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HomeMy WebLinkAbout0498 NOTTINGHAM DRIVE - Health (2) J /eIr1 t/(� u m i _11_1A _a a_LN/-71 -I,11 ££®£ No........ 2 Fas.. n THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �y—S OWN OF BARNSTABLE Qato Apptiratiou for Diripo3u1 Work.5 Tomitrurt"ton ramit Application is hereby made for a Permit to Construct ( ) or Repair ( L)_-an Individual Sewage Disposal System at: ` .... ......... ------.........-----.....--------------. ncat'n a-Address or Lot No. l .�... .--�.....-•------•----•-- .................... ................ cne Ad a •c s a .. _;�c��.................................... ._ ...I _rrn�i ._... 2�. ..... Installer Address UType of Building Size Lot................ Sq. feet �.. Dwelling— No. of Bedrooms......... ................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ................ .............. . . d 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. 3 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........................ P4 --------------------------------------------------------------------------------------------•-•••..........---.........--------.......------•----........---- 0 Description of Soil........................................................................................................................................................................ x x ------------------------------------------------------------------------------------------------------------------------ ---- - ------------------�,._ U Pleement: re of Re i s or Alterations—Answer when applicable_ ------16 �.---_& ......f ... .... ._._. 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 undersigqfd further agrees not to place the system in operation until a Certificate of Compliance has been ' sue y ApplicationApproved By .................... ........... --.�.... ..... ....................................... . .... .. . .................... ..... .. .....6��En....9..../. Application Disapproved for the following reatons. .................................................................................................................... ............. ................... ...................................: .................................. .... ....... . .......................................... .......... ........................................ uu Dare Permit No. ... ..... ... Issued ! .._�.y............1......... .......... Date �`'-1;".v.r�P^.tr..�'-- �•-..-.--•-ti....r�.r�-4...-_.,:31.,,,,.,�,r+y.- ..-:.:-•-.....Y.�� i:..•_.....w.i^E'9'4. -.—..--.�..�,,✓.. ...�"a.' J�,r •i J. 1 `Lr .. r....r9..::.r 1..a-.... �'�. �...�+•,•^w;,.--°`.'.`.. � .-4':..-.-3rl�fa:�-._.,....-w No... ...f ----Z 2 Fas.. ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn fvr Diripitiul Wi nrkB Tongtrnrt"ion jhrmit Application is hereby made for a Permit to Construct ( ) or Repair (. (,),.man Individual Sewage Disposal System at' ` f 4 N / l / 1 / _. I Location-Address .••••._..... � / or Lot No. 1r )—to/Id t� � i CY_�� - ............................. -••-•-•-----------•••-•••--•-••---•-...........-•••-•---•-•--•••-.................-----•.......... pane, Address w � P17��, �� 7/�� /irt,r,� �f'X._ ylr:.. 7 ,�ht,�// /1 •- Z.U ,� ...... Installer Address U Type of Building /7 Size Lot............................Sq. feet .., Dwelling— No. 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..._.�a......................................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 ( ) �-4 Percolation Test Results Performed bY------- --------------•-------•-••••••••--------••............-•-•••------ Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ GZq Test Pit No. 2..............:.minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' •--••-••••-•-----------•--•-••-•••••••••-••••-•-••••-•.......••••••••••••-••••-......•-••-••••............................................................... ODescription of Soil........................................................................................................................................................................ x rJ W ......•....•-------------- ------•-•----•--•----•-------------.....--------------------••••-••--•--•----•------•------.....-----•......--- ......-••••-•••••• ' .....•- U Nature of Repairs or Alterations—Answer when applicable._.__._._ �0 C �� lI l 7 /L . 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 been '�ssued-by-th-e-boa�ig.-of-hea�l'th'. Sig e '_ , ��� ......_....�..... 1 ` �7... ...,.y.......r.Y..............-... �.......w;;.. .. ........ ...................f-................ Alication Approved B ,/ /-�/. C ---- ---------------------------------------------------------------- .. ....9.._ Nate Application Disapproved for the following reasons: ............. ...................... . . . .......... . . .......... i `7 l 2 2. . Date Permit No. ........ ............................. ......................... Issued ............�......�...� ........Y..................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 10ileztiftrtt#e of CZompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired l ......................._ 1...� �lat ......................... .. . . . � � Lv � /� ) If) ) - �� E/-;Ib",(�/.�-4........................................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as des'ribed in the application for Disposal Works Construction Permit Nog. ..z .Z:..._..................... dated ....... ./�. .. .. ....... HALL NOT BE CONSTRUED AS A GUAR TEE MAT THE THE ISSUANCE OF THIS CERTIFICATE S A,N � o SYSTEM WILL FUNCTION SATISFACTORY. t _} /` 0 DATE.......................................... ..� .(.,... _...... ........ Inspector ...... --..,.... ........_............... - � I _ . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 2 Z TOWN OF BARNSTABLE No.....J.............. FEE-.fv�..:-. ... Dispaiia nrki Tnnitrnrtilon ramit Permission is hereby granted........... :.... /1�1.f ....._ -�t � -F�t( 11c� - r --- --•....--••----••-•-------•---•-•••••••••--••--••-•-••••••............ to Construct ( ) or Repair ( �an In Sewage Disposal System " at No. {'�[ (//1-I/� )Ct !7 p I y C E�x t✓/Uf _.. ------- Street as shown on the application for Disposal Works Construction Permit No��-^_¢Z__.��ated___--.�..._�y y.............. r/ 1 ! ' _/ Board of Health L DATE - ....--•-••-•t•-••.---•- FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS No.. .-.: ,Z Fxa..J� ..... ..... THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH Pornstable Conservation Department TOWN OF BARNSTABLF '\ ' ct�'c3 Signed, Date Appliration for Uiopoottl Work.5 Toustrnrtion rnmit Application is hereby made for a Permit to Construct ( ) or Repair (p4 an Individual Sewage Disposal System at: ..--•..........................................................•---•---•-........ -•-•--....--.... •-------•-----•--•-•--•-••----•-•••---••---••-----•----•----••----------•-------•--•----....---••- anon-Address B Cr-. cal c-S'C.u00 _ 0i4 f -•-----•------------------------------ ---- -•------------•••---•-- ......................................... lwne� dress ,v�a2,VC,7.VAj _7Cv� Installer Address Type of Building �� Size Lot............................Sq. feet Dwelling—No. of Bedrooms.__......._7//...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixture -------------- -------------------------------------------------------------------- --- -------------------- �Vye g -gallons per person per day. Total daily flow....................... .- W Design Flow----------------------------------------- ------------ •.-gallons. -- - WSeptic Tank—Liquid capacity Q___gallons Length-------------•-- Width---------------- Diameter----------...... Depth................ x Disposal Trench—No. ........./...... Width___-__7._-___._ 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........................................ a Test Pit No. 1----------------minutes per inch Depth of Test Pit_----------------- Depth to ground water........................ 0% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----------------------------------------------------------------------------------------------------•--•.................................................... ODescription of Soil........................................................................................................................................................................ W V ....._...•--•---•..................•--•--•-•--•-...-•-•••......-•••---••----•----• ................................................................................................................... W U Nature offRepairs Alterations—Answer when applicable._... �C.ES%?1�- om___ OO •C-- � ...... .............................................c j----------=�------ J L. +r' �` - '�....; , ??�.1 ...........---- 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 Complian has e�F' by e board of health. _-- Signed ......�-- ----. o:./.-.�DaceApplication Approved By ............ .,..,�,.�� .�.-... '-. ��.... Application Disapproved for the following reasons: .......... ... ............_.................................. .. ............... .--. ................... .................................... ................................................... ... ................................................................. . ... ........................................ Date PermitNo. ........................................................... Issued ............................ . ................... . .. Daze 9 � •. •:ice 7 i t � 1 i'+��'� � C'� �-'� Cl`� ........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H EALTF TOWN OF BARNSTABLE Appliration for Diti-poml ]Uorkg Tonitrnr#inn remit Application is hereby made for a' Permit to Construct ( ) or Repair (ry.C) an Individual Sewage Disposal System at: ..-••••-•-- ..y.- ........ Location-Address 2uB_�1 U�D19oj`~' 'r?4 � e +r.............................................. ... ... t ` '•...;....- ........ Owner fess I U4 1ZtV, � ............................................ -------•-•-••----•-•••••-••---•--•--•-----...... � tt`S Installer Address Type of Building Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms------------�---•--------------------Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building No. of ersons---------------------------- Showers a g ---------------------------- P ( ) — Cafeteria ( ) d Other fixtures ---------------------- --------- = W Design Flow................ ..._._........__._gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacityA.�OA__galIons Length---------------- Width-----.--------. ............. Depth Depth___.._.......... x Disposal Trench—No_ _________ ______ Width........_._.__. ..... Total leaching area--------------------sq. ft. Seepage Pit No---------_---------- Diameter.................... Depth below inlet.................... Total leaching area---f--------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed by------------------ ....................................................... Date........................................ W 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........................ P+ ---•••--•--------------•----••--•--•-•-•-•-•••-•---•-•-•••------••••--•-----••......•--.....-•-•••-•......................................... ............... 0 Description of Soil........................................................................................................................................................................ x V ...............................••••••......-•••-•-•----.......-----•----•--•--•---.............•--•--•---.........------••-•••-•••-•-••--._......--------••-••-•---•--••---------•-•••. ......-••••••... UNature of Repairs or Alterations—Answer when applicable.._1- �?-4-�._....4__.-.1��..Q' �.............................................. t. --•-•-.... :.................•--•---/�Ji- i:. (/7� 5 --•--- `�1- /` ......... ................. 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 Peen 'sued by the board of health. Signed ........ /. ::. ,...... � C-...... ........ ..I Dat�0.. .... Dale Application Approved BY ------------------------------------------------ ....... Application Disapproved for the following reasons------------------- ------------------------------------------------ -------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ........................................ Date PermitNo. ................................................................. Issued .................................. -- . .. . ........... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 01-lertifirate of 01-11amplianrie THIS IS TO CERTIF_Y,-That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by----------------------------------------------- ,n:GIG :.:vi/� ..... ��1.� > c2,��7e)tj > t Inar,Jlrr at ............................................._.........._...�.�.... .�5 -U1�0 t, .-,��l.,y.---- �------ -1�-------------_C-: �-�1 -',-C✓j.t-----��-------- 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. ..._� ..-...r.�-1 ............ dated _._.........................._............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION /SATISFACTORY. DATE...............................r ��'. - - ------.------------------- Inspector -------- 1 - _.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE , ..� FEE........................ �io�nottl nrk� �nn.�#r�r#inn �rrntit Permission is hereby granted........................:.. -�-- !--_rG'----------------_-_____---C-:%b----------� to Construct ( ) or Repair (; ) an Individual Sewage Disposal System atNo.................................................... �z 1........ -fit �J Sa ! ' _'.I----..... � t......................................................J C ,E,- 2 )t ... Street � as shown on the application for Disposal Works Construction Permit No.2347j� Dated......�.�-... --?........ ----•••••--••-----•............... ..[----- `---------------------- / ....................................... Board of Health FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS