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HomeMy WebLinkAbout0084 HARBOR ROAD - Health Sal �a rba� Qt�• W s 4 � a 7 I t_ JNINUH 30 3SO10 8313b' S83131 ASSESSOR'S MAP NO. PARCEL 'LOCATION V- P44 SEWAGE PERMIT NO. r 4.r o G VILLAGE �.� FW p V IYNSTA LLERI'S NAME A ADDRESS osers VU I L D E R OR OWN EIt i u-y 6!7+e DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ,w a � � a. �� i a � � on n �---'_ �= i -_ L THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF ..... ................. Application is hereby made for a Permit to Construct M or Repair an Individual Sewage Disposal System at: ................ ..........�—.O=...�?................................................................. Wation-Address \4J04 or . 0. ............. j;�Ma........... Owner Address ............ . ......*................. ............... ................................................................................................. er Address Type of Building Size Lot ......Sq. feet U 3Grinder Dwelling—No. of Bedrooms. Attic Ub Garbage Other—Type of Building ............................ No. of persons___.:_.__.__.___.....__._... Showers Cafeteria Otherfixtures ------------------------------------------------------------------------------------------------------------------------------------------------------ Design Flow.._.... .........................gallons per person per day. Total daily flow------_53.0.......................gallon- Disposal Trench—No- ------ .9 Septic Tank—Liquid capacity_10W_ __gallons Length._'&-�_p... Width._A:nL_0_ Diameter-----—------- Depth...�5=;k ........... WIdth.....1-(o......... Total Length------ZO..c..... Total leaching area__3.50..^?�-----sq. f t. Seepage Pit No--------------------- Diameter-__----_-_----______ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box q&5 Dosing tank ...►Q Percolation Test Results Performed by.A%1Q&A.W. ... .... Date_-S Q -- _ --------------------------- 4­1�.\�(-c------ Teft Pit No. ...minutes per inch Depth of tst Pit.... 6........... Depth to ground w­a'ter_\.dQ�.-TP_._,9r,, Test Pit No. 2................minutes per inch Depth of Test Pit__-______-_________- Depth to ground water....._..._.........._... .................................... ............................ . ............ .......... -------- ................ .................. ...... L ;> . ...... 0 Descri *5 .. PAL- 11a=3 ......... ......C. ..............�--- ................... U - ------------------------------------------------------------------------------------------------------------------------------------------------------------- .................. ------- -------------------------------------------------------------------- ................................................................................ U Nature Alterations—Answer when applica e.--- --- �1 rr'.------ .6.................................. ------ .......Cj...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAITiS 5 of the State Sanitary Code—The undersigned further agrees not to place the system in o a eeg.4ssue y per tio until a Certificate of Compliance has b d b the "d of health. Sied- V......... ... . ... .. .. .... .............. ............... V V7�-r Application Approved By.........................7H... ............ .... ... 9; ate Application Disapproved for the following reasons:............................................................................................................... ........................................................................................................................................................................................................ Date PermitNo......................................................... Issued....................................................... Date -- THE COMMONWEALTH OF MASSACHUSET-T [Q& BOARD OF HEALTH ....................... Y......OF. .......r .................. TwWrtifiratr-of Tompliaurr THIS IS FY, 'fiat,the Individual Sewage Disposal System constructed or Repaired - I NJ by-------------------_---- ....... . . ........i.......�.L;Z...... .................................................................................................................... aller at........... —ps ..............4.. n_rv_i�N............................................................................. -----_-----------------_---44t,__�..... has been installed in accordance with the provisions of Ti i LZ, :')Of The State Sanitary Code as described 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.................................................................................... United Surveyori and &qineer.4 116 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 #6 (84 Harbor Road) was installed in strict accordance to plans by Baxter and Nye. aatN OF ,gel PATRICK!. ROSEINGRAVE -+ i No. 33376 CIVIL FSs�oNAL P r FEB.. ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ......... ...OF.....` ............................................................... Appliratiou for Uhipoiial Workii Tonfitrurtion "amit Application is hereby; made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ............ ................ .................................................................................................. I,gcation-Address or 4!3.,• ................................................... ................... .... Own r Address ..j--------------------------------------------- .........................................I......................................................... .....1V *2'�. Ions a er Address PQ Type of Building Size Lot... .......Sq. feet Dwelling—No. of Bedrooms.3................. ---------------_------_Expansion Attic Garbage Grinder (1l1\ a4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures --------------------------------------------........................................................................................................... Design Flow..._.....` ........................gallons per person per day. Total daily flow.....:a]�?. '...................__..gallons. 04 Septic Tank—Liquid:capacity.j.-M-' _gallons Length__Z-So�... Diameter--.-.'"_`:'-_--_. Disposal Trench—No...__._A....._.._._. Width.....t_�.`........ Total Length.....?�Q...... Total leaching area--*:-?-..--1Z------Sq. ft. Seepage Pit No--------------------- Diameter__--_-_-_--_.---_.-_ Depth below inlet..._..._........._.. Total leaching area..................sq. ft. Z Other Distribution box Dosing tank (kto Percolation Test Results Performed !�AJMN�,....... Date-__ . 48_'Z........... Test Pit No. ______minutes per inch Depth of est Pit.._. ------- Depth to ground water.)&�_ rT4 Test Pit No. 2................minutes per inch Depth of Test Pit___............._... Depth to ground water---_-_.-._......._..___. P4 .................................... .................................... ........!......................vA............. ...................... I � , , 0 Description of Soil........ so 4 ................................................�t,... ....... ..... �4 7­1111,11,_1_1_1111_:!±1%...... ------------- ............................. L) ................................................................................................................................................................................................7....... ............................................................................................................................................................................ ................... U Nature of Repairs or Alterations—Answer when applicable. zt A------ .. .............. ..........ZIP......------------ ...... ......K'.=............... et l r ;.,f QZ1 ti C_ ke-x Agreement: The undersigned agrees to- install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITRE 5 of the.State Sanitary Co6e—The'undersigned further agrees not to place the system in operation until a Certificate of Compliance has beensued by the, d of. health. As , _Signed .... .. ...... ...................... ... ............... 7­ r ya ................................ ...... ...... .... .. .......... .................Application Approved By-- ate Application Disapproved for the following reasons':....................................I ....................................................................... ......................................................................................................................................................................................................... Date PermitNo--------------------------------------------------------- Issued................................................I------- - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................I....... ............................. THIS IS,T0-0E-RWFY, Nat thq Individual Sewage Disposal System constructed or Repaired by----------------------- . ......... ....... ----------- .................................................................................................................... ---------- at.......... .......(z� rv- ............. ............... ............................................................................ has been installed in accordance with the provisions of '.E'.1 ilEj > of The State Sanitary Code as described in the (........ - 1 .9- application for Disposai Works Construction Permit,.\_'o.__1S_7 ... dated....... ::.� .�i _qlalf?- ---------------------- THE ISSUANCE OF THIS CERTIFICATE .$HALL NOT BE; AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... : THE COMMONWEALTH OF MASSACHUSETTS I A C<_-� Mum V.)c BOA OF HEALTH C:4 .�k A5 ......................................... ....faE ..........................- . ..... .. No.....6t=.>... .. 1 FEE 7n 7j -A ispoll"o�!i nptrndwin Trani Permission is hereby granted.....__;" "" k-- System--- ---------------------------------------------------------................to Construct or^Repair an-Individual �ewage -. spos ................................................................................. ...at No.••-• = 2.... .......4 .................., Street tion Pe ...... �d.......'f .. ........ as shown on the application for Disposal Works Construction AS .A ..... _2 ................... ------lb ------ ............................... Board of Health ............................ ..... ?J3 FORM 1255 HOBBS & WARREN. 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