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HomeMy WebLinkAbout0351 MAIN STREET (CENT.) - Health 1■M■■■M■E■M■■■■■■■■■■■■■■■■■■■■\r�MrOMrOrE��EEM 1■■■■■■■■■■■■■■M■■■■M■■■■MMM■■■■■■■M■■■■■■■■■ IOM■EMEE■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MEMO �1■�■■■■■■■■�■■■■■�■■■■■■■■■■■■■■�■■■�■■■■■■■EEO IEEE■E■■■■■■■MM■■■■■■■■■■M■■■■■■■■■■■■■■■■■■■■O AIM■■��■■■■■■■■■■■■■�■■■■■��■■�■■■■■■�■■■■■■�■�� IEEE■■■MM■■■M■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ !■�■����■■■■■■■■■■Mil■�I���Y,fi��i■■■■■■■■■■■■■■■■■�■ 1■■■■■■■■■■■■■■■■■■■■■■■■E ■■■■■■■■■■■■■■■■■■■ SEE■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■�■ ON��l���■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ';IEEE■■E■■■■■■■M■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ IEEE■■■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 1■■ ■■■■■■���■■■■■■■■�■■■■■��■■■■■■■■�■■MEME■■■ IE■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MEmmmm E■E■ IEEE■��■■■�■�■■�■■■��■��■■■■■■■■�■■�■■■�■■�■■�� No on IMMM■■■■■■■E�E�ESE■■■■■■■■■■■��������■■■■■■■■tom TOWN OF BARNSTABLE �► LOCATION ,351 SEWAGE # 90 VILLAGE ASSESSOR'S MAP & LOT,--*O--//9 ®/ INSTALLER'S NAME & PHONE NO. �DG�k77 C'l>rUsi yam ' SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO. OF BEDROOMS �-2 PRIVATE WELL O PUBLIC WA BUILDER OR OWNER / �.�r.�✓U��r �� �QcTfs>� r�G. DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 4:5�''` L VARIANCE GRANTED: Yes N 4� � � ��� � ->� ,� �� - o ASSESSORS MAP NO: ,PARCEL N0: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Toustrnrtion Frrmit Application is hereby made for a Permit to Construct ( ) or Repair (pe,0 an Individual Sewage Disposal System at: �//lam p Locatio Address or Lot No .........._— � Owner Address w �7._..eo.v. �.-----....._ - - - ------- Installer Address Type of Building Size Lot--n.di-000 .....Sq. feet a Dwelling—No. of Bedrooms_................. .....................Expansion Attic ( ) Garbage Grinder ( ) 44 Other—Type of Building ........., ....... No. of persons............................ Showers ( ) — Cafeteria ( ) W Other fixtures -------------gal Design Flow................... lons per person per day. Total daily flow............... ................gallons. W Septic Tank—Liquid capacity�l'Dd gallons Length............:... Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width..._................ Total Length__......._._..__.... Total leaching area....................sq. ft. Seepage Pit No----------- Diameter......A ..... Depth below inlet........a........ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......................................................................... Date........................................ a a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----'----------------------------------------'------------•-----------'--'----'----------'---'--"'•......................................................... 0 Description of Soil................................................................................•...................................................................................... x w UNature of Repairs or Alterations—Answer when applicable..l �� �. 'EGG <SSRG_._./ - t. 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 b n issued y t board of health. Signed .. ............ .... . . .... -- .---------- 1� Q..--- _ /fi Dale Application Approved By --------------- _- Yv tS� ------. ............. ....... ....................................... ....................................................... Date..�...._ Application Disapproved for the following reasons- -------------------------------- -----------------....--------- ------...-------------....-------- -------------------------- ---------------------------------------------------------------------------------------------------------------------------------------- ----------------------- --------------------------------------- ........................................ / c� Dale Permit No. 1�..-r-- Issued . ..................................................... ,_ Date FEi3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH TOWN OF BARNSTABLE Ap liratiou for Biopasal Works Tonotrurtinn Vantit Application is hereby made for a,Permit to Construct ( ) or Repair (pQ an Individual Sewage Disposal ' System at: -Location Address --- or Lot No. 1�/.4 �i4nJ �r�fUit/T/ �.I.t�uSJ.e/ �z� Owner Address a .�Q2Tl>l C Q;ie c 'T.�GrG-�/ 7 l ����Y 9 ...... -•--._....-•-------------- ------- ------•---.._.___.._._........-------......---•------------. ..---- --------•-----------------•------•----------•-------.�_..-------•------Sq. feet Installer Address Type of Building Size LotO ODd __. U Dwelling—No. of Bedrooms................ ....................Expansion Attic ( ) Garbage Grinder a`-4 Other—T e of Building �__-_-- No. .of persons............................ Showers YP g ---------�--------------•---•--------- ( ) — Cafeteria ( ) dOther fixtures --••------------•--- •--.....---••••-••--------•--------•--••-••••••-•-••-•••••-••••-•..............•••.............. W Design Flow..................,S2S"..............gallons per person per day. Total daily flow.._........_...sS'_l i'.a...............gallons. WSeptic Tank—Liquid capacity,.,P .dgallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. - Seepage Pit No.--__-_--__-Z..... Diameter......./14._r___ Depth below inlet........G r--_._-.. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) IH Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 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........................ --•-----•--------••------•-----••--•-••••------------------••-- 0 Description of Soil................................................................................:......................................................................................... x U .............................-------••--...------------••••••---••••••••--------•-•••••---...........-----•-••••--•-----------------•••-•-----•-•-•-•-------------•-----•-------••--•---------•-------- w --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-••-------------------- U Nature of Repairs or Alterations—Answer when applicable-_-Cl _- ...... .................. .................................................. 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 issued y the board of health. Signed .-..-.. / Da Application Approved B "` 1 PP Pp Y -.. ......... ..-.. ------------------------° ----------------- ,... Date Application Disapproved for the following reasons- ------ ---------------------------------------------------- -------- ..................................................... - - - ----- -- -------------------------------------------- -------------------...................................-------- ---------------------------------------------- ------------ ----------------------- rr i q Date Permit No. 9�J.. a ... Issued . 1 ->.... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -TOWN OF BARNSTABLE CLez#tf ra e of CETumpItttnce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( �) by .................................... ...6.,>..7.7.............. ow.,1_T-... �ti-�'......---------...........------------------------------ ------------------- Installer at ............................ 5� /.. .../ ✓ / 5' / ... - - �'r/�IJL.I�I has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ................................................ dated ---------....................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. f DATE--------b..- - .............. Inspector --- - . --- --- --- ..... _ ........ -------------.-------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 400o" TOWN OF BARNSTABLE No.................... FEE........................ �i��la��t1 �ark� �uat��ritr�ilan ��eruti� Permission is hereby granted------........ ----•----- .. :............................•---•. to Construct ( ) or Repair ,(�C) an Individual Sewage Disposal System at No-------- ---------•--•-...... �........... l.�S✓..._.,r5 �1 f✓ -� Street pp as shown on the application for Disposal Works Construction. Per t No•._±0-0—�"_Abated...................-------------- . .... Poo' / �J Board of health DATE............. ....."'.._ ./_ .. FORM 36506 HOBBS h WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE �► LOCATION ,351 SEWAGE # 90 VILLAGE ASSESSOR'S MAP & LOT,--*O--//9 ®/ INSTALLER'S NAME & PHONE NO. �DG�k77 C'l>rUsi yam ' SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO. OF BEDROOMS �-2 PRIVATE WELL O PUBLIC WA BUILDER OR OWNER / �.�r.�✓U��r �� �QcTfs>� r�G. DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 4:5�''` L VARIANCE GRANTED: Yes N 4� � � ��� � ->� ,� �� - o ASSESSORS MAP NO: ,PARCEL N0: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Toustrnrtion Frrmit Application is hereby made for a Permit to Construct ( ) or Repair (pe,0 an Individual Sewage Disposal System at: �//lam p Locatio Address or Lot No .........._— � Owner Address w �7._..eo.v. �.-----....._ - - - ------- Installer Address Type of Building Size Lot--n.di-000 .....Sq. feet a Dwelling—No. of Bedrooms_................. .....................Expansion Attic ( ) Garbage Grinder ( ) 44 Other—Type of Building ........., ....... No. of persons............................ Showers ( ) — Cafeteria ( ) W Other fixtures -------------gal Design Flow................... lons per person per day. Total daily flow............... ................gallons. W Septic Tank—Liquid capacity�l'Dd gallons Length............:... Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width..._................ Total Length__......._._..__.... Total leaching area....................sq. ft. Seepage Pit No----------- Diameter......A ..... Depth below inlet........a........ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......................................................................... Date........................................ a a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----'----------------------------------------'------------•-----------'--'----'----------'---'--"'•......................................................... 0 Description of Soil................................................................................•...................................................................................... x w UNature of Repairs or Alterations—Answer when applicable..l �� �. 'EGG <SSRG_._./ - t. 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 b n issued y t board of health. Signed .. ............ .... . . .... -- .---------- 1� Q..--- _ /fi Dale Application Approved By --------------- _- Yv tS� ------. ............. ....... ....................................... ....................................................... Date..�...._ Application Disapproved for the following reasons- -------------------------------- -----------------....--------- ------...-------------....-------- -------------------------- ---------------------------------------------------------------------------------------------------------------------------------------- ----------------------- --------------------------------------- ........................................ / c� Dale Permit No. 1�..-r-- Issued . ..................................................... ,_ Date FEi3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH TOWN OF BARNSTABLE Ap liratiou for Biopasal Works Tonotrurtinn Vantit Application is hereby made for a,Permit to Construct ( ) or Repair (pQ an Individual Sewage Disposal ' System at: -Location Address --- or Lot No. 1�/.4 �i4nJ �r�fUit/T/ �.I.t�uSJ.e/ �z� Owner Address a .�Q2Tl>l C Q;ie c 'T.�GrG-�/ 7 l ����Y 9 ...... -•--._....-•-------------- ------- ------•---.._.___.._._........-------......---•------------. ..---- --------•-----------------•------•----------•-------.�_..-------•------Sq. feet Installer Address Type of Building Size LotO ODd __. U Dwelling—No. of Bedrooms................ ....................Expansion Attic ( ) Garbage Grinder a`-4 Other—T e of Building �__-_-- No. .of persons............................ Showers YP g ---------�--------------•---•--------- ( ) — Cafeteria ( ) dOther fixtures --••------------•--- •--.....---••••-••--------•--------•--••-••••••-•-••-•••••-••••-•..............•••.............. W Design Flow..................,S2S"..............gallons per person per day. Total daily flow.._........_...sS'_l i'.a...............gallons. WSeptic Tank—Liquid capacity,.,P .dgallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. - Seepage Pit No.--__-_--__-Z..... Diameter......./14._r___ Depth below inlet........G r--_._-.. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) IH Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 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........................ --•-----•--------••------•-----••--•-••••------------------••-- 0 Description of Soil................................................................................:......................................................................................... x U .............................-------••--...------------••••••---••••••••--------•-•••••---...........-----•-••••--•-----------------•••-•-----•-•-•-•-------------•-----•-------••--•---------•-------- w --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-••-------------------- U Nature of Repairs or Alterations—Answer when applicable-_-Cl _- ...... .................. .................................................. 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 issued y the board of health. Signed .-..-.. / Da Application Approved B "` 1 PP Pp Y -.. ......... ..-.. ------------------------° ----------------- ,... Date Application Disapproved for the following reasons- ------ ---------------------------------------------------- -------- ..................................................... - - - ----- -- -------------------------------------------- -------------------...................................-------- ---------------------------------------------- ------------ ----------------------- rr i q Date Permit No. 9�J.. a ... Issued . 1 ->.... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -TOWN OF BARNSTABLE CLez#tf ra e of CETumpItttnce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( �) by .................................... ...6.,>..7.7.............. ow.,1_T-... �ti-�'......---------...........------------------------------ ------------------- Installer at ............................ 5� /.. .../ ✓ / 5' / ... - - �'r/�IJL.I�I has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ................................................ dated ---------....................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. f DATE--------b..- - .............. Inspector --- - . --- --- --- ..... _ ........ -------------.-------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 400o" TOWN OF BARNSTABLE No.................... FEE........................ �i��la��t1 �ark� �uat��ritr�ilan ��eruti� Permission is hereby granted------........ ----•----- .. :............................•---•. to Construct ( ) or Repair ,(�C) an Individual Sewage Disposal System at No-------- ---------•--•-...... �........... l.�S✓..._.,r5 �1 f✓ -� Street pp as shown on the application for Disposal Works Construction. Per t No•._±0-0—�"_Abated...................-------------- . .... Poo' / �J Board of health DATE............. ....."'.._ ./_ .. FORM 36506 HOBBS h WARREN.INC..PUBLISHERS