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HomeMy WebLinkAbout0298 BISHOPS TERRACE - Health 298 Bishops Terrace Hyannis A = 251 - 165 i v B TOWN.OF BARNSTABLE ;yocA110N _ �<Sho�r /' SEWAGE # VILLAGE'/fiy'iyis ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY I LEACHING FACILITY:(type)XeuJ ,� /�•/ooa (size) NO. OF BEDROOMS 3 PRIVATE WELL,OR PUBLIC WATER kt _ BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: '; VARIANCE GRANTED: Yes No U� Ga - -C 1 P V/nn r' {I r1 No..? �4 Fss....... ...� .... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1..®.Y=..�..............OF... ..... Apphration for 14,apma1 Workii Cnnnitrnrtiun Vantit Application is hereby made for a Permit to Construct ( ) or Repair X) an Individual Sewage Disposal System at: n�S------------------------------------------- ---................................------ g I o.aion-Address - Lot No. - 1�1__ Qv..��. ---------------•---• 59-9. --.� sir.© +s� rL<Z( Cer... t.►in.n Owner . Address a }�'.�. ®.. .................................................. ... . 0....`M$ Installer Address Type of Building Size Lot............................Sq. feet Dwelling_=No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder Other—Tpersons ( ) e� Other—Type of Buildiii g ............................ 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................ 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. 1................minutes per inch Depth of Test Pit.............,...... Depth to ground water............. __.....__. ;3. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ix .--•------•--•-----------------••---•-•---••---------•--•------•....--••-•••-----•....------•...................--------......•---•-•......---•--•-----.--•-- 0 Description of Soil.......................... W U .................................................................................................. -•---------------------------------------------------•---------------•----------•--•-•--------•------ W x --------------------------------------------------------- ---------------------------------•---•--------•------....---------------------------•-------......------•----- ----•-----•--- ---..... U Nature of Repairs or Alterations—Answer when applicable_. .�._��^� ._._ V I...P2e�o-S g- -T.-----•--r . ..--•----------------------•----------------------------------------------------------------------------........------... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LIT Ii 5 of the State Sanitary Code— The and igned further agrees not to place the system in operation until a Certificate of Compliance has been i urn 011. of health. Signed -!/-- ---------------- _ . ......................-----•---•---• Application Approved BY-• ---- ---------------•-•--•--•----•...............•----•-- ----..-7 D _I-'-•'---5-)�o j Date Application Disapproved for the following reasons-.......................................... •-----------------------------•---••-•----•••........................ --------••------•---•----------•---•-••---...---•---••--------------------------------••--•--------•---------------------------------------------------- l / Date Permit No.._.. 'r' /_�. --------------------- Issued.--- "_/.- 't �?--•--- Date No.&v.�_�'' Fl�$........10....:-.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 C. ` .. °.................OF..!'"..: .:^..:�.. ...._...)......... --.................................... Appliraatinn for Dispaiiaal Workii Tnnitrurtion amit Application is hereby made for a Permit to Construct ( ) or Repair (>? ) an Individual Sewage Disposal System at: Location-Address or Lot No. Owner Address f a . _ .. c_ C� C ..1 ---`.:) ........._................ �..... \� 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 ( ) dOther 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 ( ) F-1 Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_-___.___________-__._.. rs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ••••••-•--•-----------------•••••••••••••-••-••.........••-••--••-••--•••-•--•••••-•-........_............................................................... ODescription of Soil.......................................................................................------------------------------------------------------- ...................... x U .----------------------------------------•-•----------------------------------•---••-------------------•---------------------------------------------------------------------------------•••-•-•-•••••_... UW ------------------------------------------------------------------------------------•------•--••---•••--••••-----------••••----•••••-•-----••-•••-------••••••••••-•••••......--------•--•--•---•--- Nature of Repairs or Alterations—Answer when applicable...._-:_r___..:` c �. c \. :) -- -----•----------------------•----------.....------------------•-----------------•----------------------•--------........-------------------------------------------------------------•••-••---.•••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is'suedfby the'board of health. - , /Y/� 'f Signed--------......= ,• ,< i ------•------------•- •--------------------- ........ • ��� � �T V ......:.......... ........ �....f/ �..A Application Approved By___ ___________________ _ -------- --------------------------------------- Date Application Disapproved for the following reasons: --------------------------------------------•--------------------•-•--_._... --------------------•-----------------------•-.•••••--•-•-•-••--•-••-••-•---••-•-••--•-••...----••••••--•••••-•-••--•••••-•--•-•-•--•-•-•---•---------••-•------•-•-----•••-•-••--------•••-•••••.....•. Date oy Permit No..... / Issued.---................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..1Y............0F...... .. .1'/..../lt'.. .`...�. .. .... ......... Trrtifiraate of Toutpliaanrr THIS IS TTQ_CERRTIIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( �f by.........................•-2! .--•--•.-•--• .......................... •.........•........._..... --------•---------------•-•-----•-••--------.-••-.------•------•---•-------------------•---•-•--------- Installer has been installed in accordance with the provisions of 9'1^: ` 5 of T e;t e Sanitary C e as d ribe 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. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD f'l= HEALTH . ....OF........................................................... No.&--.--•- FEE3e_�_...A i . Dispa Baal nrkg 0�anotrnrtinn rrntit Permission is hereby granted. -----.---••••-•---•-•----•---••••••••-•--•••-•••••-----•-•••-•-•••••••••............................. to Construc ( ) or e�lr ) an Indivi al Sewage Disposal Syst- v Street as shown on the application for Disposal Works Construction it N�..*Y. 1) ted_. C 47 Boardof Health DATE_. . --•- .., FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS l f / ) f No. �Ol l Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION — TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plitation for Misposal 6pstem-Construction permit Application for a Permit to Construct( ) Repair A Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No._P'9 9 (31SKOf S T Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 5'� I�G NY p`® ®� ve 49 Installer's Name,Address,and Tel.No. S®3—477— ?-7 Designer's Name,Address,and Tel.No. t�53�u►�1DE �T��eS " fA Type of Building: Dwelling No.of Bedrooms D� Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures on Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt Signed Date '7— Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued a ,g •P No. C;w 5--� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ApplitatiouLfor 33i4osal *pstrm Construction Permit Application for a Permit to Construct( ) Repair(,k Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No.a9 9 (31 SEf OPS r45P.A4C6 Owner's Name,Address,and Tel.No. 1 NY V1o(,,C--r (50OX4Ue Assessor's Map/Parcel OZs� !(D 9-0 t 142 WG-9Y N4 St' Installer's Name,Address,and Tel.No. 57403—477-I l-1 Designer's Name,Address,and Tel.No. ,CAPeW(0E eNT6XPk0Si S UjCG PIA 15-3 GO im— ST m#0KQAEa5 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) s# Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) O gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) TU."5" ACL_ O VTLET 7cG I Date last inspected: u Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ealt _ Signed Date "C 3 Application Approved by Date �''� "` 5 Application Disapproved by Date for thetfollowing reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance.- THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by cAPE�IDE 6IyTe&PR_15S� (...(,.G at ;t9 8 BI SOOPS _r6ZL4CC 14t/A0IVIS has been constructed in accordance _ with the provisions of Title 5 and the for Disposal System Construction Permit No. (� —120--dated r Installer eAP&AJfbQ� E0_ A Q�WQS _LC Designer #bedrooms /�/ Approved dq ig�i w gpd The issuance ofttht pe it shall not be construed as a guarantee that the system wl�functio 11 as designed. Date / , ( `� Inspector i ---------------------------------------------------------------------------- No.0 5 E�_ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS ]Disposal *pstem Construction 3permit Permission is hereby granted to Construct( ) Repair()() Upgrade( ) Abandon( ) System located at o�� 1.5HQP!; T6VAAC- t'Y-AAJ k> 15, and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit< < Date Approved by