HomeMy WebLinkAbout0022 WARWICK WAY - Health -n V Ili
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;�. TOWN OF BARNSTABLE
LOCATIONSEWAGE #
VILLAGg(�,n ASSESSOR'S MAP & LOT
d S o n
INSTALLER'S NAME & PHONE NO.S, P. 1w icowNbe r- 7-7-sr $-r,jX
SEPTIC TANK CAPACITY L
LEACHING FACILITYAtype)2 ,C71 L 5 (size n-S
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
j BUILDER OR OWNER `
DATE PERMIT ISSUED:
DATE COLIPLIANCE ISSUED:
VARIANCE GRANTED: Yes `No /
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No..... PY. ..............................
` THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
�1.............OF_......... ...................
Appliratilan for Disposal Workii Tnnstrnrtion Prrmit
Application is hereby made for a Permit to Construct X) or Repair ( ) an Individual Sewage Disposal
System at: k
Y
oca .. QQ or t ......
O r Addreif
a -7 ------------- .............................................Qa r Address
Type of tuicting Size Lot----- _�_-_. .....Sq. feet
,., Dwelling=No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of. Building .............. No. of persons........................_.._ Showers — Cafeteria
Q' Other fixtures ............................... ..
W Design Flow•....._..__._ .....................gallons per person per day. Total daily flow-___-___-___-1 ..................gallons.
WSeptic Tank—Liquid r�capacity-IO4gallons Length....... .__.Width....._ ` 4.___ Diameter................ Depth=... .......
x Disposal Trench—No..................... Width_..._____-_-___-__-- Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.........`---------- Diameter-___- Depth below inlet........6.`..... Total leaching
Z Other Distribution box ( Dosing tank ( )
Percolation Test Results Performed by---- ...... Date.._ .' ..-"_8z._.
Test Pit No. 1..:!' 7..._.minutes per inch Depth of Test Pit.-�S `-__-- Depth to ground water��.£!�!_".
LL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water. ..
•---•------------------------------------------------------•-••••......•-------
ODescription of Soil....... ��.� ......../ -.Tt�1 1 ------..P.;�I".(�-----------------------------------------•------- --•---.----...-•---
x
U -----------------------------•--------------------------------------------------------------------------•------------------•------------•-------------------------------------......--•-••......•--•--•.
W -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-••-••-•-----
UNature of Repairs or Alterations—Answer when applicable................................................................................................
------------------------------------------------------------------------------------•-•--......--------------------------------------------------------------------...------------------•-----.....--••.
Agreement:
The undersigned agrees to install the aforedescribed Individu Sewage Disposal System in accordance with
the provisions of iITLL 5 of the State Sanitary Co The er i e urti:er agrees not to place the system in
operation until a Certificate of Compliance has ued by t r ealth.
Sied-- -•--•-•--- .................................................
' Date
Application Approved By---- .................. --•- ............................... ----// �
Date
Application Disapproved for the following reasons------------------------------------------ --•----------•--------------------------------------------......--•---
..•-•••••-••••-•-•--•-•-••••-•----•--••••-•------•-•---------•-•••--••--•--------•---•-•.....••••---••••-----•----•----••---------------------•---•------------•---------- .............................
Date
PermitNo......................................................... Issued--------------_-- te-----------•-------------------
Date
• FE$..
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...-......, .."........OF............
�. E'�t/5�.:.r9 �"LC..................
Appliratinn for DiipnsFal Workii Tomitrurtiun thrmit
Application is hereby made for a Permit to Construct (Wj or Repair ( ) an Individual Sewage Disposal
System at:
lc,/,"4,E r v G.. .U✓i4.�:'.......--••--•-------------- --•--------.....------------ --...G:a..................... `'�o
J.Locat' 31 q Piulor
..... .. ••••...._ ........ .....................• ......_.......... vCY .. ..._........_. _ ..... .. .. ........ ..... .......
0 ��l O Addres
`W1 ... ...........Yp......... ...' - .. ............ ...---..._..•••••-•-•--••-••••--•-•-•-•.......................U ...............................
r�,j� Address / / ,J Type of u mg ,�__________•` . Size Lot._._...... ______Sq. feet
Dwelling—No. of Bedrooms.......................................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ---------------------------••••• .
W Design Flow.............. ....................gallons per person per day. Total daily, flow.................. .3.a.................gallons.
WSeptic Tank—Liquid capacity./6�!?;-gallons Length....... _ Width............. Diameter................ Depth......�>t......
x Disposal Trench—No. .................... Width..........._-------- Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.._..�rq,_,:�._.'Deptli below inlet.........6`... Total leaching area.-J`--. .:�Sq:-f� .
Z Other Distribution box ( ;), Dosing tank ( ) ,
Percolation Test Results Performed by..... -�? ._.4- .___. `'. = _ ! _._..J/'j • Date....
Test Pit No. 1...:............minutes per Inch Depth of Test Pit---- Depth to ground water..___.__.......-_ _._.:
04 Test Pit No. 2................minutes per inch Depth of Test Pit..._.___............ Depth to ground water------..................
/
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O Description of Soil-----....�<r `-------- - r 1 1 =�-----•. G. �,tiJ..............•--.----..---•..-...---......-.-.-.----.--..----..-....-..
V ---••---•-•--------------------•---•-•--••------•----•-------•---•---------------•---.............-•--•-•-----•-•-••...........----•-------•_..._
W
UNature of Repairs or Alterations—Answer when applicable.-,-..........................................................................................
-------------------------------------•••-•--•••-••-•---••--•--•--•••••••-•-•-••••--...........--••••-••••-••--•---------------------••••-••------•-•••--••••••••••••••••••••......••••....---....•.....
Agreement:
The undersigned agrees to install the aforedescribed Individ ewage Disposal System in accordance with
the provisions of TITA 1E 5 of the State Sanitary CoW
d rther agrees not to place the system in
operation until a Certificate of Compliance has b o lth.
10
Si ------------•--------
A lication A roved B .......�--.....:......:.......PP PP Y �' ------••-•------- -----�/-��Date
Application Disapproved for the following reasons-------------------------•-•--------•--......----•-•----•---------••-•-- ...................................
...-----•••--....--•....--••---------•-••-•-•--••-------••-•••-•--••••••-••--•--••••-•----••---••-••••-•------•--------••--------•••-----••••---.••-•-•--•--------•••--•••...••-----••-•••••••--......_.
Date
PermitNo......................................................... Issued-...-------•---•-----------------------------------•--•-
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF....................................................................................
Tntifiratr of Toutphattrle
THIS IS TO CERTIF , That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by................... '.....•� ------...... ..--•.......••--•-•-•...................................
Installer
---------------------------------------------------------
at•-••---•--•.. �----•••-• . .......... .......• / ------------
has been installed in accordance with the provisions ofTITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.----el.` ............ dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATIS AC ORY.
DATE '1 ....... Inspector................. --
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.................... ..........._................. .._...........:................
.�J
No.....c�' �cl1l_. FEE........................
Dispas l Workn 4nstrurtiatt rrbtit
Permissionis he eby granted. - - ----•-•------•-----------------------------•-----------•-•-------••-----------•----------•-----
to Construct ��or Repair ( ) n Individual wagge Disposal Systety
at No.. 1'DG��a 4`/ C
...........................................................
Street
as shown on the application for Disposal Works Construction Pertwit 'N�o.��..._ -. ated..........................................
----------•----••---•-•--•-......•••••-••• ..............................................-
Board of Health
DATE............... ........................1 --16- ..
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
Fxs
No.... ..� ��
` l.... :. �.....
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town. ................OF..............Ba. 1 .t. .b1.e---------•----------.......................
Appliratiun for Dhipuua1 Vurhfi Cfunutxnrtiun Errant
Application is hereby made for a Permit to Construct ( ) or Repair AX)� an Individual Sewage Disposal
System at:
22 Warwick Way Centerville
......................................•--------...----------.....--------•-•- -
Location-Address or Lot No.
.. tt-c La..-----•...............•--••-----••--•-•••••------------•-•-----•-----.._.... .....................................................•.....................................--.....
Owner Address
W J.P.Mac 9Mbe.r..................
........................................... ...............................................................................................
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............................................gallons per person per day. Total daily flow............................................gallons.
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 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..............---.......
�T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ----------------------------------------•---------------•-••---••-------------.........-•-•--....---.........................................................
ODescription of Soil..................... ...&---Grav-&}-----------------•--------------------------------------------------------•-----------------•----•-------------
V ------•---------•- ---------------
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•------------------------------
•-----------------------
•------------
W ----------------------------------------------------------------------------------------------------------------------------- -----•--•-•-------•----•••••••-•••----••-•-•-•----•----•-•-••-•--------
VNature of Repairs or Alterations—Answer when applicable.....................................................................................I-......__.
--•------------------------------------•------------------------------------••-•--••2—•10GO--•ga•1-1-&n---p i•t-s-----------------------------------------------------�-----•----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iIli LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be issued b th o of health
Signed S/13�88
Date
Application Approved By--•--•-•-.••-• ..-=-� .......... '=.D�-p--e' .
ate
Application Disapproved for the f of owing reasons-----------------------------------------------------------------------------------------------------------------
......--._•-••-••••-----•....-•••-•--•--•-•-••-••----•-••-•-•--•...-•-••-•----•-•-••-••......••---•-----•--•--•-•••---•-•--•------•--•---•--••---•••-------•-•---••-----•------••-•-••--•---•-•---------
Date
PermitNo __� � Issued--------------------------------------------•-----------
Date
$ 20.00
No. -3 Fms..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
`gown Barnstable
....... .............._....._....-......OF........-.--.-.......--..-..---........-..---.--•-•---.--_...._----.._...----.----------•-
Appliratiun for Uiopuoa1 Works Tunotrurtion Famit
Application is hereby made for a Permit to Construct ( ) or Repair �X) an Individual Sewage Disposal
SX6Pm h;ick Way Centerville
................_............................._...... ......................................... -•---.....___-•-----•.._...___--•-___....---------•--•-----...•-----------------................_.
1;at:t:on Location-Address or Lot No.
............................................................"-.......__.......................___. ..._._....--•.--.•..--......__.._.............._._...........___.•.__________.........._...._.....
J.P.Mar omber Owner Address
W
Installer Address
Type of Buildin_g Size Lot............................Sq. feet
Dwelling --No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
PA Other—Type of Building ____________________________ No. of persons____________________________ Showers ( ) — Cafeteria ( )
a4I Other fixtures ......................................................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
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 area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by----•----- •••••---•••••-•-----•----- Date........................................
Test Pit No. ]________________minutes per inch Depth of Test Pit.................... Depth to ground water----------_..............
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
•-------wait-�;,---&---g;ra'V'e1-..............................................................................................................
0 Description of Soil.................... • •-----------------••--------•-•-•---•--••-----------------------------------------------------------•--•--------------•----------------•--•-----
W
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••--------------------......... -------------------
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W -----•----•-----------------•------------------__-•--------•-.._. --"-----"------"...._.._..-----------""-------"-------------•"-----••"----......••-•-••._...._........_.
UNature of Repairs or Alterations—Answer whe Z . • leg _ _ __-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT?.;,,. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has begin issy they 5/1:3 t$$
=-----"-,�---------------------�-------------------------- •----•-----"-•-•--- -•----•
Date
Application Approved By................ .. = --______..
Date
Application Disapproved for the fo owing reasons_________________________________________________________________________________________________________________
--_"_________________________________________________•--_._...._._._..---.....---------------•----•---•--•----•----------•-------------------------------------------------------------------------_---
Date
PermitNo........ ---------------------- Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
town Barnstable
.................................I........OF.....................................................................................
f�rr#ifiratr of Tontphaurr
T II$ Ina WIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X
by...... ----------Insta--""ller-"-----------------------------------------------------------------------------------------------
2.2...Warwi"cT�__. _..Ceri�i?rvi�.•le
at...................--------------------•-------------------------------------------------------------
has been installed in accordance with the provisions of 'TITLE 5 of The State Sanitary Cade as described in the
application for Disposal Works Construction Permit No..___. y' --___��. ...... dated__..�>________________________________________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTLO—N SATISFACTORY.
DATE............................... 1=_.... ---"""--"---"-. Inspector...................... .
THE COMMONWEALTH OF MASSACHUSETTS
Town BOAR% -OF f tkTH $ 20.00
......................................O F..-.._-...:_..._._....-.._....._.......-.....___._....-...-............_..........-.
No... _. 3. FEE........................
Disvosat • .Ahonotrndion Virrutit
Permission is herebyAW
nteAN...............................................................................................................
to Cons ct r b 11teY( CTrAq0,44Sewage Disposal System
atNo...............................................................................................................................................................................................
Street
as shown on the application for Disposal Works Construction Permit No.��_.'I,�3. ___ Dated________________.�_.._.....____._._..._.._.
p Boa of Health
DATE.................... Q't} f3--""--""-"•"---•--•-•--•""--"""
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
'LOCATION SEWAGE PERMIT NO.
Yr f��W ir'�� �✓.9 Y ��f3� y�
VI'LlAGE
('£NTlf-UlL%A-
INSTA LLER'S NAME i ADDRESS
K. i�te-Lalr
tfi ero 4� 6LE
BUILDER OR OWNER
k4tjjts (�oQ10�D
DATE PERMIT ISSUED q
DAT E COMPLIANCE ISSUED—T���/��
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TOWN OF BARNSTABLE
LOCATION O? LU4 L- SEWAGE #
VILLAGE G�� �_X/,lj, �,�� ASSESSOR'S MAP & LOT
-775-�
INSTALLER'S NAME PHONE NO.77 ,
SEPTIC TANK CAPACITY 1500 Y
LEAHING FACILITY:(type)';j Q .S (size)/.
NO. OF `BEDROOMS PRIVATE WELL OR PUBLIC WATER, W
BUILDER OR OWNER Hatton
DATE PERMIT ISSUED: 5/19/8 8
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No .,/
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