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Home My WebLink About0036 OAK NECK ROAD - Health (� oa4� )/i4z- 0 I E �4 I' I i L0_C_QT-1.0-tl SEW_ _Q_C�E,P_ERM.IT 1�10.- 13-U 1_L_p E-2T5 pQ'CE-P-ER_W-7-15SUED D AT-E-CO K-A P l._I_pt�l S 5 I y t •S No.....��--------------•. Faa. .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD .....OF. . .. .... Appliration -fox Dii u,itt1 lVarkii Cnonstrur I"i"i'i'n" Vautil Application is hereb made for a Permit to Construct ( ') or Repair ( ) an Individual Sewage Disposal System at: 4 le E (V� ...... -. . ........xj.---------_ ------------------------------------------------------------- r> Locat on.Address or Lot No: -------------------------•••---••--•----- Owner / Address nstalle Address UType of Buildin� Size Lot.......t. :............Sq. feet Dwelling—No. of Bedrooms_.___. ________________________Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building _______. - ___ No. of p rsoi ................ Showers ( ) — Cafeteria ( ) 0.' Other fixtures --`�._�4........�,�� .. �f.��- --- -y W Design Flow_----------------- __ ___ gallons per person per day. Total daily flow--------------- _J _____ gallons. 9 Septic Tank Liquid capat:itygallons Length________________ Width-.___-._-..__ Diameter____-..:__-__.._ Depth.--------- xDisposal Trench—No_ ________________Z_ Wid h... .._ tal Le h _____. Total leaching area--------------------sq. ft. Seepage Pit No--------/----------- Diameter./.� .. ...... lc n '.. Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) c . Percolation Test Results Performed by-----•- -----•---------•-;----••--•••-....------••---•......---•-••---- Date----------------------------------- -. W , a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water..-____-_____-_-__-- _ - �14 Test Pit No. 2________________minutes per inch th of Test Pit.................... Depth to ground water__._-_______-__________- --------•----•-- -•--•--•-•-•--•-••---•--------•----•-•--•--•----....-•----....----•-•-•-------••---------- 0 Description of Soil------------------------------------ -•---- --•- . •---- ----------------------------------------------------------------------------- ------------- U -----------------------------------------------• -••---•-•------•-----•---••--••-•------...----•-...-•--•-•-•-•-----•---•------------------•-•.--•---•--•--••--.....•-----------•----•---------•--•----- W 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ed by the boar o health. igned. .._.... ---- •--------------- -------------•• -----------•------------•------- Date Application Approved B /� PP PP y---- -� `t -- . --- . ---•-------- Dat ------- r It. --- Application Disapproved for the following reasons----------------------------------------- ---------------------------------------------------------------------- ------•----••-•-••--•-------•---------------•-------•---•--------------••---•-•--•••.....•-----•--•-••---•------------------•-----••---•••-•---------••---•----•---------------------------------•-•••-- Date PermitNo......................................................... Issued........................................................ Date Nos ..............._ ` - THE COMMONWEALTH OF MASSACHUSETTS OARD QF HE A T �, - ..... d Lt1`f�i `--.OF ...... . 0 fir-.. ., . d.S Appltrattnu -fur Dhip ial orks C ungtrurtion rrmtt Application is/hereb made for a Permit to Constructti(.,.;") or Repair ( } an Individual Sewage Disposal System at:, ---------------•---- ILI c ..--•--- at' n•Ad r s or Lot No. 1-Q ..... ........................... .•-•------------•-------•••----•----•----•----------------------------............................ Owneer Address ___________________________________ '___________._.___........_____________....._._____________________________________________________ InstaIle Address GAS d Type of Buildin Size Lot------- !. - --- ------ Sq. feet -- Dwelling—No. of Bedrooms--------- ....................Expansion Attic ( ) Garbage Grinder ( ) Other,Type, of Building N of p 1 son ". Showers ( ) — Cafeteria ( ) Q' Other fixtures - -.; .. 1 Q s" �-- w Design Flow_ ________________��_ _._._ gallons per person per day. Total daily flow....._...._.... ___-- ___:; __: gallons. -----r:_-- WSeptic Tank Liquid capacitygalloris Length................ Width............._ lliameter_:._...._._.____ Depth.___..__..._--. Disposal Trench—N . ........::......---- ��id li _ __ __.______ - to Le h :____ Total leaching area.____._.__._....___.sq. ft. Seepage Pit No........T......... Diameter_2 ... epth 1 ' 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..-.-.__..-.-.---_-____- L%, Test Pit No. 2................minutes per inch th of Test Pit.................... Depth to ground water--------------:--------- P4 ---•--•-••----- -----------•- ---••-......• --•---.......-••--•------------------......................................................... DDescription of Soil--------------------------------------------- - ��'�- .---•-•-.........._--••------•-•----•...----•...----. .......................................... 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been died by the boarq of he lth. . ., j , igned �!-. ........ •-•-••................ ................. .....................•-...._.._ • Date Application Approved By _.....- � 17 Date/ . Application Disapproved for the following reasons:........................................ ..........................•---------=-----••-----..........-•-•------- ------------------------------------------••----------------•....._........----------...-•-----•--•---•-•...-----•---------------•--.........-------•--......--••------•-----•-•-•-------•---.....------. Date PermitNo......................................................... Issued.......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS '� � BOARD OF HEALT:PtH �`' "L..........O F............�......tir�./�.. ........... ' � . %Lprrttfiratr of f111mVttaurr THI IS TO ERTIF hat the Adividual Sewage Disposal System constructed or Repaired ( ) by._- ... � -- - ------------- - --------------------------------------------------------------------------------------------- - / I tall r' .. had been installed in accordance with tbe`provisions of rticle XI f The State Sanitary Cod as escribed in the application for Disposal Works Construction Permit No___--------____�.__............._.. dated_.... __ .................... { y'�THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT THE =SYSTEM WILL UPICTI N`SATISFACTORY. DATE = .: Inspector = -- ---------- ---------- ----------------------------------- - THE COMMONWEALTH OF MASSACHUSETTS } s3 BOARD F HEALTH01- = d ........... ..... ........ .. ....OF... •.... ......... �,. .�` No.--------v-.------•••. FEE...le...--------- K. r nnnlit tall Orml P kereby granted ---- ..........................................................-----•----••-_.......---••-••-----------•-••-----Bt� ttt rk� Permission to Cot st. ct ( ) Rep r (:han Indiv ua1 ge Dispo stem R ---- Yf, .treet as shown on the application for Disposal Works Construction Pe i o____ __ 0-- ___ tt .._......_._y� ...-------•-- ---- --- --- - -- 7 Board of Health DATE----._. �` _= / ....... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 F 'Alt ' o 70 os5�� L f,�-C"A T ION SEWAGE PERMIT NO• VILLAGE �AA 9 1�f D INST-A LLER'S NAME i ADDRESS 9UIL0ER OR OWN _ .4 � UXC DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED � ` •? '� -Zak", d r- a i THE COMMONWEALTH OF MASSACHUSETTS x BOARD OF HEALTH ............................Town.--.OF..........Barnstable..._.. Appliration for Disposal Works Tnnstrur#inn Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 36.Oak Neck Rd:.,... ss.. ....026Q1............... Location-Address or Lot No. Armand I;emkeux I ......... 36... - ...MA.....026Z01....-----•---- Owner Address a A.....B_Cesspool..Service----•----•--•--............................... 1 �..Plahos-_Ts=&ce.,...Ijyannia.--MA....02602..... Installer Address Type of Building Size Lot................:...........Sq. feet Dwelling—No. of Bedrooms.............3............................Expansion Attic ( ) Garbage Grinder ( ) � Other—T e of Building g ____________________________ No. of persons..........2............... Showers ( ) — Cafeteria ( ) d Other 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 ( ) Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------------------------------------------------------------- -------------- •-------------------•------•-•--•-•---------------------- •----------------------- O Description of Soil...................S�1A.......................•-•-•-----•-•--•----------••------------------------------- x V •------------------------•---•-----------------••--------------------------•----•--------- W UNature of Repairs or Alterations—Answer when applicable------ n.stallati-m.-of.a..1,DOQ-.gallon---stone•--. paced, R�-s st..leacb--ptit.....�-axerfI ow.�............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'IU ' 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 boa d of healthi o S ed � Z -------- --- -----•... 6/26/80....._.... Date Application Approved BY 1l. - ...... ............j6/26/80........... Date Application Disapproved for the following reasons----------------•-•--------------------------------------------•-------------•--•---------------•------....----•- -----------------------•-••-------••-----.........--------•-...------------••••-------.......------.......--........................................................................................... Date Permit IQ0.80................................................ Issued.....61W80.................................. Date No.-- THE COMMONWEALTH OF MASSACHUSETTS BOARD Off' :HEALTH .............,.:.... T .-.oF........... le---------------------------------------------------- .��r�lirtt# l�n.,fux Application is hereby made for a Permit to Construct ( ) or Repair( x) an Individual Sewage Disposal System at ess or Lot No. �. { s...._ O.caner.....---•--•----•----...--•............... 71 ._ .. .. �O• -- ....0 ........r . i •�r`�' r nstaller wdre Pq .< Type of Buildin g, Size Lot.............................Sq. feet Dwelling—,No. of Bedrooms..............._______________-___________Expansion, Attic ( ) Garbage Grinder ( ) `4 O&r—Type of Building "No. of persons____:_.__.: .............. Showers — Cafeteria s , d P Other fixtures ------------------------------- t ...... ------------------------------...-----...--..---------------------- Design Flow____________________________________________gallons pe';person per day. Total`daily flow..........................................._gallons. W , WSeptic Tank—Liquid capacity___._______.gallons L�ngth................. 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 '1" %Performed by_________________________________ a -•---•-----------------••---_..---•------ Date........................................ Test Pit No'. 1.________________minutes per inch Depth of Test Pit.................... Depth to ground water......................... rZq Test Pit.-No.2................minutes per inch Depth of Test Pit._.................. Depth to ground water........................ t� .. _..-------•-•-•-•--•---•-------•.......................................................................................................... Descriptionof Soil = '_______________•-•----_____----------•---_____-----------------------------------------------=--------•-- x , U Nature of Repairs or Alterations Answer when applicable... �. era ----------•--------------------------•--------_---••-•---------•••••-- Agreement: The undersigned agrees to install the afaredescribed Individual Sewage Disposal System in accordance with the provisions of TITI� 5 of the State Sanitary Code— The undersigned further agrees no to place the system in operation until a Certificate of. Compliance lias been issued,by the bo o health: •--�_� . •. .................••--•--•-------•- --•••--•-••-. ------ Application Approved By......� � 1�llj/i-f• - 6�� Ii ( Date Application Disapproved for,the following sons............................... ....................•------...---......-•=---.......----•--•---------------:.------.....•--•--------.......-------------•-------------------------------------------------------------------------------• Date Permitv----------------------------------------- Issued.....6/, / ------.._.... •----------- Date P THE COMMONWEALTH OF MASSACHUSETTS u.. BOARD OF, HEALTH ...............Tmm..............OF.......... ftbj.,,&..._.....................:........._........_... �Crrt firatr.,of (Samplianr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (. ),.or Repaired,( x) f: Installer at... _. _ �1 _ 4 a._ ,..=4;? .-. ti l�c--------------------------------------------------------------- has been installed in accordance with the provisions of TITLE `of Tl� State Sanitary Code-as described in the application for Disposal Works Construction Permit No-____ -J'0,� dated--------------6j?6/70................. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION .VAT SFACTORY. DATE................OWN)__-___-___ - ____------•---___------- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -- .......V..................T .: OF._I.. No....W. ...... FEE.....$..5..20.... Permission is hereby granted.. _.._B.G`ee P9l Seivice,-•128__F�ie��_�'e #3 -a__• B :•. to Construct (. ) or,Repair -(, 3§ an Individual Sewage Disposal.System at No.... .. I�-. Ck..B .9 ------------•-----•...:...: ± Street as shown on the application for Disposal Works Construction pPirlit No�"____ Dated____._6 b� :.._... DATE................ Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS