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HomeMy WebLinkAbout0055 LOOMIS LANE - Health 55 Loomis Lane Centerville A=230-105 IN SMEAD No.2.153LOR UPC 12534 Smaad.aom • Made in USA aE"'c"!o (0 t�IUSwNMfW001KTtNE jF1 IMHRIKSOURMNOU0EUM ��sp WWW.FPM)GMKOW ►'P � n THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLEXTi 7 Appliration for Biopootti Works Tamitrnrtjton famit Application is hereby made for a Permit to Construct ( ) or Repair ( (-)- an Individual Sewage Disposal System at: ................ .._`� ...�m ?ra�!1�.5..._ - .........-:................ --. --.---••L�--•---E'`-`T'---.......................................................... Location-Address or Lot No. .................. :_ ✓ V ........... .... a.......vT:.............-----•-------•-- -----•---•--------.......... ......---.........----•-.................................. Owner Address:- a P� .� fit,L, , S��J� 4 �� p. `c L� ?: .. �..... --------- -------•-------------------- ---------...-----------------••---....----•...... Installer Address S Q Type of Building Size Lot........................... q. feet U Dwelling No. of Bedrooms___-.e.................................Ex Expansion Attic t-•+ g— p ( ) Garbage Grinder '( ) -� aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria (. ) dOther fixtures ---•----------•--------•---•--------------------------.....---------------------------------------------.............----------•-•-----......--....... W Design Flow.... ..........................gallons per person per day. Total daily flow..... ._ ....._..._........gallons. 9 Septic Tank-\-Liquid capacity--I gallons Length....'9......... Width... Diameter................ Depth................ W x Disposal Trench—No. T!"? t.. 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 ( ) 0.4 Percolation 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........................ 0+ --••-•••••••------------•••••••.....-•••-•••••••-••-••••....••-•••--......•...................•••-•.......................................................... 0 Description-of Soil............................................................................... ------------------------------------•---------------------------------.............. �C ------------------------------------------------------------------------------------------------------------------------------------- -----------.+:... U Nature of Repairs or Alterations—Answer when applicable.....—1-�!�-_`? _�'` .� �•�`Z�� ��jJ. <�\�"�....�.. - Ce ........ ..... .......... .••••••.._... ....---_----------------------•-----.....---------...-----------------................_......_..... 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 Come has.been i"ssued by-the_boar'lof_heal-th. Signed ... ;--- ---- , y............ ._. ............... -----------------Date .. Application Approved By ................... <e. 1 -- ^�r,.- �... ..........................t--------- --...... 1-�� .....�' Date Application Disapproved for the following reasons- ------------------------------------------------------------------------ ----------------------------------------------------------- ---------------------------------------------------------------------------------- --- --- ---- ------------------ ----- ----------------------------- ---- -------------------------------------- --------------------------------------- y Date Permit No. ...... r�........... --`---..33 7�------------ ------ Issued -----.-----------------------.......------....----------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#ifirate x1f GtIiplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired y...... , ---- ----- --------------------------------------------- Installer at ----------------------------------------- - U UVtr\� 5 (.��-4 _., vim, ------ ------------ -------------------------- ------------------------------- ----------- has been installed in accordance with the provisions of TITLE 5 of he State Environmental Code as described in the application for Disposal Works Construction Permit No. .........-X!q-------3.3.'a_-.. dated .... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO_SATISFACTORY. —� �J DATE------------------ ----------------------------------------------------------------------------------- Inspector,....°.--....-- ---..... ------.............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH !a 332 TOWN OF BARNSTABLE No.. .................. FEE........................ Disposal sal Works Tonstrudion Frrmit Permission is hereby granted.-....� .L �'� S�(P I t L to Construct ( ) or Repair(_`) an Individual Sewage Disposal System at No.----•-•....---•---•..------•-----� L.�OVtn . .....................•---•--•••----• •------------•••---•-----•-----•-•---••••--••-•-------•---•-••-----•-•----..........•--- Street as shown on the application for Disposal Works Construction Permit 3�Bo.rd Dated...----------------------••--•...-•--•-••--••--....._ of Health DATE---•-•----------�---=r------�--- .•-a'•--•--------------- � FORM 36508 HOBBS✓f WARREN.INC..PUBLISHERS LOCATION SEWAGE PERMIT NO. 5 -Loomis Lane 83-1077 V ';LAGE Centerville, MA 02632 A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER Swartz 50 Loomis Lane, Centerville, MA 02632 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED V 16/84 -- - s �� j e �° i ��, � o ,� . • �` t z � i o �� ,; .� � % . ,, ,' � � r � j �� _. ;'� ' ` ", i �,1 � ,' �' rOCATION O�o�f' '� SEWAGE PERMIT NO, VI?�LAGE opiltervm (ILc- A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER � 'U)z rt2- DATE PERMIT ISSUED DATE COMPLIANCE ISSUED © l 1 � . a t� _. t3 �� ��` 'fir �� -� � � ,�- •,�_; ' 5 TOWN OF BARNSTABLE LOCATIONS j Lp01�,tS �•,�_ SEWAGE # VILLAGE_ ASSESSOR'S MAP & LOT 236 Ion `INSTALLER'S NAME & PHONE NO. C,4 fA SEPTIC TANK CAPACITY j(11IZ� S�pt�C' LEACHING FACILITY:(type) •off r-kL s-koz (size) NO. OF BEDROOMS - PRIVATE WELL OR BLIC WATERI� BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: -7 -'1 r �2 VARIANCE GRANTED: Yes No b�� , �, L b , 5�-� �—�— i ! t, � Wn � JM YEB No. ... THE COMMONWEALTH OF MASSACHUSETTS APPPMM BOAR® OF HEALTH 8arnstfttg C TOWN OF BARNSTABL -Ir Appliratiou for Uhipaual Works Tongtrur n rrMijt Application is hereby made for a Permit to Construct ( ) or Repair ( (.man Individual Sewage Disposal System at: Location-Address or Lot No. Owner .............�_ ... `sue�L-=--------------.._._ ......... P Installer Address UType of Building Size Lot.................... .....Sq. feet �-, Dwelling—No. of Bedrooms.__ 5 __________________________________Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Buildin yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other fixtures ----------------------------------------------------------------------------------------------------------------------------------------------------- w Design Flow.....6 __________________________gallons per person Der day. Total daily flow_-_` -( _________.________gallons. WSeptic Tank�6-Liquid capacity_ILIM_gallons Length________________ Width__....... Diameter................ Depth................ x Disposal Trench—No.3..'(-r_)_L Width_._.'.j?`..__._._ 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........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (X4 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ a ----------------------------------------------------------------------------------------------------......................................................... 0 Description of Soil........................................................................................................................................................................ x U .-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------=-- w ---------------------------- -------------- - -------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable___...1r_d!`5� .��:_._ _r _:'71k ----------------------- - _ 7.cr � -�-3�. �-- .. ------------------------------------------------------------------.._...-----.....---- 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 b the boar of health. ---- -------- -- ------7----.�.--9 Signed ----- -�............. ---- ----------- -- - Date ApplicationApproved By ---................ . ....---------..-----................................................ ......... . Dace Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------- ------------ -------------------------------------- ----- --------------------------------------------------------------- --------- Date Permit No. . �----..-.-33..�,------------------- Issued ------------------------------------------.----------------- ------ Date