HomeMy WebLinkAbout0044 WILD GOOSE WAY - Health 44 Wild Goose Way
Centerville
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No. 42101/3 ORA
ESSELTE
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----= �=' 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:
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Locatim -A d less , or Lot No.
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•'' 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-.._ _. .
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Description of Soil.. ..d.. �-�/a/�.............. •r am------. GI . . • --•-•- -� � ._ Zn
x J1
v --•--•---•--•-•••••-••••••--•-•-----•---••-••-------•--••-••-•-•••----•---•-••••••-••--••--••••-------•-------------------•-•---•-------••--•---•-----••-•••-•-----•-•-•-•---------••-------•••-•--•-•--
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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 __.
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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
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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
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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
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