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HomeMy WebLinkAbout0136 TERN LANE - Health 2 � 136 TERN LANE, CVILLE A=212-014 � S M E A D ft 2.1NWR UPC 12M WMMLOM • we&N wk4 r 5 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plitation for 33isposal bpstr tt Construction VPrmit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3(o TLQ/J L40 E Owner's Name,Address,and Tel.No. GeKTG�2����'�. Noo2rryor, � _ � /t/A►?C K iMG hew-,r� Assessor's Map/Parcel2g Z p%y ( Lo,-,— ��,�-r am Ole_ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size 30 000 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title (3(o i t a4A) Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) l Date last inspected: V\VCVLG".m ..Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f alt ? Signed Date 3tl Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 2:;�f / Date Issued ^(` 5 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plitation for 33isposal bpstr tt Construction VPrmit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3(o TLQ/J L40 E Owner's Name,Address,and Tel.No. GeKTG�2����'�. Noo2rryor, � _ � /t/A►?C K iMG hew-,r� Assessor's Map/Parcel2g Z p%y ( Lo,-,— ��,�-r am Ole_ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size 30 000 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title (3(o i t a4A) Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) l Date last inspected: V\VCVLG".m ..Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f alt ? Signed Date 3tl Application Approved by Date Application Disapproved by Date for the following reasons Permit No. f / Date Issued ^1 l l3p 4 20( _0 -5 5 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4phration for loisposar 6pstem Construttion 3permit Application for a Permit to Construct( ) Repair(t) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 13 to T6f yU L40 Owner's Name,Address,and Tel.No. E. _ tVAhc K me le vti Assessor's Map/Parcel Z Z o Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. '20 l oer2t' c�u�2 Co. Zi i( /)3 1- o ;�+ t t� A Type of Building: Dwelling No.of Bedrooms 3 Lot Size 30 000 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) , Other Fixtures Design Flow(min.required) gpd Design flow provided gpd, * Plan Date Number of sheets Revision Date Title 24.J (4.A.v,4 Size of Septic Tank Type of S.A.S. Description of Soil ` Nature of Repairs or Alterations(Answer when applicable) � _� { Date last inspected: j/\ (C(AoLA1�,A Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Hylalih. Signed Date , — Application Approved by Date �j ) f"f Application Disapproved by Date for the following reasons Permit No. / Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by �,,, 1 i 1�j. a.N vL Ck,,� 7 at I '2C T E q_W (�. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No,200 �� "` f 5dated 3_l U _ l Installer A / DesignerLA #bedrooms /v Approved design flow god The issuance of this permit shall not be construed as a guarantee that the system willTdifction-as designed. Date 3 " i� "� 1� Inspector -- -- ---- ----- --- ------ - ------- -No. Fee 5 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construrtion 3permit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at ( ���� � ���, T f:�-K t j �p and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit�� Date " f` " r Approved by f LOCATION SEWAGE PERMIT NO. f-;-,'I" 49 C 13sb Tern t.ri VILLAAGE 6e INSTALLER'S NAME i ADDRESS our c- `` ii ^�a II UILDER OR OWNER i 54s CJE✓+ 134= 7e-rj LriL.r.yw DATE PERMIT ISSUED e— 12. I985 DATE COMPLIANCE ISSUED a., 19 19Z5 r fu Ao �oL .g9 c it•.-Fr _ �v� �71 tliJ� S�.�l�.l���eT 1O f�G-'y"f'�C 1 1 '��f' - [iCti.l.�'f,`u3st%1,,. 3la'�1:�� av'� �W.�T ALE C �l,F�i���� 3............ OF MASSACHUSETTS COMMISSIA r B®AR , ®F HEALTH C.-C�-emu. i.�......__...-oF........ .. ,.)- Cam.---- Applir ation:farx0is'viial Works Tonstrurtion thrmit Application is hereby made for a Permit to Construct (�) or.Repair '( ) an Individual Sewage Disposal System at: --..........La--.....................�-•••---•---=-��K�..__. - , .... - Location- r r ss t No._ 0 7 ... ,� _ o ....._...+ W .�oLy:�..r __ � e (,�G ----•-••- [�ii�'!�/-'da -................. -_4__' _ � Installer • Address �p� �1 U Type of Building (!:V -..Sq. feet Size Lot___. r .__._ a Dwelling—No. of Bedrooms........ ...............................Expansion Attic ( Garbage Grinder ( - a . Other—Type of Building ____________________________ No. of persons............................ Showers, ( ) — Cafeteria ( ) l- Other fixtures r W Design Flow......................... ?_........gallons per person erlday�,Total da'1� flow i_•.._._________. gal ,�} a�. . C2 Ions. 9 Septic Ta �iquid capacity._cutgallons Length__.�__��_ Width....�-/,.Diameter................ Depth._4_rK. Disposal "W—No. ............ Width....J.'•A----__ Total Length_._3-�------Total leaching area---- .1....sq. ft. Seepage Pit No--------------------- iameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (d Dosing ank ( ,' Percolation Test Results Performed by D a C�2 -- p. Date Test Pit No. 1________________minutes per inch Depth of Test P�it_v_."7......... Depth to ground water... _ .__...... rtf Test Pit No. 2............_...minutes per inch Depth of Test Pit............__...... Depth to ground water_--___-__-_________.___. 9 ---------••-•-••----• ....•••••--. .... .0 O Description of Soil s ------ ---- 5v 5U!-L...........�l .... ---------- W ✓1C�J/pa/ �.c >c.c` ti ��--C-J) z;- -•-�`=>g i--..-• -------------•-------------.._..---- -------__.__------ x �. ry. _ ifs. y r- ---- Nature of Repairs or Alterations—Answer when applicable______________ _______________________________________________________ _____ ------__________ &-v�h .... ...Ufa u.!r --•--------------------------•--•-•----•-----•-•-••----------•-•---•-•----•--...---------......------- Agreement: T e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the ro isions of ill 5 of the State Sanitary Code— The undersigned further agrees not to place the system in o er on f Compliance has been issued by the board of health. 6 � �� .- /- A q. /J- ..... ................................ p on Approved By----__----- - �• at . /- -LF f Date plication Disapproved for the following reasons:---•----------•--------•----•---------------------=---•-------•-------------------------------------...-------- ---------------------------••--•-•----•---....--•----•-----------•••--•------_._...-----...-•--•--••_..._I---._._..--•---•-----•--•-----------------•-•-----•--•-••••------•-----••------•---•-__________ Date Permit No._r: �-_':__�y----------------------•••--- Issued....................................................... Date BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering November 19 , 1985 Board of Health 367 Main Street Hyannis, MA 02601 RE: Lot 49 "C" - Tern Lane Site Plan Dated November 9 , 1984 Gentlemen: In accordance with your request , I have inspected the septic system at Lot 49 "C" Tern Lane. Based on visual inspection, the system has been installed in- accordance with the Site Plan dated November 9 , 1984 . I trust that this meets your present needs . Very truly yours, Peter Sullivan, P . E. Baxter & Nye, Inc. PS/fmj CC : McKeon Custom Design, Inc. 0r �9q , L� PETER SULLWAN No. 29733 FONAt E� ° MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS No... .'. ... FEs..-�'� .............. THE COMMONWEALTH OF MASSACHUSETTS r-- BOAR® OF HEALTH . ppliratiou for Klispa sal Works Tomitrurtion ramit Application.is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: _ .........._L.a�:...� 1:. .. .T.-I. �:-a.....(A) c�_!. a —'.v t: : ._..--------------- Location ............-- -Address or t No ` v VVI � /� ..._._..._._.. -• ------ ---_-1.=... ............... .-......� ........ .................�.... ---........ . .. -- --------- e--- -- Installer j✓✓<_ i%�/L f'�" �/ d /--_ �t/�:.d j�Gvc�Tfj• a � Address d Type of_Building' Size Lot.... _._ --lSq. feet Dwelling—No. of Bedrooms....--..-. ?...............................Expansion Attic ( Garbage Grinder (/ aOther—Type of Building ............................ No. of persons.......................... Showers ( ) — Cafeteria (. ) QIOther fixtures ..............................................................-........................................................................................ d W Design Flow......................... .........gallons per person per/day—Total da'ly flow:.._.............-���__-�ra............gallons.' W Septic Tar�k—l;Liquid capacity__X��EJgallons Length...` .". - Width __ _'�� Diameter________________ Depth--d.._<_. 17 x Disposal No. .......1......._.... Width....1'3.......... Total Length..__ %...t Total leaching area---- t�75----sq. ft. 3 Seepage Pit No--------------------- iameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) L a Percolation Test Results 2 Performed b ...._ _� _ _ ._ ...t���{.'��.___�_#�� Date .- �. �j y l j ------ ) ----------•- a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_-_ .._7.. �rq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...............................................7..........................................R.-..--.....�----......-..... _.........'.`.,.---a--i-l--------- O(� y h�l o ✓, rt U,/fdLL. 5 �y�/.'-Description,o Soil- ---------------------------- -// .._ a '-{....- -•--•-- -c�� •••---"--';a --• `---"-" -;- •--•.-- s W a..•, •rJU ---------- ------------------- ------- i�l U Natttre� 0_1' e'airs or Alterations—Answer when applicable......:................-_.----- 71. Agreement 4undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the r ,;isions of TiT !� 5 of the State Sanitary Code—The undersigned further agrees not to place the system in _ er ion ti tifi of Compliance has been issued by the board of health, g S 1 .•5..--- // lP Ap' ion Approved By........... to / Da l �Cpplieation Disapproved-for the following reasons------------------------------------------------------------------------------------------ ---------------- ......................................................•--------••••-••---------...........•••-•--•-•-•---------------•-----•----•------•-•--•-••----•- = Date. Permit No._/?.:�� - y :: Issued Date Y. , THE COMMONWEALTH OF MASSACHUSETTS I BOARD OF HEALTH . ............OF.............'7.'3 E<.,Irh�icc~ (9rdif iratr of TompliFaurr TF� O C' I T t I 'ividual Sewage Disposal System constructed ) or Repaired ( ) by...................... ........ ........ .�'.J�... . . . Installer at .......... ••--------------t-----------•-------- ---••--------------------------------------- has been installed in accordance with the provisions of 1IT_` j of The State Sanitary 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 WIL4 FUNCTION SATISFACTORY. DATE `rl � Inspector........ ._:-._... THE COMMONWEALTH.'OF MASSACHUSETTS y t BOARD 0V HEALTH ..4............0F. ........................................ ............................. No... ...... FEE...-i"� Permission is hereby granted.—................................. to Construct ( � or epair an It)dividual Sewage Disposal System at No::�.............................. Street as shown'e .the application for Disposal Works Construction°Permit No_____________________ Dammed.._--_. _ ._. _Z- .`�.-..... --...-•-••--•--•••----.- - and of Health DATE..... •------ ......-•--•...-----••-••------ ! � FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS s t CE1ZTIFY THAT -THIS PLA1-1 Q - WEQVA,Q0E-`1' L k v-s w \-r" THE 'Ru>_ES .,..,,, ANo �?�GUL.A`T"IoNS �� -THE. .:• . _.:\_.oc�s TZEC��s-c EIS or-=' Y SOLE � 2 L ©cus M�.P -REStT F • CO s S� a , per. \ I / N 4114(401 ads// i e i j-0 H =34.5 3 lJ o A J w 4�t Al, o J o - A 2 N •• � " Ld l 08'± S 8 8' 3 Z 1 O'•E. — F2�t7 ER.\C It LT. a PL A tv o� L.Ac�1� Sf-�� ,�1 ��A��� (CENT�RV 1 �-•L..'c. M A S � '. 51� SLAUS A. Mc LE—.' P,-Js.A L•3AR�1 S'T',t�BL� PL A1�I���NG BOA�R.D A�'1�20�/A.'L urtD�TZ -SHE SUgDtV1S10t� sc/��-C �°- `-to, Co�T2oL- LAw t40 REQU\RED . JAN 9 •_ of Al, EC�IST>=RED L-�N C� SUR\lE'�'O"�S WI L.IAM e. ' : ' ra`y III, p �L�r� . 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