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Home My WebLink About2580 MAIN ST./RTE 6A(BARN.) - Health 2580 Route 6A Barnstable A= 258 - 016@ f TOWN OF BARNSTABLE LOCATION 26 frc) t' ( A sf SEWAGE # FZ 7/3 ASSESSOR'S MAP & LOT�� /fo ) INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 t' SEPTIC TANK CAPACITY LEACHING FACILITY:(type)3 F/ ,o.=�vz c,4s (size)s N • NO. OF BEDROOMS = PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER SAIz Zz' Z DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I�avSi� TPA 0 N � � s -Q� -3 �- ILL- No�`7-13 c Jr� OI Fxs.�Q� ?..-......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �43s 1 . 1 own. ..................OF.....ilw suie.........------........................................................... Appliratiuu for Diipntial Works Tome rurtinu Prrutit Application is hereby made for a Permit to Construct ( ) or Repair *) an Individual Sewage Disposal System at: /11 S �, , . =...... ..�a .......................................................... .._.. •....a ----------------------- ------•--------------......---.......-- � Ltwn d�d orLt o q� a � cu»... _ ....Q8 .1$2 Ownerl d - rL W n®r n d' _ S �o lA..... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_________________.............3_.._.._.._Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building .............. No. of ersons.....................__ Showers — Cafeteria P� YP g -------------- P a' 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—:\To. .................... 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. 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------------------- a ------------------------------------------ •....... .--------••--•------........ ....... -•-.... ----- ------------------------------------------ -....... •------ 0 Description of Soil....................................................................................................................................................................... x U W -----•------------------------------------------•-------- ------------------•------------------•-----------------------•-- -------------------- ---- UN ture of Repa'rs or ,rations—Answer when ppli ble._10QD yt �f•tG. _..�lQ �.s3. _.._ .. ............. ,°�vc __cls�' Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T' L }of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b the board of health. ''' ! ate A lication A roved B �.�r��.: ---------••---•-------------------------------•- /// late ..1_.--•--- Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------•- ---------------------------------•-------••--- ...•------••----------••-••--•---------------------•.••. Date PermitNo. .................................._.... Issued_....................................................... Date No. g. FEs.... �C'�........._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -Twy1.....................OF... '?rn� �te................_.. ApplirFation for Dispaii al Works Toulstxnrtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (:Xr••) an Individual Sewage Disposal System at: -2S80 �(H e �..tc�r3 . C�1 Y1a r+lQ.... ..............................„.....j._.. .......�....... ._... ..................................................................._. ILocation-Addresst f or Lot No. _z_._^P1Cr�t rt= f,c t� {li fin_ �i�..l��o it �v 1 Q.. b9rX.....Frl>1�r ri� i�._.I. COS 5qS -- Owner 1 Address Cl�ct1('n ---•---• •-------•------•- = rO...............................................►1 re - ( s •--•--•--- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................... ..........Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building .. 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' -••---••--•- -•-...••••------•---•------•-•----•---•...................•-•---•-••........--•---------•--------•-•--------------•-•-....--•------........ ODescription of Soil...........................................................................................................................-............................................ x W -•-•-•-----•----------••---•-------•------•-•-••••-------------•-•••-----•------••-----......_.....•---••-------••--•------..... ------------------------------......--•--- U Nature of Repairs or A terations—Answer when applicable...&Q cf2f >r IG zf� ___ __ram.��?!�j31 b-5/r Ic", t. ' � ,% i ...... ........................................g5rW/_•J- nX_ -_S on =' /(irr__ i Agreement: The undersigned agrees to install the aforedescribed Individual Sewage.Disposal System'in accordance with the provisions of TT:,..E 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. - Signed.... "'-- -----7' C V �---- f�`APPlication Approved BY..................................I...: � . _ -------•---...-----------•----......._..--•--- --_-•-__fJbte ------------- Application Disapproved for the following reasons:-----•--------------------------•-----------•---•------•-----•----------------------------------------........-- .............................................--•--•-•--•---------•---•-•--•----•-•-----•---•--•---•-•-•-------•••••••--•-•--•---•--•-•---•-••-•-••--••-----------------••-----••-•-•••................ Date PermitNo.-----. ...................................... Issued....................................................... Date '4x THE COMMONWEALTH OF MASSACHUSETTS BOARD- OF HEALTH �j C3tsilYl .OF.....i�...t"€i5�r,Lie. ......................................... ...................................................................... _ �r�if irtt�r ,af f�unt�r�i�anrr THIS I TO CERTIFY,-That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by................ .------------.........._...._ Installer at.-••--•--••• '- :: _�.0....._��.cfl Fl !v5 . -- ---- has been installed in accordance with the provisions of Ti""-'' of T e State Sanitary CodeJas s > m the 4� / application for Disposal Works Construction Permit No........................�.............. dated-----._.._�f... __-___--_-______._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................... .....�.. .................•............ Inspector..................... . ... -_........................................... _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................................................t.`�`SIP a Ce)YI.....................O F..... .. r ....................... NO........ ......'_....� FEE..�'o:............. nn��nr�imrn �e�ntt� �N� Permission is hereby granted.......... .............. ............•------------•--•-------------•--•----..._._..--••--------------------.......-•---........----•-•- to Construct ( ) nor Repair (�)` Individual Sewage Dispo S stem at No ..........................................-------------••-----•--•------.......__ ..._._...-------•------ ------------.---...__ Cam► -- - --- Street _ �> 7 as shown on the application for,Disposal Works Construction Permit No Date`_._�.................................... hv.._. ...ate . .-- Board of Health DATE.........1 .... -..::.. .::.....!d FORM 1255 HOBBS &,WARREN. INC.' PUBLISHERS �' T41 !'�. Z 7_0 ul nfi= 1 GIAL I L:5. 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Z 5 3 \ r / \ �,�- ;- Ark. ►.:D 3s n c •� � \\ }4 ?14•?� (t ?5.50 j .___y.. 3 (_ ' --- -{ � .ems--- 1R F u:1-4 b i i i:_`- `\ E.- / f40TE- >�MOVE /%,~4✓ WITHIN —� [-FE -LACE I,JIrH C r 37 r)ATu H M L HftA\ JW 15 cpuA.r� NI�' 5<-A-1 tx-ll r'yC TO F3,u- t S_.n T H V-,x j6>H C)U'T Wit"rT l L i514�TLF1 k I�XI�"ilU�� h}1LL.LIIvU WW=",TV-Lctl, �*=TitlL TO 13L IN C-m11 �:k"�t�N 7 i=_i.l��i r�.-zr..i M�►�trti.►.._. �©t�� -T 1-T t...� tax 15T 11J Ga T,� TA44 K le Rt= -5t ALEr-, ' �37 EXIST. SEf'TI� TANK � -F WITH ( r r4- . 1 {! \ ARNE I rr — 3j N. ARNE 3+ IiJAsA Oj' LA N! Ff\ D A T E. V KI F- 4tJ"7 CO,�P Pry �r� e,��,-, , r �,�p q �; H N ,Iv"i� C-!v 6. N �E-25 ttSS� ,..�1►:S MAP !ANC, k�-T E /A YA PIT110 U T _.{