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HomeMy WebLinkAbout0042 CODDINGTON ROAD - Health �Z COdJ Agtlon Ej/ S M E A D No.2453LY UPC 12934 smead.com • Made In USA SU��T� INITIATIVE Carded MarSwrcWg �Y � I u LOq AT ION SEWAGE PERMIT NO. r7 Al VILLAGE cf 0,/ 4,ilcu/L I N S T LLER'S NAME i , ADDRESS J o b 7'� v B U I LDE R OR OWN ER 14 DA T E P E R M I T ISSUE D DATE COMPLIANCE ISSUED t 1 x 1 Aa V it , L6 i 54 A P P t . VED Barnstable Conservation Commission THE COMMONWEALTH F MASSACHUSEW BOARD OF HEALTI-t w 71OV,04......................OF_PZAC�KkG K.e 5'E;L--------...................Sig-......nod Date ApplirFatiun for Uwpotial Workii Tontitratiun ramit Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual Sewage Disposal System at ................2 .....O...............ETC? ................ �1 Location•AdlrAss or I o o. M ..-r...---•--------- ----- -- - - - - - - - ow er Address i_ ---------------------- ....... ----....... -----------------......------------- Type Address , Q Type of Building Size Lot_.3-�..�!AJ.7.......Sq. feet U Dwelling—No. of Bedrooms..... ..................................Expansion Attic (AC) Garbage Grinder ({gyp) aOther—Type of Building ............................ No. of persons.........._................. Showers ( ) — Cafeteria ( ) Q' Other fixtures -- W Design Flow.............S ................. per person per day. Total daily flow---- ........................gallons. WSeptic Tank—Liquid capacity._..._.____gallons Length---------------- Width................ Diameter................ Dep h................ x Disposal Trench—No. ..... Width_.?0N"__ Total Length.................... Total leaching area_.G.5 _......sq. ft. Seepage Pit No--------------------- Diameter-------------------- De th below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (YQ5 Dosin tank (40 Percolation Test Results Performed by..... �tixM_ __ ` . _` G..................... Date_.Q..'..4`.....!................... 1-4 a Test Pit No. I...L2--__--_minutes er inch Depth of Test Pit---._ Depth to ground water----_ Lit Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..__•_____--___------_ O Description of Soil---........'.-rlj` -- tLTy• ��' Q------ � R !hb WRIT4N� v --------------------------•------------------------------------........................••.....•-----------------------------....��SIGN�MO.. AN0 C��1� �� STR►G w INSYALtA WAS-wiikt- o- -------- -------------------------------------------------------------------------------------- VST-M• •-•--- U P PP t 00TOAt4Cp.T p '------------------------- 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 Co e has been issu d e board of health Signed -........... . . ------ --------- \" A lication A' rovFd B .� �.. - � _........ .� -'..._ Date Application Disappr ;ved for ttffonllowing reasons- ------------------------------------------------------------------------------------------ --------------- ---------------- --- \lt\ `\� .................... ..................... .................................................---------.....................---............................................................................... .............I ................... Dme �! PermitNo. ......1... 3-�&............................. Issued ..............----......-- /.' Date G Lb 1 No...11"..... � r FEB.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...C...Lt,yt .......................OF.... ..............................� '�. ...................................... Appliration for Disposal Works Tonstrnr#inn 1hrulit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at:. { Location Addrgss ! or LotrNo ��i:. 1 C� ...:_�....�.._� .4`� ... i f�F + �-x i- � ti-4l---------`�;..... ifs' �,e: 1-'i3 " `_o 5 .91`2 ......................�.... ... .._...___ _._ __.Y_... - ..._________.___._. ............................................. Ow er Address a •..................� jCS✓lz...... !.�. ---- -----------:- ..............................._ ..........---!........................... Installer Address d Type of Building Size Lot__2 ___ _' f.......Sq. f7et Dwelling—No. of Bedrooms..... ..................................Expansion Attic Garbage Grinder aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------•---------------.-•-•-------•---------------•-•-•...-•-------•----•---------•-------....---......--------•-..---- WDesign Flow............................................gallons per person per day. Total daily flow-------------t.......-n'....................gallons. WSeptic Tank—Liquid'capaciityR___._......gallons_ Length................ Width................ Diameter................ Depth................ x Disposal Trench—No.___ - _____. Width... ; `s', k... Total Length.................... Total leaching area__(? ?. -------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (�&'Y:> Dosing tank (`, ) 1 Percolation Test Results Performed by...__G=..................................'' ..� .. A, .-1 NDate ................................. Test Pit No. 1...............minutes per inch Depth of Test Pit---A............. Depth to ground water--_`-i................. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a+ -------•--•----------- ............................................... -. P •-- ......_._....... •-------- Description of Soil..__..... �� ..4 d °�i 1 C� _ - �' n.� i . `' ! l i x 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 Co e has been is u o e board of health! p Signed ............. Cam. :.. .5........ --- --------------- ---------------------- Date A lication Approved B -------------------------------------------------------------- Application Disapproved for t e following reasons- ----------------------------------------------------------------------------------------------------------------- ate.................. ................................................................................................................................................................................................................ ........................................ Date PermitNo. ------9.1/ .....3..y-ra............................ Issued -- ---.......---......................-- .-------........----.. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , ��--------- OF .... &rtifiratc of V IIItty lianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired b �..„ Y + `-----"'� `----------------- Installer at � - ----------------------------------------------------------------------- has been installed in accordance with e provisions of TITLE 5 �he State Environmental Code as described in the application for Disposal Works Construction Permit No. ...../..../....-'....3. ..----...- dated ................................................ THE ISSUAN 1E F THIS CERTIFICATE SHALL NOT BE CON UE�AS A GUARANTEE THAT THE SYSTEM WILL CT ONI ATISFACTORY. DATE---------------------- ------------ ...................................................... Inspector . . --- ------....------------------------ . ...... -----------------------_---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ©o // U I No._�1..-_ � ...........................................OF...........................,...........................................,_............ FEE... I-. 6 .13 Disposal�.._ .a� Irks Tnndrnr�uan unfit Permission is hereby granted............. �- .................................................... Construct ( ) or Repair an Individual Sewage Dispo�stem atNo............................................................................................................................................................................................... Street 7 as shown on the application for Disposal Works Construction Permit Dated.......................................... DATE.......... -------------------------- _..... Board of Health �------5-'- -�----- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS DER & .N .-'INC. Professional Land Surveyors and Civil Engineers 812 Mai Street • Osterville, Massachusetts 02655 • Tel. (508) 428-9131 WILLIAM C. NYE, P.L.S. -President PETER SULLIVAN, P.E. -Vice President-Engineering RICHARD A. BAXTER, P.L.S. -vice President August 9 , 1991 Board of Health Town of Barnstable ' 367 Main Street Hyannis , MA 02601 Attn : Donna Miorandi Re: Herbert & Helen. Minkel 42 Coddington Road Centerville, Ma Dear Board : Inaccordance with the terms of your permit I have provided construction inspection for the -installation of the Minkel ' s new septic system. The system has been installed as per the plan of record and al'l applicable regulations . I trust that this meets your present needs . �Very truly yours , ® - Peter Sullivan , P. E. c .c . David Sauro Herbert & Helen Minkel ,. P S/s 1 R g SlltJ.lbAR N0.29133 A,;4L " r1V0 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 TOWN OF BARNSTABLE C LOCATION y �� ��,aR, C�;e, u'C' SEWAGE # I I —3 L& VILLAGE ASSESSOR'S MAP & LOT iV^ : - INSTALLER'S NAME & PHONE NO. ',c.s��-4 (-bla SEPTIC TANK CAPACITY LEACHING FACILITY:(type) x 711 C-k,,,rzf to\k& (size) NO. OF BEDROOMS-3 PRIVATE WELL PUBLIC WATER BUILDER �OWNE DATE PERMIT ISSUED: 11��.-� DATE COMPLIANCE ISSUED: � � I VARIANCE GRANTED: Yes No Lt-w� p . r Fj � � C J TOWN OF BARNSTABLE 67C LOCATION 9:7-4-0 QQV! rj TZ -k.f SEWAGE # VILLAGE C-��'�� ���� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. �,�., SEPTIC TANK CAPACITY LEACHING FACILITY:(type) T-Z`0tkj Di arAfsna_5 (size)3(0�C NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATI�iR � BUILDER OR OWNER yJ�? DATE PERMIT ISSUED: `7 DATE COMPLIANCE ISSUED: 9`-3 VARIANCE GRANTED: Yes No `'-' 31° L TWE 0 F W vW�-QS Cam- c D60X" 5,emc T ANY- L No....T y~.� THE COMMONWEALTH OF MASSACHUSETTS BOAR® QF HEA TH ..d IV IV.............of........ r --..-.-:............ ApplirativA for Ui ipasal Worko Tonstrurtiom Vanat Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at: ......y. j%� . ..... � ....L�!�..-------- ---------------------------- ...........--------------.......---------- __ ... ocation-Address or Lot No. -------------- -----•- -- •---...••-•---•-•••.._......_......_._....-• .......------.-----------.............------- w er -_-_•-Address Installer Address UType of Buildin 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............................................gallons. WSeptic 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 ( ) 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......................... a' O Description of Soil 2s/ --------------------- ---------------------------------------------------------------------------------------------•••--- x - ----------- -- ------- x ••••••••---••---------------••••••••--•-•--•--•••••••--••--•--------------------•-••-----------•-•••----••-- ----....------------ ---•-. ---------------- ---------- U Nat e of Re airs r Alterations—Answ when applicable 1- ! �!'I 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 Pe b rd of ealth., Signe ` �----�. �_ -- _.... ®-PrDate Application Approved BY-•--•---- --------- -Q-U^ ................ -�---- Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------------••••--....--•--- ..........................................................•••-•-•--••-••-----•••••---......-••-••-••-----••••••••-••-••••-•••••-•-•-•••••------•--••-••••-••--•-•-----•••••••••...--•-••......••-••---- Date PermitNo......................................................... Issued.....................................................-- Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA No..` . 1.' 13 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....r............... ....... ._.._....._..._.....__._....____ App iration for Biopoii ai Works Tonitrur#ion "truti# Application is hereby made,for a Permit to Construct ( ) or Repai an Individual Sewage Disposal System at• ''? �`/1 Ct I ✓Y 1 ytdJ Os�......... �! r _._.. ................. 'a....._. .. ........ •..% //. ' Location-Address ` or Lot No. .,!.......--€•----- --------------------------•---------•--._._.... ..........--................................ .......... ...- a Owner r, Address Installer Address Type of Building�v Size Lot............................Sq. feet U Dwelling� o. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons____________---------------------------- Showers (. ) — Cafeteria ( ) d 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 ( ) aPercolation 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._.___._.__.___.___:_... Description of Soil ,s-�� ' �' ;,•f' 4 A4 44:°s .__________________________________________________________________________________________________________________________________________________________j___________________________________________- U , �4 -------------- ---•---------•-•--•-----------••----•--•-----••-•-••------------•--•-•-----------... ! r r -•------- U Nat re of Re�airs or Alterations—Answer when applicable ,/_; ; �i t l,.' . �` �, ____•___ � f r r� '�!1-, C ,.�� (s' '' �+'� �" ✓ tf .sP �1._1 ........--{, = `f-�l"' ,t >' a --•- 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 he board of health. Signed_ f�,� � �' °� ......... .-. - .i..JFi__.. TT...._ � Da lt Application Approved BY___.._:.. ` �_,� !____ :.----C-C.�: ,-- Date Application Disapproved for the following reasons----------------------------=--•-----•-------•----•-----------------------------•------------------------------- ............................................................. ................. ermlri o.-•-•----------•--------------------------------------- Issued....................................................... Date r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............y1:. �f, ��...M.<�......OF...... � :,. ................... '.k. A:...F.:.¢ .:Yl.. .nr� -!.. 01rdifirat a of Tuntplianrr THIS ISZO CERTIFY, Thai the Individual Sewage Disposal--System constructed ( ) or Repaired (A, �p 1 by �ea� � �J I `� f N L 7 j ^ „. f .. .................................................... /^/ Installer at 'E _..1 .. ,/ ! n P ..----..._ f?e='! a x {- 4,..r has been installed in accordance with the provisions of TITLE �j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. �1_-5t3.................. dated----._1..�?�./..q ty...__.._._._...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -----------------------•---------...----------........--.------ DATE............................---------------------l� 1 Inspector ��1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Nrt_q l - .......Z ...........OF....:.., �? ' ^............. .....--1... .... f. FEE .... Disposal Ipprkg Tnns#r uan rrnt'i Permission is hereby granted plante cs° �✓' i -' ,+ ;, f .{> q � 4`'-----'- ->-�"1 .0_. ��,,C, .•- � .l -..._.{:,.7+T,0:.`y.Y .......d��,�r.'�.'................. to Construct ( ) or pai.�� an I 4vidual Sewage_ isposal System�* at o. ..-•---•. . ... 1. 'N r- `�! Street as shown on the application for Disposal Works Construction Permit N s_K::: .l, .._ Dated.......................................... �.................................» hoard of Health DATE..............-••-----------------------...................................... FORM 1255 A. M. SULKIN, INC., BOSTON H,fp p -2 O 1 an erry - 7 1 �� �"�•- 5=P i L l INK A N R -.� ,.�- ; :- _-�,"`' �,�A1 � � ►N s T�c.L� s t.0�:�� �c� 8 4 - 913 (s s c.�E v �� 0 _ p � - d -- �•'f fn oz-� °��, ". 2,/ / l-�M T O F _-.l_A Y �l U C: 41 r'1 I'Z' IUD �• ''l.� .. •� -i,.°' r ` off./ {,,,L; / \ -- L' •® ort p °' � •• • � ,f � 1 v(/`\� , 7 o . c raigvil 5 TT'b m e -A i � /• •I(t 6 • �. 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