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HomeMy WebLinkAbout0051 LIGHTHOUSE LANE - Health .Lighthouse Lane ' Hyannis A= 306-185-002 - SEWER TOWN OF BARNSTABLE LOCATION S/ 1-t6HF/{QUc36 LP SEWAGE # VILLAGE /,I yAA!llOfS ASSESSOR'S M INSTALLER'S NAME & PHONE NO. I SEPTIC TANK CAPACITY $U 6 LEACHING FACILITY:(type) �� -�- (size) NO. OF BEDROOMS__c2-_PRIVATE WELL OR PUBLIC WATER 76WAI BUILDER OR OWNER 'DEAA/ SArrORb DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �. ch co 00 c 00 N s D CC) LOCATION SEWASE PERMIT NO. r . VtLtASE INSTA LL R'S NAME i ADORES ll+ ce5- f �� ILAM�Ufll�- 'h S U-1-L-D-E R OR Qom, J 'il-q7 191 DATE PERM-UT IS-S-UED DATE C0WP-LI.ANCE ISSU-ED �� ,, � C► � �i ;,7- 79 v . - LOCATION f SEWAGE PERMIT NO. YI lAG E � / iv 0' INSTA LLER S NAME & ADDRESS 14\3 _ BUILDER OR OWNER �M DATE PERMIT ISSUED OAT E COMPLI,-A-NCE ISSUED • �, � y„ea.ars..sao // C_j 204 „s+ r---. + THE_,COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH IOWE ............OF........., i✓J.T ,!Etch............................................. ApplirFation for Uispnitt1 Works Tomitrurtiun ramit �1 Application is hereby made for a Permit to Construct ( __�or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. f.....�� .!ti..�.. - - p� o Address ................................. ..OY- .......".................................. .............................................................!/ 7.---"- ....................... Installer Address dType of Building Size Lot_.____.,t_ _.. ..._..Sq. feet Dwelling °�No. of Bedrooms..........Z..............................Expansion Attic ( ) Garbage Grinder Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures ............................ . W Design Flow............................................gallons per person per day. Total daily flow..__.._..-".._3�0..-•.....--.--._-•---gallons. 1:4 Septic Tank—Liquid capacity yS?.gallons Length-_ �.G". Width..:`." /. Diameter................ Depth... W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........1----------- Diameter-.42...ft-....... Depth below inlet...47.a....... Total leaching area.._e.A.�%'`�__..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed Test Pit No. 1.G...z.....minutes per inch Depth of Test Pit___ ¢..... Depth to ground water.. -. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --"..................""""---""-"""-""""""•""""""-""""-""-""":"-"-""•".........._-------••---•.--••--......................................................... O Description of Soil............ 34,� v . . ........_./ic/aoa Low,......" s ,rs3 °'"` -"-------"---•---"--"-"--"-"-"""""""""-""-"---"-"--- ......................•••........._..--------••-•...._........._...._.... •--........___.....-• ......................... --•.._......--- •-...-•--•............_--- ..._. U 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 T4 ITL 1: 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....""" ................... .......................... Application Approved By"""�...:�2'..Ai-_.. /�. �/B �'�. Date Application Disapproved for the following reasons:---""-""""""""""""-""-"---------""""""---""-"-------"..."""""-"-"-------""""-"-""............................... ...."......."-"""""""---""•--"""""----•""...-"-""""""""-"""""-"--""-"""---"-"--"--""-"........................_......._.. -------------------------------------------------------------------------------- Date PermitNo................•-•............-•-------•----------...... Issued------------•-----•--. ..................•------••------- Date No.... ��::1 ::��.. 11 . �" FRx......... .V......... HS COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ......7.01AI"4f------......OF.........4-�.<`" �✓J.T.. �t "------•.................................... ........... . AliptirFatiun for Disposal Works Tongtrurtion Prrulit Application is hereby made for a Permit to Construct (!�or Repair ( ) an Individual Sewage Disposal System at: •----•-------•---•--•----•--•......................•-........ Location Address �^ X or Lot No. �EA.�i d... .........................rr.,�,cr.✓2 Wa ` �.................. - -�-c- j...........................t s f?�.ress s..r. M Installer Address Q Type of Buitding Size Lot-__!Ie.Z74-------Sq. feet Dwelling ` No. of Bedrooms..........u'................................Expansion Attic ( ) Garbage Grinder Other—Type of Building .............. No. of persons.............._............. Showers — Cafeteria a' Other fixtures ............................ . W Design Flow...................�:...................... gallons per person per day. Total daily flow............. -0......................gallons. R: Septic Tank—Liquid capac>tY1SU°_gallons Length_!� _ --- Width.`"_ ._.._ Diameter________________ Depth-_ ....... W Disposal Trench—No. .................... Width.................... Total Length.................... Total-leaching area....................sq. ft. x Seepage Pit No.......Z........... Diameter—&�o.../... Depth below inlet..�_�........-- Total leaching area... ..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) - `-' Percolation Test Results Performed by.i .................. Test Pit No. 1 ._ .....minutes per inch Depth of Test Pit--- Depth to ground water.""""""''__.. G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ t� ......................................................................•-•.--------•--•----••--•---•------•-••--••--•-•------•••-•-•-•-•-- D Description of Soil.--------. ---.. ..•.�f�-.A?.!aM.._..•�---S. sod , ... .......... ................ .... ............................ U .. ---••-•--------•..........................................•. • ---------- .....------------•••---------------•--- W -- . ..............r .. /"''_.......�E id -lit . r�-....--'3-......'!`!-----------------------•------------------•-••-•---.....-- U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------------------_................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with f'tT I`1-'•-� the provisions of :.: t F.. 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. f Signed = j YP`-----•-• ....Date-------- Application Approved BY — .I ._. --------------------------'•--- II I • -- - Application Disapproved for the following reasons:............................................................................. ...........................••-------..........__......---------------------------.........------•---..-•... Date PermitNo......................................................... Issued------------------------•-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........�!... ....................OF.............:4 ii !.vS,.T �e3t ��......................•..•.. Orrtifirate of TompliFanrr THIS IS R.C IFY, That the Individual Sewage Disposal System constructed (� or Repaired ( ) by..................... ........-----.......................................................................................................................................................... Installer !.. rTNUvJ at ---•-------••-•----•---••-�---------:f f �c�✓Nts .�<Ss. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------- �Z3 ............. ;dated................................................ 1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE®:"AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATI FACTORY. DATE.............................................!�- k.l1 .............. Inspector.................. = L....................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......................... FEE.... :................ Ehaposal ur y Tunstratrtion Virrutit -••-•- Permission is hereby granted............ Y................................................................................................................ .._. to Construct (0`0') or Repair ( ) an Ind�ividual Sewage Disposal System 4 7 Street as shown on the application for Disposal Works Construction P t No..................... Dated........__._.__......................... 5 ' "-Boar f ealth DATE............................................................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS No........ Fss... .................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH oF.............. Applira#ion for Uiipnaaal Works Tnnitrurtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage/isposal ,1 System at: • .........:.._®'�C.... 1�-..��....-•-.q.4,AW1.,.C -•-•• -------------------•---...............L.cyr....� .............. Location-A ress or Lot No. Own r ................•.........--....Address a ................................................. Installer Address Q Type of Building Size Lot---10,4.�S.....Sq. feet U Dwelling—No. of Bedrooms.............. ...........................Expansion Attic ( ) Garbage Grinder ( ) ply Other—Type of Building ............................ No. of persons............................ Showers ( } — Cafeteria ( ) a Other fixtures ----- ------- -- --- W Design Flow...............<? .............._...__gallons per person er day. Total doily flow...............t ?..................gallons. WSeptic Tank—Liquid capaty_Id0Q0__gallons Length-_- __.�?.__. Width. ...��... Diameter________________ Depth. _:.. ._.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No........I........... Diameter------- _c'�_. Depth below inlet.__...__?_._....... Total leaching area.... ._..sq. ft. Z Other Distribution box (V_� Dosing tank ( ) dd Percolation Test Results Performed by. +_ �_�d.Y _�____k. .t- _� __ ' Date........... ............. Test Pit No. 1....&.._._.minutes per inch Depth of Test Pit__ .___.._ Depth to ground water...'................ Test Pit No. ....minutes per inch Depth of Test Pit......1�e....... Depth to ground water_— ........................................................................................................................... ODescription of Soily-.41..... ,-------- ---------------------------------------------------•----------------------------•-------•------ x W ---------------------------------------------------------------------------------------•---------••----••-•...•---------•••-•--------••------•-•-•---•••••-••••••-•----••-......-•-------------...-•-•- VNature 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 TIT,11 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. Sig .••••• -•••. . -----------•••-•---• ................................ Date Application Approved By••-•. >t ------ . ---- « _�! ..._.. �� 7`7 fl.-._: D ate Application Disapproved for the following reasons:......................... ___ ......................... Date PermitNo......................................................... Issued-........_..!_....l 7 Date w � 4 Fizz No THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF....... ...z.;A_Ak _' ............................. Allp iration for Bispoiial Works Tontitrurtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ................ 7l i a „ Rlk 1 ----- ................................................... ............................ � Location Address or Lot No. .................•T.+r� . 1a'�3t"n I�l 'E t i " """ . ................. owner Address a .. "� -------- -------------- Installer Address Type of Building ,� Size Lot___ __ : .._..Sq. feet Dwelling—No. of Bedrooms................._...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................. No. of persons............................ Showers ( ) — Cafeteria ( ) aOther dW fixt-ures ------R.------------------------------------- � --- ------..----------...----- -----;----------••-- -----.._._...._..--•--r.......r_. Design - • r' - P person �e� day. Total �- � yWSeptic Tank—Liquid caPaci Y 42_�_�allons Length -- Wdth_ daily flow Depth.5---l. -Disposal Trench—No_____________________ Width.................... Total Length____:__.__.__+_.____ Total leaching area....................sq. ft. 3 Seepage Pit No......... Diameter.__..._ ; ,. Depth below inlet...... ........ Total leaching area.... L_201__sq. ft. Z Other Distribution box (t, Dosing tank ( ) — `" Percolation Test Results Performed by ' ° _"t. ' �# __�. � _:_ `:'_' Date________________________________________ as Test Pit No. 1____6......minutes per inch Depth'of Test Pat_____ -_______. Depth to ground water_. "°'"________________ Test Pit No. 2____M� ___._minutes per inch Depth of Test Pit......±`.�_....... Depth to ground water_................... ----- x Description of Soil �` <' _f _ € '.: _._. •--------------------------•------- -----------•----•-•----•----•-•-•-•------.....-----••--- V ....----•••••-•------•-•----•-••-••-•-••-----•----••--•-------•.......................•----•--•••-•----•----•---•-••---•......---•-•----•---- W •-••-••------------------------•----------------------------------••----••. =' ----------------------------------------------------------------_'-�;:=.---•........._..._......--•- VNature 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 T I T L . 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 10 Application Approved By..... - -• -- } Application Disapproved for the following reasons------------------------ •-------------------------•---------------.....---------•-------------._..._ --------------•--•-•--._....-----_---_._..._.._.._...----•-.................•---••----•---•••------•--------••-•-•--•-•--•-------•----------- ------•-•- ------ - -- ---- ----------- ------------ Date Permit No.......................................................... Issued.......................... ...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �. ... ............OF............. .:.:. .... ...... ..r.. . t ............. rdif iratr ,a THIS IS TO CERTIFY, Th the ndividual Sewage Disposal System constructed (�, or Repaired ( ) Installer at :M: - ----- -- --- has b e I stalled n rdar'tce�it I the prbv s of 5 o fie S ate i ry'Code as described in the application for Disposal Works Construction ermit No. Myll dted :_. THE` ISSUANCE OF THIS CERTIFICATE SHAL ONSTRUE® AS A �� R�1Nf EE THAT THE SYSTEM MILL FUNCTjON SATISFACTORY. DATE...............................•---------•-•------------..._..............-•---• Inspector...................................... µ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OFcA:Ri ��„ ...................:.... J' .......v�`�'� f 4 FEE. No �a��noo� orko �nn�tr�rt' n rrntit Permission �heeby granted.---_-- w ss�,,��//;;�,,( ...... to Construct Repair ( , ) anCtfdivi S. sposal, ystem at No.. �1/ l ----•----:.. /� .h /7--_�_ � t R��, • � Street O' / % P as shown on t e a licatiorfYor Dis osal``t�orks onstruction Pe it N jo_ __ Dated___' - - �/ r od f -. DATE------ / s�•.7" r �' •-----•---•----------- -- .w..' FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS f'jp 5s; � 2.S = �••7S G.Pp. ; `t"a-r'bL vEst�ca 425 G.1?z�. � 22-4- `r-oTa L teat O-f 330 ve�±-GDt�T104.! f2A'T'E : �rrt�.l �MIlt 02 �-- T44, j IN r. ec 7d For -74 Tor t-►�v s�cc�.c> i.oAM r, �►�; DoG> iM/. 'r1 2 "Box food �� THANK Ro ]'A Gay.. 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