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Home My WebLink About1401 MARY DUNN ROAD - Health `Y401 . MARY DUNN RD, BARNSTABLE A=335-001 4` 0ain " l 0 TOWN OF BARNSTABLE LOCATION "O/ A446YD UNr'J ADAO SEWAGE # 97yI VILLAGE QEL -f ASSESSOR'S MAP & LOT-7.3�= 00 INSTALLER'S NAME & PHONE NO. -777 SEPTIC TANK CAPACITY /5'7rcr LEACHING FACILITY:(type) %%Vl=Lr,--XA-W-5 4--�" (size) 7 3.75"x NO. OF BEDROOMS- �e' _PRIVATE WELL PUBLIC BUILDER 0053iia C OLA Q5-1-7 S DATE PERMIT ISSUED: . DATE COMPLIANCE ISSUED: "' VARIANCE GRANTED: Yes No g{'vd V; 1 � Q a 1 it 13 A-a 'foot A`S S� ' f3-Aj_ q� - S"3' TOWN OF BARNSTABLE LOCATION1q-DI I4j+4Rl( 'ooNd LQ SEWAGE # VILLAGE� .� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. � � SEPTIC TANK CAPACITY asa. J LEACHING FACILITY:(type) (size) r� NO. OF BEDROOMS L OR PUBLIC WATER r BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No l�1 dam► � 6 ffvn`t"fj -r"p- 1 i Cl //;Z60 Cw � end v -'b IJaN Alp -3 THE,.COMMONWEALTH "OF MASSACHUSETTS BOAR® OF„ HEALTH TOWN OF BARNSTABLE Appliratiou for Dhvipw l Worlai Tomitrurtiou 11nmit Application is hereby made for a Permit to Construct ( ) or Repair t>e) an Individual Sewage Disposal System at: .. O/ .... r C-r--Jn-------- 8-------•------_... . ...-lei iF'6f� ....cati n-:\ddress 4 or _gt_No....-'.................................... 1...................._.�.. ...._............................... . Qu� ...�............... �� .......... Owner Address w 011.,E z e��7 N � i°cR.YD rvr An c vas Installer Address Type of Building // Size Lot............................Sq. feet Dwelling—No. of Bedrooms_____________ �.......=1-_________.__Expansion Attic ( ) Garbage Grinder "^I t1 aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- -- W Design Flow.............. .:---------------gallons per person per day. Total daily flow-----------------L1-.Y.-0................gallons. WSeptic Tank-Liquid capacit)'3�-_-gallons Length---------------- Width---------------. Diameter....'----------- Depth................ x Disposal Trench— No. --------- Width...... ..._._.... Total Length_.= ... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet...... T Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by....... .................................................................. Date........................................ W Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-..-_--:._-_-__-__---.-. f= Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------------------------------------------------------------------•-------------------......................................................... ODescription of Soil...............................................................-........................................................................................................ x W U Nature of Repairs or Alterations—Answer when applicable. _/PJS`iA-tom,... /R4- f SOU ........ ..... 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 been issue b e board of health. Signed ............: ............. .........._. ------------------- C Application.Approved B - - -------.._:.---------------- ---- `- ----_� _.--�� ....................................... Da[e Application Disapproved for the following rearonr: ......... ...................................................................................... ......._.. ... ............._............................_..._..--------------------------------------------------------------------...---...------------------------------------ ------------------------------------- Permit No. --- --.`Vic'. . -----.---------------- Issued .......\-7--..� ---�--- ��........... Date , f No.. .. � FEs.....3.��.�....... THE COMMONWEALTH OF MASSACHUSETTS` BOARD OF HEALTH " TOW N OF BARNSTABLE Alipliration for Di-nVit ial lVor1w Tomilrurthin runfit Application is hereby made for a Permit to Construct ( ) or Repair (CY16 an Individual Sewage Disposal System at: ---------------- No Gl- ��-TirSs y / /7v,JA/ or / r .5r �f3 cE .........-•---•-----------•--•-------------- ... .� Owner Address a ,L3 oZ G t�¢f`7T7 C-,G ---•-••••••••.l�, - ✓�I ,✓V1 1 ��S ----------•-•----•--••-••••-••-••-- •-••••••.....-�-•--••--••••-••-------•.................•---- Installer Address UType of Building Size Lot............................Sq. feet I-, Dwelling—No. of Bedrooms--------------_______________l.____.-------Expansion Attic ( ) Garbage Grinder (—)/�d aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 0.1 .. Other fixtures ----------------------- ------ W Design Flow............._ -__ --__-_-_--_gallons per person per day. Total daily flow-----------------�Iy •-----__-_--_-._gallons. 1:4 Septic Tank—Liquid capacity' -__gallons Length________________ Width---------------- Diameter................ Depth________-___-_.- ` Disposal Trench—No. _.__-4......... Width.....`7d........ Total Length._ �a5�--- Total leaching area....................sq. ft. Seepage Pit No______________________ Diameter-----............... Depth below inlet..... Total leaching area..................sq. ft. z, Other Distribution box ( ) Dosing tank a Percolation Test Results Performed by----•-----------------------•--•-•-••••-----------•-•---••-•-••--•....... Date............................ :.^ Test. Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water................... (J. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water,___-___..--___---___- C: •----•-••-•-----------------••-•-•.......•••-•----•-•-•--•-••--••--•-••••-•••-•-•--•--------._..............------......._......_. ODescription of Soil................................. -------------------------------------•----------------------------------------------------•-----------------......-•••-------- x w x U Nature of Repairs or Alterations—Answer when applicable._-_-/nJSi. ---------A 1s0U u u-� (/! ..... 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 h-as been issue It e board of health. /Signed ............/—.�......- ................... .....�-/-�7/5'- ;el Daw Application Approved B ...:.... 7-r ......y.....� --------------------- _.. "` ---------------- Application 7------------------------------------ Dare Disapproved for the following reasons: --_------------------- I ........-------------_..................... .................................-...--.---------------.. ......-----._......................--".... --............--`-`------------------- w` t Dare Permit No. � ' .. .�`r� ................ Issued --------------- _-5F t t............ Dare 4f THE COMMONWEALTH OF MASSACHUSETTS 335 no BOARD OF HEALTH 4 TOWN OF BARNSTABLE (ger#ifirak of C omplianre THIS IS TO CER�, That the Individual Sewage Disposal System constructed ( ) or Repaired by _.......... - _. ..............C o..7T1._.....- -U n,1 S .0 u Cry--rJ ' Insrdler at has been installed in accordance with the provisions of TITI_ 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. F��` ,.. --7 .. '._._.- dated _�.. ��rr....... '- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON STRU D AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.-._. DATE-----✓........ / ........ - -... .... -- - Inspector - 1/ THE COMMONWEALTH OF MASSACHUSETTS 3 3-r 00 r BOARD OF HEALTH l� TOWN OF BARNSTABLE --••-- FEE........................ �iu�rnsttl url�u �lu�t�tr�tr�tiun �rrutit Permission is hereby granted-----------------------------y! _�!`J- -•-••-••---- ............................................ to Construct ( ) or Repair (1.4) an Individual Sewage�isposal System _ at No........................................... ----------'�-'-�•-------------U. /-----(�----.---J-------------`----.��t'J-- C .............. Stree as shown on the application for Disposal Works Construction Permit,3,90.1 � f Dated__. Board of Health DATE................................................ ...................... FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS