The URL can be used to link to this page

Home My WebLink About0229 PARK AVENUE - Health 229 PARK AVENUE, CENTERVILLE A=187.032 No. 42101/3 ORA Palm U0, 9hK ESSELTE 10% e o 0 0 TOWN OF BARNSTABLE LOCATION Ina _ Avg. SEWAGE VILLAGE ASSESSOR'S ASSESSOR'S MAP & LO' Z INSTALLER'S NAME & PHONE NOh6�s � SEPTIC TANK CAPACITY lCM Gam➢ } IC) LEACHING FACILITY:(type)6 rwl k-. ,A (size) q NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER ,.W"� BUILDER OR OWNER DATE PERMIT ISSUED: ., DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 6 i C �--7 63 -a, i No..../ -•1&y. Fss.....� ........ THE COMMONWEALTH OF MASSACHUSETTS CPD BOARD OF HEALTH 1:- �J 5�- ....................................... Appliration for Biquaii al Vurkg Tnnitrnrtinn Vvernfit Application is hereby made for a Permit to Construct ( � or Repair ( ) an Individual Sewage Disposal System at: ..------..-. _ham_ ... r.��.-...-_ a:............................../6 (4 �... ..........................................Location-Address or Lot No. p7�! 0. �' :_... h!!1!k�!<l Ql_s�® ................•• •..... -•---•............................ Installer Address Q Type of Building Size Lot----lo14.. .....&,4 > V Dwelling=No. of Bedrooms................. .... Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers — Cafeteria a yP g P ( ) ( ) a Other fixtures --------------- --------------- - Q ......•-----------------------------------------hh ------.......---------------- W Design Flow......................56..............gallons per person per day. Total daily flow....................... .3.0..........gallons. WSeptic Tank—Liquid capacity 1DLD_gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width-....._.........._... Total Length.................... Total leaching area............ _.sq. ft. Seepage Pit No............ ........ iameter........ _..... Depth below inle4*C*....... Total leaching area..... ..sq. ft. Z Other Distribution box ( Dosing tank ( ) aPercolation Test Results Performed by------- ..........w ....... Date........ .'. ........ ,_l Test Pit No. I....7?�n---minutes per inch Depth of Test Pit-------i..0...... Depth to ground water........................ 44 Test Pit No. 2...... .....minutes per inch Depth of Test Pit---------ID.... Depth to ground water........................ a ---•-----•-•-------------------------•--•-•-•--•---•- ...................................................................................................... 0 Description of Soil--------- - -------------------------- ----------------------------------------------------------------------------.•-.----------------------------------.----- --------------------------------- ......................................................................................................... �1 ......-----•------------------------------------------•--------------------------------....---•--•-------•-------•-------------------------------------....-----•..........-----••--•••---.........•---- 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 the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli e s by t — and of health. Signed ------------------- -------�.��l Application Approved By ............... ..... 4��-.- .. . .......... ........---................................--- -4.-... -��-.�� Dare Application Disapproved for the ollowing reasons- --------------------------------------------------------------------- - ------- -- ---------------- --- -- ---------- ......... ........... . . ......... ................................. .................................. ... ............................................................ Dace Permit No. .......... ..... ...- Issued --- Dam Q -7 No.- .....l?u Fps.... 1 !L........ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH j.UGiZN-• ... ........OF......I f`w'Z/J°5T-. G-c --•---------------------------------- , ppliration for Uhip al Works Tomtrnrtion Vamit Application is hereby made for a Permit to Construct ( � or Repair ( ) an Individual Sewage Disposal System at: . -- ..._... ................_....... . Location Address------•---•--•---•--•---••-••--•--• -•--....----------------•---------------....r.Lot No... ..........-............................. . Tt C / l. o .. -------------- ............................ Owner Address W Installer Address Type of Building Size Lot......... Dwelling—No. of Bedrooms................................._______.Expansion Attic ( ) Garbage Grinder ( ) t pa, Other—Type of Building __________________________•- No. of persons............................ Showers ( ) — Cafeteria ( ) WOther fixtures -----•-----------------------------••-••••-•••••-- ---------- ------------ W Design Flow.......................55-5..............gallons per person per day. Total daily flow.......................13.0......_...gallons. WSeptic Tank—Liquid capacity_i((.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length____....____.___... Total leaching area-____._•--�-t-V.,�._.._sq. ft. Seepage Pit No............t-------- Diameter.......!.Q-------- Depth below inlet .... Total leaching area..... ....sq. ft. Z Other Distribution box ( � Dosing tank ( ) IH ........ Date........ ^� Percolation Test Results Performed by.._.. x�. .. '_ .`'q __._._..� �' __.. ._ .J.._..__. ,.a Test Pit No. 1.._...^"_..minutes per inch Depth of Test Pit___.__-J.0_____- Depth to ground water________________________ (i Test Pit No. 2._.__.�►....minutes per inch Depth of Test Pit---------10.... Depth to ground water........................ P4 ---•-------•-•--------------•-•--••--••---•--•••-•--...--•-•---••••-----------.........-••---------.•---------.............................................. ODescription of Soil.......... --i............................./....................................................................................................................... W ......................................................................................•••••--••-•-------------•.......--------------••--••-•-----••-------•••••••-•••-••••--•-•---••--••......-----•••- U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------- i -------••--•----------------•--•----------------------•----•-•----------•--....--------•--.........----•••--------------------------•---------------------•----------------------------......_••-----••• 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 board of health. Y P P Y Signed - ----------------------------- -- -- -------- ----------------------------------------- -- --- .................................. Date ApplicationApproved By ----------------- - ---- -- -- --- --- --------------------------------- ------------------------------------------------------------ Dace Application Disapproved for the following reasons- ------ --------- - - ------------------------------------ ------------------------------------------------------------------- --- ----------------------------------------- -------------- -- -------------- -- ---- ------------------------------------------------------------------------------------- -- -- - ........................................ Date Permit No. � ..:� " < Issued ...........................................--------------------- Date THE COMMONWEALTH OF MASSACHUSETTS ...�—�., 4 BOAR OF HEALTH .............�--LV N------------ OF - 1 llav 7 -------------------------------------- &x#tf ra e of (11'am slianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( Or Repaired ( ) by --------------------------------------------------------------------------------------------------------------------------- Installer l at ..... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. --.- ..,j--------f-0--u............ dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................................---------------------------------------------------------------- Inspector ...--------....--- -------------...........................................--------- --- . THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH 1....c�.ui. ..........®F........................................................................ -✓.. ............. , No.... .:_ - FEE.:... ��.`:........ Disposat Work.5 Tnnitr icon rrmit Permission is hereby granted.............................................................................................................................................. to Construct ( (.)'or Repair ( ) an Individual Sewage Disposal System. at No.. r� t1 Fr, (1/�.�r..T .z_:+#r !.tf?�. - e C-r n---.t Street ;r No..as shown on the application for Disposal Works Construction Permit _-_/0/_ Dated........:................................. -----------------•---------------------------•------------------------------•••••-•-----•----•••-----.._ Board of Health DATE................................................................................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS u S� ,� � �J'ES l L>►J yA-rA 3 BE 7, ot✓+S TEST �•4 q3 � T F C,--,On2 -PAIL-( FLOW �)(IID =•330 LsPY� E�_ ZLaAw. ��T— ____�� ---t�rr— F7 ?air SE"✓i f C TA�L GO -4ct S 6-P�> S�ssoicr w✓ I •� Bic S�ric S4L 7l7 I-Lvd��2• sratJE CAS 5IDL-V\hr L ARe4 = 110 sF 1 I o LCA��r��,t 4 ?OT 0M ML D wi - I TvTX\L tbE)-16N = `353 6fD, 1 MDZ� Tung na veP f I � STo�IF i 'i�E�ZGaLAT!o ! I L a \�A"jE >"l�uI �'C-QD ! —, ��23 s-{Q;.L -p,,E -Zo __ 2� C Z I I o SS"a LC— 1VtT�- i ELKS �SQv� v1a�t P aq�g I��'--o PO bE D 1 C DTI FY 7: T T SCE 'bLu ct,u n1 t, �(•Iruru 4�;2EcN �MP� 5 y wlrA 1AL +z=4>. CIP T�fE- TaWN OF B�lZr:s(Agt-E i 1 T-lK FLA'� iS NQT FJAhEJ oN AN i�ISTLi7GtE+1'1" To f�ST�R�-ISl�R::pr�E�rY L -aS Le ID WA PIAR kit-Aii� Zo�J E ,A, 1 D ��G=t�� , � \ �lj, �� 4 � •� �,� �;e.3 LA •. \4�) � l5Lul✓`�l�(o X4 I 31_L 3g LEE 4 F Lwwii c, I �. /9 LEAF ^H�P 7F J' \ r Fr,Z -OAYT� qyE i xkt+lis„� PMRPUMA � Aa. 29733