HomeMy WebLinkAbout0035 PLEASANT PARK AVE - Health S5 PIe�San earK 4ve., Arn(TIM
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No. 42101/3 CAR
7771
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10% ,
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TOWN OF BARNSTABLE
A.
LC;.CATION ?/Sx) ��2�T SEWAGE #
VILLAGE G�Y/�fie✓ s ���
` ASSESSOR'S MAP 6z LOT
`I INSTALLER'S NAME & PHONE NO.AZel) s✓5 �77J-�3
SEPTIC TANK CAPACITY / ® b o S i
LEACHING FACILITY:(type)tx-,s r--ems /��Z c��s i (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
II
S'
1 M ,
I
o
No
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Applirativit for Diti-VinialiVorks Towitrnr#inn runtit
Application is hereby made for a Permit to Construct ( ) or Repair-M ) an Individual Sewage Disposal
System at:
.....3.5._._ .�_ rj1;...Park...Aye-_.Hyannis.............
Location-Address or Lot No.
Ralph _&..Laura _Catignami
-----------------------------------------•-----------•------•-----•--..._.........-•---•----------
Ou itrY Address
�..sue.7"
Inliststaller. ------- -------- ------- --------
Address
Type of Building Size Lot............................Sq. feet
V Dwelling No. of Bedrooms------------- -Expansion Attic Garbage Grinder
( )
Pk Other—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.
3 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. 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........................
a •---••----•------- ---------------------------•----------••---•--....-----------------•--•••---........_....---•-----.._..----------------.....--•••--••••-.
0 Description of Soil--......................................................................................................................................................................
� ..........................................sand...&-- Gr_acrel...-----------•------------------------------------.......--------------------------------------------•------------------•
W
U Nature of Repairs or Alterations—Answer when applicable...-...-Omit ------s pool. Install
. -1 0..0
gallon septic tank to existin-cj Reach pit.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Complia e has b e issu d by the oard of health.
4� igne
---
Dare
Application.Approved By ............. °". irP....�
Application Disapproved for the following reasons: ............................................. . ............. ...._............._... ........................
-----._-------------------------------------------------------------------------------------------------------------------------------....---......----------......---------------------------- .. ... ._.................
Dr
s—
Permit No. ... -.._ "_. .. Issued ......... ....mod-./ �' ......
Dare
NOJ.�_
' THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Disipwial Wnrk,6 C owitrurtion ramit
Application is hereby made for a Permit to Construct ( ) or lkcpairX.(X ) an Individual Sewage Disposal
System at:
Park...Ave...jjyannis..............
Location-Address or Lot No.
Ralph- & L......................................Catinami
.....-•-••----•--•---•••••••-•---••..........••---•-••---.........•-••.........................•--
O /J Address
W COm17er r /...
............. .�-Gl-� <�,�-sT'
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling.; No. of Bedrooms.............9-.----.--..------_----_.-Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of' Building --- ------------------------ No. of persons---------_--------._----- Showers ( ) — Cafeteria ( )
QI Other fixtures ------------------------------- --
W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity.......----gallons Length........ ....... Width...--.--_-_--- Diameter-------------�t. 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........................................
,.� Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water...._..---....--------.-
Gi, Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
04 ----•--•-•---------------------------------------------------------•---••-•••••...............------.........................................................
0 Description of Soil........................................................................................................................................................................
�4 Sand & Gravel
W
UNature of Re s or Alterations—Answer when applicable..--....omit cesspool. Install 1-1 0 0 0
o�jjso septic tank to existing beach pit.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place theJ
system in operation un//tila Certificate of Compliance has b en issu d by the/,board of health.
2/27/95.
rgne - _/ _ -------------------------
. Dare
Application.Approved By .... ------------ ....._.............. -. ----- - �= Date w
r
Application Disapproved for the following reasons: .................._ .....- --------------------------------------......--...-.-......------------------------------
------.............--------------............._......------------------------....-----------------------------...-----.............-------------------.-.-.........-_.......-......... ---------------------------------
to .,r•-- ,I
Permit No. `.-�z�--f-��---- - .. Issued ..--...-- .�..-��-- �--
Date
_. .---,._,-----.--m..a.®—a.-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
%Q1ertifira#e of (111omplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (KXXX
by 2.L. H s T
hwakr
at ..............
35 Pleas-ant....Park--Ave-_.Hvann-�..s------------------ ---------------------------..------------------ -------------------------- ----
has been installed in accordance with the provisions of TI'I I, of e State Environmental Code as described in
the application for Disposal Works Construction Permit No. .- .. J.�`�._.. dated .�
THE ISSUANCE OF THIS CERTIFICATE SHALL NO B CONSTRUED AS A GUARANTEE AT T
SYSTEM WILL FUNCTION SATISFACTORY. f _
_ ._ .
DATE, In p ct ,%/
' -'" /' �
- . • ------ _.. s e r. .. �.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No... ..". /� FEES...3.0...0.0
�i��,a��tl �rk� C�ua��tr�rtuan ��rmit
Permission is hereby ....S%----------------------------------•••••••..........
to Construct ( ) or Repair �iX) an Individual Sewage Disposal System
at No........3A..Pleasant .PArk_.AY ...Hv3l7t� ._s.� ---------------------•-•----------------------------•---................
Street
as shown on the application for Disposal Works Construction Pe it ��J..' ��at�-edd.....� 'ray . :..�h'
----•.��•.-.-.• ' ems-�y`'�-- -- ----.•-------•-
Board of Health
DATE------- ------------
FORM 36508 HOBBS R WARREN.INC..PUBLISHERS
4 TOWN OF BARNSTABLE
Li CATION N-SKr, 84VE SEWAGE #
VILLAGE. y 9 tyw S ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. C 6 VS �-VIN06
SEPTIC TANK CAPACITY
LEACHING FACILITYAtypeff t- "— 01— (size) ( "_4
NO. OF BEDROOMS PRIVATE WELL O LIC WAS R
BUILDER OR,'OWNER h
DATE PERMIT ISSUED:
DATE COZIPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �"
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........."T ........oF_7 : ..A .
Appliration for Disposal Works Tonstrur#ion 11rrmi#
Application is hereby made for a Permit to Construct ( ) or Repair (:L-)-an Individual Sewage Disposal
system at:
•--.............��......:P.'�u ..._..f `�-:.... -•-----•-•-........: I-?S.................................
Location-Address .-or..
Lot No.
•----•---= � .... .f4":lt te........... .................... :.u�- .._...................:.---...------------
Owner A dress
Installer Address
Type of Building Size Lot............................Sq. feet
aDwelling—No. of Bedrooms---3....................................Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
04 Other fixtures .............•• •-•-•--•••---------•--•-•----------•-.-•-----•---- --
d ................
------------------
W Design Flow...... ��.........................gallons per person per day. Total daily flow.......��- Z)--................--..gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter--.---.......... Depth................
x Disposal Trench-No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No....... ........ Diameter.....1.0........ 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........................
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+' .--•-----------•----------•--------------•-•--•--.........---..........---••----•--------------...............-•-•--•--•--------••-••-•-----••---•-----••----
0 Description of Soil........................................................................................--------------•-----------------.-•--------...------.--------------------=-----
W ----------------------------------------------------•----•-----------------------------------------------------------------------------•----•--•----............----.......................•---
x Nature of Repairs or Alterations—Answer when applicable.......01.
Agreement:
The undersigned agrees ,to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITA 1E 5 of the State Sanitary Code— The undersigned further agrees-not to place the system in
operation until a Certificate of Compliance has been issued by the bo•rd of alth.
Signed-.-----------= -- ��?
Date
Alica.tion Approved B " .. _. ...................... -------.--
PP PP Y-......V ....._..__.._
Date
Application Disapproved for the following reasons:...................................---•----------•-•-•-----------------.....................--•----••--•-•-.._
------------------•-•-•-•---.....---..............-----......--------•-----------.................•...---•-------........-•----------........----------------•-----------------•--------•--.._..•-•-•---
Qrq Date
Permit No.........0..........3.1.c?----------------- Issued...............................................
........
Date
.• _. ,: � � u �- -� r + .... .. - ._. fit•,=w•�9'�R`"*'f
� C
No.�....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF. HEALLTH .
...... of .a 1�u.S :...4 ................................................
Appl ration for Disposal Works Tonstrixrtiun Permit
--Application is hereby made for a Permit to Construct ( ) or Repair Individual Sewage Disposal
System at:
-Location-Address •�- r Lot No.
-•-
', ............ .�. :� -�e .�. f4 C•! -!�1 a!!�-t•-••-----• ----.... .•...�a ..et�- ......: ....................
Owner � V
aV AY -sZ�lcd/( (f�. `t�- A (( , dress ...................................
Installer Address
Type of Building Size Lot............................Sq. feet
'Dwelling—No. of Bedrooms___3_____________________..............Expansion.Attic ( ) Garbage Grinder
a'4 Other—T
YPe of Buildin g ---------------------------- No. of persons............�.--•,---------- Showers ( ) — Cafeteria ( )
Q Other fixtures ..........................-...........................-----••--------=/
W Design Flow..._..I- .........................gallons. per person per day, Total daily flow_______-Z3•��_.....................gallons.
WSeptic Tank—Liquid*capacity............gallons Length___............. Width................ Diameter................. Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No------J------------- Diameter.....A_0_...... Depth below inlet....... ...... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by______:_______•_•________________________________________________________ Date........................................
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water_._______._.____.._____.
fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
0 a ••---•
Description of Soil-•----•--------------•-------••-------.:...----......_..----.....--•--......_...--------- ---•-------••--------...._. ._._............----..._•--•-••--..._-•••-•...---
W ....:. ...........................•----••-
x •••---•------------------------------------•----------------------------•--••-----------••---------------------------------------•----•-------------•---- ..:
U Nature of Repairst or Alterations.—Answer when applicable_______) --------ra ---------G.
Agreement: i L s
The undersigned agrees to install the,aforedescribed Individual Sewage Disposal,System,in accordance with
' the provisions of iITL.E "5..of the,' State Sanitary,,C6de_—'The undersigned further agrees novto place the system in ,
operation until a Certificate of Compliance-has been'issued by.the board of health
}`V:`,. _ F
h. ate
Application Approved BY �"` 'E • r"� #
V Date
APPlication Disapproved,for the folloiving reasons............................
- .....................................-' -
... .... 1 ...••-•-Y Date_______---• ,
Permit No......... �' .���
- ._.. Issued- ................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.).....................OF.........,.. ............._......._......s............_........_.......
Trrtif irate of Tomplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by..................... ! ...w.: ..._... .-.....=-----•------.....-----------------•--•--•-------•---....._•-••-- - '---•---------••--
`` ,, Installer
at-......................... �� --..X--\Vy.? a- .._.c ----•-.IOV - - :�::,,�..�-•--•._..:'.----
...................
has been installed in accordance with the provisions of TIT j of The State SanitaryCode as described in the
p - 3.;
application for Disposal Works Construction Permit No....... _ ._- ___ �. ...._. dlted________________________________________________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..................................................................•--.... ........................
Inspector.......------ .. ,.......__................._.........._......•--_--..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF' HEALTH
FEE. d
Disposal Works Tunstrnrtiorn Permit
Permission is hereby granted.........! .__ .. 2. Si-v-ygi V,
..._....
._ tr
to.Cori tract ( ) or Repair ( t,,),.an Individual wage Disposal System .
at Nod.........._° t�,�_a- �, '.�. --. iA ►��( . �r 2.........................
Street �
as shown on the application for Disposal Worls Construction Permit No A Dated..........................................
2oard of Health
DATE.................................. ............................ ............ VJ