HomeMy WebLinkAbout0084 HARBOR ROAD - Health Sal �a rba� Qt�• W s
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ASSESSOR'S MAP NO. PARCEL
'LOCATION V- P44 SEWAGE PERMIT NO.
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VILLAGE
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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
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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. INC1, PUBLISHERS
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