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HomeMy WebLinkAbout0035 PLEASANT PARK AVE - Health S5 PIe�San earK 4ve., Arn(TIM r dtn' 14 f� No. 42101/3 CAR 7771 r .120 iE.7 i9tet 6II 10% , o • 0 a 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 �" i ., ,, - _ �� � � Y � -' � ,f e� h ti n a s' � a R � .,, �.�� �; -7 r, •�. ``� �,� e � .� �} ` v ) . . . , . - r, . . .4 .. . 4( _ �1 1 ''# G � � i ' � , ,. r � � 1 No. .:::. b F$s.t ...'� 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