HomeMy WebLinkAbout0143 IRVING AVENUE - Health T4- Irving Avenue
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TOWN OF BARNSTABLE
LOCATION /�/3 .�2u.: r .4d� SEWAGE #
VILLAGE. ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO, l�.C./�) I3,QiApl ciSS��.Je
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) PREC g-c-r (size) loop S,4L
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER �J•W,.S
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes N
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-THE COMMONWEALTH OF.MASSACHUSETTS �Z$1
BOARD OF . HEALTH 1_-
7o4,awy.---------..........oF....... 3 n.+ —ter»: .i� .....-•-------•--........:Q....--........3
Appliration for Disposal Works Tonstradiun Per it
Application is hereby made for a Permit to Construct ( ) or Repair (Q an Individual Sewage Disposal
System at:
..._......!. __.� Loca .....lovt........ . . .............................. �3... No.
, .....
on-Address or .ot
LlizakuMnLyn.1 ................... ............#=3.....;ac ........................ .....
a Addressn
a .................:. ........:........................................ ......... r........................................:..........
Installer Address
Type of Building Size Lot....
r'4:,9A q..^...Sq. feet
.4 Dwelling—No. of Bedrooms............rz.57.............................Expansion Attic (/b(rtr) Garbage Grinder (i(/c►)
a04 Other—T e of Building No. of persons............................ Showers — ( )
YP g -•-----------•-•---••--••-•- P ( ) Cafeteria
QOther fixtures .................................................= .----.....--------.......---------•--........------......-----..............................----
W Design Flow....:............................. ..gallons per person per day. Total daily flow................ ...gallons.
W Septic Tank—Liquid ca.pacityl��.gallons Length.A2�:� Widtha��_.'r.. Diameter_—..._'-'Depth-`?
x Disposal Trench—No..................... Width....._......--...... Total Length;.................
._Total leaching area....................sq. ft.
3 Seepage Pit No.......d............ Diameter.....ZO....... Depth below inlet.-S.(�./....'Total leaching area-,v'? .7--....sq. ft.
Z Other Distribution box (%) Dosing tank ( )
Percolation Test Results Performed by.....•....,Sff rali�n..:.f9.!...ZVI.A ......... Date..1?- �k-�---.. 2$'-7....._...
Test Pit.No. 1....L.......minutes per inch Depth of Test Pit._.1�3 �`._._. Depth to ground water...!' `....... .
w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04
O Description of Soil...... .-1 .".y..�'z�ps il__ ��`t..- �Ci�e... S cr�_..5_�2 scsi.I...k4 .t.�.f_.
Wof r A �... �. �...........................................
U &0.... i.3S.....YYXI��l,�sjan.... .............................................•-------•---•----......-•----....--•---.......------•---•--•----.....--.........---.....
W ------------------------....................................................................:............................................................................................................
U Nature of Repairs or Alterations—Answer when applicable....- ......rtxt.,- '..............
-----------------------•----•---....................-------•--------•-.........-•-------............................------------•----•-•--••-•--••------............................................---•
Agreement:'
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of LI'LZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board
of h lth.
Signed.......4,A6". )..0 . ` ....... .................. .......... . . . .. ......
Date
Application Approved By................ ..C . I..�-�.............. ........• ....... .-.::ei: ,.
_J Date
Application Disapproved for the following reasons:.............:.................................................................................•--•--......._..
.........................•............. .................................--................-••••-....................................... • . Date.........._
PermitNo..- .........................................' _ Issued_........................................................
DaW
�c
No.»'? »4 7!� Fss.. _..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEAL``T�H `
54
Annlutttiun for Disposal Works Tonutrudion Hermit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an.Individual Sewage Disposal
System at:
». ..Location.Address ....................»...._ .. ... ... Lot No.(i -^• .... .....
................. »t-a» L p l_dr ........................................'t.._.. ..» rr-�4--_1j.+~av
•••-•-
Owner Address
a .•-- ....---•................................................................................... .........► t.�.�� ............. . ...........................................
.
Installer
• Address
Type of Building Size Lot..._I'.A C,h�' feet
U -......Sq.
.j Dwelling—No. of:,Bedrooms.......... .............................Expansion Attic (4) Garbage Grinder (44
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ' )
Q Other fixtures ...................
W Design Flow..................................45_: .gallons per person per day. Total daily
flow
.. : , flow...._......_..... d ---.........g�allo�n�s...
`� :
WSeptic Tank—Liquid ca acity gallons Length.Z42.�_. Widtha:�- Diameter.."' " DepthA;
x Disposal Trench—No..................... Width..... ............. Total Length.___..._.__.._.-__.. Total leaching area....................sq. ft.
3 Seepage Pit No........I........... Diameter.....4�........ Depth below inlet.: %.62....... Total leaching area.: Z....sq. ft.
Z Other Distribution box ('X) Dosing tank ( )
`4 Percolation Test Results Performed by.......... :a- -•.... Date.- ?J!F!; �297...__.
Test Pit No. I....Z:e.......minutes per inch Depth of Test Pit....IStsT....... Depth to ground water../Z6.............
Gar Test Pit No. 2................minutes per inch Depth of,Test Pit.................... Depth to ground water........................
e .
a ................. ----------------•----••------...•---•-••-•-.............----••••..................--•-•...._...............•-•-.....-••......---•--_.....
O Description of Soil......!.-I&°, 'X'���.�e�..'-._..� -- t., " S _, •-s gal+,� .�_.. a/ ► 4-
/! ..........y--•.............»----................_.
W
UNature of Repairs or Alterations—Answer when applicable_.... .... •��a s
' ._....... a;;.........................
.....--•---•-••-----•-----•..............••••-•----•-..........-•--........-•------•--.........••---•-•----.......---•--...............................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITL; 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed...... :! ?. .....»_....
:_..
Date .
Application Approved BY ....... U r ».... -� . c�
............... v .....-._-Date:.......7..
Application Disapproved for the following reasons:.............................j..._........................................................D...........»»»
...............••---•--..........-•••---•--•----••-.•-••- --•--...--•---••--•-•-----•--•••............-••--..._.......a .......
.......-- --....
`Y Date
Permit No....�s-�. �'-7�' .... Issued:.....--- ..........................»
Date
THE COMMONWEALTH OF MASSACHUSETTS
t:
BOARD OF HEALTH
OF............ . .....................................................................
Tutif iratr of Tontnlittnre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (; ) or Repaired (SS)
by..................................•-----•••--•-••-••••-•••••••.....................-•---•----... ........-•••-•---.............•-•---•-•-............ i.........................._.... .
Installer
has been installed in accordance with the provisions of TI T IE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit N'o.___ 7:.•C?_ ............ dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..... `- -....._ ..................................... Inspector-•-•--• � ----»'-----.::?------------ -.-------- ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
7- f��� i' '-►'':.........oF..... :�::?�.:.�,�t....................•-•-•............. -7
N o.. ........ n F$s.. r .........
Disposal Works Tonstrurtion thrutit
Permission is hereby granted..............................
to Construct ( ) or Repair ().,-) an Individual Sewage Disposal System
atNo. ...... .... ..........._... .....
Street
as shown on the application for Disposal Works Construction Permit No... .... Dated..........................................
Board of Health
DATE. ` P U.....--•-•----........
BAXTER & NYE,JNC
ft- istered Land Surveyors and Civil Engineers
7 Parker Road / Osterville, Massachusetts 02655 / Tel. (617) 428-9131
WILLIAM C.NYE,R.L.S.-President
RICHARD A.BAXTER;R.L.S.-Vice President PETER SULLIVAN,P.E. -Vice President-Engineering
March 14 , 1988
Town of Barnstable
Board of Health
Town Hall
367 Main Street
Hyannis, MA 02601
RE: Septic System Installation - Wilson
143 Irving Avenue, Hyannis Port
Members of the Board:
This letter is to inform you that the above referenced
septic system has been installed in compliance with the
conditions listed in the variance granted by the Board.
If you have any questions or comments please do not
hestitate to call me.
Very y trul yours, A STEPHEN cyG
L N WILSON
O��E`No.30216
Stephen A. Wilson, P . E. ' ,
Baxter & Nye, Inc . °.cFS121ST�`L���a�
'10NAL _
cc: B. Kissling 2a8T4L66P,
W. Wright PialIcICA.
MEMBERS OF
CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING
MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS
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TOWN OF BARNSTABLE
LOCATION ,r / YJ S,c�J.:�c AvE' SEWAGE #
VILLAGE /� yA,,/„��s o,p T ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.�,�f.C,f(��,Q,�,/�,� XisSGYJ� 77r-oWq
SEPTIC TANK CAPACITY /S eo G S 7-
LEACHING FACILITY:(type) Pktcc/3s1- (size) /000 CAZ
NO. OF BEDROOMS 2 PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER A. cui�So.J
DATE PERMIT ISSUED:
DATE . COMPLIANCE ISSUED
VARIANCE GRANTED: Yes- No