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HomeMy WebLinkAbout0210 LONG BEACH ROAD - Health ��o G oncy ---/B Pa. h �� TOWN OF BARNSTABLE LOCATION,.` SEWAGE # -J VILLAGE ,� .r���/��` ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 6 0;K RAA-100J SEPTIC TANK CAPACITY C � LEACHING FACILITY:(type) :!Otv �i���6`�Ipc (size) / �� ✓0 / NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER. BUILDER OR OWNER /� I 1t1X1zwA A DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ LJ r f i No...... '-6'- F� ...100............. THE COMMONWEALTH OF MASSACHUSETTS �t BOAR® OF HEALTH -._..-_CTd .. ...............oF.. ��.�.4�..�`�P�Lt� ......................... aT 1 Application is hereby made for a Permit to Construct ()') or Repair ( ) an Individual Sewage Disposal System t: 2 n Loc tion Address or r,�No. -o l ara K LM Z1C) L©k(&,6t:ac 1�oa,7 ... ........+�t .......e........... .............................. ....---......._............*--- ----.-.----.--.---........_.._ ... ._..... -_- -•---.-_Address c . ...._... . _ _... ............... .................................................................................................. -•-....................._..__.__..._.--.--- Installer Address dType of Building ''`` Size Lot...` �. ...._..Sq. et U Dwelling—No. of Bedrooms........................ ................Expansion Attic (►d6) Garbage Grinder (AC 114 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) aOther es ._..,...••-......-••••---•--------------•-•--•-••••••-•.•••...-••••---._....--------•-•--•--•-----•••••••••••••----••-•--•••-••-•••-......-•-••--•••-•- Design Flow................. ...... .........gallons per person per day. Total daily flow.....4AD..........................gallons. W — WSeptic Tank—Liquid capacity.lz�.gallons Length_..�`......... Width...-........ Diameter............ ... Depth........... x Disposal Trench—No. .................... Width...12n.......... Total Length.....5.0........ Total leaching area...4O®........sq. ft. Seepage Pit No--_------------_- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box NO Dosing�ank (�6) _ '~ Percolation Test Results Performed by._....__ ..� L....�L................... Date....,�..._.... �.-__..._...... aTest Pit No. I......1........minutes per inch Depth of Test Pit-----............. Depth to ground water..L, _-__._.--_-- Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ._..._..------------------------ -----•--•---.-----------------.-.............---.--------.....---------------- ...---.-.-._...------..------•----------. O Description of Soil.......0.—A.....oA .. .:��CatC.....`--' �GV -SAcN_1.•..o.--••--. x W -•-•-------•------------------ --------------------------------------.......................................-•--------------------•-•-----•------•--••............---•-----•......................... UNature 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the and of health. Signed . / ........ Date Application Approved By ------ .. ........ --- 2 � Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- ---..........---.._---..._............................q.................-------------..........---........---................-------- ...............--------..---------------------------- ----'----------ate-------......... Permit No. ----------1 z'--.5-&.-e'........................ Issued ................................... Date A­­ N 2) Fim.....�bC ............. THE COMMONWEALTH OF MASSACHUSETTS F BOARD OF HEALTH ......................................... O F............................ t........................................................... Appliration for DiipnsFal Works Ton,strurtinn rami# Application is hereby made for a Permit to Construct (,<) or Repair ( ) an Individual Sewage Disposal System al: }�1i": rw�. �✓ t;-� `,_. .wit :„� . ........... ......................... - ................................ ........_.................••............. ...................................................... Location-Address -5 r, M or INo. ......... Address W .... ..............-,•,-,- ...............-�........ __.-V--------------------- A�-•-••M Installer Address d Type of Building A Size Lot...�''..fi��_�-x ....-Sq. feet Dwelling—No. of Bedrooms............... ..........................Expansion Attic (tAQ Garbage Grinder (A Other—T e of Building No. of persons............................ Showers — Cafeteria G I Other fiytVres ::::...--------------------------------------- W Design Flow............. '� � '__ . .._...___gallons per person per day. Total dairy flow............ f.*..........._._.....___........__ Ions. WSeptic Tank—Liquid capacity... V-��.�-.gallons Lejigth.... 4......... Width_.. ........ Diameter---"...... Dept... ........ x Disposal Trench—No. .................... Width...._ -_.___--_.- Total Length..._ P._...... Total leaching area..�...`._.__......sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box Dosing,.tank 0 a) `-' Percolation Test Results Performed by------ _''`^�_'--_�--�v`t-t-:___-_---`'----------------------- Date....4..................." - --------------- ,aa Test 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........................ O Description of Soil....... ."..l_....� ....... .....='.f:......`............... ....` . .... .....•......... ....' -�-- -....------•--..........----•-.---- x �- V ...........................................•---------•-......--••-----------•-----••----.......-------------------•--•-.......---•-•-----------•. W --•-----••--- --------------•----------•---•-••-•---•-•-------••-•----------------••-------•--•----•----------•------••--------•---••-•••----•-------•-•----------•-------•...----------•-------•-----•- U Nature 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 TITLE 5 of the State Environmental 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 .--......... ------------------------------- --------- ------------------------------- --------------------------------------- Date Application Approved By ............ `'------ `' ' '-`- _",=.......................................... - --- -- ---- ---.............. ..... jf... .-.D -..1'1.... Application Disapproved for the following reasons- ----------- --------------- - ------------ ----------------- -----....................................................... .................................................................---------------------------------------------I........................................................................----..................... -------------------------------------- Da e PermitNo. ------------ 1a� .CJ------------_........ Issued ............... .. .............................................. Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH .......................... ..... ..... OF --... .. . Ter#ifirate of V611-ampliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 1V,, ) or Repaired ( ) by ; .........................In _ nstaller A t ... �1U � 0 R . ..----- ,�°i tet --- -- a -- . . ..... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as &scribed in the application for Disposal Works Construction Permit No. ....... .......... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................. .. S5'..- -1 - Inspector ...-..---------------'----------------------- ----------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH !� a OF "ih �.t�!_.S" FE i®0 ........................................... No. ........... Napo Ivor 5 Tnno - imin rrnti� Permission is hereby ranted--- -..... .................................... to Construct ( X) or Repair ( ) an Individual,Sewage Disposal System 4Q ].cans (, I .' ' f:• 'O �,� I '-f1 to k, '" at No.-----`------------------�......-==`................ 4..._ t ..:.. .. ., Street as shown on the application for Disposal Works Construction Permit No...l. Dated.......................................... ............................ -,51 ............................................................ C DATE............--.�-:...... .................................. Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ��5-N LOCATION_ r / SEWAGE PERMIT N VILLAGE I N S T A LLER'S NAME_ i ADDRESS BUILDER , OR OWNElf DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ' j �� C- 4! "O_l"No...... � \ �d ' �%�!(-y� i d!f4�1i',(�/�.� -� q '. / FES...��t.�OY............. THE COMMONWEALTH OF MASSACHUSETTS SUBJECT TO APPROVAL % BOARD OF HEALTH BARNSTABLE CONSERVATION ......................Town..........OF.......:�amstablaa..................................................... COMMISSION Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: ..21.0 Long..BeaehRd. - -. ... - ...... ..... -•---••.... ----.. ...._.... ... Location-Address or Llf ...Kalma ......... .+� l -.. t`f� -------•-- - .. .. Owner Address aA._&-•B----Cess -, .. A....G2691.....S .Bp ... aAepn Installer d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms.............?..--_.-__---_-. ._ _Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons...................2...... Showers — Cafeteria 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-._____________------__. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------------•---------------------------...............••-•-----•-......_........_........--------------•--...........-•--•-•-••- 0 Descriptin of Soil-----......................... an.a---------------------------------------------------------------------------••--•-------------------- x W te-1 x -----•....-------- =ations - ------ -•------•-------------------------- -•----------••----•--•-------•----•-•---•---................... U Nature of Repairs or Al —Answer when applicable_.... =.Ullation__Of__om...&eptia..tank.and-----. flowdiffusors Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ' the provisions of .f'1T�'1 •�y:� 5 of the State Sanitary Code—The undersigned furth r agrees not to lace the system in operation until a Certificate of Compliance has bee issfied by the board o e Sig d --••---------......---- �......� ✓....-- r•-----5ll3/aO......... Date Application Approved BY---- ----_ ---------•---- .............. ...............V131BO Date Application Disapproved for the following reasons---------------------------------------------------------------•----- -------•---•-- ...................... ................................-......-.......................................................................................................................................................... Date 'Permit No.._.0`................................................ Issued-----------------113/89....................... Date f Y •titi ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ ... ......._OF........ °i3��3 fl Xpjj trains , for Mipogal Works Tomuurtion Vantit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 210 Low Beach P o 0�,i lls os� �6 .. ? ... �:. `Tf2. . ....................................................... ... .. ................. ...............___ -- ..... ..___.............. R.................... -Address, Lot ............................ .cation.. .. �:.. Owper Address .. Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.................2 ........................... Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons---.._______.___..__2----- Showers ( ) — Cafeteria ( ) A4 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 ( ) ' 4 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........................ ..........;---------- ---••------------- ...----...:......... ------------------------- ...... DDescription of Soil------------------------------- 3E3Y......------.................................................................................................................... U ---------- ---•..� iz . •--- W ---------------------------- w......... • ............ -- ------------------------......... i. talla�tion of t3P3�-- a t4 U N tl e of s o. Alt ations—Answer when applicable-------- --------------------------- ' -- -• ---- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------•----------•-------•---- Agreement:.- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with f:1T/-1' the provisions of 5 of the State Sanitary Code— The undersigned fur, r agrees not t place the system in operation until a Certificate of .Compliance has be is u the board . . Sig . Date/ Application Approved BY +! - / '�! " ........ � if -•------ Date Application Disapproved for the,following reasons:................................................... --------------------------.........•••••......._._ ..................................................:............ :...••--••--•-••---•••-•••---•••••••-•......---•-•--•-•••---•-•............•---•-- Date 80 3/ 3 80 Permit No. •--•..... --------------------•------------- Issued ................. o, Date THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH Torte a ®�1 r! OF....................... .... .......................................... ........ _ Trrtifirate of Tomphanrr F2°Yii�lo0ho t I d a e Dl,po alp IMSem nst ( ) or Rep e� .................................................................... .............................................. at••-•--••••-••--••••--•-•-•••-•----•-•••••-••-•••••-••---•---••••--••-•-••---••-••-•-----••---•••--•-------------••-•--•-•-•••--••••--•--••••... has been installed in accordance with the provisions of TI 5 oft e State Sanitary ®described in the application for Disposal Works Construction Permit No.................2._....f ..__...__. dated__-.._._--..--._-----__---_-.__--_-_-_------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRUE® A U ANTEE THAT THE SYSTEM WILL plU�? TION SATISFACTORY. S/ /do , DATE.-•-•-•---......- •-=-•--••........................•----...---••-•-•--------.. Inspector... . --- •-• •.........: , ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF: 1HEALTH .� ...T� ..........OF,..wn Barnstable FEE..........-.® 80" .......................................................... No......................... ---........ Disposal Norkv Tuomitrurtion Vamit A 6 B. Cesspool SerAce. 128 iSho s Tezwact s 1!A 02601 Permission is hereby granted............. ........... ---•F•- ................t•• D.. ...._.... to Consta � o Re it ) n�Idi_vi al�SeTge Din a1�System at No vat -- 1i64 Stre t as shown on the application for.Iisposal Works Construction Pet- No.._ __._._ .c__.___ ted.._. ` ..:....................:._._. 1' •--- -- •� 5A3/80 Board of fiealth DATE................................................................................. FORM 1255 HOBBS & WARREN. 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