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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. 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C Xi1✓Jii(.YZC 3 15` �� ( 5 ��7j� 263 d • p4 d 7�+ t1- � n 7 �` t a eluP✓t '" t wa tC& T E 1 a r5 4 }9r 1 ^ 4 ���•�` .•l P II ,71, t o s a 1 x �a tey /�ueyuiz 4U wade777 ruF4 1 ,r� n � ',,+� _' '': `�� Cad e �►'l�A,,2ee?iLYt!' to :r,Le Cam, u � + ' a. _ I��O �r�•rT � �, : _ M .b r < $ a 'r f r U61 ? 2l 86 a �� tJ. !-"may .cvc ldyanvivs., �ia } 7 - t r rS$.S`, 02 �ia2G R.{..,�1ob1Yk1U12 , ,�1 McKean p ae2.u� low SS, S6 S7 shown ovt a 86r t 2ddtCtn aanbCe `2ec�.vstiry 4 /�c�.xw /0� f and �ceco t3 ' wa=teh encoun-tPced i �] C C ' ;Z, 4]WWn a�tP on k L J U { s{ r n 5J r 5 (~FhC aate 2 IN2 p PSG �c�te c�eyvi; l�ain taf Ze I�oa�ccZ o r'ect.7,tTi �C:` 4 ,f Ij r x l fib$ - f t � DE'SIGNIN .r� a h TN,:TALL,gT� GINEEA US7 !NS r CN AND SUPRVi E SY CERTIFY S c, I T3� A STEM WAS: I IN ,WRITES c� FEt �r mod, CCORDANC NTALLEp NG ?a, �i TO PI_,4N� IN STRICT' F �no � x L'FFx :h t '1 1 a t �.���',"=��.._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