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HomeMy WebLinkAbout0264 LONG BEACH ROAD - Health 264 LONG BEACH RD. _ CENTERVILLE A=093 037 i 0 0 TOWN OF BARNSTABLE LO::A1iON Z(oL% c-®hy eku,N 40ad SEWAGE # 1 a7 VILLAGE CON ASSESSOR'S MAP & LOTUS INSTALLER'S NAME & PHONE NO. �`� �� 5co1( -771 - I& SEPTIC TANK CAPACITY 1Sd callov►,s LEACHING FACILITY:(type) l4etck � U1 3`x6`' (S1Ze) 7' X 36� Wtov-j v , NO. OF BEDROOMS _PRIVATE WELL O P`UBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: /��1-3 DATE COMPLIANCE ISSUED: 5 c/ n VARIANCE GRANTED: Yes No 1� Z ' Jg� 3`l Z�a 3'7 37 IS ;7 THE COMMONWEALTH OF MASSACHUSETTS /y BOARD OF HEALTH TOWN OF BARNSTABLE . ppliration for Uiipnsa1 10orkii Ton rurtiun 1hrutit Application is hereby made for a Permit to Construct Kor Repair ( ) an Individual Sewage Disposal System at: �--- ... / Location Address / or Lot No. ----------------------�" a-`'f . • ---•--•,/-�l._l.--C l!-rt�l4. r . �� �1� � ._R�'� Address rc' Installer- Address QType of Building _ Size Lot..../0 VQ.Q.------Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons__-______---------_--_-____ Showers ( ) — Cafeteria ( ) a' Other fixtures -----•------•-- --------------- ••. W Design Flow.............................................gallons per person per day. Total daily flow._............ !Y.0..............gallons. WSeptic Tank—Liquid capacity.lO?-O.gallons Length................ Width---------------- Diameter---------------- Depth_.�......... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.Y9V..&2&. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................s ft. Z Other Distribution box ( ) Dosing tank ( ) //' � '-' Percolation Test Results Performed b ��l.G✓ ...Z . Date... _.�� .. UUU Test Pit No. 1 . _..minutes per inch Depth of Test Pit.................... Depth to ground water......... --- -_- 0-4 Lrt Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ C4 -----••-------•-------------•--•......................•---•......--- ODescription of Soil................ ..... ...... . _/........................................................................... ��--- ...........6 .......'(......................................................................................... 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 TITLE 5 of th tate Environmental Code—The undersigned further agrees not to place the ystem in t on until a Cer care of Compliance has been issue the bo o he ` ��/ 1 Signed ------------------------- ------- - ---------------- ----- ----------------------------- -------- •-----..... .... .�f .... �1t/r� o I� ce � pplication Pero -- ........... -- ---- --�- ... ---------3 A ....................................................................... Date O Application Disapproved for the following reasons- ------------- -------- ........................ -------------------------- .........----- ---------- -------------------- --------------- Date PermitNo. ----------- ...... 0_-----_-------------- Issued -------------------------------------:...-----------..........------ ��� Dace v �... Ems'—'Z Wig..... .............. THE COMMONWEALTH OF MASSACHUSETTS F ' BOARD OF HEALTH `a TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrnrtion Frrmit Application is hereby made for a Permit to Construct `(� or Repair ( ) an Individual Sewage Disposal System at: f f.... ............ C, ...... d Si!..-•-, 6 - ----•---- Location-Address or Lot No. 0 er Address W - ---- `-- �' 'I ... -] -' i3 �?� .... ---••------•----•..............•---........ PSI Installer Address Type of Building Size Lot.. !R r_! S feet d YP g --�-��-•-er�`r-...... q. Dwelling—No. of Bedrooms........... ............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( )�— Cafeteria ( ) dOther fixtures ------------------------------------------------------.-----------•------•---------------------------------•-------. Design Flow............................................gallons per person per day. Total daily flow..............VSj/ ..__._.gallons: WSeptic Tank—Liquid capacity_/_j�+d.gallons Length................ Width..........._.... Diameter................. Depth___--__--___-_-. x Disposal Trench—No.................................. Width.................... Total Length-`_'___-:__......._ Total leaching area_ _ .� . ft. -Seepage Pit No-_------------------ Diameter-______--__-`"---- Depth'below inlet.................... Total leaching area..................sq. ft. z, !__Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by____________________________ate��...� ! Date____!/ater. ..Test Pit No. 1Z�...minutes per inch Depth of Test Pit.................... Depth to ground ..._.__. ..- 44 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ----------------------------------------- .........---------....------...--------•••-......•----....-- 0 Description of Soil................. e- ................... J...........- ZI.-: --------•-------------------------------........---•-•••---- V �. 't��® " --a -t1-- -----------------------------•-------------------------•--------------------- 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 Environme tal Code—The undersigned further agrees not to place the ystem in open. Lion until a Cert'�f' ate of Compliance has been issued y the boa d®o heal . Signed..... ------------------------------ ----- 11 tion. d - �� - . PP P Y= -- ---- - -- .... ........................................................................ r Date —�� Application Disapproved for the ollowing reasons- ----------------- -------........................................................ ----------------- --- ..... Date PermitNo. ............. S —�7.a--- ....................... Issued .......---------------- ................................------ �^ 's THE COMMONWEALTH OF MASSACHUSETTS } BOARD OF HEALTH TOWN OF BARNSTABLE 9rdifira a of Tompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by - - '- -- ,�.......- ��.�----------------------- ---- - ; ............. ............................................................... staller - - -------------------------------------------------- has been installed in accord, e Vh the provisions of TITLE 5 of The StaRee` nv`iro mental Code as described in the application for Disposal Works Construction Permit No. ........ dated ------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE N TRUf1�D AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ' DATE................................... -�37--------------------------- Inspector ---------�- 9�-•9 ----------•------------- ------------------------------- THE COMMONWEALTH OF MASSACHUSETTS ��7 BOARD OF HEALTH TOWN OF BARNSTABLE FEE.,.. . Disposal Works Tonntrnr#ion lern i# Permission is hereby granted B = !"C................................. ........................ V y to Construct ( ) or Repair (�) an Individual Sewage Disposal System atNo.. " ' = ;.....................,�� ...•....... ,��n AV, o-=... /1-�--•--•------------•........................... Street as shown on the application for Dispo al Works Construction Permit No Q.....-...::.... Dated.._..��'............................ a � IW10� DATE.. (� Board of Health ............. _. ................ FORM 3860E HOBBS h WARREN.INC..PUBLISHERS l4 I — tel.(508)362-4541 939 main street rt 6a tax(508)362-9880 yarmouth port mass 02675 down cope eagineeringa civil engineers& land surveyors structural design August 5, 1993 Arne H.Oiala P.E.,P.L.S. land court Richard R.Fairbank P.E. surveys John McElwee,P.L.S. site planning Thomas McKean, Health Agent Barnstable Town Hall sewage system 367 Main Street designs Hyannis, MA 02601 inspections Re: Septic system inspection/certification - 264 Long Beach Road, Centerville permits Dear Tom: On March 9, 1993, Down Cape Engineering, Inc. inspected the construction of the septic system at the above- referenced location. This is to certify that the construction complies with the intent of the site and sewage plan dated revised 4-23-93 (enclosed) . If you have any questions or require additional information, please do not hesitate to call either Jim Jodice or me. Yours truly, Arne H. Ojala, P.E. 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