HomeMy WebLinkAbout0170 ESTEY AVENUE - Health 3oG / /96
t'%,u '�- TOWN OF BARNSTABLE 0,3�
LOCATION _ SEWAGE #
VILLAGE ASSESSOR'S MAP Cz LOT A-So 1 ct
INSTALLER'S NAME PHONE NO. /YIN 0
SEPTIC TANK CAPACITY , /O o D
LEACHING FACILITY:(type) q ld T (size)
NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE ..COMPLIANCE ISSUED � 7
VARIANCE GRANTED: Yes l� No _
w
PF
No.. ... ...........
THE COMMONW LTH OF MASSACHUSETTS SUP—JECT TO
BO F HEALTH BARNSTABLE CONSERVA .—,,
.......... lJ-f ........OF ... y ..wl "t Z ................................. ®MM15SIf A
, pphratioo for Uiipoiitt1 Morkii Tongtrurtion "prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
...! u lly�9 .Ms LD1s Ss-
..1�: ..._ T....... . .....................................................:.........•-•-•-----....----•-
Location-Address or Lot No.
:.1.1r6!3/DSO AJ-------------------•------•---------- ---.....-----... . --........----...- -- •---..........................................
O n. Address
w G . v-,,. � o
Installer Address
Type of Building Size Lot._.�??.A.Z454........Sq. feet
Dwelling—No. of Bedrooms___...!..................................Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
aOther fixtures -------------------------------••---•--•--------•------------------------------------------------•---------------------------.-.-------•--------•----
d
W Design Flow...............................r`~...� ......gallons per person per day. Total daily flow.... ...............................gallons.
WSeptic Tank—Liquid capacity/d.-OO_..gallons Length Width._4"-/6` Diameter....... Depth.,1545-•-
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.................... ft.
Seepage Pit No..................... Diameter.................... Depth below inlet..-_3_.5✓-...... Total leaching area..��A....sq. ft.
Z Other Distribution box ( ) Dosing tan( )
aPercolation Test Results Performed by__ LL... �../-FAWV41 e!�3_____ Date....�-'.�!¢.'.Ya............
a Test Pit No. 1...... ......minutes per inch Depth of Test Pit....Zp_......... Depth to ground water-___mil:. ............
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
•-------------------------- -------•------...................-•-•------------••-••-•-•---•------------------------••--•---•.....----••••-••................•.
O Description of Soil w/.....-.....4w%..---••--•-------••------•---........
--------------------------------� �I'�a11!l -€6�1G1 R-6lSdU T' 1fi31 \/ill:
U -•--••••.....•------•-------••-
W ----------------------------------------•-•--•••••-----------•-•---••--••-••---••---•---•-••--......--•••••_.USTALLATMU-AND-CERTfFy-ff4--wFttTifg(3'--.....
VNature of Repairs or Alterations—Answer when applicable-----gH-E__SY-SiTE!!!__wAs..ktST D.IN•-ST f=T-•••-.-.
--------------------•----------......---------...............-•--....._ a............................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLL 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in
operation until a CertificatACplian,e has been i b e boardof health.
n /§-W........................... ........
Application Approved By .°... . "`�Date
Application Disapproved f `g reasons---------------------•---••-•---•-----------------------------.....---- .......................................
-----•--------------•---•----•-------•--•.....-•---•-•----------............----••---•----...........•....----••-------------------------•--••---...----------------------------------------••----•.••••-
"'� Date
PermitNo.- --------- Issued........................................................
+ No.... `:�1....4.•Q1 Fes$ ...................
THE OMMONWEALTH OF MASSACHUSETTS
BOARD—OF HEALTH
�NtV........o F.�" .. .... 'T` ----------------------•---.---_-
Applirtt#iun for Disposal Works Tonstrur#ion Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
...1�.�. �� .:E. /_ du f= �1 r9) ll� L''s..5_s:.��=S� .. . ...................•-•-
__..... ---• ---••..............•--------••.......................
l Location Address or Lot No.
4.1......................................
Owner Address
W
Installer .................
ddress
Type of Building Size Lot...�z�_ ' ........Sq. feet
U Dwelling—No. of Bedrooms_._...3:.............. .....Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ...-•-•••-••••--•------•-------- .
W Design Flow......_..•.....................a`�s..._..gallons per person per day. Total daily flow___ 3 ..............................gallons.
WSeptic Tank—Liquid capacitylOa :.gallons Length.. _ ._�.. Width..Q"/� Diameter..._.._."__-_- Depth.:S`9-
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No-----___-.:---.____.. Diameter-__-- Depth below inlet....3:y....... Total leaching area... ....sq. ft.
Z Other Distribution box ( ) Dosing tank
14 Percolation Test Results Performed by._.�LG...... 9._!''=... ''1!! !v' '� ' �1.... Date._._ �._._._....-
14 Test Pit No. 1.......�..__..mmutes per inch Depth of Test Pit.....::' �..__.__ Depth to ground water...g:.3......._,_..
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................,
04 ................................................ ;...----••------..............__...--------•- ............................................................
DDescription of Soil.........�`'- o `= 'U�3....... %!�i.......--•--=----•------•---................................................
V ....................... -------•.........------•---•.....--•----•--•---------............---••--------=
W
UNature of Repairs or Alterations—Answer when applicable._--_--•.....................:.....:.........:...........-_;.___.............................._.. {
. -------•---•--••-••-•••-•••-•--•-•••••---------------
Agreement:
The undersigned agrees to install the aforedescribed`"Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code The undersigned further agrees not to place the system in.
operation until a Certificate of Compliance has been i b ,tFie board,of health.
-
...
. - - / bt
Application Approved By-��- � ..'... �Tj`
•••...__ • .L'r ate ........
Application Disapproved for the following reasons-------------------------•--•---.....--------•-----•-•--------------------------------•----...-••-------•......
...........-•-•................•---•••---•••----._....-••----•-------•--•--••---------••--••--------••-•-•------------------------------------------•••-•----------------••-••-•-----=--•--••---•--_..._
Permit No.
.............................. .•.. Issued.. Dau......
Date
THE COMMONWEALTH OF MASSACHUSETTS
•---""'' BOARD OF HEALTH
.................OF !'-#" - .......................:....
f�prtifutt�e of (�um�littnr�e
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by------------------------ ...... -1�.. ....^ ....................=........................................................................
` Installer
at...... . ....Vj.. ------ �' =" Y `.:. ,.-------------•---------------------------------------- •-----•-----•---------- -----------•---.....
has been installed in accordance with the p isions of T F 5 of The State Sanitary Code a de ibed in the
application for Disposal Works Construction Permit No�` ,`: Cs----�- .......... dated--------7 6` ----------------
THE ISSUANCE OF. THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE....................... ... �y� r' ................................ Inspector.... t ..
THE COMMONWEALTH OF MASSACHUSETTS
- 7 ..............7 BOARD OF HEALTH
c- ------•.................... �'' •��
_ ......................... 0 F......... FEE.........1-x
Disposal Works Tunu#rnr#ion "Permit
Permission is hereby granted...........•••-fa(?o... --------V O VA•.....-•---•-•...........................•-.........----........................
to Const uc# ( ) or Repair ( an Ind' 'dual Sewage Disposal System
atNo................ �'%. ..--._.r_ .�.f-�74�' .........-----------------------•---•-•----•-••-----•-•-----..........---••-----••-•---•--..............
Street f
as shown on the application for Disposal Works Construction Permit ..�`,x(---- Dated..���+/�.'
•--•--•.................•----•---••-----•----•----------•----•------••--•-------•--------•-••--•-.-•••--
DATE...... .............................................
Board of Health
FORM 1255 A. M. SULKIN, INC., BOSTON
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�.���',"=��.._r.`"��r�..��,.,�.:a tr__ •..�,��r f.._�._ �_.,_ ,s-`-;--, .'�'. . ,,. ..��;v;�a�.,�,�,.�+-..°-wxa�ti���r 2,2�s��j
Upper Cape Engineering
P.O. BOX 616. EAST SANDWICH. MASSACHUSETTS 02537 (617)362-6281
Jan .21 , 1987
Barnstable BoEird of' Health
397 Main Street
Hya.nn i s, Ma s s
Dear Sir:
We have caused to .inspect the septic system (s) located
at lot 27 Elaine ave Hyann-is # 86-915 and lots 55, 56,A.nd 57 Estey
Ave. Hyannis and they were found to conform to the plans submitted
by All Cape Engineering..
Than yo
ZonJacoiili