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Home My WebLink About0241 INDIAN TRAIL - Health 241 INDIAN TRAIL ` Barnstable A = 319 - 145 - 001 LOCATION SEWAGE PERMIT N0. VILLAGE INSTALLER'S NAME AD RESS e U I L D E R 0R WNER DATE PERMIT ISSUED D,AT E COMPLIANCE ISSUED i Q 7 D 6 'b C 3> N, a No ..., Fps• //_J .. ....... THE COMMONWEALTH OF MASSACHUSETTS .BOAR® OF HEALTH ...................... --•--.......OF...............--........---•--.......-----•-----..... ApplirFation for UiipntiFal Warkg Taamuurtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .....F�I....�P!l !'!�t.X.....?-?-A.4=----------------�?i�iSivS 1'�...f....-�� ........----------•-----•----.....---••---•---------.................. L c tion- d ess or Lot No .... .`t ...t _>...1�!o�kl � 2 5�3 zit�0i 7 A�� l��Sr�°1 -�.., A,>.5.....-----.. Owner Address Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms................. ..... ._...Expansion At 'c ( ) Garbage Grinder ((0 aOther—Type of Building s/�`4 .._ No. of persons......2. ............... Showers ( ) — Cafeteria (� Otherfixtu_re ----•-... ---------------------------------•-----------------------------••------------•-••--------•----•--.......---..__....•----- .............Design Flow ......�__ _........._____gallons per person per day. Total daily flow___."___-__--_-IJQ..................gallons. W 04 Septic Tank—Liquid capacity_I QQJ_gallons Length................ Width................ Diameter................ D,epth----___-----__-- x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area----- .11—.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._E&U ..Ek. 4A..A.. y... HI Date....... ................. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------- .-------............................................................................................ 0 Description of Soil-------------------------------------------------------------------------------------------- ----------------------------............................................. U ..............................................-.............................................................. .......................................................................................... VW -----------------------------------------------•-•--------------------------.....-•-•---•----------------------•---------------------------•--------------------------------------------•----------== Nature of Repairs or Alterations—Answer when applicable._....:......................................................................................... ...----•-----------•--------•---•---------•-----------------•-------------------•-•........----------------•--•-------------------------------•---•-------------------------•-•---------------••.-----• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Dispo stem in accordance with the provisions of L ITLL 5 of the State Sanitary Co. The undersigned further -grees n t to place th/syst m in. operation until a Certificate of Compl�ce has bee is d t card , e;Ilth. . . . ApplicationApproved B' ..... ----- --------------•------------------------.....----•----...............--••----- Date - APPlieation Disapprov for the following reasons:----------------•----------------------------------------------•---------------------•---•--------------------- ..................................... . .................................................................................................................................................-....... --- Date PermitNo.................................----...--•-••-•------. Issued_....................................................... Date S. Fizii ........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..................................... .............................................. ApVfiraftou for Disposal Works Tomotrurtiou ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: .................................................................................................. ................................................................................................. Loeation-Address or Lot No. 0 Address ........................ .................................................................................... A.......................3 ................................... Installer, Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons_._...........__..........._ Showers Cafeteria ( ) Pa Other fixture.,j I....................................................................................................................................................... Design Flow..................r--........_......._._gallons per person per day. Total daily flow...............1.3.0..................gallons. Septic Tank—Liquid capacity19-0.0.-gallons Length................ Width.........._..... Diameter---------------- De th................ Disposal Trench—No. .................... Width_.._................ Total Length.............._._..._ Total leaching area.....05------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet......................'Total leaching area..................sq. ft. Other Distribution box Dosing tank PercolationTest Results, Performed by.......................................................................... Date........................................ Test 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........................ ............................................................................................................................................................. 0 Description of Soil...................................................................------------------------------------------------------------------------------------------------------- ............................................................................................... ........................................................................................ U ...... ..........................................................................................................................................; - --------------------------------------------------------- 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 T I T 1E 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 the board of I health. Siged...................................................................................... .......................... Date ApplicationApproved B .............................................................................. ........................................ Date Application Disappr fa the following reasons:.......:........................................................................................................ ........................................ ............................................................................................................................................................... Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (9rdifiratr of Tontliffiturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (,,-<or Repaired by..............r-IK4.W. .........3AV.ItA..................................................................................................................................... Installer at................... ................................................... ..21 /...... .............................. ........................................RAM has been installed in accordance with the provisions of T.TZ-T R 5 of The State Sanitary Co as d'K s ibed in the - T I �Z. I------- ....................... application for Disposal Works Construction Permit No.U.:7/4.................... dated-. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUgD AS_A GUARANTEE THAT THE SYSTEM W PIL FUNCTION SATISFACTORY. DATE...6 ...................................................... Inspector---................... ............................................................ )r THE COMMONWEALTH OF MASSACHUSETTS 'BOARD OF HEALTH .............. .....................'OF..................................................................................... .. FEE. .._...__............. No.p Disposal Morkii %TaInstrudiatt. Vamit Permission is hereby granted............e_n"."tA4 zywl!-.................................................................................. to Construct (�) or Repair " an Individual Sewage Disp Sal System _r.. I , �(f_6914W_l............... at No......... -----------7--iVa M. ...........0?.�=.......................0 Z*...... Street 11.3 is as shown on the applicati n for Disposal Works Construction Permit No.___._— = ___ Date -------------i.....r.5. ................... ............................... ............................................... I'll Board of Health DATE.................................................................. .......... FORM' 1255 HOBBS & WARR.EN. INC., PUBLISHERS . y TOWN OF BARNSTABLE . UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS 1�/ It✓V � ASSESSORS MAP NO. 3 / 9 PARCEL NO. ADDRESS,' 2 y / /yip --T-P A- L VILLAGE' C(i/r.M 0(/ i .?> rh A r L_ Ai vx, rc-tFs S -OT30 t1AME;._LLGy.D---�•.h�.�tF�'lt1/ '7i. 7?=.... _ PCe, __BC�1 G G7 . -1 AB!L , S?Trlst€. /��►/� CONTACT PERSON L .13 M H-� V_bigrrr . -J-ri PHONE NUMBER 362 — 3373 LOCATION OF TANKS CAPACITY: . .TYPE OF- FUEL. AGE: TYPE: LEAK OR CHEMICAL. DETECTION. L DF„t G� DR}✓ .w'4`f - - '_ ff% $�? � /� SYS TE`Z.!, _ �. sw-Ttt G u s019G � . 3lrc.F DATE OF PURCHASE OF EACH 1.JZ-L y gi3 2 3. 4. 5. _ DATE OF FIRE DEPARTMENT PERMIT: ® r--r TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS, PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. L r' elIw- 2 r 14 - 1 a� r �� , - BARNSTAB FIRE DISTRICT _ APPLICATION FORPERMIT n v V L T3 NSTAZI 7ER z�: M TO I E V"GQI URNIAtG-EQUiP,MENfa ,� k 3 e Head of the lice •�:' � �. . a Iitaccor on made u-. „ 4 •_ , ' thereof e on ore rsgne� g sfa�,:alter, for L , ` ' persogs.;$a e option named erefneru� rage Or.t of fuel'"�'p a "R� ��Q„,,> , n I e ceeplgg; j SS I r a - •: s a- � apt TYPe , zzr; ze 1.008tl e ankrr T t .S: 'f. prove 0 969_ Y € s -a `��,paclty—�' ��- ys Logo of u fe Tequlr c eshnr�als < . r F 1 s tvlth: 1 knowledge laf tfie cwxe xes'R" } ons govern3ri su µ s •„gtttreEnts� the f„ gnsaiat�"ti;C�yiich,'pvt�l be made in compUance°tote w th Note Ifltcon 1nvlvep aiterattons'tD eztstin + c�rtbetti�y$on verse side fti� � s Y` r CERTIFICATION OF COMPLETION BARNSTABLE FIRE DEPARTMENT Date o: HEAD OF FIRE DEPARTMENT Subject: CERTIFI ATION OF COMPLETION_ INSTALLATION OR ALTERATION OF FUEL The undersigned hereby certifies that the installation (or alteration) of fuel oil burn- ing equipment made under the authority of permit No. ..........., dated issuy you end aA)plying to the installation for ..... L.....B�...Ma •ruder...............:..... . at n. X1...�r.... 3111m3c gULd............ has been made in accordance with Proision of Chapter 148, .C.L., and regulations made under authority thereof now currently in effect.and pertaining..thereto.; ' Furthermore, this. installation has been tested in accordance with such requirements, is now in proper operating condition and complete instructions as to its use and mainten- ance have been furnished to the person (or persons) for whom the installation wag made. The following data applying to such installation is submitted for the record: BURNER . Name ..........8@Gk4't.ti.........:...... Mfg. by .......B.I.-P-1 4t. ri0 Type ........gun............................................... Model No. or Size, AF ...•--------................ To use nol. h?aviPr #,an , •-••-• under round STORAGtr•,I,pNK Type ...............................................Capacity 7VlJ . gale. (or) Size Location .......Indian..Trail_Ct7mIAaqui.d................................:............: • Type (automatic or manual) Both CONTROL Automatic shut-off valves at burner &tank Installed by Manual shut-off valve at tank .............. (additional safety devices) Sellenoid — Ferematic. By 1�8t1IlOn8 ill co. Ci4 f,h G h s GI / U CCi.,p vJ� �V � r / �Nr -!�/ � ' ►a cam, . row" L , -mP o F �� '► LoAr� Zz > / .4 P O ¢ 9 AMCn o 7vew Wvti CC,q 1 , � +r+ lam►" J — —— _ Ne7&— E L I/+4?71tw$ 8�.r6� PA/ F o�IT M`I IMUM f3t.#i Lt7tP•�`la SEff — —— 5�v , RE ►R 4 QfNt7A t0 /BAN H O L To D O ——— ftN1sN C�lZ�►p� Mu.B. 2% fit' `�• 1s�__ WITHIN ONE Fao'f OF FINISH GRAVE 0VE6t LEALH AREA g:o + --- ..� ? '. - - - '2�1OF A 5T0t1E F OR PIA. C �t CoVV� . -m(to`yl 9,sf(tB�otd goX ►'0 PR ESN T �rrJ>E�a F ZOM .►�k/�� ,...4:wr— — .1�►N. � 2L.FY&'�. 1rJFrL116ZA?1rJra NE MI tit. G�6(1P0►J "— __2'' Ili. P CN T I.411M . ='r / "- - , ,- 1, ffl ID'/Ntn1. Ip.i A/FbOrf^ ��, env Ytt'tU J _ Nu►.1. Y4 F00r • IMI�RT — INVEE2T /G•,'SZ GALLON �,�� r Rr t � /7.05 -�y 4 „ � , �cx ram' ALL- , C P Gt 4 PfA. . .C, c / Wer I Tz/ o P►RO p ! SNAG TAO K / u i w tNVE,RT PIPS /6 kv k o ( c d 0 �( �ua_GARB�>E GRIt�lt�ER ---- 20'an,>,!.Pe!A 1 3�� 4' --- 7 i== teat Ptl - '� t�i : SEPTrG 5V6TEM CON5TRUc-110N 5 ALI. CONFORM To THE VI MAg. RONMENTAL CODE 'TITLE L IZ V I SV-0 N 1.77 � THE Tb�lo « ! r� D�51la IJ �1.OV�/ : /to OF �►�?1-+ lZV/4 i0A"rl ?49 -- -- -- G L EAGN!N CA RATS- 5>✓P7i `fAN{C, O!VTR i f ?iC7N 50)1 _"&: .•_, +33o G Pl> AN VI LEACHI "',& PIT TO as or REQ t�. LE,AGI-i. GAGA G IT�_:_. REttJFoRta✓17 coNC.RE:TE : �� MIN .GTcoNc.R>= E S Nc�'i�-tee aoP�� ROPoSE� I.EAGI�CApAC _ — // I/ si&"a 80uc/Ve2.a a_ H 10 LOAOI f4Cq ORI,-Jevj y Nor To 6E LOG�4►rmv OVER W-SrEM U1 J L� �..�- Zp � . ,fir; LOG N At- VI P5-5-R; Oe WAT�'rG4 ITT �� ''` =' �''E�� Sy*�TC-M Tb DV OM F1 14WOAyE -- /' 0A03M5. RE0. OF DEEDS �90J M PKE CAST • ENGINEERING CoRm DESIGNING BUILDING NEALTN `IaE A - - A� INC. PF DENNIS, MASS. : '� r .t 1 £ua try M,ar-cp4 ,.� .rl �vDlb Y h t f- Am h, '. "?'�ev2.x"�,� astSS�- 5'""-.,.r-va ;.. ,,. F., � �;�1...uL:� :�«,�.�,ro.'+�vt_n�i —. d► .. fi ss//IIII �a 25. RIN ,. ^ ... f' +� I P , r 3 {Qf trill il T IS \Ij 1 E -- ;e:: .,,�' _ w,.,{ < r<r�_ x t'eat��' y,y�s4? -�-• 6.�es_��-r f }} d�{ ti 't Lk'1. Ja v faf' F l u+s