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HomeMy WebLinkAbout0044 WILD GOOSE WAY - Health 44 Wild Goose Way Centerville �A = 1676 053 w No. 42101/3 ORA ESSELTE 0 0 0 0 ----= �=' ASSESSORS MAP NO: �e � PARCEL NO: : THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH C' TOWN OF BARNSTABLE Appliratiutt for Mupuiui Mirlw Cnowitrurtiun Permit Application is hereby made for a Permit to Construct O) or Repair ( ) an Individual Sewage Disposal System at: .....! ..... �-c---._4?��s� --1W- -------•-------------------------- ------ -- `T i ............-----•..._.......__......_...._.._.. Locatim -A d less , or Lot No. flt��✓ P�l� !)...�!' Tf�l� q /1.... ._ jt yt •'' Ow cr A ss W .......q.�-�- .......................................... ................... Installer Address UType of Building Size .......Sq. feet .-� Dwelling— No. of Bedrooms-----:..__3 ___________________________.Expansion Attic (AJO Garbage Grinder (W) a`4 Other—Type of Building 1 � �.-_--___ No. of ersons---------------------------- Showers YP g -------•-i�---- P ( ) — Cafeteria ( ) d Other fixtures ------------ •------------- •------------._.------------------ W Design Flow------------ ...... ...............gallons per person ppr day. Total daily flow................___ . ._ grallons. WSeptic Tank—Liquid capacitvhq.G_B-_-gallons Length$.-6... Width_-Cj-----. Diameter.h _t"9_._. Depth_ _--'... x Disposal Trench—No. _t1/.�e_......... Width.................... Total Length...___..._____.._�� Total leachin area_................_..sq. ft. Seepage Pit No.........J---------- Diameter......G.......... Depth below inlet----6..-Q.._. Total leaching area.266 7.•..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by..____C....... ._U4AJ ________________ Date........................................ a -- -------------- Test Pit No. I......Z__.....minutes per inch Depth of Test Pit----' .......... Depth to ground water.Ak-4-.e------ (z, Test Pit No. 2................minutes per inch Depth of Test Pit--.----_•--._.-____- Depth to ground water-.._ _. . �....`--- -- ---------------------•--- -------------- ...- ���'-1{I" Cr G O �_ �.. �_� .......................... • �,.. .. .__.. Description of Soil.. ..d.. �-�/a/�.............. •r am------. GI . . • --•-•- -� � ._ Zn x J1 v --•--•---•--•-•••••-••••••--•-•-----•---••-••-------•--••-••-•-•••----•---•-••••••-••--••--••••-------•-------------------•-•---•-------••--•---•-----••-•••-•-----•-•-•-•---------••-------•••-•--•-•-- W 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be sued by the board of health. Signed .......... ----------------------- ------------------------------------- ------------------------------------re Da Application.Approved B ............��� ..........:..:. ........ �r7....... ....�...... Uare Application Disapproved for the following reasons- ------------------------------ ------------------------------------------------------------------------------ ........... ... ............................................................ .....: .....Permit No. ...... -..._. Issued ✓�11-�,� `� Dare Health Complaints 31-Mar-99 Time: 9:00:00 AM Date: 3/31/99 Complaint Number: 1784 Referred To: EDWARD BARRY Taken By: EDWARD BARRY Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: ALL CAPE TOWING Number: 146 Street: THORNTON DRIVE Village: BARNSTABLE Assessors Map_Parcel: Complainant's Name: ANNONYMOUS Address: Telephone Number: Complaint Description: TOOK HER CAR TO ALL CAPE TOWING FOR AN OIL CHANGE LAST WEEK AROUND __. � �� .. E r i r� - No.....-- FEic..e� THE COMMONWEALTH OF MASSACHUSETTS ,N'\YU BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Dhri to ml Wvrk,5 Tumitrurtion ramit Application is hereby made for a Permit to Construct (y) or Repair ( ) an Individual Sewage Disposal System at: •bia�s �cy t'. '..l am". � ----------------------------•----. •---•---••- - ..............................................................Locatiot -Add'ess or Lot No. �faculE.n/S¢n1. �/n rlrct°l %t'P.. !? P '= t` , _. Owner p� a �� J: uc�,rd c�aJ.4 ... ---�: ��-...i N ... ................................` L Installer Address V Type of Building ! Size Lot_R'?,.H'#......Sq. feet Dwelling— No. of Bedrooms--------- __________________________.-Expansion Attic (t%lo) Garbage Grinder (Nd) a, Other—Type of Building ._-....._. /__A___.... No. of persons_______________________.__ Showers ( ) — Cafeteria ( ) Other fixtures --------------------,------------ `` ---------- w Design Flow............S_!�-______ ________________gallons per person per day. Total daily flow----------------....___.___._. .........gallons. WSeptic Tank—Liquid capacityfGG o gallons Length- _-_ _ Width, _. ,_`'. Diameter_,_-.__ Depth._ Disposal Trench— No. _.�/ .R Width---_______ ________ Total Length-------------------- Total leachin area....................sq. ft. Seepage Pit No..........I--- ------ Diameter-------6---------- Depth below inlet..__!__6L". Total leaching area... ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~" Y Percolation Test Results Performed b �� Ns ....:................. Date..................................... a - r - .................i Test Pit No. I-----':Zn-----minutes per inch Depth of Test Pit----/.'15......... Depth to ground waterq,k -e-- --- Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.... ..}... a -•-----------------,.................................................................................................e................................. xDescription of Soil......0 a_- ?........442 1M..=------.Z." _ ._ o •• ..... nd w U Nature 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 Compliance has been sued by the board of health. Signed - �--- - . -- _------------------ - ........................................ Date t G� n. Application.Approved B}�,---'' <' - - - - ......- �—.....- Dare Application Disapproved for the following reasons: -- ------------------------ --------------------------------------------------------------------.............. ---------------------------------------------------------------------------------------------------------------------- ------------------------------------------------ Dare Permit No. Issued ` '5 .5 = � �- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CITexttfirate of Compliance HIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired.( ) byvi../4t C U..a------------ -------------------_----- - -e er--------------------------------------------.-----------------.-------------------------------------- In tah at ---- 'Y —G�l/e.1.�'1.. f Q.---lq/¢•7---------------- /'i.rd"iC/11/./ --------- ------------------------ ------------------- I been installed in accordance with the provisions of TItI LE of The State Environmental Code as described in the application for Disposal Works Construction Permit No. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOY BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .`.A° ,/`€! --� ...... - ----- -- -- Inspector. a ° r ;. ----_,---.—_,----_.._,_---_,---_. --,_,._,—_._--..,_,-- _,_._.-- _n— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE........... .....�-j.... Permission is hereby granted 0 , � I-- to Construct or Repair a. Individual Se`re D ispo sal System /4/�---------------------------------------------•---.-.--at V street ,•--� ! as shown on the application for Disposal Works Construction Permit 0 . = fib Dated.;„_-- .............. - --------- Board of Health 1,11 DATE...........-------�------ _(j.....- ........ ..... FORM 36508 HOBBS♦t WARREN,INC.,PUBLISHERS THE COMMONWEALTH OF MASSACHUSE17S • BOARD OF HEALTH TOWN OF BARNSTABLE Tertifirate of Comptianre XHIS IS TO CERTI Y, That the Individual Sewage Disposal System constructed or Repaired ----------------------------------------M--,-ak.............-------------------*--------------------------------------------------------------------------------------- 00,^ �Y,v �,f W �— -- at .... ....... .........../--------- A t�. .......... ------------------ --- ------- ----------------------------------- ------W17 L of T —Sr�iat&E lronmental Code as described in has been installed in accordance with the provisions 7o _' he the application for Disposal Works Construction Permit No. .. .....—i-V.. y... dated THE ISSUANCE OF THIS CERTIFICATE SHALL i NO�B�E-4CCONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE -Y.1�----------............-------------------------- Inspector -- ---- -------- ---------------------------------------------- ----- -- -------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.../:.L................ ez�5- TOWN OF, BARNSTABLE FEE.................... R.SpolyiI Workv T udion "V u puitnfit Permission is hereby granted --------------- ------;:............................................................. ........00 to Construct (X) or Repair Individual Sej,.ag Dispos 0 Sys)em at No..... ......... A....................................................... . .... 7Wda ------Street (7, as shown on the application for Disposal Works Construction ated. -------- ------------------- -- - -------- ,14� ......... DATE........... .................... Board of Health FORM 38308 HOBBS&WARREN.INC..PUBLISHERS r - ._ � � � sr i � ���C� i � � �1'T"t ✓ I 1. PI%TiJM MSS TQ;lo Z.MuQ1UPI.l. W4IVA � � � I �.PIPI'. QITL�. 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