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HomeMy WebLinkAbout0152 OAK STREET (CENT./W.BARN) - Health (2) 152 Oak Street A= 173-085 Centerville OPendaflor a 4210113 ORA 10°/® K O VIVA No-71L THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH f TOWN OF BARNSTABLE ®orlIsteb►s �Rpy� Cafter►'at+on Appliration for Ih_npoiia1 Works Ton S Application is hereby made for Permit to Construct ( ) or Repair K)i an Iin iv dual Sewage ® � System at: ........1. .........�....4.� � . ............................. --....--•------------------------•••...._......_. catioo - ddress ......�..�!!!G` .._......—/� L ... ..........- T— or o Owner Address --- sl_... %G c .----- G'rrv:•�s... 77 1���y �2D �z.s---------------- Installer Address UType of Building Size Lot............................Sq. feet `-t 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______________�1-Z'-_______________gallons. WSeptic Tank—Liquid capacitylX0_.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No...........1_______ Width_-___-7......... Total Length----1,dv".e5_ 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------------------------ 44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ 9 --•-•--••-----------•--------•--•-----------------••-------........-----••-----...........-••--.._...•-•--.....-•-----..........-------• ........ 0 Description of Soil........... ---------------------•--------------.......-•--•----•-•-•--••-----••--------------------........................................................-------- x -----------------------•-----------------•----------•-•------------•-------------•------------------•---------------------------------------------:-----------------••--------------- w UNature of Repairs or Alterations—Answer when applicable------->/11P�✓-�-------IGUO----__ 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 /aseen -ssu b he b and of health. Signed ------- ----------------- .................... ---- Date Application Approved By ............ .......----- ---�.�--�D e." -..Application Disapproved Disapproved for the following reasons- - -- -------------- -- -- -------------------------- ---------------------- ------------ ---------- ----------- ---- - ----------- ........................................ --............................. ................................------ Permit No- ----- .� Date .--. �'�---'- -����-� - --- ----------------................................-.----..--...-..--.----- ------------------------- Issued Date --.--.--------...-......----...-.--- -7 rFps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE AVV iratiou for Elispaiittl Works Tonotr�rffbuT uti# Application is hereby made for as Per �Construct ( ) or Repair (K) an Individual Sewage Disposal System at: / (J Location- ddress �^— / or Lot/..qos., .............. .......................................... .........................................._ Owner Address w sG2-?lc.o� r1or.�s =_.....__.. 7 .. � ............y �2� ���../YI�l _s................,., -•- -- Installer Address � Type of Building Size Lot___________________________Sq. feet Dwelling—No. of Bedrooms............. ..........................Expansion Attic ( ) Garbage Grinder ( ) aOther Other—Type of Building ............................ No. of persons........................._.. Showers ( ) — Cafeteria fixtures ..... W Design Flow..................... ....................gallons per person per day. Total daily flow............... ._.___._._._._._gallons. WSeptic Tank—Liquid"capacityA60-_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........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (Z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 .-••---•--•---•••--•-•------•-•--•••------••••••--••---•-----•.....---•....-----•----•...................................................................... 0 Description of Soil......................... U -----------•---•---------- ---•-------------------------------------------------------------- •----------------------- •------------------- W U Nature of Repairs or Alterations—Answer when pplicable____-/-AP ......Z .._ •••-•: J�-•.-• _ �c -•-•-•-•--•-...__..._•••••..................... 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. as been ' su d by the b rd of health. c Signed .-.. ,/ - ........ems.. Date Application Approved By .. ! v.. -�-�--� ... ......... ..../ Date Application Disapproved for the following reasons- ----- ------------ ------------------------ - ------- -------------------------------------------- - ---------------------- .........................--------------- -- --- ------------------ -- - -------------- --------- -------------------- .----------...................................... ........................................ Dar ---- e Permit No. --cX---- ---- L.......................... Issued ------ --------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE &rttftcatP of Tiamplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired y ...... ----------------- -................................................... --------- ------ Installer at .................................... .... j� / �Z C� ---------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in �;L-...., ..:- -`� 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 - _ .......`J- ..--... Inspector ------------- ----`_l..:..........................--_------------------------....... THE COMMONWEALTH OF MASSACHUSETTS �23 BOARD OF HEALTH q TOWN OF BARNSTABLE 7 No....f.. •-.a !{• FEE._.s .. ... �i��r1a��1 �r��l��t.�ir�r#irin lernti� Permission is hereby granted...................._._...._� ✓a..�Q.�.�......__.G�^_`�. to Construct ( ) or Repair (�an Individual Sewage Disposal System /�� at No. �- _---- -- --1-------=9.�--.--•- ?- ----- (� '`J?- ................................ Street as shown on the application for Disposal Works Construction Permit Noll-..-SS.. Dated.......................................... \.r_; ....................................................... (/ Board of Health DATE............. FORM 36508 HOBBS&WARREN,INC..PUBLISHERS TOWN OF BARNSTABLE t.7C :1`:ON SEWAGE # VILLAGE ASSESSOR'S MAP & LOT/73 -0/- INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY �' � �s�►.Ji� LEACHING FACILITY:(type) /N_­I-[,%raj (size) 7 5e .5- NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER cvlvZf 5 cw //tiJ DATE PERMIT ISSUED: //1/&19.2- DATE COMPLIANCE ISSUED: -G VARIANCE GRANTED: Yes No� lie, No...................... ............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF........................ . App iraa#ion for BiipniFal Works (futwunrfinn Urrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at /'sZ CA/<- ST, ��,ti%rvi�c� ,�,�, � 3 ................-....-- ...... ...------......-•--•-......-•••••... _......& -- ----8...._.........--- ----------- -------- ------------- - n-Address or Lot No. Location /}D s .................. ��--- - . ..... ........... ....•----"=-.:,�0x O� ' r� G2 l a°�. :......... ner Address W �- -..... Installer Address Type of Building Size Lot..... ®_....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ---------------•------------•------•......••--•-•• . W Design Flow..............&0................___..gallons per person per day. Total daily flow........... ........gallons. WSeptic Tank—Liquid capacityA4Uo...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 ()C) Dosing tank ( ) '-' Percolation Test Results Performed by......................--------•---•--------------------------------------- Date........................ `S -------•-••--- aTest Pit No. 1...........:....minutes per inch Depth of Test Pit...liq ..... Depth to ground water....!! ......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-•••-••••-•-•------••--•••----••-••••••----••••.............•---••---•----••--•----•-•-.._......---......................................................... O Description of Soil......YF1 ___�oary...6;&)USL x .....................................................-----••------------•-----------•-•---•--------•••••-••............----------••--- U ------•--•-•----------------------------------------------------------------•-------------..•...------------------•------------•-------•-•---------........................................... ------------------------------------------------------ --------------------------------------------------- ------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable____-lei?aq_o......................................................................... -•-----------------------------------••---•---•--•--•••••••--•-••••••--•-••••-••••-•...........................•-•••••-------•••-•-•...•-•-•.....---•••--•-•-•---••-•---•-••-••••••••••••------.....••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLE4 5 of the State Sanitary 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. ApplicationZ!7�* • •-•----•••------•.....••-•-••---•--•-••--••-••---------•................. ..... ° y ate — -�� ApplicationProveing reasons-----------------------•---------------------•---------------------------------•-----------••--•------------------•................... --- ---_--_-... `yam Date Permit No......................................................... Issued-..................--- / � Date............................... �3- S;5 L0r- ArION SE1,;VACE PERMIT NO. Y! L L At; k tt 5�, �S� ALL ER'S DAME ADDRESS _ - W%Scak� o Al-S .�ONi Vo LL_____ B U I L D E R OR OWNER OA6C, DATE PER I T ISSUE DATiT C9 ; PLiAC £ ISSUED �� .3 � APC I-J lrA r Y 1 � � I � i 1 1 1 ( 1 1 ( 1 1 1 ' 1 � 1 ( i r 1 1 N0...............- ---• FE$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` .........................................OF.....-.........-.-........._-.-........ '._....... Appliration for Disposal Works Tonstrnr#ion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: /37 ............. ... -............. ...--•-----------.......---------•-----------•--.......--•••-•---•-•-••--....._........... Location•Addres Lot No. � •---•---•-•........ t .!; `!j�^� ---- �l....... 3uq i.�l t c�(d� -r!9 W / ner Address r ............••.... .. ....... .................•......_......_................ —•-•---•----••--...••-------•----------•--•--•-•---........••----•-----. Pq. Installer Address U Type of Building Size Lot----A4:_6a......Sq. feet I-, Dwelling—No, of Bedrooms-------------------------------------------- Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .. •----••-•-•---------•------•----•---------•-------------------------------------------------------------- .................................. W Design Flow............../�b......................gallons per person per day. Total daily flow--------------------------------------------gallons. W Septic Tank—Liquid capacity/4��a---gallons Length................ Width................ Diameter---------------- '�fph................ 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 ()C) Dosing tank ( ) '-' Percolation Test Results Performed b S*-2S"-8 aY•-•----------------------------•--•---•-------- ----•--------•----._. Date---•----••-----•-----•-•-- -...------- Test Pit No. 1................minutes per inch Depth of Test Pit__1q ...... Depth to ground water.__N �- P Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................... ------ ----- ------------ •----------- ------------------------------------------------•-------------------- .._. D Description of Soil......1/ ,Y._.......,� ��� x U -•-•-•-•-•-•--•-•---------------•-----......................--------------••-------•-----._.....----•••------•-•-••----•••---••••----••••--•••••-----.......----••-•------•••----••-------••------•--••. w x -••--•••-••-----------------------•••--••---••-•------••-•-•-••-•-••-••••-•••-••-••-------••-•-••--------•-- U Nature of Repairs or Alterations—Answer when applicable.-___A j:....................................................................... -•---------------------------------------------------------•---------......----•-----....---•--...........----.....-------------------------------------------------•------..........------•----••--•-•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary 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. Application ph ' a"BY r -----------••---------------- Date Application approved ,o t llowing reasons: -••--------------------------•--------------------•-------------••......---••----..... - -------------------------•---••-- Date PermitNo........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................:................'r....OF........ .. ....................................... //'�' C9rdifiratr of TompliFanrr TH SKIS TO�C IFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) ---------- Installer at.•--•---f......�----�� ' •---- ..................................................................................................................................................... has been installed in accordance with the provisions of TI" F r f T e State Sanitary Code as described in the application for Disposal Works Construction Permit No.... �� i..�....._..... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL F NCTION SATISFACTORY. DATE............. �G ----•---------------------•------------ Inspector.....--- -----•-----•--•-----------•-------•-----•----------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH U" ?� ..........................................OF.............................• ...................................... No ................... FEE. . ..................... Disposal a rf To ion rrmit Permission is hereby granted...................... ...:'��.. .........................�-- -----•---------------------•--••--......................... to Construct ( ) or Repair ( ) an Individualeage�ispol Syst at No CL-_.. 4.- Street as shown on the app ' do or Disposal Works Construction Permit No_____________�:�'__Dated..___....___........_............_..._.... t ----•----•---- ........... Board of Health DATE..-- --•---------.................................. , FORM 1255 A. M. SULKIN, INC., BOSTON - t iff�r do f 7 LOT a x , # . r{ KPH a, r h \ � V00 \. �; ode; r /,,, 10�P il 76-74 It L Ny 19 tv ,- �'� t < �� G >U�� d Qom\: \ ` \ � / , , ,�'✓� / � s F �\pAOFry,��' ���a�Ne� �ss� CERTIFIED PLOT PLAN o ROBERT n�c L p T 3AL R { -r DRED 4 RSB No. IN l�9LP4iO�tv�' ONA�a��� � by •S4��i:'/� �ri�d��`� � �.r-D " '.�+,� �J .i�:J,1.L� � r, SCALE, 40 DATE >� LIRE'®GE' EM.G/NEERIN //V CLIENT i CERTIFY ' THAT THE PROP09E0 ; Et3tSVESiE REGISTE9�E0 J®® N®.' '32o;9 BUII.,DINti. SHOWN ON THIS .. PLAN CIV LA NO :CONFO.R'MS:. T0, THE. ZONING; LAWS ' ENOIN`EER R Y OR.®Y� C p ry er r - 01' CAR14S ABLE ..,MA.S STREET CN, A "' ®A E' RE'0 LAND SURVEYOR f :. x �� S i ' w'-S s°�'y., �.,a� ��"N ,. NOTE /F THE SEPT/G Tii^/K /S MORIF ?O FT MIN. THAN /2 JNCNES d ffLOW 9FAADE, A 24 i /O FT. !►�1/N. /NCN �JAJ�9.Er W CONG.rET.G COVL�R 4�PYG P/PE jeaRCL/4HT 7-0CL RAL��. eAN EXTRA► h�EAYY E;0q5r7.-c F06f./p/ o4 CONCRETE MIN•PI TCf/ GAs•T J RO/V COVER S/lA L L ac US.rO /F /N e�L.-76S• COVERS �S"PEiQ FT. DR/{�ELVAy v 2J"e'MIN. 4RADE 4"Gou9LE A � PERiORATEO u_ u PVC P/PE L/OVID LEVEL ��� CLE.�N SAND --- t 'b 4"CAST :. . - •��, _. EG ,-7 z4- JROA/ PI . . .. .. . . .. 4.. GAL. ;. ••. _. •::.:; :::�'.•. ;i; :;oj;:= ::' ;S; - _ MJAI. P17CH SEPTIC -TANfC. D X � �s�� " El? �T. y -v 14 P � C TA6Y.CATJOIV-) LEACHING FJELD oo SECTION Cif GROCJND JIVA 7A8L£ SEA AG46 DISPdSAL SYT'rffl ! 746Z/1A7/0N 4EACHINCr SCALE- : �Y a /�_ O" D/l+4ENS/ON 8 FT.::, •g FT 6 FT. O,C. 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