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HomeMy WebLinkAbout0056 SEA MEADOW CIRCLE - Health 5C� SW,_ (yeah r/r S MEAD No. 2-153LY UPC 12934 smead.com a Made In USA I FSOURTESTR1f�f INITIATIVE Cartifiad Fher SOWtlnp w.rr.afiprapnmora A(�p �1 -V A �Z�' No. �.5.. Fin .................. _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ..�1..............OF..........E't.KA5.. b,-e .................................. Appliratinn for Uiipns al Warks Tonfitrnr#inn Frrutit Application is hereby made for a Permit to Construct () ) or Repair ( ) an Individual Sewage Disposal System at: ....Ct-2_Lz.......... -----------•-. -----•• ---- ---•-•-----•-•----•--•-------.._..........•--- Location- ress f1l, ST Lo 2(� W ................ ..:..................... .. x. . --- ........................... Owner Auddress W -`............-•---•-•-•-----.....-•.............•----------------•-•--•------ .........................tit S'T javn.,.s-�-CA Installer Address Type of Building Size Lot____,'4.)_ �� 5q. feet U Dwelling—No. of Bedrooms.___.__�4...................... .....Expansion Attic (Ad Garbage Grinder �tt� U a'4 Other—T e of Building �__F�_r_____________ No. of persons............................ Showers — Cafeteria Other—Type g -•-•--t1"-••---•--•..................P--. ( ) ( ) � Other fixture - - ------------------•--....-------------------------•-----------------•--............-----••---- W Design Flow..............5�________..__ ._gallons per person $er day. Total daily flow........a a_t�_________._._._.._gallons. WSeptic Tank—Liquid capacity allons Length' - .... Width_ -1d .______-_____ Diameter.__ __. Depth___ x Disposal Trench—No. .................... Width....9_Z......... Total Length__ .......... Total leaching areaJCa_Ca......sq. ft. Seepage Pit No................. __ Diameter.................... Deptl} below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (Y� Dosing tank 4 '-' Percolation Test Results Performed by.... �!7G_________________ Date._9_ .......... Test Pit No. 1.../_ __.minutes per inch Depth of Test Pit___t_0.......... Depth to ground water....4!5__........ G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -•-------�_ -------- --•-------•-•----•----------------------------------•-...-•---•-•......................................................... 0 Description of Soil___-C?^.!_..... !`k!16AS-VAQIe._..._ ---StCR ............. D (j ................5A .��..----------••---......_..-•----•.._..-•---..........-- - -- W •--•---•--•----- U Nature of Repairs or Alterations—Answer when applicable___ __.... 4V �_�� � -............................................................ Agreement: DESIGNING EAIGIN The undersigned agrees to install the aforedescribed IndidXfjA_q isR PT fiwp�#I smth the provisions of TITLL 5 of the State Sanitary Code—The un�CldRi -fu h. � re , jaM tWRy' stem in operation until a Certificate of Compliance has b iss ed by the board of 1 Ith. , A �-CD IN �/���i Signed.---- •---------E�--- ................................................ ---•------- -----•-•---••---••- Application Approved By----- ••-•� ..... ...................... _ __ .-.._.. ..-----.... at. --_.-.. -------------• Date Application Disapproved for the following reasons_________________________________________________________________________________________________________________ -----------------------------------••-•--.....__.....•••-----......_........---------•-•---•--------•-••-•--------------------•-------••----••----•--•-------••-------•-...---••-••-----•----•••••_-•--- Permit No._•...��.,--—:_-- _------•----•--_ Issued_--- ,��I ' Date 1 ... te No... �� F ............ .. ...........>cs. ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............OF...d......Ai.. .i...`> i Appliration for Dispoottl Morko Ton,strnrtion Permit Application is hereby made for a Permit to Construct (k) or Repair ( ) an Individual Sewage Disposal Sys at: CaT Location-Address or Lot No. ......................—.......................................................................... Owner Address W Installer Address dType of Building r Size Lot......... �{��_ r�Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( 1.) Garbage Grinder c) '4 Other—T e of Building No. of persons........................... Showers — Cafeteria P4 Other fixtur W Design Flow............. .................gallons per person per day. Total 4aily/flow..........: ' ...................gallons. WSeptic Tank—Liquid capacity.�CS- .gallons �LengthF.; Width-!"�._.. Diameter:_--:n --- Depth...r:_'_:'_r_. x Disposal Trench—No..................... Width---- ......... Total Length.?A........... Total leaching area__—_G.__.._sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (yo%s Dosing tank (q)>j Y r , Percolation Test Results Performed b .._'~..! E. ,.t_ - C.k===k..:_�. ?:':............ `'~ s ... Test Pit No. 1....�-�-.�c. minutes per inch Depth of Test Pit E............. Depth to ground water...`... > .__..__. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x _ 1 --;--------------------------------- ..----------....------------... ...------------.....•...............------------------------. O Description of Soil....u C_cJ .a-,,,1 1u t>_.`_(�t C:.... ................` `::z._E. `f.. tr.is..� - .. ........4°........... x SAS ....... UNature of Repairs or Alterations—Answer when applicable__r.. .Ca 1..1...........................> . .-.........................: ------------------------------•----•--•------------------------...............-----......----------------------------•-----•-----------••-•----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of m LIm U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b iss ed by the board of Valth. Signed..... ------------ - Date Application Approved BY _ - % � �� _ h.rz- .. .. - Date Application Disapproved for the following reasons:--•-----------•----------------------------------------------------------------------------------------------- -------------------•--------•---------........_.........•----------------...---...---•--------------......_..................-----•---•-------••--------------•-------------------••-••--•---.....---•--. Date Permit No..... ..... ------------------ Issued_.___ ssued-. --------•----------- ate THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifiratle of Tomplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- .Installer at............................................................................................---------------------•----------------•-----------•-•-•------------------------------ ------------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No _.._5E..5E........... dated..: - _-_4—/_9`9----------------- THE ISSUANCE OF THIS C RTIFICATE SHALL NOT BE T;STRUED AS A G R.ANTEE THAT THE SYSTEM WILL FUNCTIONS T CTORY. i l DATE...... ---•......... Inspector •--- -- A. -----•-----•--•-•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF.......................... �-�-'C;' FEE.... ......... Disposal Works T-Fonstrnrtion "remit Permissionis hereby granted---------------------------------------------------------------------------------------------------------------------------------------------- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Street as shown on the application for Disposal Works Construction P� ............... Dated. _s _ .........--•---.......--•............::..:........... t_............... _ C Board of Health " DATE............. . • �'__...... . ...........•------------...... FORM 1255 HOBBS & WARREN. 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V OF a4rr a K ``AA aAt5l_ -1Z ,yy x tnt ;rat �' a WASUED 17-A5TOWr-- CU TOPSaty AOJI?STMF� !� i y i ° a'r+44' ',,i wb�►'�t=V_ �- �, - 1iJ C►.:�,.�T CJGI .4 t1, L�f�'.c 'rm Y- a :�v o iJ �pP_oFt L� of- Pe�POS�t�Fe, N� d: • z N is Coe. 17 lai. �i'�rtr�8 ,�'"�� ,anr•�tt 44� "fir y-: �w�� �, 4��e t� ��a � I G�- �0.� - - 'f r i�'{ ��� ♦�0 J Ci(� p.. !r'��,..t Pr � 4' [ tr�r9 :: :`.3'.•. "AVP m 0(ugc, 1�6¢t iF_sT .V�'�,grk-"�§r:P� uir.x � .:..:... ''i- t«+ "».y•.'�+( �$Si'^ '4'. .. , { i rtc—S I ki E w� SULLR NAN No. 29133 ` � o 'ON AI E POSE, r Z2 � _ — ZO 2 f KEMtNE ALL U SU, 1 f MA-TEEk\A w�7,+i►,� 25'�i i � �___..�-•— -�.------____,��___ - - ---� _._ _ ._.._-.w_._, `_,tee.+,-,,,,,, � o Ir y tcov t7,Frv55gQ; T' 17 /cv 0 BARTER & NYE, INC. Professional Land Surveyors and Civil Engineers 812 Main Street • Osterville, Massachusetts 02655 • Tel. (508) 428-9131 WILLIAM C. NYE, P.L.S. - President PETER SULLIVAN, P.E. -Vice President-Engineering RICHARD A. BAXTER, P.L.S. -Vice President September 4 , 1991 Town of Barnstable Board of Health P . Q. Box 534 Main Street-Town Hall Hyannis , MA 02601 Attention : Donna Miorandi Re: Lot 6 Sea Meadow Circle Nest Hyannisport Dear Board - ,In accordance with the terms of the Disposal Works Permit for Lot 6 I have inspected the completed system . The system has been installed, as per the approved plan . I trust that this meets your present needs . Very truly yours , Peter Sullivan , P . E . Baxter & Nye, Inc . cc : K. Shearer P S/s 1 g },;�k§ " I TER SULLIVAN NO. 29733 >fls - MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS 1 AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS TOWN Oil BARNSTABLE LOCATION �.C�o, N����vr.� ci•��t SEWAGE # VILLAGE. ASSESSOR'S MAP & LOT otoT 6 II,�INSTALLER'S NAME & PHONE NO. :TO4 H 9 �eylf _ SEPTIC 'TANK CAPACITY LEACHING FACILITY:(type) (size) 21-3,61 NO. OF BEDROOMS. PRIVATE WELL OR PUBLIC WATER r UILDER OR OWNER DATE PERMIT ISSUED: -7 l!6 DATE COM-PLIANCE ISSUED: C VARIANCE GRANTED: Yes No r � ole- 1 > re