HomeMy WebLinkAbout0065 OAK NECK ROAD - Health 65 Oak-Neck R
Hyannis.;
A--!307 r262 TEWER
L�
CERTIRr-An= OFC�MP
THIS IS TO CERTIFY, that (!�?4 p-a lk�yj 5
has installed asewer connection at
the following address:
SEWER ACCOUNTNO. 3a O
STREET
VILLAGE:
ASSESSORS: Map No. _ SO7 parcel No.
The work has been done in conformance with the provisions of Artide XXXVI, Town of Barnstable G
and Specifications of the D oftment's Road'On ing permit. ��� By-Laws,
Signature:
" Dale:
Department of Public Works
TOM OFBARNSTABLE
SEER I NSTAU-4nON SKETCH
A�cIeL" � 4 le°`'�
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FOPAs. SC:-7 (3/1/90)
PAGE2 OF 2
•, J�lc?92�o'1��, /�c� 7i
LWC--TN
019kklec k9cl SEWfA (GiE PERMIT eNO.*
VILLAGE
N T LL R'S NAME i ADDRESS
BUILDER OR OWNER
DATE PERMIT ISSUED `y-16_ 79
DAT E COMPLIANCE ISSUED
L
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r �,
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF -HEALTH
........................T.a m......o F..B.a.r-nstab ie........------------....._•••-------•------....._...----
Applira#ion for Dispaii al Works C ondrnrtinn jhrmit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
......6 .............................................. ...................................'-...............................................................
Location-Address or Lot No.
� :........:...................... ][YI i.$
. Address
aJoseph.-P•=•-K&Q.Qmhox..�..Sorx,--Inc-=•---•-- ••-....-•-...._.....••----_.:.
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms________________________________ _____Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building No. of ersons____________________________ Showers —
Ga YP g •...............•-••-------• P ( ) Cafeteria ( )
a' Other fixtures ________________________ _ _
W Design Flow__ ________________________________________ ons per person per day. Total daily flow............................................gallons.
WSeptic Tank Liquid'capacity .____ allons 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........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.......................
fT4 Test Pit No. 2................minutes per inch;, Depth of Test Pit.................... Depth to ground water........................
r
O Sand___&___Gravel_
Description of Soil_______ ______ ___ __________________________________•--...---•---•--•------------------------•--------------....-----..._.......--------------.......---------
V .................••----•--•-•------._......---------------------------------------...---......_._._.................. ................---------•--•...................................................
----•-------------------------------------------------------......................---`....................----.............................................................................
U Nature of Repairs or Alterations—Answer when applicable____1--100D---ga.11Q11...Pit.i 7---�!-
---- •...-•----------•----•--••----------------------------------------•-•••-•-----•--.............----••--•-----•--------•-------
Agreement:
The undersigned agrees to install the aforedescribed Individual'Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary ode—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has ben sued b the rd th.
�f
Sin _1 -_��
g -.__....
/ Dat
Application Approved By.........
Date
Application Disapproved for the-following reasons:................................ _- ----• ==ar''
L,
.................•__••___......_......._..._..__..:__
'+' d Date
?Permit No... .......:. � -------...-------••-•_.. Isud.......................................................,-.-_
--------------- Date
No.......... ... FEE....!!c.'00.......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town......O F..Ba.rns.teb ie........................................................
ApplirFa#inn for Disposal Works Tonntrn.r#inn Uprratit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
......65....QAk-.Np—.Qk..R.0&d.............................................. .................................................................................................
Location-Address or Lot No.
......FrAllks..Be d e_'an.......15; ........................................... ..........Icy1mir?-----.......---............--•------................................
Owner Address
wJose h E.... G9mbo-�..� �..$Qrx,....lx ........ .................•----------•--.--•.-------- .---......------------......---•--.............
Installer Address
Type of Building Size Lot............................Sq. feet
V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' 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........................................
a
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
.............................................................................................................................................................
0 Description of Soil.....Sand & Gravei
..............
x
w
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable----1-1000..ga11on---pit...........................................
----•---••------------------•-----...------------••----------------------------------•----•--•--•--•----•---------------------------...---•-•----------•-------•--•----..................---•--.....-••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b'enfissued by the board f h th.
Sign 24(!.. _r__ Wl C w / �••-
f
t Date
Application Approved B ,r^ .. "`
Date
Application Disapproved for the following reasons:.................................--••--•-•-•---••-•------•---•••----------•--------•--•--...-•-•-••-••--....•--
--•-----•----------•----•................................••---•-••-------•-•---..._..--•--•-•---....-•---•-----•------------------•--••----•-••----•-----••-•••-•---••--•-------•--------------...--•---
Date
PermitNo.......................................................... Issued-.......................................................
Date
THE COMMONWEALTH- OF MASSACHUSETTS
BOARD OF HEALTH
..........................Town...O F......Barnstab:le..........................................,....
(9rdif irate of To mplianrr '
THIS IS �O CEVIFY That the 1ndivi(9 Sewage Disposal System constructed ( ) or Repaired
by........Josep .P. acolf�ber ------------on c
---------------------------------------------------------------------------------------------------------------•-------
Installer
at--_65 Oak Neck Road_�__.H rannis Teleen
-------------- -----------------------------------------------------------•-----•-------...
has been installed in accordance witli the provisions of T )o The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.-. ......... dated__....�..-
THE ISSUANCE OF THIS CERTIFICATE SHALT. NO,T-IE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
-DATE----:.:7....Z_ F`.7_ `...................... Inspector--•---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
` f Town OF..... Bsrastable
............ .......• .............................................
No......... .. FEE ?r'.=.......
,ALL Dispos, at Works T nnfr mrn ermii
Permission is hereby granted...._Joseph...P Macomber•_8c_.So!"},..__Inc.�..................................................
,,to,.Construct ( or Repair ( ) an xI}n�dwldual Sewage Da posal System
atNo.....6 ...Qs .. -NBCk loada...... .an............................................s ------- ----- -------- -------Teleen..----..
Street
as shown on the application for Disposal Works Construction Per No :.._ ..... Dated__.__/_4Y .`. ...........
...... .. f -•--
rd of Hea
DATE-• .--- ..... ........r . ......---......-------•--•--•-- oa It
FORM 1255 HOSES & WARREN. INC., PUBLISHERS
LO•CAT4.ON EWAGE PERMIT NO.
VILLAGE
•w
I N S T A I LER'S NAME 'A 'ADDRESS
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e U I L D E R OR )"
t . y
DATE PERMIT ISSWED
DATE COMPLIANCE ISSUED
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N0.02-130
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..................... ......................................
Appliration for Bh4posal Works (foustrurtion ramit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
-ed.................... ..................................................................................................
L cation-Address
or Lot No.
dress
Owner Ad
12C5�.............................................................I ....... ............C
I I Installer Address
Type of Building Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder
�1
P4 Other—Type of Building ............................ No. of persons............._.............. Showers Cafeteria
P4Other fixtures ......................................................................................................................................................
W
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
,1:4 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. 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......... ...........................................................................................................
W
U ........................................................................................................................................................................................................
............... .............................................................................................................................................................. .......................
U Nature of Repairs or Alterations—Answer when applicable--------- 9-aJM4......R..1-1.....................
........................................................................................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of,'LILHE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until'a Certificate of Compliance has b7,7. d by the I-, ard f I Ith psue 9 1ya
71
Signed...e. ..� ...................... ....................................
Da
Application Approved By. .'Y
Date
Application Disapproved for the following reasons:............................................................................................................
......................................................................................................................................................................................................
Date
PermitNo...................................................... Issued.......................................................
Date
� �,+i Q r l
No ........:.............. Fps.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
!r t r . r t liti
.... O F..........................._..........:.........-•---•-----...............................
Appliration for DispniiFal Works Tonstratrtiun rrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( A) an Individual Sewage Disposal
System at:
— Location-Address F or Lot No.
t ] / ' ! t
Owner Address
a ............� 1/r.... J i • i .1......i..t_./.. ..........................•-•-----.........---
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 ( )
dOther fixtures ------------------------------------•--.........------------•----------•----•---------- .............................................................
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........................................
0_� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ............................Z......................................................................-•••-•-----•-••---•-•---...._....._.....--•---......----
Descriptionof Soil '............:.3.....=--_.._.................----•---•---•-----•-----------------------------............--------------------........•--•
x
W
U Nature of Repairs or Alterations—Answer when applicable._.._..j...._.....�L/-_--_.:.-:r, !1i _
---------------------------------
---------------------------------•--.....-------------------------------•--•-••----.............------..........--------------------•---•------------•----------------......•--•-•------.........__----•
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been•'ssued by the board f 1 lth.
Signed.
•--•--•-•----------------------------------------- -----_-----.-----_--
DDa e
Application Approved BY --• d-d'..-,l/ ---------------------------------- - { ----------
Date
Application Disapproved,f or the following reasons: -----------------•-----------------------------------------...--------•--•-----_.
.................•---------•-----•--•---............--------....-•-------...--•-------.......•----.....-•---------------•--•-•--••------•---•--•----•--------------•-......---•-•---------------------•-
Date
PermitNo......................................................... Issued.......................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
,,
..................... t....................OF.....:...r.................................................................... EF
Tatifiratr of Toutph anrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (. )
by ' 't,--r-.--- .......I.J.r--, . r . . . ,C ..-------•........................•---------•--:....-•-•-------••----•-••-----•---......_ is
---- - - - ----
i ins ta er `
at .-... -r ---•------- ------•-•-------- `
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. ..0_'.eJ0................. dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. N
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF. MASSACHUSETTS
BOARD OF HEALTH
Noa�.'/. a..._ /.. ..... FEE...
Disposal Workii Tnntrudivat rrntit-
Permission is hereby granted.------.=...............................i ( .1 a i .-----..... _! '1: J G.
to Construct ( )„nor Repair (>,). an Individual Sewage Disposal System
at No.. . �_.: _f%.. _.1% 'f_ T ?C...._.-t3_'(.) J?/•,! l Jr J{1. i Street..........................................................
A.—
as shown on the application for Disposal Works Construction P t No..................... Dated...
-------------------..._......_.......
.
- Board o ealth
DATE ..........................
=`--------------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS