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HomeMy WebLinkAbout0075 MURPHY ROAD - Health 7S l�l VT�C 11Y Hyannis . A = 309 — 172 ! F 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 me ,D"AQJ1-v (t�� oY�a� ► nQ. Ci v 1 h6tAT +b St C " 9 �i22- �r— � � S .� R ol wo _ s No.ZO r o Fee 1 v� ji 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