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Home My WebLink About0118 ACRE HILL ROAD - Health ,__ „"v� r • -{i � .. 1 .. ., c � o t� 1I ., - ,. e .. �� 1 a � � �� _, - �, I .. �� , �� . �, ' � ji L A - � i J - - ll � � �� J .. ' � e �� v - yr �f �, r 1 A_ �____._ ___e _I LOCATION � SEWAGE PERMIT NO. VILLAGE . INSTALLER'S NAME & ADDRESS B U I L D E R OR OWN ER IZ-r o�,-A o DATE PERMIT ISSUED �7-/( -71 DATE COMPLIANCE ISSUED _ �� J) ca v5E s t LA \q� 4 le No................- Fic:z.............................. THE COMMONWEALTH.OF MASS'ACHUSETTS BOARD OF HEALTH _.:.... ..._.Town----------.OF....Barnstable ........ ....... .........I.............--------.... ApplirFation -for 43i,iVuiittl Worko C onfitrurtioaa rrut t Application is hereby'made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Lot 9 Acre Hill Road, Barnstable --------------------••---...----....----•------------------•---------------------------••-...-••-- •---•--••----------•--•---------•--------------•......•-••••......---........................... ocation-Address or Lot No. Donald arr Falmouth ---•----------------------------------------••--------------------------------••--------•-•-•---•- -----------•---•-•-•••••----------•---.....----•-------•-••••••-•-••-•••-•-••-•----••......-•-•--. W Vetorino Brothers Barnstable Address Installer Address d Type of Building Size Lot......57,1.71_.......Sq. feet U Dwelling 4 No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons.--------------------------- Showers - Cafeteria dOther fixtures --------------------------------------------•-•-- •. .......................-----------------------------•--------------------------------•--------- W Design Flow..........................................._gallons per person per day. Total daily flow______33Q______-_-____________--_.......gallons. WSeptic Tank—Liquid capacityl,000gallons Length....4......... Width.....6_..---- Diameter________________ Depth--------------- x Disposal Trench—No- ____________________ Width..--__--___-_._---_. Total Length.................. Total leaching area--------------.-----sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below 'nle 1.Total le tin trea.________________sc it. z Other Distribution box ( x) Dosing tank ( ) ,�.64 M . '� Percolation Test Res is Performed by------ �_/l`l�-o3......................... Date___/!Z_�_�/_�__7_q�._._..- aTest Pit No. 1_ �--______minutes per inch Depth of Test Pit._.____L2I------ Depth to ground wate.r...__n��--_._.... f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ P4 •---------------------------------••-----------------------------------•---•--- Description of Soil--------Q__."--3611 loam and subsoil. 36" - 144.. in fe san d x U W 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 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. Signed-------------------------------------------------------------------------------------- -------------------------------- Dat p� Application Approved BY---------—757 ....C � v Y r�� ----------------------- �� T-,------ Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ...------•------------------------------------------------------------------------------•••----•----•-••••-----•--------•--•--------------------•--•----•------•----------•-----............-----•••••-- Date PermitNo.......................................................... Issued..... ` 7 .......................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... T.° . ..... .OF ...Barnstable ... .. ....................................... .. Putirntiun -fur Uiupuuttf Workii Tonutrurtiun Vermit Application is,hereby'made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Lot 9 Acre Hill Road, Barnstable --••••••••-••••-•-•-•-•--•••••••-...•-•----•-.•••---•--•-------•••..._.-••_-----•----•-...--.....• ----_-___-•--------•--------••---------••----•......_..•----_..-----••--------•_-_•-......--•-•-. Donald ocrr•Address Falmouth or Lot No. •••••--••-•••••-•••••----•-••••••--••--•.•...••••--•--....-...••---•-••--•.....-----•------•-••--- -_-_--__•--------------•---_-_•__--_--•---_------_----------.-----._---_..--_---_----•-••---•----- W = Vetorino Br6hers Barnstable Address a ••••-•------------------•••••--•••-----••..-.....•••-•........•_-___-__--__._-•-•-----.----••. ••••-•••-•-----------._.---•--•--•---•--•-••••.....•••----••-----------------------____-----._._•. Installer Address 57 171 f Type of Building Size Lot......_____>R_______........Sq. feet U Dwelling�No. of Bedrooms_______________3___:_____-_-_-___-__--.--.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) al 'Other fixtures __---------------•-------•---•• - W Design Flow................. .............._________--gallons per person per day. Total daily flow............................................33.. gallons. R; Septic Tank—Liquid capacity i'.k000gallons Length_--4----_____ Widtl--._-_6....._.. Diameter................ Deptit___..__._.._.... f=1 x Disposal Trench—No_____________________ Width------_----------- Total Length-------------------- Total leaching area------------........sq. ft. Seepage Pit No..................... Diameter.................... Depth belownle . __._ ___ _, To,a} lea ty trea---_.-._-----__-_sq. ft. z Other Distribution box ( X) Dosing k ( ) r', � ' W Percolation Test Res It Per by.- �. :_..- ► �` �'"` Date.___"_f _'"__. _ *._..... ----- -- a Test Pit 1 1____ ___________minutes per inch Depth of "Pest Pit--._.-_��______-- Depth to ground water..-.-��e-_-.-_-- �14 Test Pit No..,2'______________minutes per inch Depth of Test Pit..____--__________- Depth to ground water_.....-._:.---_-_------ ------ -„-----------------------------------------�.. ri M D Description of Soil__-___.�_-.'__36_---•loam and subsoi 1 3fi 1.-+4 g ae sand • -- -••-•-- --- --------- •-----• x a;_.... W x ------------------- ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------•------------- 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-Article NI 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. Signed ....___ ----___ Application Approved By---•- � iv/ C lk',k e _7� � — l Dat77 a Date Application Disapproved for the following reasons:...........................---.................... ------------------------------------------------•--•-------- ----------------------------•--------•-----•-----------------_.:_•--•--------------------••---------•-•-•--•---•--------------------------------------------------------------------------------------- Date PermitNo.................... - ............................... Issued...................... -------......................... \ Date THE COMMONWEALTH OF MASSACHUSETTS " BOARD OF HEALTH T° .............:..,.......OF...........Barnstable .. . ................................................ Tertifirute of Tlampfiaure THIS 1� TO CERTIFY That the Individual Sewage Disposal System constructed (X ) or Repaired ( ) etor no brothirs by--------------------------------------------------------------------------------------------------------------------------------------------------------------- Lot 99 Acre Hill Road, Barnstaivruller at......................................... ------------------------------------------------------------ - has been installed in accordance with the provisions of Ailf hg State Sanitary Code asdescribed in the .application for Disposal Works Construction Permit No_______________________'_____ / ------------ dated.----- ----�----------------•----------------- ' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM iAllll, FUN CT ATISFACTORY. DATE__.__._.. ---------------------------------------------.................. Inspector.- ...................------ ................................................ --- MTHE COMMONWEALTH OF MASSACHUSETTS a BOARD OF- HEALTH 7 y Tom Barnstable �e re ". .............................OF...............-------....--....................... ,", ..��„, No-------- --------------- FEE........................ "i-spoutti Norkii ClIongtrurtion Vrrntif Vetoring Brothers Permissionis hereby granted...............• .............•-------------..__..............------........------------------.---------....-----_...._..------. to Construct ( X or Repair ( ) an Individual Sewage Disposal System at No.................__�t 9, Acre bill Road, Barnstable ------------------------------------------ -----•----------------- -- Street .� as shown on the application for Disposal Works Constructi rmit o____________ ________ Dated__-- -f_------:_ ................. _____ ( r DATE-------�-�--�-------------�C------------------------------------ Board of Health FORM 1255 HOBBS & WARREN. INC.. 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