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HomeMy WebLinkAbout0082 NYE ROAD - Health 82 Nye Rd., Centerville Lg rl A=170.001-001, f. i i a No.••• ......... ...... Fxs..:�..11................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE A '�-��ltrtttt,au for �t�pl ,t� 3tti Wnrkw mitrurttnn Prruttt Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at t �' - ----------------------------- ........... ............ / v ��- _-ocau or Lot No. ' !T Owner Address W Installer Address d Type of Building Size Lot------ ...Sq. feet U Dwelling—No. of Bedrooms______________-------------_----_--._.--.-.-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _------------------ ...... No. of persons-_--_-.-_--_--______-..---- Showers ( ) — Cafeteria ( ) d Other fixtures ---------- - - W Design Flow.................... ........... gallons per person per day. Total daily flow_.___-_-___---__----..._-_�i��......gallons. WSeptic Tank—Liquid capa6tv.1400_galIons Length---------------- Width---------------- Diameter---.------------ Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area_--__-___---------sq. ft. 3 Seepage Pit No.---__-_.-l..._ tameter----------10.... Depth below inlet........6........ Total leaching area....?6..sq. ft. Z Other Distribution box ( e Dosing tank ( )14 !/ / Percolation Test Results Performed by.._____.-cWl.'X7i-�..__ ..P-Y6•____--`AW . Date--------3.^3 _`p Test Pit No. I---.-.7 _minutes per inch Depth of Test Pit-------/_2--.... Depth to ground water_._' ---------- (1 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a ...--•---•-•-----•-----•----•--••-•--•• • --••---•-•-•-{ 0 Description of Soil................................ J!/n x 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 Environment 1 ode—The undersigned further agr not to place the system in operation until a Certificate of Compliant as been issued-by the. 'd of he h. Signed .....V. ....... i G I � ton... Application Approved By .... ......... --:-!17.. - ........................... .. .... .. ......... . Date Application Disapproved for the following reason : ............... .............. ._.............. .. ........ ..... ................................................ ------------------ ---........--------- -----..... �.........------------------- ? ® ) �� Dace Permit No. ...--�„/� ��'�/........................ Issued ...... 0 ... . ..........�.. -------------- a No.. _.. Fiz$ THE COMMONWEALTH OF MASSACHUSETTS BOARD. OF HEALTH 21 n TOWN OF BARNSTABLE J Appliration for Disposal arks vustrnr#inrn- Pr-rnnit e" Application is hereby made for a Permit to Construct ( ) or Repair ( ) an-Individual"Sewage Disposal System at: Q ` .............. ....- -------•----•--•---•-•-----------------•• ---�----------------------..--------------• Locati lddress 't *' or Lot No Owner Address / a _ � Installer Address .- d Type of Building Size Lot..___.e(F_�5. ...Sq. feet Dwelling—No. of Bedrooms________________________________'J__-_P_ Expansior Attic .(' )fr. Garbage Grinder ( ) aOther—Type of Building __________________--.--____ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------- -----------------•------------ W Design Flow....................�r?. ---------------- per person per day. Total daily flow..__._._._........._....._���._._..gallons. WSeptic Tank—Liquid capacity_l040_gallons Length---------------- Width___...-_-__-__-- Diameter-----.---------- Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit NO........... ........ iameter----------/ .... Depth below inlet........6........ Total leaching area.... &.sq. ft. Z Other Distribution box ( Dosing tank ( ) `/ // _ p ~' Percolation Test Results Performed by....__....�1�A! f __. ..�1/1� .------L��-........ Date........ J..�/.- ___._.. Test Pit No. I.......Z__minutes per inch Depth of Test Pit........ .Z_... Depth to ground water- -'__---- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ o p �_ ` Descri tion of Soil . . ••-•-•----- _ .....1.-/ - `�v! ----.- ---------- S. U .................................................... ..... D �. ...-•---•M..-r-_-•----...---•---•---•-----•-•--.....----•---.......-------------- W •-•-------------------------------------•--•----•-------------- .........- -. - U Nature of Repairs or Alterations—fnswer 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 Environmenta4Code—The undersigned further agr s not to place the system in operation until a Certificate of ComplianceAhas been issued by the beard of heXh � - � .Slgn-d . .. ....- - ............ - -j :.. ,� Dare Application Approved BY . . ..:.....--✓' -- '.. J./...t.'. ::.. � :-. �__n±a /:/- -� � �•Dace Application Disapproved for the following reason�------------------------_...._-------------------------........ - -............................................. ------------------------------------------ / - L, Dace Permit No. .....•�....... ... �� Issued /v -=<:/.. ... .r ! �` Dare -------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tier#ifirate of Cfomplittnre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( `_ ) or Repaired ( ) by ----------------------------------------------------------- --------------------------------------- --------...---------------------------------------------*--.----------- ---------------------------------*....... at .................. 1"...`�... - Fes" 0. .......---------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE-5 of The State nvironmental Code as described 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 2, - .� -/ `..q( ...... -.... Inspector � ) -- THE COMMONWEALTH OF MASSACHUSETTS (� BOARD OF HEALTH TOWN OF BARNSTABLE -owl' No -............-- FEE)�............. Disposal Works Tontrndinn "rrmif Permissionis hereby granted..............................................--•--•--------------------------------------------------------•--•............•--•-•......_..•. to Construct ( ) or Repair ( ) an/ Individual Sewage Disposal System atNo............ ........................ �/• ^` /�................................................... ll l Street as shown on the application for Disposal Works Construction Permit No.-,"'-,". ated�....................................... ------•-•---•-••-`r---�. ..................•---- Board of Health DATE. --• --------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS ------------------------ 51u6L.- FAMILY 3 $EVZot,M 1 i40 6A25AC.E G1zIrJU ' ETC . ( FLOW S'4Uo=330 SEYTI c TANV. 3.30 5C 15c�7o=a4� D io 00 �nL. DlSPQSQI Di,- j-l000 COAL H S`D'i 51DEw4IL a2C-A = 106 sF s 1 106 SF X 2 : 410 G,P'U, BOTTOM A 8 sp I 'l!3 A l .o ILP `rOrAL DAILY Q� T-S2e-7LA`MoN QA•TE = I" iN ?_MwAIW16 A. SAXTER • ti d° S fq S'1 R, O js3.03 oc:.E- suc�sOIL. P.V C MG--D SAUD �n (0ou IN Som S ►I VAST iuo INV 6AL, IN✓ 45 0 6 ltx� ICJ ae�z Box .cap} edb seprrc 'g T..1... 4 �L A4 TtiNr` 1,6m: ALL-5mt ruzF) stT — -—--- — ---a Sa.up STONE ftM TuaN a!vr-ZF 2 Err�g BALL Be 4-Ze (�o Pu. 1-j lo----+�- -- (ZC 110 j10 -VCRNELcp 0 Lod Na l V Ar LE—"' �86 D a.`f �4fit-. 3119.CIS 5�lowN NE�2t=r,N�co ( "i�IAT T4{E�wM-1- kr, PLAN pc-�RFaJC.E M'P�YS "TA "ME SIVEUtJE LOT A+� 15 flrL ocA witul rNE 7140D PL Bv. &Z3 Pam. '1S NYE ( 01 FLIIl 15 NOT- . Y3A,� oN eN 146 _.._. p SSro�4r_ LAQD Sue.� �5 b Sv2v�=y AiJv. rNE OFFSETS ��vti4EUt" � / USC-1� T'p EST ��I�ri EtZ UT_ aE o STEfzv�C E�J61 N EELS QPpLIcaNT; �C.Ar� � SMa_L_ SlN6LE FAMILY 3 13EVwx.7Mj, � iAo 6,AZ3AGE G1ziNDpZ �w �� ...'>?A I L ( ��>(110=�30 6� $ EPi l C T �� w A U�G ioco 6AC__ DISPoSAI pl j-to0o 6A1- /2! sThj M ? ' 51 D E W4 L APEA = 106 SF s i 1013 dl o .p`p, o �� BOTTOM VeA — 1 ij sF I T�L •pc�16N = 5�E:3 '�d��o� 3. Y Q; .. ��aC.AT1oN QA-fE z �•' rN Zv��u fr.� •a � ' �/ • ��...._.�� Xis � �P PJCMRD BAXTER Ile i as sow Pt7 �;;f 8 i �� R kti '•••��Y O R 1 � Is3.03 TLvs T, ' �P-'SOIL z �, PV•d• Mrr-n SA u� 1000 I N Soma S u DrST �Ny INJ CAL iNr 4�v rn s itx L ru) gox ,� 4 a�b sepric 4' ��{ 44 TANZ Mom• WfKNEv �6m: A.a_5rzucruQFy s�-r S4No sTo4E 1"Dw T 14A,-i 4! -Deep 514ALL '8E 4-7.0 i o----�- -PcR/ELCP� 'PrzoFl c.>'- P�oT- FLA IJ 417, !�o SGA�. L�rLLr !JoOVar 4e4 LE—', 14 8v Da e J - __=_ I CEZTiF'r T�AT TRS-bwLll.L4Q::, PLAN SKow HezEoN (::OM'P� S ,,IT,, TNT '=&� Rahn , 51�EU+JE AO Is °� �� �w� of �AeN� �--o�T� u,/ltul THE I�XOD tf olu P� Big �z3 ��. •�s DA`(� XrF V4K FUij IS NOT- rjQ/l) oN AN rE o p�%tOf44r_ LAQD Sueve,/C>Z5 6L)W-y AND. 1�STL'�ti4E111 CSC-1� T'p E51',ti��LlSr'i F�SE�'SEpvLI) u QT' �3E o 5'('Erzv t� r_ E�1G�N EEt.s SOP T Y L,u�5 MAC APPLICANT; ALAtA E SMaLL_ i I TOWN OF BARNSTABLE , i 4'1 SEWAGE# ' �� I ` LOCATION.':.. VII.LAGE . . =HONENO. ` ASSESSOR'S MAP &LOT /7'S.NAME INSTALLER. }. SEPTIC TANK CAPACITY _ LEACHING FACILITY: (type) , (size) NO.OF BgDROOMS ell BUILDER. �✓ 6 $ COMPLIANCR ATE .ni _'� ..�� PERMIT DATE,:. Separation Distance Between the: Feet Maximuiii Mu.sted Groundwater Table to the Bottom of Leaching acility •• • an wells exist Private Wat0::SupplY Well and Leaching Facility (If y `Feet on siEC::or`within 200 feet of leaching facility) t Edge of,,... and Leaching Facility(If any wetlands exist; Feet withi'tt:300`feet of leaching facility) Ftun'ihe ni No........ ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HE TH f '. ._---------OF.......� ��...-------............................. Appliration -for Disposal Works Tonfitrurtion Vrrniit 4� Application is hereby made for a Permit to Construct ( r Repair ( ) an Individual Sewage Disposal System at: ....................09:30 - ' ....................................................... ..••aLaooc�cat�o -Address or Lot No: Li�Lc ..... .........-••••-••-•...-•••- ig Addr ---------------------------------------- W f I I � Address � Type of Building Size Lot...... /. Sq. feet .-, Dwelling—No. of Bedrooms..............................:.............Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.........------------------- Showers ( ) — Cafeteria ( ) a Other fixttt es ----- ------------------------------------------------ W Design Flow................ ....•.-..................gallons per person per day. Total daily flow........5 .........................gallons. WSeptic Tank—Liquid cahaci�Q-V--_.gallons Length------ Width...J')......... Diameter................ De ------------ x Disposal Trench—No. LfS .__. Width.... . Z----- Total Length--_.,,3 f,X._....... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet. ..... .... Total leaching area--___-..-___-__-__sq. ft. z 'Other Distribution box ( ) Dosing tank ( ) ��" L — ;?— 2 C --70, aPercolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------------------------- ,a Test Pit No. I----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water...._.__._____.__._..... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...._....__..__---_-.... 9 .._..-•----------------•----........_....---•-----------........----•-••-------------••--•--•--•-•--................................................... 0 Description of Soil--------- ---•--------------------•.----------•-•------•---------------•-----•------------------------------------------------------------------------------------------ x U -----•-------------------------------------------------------------•-------------•---------------.-_---.-.__--._----------------------------------------•------------------------------------------- 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 Article XI of the State Sanitar ode—The undersigned further agree not to place the system in operation until a Certificate of Compliance ha e issued by the rd of hpajth.Sig //74 n . .. ------•----•-- �J Dat :1 Application Approved BY ..... / - ----------- -- '- :�e�le�-• ' e Application Disapproved for the following reasons:.. -- ---�-----�-.�....f. -----------------------------•----�•------•---•----•---------•�-•---•--•------•••----•••----••-•----•••--------•--•--•-•• -••-----•--•----•----------...---•--•---------•-•-----------.... C Date Permit No.--•••--- ••----......•----••_.. Issued........................................................ ----------------- Date (7j No........ �--•.. ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HIEa�.TH v " l6CcJ-!^ oF.......1....Ol...0 ....... ..rz. Appliratiun -fur M,ipu ial Works Tomitrurtion Vrrntit Application is hereby made for a Permit to Construct (i-10"or Repair ( ) an Individual Sewage Disposal System at: 9_7 14 Locatio Address or Lot No. 01 !/ �' r ���f� •- Add r s Installer ddress .+..,-- UType of Building 3 Size Lot......��.t G ......Sq. feet «-� Dwelling—No. of Bedrooms--------------------------------------___-Expansion Attic ( ) Garbage Grinder ( ) P-4 Other—Type of Building ---------------------------- No. of persons.--------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtt S ------------------------------------------------------ W Design Flow................ ----------------.---------gallons per person per day. Total daily flow.......-? _-_-_--__--__--_.-.-------gallons. WSeptic Tank—Liquid ca,p1aci/(7YO---gallons Length---�......... Width---(....... Diameter................ Depth.--.._-.--.----- x Disposal Trench—No. A. _l___ Width_.._.2-_-__ 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 ( ) d.40 -2 — Z aPercolation Test Results Performed bY......................................................................_... Date-------------------------------•------- a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.----_---..______--- Depth to ground water--. ---._-----.-___-.-. P4 ----------------_-- ---------•---•----•••----------------••---••••••......---------•-••-•-•----•--................................................._........ ODescription of Soil-------------------------------------------------------•-----------------------------------------------------------------------------------------------------------_-- x U -----------------------------------•--••-------------•••---••-----•-•-•--••-•••••-•------...._....---•-•--•-••••••-••-•---••-•--•-------•-----------------•-•-•---....--...........---•----------------- 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 Article \I of the State Sanitar ode—The undersigned further agree. not to place the system in operation until a Certificate of Compliance ha issued b the rd of Sin Da Application Approved BY------- ------------ Dete `� G• Application Disapproved for the following reasons:---• -------------- ----'-'---"-I---•-------•---.........-•----------••.......-----------...._.........•--•-- •-•-•----•••-••-•-•••------------•----------•--------------------------------•---•--•------••••••••-•----•--•-•---------•••..............--•-------•--•--•-•---•---------•••-•--------•-•----•----•--•-- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH ..............O 1 ......../ II�N�/.• r•I ..................................... �rdif iratr of fIuntphattre THIS IS TO CERTIFY That�the Ind duaI Sewage Disposal stem cp structed (�or Repaired ( ) .a. e .' by.... ................`....................---••• . ......•... ----- ----------- Instal] at.................... _Aw ----------------_?,_T_.Z....-- '........... ....... has been installed in accordance with the provisions of : i I of The State Sanitary de as described in the application for Disposal Works Construction Permit No.� -`-7•-•---------------- dated . �------4.y-..7_l. .•�•- THE ISSUANCE OF THIS CERT9FICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------;' Inspector ....... --. --------------­--­---�J THE COMMONWEALTH OF MASSACHUSETTS -.-/ BOAR• OF HEA;kTQH,, y /Oiay.qOF/�� -] ls- -C Cr..................................... No......................... FEE-10 uu.6trnrtiu$t Jr it Permission is erebY granted ....._. __ ___ ______ ___ � -....................................... to Construct ( 'r R air ( ) a Individual S.wa e Dispos .DSyste t. _� _ Street as shown on the application for Disposal Works Construction rmit oDated.. .:Y�.;---�)--Lf..74 / ;-• 1- G� ----------------------------- DATE---------------".../...-------------•���--.......--------•---------------------- _ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 4 Y 'l¢ �.� M1 ➢� �, CC i.4 .—*fk - 1l r tG 9 7 4C 9 1 L �N S s ,� . � �i v• 40 ti IN 0 y fi..i•T � � (.AV�'� � / .2y l .. r :AF yr rJ �� ky'S{ �i ��� F fkT• .� '{ P CIE.c/%��✓GG � �`eot* E : /"- �O L7�iTL e -g /l70C� ( G .SEiQT/Cr W"A,I .r F •1 s.'.. i." � "Y i4Y �>�i.�ye�� .�.:c�.r.r -�-+•p.�Aa�_.�o..�.� .��i, _ ioo�e .eEs�,�✓� ,�e���2 �' �,'. y '`• �i`¢✓���®y CdST,ET/FY TNgT Tf-/E ®CJ/Ln/�/G� I t. � ` �«, ,r� /" a TNE' fa n. .�°bt1.S✓�D A� .�'NOWN HEd�GOM /ci�t,/.Z� TNgT /-T ` y en. `,�.r •. T<-✓E �sV/v of .30 c/sTFJc3�� ���Zt1 OF t Cir1 N cowsrevcr'E a. rya ARNE,' CeLB�°D e��� LIP��/P7G�P"/P7� 0 0 ALA P ��- e t. LIQ�/O SUBV6YOB5 ` ^� MRSS. D TE .eElr. Oe � °✓'CiO,EtA/�/�e TOWN OF BARNSTABLE `. LOCATION �'— ® 9 bC /t o SEWAGE # VILLAGE_C;e4i4ed CZ ZZ-A e 's= ASSESSOR'S MAP & LOT /ZO ao INSTALLER'S NAME&PHONE NO. I/®®0 /Va SEPTIC TANK CAPACITY LEACHING FACILITY: (type) � (size) NO. OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 47ZQg 6,- 7 6 COMPLIANCEtD'ATE: 1 >3__a 7_7& Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of LeachinpFacility' Feet Private Water Supply Well and Leaching Facility (If any wells exist on site'or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist. within 300 feet of leaching facility) Feet Furnished by