HomeMy WebLinkAbout0304 OAK NECK ROAD - Health 304 06K NECK R
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JVI.E 1
95 HIGH SCHOOL ROAD EXTENSION
HYANNIS, MASS. 02601
Harold S. Brunelle \/ I
RU51T ' 7 ez`ec�vra Steve ,C'ives @LS!NESS. 775-13^0
.-CHIEF )nro ..E EMERGENCY: 775-2323
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To
Town of Barnstable , Board of Health - T. McKean
Town of Barnstable, Conservation Commission -
From ; Fire Prevention Bureau, Hyannis Fire Department
Subject The installation of above ground storage tanks .
Date ;
11 q�
Persuant to the applicable sections of 527 CMR - Fire
Prevention Regulations , this Department has inspected the
following location for above ground storage .
ADDRESS 304 Oak Neck Road
OWNER/OCCUPANT : Katherine Stamoulis
PHONE : 775-5213
SIZE OF TANK (S) _ 275 gal. Vertical / BASEMENT
COMMODITY STORED : # 2 fuel oil
PURPOSE FOR STORAGE : Heating
THIS INSTALLATION IS : PRE-EXISTING A REPLACEMENT X
NEW
This installation complies does not comply
with the required installation regulation listed below.
FIRE PREVENTION OFFICE
nyxxxWMxxxxMKRMEW=NM
HYANNIS FIRE DEPAR'I2fENT
LOCATION SEWAGE PERMIT NO.
VILLAGE
A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 0260
BUILDER JOR (OWNER
6 kll�k Rd du wLvn coo
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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` lbCATIQN, SEWAGE PERMIT NO.
VILLAGE /
A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 02601 i
BUILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......O F..........................................................................................
Appliration for Diopo.ittl Works Tonitrnrtion Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
3Q !9. ... C., .. . 041...........�Y.!Qir!rr�°s... AV!V--------------------------------------------------------------------------
....................... •Add ess or Lot
.�°yw _ .... ....4•_--•-..��9 Ied 4.. ....�6_.. !',��-.0 cam.-----.........-----•--•: �4Gst gZ?,, W4,
Owner Address
W
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms..............._............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of ersons____________________________ Showers
Pr YP g ---------------------------- P ( ) — Cafeteria ( )
Q, Other fixtures .--•••-••••-•-••--•---__.-._..•-----•__......-
W Design Flow............................................gallons per person per day. Total daily flow.......__-----------------------------------gallons.
Gd 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 ( )
Percolation Test Results Performed by..........................................•-._.....__________-....._______ Date........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
GT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
pf -._--•----••------------------•--------------•-•----..__._...__..._........-•-•....._....:------•.....-••-••••---•.....-•--.....--•-----•------------...---
ODescription of Soil..............................................................................._........................................................................................
x
U .........................................................•-•---•----•-•--•---.......------•---•--•--.....----•___-•---------•--••-----.-_•-----_-____--_-___----------._......---•--..__...__------------
w ...................--------------------•--•.--_-__----__-.--------_-_-_--_----_.--_-_.._.._.---•-•---____-_.__---._---------_-.--••---_.•----•------___....___._...._.....-•••--------•--••--•••••----
VNature of Repairs or Alterations—Answer when applicable.—Am...4 she Vic?...... ..........................
---•----••-•...................................•-•-•----•••••-••-----•----•.._.-------......•---......._...-____-...___._____...._-___•---•----_-...____-.-•__-.-_._..._.___.__-______..._._......:._._.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iIIL LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b •ssued by the boo d of health
Si ned .... � � f ..........................Gar 7�
Date
Application Approved By....... ------------------------------------- •-• .. .4- .
Date
Application Disapproved for the following reason .-----•--------A---------.....................................................................-----.............-
-•--•-•-•------_-_.•----•..............•----•--------....__.................-••-----•-••-•.._..........-----•-•--------••-----------_-__-----------------------•------_____-____...--_--_.__.._.._------
Date
PermitNo......................................................... Issued....................................•...................
Date
No. 3'...... + - Fss..../...0..................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...................OF.........................................................................................
Appliration for Uiopo,ial Work,5 Cfonotrnrtion Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
5 /?
36......._ U!q&.../-064 %o
.. eo� �Y---------- �iVit// ------
Location•Add ess or Lot
Ay�vn .�Y_.'...!��9t��o....- ,-••--f'.Ur2/� 4�i4.. 6__._'`l ,P�-w� c : ��srGs�o...
r�q
................ -___-... ......_----- -........
Owner Address
w
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type 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........................................
aTest 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 Nature of Repairs or Alterations—Answer when applicable._.-tQl-)/-)-._.!Fed W....AF '77.......................
--------•----------------------------•--------•-••-•--•--•-•--•-••••---------------........_..................---------------...---------------------------------...._..........._..........•-•....-----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b8emtssued by thjD
d of healt�
,7�.�Si ned ...... ... .........................�Or7 8
/ D e
Application Approved By---.--- ..................................... ....._.,/-�:n- �'- �-
Date
Application Disapproved for the following reason ---------------••----••----.._.__----•---...-------------------------------------•---------:._---------------.._
---------------------•-•--_......_-----..__._._......-------•-------------------•--...---------------•••---------•------•-----------------------•------------------------•-----•-----------•------_-----
Date
PermitNo......................................................... Issued-.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
Terfifiratr of Tontplittnre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by.....................................................................................................................................................................................................
Installer
at.-- ......
-r�--�R,d--•--------------------/-...y S---•------••----.................Q.........-...---------------
has been installed in accordance with the provisions of TITL/ES� of�4he State Sanitary Code as described in the
application for Disposal Works Construction Permit No........lZ_ :.___...1............ dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTY AS A GUARANTEE THAT THE
SYSTEM W14 F NCTION SATISFACTORY.
DATE.._. 3 '� � -------•••••.._. Inspector.... .... ._....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
qq ............0 F....................................
No.. ... ___!/FEE. A..........
Eiopooal Works T-Fonstrnr#ion "permit
Permission is hereby granted....:.........................................................................................................................................
to Construct (�1 ) or Repair ( ) an In ividual Sewage Disposal System
at No......�014.... ..........QAfc_............ty<� / f� < ••-1� /U/(�/5 ...wc...........
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
. -.-I�- '...-•-',7- •---------------------------------------
oard f Health
DATE............. --.......-•-•-----•-•••---•-•••---•..................•----__-•---•
FORM 1255 A. M. SULKIN, INC., BOSTON