HomeMy WebLinkAbout0347 GREAT MARSH ROAD - Health 347 Great Marsh Road
Centerville
A = 210 006
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NO. 1521/3 ORA
100/0
No. ✓o Fee
`= THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYication for Migool 6potem Conttructton Permit
10
Application for a Permit to Construct( )Repair( grade( )Abandon( ) ❑Complete System L9Vtdividual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
Assessor's Map/Parcel 3 V 7 9,le£,4 y- e j'A-r
A t O oo�
Installer's Name,Address,and Tel.No. S-0 r• 7 7 S-J'L�b w Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 9 / �-
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
Cate of Compliance has been i ed by this Board of Health.
Signed Date
Application Approved by .S Date
Application Disapproved for the following reasons
Permit No. 200 J— 2 6 _3 Date Issued
r No ZUo 3—2 J Fee 15
'
`4 THE COMMON Ye
WEALTH OF MASSACHUSETTS Entered in-computer: s
; s
�
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS
Zipprication for Miopooa.r *pztem Construction Permit
Application for a Permit to Construct( )Repair(epgrade( )Abandon( ) ❑Complete System 1AI dividual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
Assessor's Map/Parcel C r 4of
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Ao,
Date last inspected-
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been iss ed by this Board of Health.
Signed Date
Application Approved by s' Date 9 G
Application Disapproved for the following reasons
i
Permit No. Zoo 3— 2 SP3 Date Issued 614
—————————————— —————— ———— ——————————
y �r THE COMMONWEALTH OF MASSACHUSETTS
MA
IN � BARNSTABLE, MASSACHUSETTS
` e Pth CE �-'" , Certificate of Compliance
THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed Repaired
g p y ( ) p d( LoTIJpgraded( )
Abandoned( )by A Ad C *C O IFO AVA0,161 If— 4— �,%Wre_
at Cri r o T r!l'Vend 013 c r �" has been constructed'n accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No..74`)3—Z S3 dated
Installer Designer
i
The issuaCe of this ett shall not be construed as a guarantee that the syste n n� st ed.
Date to�� 0 3 Inspector
I
i
-------------------------------------{--
No. Z o0 3--2 Fee J
THE COMMONWEALTH OF MASSACHUSETTS
LIAR
� PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS
GAG c�� .11=i ogar otem Conotruction Permit
�e P � p
Permission is hereby granted to Construct( )Repair( 9�1iTpgrade( )Abandon( )
System located at 3 V ? c e r,4? .►or.l a rh, ora c- 1 •fr �"
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided: Construc `on ust be completed within three years of the date of this permit.
Date: i r Approved by /
TOWN OF BARNSTABLE
i LOCATION 3 /
1 P�'�/ /lI/��S SEWAGE # '�
VILLAGE
C L NT ASSESSOR'S MAP & LOT /0 DG d
eo
INSTALLER'S NAME&PHONE NO.
j SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS E A£
BUILDER OR OWNER d3
PERMITDATE: o COMPLIANCE DATE:
i `
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility
Feet
Private Water Supply Well and Leaching Facility (If any wells exist
Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by
I
a � � � ---,> �
s -
i
n
[a
TOWN OF BARNSTABLE
LOCATION 3 /7/7 CR£47 AVI�"P-h' SEWAGE # loo3.2S3
VILLAGE C £tiT ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE N0.
ty J
SEPTIC TANK CAPACITY X- A"
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER �'o 2 In o C— Z�£
PERMITDATE: o COMPLLANCE DATE: D3
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility: Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility)
Feet
Ede of Wetland and Leaching Facility(If an wetlands exist
g g tY Y
within 300 feet of leaching facility) Feet
Furnished by
c7la Ih�RS /�l
- a 3
LOCATION SENT GE PERMIT NO,
VILLAGE
INSTALLER'S NAME i ADDRESS
8 U I L D E R OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
• 1
f3NC�
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CPss�a�� b
k)PLO
'lab �� !
go 2
00
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
T own Barnstab. le...O F...................................
Appliration for Disposal Works, Toustrnrtinrt rrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
347 Great March Rd. , Centerville, 02632
..... _.._.. _......... ••- ............................................. ----.....•••----•---••-•--•-•----••••---------•--••--.............._........_.._..............--•-
Emo ene Lope Location-Address r Lot o.
g ...................................................................... ••••••••••--••.._.__._.....•-•----•-••-----•......•••------••••--••-.... -•-- _--
W A'-& B Cesspool SerVT1S 128 Bishops Terrace, Tyannis 1# MX 02601
•- •••-•••••--------------------------- ----.....-----------------___---__...-----.........___--_-_------__-_-_-------------------_..._...
� r Installer Address
d Type of Building 3 Size Lot.................... .....Sq. feet
Dwlling—No.'-of Bedrooms__________________ _____.Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ______________ 14 'of persons.............. .__._______ Showers — Cafeteria
YP g •. P 3 ( ) ( )
Otherfixtures .....................•=---•=•••-••_. . -• ----------•-... -•-•--•-••••--•--..........•-•----••••-••-•...............•-•--•-•
Design V16W.............................................gallons per person per day. Total daily.,flow............................................gallons.
W
WSeptic Tank—Liquid capacity............gallons Length______ Width_._ _'_ Diameter________________ Depth................
Disposal Trench—No_____________________ Width.................... Total--L-ength........_...........-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........................................
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...................
----------------------=-----------------------------------------------------•••••-•--•--•--••-•.........................................................
0 Description of Soil........Salld------------------------------------------------------------------------------------------------------------------------------------------------------
W -•---•--••----------••--• •---•--------•--•--•••-------••---------•---•••--•--•••••••••-•--•-••••-•---•--------••---•-----------•-•••-•-•-••--•--•-•-•---•••-•-••••-• ............................
V Nature of Repairs or Alterations—Answer when applicable:....... Wtallati.m..of._a...
1.,001J_.gallan,_._pxe-cast,
stonepacked leach fit...foyerflow.................._....................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed -Individual Sewage Disposal System in accordance with
the provisions of JITTIL 5 of the State Sanitary Code The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has been issued by_,the bo d ofa
Si e '1 - Lsy ._...
ate
Application Approve = y/t = = ----------------7/14/ .--•---
Date
Application Di pprov or a following reasons---- --------------------------------------------------------------------------------•••-
--....•-••••-•--•-•-•--••_••• ••-••--- --•-----•-----•-------------------------------•--•-••---•_----------
Date
7 14
Permit No.82-...................................................... Issued..........• -••• ---••82
•-------------------•-•------
Date
w
Na$2-...�� d.... FEz$....51G.............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
own rarnstable
..... ...............OF..........':.........................
Appliration for Disposal Works T11mitrurtion "anti#
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
34.7 Great-T,arch Rd., Centerville, 02632
.................•------..................... • .........
..-------------- ..................... ----.-------••---•-•-------_-.----•--•-•--•---------------------------------..--------.-----•-----
Location-Address or Lot No.
Emoene Lopez. .............................347 Great P�ars
h d-. c... enterville •02F2
w A & B Cesspool Servvlcne 'Bishops
128 Terrace, Hyannis 222NX 02601
,•a -•••........----•-•-•••••-•-••-•--•--•-•--....••--•...............•-•............_••-•-••--------- ......_......---••--•- •--•::...---------_._+..._. ............ =.........._........
Installer Address
d Type of Building 3 Size Lot----------------------------Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons...._........3............ Showers ( ) — Cafeteria ( )
dOther 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 ( )
aPercolation Test Results Performed by.......................................................................... Date.......................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P+ --•-••--•-•-•------------•----••-•-•-••---••--••........••••--••••--•-•----------------•-----.---•-•--•....
-------------------------
•---------------------
••-
O Description of Soil........ and
x
U .........-•-•-•-•••••--•••--•••---••--••-••--•--••-•.....-•-•-•-•-•-•••-••••••--•...--•••••...........•.............•-•-•-•••----••••••--•••••---•-•-•---•-••.....--••-••••---•-•-•----••-....._._......
w
x U . Nature of Repairs or Alterations—Answer when applicable......installA.ti4n--- f--a-:1,, .00__Fall n.__•p==cast,
stone P acked leach It ov
-•----•--•••-•-- •-•-=-----••.....-•••--•---P erfiow� '-•--••--•-----------------------------------------------------------•--•-----------------...----•----------..........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITiE 5 of the State Sanitary Code— The undersigned further agrees not to.place the system in
operation until a Certificate of Compliance has.een issued by,the bo, Ord of li�lth.
Signed/!_ -rAe--� -/.
'� ....
........
Application APProved,BY.... 1toPzLr .._...._
Application Disapprove for the following reasons--------------------------------------------------------•----••------•••-----•--•--•----•-..D
d ate
.----.....-•--
--•••••••--•••••----•---..-4--r..�_- ..........................................................
Date
Permit No.82.-....---•-••--•----•-----•-----••••-•-•--------_ Issued-........_7/14-,�82
----•-- -----------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........................ .own........OF...........Barnstable..........
•••••••••....................•••....
�rrtifirtttp of TontlrliFanrr
THI IS T , CERTIFY That the v d al Sewa e Disposal Sy stem constructed C ) or Repaired )
Isi & 13 �esspooi Service, 1Z1 J shops errace, Hyannis, YA 0?'�OS
by-•---........�....................•••••--..._.....----•---------•--................--••--------......-----•---•--..--�..----------- ------------......_....----...-•-------..._.....-----....
347 Greet ;'larsh Rd. , Centerville, TEA Lmeo ene Lo--..ez
at. .........---••---•-••--•••--•-----•••••••••------•-•---•••••--••••-•-•••--------•-•--•--••.
has been installed in accordance with the provisions of T��'LE 5 of The State Sanitary Code pscribed in the
application for Disposal Works Construction Permit No._:: . _, .. `'................... dated.........7 . ��� -.............._......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FU TION SATISFACTORY.
DATE.................... ..........82..... Inspector..... i�----------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
82- /o Town .OF..___.barnst.able 00
......................... ............. ................... $ 5
No....................... FEE.........'.........••.. '
Disposal Works Tonotratrtion ramit
Permission is hereby granted.....-A & B Cesspool Se ...., 12$ Bishops Terrace, Hyannis
to Co ((ea o Re d )en
1 Se r Disposal System
' r �i ..d�, Ca t ��e, � j2 - Emogene Lopez-----------------
atNo. ----- ---------- ----
Street ® `"
as shown on the application for Disposal Works Construction Permit No` u._. Dated....7./1�" r2
7/14/82 Board of Health
DATE--------------------•---••-----------........................0...........•.....
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS