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Home My WebLink About0141 CALVES PASTURE LANE - Health j c. TOWN OF BARNSTABLE 10 LOCATIONf1ZV�S PAS-rUAG �///'�G SEWAGE # 13'2'q� VILLAGE ��► �'��G� ASSESSOR'S MAP & LOT ?,5 7 / .3 . INSTALLER'S NAME & PHONE NO. CONsT C ®/ SEPTIC TANK CAPACITY ISOD Gg1,f�� { LEACHING FACILITY:(typeC3) 6*445zf S (size) �Z,X 1 2 NO. OF BEDROOMS PRIVATE WEL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: L. • DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No l— cam. o oxvnc qs z �o Gpa 1 Oc No....1.3--:--1-Yz6 ,A Fizz ......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLvE , pphration for Di4ipwml Works C onfitrurtiton ramit Application is hereby made for a Permit to Construct ( ) or RCpair ( ) an Individual Sewage Disposal System at: ....l_. 1...._.. �! s..... T? .--,� - -=----------- --------•-------••---•--•••-••--•-•...--••--••-•--•--------....-----------------.................. Location-Address or Lot No. _ .......................................... _ -------•----••----------------•-----•--------------- Owner Address 7-: ----------------------------------- ------------•--........---------........ Installer Address Type of Building Size Lot............................Sq. feet ,., Dwelling— No. of Bedrooms.-. ............... . Expansion Attic (l�/) Garbage Grinder W) ..-- A4 Other—Type of Building __ __.£S_________________ p ( ) ( )� _ No. of persons............................ Showers — Cafeteria Q, Other fixtures -------------------------------- W Design Flow............................................gallons per person per day. Total daily flow......................._............._•.....gallons. 1:4 Septic Tank—Liquid capacity............gallons Length________________ Width----------...... Diameter................ Depth................ 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 ( ) 1--. Percolation Test Results Performed by.......................................................................... Date........................................ ,.a Test Pit No. 1.:..............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........................ a -------•--•-----------------•----•---••--•-•-••--•-•--._.........--------•-•-•-•••-•...-•-•----......---•---------••........--•.:....-- ........... 0 Description of Soil------------••-•------••----------------------------------•-•-•-----------------------------------------------•--...------------------------------------................ x W --- ...................... •------- -------•----..... --------------------------•----•-•-•.......-•--------•-•-------.....--•-----•--•-••---•-----••--••-•-•-•---•--•-•-••---••-•..........-•••-.------ UNature of Repairs or Alterations—Answer when applicable................................................................................................ ....P .....: -----------•-------------------------------- 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 as een issued by the board of he Signed .. �� ,�----------- ................................— -------------------- --------.........Dace................. Application Approved By . 6,r-n �. } r.S'- Application Disapproved for the following reasons: . . ....................... . ......... ......=................................................... ........................... . ................................. .............................. ............................... ........................................ Da Permit No. ........ 3------- .�....... ............ Issued ..............--........ .............. e 7 - - ..... Date j4��ry��..r��y,.r--....._�••.rrt..-':.`��"tyJ'r�n.�r..y11 ..�^..._Ws��4`..^..'-•T.'.v.".-+'ti+.+`.•'Y�t.r-�rVV"f�"x'.-v��.�..r•-.-`r'--�.-�»..,.J-wyw..-..._, ._ - -._ 00 FEB.......... .11.4......... (/ (, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dijipniiul Wi orkui Tonstrnrtiun rrrmit Application is hereby made for a Permit to Court tact ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. W Owner Address ................................................ Installer Address UType of Building Size Lot............................Sq. feet a-, Dwelling— No. of Bedrooms---1-3---------------------------_-.-----Expansion Attic (,A/) Garbage Grinder (�) aOther—Type of Building ./2-f 5---------------- No. of persons-------------............... Showers ( ) — Cafeteria ( ) dOther fixtures ----------------------------- --------------------------------------------------------- ---•-----•-•-•---•--•--------•-•-••--•------•-----•--._...... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water---..................... �Z4 Test Pit No. 2................minutes per inch Depth of Test Pit................--.. Depth to ground water........................ C4 -... ---- ----------------- ------------------------------------------------------------------ --------- ---------------- -..... ----..... --•----------------------- 0 Description of Soil........................................................................................................................................................................ x w •----------------------------------------------•-.........---------------...----------------•------------------------------------------------------------------------------------------------......... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ....eex. --------------------------------------------------------------------------------------------------------------------------------------------------------- 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 by the board of heakth. Signed C"� ............. .............. -.............. -.........:...... Daze ApplicationApproved By ..............�gp.: � �a >- ,.. ..-............... ......:5....-.. _.% .-�f_3.' ....................*................... Dare Application Disapproved for the following reafonf: ........................................... '-' . ......... ............................. ............ ...................... ....... ....................... .............................................................................. ........................................ Permit No. ....... -:---- . Issued Dar � e Daze c_�--n.-— ---r--- ..=.e ---: a..— -'y>--v...---I--------s_-..-:.,.tea THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ......................... G? L a-err ,.......C .4 .............................--------------..-....... .... Installer at ........_....... .. ... ........-C ram.--------..-1 . n_�.. ------ _ ----------............ .�--- ......._.................... ..... 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. .._-��.� . --------- dated _ ..................- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------ .............. .74 t 7.�............. ...._...... Inspector ...... ..> THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No...�:�-,�,�// FEE...../9.c:)........ t la tt1 orki Tunotrurti.on "rrmit Permission is hereby granted..........4.�4a.r-t_-------('�1t a '-------------------------------------------------------------------- to Construct (,�) or Repair ( ) an Individual Sewage Disposal System at No. t r� C` p � r� �. e, V .�t ........ -- .�...,....... = .................... �. Street as shown on the application for Disposal Works Construction Permit No.'3-a:VA Dated........................................... N ==' r .................................................. Board of Health DATE..............C�...-.. -.-.i--,).................................. FORM 36508 HOBBS A WARREN.INC.,PUBLISHERS .,;.:..•::- '` y - ,,.....-..,.,,d,rr,-,. - - m.mnwG r;•,Y -��,.`�,_ -.. :,...-cam ....._..- _._,..,, -- - =,V_...,...,...n,.....__ ...y._:. .....�..,a.. - I 1 hB _1 +', 47 'J` ! , a.,}`.i ;t{ -; �I',,q ;;t „t '. -rl;. .. 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IF I{ , • f'l al a r'17. \) •it,�.I , .• ,. _4,. r• ,- '+•f , , ',. . . {,Y I+ 'AJ f — aA- r< r t 1', �, r a., d ) r _ _Y ,.:.. i .iI I 1 ' , II 1 ' %., 1 I 7 Fee -`- - -- BOARD OF HEALTH TOWN OF BARNSTABLE 2ppficat ion-for Vell Gotructionprrmit Application 's hereby made for a permit to onstruct ( Alter ), a Re - ) individual Well at: ---- --------------------------------- _yj Location — Address Assessors Map and Pazcel -----------/L1-huh_a-#---------------- ------ -------- Owner Address j ------------------------------------------ -------------------------------------------- ---- ---------------------------------- - Installer — Driller Address Type of Building Dwelling kl*es ------------- Other - Type of Building---------------------------------- No. of Persons-------------------------------------------------- Typeof Well-- --------- ------------------------------ Capacity------------------------------------------------------------------------------- Purpose of Well ----- -------- ---— - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of o iance has been issued by the Board of Health. Signed - - ----------- — - I--------- -- _ - - date f�f Application Approved By--- -------��_2- --- ---- --- --------- ---- --------- date Application Disapproved for the following reasons:------------------------------------------------------------------------- -- — —-- --- -—----------------------—-__— - -— --—-- — - --—- date J .� .r Permit No. ---1��'-' 1-'- = 1'----------- Issued------------------- - -- - - clafe BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance - / // ted ( ), Altere ( ), or Repaired ( ) by Lrt-� e 11� - --� � �' -- - — -__ THIS I TO CERTIFY, That the Individual We onstru�c InAaller at - _ � ---------( tJL✓5�-------- 1-S 1 --14--------------�/- �1 �-- -- —�� has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for 1 Well Construction Permit No.46'�'—FZ' �Zated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------- -------------------------- Inspector—------------------- Alm �1_�` �� Fee - =_ -- No.------------ - BOARD OF HEALTH TOWN OF BARNSTABLE Application for Vell Con5tructionpermit Application is hereby made for a permit to Construct ( ), Alter or Repair ( )an individual Well at: Location — Address Assessor Ma and Parcel - T - i -P -------------------------------- V Owner Address Q� �_ �r__ P��S---=�ns Qh n,n► --------------- - - -- - - --- - -- --------- — Installer — Driller Address Type of Building Dwelling Other - Type of Building ------------------- No. of Persons----------------------------------------------------- Type of Well---rJ�-—--------- Ca acit - Purpose of Well------------------------------— -- —- - - Agreement: - The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Co iance has been issued by the Board of Health. 1 Signeddate Application Approved By------- - -<<i' /10Ql- ��g date t Application Disapproved for the following reasons:------------------------------------------------------------ - -- - --- -------------------------------------- '- - --------------- - -- - - ----- -- - --------------- date Permit No.- - ! - �-�'--- -�-?`f'-- Issued--------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by--/0(.��c -— ) 11_��-----— ---- �5 pl7 Ct� - /� h _,�1 = --------------------------------- _ --Installer 1 1 _� r� -------- t ug�� ---------------aa---------has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. i��ted THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---------- ------------- ------ Inspector--------------------------------------------------------------------------------- 1 BOARD OF HEALTH TOWN OF BARNSTABLE Yell Construction j3ermit No.-------- --- Fee-------- Permission is hereby grantedG�------�.V.�_ j------------ _------- r to Construct ( ), Alter or Repair ( ) an Individual Well at: - ----------- ------------1A=------- Street as shown/�on�the application for a Well Construction Permit o. j 1 - ----------------------------N - - Board of Health DATE--------TF- -��---��-----------------------------