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HomeMy WebLinkAbout0201 TARAMAC ROAD - Health L 01 Taramac/Roadenterville= 169— 108 ' axrford, NO. 1521/3 ORA ;�;: 10% THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration fur Diripuunl Wurbi Tomitrnr#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair & an Individual Sewage Disposal System at: ------------------ --------• ............................. _��'%�-...._......... -.... Location-Address or Lot No. ......................_.......................................................................... -••••------•-------•----•-----------..........--------...................._....................--- �cncr '7 3 ddress ----••----------- Installer �i Address UType 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 fixtures ...................................................... w Design Flow............................................gallons per person per day. Total daily flow..............:_..._........................gallons. 04 Septic Tank—Liquid capacity../� g gDepth w Disposal Trench--No. .---_-. -gal ..Total Lengthidth.............. Total leaching area-• ---....sq. ft. x V--------- 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................... P; ...-••-•......................••••---•••-••••••••••...•••--••------I-•••......--•------..._--.-•----........................................................ ODescription of Soil........................................................................................................................................................................ W V .....••••-------•----•---••••••--••••......----•-----•-----•------•-•-•---------•------•----••----••-------••------------•-••-----•---•-•--•--•--•••--•-••--•----•--------------------------------------- W •-- ..................-----------------------•-- -•---------------••---•---•-----------•-------••--------•••-•---------------------•---------•--• ...... U Nature of Rppai s orAlter Lions—Answer when applicable. .....-.� ` • / --- ......)),2E 7 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/byy the board of health. Signed ................. ir��" ���) � .� . ....... ... ................................. .. . Application Approved By ........... x .....�J...r..�..�.. ------------ ----------------------------------------------------------------- .........-L 3.—.��. Application Disapproved for the following reasons: ...................................... . ................. ......... ..... . ._........................._............ .................................. ........--y----- .------ .....y.....------- ----------------------------------------------------- .............. ..... .............. .................... .... ........................................ Date PermitNo. ........../. ..-----/-.. .*3.................... Issued ...._.............................................. ...... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Gertifirate of Camplizince THIS IS TOPWWhat t ejndivldual Sewage Disposal System/constructed or Repaired by ................................. t4W4 .......................... . / i — , .?...I.................. .......................... ........ ..................... ............................................... LL ------------ -----------........ ................ ............................................... at .............. ..... .....i d 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. ------1:K3:77!--- .. dated .................... ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. Q / ..DATE -1✓......... ------- Inspector ------- ........... - -----I---------------- -------------------- ........ ----------------- ...... .-" yk-3 ---------- -----------------;---------------------------THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No...73---L1 FEE.36-....=w.... Z3- Disposal Workv Towitrudion Permit Permission is hereby granted---------- .............6,10� ................................................................. to Construct or Repair an Individual SewaV isposal System ------------------at No.............-L. ------------------------------------------------------------------------------ 6.1...............T7v-+-7. 1.P, ..........� Street _./7 as shown on the application for Disposal Works Construction Permit No.Za- 3- Dated.......................................... DATE.................... ------------------------------ —......... .......... .. ....Board-o'f'H-ealth-------------------------*---------------- FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS -I..._ NOy CK<,— }a G G 6 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF - HEALTH TOWN OF BARNSTABLE Appliration for Biiipwiul Work.5 -C omitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair X an Individual Sewage Disposal System at: Location-Address Lo or t No. ......................_.......................................................................... ......................'........................................................................... a ---....y--"`•--------------(-/.•'/----.._..--••-•---.-- ••------•------�•--•••--------�--• G. C.....ram . '1•- Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.........3---------------------------__Expansion Attic ( ) 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. R' Septic Tank—Liquid capacity: .gallons Length---------------- Width................ Diameter................ Depth................ 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 ( ) .4 Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •--••••...-•-•--••----------••--••-•-•--•••--•-•--••-•••----••-•-•••-•-----------•...............••.......................................................... 0 Description of Soil........................................................................................................................................................................ W x Natured ofJ. ears or a lterat ns—Answer when a-•-licable----_----- . 1v ._. . ------ t1�- --- ------------------ -------•-----.....------------•----------------------•---- 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 by he board of health. Signed .................vvN� ..................................... 13 9 .� % ... ................ Application Approved By ........... ...... ...ti ," ................... ...--.. .................................... ......?..-1'W�i..-��. i Dace Application Disapproved for the following reasonr: ............. .................. ............................. . . ...................................................... ............................................................ . . . . . ........ ........... ......_.................... - ................................. . ........... ........................................ qqDate PermitNo. ........../... ...-.. -------------------- Issued ..._..................................... ........... .... .--. . Dare TOWN OF BARNSTA/IBLE LOCATION � � ,� ✓� y`'� /,Y SEWAGE # W 73 VIL'LAGECja '1Z Z , ASSESSOR'S MAP & LOT f� INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY C LEACHING FACILITY:(type) �� l (size) NO. OF BEDROOMS PRIVATE WELL OR PUBL C ATER BUILDER OR OWNER " DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � � �`�' ry-� � �' � � �,� l _ �� ,V� ;_ �.., ! � � � � �� �-� L9_.CATION SEWAGE PERMIT NO. ,?o l HII(LL�LAGt 141 /G.4& e_ I N S T A LER'S NAIVE i ADDRESS /�ax sUILDER OR OWNER DATE PERMIT ISSUED DATE C01N ►LIANCE ISSUED 3%ceov lC n� rT LZI �. + f 44 ----------------------- � o ( (4) Fxs.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...•......................................OF.......................................... ,2 ppliration for Disposal Works Tonstrurtion Vrrulit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...7hpamac 0/9 ...... EII&R 011E--••- --•--------------------------------------- Loc ion- s-Add or Lot No. tnl.�l.1►. m.._.5:.... '%s r iY ���............................... .................................................................................................. Owner Address .......:............•._......------......--------------......... ----...........------....................------------....-----.....------._..............------... Installer 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 ( ) dOther fixtures ------------------------------------•--•----•--------.•--•--••-------•---•---------••------•-- w Design Flow............................................gallons per person per day. Total daily flow............................................ WSeptic Tank—Liquid*capacity............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 a rea..................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........................ P4 ----•-•--------------•--•----•--- ••-•--••-•--•----••-••-....•••--•...:•••--•------------•-----•-•-...-•-----••---•-•-•----•--...........----------------•--- ODescription of Soil.....................................................................................................................................---------.....-••••-.............-- x U •---•----•--•-•--•---------•-•••---••••-••-•-•---•..........--••------•-----------------------•-•.......•---••---•-•-•-----•--•-------••--.....----••. ................................................. U Nature of Repairs or Alterations—Answer when applicable...Moll-E..----SSE DT ------ �.-.----�-�! .......•.- ---. ►�Ai?tT -- ----•---•--•-----••--•------------••---•-•--•-•---•--•••----•--•-----......-•---•--•--••-•-•--•----•----•---••---•-••......----•----•--•--•-- --•--- - --------------•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT f,;-. 5 of the State Sanitary Code—The undersigned further ag ees not to place the system in operation until a Certificate of Compliance has been i ed by jthn boar of iealth.Signed.(/}%/ • ---.. .... .._.y ............. D to Application Approved By................... .. ••• �l _31Z �.;L:..---...... •----•--.....-•............... Date Application Disapproved for the following reasons---------------••----------------------------------------------•-------------••-------•------•--•....---.....-•-- --------------------------------•------------------.-.---------•----------------------------- Date PermitNo........................................................• Issued_....................................................... Date -- No.... .Z:r/t, Fims.... ?:` '....... THE COMMONWEALTH OF MASSACHUSETTS `a BOARD OF HEALTH ...........................................OF......................................----------------------.._........................... Applira#ion for Uiijiosttl Workii Tvnii .rnrfiort Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Lo o Addr s or Lot No.. .................... t . _..s...... i5�L r�1V1 .................................... a AnG� k Owner Address ............................•---.....................................•.... - Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............................. ... .Expansion Attic ( ) Garbage Grinder ( ) ............... No. of ersons.........._.........._...... Showers — Cafeteria a Other—Type of Building _____________ p ( ) ( ) a Other fixtures -------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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 ( ) aPercolation Test Results Performed by........... .............................................................. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•--•--------•----•••-------••......................••••------------.........---..._-----•--•--..•-•......................................................... 0 Description of Soil........................................................................................................................................................................ V ....................... ••-------••-••-------•--•----•••--------------•--•--...-••-••------------•-------.......••••••--------•••-------•---•---•--------••••-•----••...............••----.............._ W -------------------------------------------------•------------------------------------------------------------ -----_------------- x . ------. -••... -.... V Nature Re airs or Alterations—Answer when applicable...MO .....Sep ._._.._ . /1�k_.____. .��.............. _t'�-M-11.64.----------------------------------------------------------------------------------------------------------------------------------------------•---------------....---------.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL' 5 of the State Sanitary Code—The undersigned further agr es not to place the system in operation until a Certificate of Compliance has�been is ed by the board of ealth Sig] ........fit.... ..... Date Application Approved By.....-------- r:---�V---4�:_-?��.+�.��':�...................•-•------- Date Application Disapproved for the following reasons:................................................................................................................ ......................................•---------------------................--------------••.•--•--•----- Date PermitNo......................................................... Issued...................................................... Date 'i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............Z O:4n. :4............OF.......... ......................................... C9rdifirat a of Tootplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by...............:011ZZ _......__... .._.__.... ........Installer y ._....__.._._._......................__.........._.........-.... �-ry at.....••...........o.Z,.O .........---` -•-•- --•--...-•---_C.....�------------•--.........._.....-••-•-••----..._....--•--••--•--. 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.-_eil ............ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SA ISFACTORY. DATE.....................................•... .;� ....3,43... Inspector... 1Q ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH. ��.w. .........OF.......... - .... .......................................... . '-- No.�� '✓Z,r FEE?..:::............ �io�os�t1 ork� �on��rion rrotit Permission is ereby granted ------_ ?�+-^ ----•---------•-------------------•--•-•--•-------------........-----•--..................... to Construct ( is Repair, ( ) an Individual Sewage Deposal tern at No........49t / - !f :..__. .........�--- Street as shown on the application for Disposal Works Construction P gmit ��No...............,_✓....�11ated.._.._.............._..................... DATE..................... ............................ ardBd' of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS t If No..---._.�� .... I (-O log Fs$... ................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................OF.......... -------•---.--..-.-.--_----- Appliratinn for Uhiv o ii al Workii (futitrnrtion Famit e�ko` Application is hereby made for a Permit to Construct ( V_�or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. -S` M�ES L�:---S4!11-� !#--•-•-----•-----------------•------ -.•... asg.ls T �4.�......---•------•-•----•---.._...--------............... Owner Address a �J Tc�21. Q ............= •..._."ESZ145.�._AE C•:------...........•..-.........-----.........----------- Installer Address Type of Building Size Lot_.0�_..3 1f__....Sq. feet Dwelling—No. of Bedrooms...................................................................:.......Expansion Attic (�) Garbage Grinder (Nth Other—Type of Building ...N.14............ No. of persons............................ Showers ( ) — Cafeteria134 ( ) Other fixtures ---------------------------------- P_...- y. .._. gallons er $ °er1da Total dailyflow------- 30. gallons. W Design Flow..-----l-�•------------------•-----••g P rr t r er ---- ----------•-------•----- WSeptic Tank—Liquid capacity OOe!P.gallons Length8.._O...__. Width__,!_?,9_ Diameter---------------- Depth._?.�8..! x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.._.../......____.. Diameter...8._e........ Depth below inlet... ......... Total leaching area..o�-Q._0...sq. ft. Z Other Distribution box Dosin tank ( ) 0 aNA..e.0.... n....-�'�e� st/ 1? pm s.4. Date--- � Percolation Test Results Performed by.__... _____ _ � ._._ !�,Ca'si���..._._. a Test Pit No. 1--4-- minutes per inch Depth of Test Pit..l�.e...... Depth to ground water-/.V0A! _:__-. Test Pit No. 2._,(:! ..Z_—minutes per inch Depth of Test Pit_. L............. Depth to ground water._?!!�Qzv.<�-.-__- a •---••••-•••-•-•••--•--------••--•••-•-••-•-••-•••••---•••••••••-•••---••-•••••................•-••-........................................................ O Description of Soil.......L. 3i?........ .124.�4...._.... x' i-SQ_l4: n�U.... ,�.i c ��-d�.e�.k< `�'°°P r''� F' l�'d .rat------....5Aru-.o........... 50-Ce---------- &A*k_.4f fe7. 4ti 01. ..-------TC'S2 ../y4 UNature 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 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. Sig • -- . _.............. .................. •- ................................ Date Application Approved B .� Date Application Disapproved for the following reasons-.............................. ........................................................... -----------------------------------------------=--------------------------•---------........-...........---------- � Date PermitNo......................................................... Iss ed__.2_-2'l—Z Date No• •- ..-....... Fps.. ..................... THE COMMONWEALTH OF MASSACHUSETTS r , BOARD OF HEALTH f. U..d.11J..... OF...... r'Q1`.da.. ..I!.f3'? �; ......................••----•- Appliration for Uhipvii al Works Tom3trurtinrt rrmit Application is hereby made for a Permit to Construct (to or Repair ( } an Individual Sewage" Disposal System,qat: �j 7� y ........l�So-D.........C 7 f5aY!� _1 Zt....... ..........4 Q Location-Address or Lot No. MA:z:A-----------------•---......•.........--------- as s_z.! . ................................................... Owner Address ........................................... ....-' 2s- .. Installer Address Type of Building Size t........Sq. feet U Dwelling—rNo. of Bedrooms...........................................Expansion Attic (v) Garbage Grinder (VO) 04 Other—Type of Building ._1V.1'_'............ No. of persons............................ Showers ( ) — Cafeteria ( ) aOther fixtures ---------------------------•---- • --••••------•-------•-----------•-----......-•---------------- oojq W Design Flow....1ll�?............................gallons per.g'per day. Total daily flow.......33j.........................gallons. WSeptic Tank—Liquid capacityj°?P gallons Lengths `A..:':_ Width.! _'?!0 rr Diameter................ Depths r$."i x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. r � Seepage PitNo.____l..._______.. Diameter__________________ Depth below inlet._�('�._._f.__..____. Total leaching area.A v.d..sq. ft. Z Other Distribution box ( Dosin tank ( ) aPercolation Test Results Performed by._ n, R.4 ._..!4t!..... Date____ /ZA ec-3....... ,,-a Test Pit No. 1_ ....�t __minutes per inch Depth of Test Pit_/;-.. ...... Depth to ground waterAdN.4._....... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -••-------••--------•..........................................................................................................•-•--•--••-•-•----••----•--•-- O Descr>,p" on of Soil.......(': " i° '' }+'0tivV----.....4$Ad.b----_---• I dal, '-le.. v ...S.�+�.�......1A.,.........fir r.......�, ",� �....------.. "--6vovt'`..._.ly.eblW.Af.........5-4.nv_Z>..---...... Wl1�4A n,.r.ra�u S !?� --------.•-------------- U Nature of Repairs or Alterations—Answer when applicable................................................................... ......................_.__.. .....................•----......-•••-----•--•-••••-•-----..._......------------•-•-----...------•-------•---•••--•-•----------•---------•-•-------•--•---- Agreement: Thy undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT 1 y g g p y 5 of State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Sig Z �.41 Date Approved BY _. . . _ . ...--••--------•. --- Application ~Y- Application Disapproved for the following reasons:. .-------•-----•----•----------••-----•---••----------••--•----------------•----. Date............_ ..-•-----------------•------------.................---------------------•-------._......----------------•-••-•----••--••----------------------------•---------------------•---•---------•--•-•--.._..-- Date PermitNo...................................-..................... Issued........................................................Date j +"' C"r. f, rr++ -p• 11 III �} I- L-a t. NOV, P- / 9 78 PAUL MURRAY - _,NSPEC`rOR A P R 3 5 I 9 l .o' ELEV.. 18-O A. LOT lh `� LINE , `� � 0-30 � LOAM ANb zo TEST W rL.ANb .� 5AA1U AtV% 06;#7' �Fk:4vil fK Pi° . 11 , 0 1, ' � V N0 'WATER ENC00N-r,6'f Cb r3 u/4-LD//vG S ETC3ACA-- -��,�UIR SC-4 L / = o �� F2a�v T ��. S/,LJE> �t� TZE.4 Tc' 4 • =•P2 U,moo SED SE P 7-/G 5 y5 TAM Gon/S 7-/2 UC T/O,V S-HA LG. 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OtsT2rB'lJT ?fir �3C2 T? ! 3 rs L ��5 ouTL� ) ,vz� E,aC1-1C ,�' tAv17- . / OlC '' �.i • ` s{1. l}' Y /. a a M C' ti/C2 ETE"S7 LE:vT /',:3000r .Mi v 2booQ' i. -AL may_,/O =L� Z�/vC�° ray' C'��lt.��:L�. �• ��' �, '" s�w�rt���:s� � � ' r A, �'`. � + '" - � • /a ,fi . tiC7i%�C ''SyST�M lJn!�� �j f/- 20 _T CERTIFY .EMSTIM0 FOI�NbA7'101U � �a 404 c.':.?:..r'��';l a^..N /S �J�`�E�..•7 /�.�. ,-..:�c.t 1�1 � �� tx r � �Y`'%"3�y� _,. i - ' lT Dor5 co/11161Y, Wilrl T fdl- QIrY,CT / C(�✓W 3/9r?P.l.5-f ,-9 Oar.