The URL can be used to link to this page

Home My WebLink About0015 NIGHTINGALE LANE - Health 15 Nightingale Lane 311-006 Hyannis r F THE T OFFICE OF THE BOARD OF HEALTH OF THE s �98NStTABLE, a TOWN OF BARNSTABLE, MASS. MASS. . 9 O --- — ----f --------- 19 'G,p 1�39• \dab , a MAY SEWAGE DISPOSAL .PE IT r� Permission is granted to __ _-. - - '_•_-___ _-_______- to construct'' w_f' x ti ` _• _ __ x� Upon the Premisesof Sketch -------- -------- ---- - ---------- -------------------------- In the village of �, k '�'_zL'+r✓ a( __! Cc: 7_ �' ----------- 75 �r more feet from any source o;�w er supply � tb 20 feet from building 10 feet from property line Health Officer'`• N y � .. ROO rig � a� �� OR,MAL�� R. T ,Y f k CORP BROTHERS INC. Industrial Gases - Welding Supplies - Specialty Gases _ 15Nightinggale Lane, Hyannis,Mass:0260102903 Tel. (508) 775-5001 Fax (508) 775-5038 E-Mail:CorpBros1QCapeCod.net III BILL ADAMS HYANNIS BRANCH MANAGER �li Defienrladle Source of&&ply Since 1893 TOWN OF BARNSTABLE C MPLIAN7 CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY�h'% ��'� (see"Orders") 5.Retail Stores � 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous A-� UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE TALS / ,• - IN OUT IN OUT IN OUT #&gallons Age Test W1 AuPeVs. ) Heavy Oils: 97 �� or of �YY_ - . ro Synthetic Organics: /6 Miscellaneous: Ion -� 2� lx �d DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer Oublic 070n-site QPrivate 3. Indoor Floor Drains YES N0 O Holding tank:MDC Q Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES . NO ORDERS: Q Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter License Name of Hauler 1 • od YES N0 2. Person (s) Interviewed Inspector Date LL (A- iA II Srs'Ool TOWN OF BARNSTABLE LOCATION % /�/Z�yTZiii� /� � ,�_SEWAGE # 9,a - $ �/ VILLAGE v'. �f;t,, ASSESSOR'S MAP & LOT 311- 666 INSTALLER'S NAME & PHONE NO. ��' - /tea s C�.y.ti• 3! 2 �1�� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS-,A//4 PRIVATE WELL OR PUBLIC WATER <� G BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i r 1 � 4 � R ,M s 3 No... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Mgvaoa1 Workii Tonitrurtion frrufit -Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at ----------------- . ✓ ...� -............................------ .......... .. � .: . ..... - ............. Locat' Addre s r ji of No ...............1� . ..... ........................ ....... ��. . . . ...:. .. ...........� Owner _ dress-s ...... ............... Installer Address Type of Building Size Lot-------------_--_-------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `-4 Other—T e of Building a yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------•----------------------------------.......----------------•--•--------------•---------....-----.------ 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit....----............ Depth to ground water--------................ . PLI Test Pit No. 2................minutes per inch Depth of.Test Pit---z................ Depth to ground water..--...............--... I ---•---••---•----------------------•-•------------•--•-•---•---•--------.....---•---•--........--•--......................................................... 0 Description of Soil......................................................................................................................................................................... x V .....--••--•------•-----------------•--------•---•-------•-----•----------•-•-------•----.........------•-----------••---•-----------------•-------------------------------------•---------------------- --------------------------------------------------------------------------------------------------------------� -•�' U Nature.of Repairs o Ate tions—Answer when applicable._-25------1_,41 ,� 'f' .... --- L --------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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 ........ .tii'- . ....... ..- /�/�J�J Z ��ar_-�.o.T......-... �.......... .......................................... ............................... Dace . Application Approved B a.__�---p.�,---- PP PP Y -'�~�-'~-."'� ------------------- . , Dace Application Disapproved for the following reasons: ......................................:................................................... ...................... . . .. ........ ..................................... ....... .... ................................................ .......... ............................. ..... ....................................... ................ ................: PermitNo. ........ ... -- --------------------------------- Issued ........................................... * Dace ___----_�-- a� 6y ✓. No. .r , 7 a , FEBF ............v.:.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE AVV;iraffou for Disposal Works Tonstrurtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( V/an Individual Sewage Disposal System at: 4 _---------------__1_+Ze_44uILA .................................. ........../S..... /��Li ................. Locati Address r Lott No. • .r f 5..._.,1 �.-ram1 ' ft` W Owner dres ..� ...................... ....Z. .o :.. � •- - Installer Address - Q Type of Building Size Lot............................Sq. feet V a Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures -------------------------------------------------•--•-•---------•-----••.. -------------------------------------------------------------- -...... -- W Design Flow............................................gallons per person per day. Total daily flow............................................ 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 ( ) Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -------------------------------------------------------------------------•-------------•--- 0 Description of Soil........................................................................................................................................................................ U ----------------------------------- ------------ ___--------------------- ------------------ •------------------------------------------------------------------------------ -------------------------------- UW ---•---------------------------------------------------------------------------------------------•------•- Nature of Repairs or Alterations—Answer when applicable._-_X— - 11. &- /�___._ �1/r _____s � r, = ✓ .------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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 ' �. 's 3:z z Date ................ ---.-........ Application Approved By ...:...... �. - ...... 3!� !..p-------- Date Application Disapproved for the ollowing reasons- ---------------------------------------------------------------------------------------------------------------------------------------- ---------------- --------------------;- --------------------- ------.....---...-------- -------------------- -------............. ------------- Permit No —.g .... Issued Date --- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Trdifi ate of Tatuptii nce THIS IS T CE TIFY, That the In -vidual Se rage -isposal System constructed ( ) or Repaired by ......... ��%-... .�-.5-= - --c� • I - -------- ------------------------_------------------------------------....----------...... -------- ---------------- nstallerat has been installed in accordance wife provisions of TIT Ey o�The State Environmental Code as described in the application for DisKosal Works Construction Permit No. ------ o�'- g.y............. dated ..------------........-......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. ------------------------ ------ Inspector -----------------_-------- --......�� ..........................--------------- l THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 3v�� N ......................... FEE......................... Disposal IV rks Tons124 ion �ntit Permission is hereby granted...=-•--_� S 15A :: to Construct ( _) or Repair an Indiv�idual Sewage Di al System- atNo.... 4 .......... ...��/ 1 � --------------------------------------------------------••---•--••-- treet � .L as shown on the appli tton for Disposal `'forks Construction Permit No..________..�_....� ____ Dated.......................................... •-----••-------••----------- ...................................................................- fBoard of Health DATE...... 1 1 FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS