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HomeMy WebLinkAbout0020 LOOMIS LANE - Health (2) __ _._- { �� �d� ��. a3 0 � vif3 '�i Fick 5 .4p,. ....... v THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ��U �- I ................Town--...-----..OF......Barnst,able... Appliration for UhipogFal Work,i Tomitrurtion rratit Application is hereby made for a Permit to Construct ( ) or Repair (g ) an Individual Sewage Disposal System at Loomis Lands Centerville.. Ma. - - ...... Evelyn Patterson n-Address Loomis bane Centerville Ma --- ..._..-- .............................................. .........---....._....-------------�---•-• ------_.__---------_-�-___------a. ------ Owner Address w A & B Cesspool Service 128 Bishops Terrace, Hyannis. Ma, a •---•-•-.... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..............2...........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building Pa YP g ---------------------------- 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. I................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........................ W . -••-•••----•----- ......................... •....... --------- -............ .... _----------- ••-•-------- •------------- ••-.............. _-------------- •---__---- O Description of Soil.........Sand....................... U --•-----------------------•------•---......------...----•------•-•--------•---.....------•----------....-----------------------------------•----•--------------••--------------------------•-----_•---•- W --•-------------------------------------------------------------------- •. -•-----•--- . . •-- ..................•••••- U Nature of Repairs or Alterations—Answer when applica e InB tallat ion o.f__a,...six...hu.ndred......._.. .WQ).•••gallon...leach...Pit-...RaOked... l tr ...; oxle. -•----------------------- ----- --------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL E 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 bythe board e th. Sign ��. _ ._ ^-... 11129�78 D to Application Approved BY•--• � �, ----- !-sr=�1 �� !� 11� I78.. Date Application Disapproved for the following reasons--------------------•--------------------------------------------------------------------..._•••--•........-•---- ...............•-••-•--••-------------•••------••----•-•-•--•............--------•-•.........•-•---•.._-•.- ------------------ Date Permit No....78.`."............................................. Issued_............11129.178----------•-----... Date { 7 r Nola!n.....7-f f. F�$...5.,.00............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............Town................ .....OF Barnstable.....------............_......................... ApplirFa#ion for Disposal Works, Towitrairtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair Q[ ) an Individual Sewage Disposal System at Loomis Land_,..Centery Centerville,, Alfa-:. ................................ ------ --.....---•...---..........._.....-•--------------•---•--•----•---.........._...............----•- Evelyn. Patters&ho"-Addzess Loomis Lane Centerville.t.._....Ma. ........ ......................................... ................................................_..._ .......------............................ -•----........._... W A & B Cesspool Sg 9,ce _. 128 Bishops Terrao�, ��rann s, Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............2-------------------:........Expansion Attic ( ) Garbage Grinder ( ) per, Other= Type of Building ...........:................ No. of persons....._.I..........._...___ Showers ( ) — Cafeteria ( ) a d Other fixtures .............------------------•---------------------------------------------------------------------- •---•--•--•--...........------------------------ Design Flow----••----------------. W -----------------...gallons per person per day. Total daily.flow..................:.........................gallons. WSeptic Tank.—Liquid capacity........;...gallons Length................ Width................ Diameter................ Depth................ xDisposal 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. I................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........................ a DDescription of Soil........Band--------------------•-----••-----.....................-•--------------------------------------•-------------------....-------------•--•------------- x W "I__ + UNature of Repairs or Alterations Answer when applicablelnstallatiO7i_-OF._8.__s1 hundred______... 6©0.)...ga lon---leach---pit---pac e.d...w th.. extra-_atone-,- --------- AgreemInt: . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1..L 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 t e`boarWoee h. . !'" j.,�... 1l1l��2�9t��7----------- ApplicationSigned_ _--•- . ' 8 Approved BY-.---•-• . .------ .. +•• Date Application Disapproved for t e following reasons:.................. ....... .........................•........................................-................. -• .---- ------•------•-••------•....---- -------•-•---•-----......-•-••-•-•--•••----•--•-----•-•------••...--•- ------------•-••••---•--. `.. r�p a 7� "ti 11/29/!8 Date PermitNo. --............................. Issued---•----•---------------........................................................ ,. Date -r: i THE COMMONWEALTH OF MASSACHUSETTS B'OAR'D OF HEALTH Tow>�t".............oF................B.&rnstable.:......... ....... AFTrr�ifirtt�r ,af f�iant�li�anr�..���• ���� T I I TO CER IFy, Th t th I ' u eyva e Di osal System nstruc.t d ( or (x ) by.A-- esspool Se441C�s° L BAf a terrace, yann ,s, a. ........................•---..........•-_..._ �•oomi$ Lane, Centerville, Ma_. .+.Ins%Velyn Patterson at . ------- -------- ---------- --------•••--------------- 71 has been installed in accordance with the provisions of TI?13 j:of The State Sanitary Code as described in the application for Disposal Works Construction Permit N .rF F3: .......•_-----f t__•-__. dated---11/2918...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY % ns w w� R:�r y���Q�w�u�'�"��a�s• n.� .ta�y�{�+��� i s�''> kn� DATE .. .. ecta.. {Insp ' _ r+<yt'r4 n aaT 1 � ✓,� � ♦6 �r '�Y>tr4t+-....................................... f e+,�.a�r� �«q��x��i�V'k�+.d M�! 3 ��.:y n �It"�'. '��r,kt" x "'q+ r "• . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 78- D� T.own......oF......... Barnstable...-------•................./.. 5 00 No..................71./' FEE........................ Disposal Works Tnn#rnr#ion frrntit x annis Permission is hereby grante�.A=t __Cesspool--Service_,__12-_•... ishops Ter, t to Construct ( ) or-'Repair (X an Individual SSewage Dis osal System at NoI,00mis---Lane_,__ Generville_t..Ma.. Evelyn Patterso ............................................. . ....................... ' Street 11/2 7/7 0 as shown on the application for Disposal Works Construction Per No._7_;_—.:_.___ ted...........................•.............. --------•-----•-.----- Board o Health k DATE........ ............................ ~` FORM 1255 HOBBS & WARREN. INC., PUBLISHERS