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HomeMy WebLinkAbout0020 HARBOR ROAD - Health a o i�ar bay �a , l��►� s 3oe - �� � I I 1 uiiversal oneT. - www_myuniversalop.com phone:1-W 756A676 UNVIO524 MADE Rd USA l_OC&TION EW&C�E PERMIT MO. ` 11�1STQLLE���5 1J� E � �ADDR SS BUILDER'S 1�.AF- QDDRE MkTE PERNAIT ISSUED '_� _^ _TT-L-_- DATE COKAPLI W,lCE ISSUED I� ,. . � 1 S � .iY �. ^v� e( .. aA+' .. M�1 1 C V ) I 4r� � ` � • `•� ` ��ti- .r �� r i r Ir � �� �� THE COMMONWEALTH OF- MASSACHUSETTS BOARD OF HEALTH ....0 F,�................ . ... .. . :. . ........ ........................ Appliratiun -fur Ui,ipusal Works ToAstrnrtiun 1janift Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ----------------, .--...... ..............J .�C�!/ ---------� ��2'I� --------------- ---• ----------------------------------- ..... L9c Address or Lot No. -------------------- ----•-----•---- .... --.................................... - Owner Addr�ss a - ........ ........ -----------••--- ---- - - ------------------- Instal r Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms__. ___._Expansion Attic ( ) Garbage Grinder ( )a Other—Type of Building ............................ No. of persons ------------------------ Showers ( ) = Cafeteria ( ) Q' Other 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 ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date....................................... Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to bround water...____..______.__._---- (4 Test Pit No. 2........:.......minutes per inch Depth of Test Pit._._____-._-----___- Depth to ground water------------------------ -----------------------------------------------------------------------------------------------------------------------------------•-••-•----••-------------- GDescription of Soil------------------------------------------------------------------------------------------------------------------------------------------------------------ •----------- U ------------------------------------------------------•-----------•------------------------------------------•--- ----------••----------------•--•---•---------- -•--------•-----------------------------------------------. l ------------ Nature � p� .. V of Repairs or Alterations—Answer when applicable._.___ _`.1..l38 .t__-.---f-__!--' 1. �-G -� -----------------------•---•-------------------------------------------------------•------------------------------------------------------------------------•--------------------------------- -------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code—The undersigned further.agrees not to place the system in operation until a Certificate of Compliance has e Qissued b. the board oYea. Si ne = .......F...7,2 Date Application Approved By ----------------------------- ----- -- 7_7 Date Application Disapproved for the following reasons-----------------------------------................................................................................ ----------------------------------------------------------------------------------------------------•---•--------------------------------- ----------------------------------------------------------- / Date Permit No......................................................... Issued.1 -'-2--7— 7� ---------7----------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH !, C a .....OFF 14...`.' �... ��..................... Appliration -for Uiiivofiat Works Tomitrurtinu Ppruid Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at • -- ,+` t a' n Address ¢ r;?/W or Lot No.c W ..................... !--!---P.. Owner f11-. ---- ---- ---- nstalr Address U Typeg +t ," Size3 Lot. Sq. feet;... of Building E,:_ Dwelling—No. of Bedrooms.__ _______________________ xp nsion Attic ( ) �" ;yGarbage Grinder ( ) Other—Type of Building Showers `w"' — Cafeteria C4 YP g -----•...................... No. of persons.'--, _ .._. ( ) ( ) a z, Q Other fixtures _.--•' -:---- - -- - W Design Flow...........................................__gallons per person per day. Total drily-flow __ . ............ .........gallons. WSeptic Tank—Liquid capacity g.Ulon5 Length_-_-_ _______ Width. Diameter_--... -- -_ Depth---------------- Disposal Trench—No-__________ ',-_:_ Width:: ........Total Length........ ...... :.Total leaching are?_.:_. ._.._. ._-_'__sq. ft. Seepage Pit No--------------------- Diameter________:_ X-::;.Depth below inlet____________________ Total"leaching area------------------`sal:..ft. ,t• z Other Distribution box ( ) Dosing tank k( ) ~' Percolation Test Results Pe`rformed.`by� y .................................................... <_L Date--------------------------- Test Pit No. L_______-_____ u-nnutes per inch Depth of west Pit .............. Depth to`{,-round water. .. . . _ -s ` r3, Test Pit No. 2----------------minutes per inch=.'Depth of„,sI s'U] it-------------------- Depth to ground water-_.-.._-. ---_-._--_ ... G Description of Soil`Y--•------• ------•.... A� ------='-----------------*--••--------------------------------•----•----- ---------------------.--. ------------------- W _d,��.;.i.... :ix•,,,-,=,,ride. t,• U ._______________________________:_-_---.-____----_________---_______________ _________________-.___-__._______--___-______--___--__--_--___-__--_-----___-..__... W ____________ _ ____ ____________________________________________________________________________ _ t------ ---- .......... V Nature 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 Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e issued b the board of heatt ge - . Kf� - ... Igne >, 7 j _• Date Application Approved BY---/r '----------------------------- 77-_. Date Application Disapproved for the following reasons_________________ ------------------------------------------___............................................ ••--_______-•-------------------•--•------------------ ----------------------------------------------------------------------------------------------------------------------------------- ` Permit No......................................................... Issued..................... < .,_.... , ---• ---•---�` Date-- --- t. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .- �.< O F.........X c .. rrtif ti ale of TlImpliaurr a . THI TO ER Y T is the In vidual Sewage Disposal System constructed C ) or Repaired ( ) by - aG } ----- ----- ------- -------- --- -- _ in 1 • qd at ll !•%-- --------- ---->�3�� ----- Yions l•� � ------•-- . has been installed in accordance with the provi of Artde I o The St Sanitary Code as described in the application for Disposal Works'Construction Permit No:u.• __ ____..__. dated... __2.? -__s.__ _ ................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. C � DATE--------�---- --Z=---7-.-.....-T-�-...............•.............'• , Inspector W---:;-......`J-----------------------------------------------1-/-�-------•----- THE COMMONWEALTH OF MASSACHUSETTS, BOARDO HEALTH F � ........ . ........................of.::. .. ...;. ------ ------------------------- � ,.p. No......--•-- FEE-• -•-- ......... . t �rk ( nitrurti ,Bt Vrr itPermission )s hereby granted ..�j�`� ... .____} �'!__._. ..�1y,:_x1 "~~ to Construct"( //) or Repair ) an Indi al Sew -e Digs osal s m at No.!'-•-y ti 6'�* �•�"' I f -- -------------------_--- - Street � as shown on the application for Disposal Works Construction e it N __ ________ ______ Dated_.. "__�_1 .......... a -% k' �► I 1.,.�r - Board of Health DATE... _.� "'- ------------------------•---------------•••----- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS l,SS Sa R-S MAP NO. PARCEL / 7b a � L 0 C ATi N _ SEWAGE PERMIT NO. VILLAGE �A4 I N S T A LLER S NAME i ADDRESS B U I L D E R 0 R OWN ER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED � � � _ c � } 4 � 6 M J a oil ` �( w V THE COMMONWEALTH OF MASSACHUSETTS _j BOARD OF OF HEAL.THt ! ��ICV..►sl�.--..-.... OF 6 i18+r�,1JL.J J }--�•-................._. Appliratinn for Uhipniia1 Vorkii Tonstrurtiott ami# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy at: .....QbAd-;? ....... ................L.....0......7...... .......................................................... \\ Loc io ddr ss or Lot �...__.. Owner Address Address UType of Building Size Lot__�Q,�oO .......Sq. feet , Dwelling—No. of Bedrooms--- ------------------------------------Expansion Attic (W�b Garbage Grinder 4 s aOther—Type of Building ____________________________ No. of persons.___________________________ Showers ( ) = Cafeteria ( ) a' Other fixtures __________________________________ W Design Flow......... e�__________________ ______gallons per person per day. Total daily flow-------s�_ .......................gallons W x Septic Tank—Liquid ca acit 1CCO allons L_ en th.1a___�--- Width._Q=-lO. Diameter________________ Depth... S . Disposal Trench—No...A.............. Width___ r.__.__... - Total Length._.��___.___ Total leaching area_3��_._.sq. ft. Seepage Pit No_ __________________ Diameter____________________ Depth below inlet.................... Total leaching area_________ q. ft. Z Other Distribution box Dosing tank (M):) '-' Percolation Test Results Performed by-__---•_w�©!,j;, �- _.... Date.__'? ........... aTest Pit No. 1------4__minutes per inch Depth of Test Pit....to!-------- Depth to ground water_._��T�, (i Test Pit No. 2................minutes per inch Depth of Test Pit.___________________ Depth to ground water_____-__________________ P4 ................................... -- ......... ... .. D Description of Soil ®- �.�C?4 5C?k.L 1..---L-Q----. ��p.----�`�-- Z x U W _________________________________________________________________________________________________________r. _ ------___-_________________ .___ ___._. UNatu e of Repairs or Alterations—Answer when applicable.:-_-__ .._-__ 1--- !_ �___.__!! c- --- Agreement. ('Z-W- i � �� —c CC.,v'd�rn�e p�v The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE s. y g g p y of the State Sanitary Code—The undersigned further agrees not to lace the s stem in oper on until a Certificate of Compliance has bee is ued by the lNrd of health. Date Application Approved BY------------- - -----------•--�-:-••••• ----- ---------------_.. ...----•-•-----•... z�� •--- Date Application Disapproved for the following reasons-----------------------•-"--------------------------------------"------"--------"-----------•----•-••-----•-•-••- ••--"---------------------------------------------------------------•-----------------•-.....---------------•••--•-•--•------•--•--•••••••••---•••---•••••-----••--•---•-----•---------------•••-•----- Date PermitNo..... - ---•------ Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS l"w� C(`""' BOARD OF HEALTH Jt. .......................OF..... . ' o.................................................... ('11rdifirair Of Tutttplianre THIS. CERT Y T at the Individual Sewage Disposal System constructed (� or Repaired ( ) by------------- ---- -- ------------------------------------------------------------------------------------------------------............._...._..... Installer at.......... .. ---� �---"-•••---•-•-••---. ._G hn�i ----------------------------------------------------•-................................ has been installed in accordance with the provisions o j of The State Sanitary Code a described in the application for Disposal Works Construction Permit No----- �--- -Ca-�'• dated_.---____- _ .i2.. _________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ,v..k-.. . .. OF. Appliratinn for Disposal Works Tnnstrnstion Prrmit Application is hereby made for a Permit to Construct ( )` or Repair ( ) an Individual Sewage Disposal Sy� at ,^. .. . t �r. :a._.__.._`.QI A-?._ ..3..�A�e+..�s�e gl............... ...........................1 Ss°........................................................... t Loci@rod` ddress _ or Loom _ 17 - t r 'fi -,f _ .._.I....... .' 5.=. ,L .::` ............... ltc� ""1c ?! ..Z. `� ..----.. v °,- Owner Address W Address UType of Building Size Lot-K2,-" ......Sq. feet Dwelling—No. of Bedrooms.._.......................................Expansion Attic ( , Garbage Grinder ( { aOther—Type of Building .....................:...... No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures - ---------- --------------- • - W Design Flow.......... ?.5.........................galions per person per day. Total daily flow........ .F .................._....gallons, c� Septic Tank—Liquid ca acit 1 tj..0 a'. allons Len th �'. ~�.... i �_p q p y �g g _lti_.�. `�Idth__.� Diameter_____._._...... Depth Disposal Trench—No. A.............. Width•..�'.�-?�..._.... Total Length....4:_ •..... Total leaching area_���....sq. ft. 3 Seepage Pit No....:................ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ~ I. Y- _ t .• _. ! � Y "7 4' �� Date-- __ ..........a Percolation Test Results Performed b � � � � � _ Test Pit No.'.1.... 1:-minutes per inch Depth of Test Pit----1_0......... Depth to ground water.._)' �....�� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground Water------_................. �, t i -------------------------- ----------------------------------- O Description of Soil-_-•-- =---•-•`...................................................... x rJ -------------------------------------------------:,-----------------------------------•-•---------------------------------------------------------------------------- UW -------------------- ............................... - --------------------------------------' ---- ----- ----------••............................. Nature of Repairs or Alterations—Answer when ap licable_____. ......��._�^ ________ �' _._...m`'t ':F._..__. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with rjl:r? the provisions of L T T l i!.r. 5 of the State Sanitary Gode— The,undersigned further agrees not to place the system in ,,non until a Certificate of Compliance has bee s�by'tf 1-d of health. q1� ate/ Application Approved By....... .......... ' k� i Sikn,�d.........!: --••• -------•---•• ................................ .... Date Application Disapproved for the following reasons:-----------------------•---•---•----•--•----------------------------------------•------------•-•-•••-------..... .--------•------------------••---•-•-•---•---•---•-•-------------------------------•-----•---•--•-••....... -•-----------•---------•----------•--•--•--...----'-- -•------------ Date Permit No..... ti"�'"� _ Issued--•---------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTSthY"� BOARD OF HEALTH � .................. Crrtiartttr of f�nrntlinrr THIS, S- CERT Y, T at the Individual Sewage Disposal System constructed ( ?,� or Repaired ( ) b ......�. Y............... . . . ......-••----•-•-----•--•---•-----•••....----•-....--------•-•----•----•--••---................-•--------•--------•-...._ hii�'-L taller at has been installed in accordance with the provisions 5 of The State Sanitary Code as described in the application for Disposai Works Construction Permit No.._._.���'~ __'::�� ? dated.......___. ' t ________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... r" THE COMMONWEALTH OF MASSACHUSETTSvi ✓v BOARD OF HEALTH l� =-'', 0....... .....OF.............. ....._... �..........1- -............. FEE........................ 14,10,1111, 90, nrkn Tonotrnrtion trout Permission is hereby granted....... ...••. •-• -••-••----••-•••-•--•••-••-••••--••........•-•-••-•••-•-•••••-•-••-••----•-_.. to Construct ( ) or Repair ( ) an Individual S .°rage f spo ystem atNo.. v" tom. ''��At?.. --•--•--------- ......................................................n- ..- `�-' Street .. as shown on the application for Disposal Works Construction Permit_No .:_ _ Dated------- ----- DATE .. Board of Health ----154/------2-V1-d&...11................. FORM 1255 HOSES & WARREN. INC.. PUBLISHERS 11kit'd S..yorj and engineeri 116 BURROUGHS ROAD, BRAINTREE. MASSACHUSETTS 02184 TELEPHONE 843-7677 April 5, 1990 Board of Health Town of Barnstable Hyannis, MA Dear Sir/Madam, This is to certify that the septic system for Lot #5 (92 Harbor Road) was installed in strict accordance to plans by Baxter and Nye. /.ti-Zti RFr A,e QM�a PATRICK 1. Q' ROSEINGRAVE C. sn LI o. 33376 CIVIL 4 A����Inl S t `���Q Z! ',e- 46 /Z •3 U,4 7",4 �o ,- �'/it/GL� �1/G, a,4/���Lcy`Y=3XNa=33o A,4 n DNA 3 3 .�. s��rc T,N✓.�_ .�.3oX/Spy=S/25`6./�� �\'- � 1. ze Usk'✓,� Gt1L. V � � -3--��� =`S e7l �f'STois/� Np 7z .S, / .�/>r 0 17 'lC x zoJ :�-/ ::V) n / Ile -- a S 6 jAOOZW,4�� - Z r 5o4A/Z:) L �• en IE C� x;7 IeE e I<F �Z N JF p G TcR "Rl AR0 J,x �. SULLIVAN `.`.;{) A ado. 2�1,331 ~ f BAXTER -4 /', ,e ;� No.24048 p Ad n.27 + .wry � '? � � � .. .• •/� .` Jo 1 fl1: �,• .. _., it �� � t ,�� ��� ., a� ,. , .. ,r - ' + ° ` ♦ ^ \.� /j,�/yJ���n L \ �'!� i�`P• -ice ` � - •o vl ITt -low03 y G N rn, k s ,