLIC WATER BUILDER O OWNE DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� .:s.. � ti y // S / o \ i �� i ` r i � �� ' 8 � Fps...... ......... THE COMMONWEALTH OF MASSACHUSETTS -1� =MOARD OF HEALTH TOWN OF BARNSTABLE Allp iration for Dhipaaa1 Works Tone lrur#iuu - rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System s�at A�o G�� - - .......... ... . . ocation- s ..................... lY-..................................Ad .......... :Xr I. ler > Address Q Typ o Building 22 Size Lot............................Sq. feet V Dwelling—No. of Be rooms......1 ..................... .Expansion Attic ( ) Garbage Grinder ( ) U Other—T e of Building No. of persons............................ Showers — Cafeteria Ga 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 ( ) `" Percolation Test Results Performed by.......................................................................... Date................................. aTest 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........................ a •-••••••-••-----•--••--••••------•••-•---•-••---••-•---•-...••••---•-•-•--•---•....................•......................................................... 0 Description of Soil............................................................................... ----•-----------------•---------------------....--------------•-••--•---•............--- x V ---....._..•••--•-••••--•-••-•------•-•-••--•---•••-•--••------•--••-•••-•-----•-•--•------------••--•-•-•-------••----•--••--•-•-•••---•---••---•----••--•--._...•-•-•--•-•-•--•---......_•-----....... W -----•-----------------------------------------------------------------------------•••--•--•-•---- ------------4;14-- --- 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia has been 'sued by t board of health. Signed --- r . . 13.^ 2 Dare ApplicationApproved By ...................... ............ ..... ............................. ..---........------------ -- . ............................ ------..-/-�..1....3-�...q�-- Dace Application Disapproved for the following axons- --------------------------------------------------------------------------------------------------------- --- .. -------- - ---------------------__-_------------ -................................... :... ...----.....-....---------'--------------------------- Date -�--- - -�Permit No. q -----.. v2-- ------------------:............ ......... Issued ........-------- -- -- Date No................... F�$..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L TOWN OF BARNSTABLE Appliration for. Dispsal Works Corm rnrtinn rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at - ... ................................•...-------------••---.......---........---....... ocahon�- d ss or Lot No. .................._.. ..... ...... ( • '- ...... ................... ... ..... .... I/ er�( ......... ...f��.....-----•.............Zrooms �I7..��.. .................... .....�.�..�..J c.[,-nda- /.�/...... .._. / Ier Address U Type`of Building ,3 Size Lot............................Sq. feet I—. Dwelling—No. of Be ......_._•....................•.............Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of persons............................ Showers � YP g •--------------------------- P (---.)..— Cafeteria ( ) Otherfixtures -----.....--•---------------•----------......-----------•-----••••-------••-•-•---•--•--••--•-•-•.......------ 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 tank0-4 Percolation Test Results Performed by.......................................................................... Date................... ......... ......: 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............-........... a \ •-------•--------------------------•----••----•-•--------.....-•-•--=----•-----......•.......----•----•----------------•-------.......--•••••-••-...•-••...•. 0 Description of Soil.......................................................................................................................................................................... x V ----------------------------- •------------------------------------------ ----------------------------------------- ------------ ------------•---------- --------------•----•---•------•- UW ••--•-•---••----------------------------•---------------•-------...-••-•--•-•-----..........•--•-••-----•----.. --- ------ - ....l�n...._ --• •. -�...._. Nature of Repairs or Alterations—Answer when applicable----- ------•-•-• -----4 -•-....... •••--- --------------•--------•----•-------------••--------•------------------•------------....--••-----••---.......-----------------------------------------------------•....--•••-••-•G/ 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 Complian e has bee issued by the board o health. Signed ........ . . .... ............�.............------------...-- r......--------- /...--�- -3. 9 2 _ DatB Application Approved By ........................ L'_ � - / . M ........................................ ...................--------------------------........--............ ................................ .. Date' Application Disapproved for the fo owing i�a.ronr ----------------- ---------------------------------------------- .----- ---.......................--.......----------....------------------------..... ----............------------------------- ....................................... Date PermitNo. .........9'a - z�---------------------------------- Issued ..................................................... Date l THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�er#t�tr�t#e o� Cn�m�lt�x>ttce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ........................ i -- ..... .... ............................................. ........................................... ........... --------- ----------------------- ... .......... Installer at ---------------G'....1.. l{has been installed In accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .....?.A._-..f.�?................ dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............. J 6 - 2.3-... Inspector ..... .. . V THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.................... Permissionis hereby granted..-------- ... ....... -..................................................................................... to Construct ( ) or Repair ( ) an �tdividual Sewage Disposa System at No.. ._ f..:4. f�,�;3 r�' �� 1� �` Iry &'d&c------------------------------------------------- Street as shown on the application for Disposal Works Construction Permit,No... _�_. Dated.......................................... , ................................... ............................... i l•e ........................................................ DATE----•---------�•-..-..J_`zJ...-.,e7>,2............................. Board of Health FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS - - I A ES GR'S MAP NO. PARCEL A-1 / C A T ION 1.11 Is /] i� D///q/ S E G E PERMIT NO. VILLAGE lie F - I N S T A LLER'S NAME a ADDRESS I E. KENNEDY TRUCKING STREET WEST BARNSTABLE s U 1 L E R OR OWN go L 362.30 5 DATE IVERMIT ISSUED DATE COMPLIANCE ISSUED R AW Jg 4° i,S"-Oo JuLo THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: or Lot No. wner q� JV..," Installer Address Dwelling—No. of Bedrooms ----—-- -----------------------Expansion Attic Garbage Grinder Z Other Distribution box ( ) Dosing tank ( ) ---------------------------------------------------------------------------- ....................................C ---� ----4 U Nature of Repairs or Alterations—Answer when applicable--------- ................ ........ The undersigned agrees to instal) the aforedescribed Individual Sewage System with tbc �of 5 of the S Sanitary` ' operation until a Certificate of Compliance has, been * ued by thekoard q hea h. Date Date -----------'----'-------------'------'----'-----'-------------'---'---'---------'--------'-----'----- Permit No. __ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..----- ... ------------...-.....OF............................................................ .. Alip iration for Riipasal Works Corm xnrtinn ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..._ .....6i .... -- .... -----.. ..-- �,..,s �Lq�t'y� -A36ress � or Lot No. .._ ....._. ... . ............................................... ---- -----•-------------- Owneress Insta.ier Address Q Typ of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms. .....'3..............................Expansion. Attic ( ) Garbage Grinder ( ) Other—T e of Building Cafeteria ':'_....._..... No. of ersons.._.. _ Showers Other fir .. ------... W Design Flow............... •. .......___.gallons per person per day. Total daily flow....... _ Cl........................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 Test Pit.................... Depth to ground water----_---___-_-_______--- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .......... O Description of Soil == = -••�-- ------------------------------------------------ --•--- (xj .............. "--------------------x................................................... W -------- --------------------- •-••-------•---••••-----••-----------•-•-•--•--••-••-•••---•••••••-----••-•-•-•--------------•-•---./t. ....---- V Nature of Repairs or Alterations—Answer when applicable........Azo_,:� e...... ..; . 61 ----------- --------•-----------------------------------------------------------------•--------.....-•--•-•--•-------------------------------------------------------------------------------------...........••••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTIj E ;of the State Sanitary Cod —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'LsZoard f li th. Signed ------.... -----------•-•------•--••--------.-•--- Date Application Approved By............. -�~' ._...... .._._.� :=--I Date Application Disapproved for the following reasons:-------•-----------------------•-----------------------•---•--------------------•--------------------------•---- ............................... ...................... •••••---.........••---••••---.........•--•-....-----•-••••------•----••••-•-•------•-•---••--•-•----•••--•••-•-••••------•-•----•---------------- _ Date PermitNo......... 7 `O. ................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ .... ..::Z:.........OF....... - . s -r dal a Qrrfif irtttr of T,antpfianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired {^} by...................T--- ........ ,ti°=:* _ '� ...----•----------- .-------------------•--------•-----•-•-•-•---.............--------------...-----.....--•--------•--- Install at-•••••••••....' 1.........V G' 1' -r..........0_1. ........ 7-----•----------•-----•---------------- -------------- has been installed in accordance with the provisions of T I T IE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......�5....._..� {... '... dated-..--------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................2......._... ---.K:.7--•-----...•--.....---- Inspector........... ..��..�------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r Q*}y C t � .................{..................OF........ '`��``s'"`� or �f.._..........._......................_.. O..-• • FEE.a J_.. Raposa1 Workii Tanntri ion amit Permission is hereby granted-------�-.-•••-1 .. i --•----- ---------------------------•--.--.---...... ........... •.......... ... to Construct ( ) or Repair �) an Individual Sewage Dispos System t No Sweet as shown on the application for Disposal Works Construction Per 't No6� �7.. Dated.......................................... :... DATE------------2L7. ++ ------------------------------------ �� _-- --•-.--.--- Board of Health �- - G------6 -------•------------------- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS Ail . E. KENNED' D _VVILLOW STREET WEST BARNSTABLE, MASS. 02668. TEL. 362-3005 f Kk f, too ,yE lye y N� % ti ,'• [.�^" �. ^:' dry .f �: WA - ,lociIL G�+ ..