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HomeMy WebLinkAbout0029 CALVES PASTURE LANE - Health / �)s t /. .. � � � / � , 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 a iJ .,� a ,A`a �' \ �� L��'^— 16 Cr „J L No, '6 ".Q1 ... Frns.... ............... 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 _.� 13.0117 n X ' i1 'I C�v�ly rI N04__: Fas ...... 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 V . 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' r .. 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 i ` l � /� t � W\W!9 4.91K000KI �j ��•mK� i ' 1 1aoaV � _ h D 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 4 99 Y Ljz A� CAkc�