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Home My WebLink About0195 INDIAN HILL ROAD - Health J 195 I 'DIAN HILL RD. , BARNSTABLE A= 318.038 3 o t n t u THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / �(C�"-J LI DATA Y 5n. -: Fir t T ra-C/per),',"FIJ s ' a ti a IT!* .4-" # n Q4 ~. F Ry .�eY •6�,a'v�„?.rd' w,..,c „?„iw e "f N -r+�'i., ,y. rae,..+ 'f,,,� f^t;. . �4 ':;�".`. •s F--_#.�a_._ i' °'°^�.�i%Lt'°��'S(°yy�J!..�a'ra'/<��lJ .. � F'.''� 1 !da"„ `�'�•CY �o 'd�'L C X':.t '� p �. t., arii q, as d fU rho .r. ir,1' ,48 �� ffE ,1 r f'�'] ry � y i, .sCte��E l �'+F �� di7:T1 t"i l p�•' { faa _j`+� rl Robert 7. '`� -�°L-t'G.. ^nay f 'c L ,t�, r ., F 7'., y,.•_ >.Y'Ti�r��+.t -_� y:�rf. �� «: �. �� ,..q l._ 1s7tC ,-mn � r rL;� �ia'i'�y t"`aFlI1PT''y ( '� s C �# ' •^�•+, ei s c, _ ..-._.. ^' �w r dip, "`'',� •a—s=.+ d? � a� �,•,��a7"`t�-:`f: s._-� `.t�",3s- >�`.�d .;o—. x. Rli <.,..a,,y' .s...�a•�s.eY. if {�(4 ;i:; .-... _ 33 � fs"" z a l 1 �f'x l i, N r " t a {tE " �'�` !'"` 1 t. ,K!1pU�d�t� r rr /. i^s� 41 i 1 P Pd u! I• L r=� ♦1lt tL'.i r "j i s •..j"*"7„, } c. q.-.'x •+w-...r=w.4- s `A �._t • '�,,: _`E 't .� .3—____,s.— r� Tf11`Ua�"� �.:'*' ,e .,� ��fVr,_ "'''`- "" ��.,t ._� �t ; wr. - �' i ifl cFZ ss„`s Slcrl i-arfcG7kass-...:.�•---- R.__ 1. � ,,�•..:_, ,a� .� ... • _ .. t _ t P�`:.T T t``s. F LJ F w y.n/^t {T}�f t t t �=r, },•t. _- �Sy � .: � (:.o� mu..1•", (sic ....,... ...= ..�es..s_.r�...._._.•:.�F-_.rw..R.s ff+•.tG>'w.�F vb.. .,��,. wa+ .�.,..._. .. �< ' W" OHM 09 "Al AT nil atoll;wymosw . ,,y ,,,,�' h. r ..��;� a-� �__ • '.'-'^^r-r. .. :.�--- '4...T..= i _._,,., yam...-w .•,..n,.^....._-...,...x .-.. "O/f?"+ 1 t. •. � _.i .e�,.�t n '. L -ri ;r /�� J ,q,�,. . ......... • Jt 4J il��'tf -.. $;.fop ..�,s,«� ,<:.+t�-,��.�'O r`' '�,.-.n,. - t ^'a = �.n.--.:.�& d!' ..tea.,_. _._. -, - :: �?;f�i!➢ tPfy�`%n to i `��rl�t-t l',�� ,� t � l �' � c - •�, �.-'S'vt4`.�,•9;y;7' err. o / 7 o i _- - ;.. �� •t _+:.r F f 1 :e,_i1�c. .d!Ilri A � R . t i NA 1 AND LADDRE OS AL: OF U Jn'�!L-5 Ca. IaHA(��C�O��E TANK L�Ca. IaFV U. �V � OF 28 WOLCOTT STREET PPROVED TANK YARD I E MA 09117 ",PPROV'ED TANK YARD NO. �� .ank Yard Ledger 502 CMR 3. 03 (4) Nurtiber R � '—i 1 certify under penalty of law I have personally examined the underground s stor :i fine, a , ) livered to this "approved tank yard" by corporation or partnership ��(��( _� �V and accepted same in conformance with Massachusetts Fire Prevention Ragulation 502 CMR 3.00 Provisions for Approving Underground Steel S rag T smantling yards.` A. valid pe=t was issued by LOCAL Head of Fire Department FDMt to transport c'u s tank to this yard. Nam androffici title of approved tank yard owner or owners authorized representative: SIGNATURE TITLE DATE SIGNPD 'This signed ceoeip of disposal mast be returned to the local head of the fire department r rDM4 _'' _ pursuant to 502 CMR 3:00. (EACH TANK MUST HAVE A REMIPT OF DISPOSAL) f ? CORi11 F.P. 291 (rev. 11195) (OVER) MASSACHUSETTS STATE FIRE MARSHAL'S OFFICE �^ Tank Data Tank Removed From: IG�i ��rlinn ICI II I�id Gallons;��)b_ ( No. and Street ) Previous Contentsy— ( City or Town ) Diameter------Length----- =Ti- ., ,f," + 5'F Date Received. `' " Fire Dept Permit # Serial Al. (if available) 1 Tank I.D. # (Form "FP-290) Owner/Operator to mail`revised �copy of,.Notification Form(FP290 or Fp=, , 290R)-to: UST Compliance, Of ( Office of the State Fire Marshal,; 010 t y.: 02215. Commonwealth Avenue,' Boston, Ma. q TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION I�✓ IV l7 •' 3 OWNER AND INSTALLER INFORMATION ADDRESS: 19-5 IAIb 14AJ (41 L1_ RD. MAP NO. 3 1t°� PARCEL NO:�"��` OWNER NAME: RD,664T- r V I LLAGE: .f 4 A A-C)t) i N INSTALLATION DATE - '� PADRE--S : TANK 'INFORMATION LOCATION OF TANK: {c ! '; 4 JDA j _ fLr�r 1i-t r(—rr14• oi,) .�9C4 CAPACITY U Lg4STYPE S 1 4� ''.Li' AGE FUEL/CHEM I CAL' TESTING CERTIFICATION C J PASS C J FA = D T — LEAKS ETECTION G CHECK IF N/A TYP /BRAND:. f r. ':ZONE OF CONTRIBUTION \63 YES E, ]`NO DAT TOLE :REMOVED FIRE DEPT: PERMIT ^I SSUED C J" YES ,C - J N0 DAT CONSERVATION Cv]CHECK IF•N%A DATE BOARD OF .HEALTH.. TAG NO. J J E" t,J C J C , Ja DATt77 PLEASE PROV I DE A SKETCH. SHOW I NG THE ;TANK ",LOCAT I ON: ON THE 'BACK OF ,THIS :CARD Lo cA�n-dr4 -c)P- WbO-4 PWAb jgS 1KIDiAlJ 14lLL oqL) IL ®•CAT ON SEWAGE PER VILLAGE N S T A L L E R'S NAME & A D D R E S J. CRAIG MEDEIROS Tracking & BulldRin _ 142 Corporation Street - 6 B U PL D E R OR- 0_W_ °N ER DATE l,,PERMIT . ISSUED " r DATE C0MPLI�AN-CE I-SSUED ,,/ � . _. -'1 y {- S �� , � LSY�� s� �� i , O v � ,� �l �� -� �� . �,, -71 N ��"� .. F�s.....1................. THE COMMONWEALTH OF MASSACHUSEQrs' BOARD OF �HEAi-I ............. `t�t...........OF........... . ........4 App iratiou for Uiipuual Works C oustrurtivit ranfit ` Application is hereby made for a �ermit to Construct or Repair ( ) an Individual Sewage Disposal System at: � ®'F .................. ' .�Y..! .. :..Ltl� rt C .l.Gi--...---...----------.......: �.1�.. Location- d ess or Lot No. D..(�_ Li1 �: ------------- --------- ........._..... .............._...- • O ner Address a ............... er ' s ---- ----------------•----- ........ Installer Address UType of Build g Size Lot----------------------------Sq. f� Dwelling—No. of Bedrooms...............J__.._...............____._..Expansion Attic ( ) Garbage Grinder Other—Type of Building No. of persons............................ Showers — Cafeteria dOther fixtures ............................................................. w Design Flow.....................:5... ........................ gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No .................... Width.__.... ... tal Length.................... Total leaching area....................sq. ft. Seepage Pit No---------- Diameter. pth below in et._....._.___� al leaching area..................sq. ft. Z 1 Other Distribution box ( ) Dosing tank ( ) df— Percolation Test Results Performed by...................... .................................................. Date.................................. Test Pit No. 1-----------_....minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes'per inch Depth of Test Pit.................... Depth to ground water........................ O .......... ---- .. -...--------•........---/-/ ... -...s ^�„ •- ---•-------. .. Description of Soil - ---------- -�1 u. ._ . . `... ... ---- . --! - ----- = w ' ✓ - U Nature of Repairs or Alterations—Answer en applicable--------- ------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- --•------------------------------------------- Agreement: The, undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIZ 5 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 tlie'board of h lth.- .•� a ... ua igned. === ----- .- ..... `- - r —- - Date Application Approved By------ -- --- •------ --- ------ --... ........... ... ..... Date Application Application Disapproved for the following reasons-................ = --------'-----------------------------•---------------.....------. •---•--------------- .................•--.........---------------------------------...•--........------------.....------------......---•------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued-....................................................... Date / ......... }:r - THE:COMMONWEALTH OF.MASSACHUSETTS F BOARD OF HE H , ...OF....... b . ppfiri afiun for MipaitFal Workii Tonstrurtiun nmi# Application is hereby made for a Permit to Construct O or;,Repair ( ) an Individual Sewage Disposal System at 4` ,1 ' . _.. - _ Location Ad ress or Lot No ................ ...... ........ --------------- ........................................................... ....................... in Address Installer Address Type of Build g Size Lot ... q ---------------•-S f a h4�Dwelling—No. of Bedrooms...................................... ..Expansion Att>c ( r) Garbage Grinder ( . Other—Type of Building _..____ No. of persons............................ Showers '( ) Cafeteria' (' ) dOther fixture -------------------- ----- - -- g 1 '___4 gallons per person.per day. Tbtal..daily flow _-___.'+� " __.gallons. W Design Flow _____________ O,; Septic Tank�Liquid capacity............gallons Length................ Width__. __.- Diameter______ Depth `x Disposal Trench—No _____________ tal Length ________________ Total leaching area sq. ft. Seepage Pit No..____.___!- Diameter th Uelow in et otal leaching area s ft. 1 Z Other istribution box Dos P ~.. g - q Z ( ) . ...Dosing tank Percolation Test Results• Performped by,. P _..______ _.,.__________________________ p ..___ Dgrate {, .......................... inutes er inch of Test 44 Test Pit No. 2................n inutes er inch ,De th of Testy Pit______..________.___ Depth to round water .._______.......... p P p to ground water........................a f. O Description of Soil :.. � .. r`._... ........... _._ . ' �, .. � , �!`� '" �/,, UNature of Repairs or Alterations—Answer eri'applicable -- : �r__� � •• -«-_- _•------••. s Agreement The-R undersigned agrees to install the.aforedescribed Individual.Sewage.Disposal System in accordance with the provisions of TITLE ' 5 of the State Sanitary Code The undersigned`further agrees not to place the system in operation until a Certificate of Compliance has been issued 'y the bard of li �lth �y� E j x igned.- ........................... ` ater Application Approved BY•••--. ...= D .:, Date Application Disapproved for the following reasons.. __._ ..__ __._..._ _____ _._ ___ ............... ........................................ .... ........... ............................ - Date Permit No............... Issued_____............. »: -'Date - THE COMMONWEALTH OF MASSACHUSETTS t ;;BOARD 'OF AL.TH .. r�, ... ........... . .... ........... s r C9rdifi tt e f hum li urr s THI S,TO. CER Th the Ih •vidual Sewage Disposal System constructed ( ) or Repaired ( ) by .r--- _ -------- nstall at.. �.-'___.... . . s . has been installed in accordanc ltii the provisions of T 5 ,f iT�e State Sanitary Code as d cube the application lication for Disposal lv rlCs Construction Permit No _..____ ..__ !�✓___ ____________ dated.'^__ " :_ _' ........ pp P 4 t1�E ISSUANCE OF THIS CERTIFICATE SHAL OT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY DATE.--• •-----•• = ............... -----...... Inspector.............. ........ -...-•-•- s "y THE COMMONWEALTH OF MASSACHUSETTS „- BOARD OF HEALTH ty . ..... FEE '+" No........_- ... - ..................... �. tuu1 rk Tr in, rrmit Permiss>o . anted• - to Constru ) 1l � it an Indi�ua ewage Disp al S stem at Nc Street �(as shown on the application for > posal Works Construction Per Dated ____.._._f DATE_ ! Board of Health ........................._ ......... --•-• FORM 1255.HOBBS & WARREN; INC.. PUBLISHERS � , Q ,Oo9/L �'� CTO AGE L. Z Z.OJ S •C��?GL�iC'/L L G✓/Tiy �� pc Gd5'eH p�T. sAa,Ee ' 7Z>/o of 0/7' ,Coll i flo , 33'f ,,oro�a•7eo' r3� bedroom o � 32'`� � see` � • y ,3 4' SEt.tlA�S G�9 Yo G/7- : Q.97`r9 7E 57 ' HoL E iC' Sum rS --/DOO — c�iStribu7`%ors boX � ' %r�let• a/6t/. = 3s�s _ %'-��': �lcdcirr� /,ard��-�c,�edsa�dw/�h ��e O v-t/f e E/ti"Y. � 3S.S8 //'-/st: Dry /77�d.1�/Yl �6. ,!,'/7C GU/l/Te / ctci _ rev �v. . 5�rU.►�d . �OTTOI7? Of NOTE as:/! /*oc4:ti®.-7S SA,%OioVI7 ct:re propasCW on/y lay . ., �`�nin ,ditch .Per focf ,oea tome • •-�." c y • i�iL. O. O.. f�Pr O i/L cv✓ . X :14 c, C�`O l.Gf•T'? G Q�c� .c�'.1�7 l"%r'7�,er�%C7 _A1� Of ARNE .� J7 297 _ ;. a .. - r .,,_. ...r ->. '-, ✓ .-•.. .•.,. .. .. ..'•,aw?�; .e. :`'t ,rc f..::.. - t t. r- �,t 't' o-s�. � +;`:s'� ti^ i >c ..-.::. ,;..:',;. > �y. '..' -. ..'. -... •;._•'s. .°:`:t:..: .�,... .�_'. ,>f...wa ..,.r.,s>ie.,+? ``d` ,� �E�� 'uF.-`� "imt �,� `.;itf `:as i.�+.a.a* ...,14✓.+�•.::` ^:f•-f...+'r?:%�_C $C!�