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HomeMy WebLinkAbout0029 PLEASANT PARK AVE - Health aq pI easan� a,�K Vie., I �n�s ay9� d3� -06Q �l ; J: d i I I ti , . -- ::. _ r , - , „_ _ .r v... it ' > - e a .t. S r R =k H -.. -. f - -j I .` ,' ' d I ... .:. ,� '. ,., , a C ... V a... TOWN OF BARNSTABLE LOCATION o2'! FJS�ti� / 4- A YE SEWAGE # c1S l VILLAGEf/,gcvN®S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.Q44cN SEPTIC TANK CAPACITY /000 S LEACHING FACILITY:(type)Exi.s rr-f f A/l,6 e.gSr (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: '' DATE COMPLIANCE ISSUED: ��� VARIANCE GRANTED: Yes No C� Q!a � � _- :Z4 - © 3'I GD THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Di�5•pnial Eurlai Towitrurtion Urrmit Application is hereby made for a Permit to Construct ( ) or Repair AXE an Individual Sewage Disposal System at: ...........29----P.l-easarit..Pazk__AV e---Hyra.nnis.--_... .-•--•-------••-----•-----•-•-•---••-.......----••••........--••-•---•._...._-----•......--•••••-- Location-Address or Lot No. Roland & Laura Catignani ------------------------------......................... ................................................................................................. owner //� �. Address W ..T p M—s ---- '... /7/�G .-, L may,r �• Installer Address Type of Building Size Lot............................Sq. feet Dwelling-X No. of Bedrooms...........3_---_---------_--.._..-...Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons......... ...---------._. Showers ( ) — Cafeteria a 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 04 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........................ P4 •--•--•--•••--------•-------••-••------•---•------••--------••--•••-----•-•---------•-•-•-----------......................................................... 0 Description of Soil.................................................................................................................................................... ................... x Sand & Gravel U ..........................................................------•--••••----•-----•---•------•-----•••---•--•-•-••-------•-•••---•--------•---•••-•••----•-------•--•----•-----•-----••••......---•--•--- W x Nature of Repairs or Alterations—Answer when applicable----omit---Cess U P �e�. �n s-ta1�...1--.�.amn -g-a31on...leaclti-ng- -p-it...a-nd---T-4-0-0-0---ga-Ion...sept-ic---tar-k-.-------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir nmental Code—The undersigned further agrees not to place the system in,operation until Certificate of is ce has bee is ued b the board of health. ig d - -...._--------------- .....2./2-.7--/-9-5..:...... Dare Application Approved BY - - --------------------------------------L ..-.---------------------------- Applicationreasons.-, ` Disapproved for the following reasons: .......... .......... ......_... .. ------------------- -----------------..---------------------- _..................................._...----...---...-.-_----------------------.------------------------------------------------------------------------------------------------------------------------------- ------- ....................................... � �--. d.-. .. Dare -.- Permit No. - .. ...... Issued ---------- f� �". Dare t E No... "_�11 a...... THE COMMOKWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH TOWN,,OF BARNSTABLE Appliratilait L Application is hereby made for a Permit to Construct ( ) or Repair �,X� an Individual Sewage Disposal System at: I j ...........2.9_.p L Qza saaxt... ark..A_vQ__H.yaTX?q_i.......... -'-----------------'----------.: '•-----"- ^ ^ --------•------- ---•--_-_-• _--•_-•__' or Lot No. Location-_� dress Rol .......................•---••----•••--------------------------------------- ---------------....--'----------------------------.-..-----------•----------'-------....------•--- Owner Address ------------------------------------------- Installer Address d Type of Building Size Lot............................Sq. feet CJ Dwelling-X 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...................................... Test Pit No. I________________minutes per inch Depth of Test Pit-_-__-___________.._ Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water..-____--_____________-- 0 Descri tion of Soil------------- x Band & Gravel -----' v ............................................................................................._......................................'....................------------------------....---•- --------------------------------------------------------------------------'--.._. ----------------- --------------------------------------------------....-----------------------------------•--_..... U Nature of Repairs or Alterations—Answer when applicable._Omit...ces-sloQQl......I istt ill...1_ml_0Q0_._...__. .ad:1on...I-eaL-`1,k'? '-t__.,a. id...'-3-0-0-0---` alLon.__septi-C...tariko....................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir nmental Code—The undersigned further agrees not to place the system in operation until a Certificate of C is ce has bee is ued by the board o health. ed ... -----------... .... ........................................ Dace Application.Approved By .. - ---------------------- ------------ ^L / �..� Application Disapproved for the following reafonf- ----------------------------------------------------------------------------------------------------------------- .-.---- -------------------------------------------......---------------------------.-.-......-...............--------..._..----------------------------------------------------------..---------- ------------ --------------- Dare -,��� �� < Permit No. .......... Issued .. . ------ Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of V antlatiancie : THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) -- Jr. 192 e q <ov-57` by ... .. .................... .._... -- ----------------------- -- ---------------------------------.--------------------------------..------------------------------- --------- at -------29 P-leas.an-t Park Ave -Hyannis.------------..._.............----..-..-------------------------------------------------- ---------------------------------- has been installed in accordance with the provisions of TITI. of The State Environmental Code as described in the application for Disposal Works Construction Permit No ...._.- dated . ��` ` �a `..... ..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT W SYSTEM WILL FUNCTION SATISFACTORY. 17 DATE .. �j ............. ... Inspe t`or '` ---------------------�'.-�-- ...: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ^; J TOWN OF BARNSTABLE No...� �G� FEE_: ...3-0 0 0...... Difil s' Tu�titr tvYt rrutit Permission is hereby granted - '--- '-----'------"- . .. ............•'Jr r1g�ee—iq - --'-----'-'--------'•--'-'---•---------•------.......... to Con s2t�uctP�esaritep 'tax'kA an Hyaxltiiearage Disposal System atNo-------------------------------------------------------------------- -------------------------- --•-•• Str as shown on the application for Disposal Works Construction Perm._ ��1�__ Dated Board of Health DATE_. fL(j --"------....- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS