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Home My WebLink About0278 SALT ROCK ROAD - Health 4� { 279 Sal tRPCf oad Barnstable A=' 316 —'62.5 `+'* No.._. .............. -sv» THE COMMONWEALTH OF MASSACHUSETTS BOAR® O/F� HEALTH � � OF......lee':'�'-% ✓---_---••----------------- Appliratiun for Uiupuual Works C onstrurtion Prruat Application is hereby made for a Permit to Construct ( ) or Repair (d�j/an Individual Sewage Disposal System at: ... ------------------ Location- r ss o rye K �]G y • �� 61 ._._.` ........................... . - '" �ti ner Address .__......ems...................................................... __._.................... . Installer dress QType of Building Size Lot______________________ U Dwelling—No. of Bedrooms._____________________ _ 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............................................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........................ ---•--------------------------------•----•---------•-------•-------••-•••--•••..._..---•-----•---••-................................... ----•-••-------------- 0 Description of Soil----------------------------------------•--••-•--------------------•----•-------------------------------------------•---•---_----------------------------•-••-•••-•----•- x - --•-------------------------••-----•------ ----- -••• . . ... x �� y� U Nature of Repa s or Alterations er when applicable_____ ._- ___�_ _____________ _ __ __ __. �' < _.. �A .lam, ?' � �.1 = = c ......ram-:-_ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i T:1 5 of the State Sanitary Cod he undersigned further agrees not to place the system in operation until a Certificate of Compliance has-b ssued by the boar �ofiealth. Date Application Approved BY ----••-••- _- •• -�_•�li+r Date Application Disapproved for the following reasons:.............................................................................................................. --------------------•---.....------._.._....-•--•--•-------.......-.-•---------------------••------•-•---•--•-•••...._...---•---•--•---•••••---••---•--------------------•------•------•---•--•...•••--- Date PermitNo.......... ...................... Issued....................................................... Y.r • A T -� C?J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Apptiration for Disposal Works Tvustrurtion 'V rrmit Application is hereby made for a Permit to Construct ( ) or Repair (k/an Individual Sewage Disposal System at: :.......................................... .,OOP4-f_- � --------------------- Location:Ad ress or Lot .� , ............... .. .. ----------------- Owner ._.Ad;'d�r�e�Jss/`J a Installer tt dress Type of Building Size Lot________________________!__Sq. feet U Dwelling—No. of Bedrooms.............. _Expansion Attic ( ) Garbage Grinder ( ) 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 ( ) •-' Percolation Test Results Performed by.......................................................................... Date..................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......-______________--. t14 Test Pit No. 2.._________:___.minutes per inch Depth of.Test Pit____________________ Depth to ground water.....-_________________- P4 ---------------------•-••-------- ---•--.._...._....__....••-----------------._......••---...._._.........-------------------------------•------------------ 0 Description of Soil........................................................................................................................................................................ x U -•-•------------••--------------•----•-------•-•---•-----------------------•--------------------------•---------------------------------•--•---•----•••--------------------------......--•-----------•-- W ----••-------------------- --------------------------------•------------------••------------._...-•-------------------------•- ---------------- '------ U Nature of Repairs or Alterations— swer when applicable._____ +�b'l.�e___...- !_�__. U P -'! �e=js�$ ---- --��+"�� w Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with P-ITrI"" 5 of the State Sanitary Code the provisions of i y The undersigned further agrees not to place the system in operation until a Certificate of Compliance has.-J& ued by the board of health. g y •............. Date�. Application Approved By....... a.. lJ ly-- .........g---- )-----... Cl' Date Application Disapproved for the following reasons------------------------------•------••--------------------------------------------------------------...••--••--- ----------•------•......................................•................•••---•-----------._.........•---------------•-....-----•-•------------...----•---•--------•••--------------•----•------....... Date PermitNo......... -5k,-=---- ---------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS r.. BOARD OF HEALTH �U �✓...........OF..... ([r �� .......................... Trrtifirair of Tnutpliaurr THIS•_.-,ZS TO CERTIFY That the Ind' dual Sew ge Dis osal System constructed ( ) or Repaired at.__...--- E3 ........ l�G-A fir«=�cauer '1��' /""•-------................................ has been installed in accordance with the provisions of TIT E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...........9.S_:__LY_o.:!...... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OO/F� HEALTH '��..........OF..... .✓.-./`d- r1i %..............................NO._.f{.�.. �-�r1 L' FEE ...................... Disposal Works Tarrttp#rudila rrmit Permission is hereby granted—__.__% s ._._ z, ,:,f _._ a. to Construct ( ) or Repair ( ) an Individual Sewage Disposal �s at No. /- .� '- v - - �- Street as shown on the application for Disposal Works Construction Permit No._ -��\l�__ Dated_____________..:_.____..___.......___...._. .......................'__.. ..f.. :1__-----•-------•--•---------•--•--------••-----_____---•- e (((�� Board of Health DATE.................... a ------------------------------- r FORM 1255 HOBBS & WARREN, INC., PUBLISHERS LOCATION SEWAGE PERMIT NO. VI L L A G E C.-,:o / INSTA LLER'S NAME & ,' ADDRESS BUILDE OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED J 1 P to °��tK � 1�r � 1 -u0 V3� - 5 ,v o Jr -Go � (1' 0 TOWN OF BARNSTABLE LOCATION '�r] r � 1�T I2oC _- PQ�. SEWAGE # VILLAGE L'3iA�6JS � --Z� ASSESSOR'S MAP Sz LOT INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY LEACHING FA.CILITY:(type) �l Fl —(size)�� y NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR WNER 1� I DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ S -_`� Iry VARIANCE GRANTED: Yes No ,� r _ - t , II sra 12A 4 No..........&. ..�d.... �� - Q�.� F�$..�D THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH Appliration for Disposal Works Tongtrnr#iun Vamit Application is hereby made for a Permit to Construct ( P<or Repair (. ) an Individual Sewage Disposal System at: �.....a___e___�: - -i :�....... :-._..... Location-Address -- - •or Lot No. • - />:l�l�.`. ............. ...........................6 : '.�.. M A.t 1h1�. ..... . _------ r......... .... O ner Address a -------------------�.��.�� .._.. ..: c .--------.......---- ... ..rl. ..( ...... Installer Address Type of Building S Size Lot...:a6 t.4?l._..Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building No. of ersons____________________________ Showers YP g ---------------------------- P ( ) — Cafeteria ( ) Other fixtures ----------------------------------- •--_... W Design Flow................... ................gallons per person per day. Total daily flow...................3�-C2___.____._._gallons. WSeptic Tank—Liquid capacitylbDL?_gallons Length________________ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width___.__I____-________ Total Length..................... leaching area_________...___....sq. ft. Seepage Pit No.........t.......... Diameter..___.__.{........ Depth below inlet........ Total leaching area.... �_.sq. ft. Z Other Distribution box (&,or Dosing tank ) Percolation Test Results Performed by___________________________ __________ __________________________ Date....... _....._ _ ....... Test Pit No. 1.......2 .._.minutes per inch Depth of Test Pit_______ Depth to ground water...... .............. fs. Test. Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground R'+ - water__-__________.___ _____ -----•------------------------•--••-•----------•---...---------.........._._..-------........_......._...... .......-----•...........•••-----••-_..ODescri tion of Soil---- ��....... -•-- �•--- 2j`------ vaQ.. te?�`- ........ ----._... ._....1�!9n.------...54 `-�C)---------•-------•-•----------•------------------------•-•-------------- W VNature 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 iITI U 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. Sig �1 _ .........----- .....9/_'.�.19/.8._o_. Date Application Approved By. ---•• --- = �Q- - y Date Application Disa roved for the following reasons .. .................... - ------------------------•-----------------•-------------------------_------ ------------------------------------------------------------------------- Date PermitNo......................................................... Issued_..................................................... - Date No......... ..._....... Fzs..........................._ THE COMMONWEALTH OF MASSACHUSETTS `, .� .. BOARD OF HEALTH ........................................ �i , Appliration for llhipvii al Marko Totes union Frrutit Application is hereby made for a Permit to Construct ( i-<or Repair ( ) an Individual Sewage Disposal System at: ................__......_. ----..........•---.........------....----------------•-------------.........---------......... . - - ' Location-Address r �j l�p�or'Lot Na .......................;`:.(°2... .�---•------------•--- -i.-: �_�`. ?.� � l:.l.hl n� .......... ........... Owner ddress ,Wa ................ ...0.14...................................... ........ Q ...1 .P .......... Installer :;' Address d Type of Building ,<- Size Lot............a---------....Sq. feet Dwelling—No. of Bedrooms............................................Expans'ion-Attic ( ) Garbage Grinder ( ) Other—T e of Building _-_•--. No. of persons............................ Showers a YP g r--------------------- P ( `)~— Cafeteria ( ) dOther fixtures -----------------------------------------------------•••••-......----•--••-••......•-----........................................................... W Design Flow....................-_'....Y................gallons per person per day. Total daily flow................... a =............gallons. WSeptic Tank—Liquid capacity.�l+��t :.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width---...`._........... Total Length.................... Total leaching area.....r_..__..._.__sq. ft. Seepage Pit No......... .......... Diameter........ .__..... Depth below inlet.......&I........ Total leaching area----�'�r�r?..sq. ft. Z Other Distribution box (vT Dosing tank ( ) F _ '-' Percolation Test Results Performed by..l=' f � ._ .0`s -...1�c__ �.. CIIJC�..ki& Date_...._.�'�� .�lea...._.. Test Pit No. I........f'__..minutes per inch Depth of Test Pit........(!- . .................... Depth to ground water...................... LT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........_................ D Descri tion of Soil. iJ t �:.f u sC.` ---- t. t.!=I ............... --- ' `" -}Yf J (�. ..•.........•• .... ......... .........: t! ......... W VNature of Repairs or Alterations—Answer when applicable......................................................................................:........ ----------------------------•---------------------•----------•---....--••---•-----•-••••.-••-:-•-•-•--•---•....-••----••----••----••••-••---•--•-•-•-•-------•-•••••-•••-•-••-••••••--•-••-•••----- Agreement: The undersigneduagrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITa 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. oq �n ...C.Y_'\ .. ,�i. q �^ d /i - 1 _. _ (. [� rem .-..- T ua TT ApplicationApproved By--- ............................................................... .......................... Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------_ :.,, a.---...----•-------------------------------------------------------------- Date PermitNo......................................................... . .',, Issued•--------------•---•-----------••-••--•--------•-•-•- Date *" THE COMMONWEALTH F MASSACHUSETTS �,`'�"''�,� BOARD TF•I . �. ..........................................OF........................z71*............................................ (Intif iratr of.TuntpliFanrr Y T �I�R FY Andyidual Sewage Dis osal ystem constr ted ('' ) or Repaired ( ) by---------- • •....... .. .....•---•• `... l .. .....__.. . has been instalee in accordance with the provisions of T $f"- State Sanitary Cdle-0&5" in the application for Disposal Works Construction Permit No........::............................... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. Ins . DATE........ �'r : pector............ = ................................... THE COMMONWEALTH OF MASSACHUSETTS � QARD AM I Y .....................................OF...........-----........................................................ FEE......................... . �t��t��% � � ,�� ;r1tr�URn �[•erntt� .✓.Permission eby grant d� - -----------y-------------- -)_:.. --------- .... �...' ! G �...-.. to Construct a air Inipf Se e, stem Gfila Street -� v l-ej...: as shown on the application for Disposal Works Construction Permits ;. ..__.._. :r11,Vf444-y�q� .......... - �' i Board of Health DATE.................... �.... .."'8 .................................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS UO �AfzEAC btZl I.7D1EdZ -� ; �w _FK t->.%t L.4 t~1O•-v _ s • Sso ro-PD 2 ,ta-3—'IG TA4►!K_ - 330.t 1x7o % • 4S:156.P•D. JCp {f'O uS�- 1 000 SAL. 1 S Y y715PGx Af- PiT - L_)SE 100o (GAL-. ISo St= �c Z.S • 3 IS G.P.D. O, M 0 � sue. SC.) Arzac, 0 P� + r• N 21 97.o TcFrAL -t>ESIGU = 426 6•.P.D. T'oTot- r->A tL.,( FLow = 330&M. �Po GEfdGDLQT101.i CZ&TE I CIU ZMtu'O¢ L85F,. .� Gv • -bwa..��t,. . � - ;r c" FW_ ALA 100 43 9643 - ,LT pool Terr IL -� 941 :98QT `" 7 eFG. tuv•g7.o --� D►sr, y� 4 Z INV.Lo . 96•,4 Fox 9G,o Sepnc to TJA J Gt4. "loon 'TOPIaLS, � AU GAL.- t 10 -FIT I ;� W L *c:,Kt 4& "T •, • &S VOW F M' M� 'r1M6 of tr4,rr.�.l. m►-a, EC�P�j WL1fuE� ,� D B r 14 SCAj_C- I �_ fib'. ,T A.T M I 12SISO 4 o /ATE FezPoS E�D l GGtLTIF� THAT TN�.'DvI/k.L.I-►NI. 51.1o++vU PL-Q`1..1 1ZT=l=��E►�1G� 4lr_�'t=b1�1 C«N\PLYS M/IT11 TNc �jlpiC.Ll►-�� LoT Au>, SC.T1�•AC1C tiC-QU10ENtcuTy o>r TNC i' -To w w Or= Be rz1J�T' Ica . 85 R UAICE acG15i-cr.�t� LAWO ,Ue-V,Yeses PLA" le, LIoT L:AiCn U1..3 AU OaTEL'VIl_1.J~ t� M/Lr+i• IIJSrC=1%✓�t__W i �i�Jt;��t=�( �.. T�{C. UFG',�T�, il-1lGWLa A.Pr9L.I GA.aJT I..r.:.r c�,r_ u•:.�,._, i"�., 1;�1 ecM►►Jt�-. l�o'C- l_IN�. > - -- E•�7 �' �`^ ,NB^.•�1ne!'.:SN,.lie .M1.w.:f.e..... ,.. .e+.i.. ..�-..^.�v?..