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HomeMy WebLinkAbout0279 OAK NECK ROAD - Health 2.19 Oakncck Road, Hvannis A= 30 7 ,7 00 . i i �• j No. w( b—L.(Z5 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rofiration for Disposal 6pstsm4onstrurtion permit --- -i� Application for a Permit to Construct( ) Repair( ) Upgrade( ) Vbandon( ) ❑Complete System ❑Individual Components Location Address or Lo No. Z 7� ©/,7(C rUFae p Ow ame,Address,and Tel.No. If�� ^A�/f/,S Z 7`7 Assessor's ' /Parcel a 7 8 7—`1 4_n1_1 e S' Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size - p ZK qc, sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) P A- gpd Design flow provided gpd Plan Date iu 1�A- 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) v�C l 1 e— SC- w i_ o-N ►-� i N �i/�Oy a 5 { c_ Tam✓- �,�-� � ��Q. P;-1-_ . Date last inspected: N �, Agreement: The undersigned agrees to ensure he efin,riinn nnri �, .ananra of the a re described on-site sewage disposal•system in A a .eruT'�uoi•4f ( AbcaoSclON4�L accordance with the provisions of�G!k���En ironmental Code and not to � ^�• , f S - e has been issued by this Board of Heal Signed'/�� �64_� / , Date O Application Approved by ■ r L Date I a Application Disapproved by Date for the following reasons Permit No. ��U �.[ Date Issued No. �.D( [7'�"(Z/ Fee .a S• t r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: \ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplicatlon for ;Disposal �&pste �tConstruction permit Application for a Permit to Construct(,) Repair(�;) Upgrade( ) Vbandon ) ❑Complete System ❑Individual Components Location Address or Lot No. Z /)(/ /UFCAe 2O O ame,Address,and Tel.No. Assessor's 4 /Parcel o7 -Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. .`.`V, 4;11 c N Type of Building: Dwelling No.of Bedrooms Lot Size � , . sq.ft. Garbage Grinder( ) Other Type of Building �'e} ' :A No.of Persons � _ Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) l Q r gpd Design flow provided gpd Plan Date �d1. Number of sheets Revision Date > J Title ! -- Size of Septic Tank aw m Type of S.A.S. .% a - Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 C— i Date last inspected: iy T .Agreement: The undersigned agrees to ensure the c nstruct'on and maintenance of the afore described on-site sewage disposal system in / accordance with the provisions of '�nviroonmental Code and not to �- a_ f bcn.l�nfo� -Ce has been issued by this Board of Healt . Signed y Date Application Approved by Date -'Application Disapproved by Date for the following reasons Permit No. Date Issued _. . - ------ ---------------- + THE COMMONWEALTH OF MASSACHUSETTS t r-J �„ � BARNSTABLE, MASSACHUSETTS C r +� c, I,r �� P� Certificate of Compliance .7 THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned by at "�")OI Q �,��� / / _, / has been constructed in accordance p with the provisions of Title 5 and the for Disposal System Construction Permit No. "/° '� 7�dated b Installer Designer #bedrooms fA/' Approved design flow A114 gpd The issuance of is pe.pnit shall not be construed as a guarantee that the system wil o as desi ed. �~ Date ) � � /� Inspector i(, I �� Q No. -175 Fee �T THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal ftstem Construction 'ermit Permission is hereby granted to Construct( ) Repair(") Upgrade( ) Abandon G-�Iy System located at 27 9 / A K >J C4✓ ST. I 1•� !1�>J r�i s and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date ✓ Approved by ,(-V,\ �a n r y J-���1� -14OWN OF .BARNSTABLE � LOCATION 4 VILLAGE // f ASSESSOR'S MAP LOT INSTALLER' NAME Sz PHONE NO. J SEPTIC TANK CAPACITY C `LEACHING FACILITY:(type) (size) (/J NO. OF BEDROOMS P IVATE WELL OR.PUBLIC WATER BUILDER OR OWNER �� J DATE PERMIT ISSUED: '�' ` W ' , DATE COMPLIANCE ISSUED: f VARIANCE GRANTED: Yes No. r If, �-d�v 1 f/'Z'?4OWN OF BARNSTABLE LOCATION SEWAGE i VILLAGE LASSESSOR'S MAP & LOT 307- 187-uuY t I INSTALLER' NAME & PHONE NO. SEPTIC TANK CAPACITY D LEACHING FACILITY:(tppe) NO. OF BEDROOMS .' P VATE WELL OR PUBLIC WATER_ ? BUILDER OR OWNER DATE PERMIT ISSUED: 19 E Y", DATE .COZIPLIANCE ISSUED: �7" " VARIANCE GRANTED: Yes No 1 } r- .\ ���� s �� �� l �I �� 1 i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..1.................oF.... ago AvAiration for Roplaii l Works (gunti#.rurfiuu Vrruti# Application is hereby made for a Permit to Construct (-f-) or Repair ( ) an Individual Sewage Disposal System at ,..:....:C,oT L •Dye• c%«.;�or�o ._««.« _.. �'xvvti,-� ... der s Address W Owner dd '...' ...'.•...•••• a ........ ..... »............ . .........................»»..« ... .»... ...»� Installer -- ...............................«.......... Address Type of Building -- S feet U Size Lot. ©�. ®9 .. q, .� Dwelling—No. of Bedrooms..............:............................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building No. of persons.........Z............... Showers ( ) Cafeteria ( ) a Other fixtures ........................................... Design Flow....... -� .. gallons per persong day. Total daily bow.......330 •.».................gallons. Septic Tank—Liquid*capacity./U .gallons Length Width.��,, Diameter._.=..-...... Depth s' 7"' Disposal Trench—No..................... Width.......1;.........Total Length...........��... Total leaching area....................sq. ft. Seepage Pit No........ .......... Diameter.e .--�--.... Depth below inlet:3.«�..--...,. Total leaching area_:6.q......eq.4t. Z Other Distribution box (X,*) Dosing tank.( ) / G,p, O. a~ Percolation Test Results Performed by....4"441,.,5 .T'S�L/�/�t! /NG- Date...0�:-�g-.� ... ........o�.....-_...p...... g ................ l Test Pit No. I.........:......minutes per inch Depth of Test Pit.:.,;�,* ..... Depth to round water.....- �. �+ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Descript�ijon of Soil....C1 ..... �.!/�.u ............................................ ........ �it/........... ......•- :............��.......................__...... W x .......................................'..-••-.......-••---•......_................................---................................................................................................. V 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 TITLE 5 of the State\Sanitary Code? The under geed further agrees no Ito place the system in operation until a Certificate of Compliance hjas n iss d by the b and of h It Sji �d%. .... ..... ....• .... ....�..... ...........Application Approved By....... k rat ..... ......................« �. .. . ._Application Disapproved for the foilowion ate _................................. ........ .. INSTALLATION d eai' Permit No....' ...... ` ..�.».!. ......« SHE SYSTIIO AND CERTIFY IN WRITING ......_»» L - -- �. �.F--iDate�' IYVI'S•�IF�I�1'.... IMF THE COMMONWEALTH OF MASSACHUSETTS ! BOARD OF HEALTH ................OF..... Applicutiott for jkup utti woritu Touutrur#iutt Veruti# Application is hereby made for a Permit to Construct (-t-) or Repair ( ) an Individual Sewage Disposal System at ............_.............. ..c�....�-J/i/F.� '. N K/J:No.aSi9E; � i?'�: W Owner .:� ---------»--•»-_ .• �1��>l�� Address ........... .»....... _. - -_--»------------------- Installer •' ••-•......................................................................... Type of Building Address Size Lot.. Goy U �.................-_.Sq. feet H Dwelling—No. of Bedrooms...............1�...... .Ex Expansion Attic .-� P ( ) Garbage Grinder ( ) 04 Other—Type of Building ............ No. of persons......... .............. Showers ( ) 04 Other fixtures ...:.................................................................. — Cafeteria ( ) ............................................... W Design Flow.... per person ,r day. Total daily flow........... -�U......................._gallons. R+ Septic Tank—Liquid capacity-2��_�/--gallons Length�es Width..l4-e-��Q.... Diameter................ lle th.� i x Disposal Trench—No..................... Width.................... Total Length............,,... Total leaching area....................sq. it. 3 Seepage Pit No........./......... Diameter..el?.r!."".- Depth below inlet. 3..-�.... Total leaching area_.»3.......60......st t. Z Other Distribution box (u) Dosing tank,( ) Percolation Test Results Performed by..... ,� �.� ..,,f Z_� 1,t/ /n/C• ►.a Test Pit No. 1........2....minutes per inch Depth of Test Pit..Zy........... Depth to ground water............. �+ Test Pit No. 2....:...........minutes per inch Depth of Test Pit.................... Depth to ground water................. O Description of Soil....a �®��...��UAm •eg�VC�...3;�s L.....�O��. ........... ����•�� .................... W ... ... :....................................................... x .......................................i...___..................................._.................._..................................................................._............................... V Nature of Repairs or Alterations—Answer when applicable......................: .. .........................................•••......_.......... Agreement:.................................. .........o.............................................................................................0............................................... 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,, place the system in operation until a Certificate of Compliance has been issue by the b rd of 1.- lth. i Signed...... ... � r" _� Application•Approved By......... . ..n;- A 1`L' :_..... --....... . .. 2 Date-•� ........_-• •. .�. =�... .j..............._ Application Disapproved for the following re ons:..... Date ................:........ .: ..........._... ................................0.........».. .» »................................. .I. .........-�--�+_-i ............ �.......»...._........................................... ...........................-Dzft-.....»_»_ Permit No.....»....... .._................. Issued................ • ................. ate... ..............:....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.............FAI: nol.�i1........................................ (nrdif irate of (ffoutptittttre THIS IS T . CERTIFY h�Indivi al Sewage Disposal System constructed ( ) 'or Repaired ( ) by.......».»...r...... .......................... ... .. ..... .......»..... ---_........ .......................... .�......... ...................... 't ,J.• ........ eta l /� - ,,r - ...-- at................ . :, �✓.1.��: 4�:.: has been installed in accordance with the provisions of TITLEI � tate Sanitary Clef- s_d Ibeti�-jtt the _application for Disposal Works Construction Permit No......l. - �- d O THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............». '.::.:�:..... ................».... ....»» ..0 .» •. •.- Inspector... -� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No....»C- �_:... S-Z .....1... 0�:.... ...OF..............FRIAMITH...................................... FEE...................».. • or Permission is hereby granted......... ` ''" to Constrict ) or Repair ) a Indivi al Sc ....-•- } ...............••-...............................P ....................._-- t. �} .....:.. at No......•_•_•?�..»f-�.:. - �:..»..1.V ,ge IsRosal System as shown on the application for Disposal Works Construction Permit No -Aed _ 7 Ell��::`.... ... �! ............. ........ ....... .........2. rd of Health ...» ......:.................:..» ........... DATE.... ca FORM 1255 HOBBS b WARREN. INC.. PUBLISHERS LAND SURVEY AND CIVIL ENGINEERING ASSOCIATES ALL CAPE- SURVEY CONSULTANT LAND SURVEY AND LAND USE DESIGNS 172 EAST FALMOUTH HIGHWAY EAST FALMOUTH. MASSACHUSETTS 02536 PHONE 548-4255 CHRISTOPHER COSTA P.L.S. May 19, 1987 TOWN .OF BARNSTABLE Health Department 397 Main •Street Hyannis, MA 02601 Ladies & Gentlemen: RE: Lot 4 Oak Neck Road Barnstable The leaching pit on the above referenced lot has been . installed in compliance with the proposed plans on file at your office, with respect to horizontal alignment. If you have any questions, don' t hesitate to call me. With kindest regards, s le osta, L.S. ' M ko r7l 7 7 'o ............. 0000, UTLET -4 R;1 1 WNOCK0i 4 DIA A'-16' 24 OUTLET OUTLET K14 0 CX0 -6 X4MS. Zr AX 1EP _JkL__ 08 0 D r PIT 0 6 0 -0 0 Liu 10' 0 40( F 10, OA-rlDAI 0 F EWA6ir - 01 PC;r*4 Z 4 6 0 C3 0, Z) 0 0- .cIA11314 C7,eADE oCIAIL51-1 6RADe'IA113H c2R 4 D 0 OVffk 7.4A19 0 , 0 01 PAZ u 0 -0 0 ILL Jo 19 APS 0 A�SrOlVk' sit >0</ 00000 ;00 '25 3 14 rer o o otoo Q 0 7 11000 0 �(D 0 (5) , Q 4-0 4r1% I- I I - �',­ 0 4 . P@# A /aulp LEVEL (5) (D 0 00 Box too 0 , 00 0 0 10,0 0 (D. .0 40AI 1poo 0 Q 0% Q A3 0 r7.1 QU P/7- 1po 0 (D 0 4) 0 0 0 c AX LEVEL 0 Q 11, 000 Q 000 0 . 00 1) 000 uA 0 0 0 '1 Ajo TE:5 50IL& LOC 01 P/7- PIT 0 �D 'o , Q IQ) 0 0 Q 0 4ZL 'ZZEVA r/0A13 -5 140WAJ ARE o./aAd 40AM AAIP no BE lid A 0 YBALS 0100 0 Q 0 0 0 000 0 A1EAA1 .SE'A 4E VL 0 7 3d 1_46CD AND 3 A 9E'D IV 7A AL L PIPE-4 /A/ rg. &MTEM 7-08C 41-66- 4 511OR T R/7 A&I 0, -rc C,4.6 r /R OAJ C>R. 6 14,EWL E .40 PVC r ES 16AI C /;rE e 114 0 4U 43. REMOVEALL M_�UMA8LE IMA I'Ek 1A L AIV A16A 7,1 14E r 'EA r 'El _,EVA r1W 'OF 60,4vez AILIMAEk O�c SkPRM Al > A36 JD ACY,/:ILL I OR- A RADIL13 DF OL SOA15 P PAIL V LOW AE-12- A/ CLEMJ i-OAk6E GP-AXILILAe 601L. IYD T/4 ' L.A 6A RAJ.5 rA BL E L 64(f 6 PR4 0 I/A 0 ED Dr $4EA L Tq M U 6 r BE Aj0r1.C16D UJqk'AJ 714E ;r/./U/-/At 1AIC ELL Is CA C U L A r10A1_ �Y_37 EM /3 1AZS74ZJ_9D PRIOR IA14C PEW if 04 A TWAI RA rE <,211 A ILL W6 rOZ IAJ_�P E L T10AJ A C Xr 70AIZ AV r M Cek-A A/ A92.ez. ER VW 7 7A- BI-S' 0,4A D 40,F 114EA L 7.41 291.2 AJLES.� 07Z4,r9W15CA.107ED ,4LL ffA RA/-I SIDE 6A L L OAJ6.PER D A rE ZES rEM D,4 Y 7 � J EM (f0hfP0AJ&A1r_ 14A LL 9 7A L ED N Af CZW-D AAIC E W1 r14 AVE APPLICAMr. E M S.4AII -A Y Id 6_,6A6qLJSE7;r5 T17L 7 N AN ITRITING 'A RUL CODE* AAJD L6 x_6 PROA06ED ; DUJ cmomma 130 M. 12 k11410-1 MA%1 Be APPLICASLC. PkOP63ED _�5EU_IA6E :S Y r/./E' FLnDD PLAIA1 ior4 ,OAK - MECk, ",ROA D 7 _Aol A. A& 7. 4 d4koSA69- 6RIAIDE.R W11_446q7,86 BA R hfA D iOAJ TI-4 E' 6 V5YEA-4. ICALE 26 DATE :ZoeA7-zojV AA10 APPIrzOA1.4 I- AIPM� 1tv.5 rA L L E wicr DP-A%U AJ ED 'S, Joe Vo. 34,::�e4 L AMD 45 4 J. L6EAID;e� 8. a VArIOAt Of 4 ()A/ U-5. 6 rzo A:6 r 'AA L OUT, 6 Y, COMSLIL.7-A) A CAPE 3 U&VACY T,E L EV. 4 Ti R COMPU 4 7 Ev THE 0 L)0 U40e rER. RL F_ A7762. L S Ty, AL Ll Z_61 x 1.5,7 WA VA ri DA A