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Home My WebLink About1469 MARY DUNN ROAD - Health 1 � � . t. �� e r a � < < � � q w � ��: -. _ a i a .. �i ,. � .� F ..- � - ,. � � .. i i _ H s .. ., .. � .. } v I t � . . F F - .. a ,� q a �., _ _ _ � �_ — _. .—._ _ ;.� f ., - � �. n, e � - - � .. o � -. - - a _ r .. .. � A a .,, � ., � . r ., r x, ` n � v • - a a r - _, � r ,. �, �. �- ,,,, E d. , r _ .. y y <, �{� .. TOWN OF BARNSTABLE LOCATION _eeu/I/ SEWAGE # VILLAGE/�j�/,t/Sri�� ASSESSOR'S MAP & LOT INSTALLER'S NAME Si PHONE NO. f SEPTIC TANK CAPACITY LEACHING FACILITY:(tyPe) (size) NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER BUILDER:OR OWNER_ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 9ig� � � �� I No... :.::L. FEB. . .L/ ... THE COMMONWEALTH OF MASSACHUSETTS q BOARD OF HEALTH TOWN OF BARNSTABLE ApplirFation for Dispooal Works Tomitratrtioat Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: ..._�� . a ............ . :..____ .._.......____ t � station-Address or Lot No. W Teof .- ............ :K . ...>.-----••••----------•-------------�Zeq�Alg •-------................---- Ow..----•---------- • - ....................................... --.3E'15�L�-� -�:�--------- Pq Installer Address ding Size Lot............................Sq. feet V Dwelling—No. of Bedrooms.........9 _Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building _______________ No. of ersons_____________________.__.___ Showers — Cafeteria a YP g ------------- P ( ) ( ) a' Other fixtures ............................................................. ------------------------------------ •------------------------------ •------------- WDesign 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. 3 Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ ,.-I Test Pit No. .1................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ C •------- -------------------------- ••------- ___... •-•----------------- __--------------------- •................................................................. 0 Description of Soil_______________ V .....---•-•-•-•-•-••••-••-•-••••••-••-••--•-••-••-•••••-•••-•-•-••••••••••---•-•••••.............•----•-•--••---•-•••-••----••-••-••--:=------•-••----••-----••......................................... W ••••••••-•-•----- ------••---------•------•••---------••••••--•••--••-•-•-•-••---------••-••-•••••. ------ - U Nature of Repairs or Alterations—AN wer whe apply. ble______V _ __ _____________.___. ld�? � -i---- O _...................... 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 s been issue by t e board of ealth. ,�- 7 Signed ------------ --------- - - --- �..'-...?. '� . Dace Application Approved By -------- ------------------------------------------------- 3 � Dace Application Disapproved for the ollowing reasons- --- ----------------------------------------------------------------------------------- ................................... .....................I...........------------------------- ----- Dace PermitNo. C��j.�a ... .................... Issued ..........*......................... ------------ -------------- THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A I DATA NO..- =- =�.•-� FEB.. V=,:..e......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrurtinn Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 4 U 1v r v r�1 .../�,14._. ,... .. 1 • noration-Address , t e or Lot No. ..............•......_............................. ....................................... ............... ............................ ..... ------------.....................----- �Ownres s .___.... :ram-.G.':.�......................�... ___.s..__..............__}_._._..........._ ._..�-_.___�_______._...____._._.... .�___._.__ 9 .�_.............._. Installer Address dffe of Building i� Size Lot............................Sq. feet U Dwelling—No. of Bedrooms___..._._ .__ r=...................Expansion Attic ( ) Garbage Grinder ( ) ►-+ •------ '� Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures W Design Flow............ __...!........____gallons per person per day. Total daily flow..............a.?.__._..__...__.._...gallons. 9 Septic Tank—Liquid capacity.': ..gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No......... .......... Width......jJ......... Total Length...... ........ Total leaching area...... -----sq. ft. Seepage Pit No......................Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) '~ Percolation Test Results Performed by........ '. ......................................................... Date......'.f=-a_....................... 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........................ ------------------•------ -----•------------------------------------- ---------------------------------------------------------------------------- O Description of Soil r i33 c a y r �� t r c r1 ---• ---- ...•-•--•--------------------•-•-•- ••• --••-•-•-••••....-••••••--••-•----•....••-•--............---.....-•--••... U ----•-------------------•------------------------•------------•------•-•------••--•---..........--•• .. U .............................................-10-.- PP y.. - ........................................ Nature of Repairs or Alteration A� r wh ble_--�--_ a--- - Agreement: ' (l ��j;�/ 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 sas been issued by the board of ealth... - 'l / Signed ------------ - - '.....Dater Application Approved BY . .....0-� � ------..K, .TI �� ... Application Disapproved for the Allowing reasons- ----------------------------------- ---------------------------_..........................................................---..... ------------------ ----------------------------------------- --- --------------------....----------.........----...--------------------------. ............................................ .....................------------------ Date PermitNo. -------- J — Issued ............................__---------.......................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#tftra a of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by.......................... -�� w,�........ --- ---------- ------------------------------------- ------- - ----- ------------------------------------------------------------------------------ Installer .......... at ..................... ....&...;--------)XI ...----- - .' �aa -------------...------....------_.................. has been installed in'accordance witAJthe provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ...............,� dated ....../1-._..............-................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WALL FUNCTION SATISFACTORY. B DATE.---- .................................._............ Inspector ------: .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.�.. — FEE.... �.....------ Disposal arks Tonst.rur#uan "permit Permission is hereby granted............... --=.......'11�n_r�Al �LA................................................................................... to Construct ( ) or Repair ( ) an In7d()iiViidual Sewage�Disposal)System l�4.A'_J9....... Pn�l.�.__..... cam'_ !A?rl:!!......I�?Q............... Arm✓/,U7T�V� ...........................__..._.................. Street GG as shown on the application for Disposal Works Construction Permit No., 1-C9•.. Dated.......................................... � DATE................................................................................ 0Board of Health FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS