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HomeMy WebLinkAbout0074 HARBOR ROAD - Health 74 Harbor Road ` 306-173-004 SjnW R , i i v '� �``•,... obi NO.. ........ Z © Fs ................r.� THE COMMONWEALTH OF MASSACHUSETTS r�o BOAR® OF HEALTH ..............OF .� ---------_------- Appliratiou for Dinpoiial WorkfiZomitrurtiou 1hrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal ITS ysjtelmat - T�t� �_ .. dP __�.. !?!►-�1l S 1- ? .. ................ . ---•------------------------..........--- L-cati 'dress E - _Gs, J.l. •�- ®. ._ as i.! ..��._.......��.!�a,.! :E. .. - ------ Owner Address W ........................................ ....--••••-•--------------•----•••---•--....................--••--....... •..................---- Installer Address QType of Building Size Lot---14 ......Sq. feet U Dwelling—No. of Bedrooms__._...................................Expansion Attic Garbage Grinder '4 Other—Type e of Building No. of persons............................ Showers — Cafeteria Gr YP g P ( ) ( ) Q+ Other fixtures --------------- --------------- --- W Design Flow.........15............................gallons per person per day. Total daily flow.._! _ __........................gallo}�s. WSeptic Tank—Liquid capacity_1��._Q..gallons Length__lt�.L-___ Width__S�_`-b.. Diameter---------------- -D t ;5� '._.�-.. x Disposal Trench—No..1-............... Width.._l�P_.._._.... Total Length...Z'j......... Total leaching area__'��._.......sq. ft. Seepage Pit No---_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( � Dos' tank ( " `-' Percolation Test Results Performed by A _ A ...4".kF....... Date-.5 e_�_`82.._......... r aTest Pit No. 1_G-2----minutes per inch Depth of Test Pit__-_1_0........ Depth to ground water_:!t�!qT�X0 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................... D Description of Soil.....Q�'1n---l-Q �?_L�t 1S_._.. - - _._ .......................... V ---••-•-------_---••-•---•---------------•---------••-------------------------------------------•-•---------••-------------------------•-----••-------------------------•-----------•----------•-------- W ••••-•-----•----••--------------------•--••-----•---------------•-•--------------------------•--...------. ICN- U Nature of Repairs or Alterations—Answer when a li ble____ �_ .yh_tnc�____ .___ ____ . Agreement: 1h \ c cLc.c.Ora ce The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITTLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in opera • until a Certificate of Compliance has been i ied by the r f ealth. / Sigd---------•-=-------•--- - Application Approved BY .-•------------------------------------------•----•-- / �/ Zl Date Application Disapproved for the following reasons------------------------•-----------••---------------------------------------------------------•---•--•----•••--- ...---•--•-•...-••-----.....•-•--------•--------------------------•----------•--•-------•---•--•----•-••-•-•----------••------•-----...-----•.......................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS �e�rcRe� BOARD OF HEALTH ..........................................OF........................................I........................................... �rrtifiratr of Tootliliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ... -- -•••----- - - ---•----------------------•-•----•-----•------__------------•----____•••----•-•---•-•----------••--- In alley ------------------------ ---------------- ----•----------- h n installed in accordance with the provisions of mr�2C��tate Sanitary Code as escribed in the as been l p Y 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.................................................................................... United Surve."ori and engineeri 116 BURROUGHS ROAD. BRAINTREE. MASSACHUSETTS 02184 TELEPHONE 843-7677 April 5, 1990. Boar..d.'of... Health,l-i.-' Town of: Barnstable;�''.1 Hyannis, MA Dear Sir/Madam, This is to certify that the septic system for Lot #7 (74 Harbor Road) was installed in strict accordance to plans by Baxter and Nye. e ��AtSN OF PATRICK J. GAR U ROSEINGRAVE No. 33376 W CIVIL A90�FG/STLQ�t' /'�� } �981ONAL E�`� THE COMMONWEALTH OF MASSACHU2ETT5 BOARD OF HEALTH ...............OF......a u,."�{�..? .."�� ..�'• .,- ,,,. Appliratinn far Bhip Y al Warks Tnnstrurfinn "permit Application is hereby made for a Permit to Construct ( ` or Repair ( ) an Individual Sewage Disposal System at: �y Location *ddress f or I�at N _ /..a...........................9�.� ... P ....................................................., Owner Address W Installer Address I�_ Type of Building Size Lot--- .: /_ ......Sq. feet ,. Dwelling—No. of Bedrooms.........................................Expansion Attic ( Garbage Grinder A A4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ...................................................... w Design Flow...._..`"t.k...........................gallons per person per day. Total daily flow... ._................•......gallo s. * Septic Tank—Liquid capacity k .gallons Length Width 5:7_`-t?_.. Diameter"'_"_.._. De th.� - _-. x Disposal Trench—No. _!�-:.............. Width_..!_Cl.......... Total Length__ : ......... Total leaching area__` � 4 �-_---sq. ft. Seepage Pit No..........:.......... Diameter...----------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ?:Dosir>g tank ( } , aPercolation Test Results Performed by%'' ` _.._ *w s .._N( ____... Date... n Test Pit No. 1._ ---_.minutes per inch Depth of Test Pit____!_��........ Depth to ground water �'`'�:...� t�� 4q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----_----_-____--_____- � .... >t Description of Soil...." ---•-•. . -- --•t-•••-•---•••......----•.--... x U w Nature of Repairs or Alterations—Answer .............................---.-:----�..:--------------------------------_----------------------------------------- when a licable •!. t _ ��_ ^" ` a 4 1� r v\c4 .........` .,� '�v ` � ; .._Else ' -. �� ---- . Agreement: ���¢` _ n - _ The undersigned agrees to install the aforedeseribed Individual Sewage Disposal System in accordance with the provisions of T ITIL 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 ed by the ealth. k" Sig e :' -- ------------•--- it Application Approved By.......... =w ., ..... ........ ................. ------ o ------------y /2 Date Application Disapproved for the following reasons---------------•------------------------------------------------------------------------••--••--••-•--•......--- Date PermitNo......................................................... Issued....................................................... Date (..•s�l�yj++*�-.�� /Cp.� { ,tom THE COMMONWEALTH OF MASSACHUSETYS BOARD OF HEALTH .........................................OF..................................................................................... Tatifiratr of Tiantpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ------------------------------ ----------------••--•--•---------•------••-----------••-•--------- ns aller - at '.."' ....laZ Cam.- n has been installed in accordance with the provisions of rl ITr. of Tretate Sanitary Code as scribed in the appiication for Disposal Works Construction Permit No------- _`_36.7� . dated--------7 1sl—',j,_________________•- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS 4- - BOARD OF HEALTH LL topofi tl Workii Tigntrnrtuan amit Permissionis hereby granted---•------------------------------- •= .-----------------------------•-------•-------------------•--------••......-•-.................... to Construct ( or Repair ) an Individual Sewage DMeet System ........•-----•---•--•----�...... ..... as shown on the application for Disposal `Forks Construction Pernj No S '?Dated.._....... _ �2 .... .... '4DATE.................... Board of Health���d� t`lC :_... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS /2 .O GT" O� � � I I � F 17 � � SEPl1G ��1 Al /l -7 Mir I k I !a z 7. ���t:�,b�LE 1•-•A r�l t..-� -.���-ra moo r.� � :; <(4C) 15C) 'e_�.>�51GeAd zG 0hN. �-m I1A mIflUp- E55 , -T`cs H Jotir=5 AXT i E.! � svi3 x!1-- 9,5 .. .. Oisr. N /.v✓. . 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