HomeMy WebLinkAbout0075 MURPHY ROAD - Health 7S l�l VT�C 11Y
Hyannis .
A = 309 — 172
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TOWN OF
4Q BARNSTABLE �
LOCATION M`�'�r � 2,Q^j SEWAGE#o2 0 i I Y U
VILLAGE .�yT�h�S ASSESSOR'S MAP&PARCEL 309 17a
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) I ` �1 L,P, (size)
NO.OF BEDROOMS
OWNER OWNER E: i A
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) 1 Feet
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No.ZO r o Fee 1
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
01pplitation for Misposal 6pstem Construction Permit
Application for a Permit to Construct( ) Repair ly) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. `7 �' Owner's e,Addr s,and Tel.N . - 7 -3 �®
I��r
Assessor's Map/Parcel 7A
Installer's Name,Addre gg,and Tel.No. S 8 9-q?7-H 77 Designer's Name,A dress,and Tel.No.
lie
Type of Building: ^�
Dwelling No.of Bedrooms J Lot Size e 37 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) L,,j►'\Q- �- �Se +� CQSS >�66�
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmentdl Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
S' ed Date t�
Application Approved by ! - Date /
Application Disapproved by' Date
for the following reasons
Permit No. 1, qo Date Issued It ,
od
od
No.
Fee
THEICOMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
A.
01pplitation Or JMisposaY 6pstem Construction Permit
Application for a Permit to Construct( ) Repair 61�Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. '7 W Owner's �ie,Add e s and Tel.N
Assessor's Map/Parcel 7A
Installer's Name,Addrgs ,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building: `�
Dwelling No.of Bedrooms J Lot Size . 3�. sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) L1 o's- CQS4' e 4C?,
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
S'.gned Date
_,Application Approved by Date
Application Disapproved by, Date
for the following reasons
Permit No. 2'o 1 _I 0 1 Date Issued // ' a
THE COMMONWEALTH OF MASSACHUSETTS
xa- BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(' ) Upgraded( )
Abandoned(
at
O NY�`1 y \4 y a-t","X` 3 has been constructed in accordance //
with the provisions of Title 5 and the Jbr Disposal System Construction Permit No,o p' 1 dated /f /Z317-4011
Installer Co�,( ^,�� �`���� � s¢-S Designer
#bedrooms Approved design flow gpd
The an �f�his,p4 '' t h 11 not be yns7ed as a guarantee that the system wi nction as •eDate � D-4 / Inspector --_
- - ------------------ - ------------------------------------------------------------------ - ---- -----
D C7
No. U Fee I
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-,BARNSTABLE,MASSACHUSETTS
is�osaf pst911Construction Permit
Permission is hereby granted to Construct( ) Repair(1 Upgrade( ) Abandon( )
System located at 7 5 re
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her d ty-t o ply with
Title 5 and the following local provisions or special conditions.
Provided:/C nstruc ion must be completed within three years of the date of this perm' . IN
Date �( �i 3 2�1 I Approved by _
LOCA� ION SEWAGE PERMIT 930.
`• VILLAGE
IIt TA LLEU'S NAME A ADDRESS
rft-
IDUILDE0 OR OWN
DATE "PERMIT ISSUED
DATE COMPLI API-CE ISSUED
`r-° \•cam
�In ,
s
82 Fri - ' Fns.$....5.11C1..........
THE COMMONWEALTH OFNMASSACHUSETTS
' a
BOARD OF HEALTH
..T-°�...-......0F.........Barnstable,.. . . . ...............................................
Appliration. for UWpatial Works Tomtrurtinn ramit
Application is hereby made for a Permit to Construct -( ) or Repair (x) an Individual Sewage Disposal
System at
. . ..Mv�P�Y- Y •si��T- r};�s, ----02641................... ------........................................................................................
Location-Address or Lot No.
.F.itzg ........................ ------............-----••. =urPhy.WaY.,...Hxannis=--MA 02601
.................
Owner Address
A_- C__B__Cessiool__Service_............................................ 128 Bishops Terrace, Hyannist MA 02601
Installer Address
UType of Building Size Lot..... ......... .........Sq. feet
Dwelling—No. of Bedrooms.................)........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons.....--..2.........-----.. Showers ( ) — Cafeteria ( )
dOther fixtures --------------------------------------------------------•••••-••••••-•--•-•••-................---•-••-•-••••--••------•-••-•-•-•••-••..............•.
W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter.----..---'-.-. Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................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..--....................
------------------------------------------------------------
---------------------------
-------------------•--------------------------------------....
0 Description of Soil..Sarri.................••--••-•....•••••--•--••..............----•-•---•--•----•----•------••-•--
U ................ •-••--••-•--••--•••-•••-•••------•----••-•-----•••-•--•-•••----------------•---•---•------•---•••-•-••••--•-••••-••--•-•--••-•-•---•---------•-•-----•-••••••--••••......--•-•---••-----
W
V Nature of Repairs or Alterations—Answer when applicable...installat-ion of a 1,000 gallon, ire-cast,
gjjQ.. ac g4ch---Pit••�werflow)--------------------•-•-------•- . • • -- -- --
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agrees not place the system in
operation until a Certificate of Compliance has b ssued bythe bo d I alth.'
1 /
Signed --/28/82-----f-----------•--
0
10 �8e 82
Application Approved BY .�{�� -------------........../........•••--
Date
Application Disapproved for the following reasons:*-------•-----------------------------------------------------------------------------------------------------
Date
Permit No 82-................................................. Issued_..............10/28/82......................
Date
ry
No._82=..4:_f4e FnB..$....' .0.0.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T own P Im
.........................I_..............OF.............a......Stable...................................................
Xpliratiou for UWposal Works Tomitrurtiou lirrmit
Application is hereby made for a Permit to Construct or Repair ( x) an Individual Sewage Disposal
System at:
....747a ?,s-----02.(41----------------- ..................................................................................................
Location
or Lot No.
Ftekl .75..E Arpb
jj MA 0
V..3�4y.s
ya A...............2601. ....
.............. . ......
---------------------------------------------------------------------Owner Address 2601.
-A._&..3._QaS,SP.Q03_..Se=1ce......................................... 9!�j ]�yA
n .... .............................
..
Installer Address
Type of Building,, Size Lot............................Sq. feet�
Dwelling—No. of Bedrooms..................3----_----_----------Expansion Attic Garbage Grinder
Other—Type of Building ..................... ...... No. of persons...........?............... Showers Cafeteria
Otherfixtures ......................................................................................................................................................
Design Flow............................................gallons per person per day. Total daily flow.....................................7......gallons.
9 Septic Tank—Liquid*capacity............gallons Length................ Width__........_.__.. Diameter..._._....__.._. Depth................
Disposal Trench—No. .................... Width..........._..__._.. Total Length......._............ Total leaching area....................sq. ft.
Seepage Pit No.................... Diameter.._._._.._.......... Depth below inlet.._................. Total leaching area..................sq. f t.
Z Other Distribution box Dosing tank
Percolation Test-Results Performed by...............................I........................................... Date........................................
Test Pit No. I................minutes per inch Depth' of Test Pit.__.__._........__.. Depth to ground water........................
G14 Test Pit No. 2................minutes per inch Depth of Test Pit..___..__........... Depth to ground water______..............._..
04 ....................................**......................*-------------- ------------------"---------------------- --------------------------
0
Description of Soil...ag ..............................................................................................................................................:-------------
rJ ---------------------------- -------------------------------------------------------------------------------------------*-------------------*-------------------------------*---------------
.......................... -----------------------------------------------------------------.........................................................................................................
U Nature of Repairs or Alterations—Answer when applicable_.._ nBtallation--of.a. 1.000....ga�4.9T�,...p.x.�e:7paSt,
_st-one...packed..1each..p.1t---(.QV.erfl.QW)......................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T IT LE 5 of the State Sanitary Code— The undersigned further agrees not place the system in
operation until a Certificate of Compliance has b551,Assued by.the bDo-;d" lth.
Signed `�4qje................. ..."........... 10/28/82
................................
Application Approved ..... 10 /1�882
. ................
Date
Application Disapproved for the following reasons:................................................................................................................
. ........................:................................................................................................................................................................................
Date
Permit No..�?�7............................................... Issued..................10/2,9/82..........7----------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................T.QW.11.............OF.....B =.stable.....................................................
%'-wWrtifiratv of Tompliana
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired
by......... a 44 02601 Bjsjjops__T.e3z=ae...__Hy.. L...I...................................................
Installer
at----------7-5.XAw.phy---W",--- .....0.26-01-—.Y1tXR,,0Mld....................................................................m........
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as desc in the
82— 19 y 28/.2
application for Disposal Works Construction Permit No.___- ..... —------V............. dated..............�9/......................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.........10/nAz.................................................... Inspector........ ........................................................................
THE COMMONWEALTH OF MAS/ACHUSETTS
BOARD OF HEALTH
No.........U.-:45 Y .........._*.......T.o7im.........OF.........Barnstable.................................................
FEE....... 50
..0 ...
Disposal Vorkg %'1131natruction Virrutit
Permission is hereby granted............... ..........................................................................
to Construct ( ) or Repair ( x) an Individual ewage Disposal System
at No.......75._MUX!1ft._94Y.,...HIAIMi.9 ;1t11.__ - 901 — Rltzgerald........ ..................... ......................................................................................
Street F.2— 10/213/82
as shown on the application for Disposal Works Construction Permit No..................... ated.........................................
. . .. ...........��ard-4ofHealth........................................
10/28/82
DATE...................... .......................................................
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS