HomeMy WebLinkAbout0029 CALVES PASTURE LANE - Health / �)s t
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TOWN OF BARNSTABLE d
LOCATION e-�4JultS !W.5rdlZi A) SEWAGE #
VILLAGE 05I6TA&4r ASSESSOR'S MAP & LOT 759- N/l
INSTALLER'S NAME & PHONE NO. j&47-0i-4TT/ L o�c/ST2u �o i
SEPTIC TANK CAPACITY 1D00
LEACHING FACILITY:(type) iot C/� /z (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER R OWNERS G(/pJlq,�j CA,ey�i�
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
. pplirativtt for Diraputial Workii Towitrurtii n rrrmit
Application is hereby made for a Permit to Construct ( ) or Repair (,t4 an Individual Sewage Disposal
System at:
--- /0_0-------•----•--•---•--------------- ------•---•---•-------------- ............................................................ --.........-••--••--....
Location- dress or Lot No ^Q
6a/ ................. �.. - --------- --,!4 J �---•-•------- f ✓`�J ......
........... Owner Address
-------------- "'.. ....................... --- 4 N.------.I t...... vi °n'� �4�---------
Installer Address
UType of Building Size Lot............................Sq. feet
,., Dwelling— No. of Bedrooms--- Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons......................_..... Showers ( ) — Cafeteria ( )
d_ Other fixtures ------------------------- ----------------------------
W Design Flow................_-_-------__..gallons per person per day. Total daily flow....... .........gallons.
WSeptic Tank—Liquid capacitv/kW..gallons Length---------------- Width---------------- Diameter----............ Depth................
x Disposal Trench—No. .................... Width.......i------------ Total Length............... Total leaching area....................sq. ft.
Seepage Pit No.. ._. --- Diameter-----,f.��..------ Depth below inlet_...__6.......... Total leaching area..................sq. ft.
Z Other Distribution box ( ' ) Dosing tank ( )
Percolation Test Results Performed by--------.................................................................. Date----------------------------------......
a1 Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water--__---------_---__-.---
Gi, Test Pit No. 2................minutes per inch Depth of Test Pit_----------------- Depth to ground water........................
-------------------------------------------------------------------------------••---•--......-----...........--•-••.........................................
ODescription of Soil........................................................................................................................................................................
x
U -----------------------------------•----•-•••----•-••-------------•-•-----------.....------•--•.....--------------------------------------------•------------•••----•--------------••------•-•----------
x ----•---------- ---------------------------•---------------- ...._...----------------•-•---------------------------------------------------•-.....-----•---
Nature of Repairs or Alterations—A saver when applicable......._ -......._�aQQ �. ._
V P ---------------------
�r ��!T--------`�`' `�-f-T....s.�.��--- ... T
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 Compliance h been issued th oard of health.
Signed ............... .. r . ... '
... ..............
Application Approved By ..........7. .. ......_:....._... . -
Application Disapproved for the following reasons: .............. . . ........ . ...... ................................. .. ........................ .
.......................................................................................................................................................... ......---------------------------- ........................................
Date
PermitNo. .....-l�---- -- --V/.(00 ................. Issued ........... ...............................-- .......
Date
�- c( 0`6
Noah-D1 Fxs.... .°... ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
•
Appliration for Uhripoottl Works Towittrurtion Vamit
Application is hereby made for a Permit to Construct ( ) or I�cpair ( an Individual Sewage Disposal
System at:
.�- uv s .-L�LE 4 Ake S}�ST �
.. �.. ........ ...................................................
DYLocation-Address or Lot No.
.................................. .
Owner Address
W �.1 (�^(.� .'�-•---•-•-•----G�Urv--�•------- _ ---• !aJ'..-..--- ! •-.vYl . ✓�1 t l ......_..
,.� -
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms_________________�---___--____- ----Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................. Showers ( ) — Cafeteria ( )
a
d Other fixtures ---------------------------------------------------------------------------------------..............................................................
Design Flow.......................3�._............gallons per person per day. Total daily flow.......,, ------------gallons.
W Septic Tank—Liquid'capacity_/aO_.galIons Length---------------- Width---------------- Diameter................ Depth................
x Disposal Trench—No_ ____________________3 Width--__-__f___-__.-__-• Total Length.................... Total leaching area....................sq. ft.
Seepage e Pit No._ __ __p g ":"__`'Diameter-----/-�._---- Depth below inlet......6•--....... Total leaching area..................sq. ft.
..
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by............... ..............................-••.......... ............. Date.......................................
aTest Pit No. I................minutes per inch Depth of Test Pit_................. Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water..-____-_-_--___--_-___.
---- ---------------------------------------------------------------------••••••••----------•--------•----..._.._..---••-•--•-•--••••--•--•---------------••-
ODescription of Soil...........................................-----------•--..........------------------------------------------------------------------------------------........_...._..
x
V ----•-••.._...-----•...----....•••••--••-•--•-•-•------•-•-----•-------------•-------••••••-•-•-----•---•-•----••---•••••-••----•-•••......-•---•--....................................................
•-----•---------------------------------------------------------------------------------------------------------------------------------------------- - ---•--•-.--r
U Nature of Repairs or Alterations—A sorer when applicable.__._-_. _________ �.........�UUQ .....�G ...... �..
/s�� -�--••-----•�-- .•.t-----•-•--•-.'-'� -........ ....-5.'Z-��----------------' ----- ----- Sy..
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 Compliance has been issued the board of health.
�///
Signed ...............�. -^
f
/ Dale
Application Approved By ............we'�
...E ._............. .............................. .................... ...... ......1!' 7
Da[e
Application Disapproved for the following rearonr: ............ ..................................... . ........................ .......
....... ........... .................................. ....... .. .... ... . ..............
Date
Permit No. ....... --V-
K(O� Issued
Dace
---- ---__._—_r. -----------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS /J/„_ n S -73
BOARD OF HEALTH
TOWN OF BARNSTABLE
Tief ifirate of (11am Baize
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( .)
b G�/L� �'[_d - -� .� ---------------
at ------------------------------------...... - dsl)E„S'----..----- 4 .j....&,_( -...... .�.-j---------�a2 A.151---------------
....
has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ._. �yl..._-._.. ._Gn dated .....f.L:^... .. y-_.._
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEA-AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. Cor,
sDATE----- - a.•- � --- Inspe -- � ' ---- ------------------------------- -
016 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1�
TOWN OF BARNSTABLE Zo
No. FEE......... ..........
Ufopoottl or o Tonotrttrtion rrrutit
Permission is hereby granted----------- � _._.......�—G � � �v'l l
to Construct ( ) or Repair ( } a Individual Sewage Dispqso System
at No. w x U £...------�. ----------------�✓........,!Lv...LS7`
Street as shown on the application for Disposal Works Construction PermiK".0
0._��'66j,. Dated-----//7._7-Y.��..........
....................... ------------------------------------------------------------------
Board of Health
FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS - -
2!7-1 TOWN OF BARNSTABLE
LOCATION Za �i, L/ies i�r�S�ur� SEWAGE #
VILLI.GE &, .3aW le- ASSESSOR'S MAP & LOT ,25l'OII
INSTALLER'S NAME & PHONE NO. ��Id�t�, ���
SEPTIC TANK CAPACITY LOGO 6Z4f
--&EACHING FACILITY:(type) (size) /0
NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER
BUILDER OR OWNER �,rU•e�
DATE PERMIT ISSUED: gl(oA LJ
DATE COMPLIANCE ISSUED: � d
VARIANCE GRANTED: Yes No
dou ye
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Uhj-V 13M1 Works Cnowitrurfion rerun#
Application is hereby made for a Permit to Construct ( ) or Repair 0<) an Individual Sewage Disposal
System at
66-7
-• ---•-------•----•-----•----•-----• -•---_-------------------
Loct%ddressCl ,rZ.:J :or Lot—vNo
--- �._. ... - ----------------.----.--.-------.:: - .
--------=
Owner
_ Address
Installer Address
Type of Building Size Lot............................Sq. feet
�-, Dwelling—No. of Bedrooms---------------�-_----_-._--_----.-._-Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons-------------------------._. Showers ( ) — Cafeteria ( )
d Other fixtures
W Design Flow................... ..........__..gallons per person per day. Total daily flow-----_.=___c _s� ___.._._____.__.._gallons.
WSeptic Tank—Liquid capacity./0P...gallons Length________________ Width---------------- Diameter---------------- Depth----------------
x Disposal Trench—No. .................... Width®_�-----__-_--- Total Length...........f..._.__ Total leaching area--.-___..__..___....sq. ft.
Seepage Pit No._-_-_--_-..1_.---- Diameter.................... Depth below inlet----&............ Total leaching area..................Sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I----------------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........................
0 a ----•------------------------------------------------------•----------------------•••--...----...............................................................
Description of Soil........................................................................................................................................................................
x
U -•------------•-•---------------•-••-----------•----••••••-•----•••-•-•---•--•--•-•---•---••-••-...------•--•--------•-••••-------------•-••----••--------••----------•-•-•-•-•••......•-------•---•--•-
w
x ........................-...............................................................................................................................................................................
U Nature of Repairs or Alterations—Answer when applicable------tl �`4_-_4'V71_7!5; .-_-_._-c—N f- 1+ l--____-7-.......
--------------------------------------------------------------------------------
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 Compliance s ben 'ss ed by e board of health.
Signed ......... . . .. . ........ ��f..9/:......
....
......... . .
t s' �f Date
Application Approved BY - / \ ........ -..........mil. Lt------------------------------------- -5;�-
1 Date
Application Disapproved for the following reasons: ..................................................i ............ . ........... ...... ........ . ...........
------------------------------------------------------------- ----------------------------- --------------------------------------
ate
/ Permit No. ------ ��" .......1 .............. Issued ---------- r.0'7.
Date
16
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NO."..._....._�..'�:.✓ � FES ...............
01
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
z
Apphration for Di-lipo3a1 Workg Tonitrnrtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ,(,<-') an Individual Sewage Disposal
System at
Loc lion-Addressor Lot No
W -�12
a lt� /._....._Own er Address
G 6iaJ 7 `f A..._..__!�, -A---4- -.1--L--A S
.
--
Installer Address
Type of Building Size Lot............................Sq. feet
., Dwelling— No. of Bedrooms------------------ -..-.-_---_._...-_--Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( )
d ► Other fixtures........................................................................................................................................................
W Design Flow.................-� ?._.._...__.____..gallons per person per day. Total daily flow........... ---_--.---.---.-.-__gallons.
WSeptic Tank—Liquid capacityZl��P---gallons Length................ Width.--------------. Diameter...------------- Depth................
x Disposal Trench—No. .................... Width-------------------- Total Length...........r..._-_. Total leaching area....................sq. ft.
3 Seepage Pit No...-...._._ ...... Diameter...... ..... Depth below inlet---- n............ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
,.� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
4A Test Pit No. 2................minutes per inch . Depth of Test Pit.................... Depth to ground water..--------..............
P4 ...•------------------------•--•-••-•-•-•-•---••-••••••--•-•--------•-•-••-----------------..................................................................
0 Description of Soil.......................................................................................................................................................................
W
V ............................................................. -----------•-------•-••--••.....---•--••--•-----•••••-•-•----••-•••----------•.....•------•-•----•••••--••---•---........-•----......--••-
W
----------------------------------------•---------------------.......------------------------------•---•------•---------•-•-----.........---•-••--••-•.................................................
U Nature of Repairs or Alterations-Answer when applicable......1V,0—V,E...... :i'] ------- ------:�:Tft......
..--=/�C:C�n 1^.....�€...--•---..�__ -!} .. `l------ -............................•------.....
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 Compliance has ben 'ss ed by,the board of health.
Signed ......../..,...//� ..... ..... ......... t.......:...._....... ......... j� 1-- y
n�-� �
e�' ihre
Application Approved B -.
PP PP Y - ................ .......... ......... .... •mot -' ................------------------ - ..._" p it----
Application Disapproved for the following rearons: ........................................ ----------------------------Date......../...-..
---.. ................................... . ...................................................................................................... ......... ........--- ----------------------------------------
/Date
Permit No. .......... �"'. -J -- ........ Issued --------- `� .. --........
r �+' Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C�Ertifirate of CTompliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( �)
by ........ . ................................i/......... GU.IJZT71 c�;a1......................... .................. . ........
_ Inxr,Jlcr
at ... ....... L.......- '��lJ�eJ.........r�.. ..�...-U...�C-�;:...-...:
has been installed in accordance with the provisions of TITLE of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. A 1�7.. dated-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL�FUNCTION SATISFACTORY.
DATE....... '''"". :......... -- Inspectov.....;W� �..-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
� TOWN OF BARNSTABLE ��
No.F)��11-!5 9 - FEE
................ :.__.............
Mipmal Workii Tomitrurtiott ramit
Permission is hereby granted.........--------� rJIU.G! ----- ----------------------------------------
•-----
to Construct ( ) or Repair (X) an Individual Sewage Disposal System
atNo............------------------------ l. . ` �`� ............................1- --- -T�.Si_cJ _..r_. ' .
Streeter
as shown on the application for Disposal Works Construction Permit Nos. _. /�— Dated..�.� ............... ---
........................ ........•-••••--•-••.---••.------•...
Board of Health
........................................ lth
DATE-----•------�''.�:���----;`�--
FORM 36308 HOBBS h WARREN.INC..PUBLISHERS `��!r/�n•� T'
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.. 1 .. �..'` v 'per', r,..,�.♦. ... \a ,i ` ✓wr::rY'Y • 1.
TOWN OF 'BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWN ER,AND. INSTALLER INFORMATION
ADDRESS: 28 C Ives Pasture LaT}fir. �".. `~�INAP NO. n - PARLEL NO. r2,59 016
OWNER NAME: Herbert Carver VILLAGE: Barnstable
INSTALLATION DATE: Ex�stina BY: ' d
ADDRESS
. 0 (1254
Barnstable Pi xe District
TANK I NFORMAT.ION_
LOCATION OF TANK Front Yard of -House
:""'
CAPACITY -500 TYPE .;Steel AGE. UEL%CHEMICAL ( Fuel Oil
TESTING CERTIFICATION .�LX I PASS C I FAIL ? DATE lallovember 21, 1985
LEAK DETECTION IX] CHECK IF N/A TYPE/BRAND '
ZONE OF CONTRIBUTION C ] YES ' C ] NO DATE TO BE RE
E . � MOVED
FIRE, DEPT. PERMIT _ISSUED EX ] YES C I NO DATE ovember 21, 1985
N
CONSERVATION CXI CHECK 1F 14/A DATE ,
BOARD 'OF HEALTH TAG NO: ' ] 1 ]C 11 ]C ] DATE T
�
PLEASE PROVIDE: A SKETCH.: SHOWNING 'THE, TANK:_LOCATION ON THE BACK OF THIS CARD
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TOWN OF BARNSTABLE 3
E:OCATION '�t�C_�2 SEWAGE #7-8�
VILLAGE -ASSESSOR'S MAP & LOT
NAME & PHONE NO., ---
SEPTIC TANK CAPACITY (Clr-6 6-s -L. _.
LEACHING FACILITY:(type) (size) p��ji2_.
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER . „f r
BUILDER OR OWNER
DATE PERMIT ISSUED: A6`
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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