HomeMy WebLinkAbout0353 PHINNEY'S LANE - Health 353 PHINNEYS LN, CENTERVILLE
A= 230-090
No. 42101/3 ORA
ESSELTE
folio
O O O O
TOWN OF BARNSTABLE
LOCATION ?S f-HiNWfy.S LANE- SEWAGE # >s= G
VILLAGE Gar i£/LVI LL£. ' ASSESSOR'S MAP & LOT.;�30" 670
INSTALLER'S NAME & PHONE NO. �G �ce�►+l CGrJS'i y �j
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) /�y�¢,i/G�c'" (size) 7
NO. OF BEDROOMS PRIVATE WELL GCCPUBLIC WATER
BUILDER O OWNE �,Pol
��
DATE PERMIT ISSUED:_ gc —
DATE COMPLIANCE ISSUED: / .r .
VARIANCE GRANTED: Yes No
G *3 S-3
4
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1
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i
4
ASSESSORS MAP NO• .��
PARCEL NO: Fiz$......3 ...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
,���rlirtt#i>a�t fnr<�i��n�ttl nrk,� Cnla�t�#r�r#inn �rmi#
Application is hereby made for a Permit to Construct ( ) or Repair PD an Individual Sewage Disposal
System at:
-- ---
r� Loc: n-Address or Lot No.
Owner 1,dd s
a Get...s�1�L® 1 ... _S7A-tJ
Installer Address
d TypeDwelling
No. of B Size Lot............................Sq. feet
of g
— edrooms-----------------3-______-_-__-_----..-Expansion Attic ( ) Garbage Grinder (--- /Jc
aOther—Type of Building ...............:............ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures ------------------------------- - -
-------------------------------------------------------
W Design Flow................��....'----------------gallons per person per day. Total daily flow..--.-.____-_-_-5�_.----�.-"------------gallons.
WSeptic Tank—Liquid capa6ty/4O!--gallons Length________________ Width................ Diameter_------------- Depth................
x Disposal Trench—No. ........L......... 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----------------------..
rX Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water_.....................
9 ......................................................................•-•---•------•---•---•-------•.........................................................
0 Description of Soil........................................................................................................................................................................
x
V .--------------..........................................................................................................................................................................................
W ---------------------•---
UNature of Repairs or Alterations—Answer when applicable....../...-_ ..i.................-4-._____IG�U___f -�___� �
ae V ,�`T4- --.....W� - - �� .
. ..............
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 Complianc as b en issue y board of health.
� � ���
Signed ce ..
Application,Approved � . .
Dace
Application Disapproved for the following reasons- -------------------- ----------------------- -----------------------------------------------------------------------------------
------------------------ -------------- ----------------------------------------
Date
! d _�---
Permit No. ... 'J"� ---------- --- ---- ----- Issued --------
Dace
730
No �. �T'''b _ Fps....................................
z THE COMMONWEALTH OF.MASSACHUSETTS
BOARD OF HEALTH
i
TOWN OF BARNSTABLE
Allp iration for Diopootti Worko Tonotrnrtion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal
System at:
-•-•••.........••-•---- ---•--•..--- --•-•---•••-_.... .. ..............••--
Loca ron- \ddress
L...S_ '�.. �S. / i G' .�..2F or Lot No.
............ -- o 1
-- ._...
Owner Addr ss
r; ...........
a Installer. Address --•-_--•-•----•-'--•-•------
Type of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms________________3-_--.---__-_-_-.._--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 capacitv/0 -_.gallons LTgth---------------- Width---------1----- Diameter.._........... Depth................
x Disposal Trench—No. ......../........ Width....... ........ Total Length.-..--2........... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.....Z.�___. Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date-----------------------................
1.4 Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-._-_-----_-___--.-_----
rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 -----------------------------------••---•-----------------•••------------••--------•......-----•---•.........................................................
ODescription of Soil------------------------------------••----••-•------•-••---•---------------------------------------------------------------------------------------•-•......_.....••---
x
W
x -
-------------------------
U Nature of Repairs or Alterations—Answer when applicable.---_/�� _..---___-/4000 5 k.._-
- i4►,-(IL D - s .�� �c / �T_ "ew'�cs w :r J%U1�!.�...._.
y ----t------------�---•---------------
Agreement:
IThe 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/i as ben issue YAP board of health.
Signed - ........ .... .....° .... ...._........ -�--
Application.Approved � � to ......�
• Dace
Application Disapproved for the following reasons- ---------------- -------
- -- _
-------------------------------------------------------------------------------------------------------
---------- ---------------------------- ------------------------- ....... ..... _
---------------- ............... .. ..... .. ...... -............ ---- ------------....................
.. . ..
�� ` Dace
Permit No. ................._........._.. Issued - .. ... ...
"
Dare
THE COMMONWEALTH OF MASSACHUSETTS 7
BOARD OF HEALTH
TOWN OF BARNSTABLE
C'Iertiftrate of Tomylianre
THIS IS TO CERTII-Y, That the Individual Sewage Disposal System constructed ( ) or Repaired
�j t� >> p i.l S T/L.v c�'t Cry
by _....... ...... _... -------
at ........I_... .................... .............. .--------._.------....1- ----.-----------------------------------------.- -------.-----------..--------...-------------------
has been installed in accordance with the„provisions of TITI.F,S_pf The State-Epvironmental Coje as described in
the application for Disposal Works Construction Permit No. ./.' _..��dated . :... �Zj
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL F NCTION SATISFACTO�.. 701
DATE .......-��'� .op
.. -.... Inspe or -= - ..
'——————— ————— -- —THE COMMONWEALTH OF MASSACHUSETTS Z—34-P
.
BOARD OF HEALTH
TOWN OF BARNSTABLE
No.. ::._.. FEE.... ..............
�io�oottl orko �unotr�rtirin �rrntit
r S
�� ,� ;�c�� ��N
Permissionis hereby granted..............................................--•--•------••�--------......•--•----•---------------..........................---......
to Construct ( ) or Repairer an In, Sewage Disposal System
atNo...................................... -•.............. .. / ---------•--------------------------------------..........--
,� $tre �//
as shown on the application for Disposal Works Construction Perm% ._ ..__.....L...___ Dated_--✓......._..� ��
---------••----•••---••-•-• --••---- ..
r Board of Health
DATE._..----- 0�
V yr FORM 36508 HOBBS&WARREN.INC..PUBLISHERS n t� �� I