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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°`'� 2z 91 r a --- , ( 1 - l 4�n2 i 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 Q 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 a z e U I L D E R OR )" t . y DATE PERMIT ISSWED DATE COMPLIANCE ISSUED i �. �. �� ` �� Cry � I e ` �r d �: '';: f 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