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Home My WebLink About2320 MAIN ST./RTE 6A(BARN.) - Health 2320 Main Street/Rotiite 6A'� Barnstable A= 237 - 018 ' y Res .aka 19 a i a i 'a Q e a 0 a� v 3 7 `� LOCATION SEWAGE PERMIT NO.- V(a32v , VILLAGt _Z,�l o` � 10STA LLER'S NA & ADD ESS S UILDE R OR O . NER TPN �QY�UQ2-� ® ATE PERMIT ISSUED /� J �ii� DATE COMPLIANCE ISSUED (� ��- S�d�e. g F �, �� \ \ �, O ,G7 �.. ,. �3... 3 _ ire' �- Fimw.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ).Qll n..........oF.... ............................. Appliration for Uiopoiiai Workii Tonitrnrtion rantit Application is hereby made fora Permit to Construct ( ) or Repair (/-)._an Individual Sewage Disposal System at: hAa,--, S - .... ..._/Ob---------------------------------------- ------------ ............ ..................................... Lo at' -Ad es r t No. a ---------� -�1r- fA. ..7 ._ ��... ------. .. --- �111��s------------- ------------------------ � Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) ............. No. of ersons.....................__.___. Showers — Cafeteria Other—Type of Building ............... p ( ) ( ) Pa Other fixtures ----------------------------•--• . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-__________-_-.-..-__. x -- -}�,,,� r� O Description of Soil.................................. /(FLU •-•---••----•--•---------•. --••--•----•-•------.----- x U •-••-•-•-•••-•••-•-•----------•-••-•--------••--•---•-•----•-•------•-------•-••-••-•----•-•-•-•--•--•--•--•-•-•••-•--•-•-•-••--•••••---•----•----•--•--••-----••----•••-•-..._••-•-.••-- UW ------------------------------------------------------------------------------- r -- -•---- •--••----/-------- Nature of Repairs or Alterations—Answer when applicable..___________________)_=)_6 0......9.al_-..� .�_..._.......__. ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agr es not to place the system in operation until a Certificate of Compliance has bee issued b the boar health. Date ApplicationApproved By........ .......... ..........--------•--•-•--•-----..................--._---•- Date Application Disapproved the lowing reasons-----------------------------•--------------------------•------------------------•----------------------•••------ .....................................................-•----•....•---•--•-•----•--•••........----••••••---------------••--•---•••--------••--•••-••--------••••-••-•-••--•--•-••-•-----................. Date . PermitNo.......................................................... T.-.-A ,F. -�/.37 Fxs........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........'............'.....`. OF............................ ............................................ Appliration for U44p aal Works Toutitrnrtiun 11rrmit Application is hereby made for a Permit to Construct ( ) or Repair (t._)_an Individual Sewage Disposal System at: ................---.............................................................................. ......--•---...---------._....----._......---- .............__. Location-Address or Lot No. ......................-----•••........•---•-...:=.....------•---••-•--••--...-----•-•--•-._.... ........_..................-••--•--••--•--•....-•-•••-----•-•--•---•----•-•-•••--.............--- Owner j Address + } a ...............•---•--..._....__.._....._.........____..._............_-.................. Installer Address QType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other 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........................................ aTest 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........................ --------------------------------------------------------------...............................................:............................................... O Description of Soil '.......... --------------------------------------------------------------------------------------•--- ------------------------------•-•--- x , W --•-••-----•------------•----....•--•••••-•---•••-•---••-••--•-••--••------• -----•----•••••••••-•-•--------•-•----------••-------------••••--•••-----•------•-•-------•--••-•...-•--•----•----.......-- U Nature of Repairs or Alterations—Answer when applicable._................................................:..I......_.........!........................................ Agreement: The 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 by the board of health. /' .�' Date ApplicationApproved BY...... .......•. .... A..._......._..................---------...•-••••---••-••---• F` ----------•-•- Date Application Disapproved_ the oRowing reasons:-•••----••----•••---•-•---------••--...........................�............................................ .......................................................................................................................................'................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS., BOARD OF HEALTH } ................!.........................OF.....................................:'.......C......� ......................•.• Trrtifiratr of f ompliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (--) Installer 0 at....... - ,.. - -:_•------------ has been installed in accordance with the provisions of T "' T r he State Sanitar o . as scribed in the application for Disposal Works Construction Permit No.-��.--1�----/............. dated-. --- ... ____.____--_-_-_....... THE ISSUANPZ OF THIS CERTIFICATE SMALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM W NC N SATISFACTORY. DATE..... ... .. .. .................................................... Inspector-.�.:� - ,........................................................... THE COMMONWEALTH OF MASSACHUSETTS -- BOARD OF HEALTH t i 11 f ��' LJ/ .............. .......................,OF............>..:�...._....�!.........! ....jc!............................. No...._....._.3 ... FEET................E.! Disposal Workii Tontrudiolt Vamit Permission is hereby granted. = .........=--'........--- ------ ..................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No ........ -----------------------...(...........•----• , I . J !E Street as shown on the ap icati for Disposal Works Construction Permit No..................... e .G _.. _.............._. o jof Health FORM 1255 11BBS & WARREN. INC.. PUBLISHERS �+ N^ Fna.. — . 1 � - THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HEALTH . 44 Apli iratiuu -fur 43WV11utti Worbi Tomitrurtiuu Vrrntit Application is hereby made for a Permit to Construct (A00)0"or Repair ( ) an Individual Sewage Disposal Sy stem a i / n 2f1•�r iC�S: CF J............ ... ----------oC7i7 �I e----------------------------------------- ^��•Ll 1/ Loress or Lot No. �� d°�r cati n-Add ----------------------- ner Address a -•-•------------ --•••-•-••-•-------------•--•-•-•-•---------------••--.._.....-•--••----•-----•-------••-•--•-•--- Ir to ler Address dType of Building Size Lot----------------------------Sq. feet Dwelling No. of Bedrooms. __________________;a______.__.___-__-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons-_._________________-____-__ Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow-----------------------------------------...gallons. WSeptic 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 ( ) IDosing tank ( ) Percolation Test Results Performed by-------------------- ..................................................... Date_-------------------------------------- aTest Pit No. I________________minutes per inch Depth of "Pest Pit.................... Depth to ground water.._-____-________--___-- G% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__-_______________-____- 0 Description of Soil__________________________ �� -1F�j W --• - --' VNature of Repairs or Alterations—Ans er h applicable._-_ 1_ - -__. ...__ ____-__ _ ___-______-- -------------------------• .� ---- - - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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 health. igne --• --= ----•-••--••---•---------------- 19s Date Application Approved By------ � - :-- . te Application Disapproved for the following reasons:----•_-----•___________________________________ _______________________________________________________________ ---•-•---•--•-•-•-----------------•-----------•--.._--•---•------••--•----•-----•--•--------------•---•..----•....................._.. ------------------------------------------------------ Date PermitNo..............................................:.......... Issued---------.. �t ----- ate L------------------------------------------------_-.-__----_-------------------------------- D ------------------------------- FEs .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD H OF.... (7y ,: ....#............... Apptiration -for liopoiitt1 Worko Lotuitrurtion Prfutil Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: Loc ti n-Address or Lot No. Address Installer Address dType of Building Size Lot----------------------------Sq. feet U Dwellin No. of Bedrooms_________________________ Expansion Attic Garbage Grinder g -X---------•-- P ( ) g ( ) aOther—Type of Building ............................ No. of persons----------------------------- Showers ( ) — Cafeteria ( ) a Other fixtures ................................................ d ------------------------------------------•----------------------------------•-••-------------------- W Design Flow--------------------------------------------gallons per person per day. Total daily flow_..__.____.._...__..._..........._......----gallons. WSeptic 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--------------------------------------- a Test Pit No. 1-----------------minutes per inch Depth of Test Pit.................... Depth to ground water_..___.___------....... G14 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ �: -------------- -" -.---.__.----------•--------------------------------- 0, Description of Soil-------------------------- r----------------------------------- x �.�. U ------------------ ---------------------.-----------------------------------------------------------------=---------- U Nature of Repairs or Alterations—An er . ""h applicabl -. "_ --- _ ___ _-.:_- ._ _ _ ---..�"'._._ _.. ---.- -- --- --------- -=---------------------------- = _- ' = ----- ------------ ------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned fur ltr,agi-ees not to place the system in operation until a Certificate of Compliance has been issued by,the`board of,health. a :igne f ` Da------------------ e ��,Jj M ' Application Approved B ._. :---- -_ --__ _ _, 77—_2 y PP PP Y r. .'• :, - ate r Application Disapproved for the following reasons: -----------------=-------- -- •--- - ------------------------ Date ---- ----- -- 7 . No......-••"" Issued_---•"".Permit Date + THE COMMONWEALTH OF'-MASSACHUSETTS BOARD OF EALTH :y O F.. r ............................. Trrtifiratr of f�lam;i iattrr THIS TO C RTIF 9 he Individual Sewage Disposal System constructed ( ) or Repaired ., by �.� - = Installer at � � F.uC,O t � e - -----._-.--- ---- rr)?c !2=-----_--------------- has been installed in accordance with the provisions of Artic e XI of The State Sanitary Code 2s descri d i e applicatiop-for Disposal Works Construction Permit No ._' _g.............. dated__.. � , ..r THE ISSUANCE OF THIS CERTIFICATE SHALL NOTIECONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL U CTIO,N SATISFACTORY. DATE. 7 3 - .� -"••-•..:............... Inspector------ ------------. --•-=•---- 1 a le THE COMMONWEALTH OF MASSACHUSETTS ` BOARD O HEALTH No_..� j.... N FEE _ N yly-rf—, ai Permission is hereby grarited ' -= ------ - ----- -- - -----------•---_----- to .Construct ) r Rep • (. an 'Individual l S w e Disposal S stem _ '."" =- •� .4s3ccrn- tip / ' ! of t �� at No.. "--" Street �r as shown on the application for Disposal Works,Construction mit No. ._ _ Dated-..__<. ___!_ ____ `� Board of ealth DATE. f--- ---- FORM 1255 HOBBS & ARREN. INC., PUBLISHERS