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HomeMy WebLinkAbout0007 SECURITY STREET - Health sccur�'41 S+•, 1 ,rnn� s r ., TOWN OF BARNSTABLE -,--ATION �d,, ,ems i�; SEWAGE ".1LLAGE �r,;�tr�� Sr ASSESSOR'S MAP & LOT - INSTALLER'S NAME & PHONE NO. W od -1-15" SEPTIC TANK CAPACITY LEACHING FACILITY:(type) }'�, (size) l sCX.)ry NO. OF BEDROOMS 2 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER T. ITIE � = DATE PERMIT ISSUED: Ilan S DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No k r �r A j ` No a { 65 - f 9-0 No.. ,F '-�+� �. Fss.3 0..'.0 0............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Diu a ttl urlt Cnu$titrnrtiun rr�ntt Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: 7 Security St Hyannis ...........................................................•---------------------------...-------• •-•--•------------------••----------------------••-----•..........---...------------......-------- or No J. Mele Location-Address 45 Audley RD Spr Lot MA ......................-.......................................................................... -----------------•--•-----------•------......------•--------.....------------•-----.........---••- Owner Address W W.E. Robinson Septic_ Service P.O. Box 1089 Centerville Installer Address UType of Building 2 Size Lot............................Sq. feet Dwelling— No. of Bedrooms..................................----------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 capacitv............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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (z, Test Pit No. 2................minutes per inch Depth of Test Pit................__.. Depth to ground water.................... ........-•-•---•-----------------------•---•---------------•-----.................-----------•............................................................... 0 Description of Soil...................sand -----•------------------•-••----....----•---------------....----....----------------•-------------............-----.....---------------- x W •-------------------- ...................................---------------................................................................................................................................ UNature of Repairs or Alterations—Answer when applicable.......... nstal.l---a----1_,QQO....gal...tank.,_............... & D-box --to-- exist_ing precast leachpit ------- ---------•- -------- -- ... 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 Compliance has been issued the board of health. / Signed ...../-,c ..L.0... ......... .............................................................. Dare L Application.Approved By .............. ...... s Dare Application Disapproved for the fo owing reasonf. ................................................................................................. .......................... ........... ........................... .............. .............................. ........................................................................ ...... ---------------------------------------- Due Permit No. --��-------L Issued .....-.-... .....:........... ...�..�eG ...-... � No... .- j - FV/ iEnc..3.0......0.0............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Di�pwml Midw TimBtrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 7 Security St Hyannis .....-•--•....................•---•---------------...---....----•-•---•---••••----......._.•-_... --••-.....------•••----•-•--••--•---•...._.-------••........-•---............•.....••••......•--- Location-Address •--- Lot No-.,-•............................. J. Mele 45 Dudley RD Sprori.ngield MA Owner Address a W.E. Robinson Septic Service P.O. Box 1089 Centerville Installer Address Type of Building 2 Size Lot.................... q. feet Dwelling— No. of Bedrooms.-.................................... ....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons_--------_---------------- Showers ( ) — Cafeteria ( ) d 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........................................ Test Pit No. I................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. ....................... Description of Soil -------.Sand------------------ ----- x ---•-----•-----••-•-•--••---•••-•••------- ----------•-•----.----•--------•--------------••-------------------------•-••-••......--••••----- W UNature of Repairs or Alterations—Answer when applicable........-install a 1 �000_ gal tank r________________ &_ D-box___to, existinq.__precast__ leachpit............................................................................................ 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 Compliance has been issuedJ#V the board of health. j Signed �-�% ..t / -------------------------------------- — r� Dare - Ap�lication.Approved By ................... .................... 3�.... 3......-�©.--- a -1 _.� Date 1 Application Disapproved for the fo owing reasons: .. ...... .. ............................................ . ... ............ ..... ........... --------- ----------------------------------------------------------------------------- ---------------------------------------------------------------------------------- --------- ------------------------- e� --�/ Dane Permit No. .........1, . .........� ------- ------------- Issued ..........3.....z t �- 9.5 ...... a[e ,w THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CEelr#tf rate of CXrayliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X ) by -----W-.E.r...--Robinson....Septic...Serv -C.e.................. ...... ...... ............ . Insrullcr 7 Security St Hyannis at ------ ----------------------------------------------- ---- --------------------- ------------------------- ---------------- ---------------- -----------_----- ----------------------------------------------- has been installed in accordance with the provisions of TITLE 52.f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ....--. .�``".—.-.... ,Tn dated . �7.- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. C DATE---- ��w . ^ L' ................................ Inspector . - J. Mele THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH cg�, TOWN OF BARNSTABLE 30.00 No..... .�?....�1... FEE........................ Uiovosal Workii Tonotrurtion "prrntit Permission is hereby granted......W.,E. Robinson Septic...Se . ........................... to Construct or Repair ( X) an Individual Sewage Disposal System at No. -.7-..Security-St••.Hyannis PP P street ! -� l ................................................................../ °tx Dated..-�-`�-/1.-..�_��..._....... as shown on the application for Disposal Works Construction Permit No_..."......,Y.--. ---••-----•-••-••----•---•-- ���1 -------------------------------•--------- ti C )ard of Health DATE............._. ' �. ............................... FORM 36508 HOBBS E[WARREN,INC..PUBLISHERS '" TOWN OF BARNSTABLE .)COITION SEWAGE # � �1 :LLAGE VJ� hi:/air2yu\S JQayZ x ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ��fu S� S SEPTIC TANK CAPACITY �� ,n LEACHING FACILITY:(type) Pi-7 (size) f & L . a NO. OF BEDROOMS— PRIVATE WELL O PUBLIC W R'l- BUILDER OR OWNER . \� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No VI. Z �j ry Qz `A C THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 777 .......................... ...........Mov.-iN..........OF ............. ........ Appliration for Disposal Works Tonstrurtion Frrutit Application is hereby made for a Permit to Construct or Repair Individual Sewage Disposal System at: ................7­ 'Se&Q�r , t .. .. .......Y....................................... ...................... 6----------------------------------.............. Location-Address or Lot No. ......................................... ........ k&_.Ap.. ............................................­­............ . ..... . ...........i�P.......... Address X 4 ............p ...................................... oorf. ..4 Installer Address Type of Building.., Size Lot............................Sq. feet Dwelling—No. of Bedrooms........3...................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons.__.___._.._._.._______.__.. Showers Cafeteria ( ) Otherfix lures ...................................................................................................................................................... Design Flow._._.._..: ...........................gallons per person per day. Total daily flow....."5—K. ...........................gallons. ;Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter__._.-__.._..__. Depth__..______.__... Disposal Trench—No..................... Width____.._...._._____._ Total Length________......_..... Total leaching area....................sq. f t. Seepage Pit.No.......J_......... Diameter._._,. 0. .... Depth below inlet......�Z........ Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................................*................................ Date_....__________________________.._.._... 0.4 1 14 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_..____..___.___...._... ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ W -----------*­--------------------------*------- -------------------------------------------*.........*"*----------- ...........I.......... ----------------*----------------I .............................................................................................................................................................. ................ U Nature of Repairs or Alterations—Answer when applicable_ ......VVIC.. ................. ..............44:., % .......................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I I'L 1Z 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 board of Ilealth. Signed-..-- .. .. .. ..... .......... .. .. ......................... ... ............. Date Application Approved By......_....� ...........17e,-.j.4._.t24.... Date Application Disapproved for the following reasons:................................................................................................................ ..................................................................................I...................................................................................................................... Date PermitNo............ g.................... Issued....................................................... Due .7- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 14, _VL.d.N......... ... .......... ...... Ap'lirativit for Disposal Works Cinstrurtion t rrmt hereby made for a Permit to Construct Individual Sewage Disposal Application is h or Repair t-j'05n. ndivid System at: _Sew 4� S Locati66-Address or Lot No. -5-1EAN , - - ..7 V­a . ..................... ........W.ne'! ........... ..... A4 ......., *---­------------------------ ......................................................... W Address n., ......... ............p 4 IK11­;f.­ 7---7 Installer Address Type of Building Size'Lot....:.......................Sq. feet L) .,)_4 '6f­B�drob s......: ..................................Expansion Attic ',Garbage Grinder Dw- ifing—No.-� om aOther—Type of Building ......i................. No. of persons.__,:_.__._..._....____.._._ Showers Cafeteria &e; fixtures .......................................................................4.......................... -------------------­­------­ ...5 Design Flow..... . . ..... . `gallons per person per day. Total,daft flo*....7321�..........................gallons. I I - - y Septic Tank— iq0id capacity _.____gallons- Length______ Width__._..___.L Diameter- ...... Depth______..._..._.. Disposal Trench—No:.................... Width___ ;..... Total Length____________________ To6d,leachingiarel.....................sq. ft. ��111 I N D ........ ............ Totil leaching area".................sq. ft. Seepage Pit o......../ iameter....... .... Depth.below inlet......(-.* Other Distribution box Dosing tank Percolation-Test Results Performed by.......... .......................................................... Date...'�................................... .4 N 'Test Pit No. I.......... .....niffitites peT inc h' Depth of Test Pit..___________.____._ Depth to ground water...__...__.._._.__...__. GX* Test Pit No. 2......... minutes per inch Depth of Test Pit_._._.......________ Depth to ground water....___.._...__.._...._. Chii ......................................................................................................................................................... 0 Description of Soil...... 4 77;;--------------------------------------------------------:--------------------------------------------------------------------------------;--------------------- ................................................................................................................... ---------------- -------I------------ ........................................................................................................7................................................................................................. e o* \, " � 7\_ ................ U Nature of Repairs r Alterations—Aft's'Wer when applicable...::7;P�6��S7K.A,-\ . ..... ........... ,ram .... ...................... ............................................................................;......... Agreement The undersigned'agrees to install the aforedescribed Individual Sewage Disposal System in accordance anc ,yith "'I'PIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in the provisions of.,.L I C p operation until a'Certificate of:Compliance has b`een issued by the board of health Signed V ................... . ............. . ..... 7, Date -Application.Approved BYL.— .....4141-- ................ ..................... ........... Date App4ption Disapproved for the folloiving reasons:.......... ---------- ----------------7........................................................................ ............................................................................................................................. ........................................................................... • Date PermitNo............ ....... ....... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............0 F.7-AR.0 e................................. �rrtifirtttr of -T THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or'Repaired by................................< ...... ......... . ............................................................................................... Installer ................................at..................................7.....5: iy...... ..................... has been inst. E 5 of The State Sanitary Code as described in the installed in accordance with the provisions of TITLE application for Disposal Works Construction Permit No........11;>1/1-j P,.: ?..V...... dated:............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... V. ............................... Inspector...... s, ...'== . .................. ———————————THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ..................OF....72.A!g., ............................ N0........... ...7e .. ....... FEE......3 .......... Disposal Works Tonstrurtion "rrntit Permission is hereby granted........... ........................... ...................................... to Construct or Repair ((_),an Individual Sewage isposal System atNo..............—7 ...... r. ...... .............................................................................. Street as shown on the application for Disposal Works Construction Permit No.7. ----*------- Dated.......................................... ......................................I. ...... . ....................................................... Board of Health DATE-----------------------. ..................... A