HomeMy WebLinkAbout0385 SEA STREET - Health 385 Sea Street
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A= 306-031
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No. — � � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppYication for Misposal 6pstrut Construction 3pPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components
Location Address or Lot No. zts A o �� r �a��l Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 30 tloek ( Z,
Installer's Name,AddAs,and Te No. Designer's Name,Address,and Tel.No.
D
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answe he applicable) 1�u�C6VlYe �� u CG,1-60h2)0,
gtzx
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board f lth.
e Date
Application Approved by . Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued 3 8 l L
No. 20 l' S Fee 025
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS.
fipritation'for Misposal 6pstetn Construction j3erntit
Application for a Permit to Construct(. ) Repair( ) Upgrade( ) Abandon O ❑Complete System ❑Individual Components
Location Address or Lot No. Jt S A 5o f P E�.9° r t' Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 3vo 63 1`�ar�C Boca�fea%,..
Installer's Name,AddrAs,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building A.
No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
9 Title
Size of Septic Tank Type of S.A.S.
Description of Soil
_ Gb °
Nat` Ire of Repairs or Alterations(Answ r he applicable)
b �21�a�
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board Pfelth.
ftoe r p Date
Application Approved by Date J b t
Application Disapproved by Date
for the following reasons
Permit No. 0, Date Issued 3
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CER�TIF�Y}that t e On-site Sewage.
Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned(t by !jet l ilt
at has been constructed in accordance
with the provisions,'of Title 5 and the for Disp sal System Construction Permit No. 0� _O dated `3
Installer_ k Designer
#bedrooms Approved des gn flow 1) AJ gpd
The issuance of this permit shiVnot e con strued as a guarantee that the system Wil functiogasides�gned. `fDate `7 Ins ector /I, /���f l 1 �) 1 �f' 1i'
P
� - - — _-_
No. Z U l J— y - Fee 2 .�
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstrm Construction jhrmit
Permission is hereby granted to onstruct( ) epair ) Upgrade( ) Abandon( )
System located at
i
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:Cons77tru/9tion m/ust/be completed within three years of the date of this permit. jI—Xi
J/ " / `T
Date h Approved by
r ! /
AsBuilt Page 1 of 1
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LOCATION SEWAGE PERMIT NO.
VILLAGE
INSTALL
R'Ss NAME i ADDRESS
BUILDER OR OWNER
DATE PERMIT ISSUED Xl? ._3� _J�'
DATE COMPLIANCE ISSUED % - 2y
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http://issgl2/intranet/propdata/prebuilt.aspx?mappar=306031&seq=1 3/10/2014
ION _ S AGE 7 RMIT N0. Y'
LO CAT �. ,
VILLAGE
Ntw
6
INSTA LL It's NAME i ADDRESS u „
BUILDER OR OWNER
DATE PERMIT I S S U E D
.DAT E COMPLIANCE ISSUED
`T-
fN�
. . . 5,00
N .� 3..._.�.. Ftc�+.........................._
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.................. ......Town.....OF..........B.arr atable.............................................. ..
Appliraation for Bhipmal igurkg Tomitrurtiun`' :grub#
Application is hl~reby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
p � . -
0 57. ...l.2.PaS�...J.7.: a..r. �d�.►1.ti.i.M_�... SSchA.... 6.X('�.1........ ..................................................................................................
Location--Address or Lot,No.
Sa7.1 . �Is� xl .......:..........:::...: 8 Sea St. By
annis Ma 02601
y.._ -_.... M5--••---••---...-.t j--- ._ .... � �..... ................
Owner Address
a &.. __esaAQ.Q.l S.e .Y. Ge.. 128 Bishops...Terrace a.__HYannis.�..Ma... ..
Installer Address
UType of Building Size Lot.......:....................Sq. feet
Dwelling—No. of Bedrooms.......3..................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons.......... ................ Showers ( ) — Cafeteria ( )
Otherfixtures -----------•----------------------------•-------------.•••••--•-----•-••---•••••••••••---•-•-•-•••-••-••••••••-•-••......-----•••...._._.........-•---
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 ( ) • Y.
Percolation Test Results Performed by.......................................................................... Date........................................ .
a
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
(r4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-------------------------------------------•------
... -------------------........--------------------- ..........
..•••---------------
_------
0 Description of Soil---Sarid...................................................................................................................................................................
U
w
U Nature of Repairs or Alterations—Answer when applicable...Ins_tal.lation---fl.f.__3_.1}.OQQ---gallari....
s-#ins--pa,eke.d...l•e-ach pit...4-overf-I.ow)••-----•--------------------------------------•------------------------------•----•-----_----•-•-.-----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TLITIZ 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 e boar�g hSafth.
Si ed �_ ._..... --- ........ 121291.7
s Date
Application Approved BY=` ,�� ��.. 12f 29�78
Date
Application Disapproved for the following reasons------------- -
.......-•---•-•••---•--••-••--•-•-----•-•-••••-••---•---•--•---•-•-•--•-------••.........:......•--•....•-••----•-•••-•-•--••---•--------------••--•-•------•---••---•••••------••-••-•---•••--•••••----
Date
Permit No.....7.8=.......................... - Issued.a2129_/78
Date... ..................
N'�o; $f6 -- F� 00...........-
�✓ -- THE COMMONWEALTH OF MASSACHUSETTS
BOARD OFHEALTH
........T QWn.....O F..........Barnstable..............................................
Appliration for Disposal Works Cnnntrurtinn ramit
Application is hereby made for a Permit to.Construct ( ) or Repair (X) an Individual Sewage Disposal
System at
3B5... ....... .................................................................................................
Location-Address or Lot No
Sally.Alomrfs::......... ----------------------- 30...$ed.at.A X. y3nn s,, Ma..-.02601
Owner Address
a A..&..B...0aS.S.P ol...ssrviae.------•-----....---•............. M...B3shoDs....Terrace.,...
Hy
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.:....: ..........:...............::......Expansion Attic ( ) Garbage Grinder ( )
a Other—Type of Building .............� �.
;.._..______. No. of persons._._____. ............... Showers ( ) — Cafeteria ( )
Other fixtures ....................1
--------------•=' ---------......--•---------•.....•-•----------•--••-----•-•-••-----••-•---•.._....---------------.....----.......------------•-•
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........................................
a
Test Pit No. I................minutes per inch.,,Depth of Test Pit-------------------- Depth to ground water........................
(r4 Test Pit No. 2................nimutes per inch- Depth of Test Pit.................... Depth to ground water........................
P.' ----------------------------------------------•---------......------.....------------•-•------•-----.........................................................
Desc :ption of Soil_. -�d-•.......................••...---------•--...........------•---•••--
V ............-••-•--•--.....-••••------•..............•-----•---------------.........--------•--•--•------•--•••---------.._..•--•----------------------•-••--•-----------•---------------•----•--------•-
W
UNature,of Repairs or Alterations—Answer when applicable--.1-ustalla-tion...of---a.-It000---gallan----
stone---packed----lea-ch----pit---4-aver€1 ow-)-.-----------------------------------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'ITLEE, 5 of th% e State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by e boar h th.
41
M__. ........._
Application Approved By.:7... « ............................... ..........
-------12129I 8-------
A Application Disapproved or the following reasons: ....
PP PP f f 9 - - -•---•-------•----------------------•--------------------•--------------Date---....-------
..............................................---------------••----•-•---......--•---......-•----------------...........--•-••---------•--•--•------- .............•-'-'•r� -----•-------Date--------------
7. - .....--- 12 '� 78 Permit No..... 8__...---• --------- ---------- � Is�ecL---------r- �-1------------...................---
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...............Town...............oF...........garnat.able..........................................
rj (Intifirate of Tompliaanrr
THIS IS TO CERTIFY, That the Individual Sewage Di is osal System constructed ( or Rea ed (X )
by.A.--&..H.. Bsa aanl.._Sexu. ce.a._.12B---BlO�opS T_errace..._Hy_a�r�is.x..��.............................601 at.--'85... es...B a s._�'y-a�18.#..�� ,: _0 601nstall__----- Sallyr_-Norris
has been installed in accordance with the provisions of TITLE r of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.76-.... ......6............ dated_2/29M.......................
A THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector..-- r....-= ............
.... ...---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
P' .......................'�own......OF........ ,rnitable•................................................
No...7 --- $5.00
FEE....... .............
Disposal Works Tanns#rwtion amit
Permission,is hereby granted,A_._&..a..CeSspool---Serviaa.....12.8..Bia1ups...T4'x..s Y-AlqRg?S.
to Construct (:.. ) or Repair (IC) an Individual Sewage Disposal System
at No..3&5... ..... -------- A1.1 ...�+Torris
Street <
as shown on the application for Disposal Works Construction P2p9t No _.....,. .....
�Dated...121.2-g178................
.......... yam' - lZz'r6'.l __.w..
/ Board of Hea
DATE..._.121 ................................................... VVV
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS*
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