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HomeMy WebLinkAbout0021 STUDLEY ROAD - Health 1 STUDLEY ROAD tlyanni.3,0,6 - 023 - r 4 m i o 1 /No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpliLAtion for 30ispoSA'f 6pstem Construction Permit /ItIAIPP lication for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(�El Complete System ❑Individual Components Location Address or Lot No. .� ; (S `Q,� �." Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel Designer's Name,Address,and Tel.No. 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(Answer when applicable) Poo !�-S � 01' SICA }-C/ 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 of H lth. d 0 Date Application Approved by o G Date Application Disapproved b Date for the following reasons n Permit No. Date Issued j No.' - - Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: L ' Yes 1 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS' _� Replication for Misposal Opstem Construction permit �AC� a�lication for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(�❑Complete System ❑Individual Components Location Address or Lot No. n t S j�`��/ (Z Owner's Name,Address,and Tel.No. Assessor's Map/Parcel OL t�yC^!v`�S M {(/� `JCS I U/'d Installer's Name,Address,and el. o. (� Designer's Name,Address,and Tel.No. 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 r Nature of Repairs or Alterations(Answer when applicable) C�4 006 V 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 of -alth. Signed C� /) Date f . Application Approved by 4 _ Date Application Disapproved b Date r for the following reasons ' t+ Permit No. Date Issued ----------- ------------L/ ---- ---------- ------------------------------- --- ---- ------ ------------------------ r f TH E COMMONWEALTH OF MASSACHUSETTS v r f P r1 i� BARNSTABLE,MASSACHUSETTS , w e Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) ;Upgraded( ) Abandoned by —�' at _ has been cony cted in accor ce i� 0 with the provisions of Title 5 and the for Disposal System Permit No. ated 1 ' Installer Designer #bedrooms Approved desigrl'flU/') gpd The issuance of this permit shall not be construed as a guarantee that the system will function/as design d. Date ( � , I"�..- Inspector ✓— -------- ------------------------ - - - - - (! / � � � Fee THE COMMONWEALTH OF MASSACHUSETTS Lz I PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction i3ermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon System located at 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. f Provided:Construc ion mbst be completed within three years of the date of this permit. Date Approved by TOWN OF BARNSTABLE LOeATIONW SEWAGE # SI Lf 4 ,f VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME 6t PHONE NO. A & B CANW 775-6264 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) __(size) /Ar A5� NO. OF BEDROOMS PRIVATE WELL OR.PUBLIC WATER_4/6 BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Now/ r �� 5 � � �� F' ' i t � •i '�} .� P' f5, r. � f t ` � .! • .. � I .M � � i ♦, J • t. a� ^k` �� 3 Nof?"�{.'.�.,,t'. FE$.....rr :..".......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH otun.........-----0 F.... ......................................................... Appliration for Ui,spas al Works Tomitrurtiun rumit Application is hereby made for a Permit to Construct ( ) or Repair (*) an Individual Sewage Disposal System at: -•...................................... ..•--••-----------•---........-------..----•-••-------.-...---..-......------.---...-------------- ��lj Locn-Address or Lot No. t fo ..�.,.-..! �itSrk!¢ Qt.. s.l�n.,..... .. !. �as Qrnt�........ - Owner Add ess a ►�..C_°, .. �Sd._ ln...�...�,....U_i���.-----ram! ------------------------ � Installer Addr Type of Building Size Lot............................Sq. feet Dwelling_.—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............... No. of ersons..........................._ Showers — Cafeteria f-la YP g ------------- P ( ) ( ) a' Other fixtures --------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter-------_........ Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. x 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. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water......................... Gz Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--__-•_____-_-_---___-_. ►x -•-•---•--•••--•-••--••----•-••--•••-••--------•--•-•-•.................•--•-•------•------••-----•......_..-----------------•-----•......------------..----- QDescription of Soil........................................................................................................................................................................ x w --•-------------------------------------•---------...--•---•---•----••----•----------••--------....---•-•-•---••---------••-•----------_------ e� r• .-----•-- UNature of Repairs or Alterations—Answer when applicable.__in$ __IoOQ_-(?, __ __�J.�. T!4a._QaS....... ---------•---•---•-•----•--------•-•--------•-•--------------------•-.----••----•----------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedeseribed Individual Sewage Disposal System in accordance with the provisions of iITI.i� 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 boar of health. Signed .. ---8--`�•-��------•---- I Date Application Approved By............ ` • Y.tic.• '' --Y--------•---•----•--••--••----. ............ Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------•••--- ......................................-•----•-------•-••------------------•--------•--------•--•----•---•--•---••-------------•••----••••--•--•--•-••••••••••--•••-•••-••---•••--------•---•-----•----- Date Permit No. . — - --------------- Issued-........................................................ Date No.F? t�.` r..t—... FRa..... ....`........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _, . ` Appliratilan for Eligpn,a al Workii Tonsfrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (-)e- ) an Individual Sewage Disposal System at: •-•-•--•----...._.........-•---.....- „ .. ... \ Location-Address -� or Lot No. �c.•,(sb,1(_.1� f - 1,..rf•t -0 i - Il ( !l :AI, I<' ! V fir_ i` .............. ...._..:.........._.__............_............ .................... _.._ ... i Owner \ Address _ Installer Address Type of Building 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 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_-___--.-__-____---__--- r3 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ----------------------------------------- •----•-••.................... •--------- •-•-•--------------- ------------- ---........... .---------- •------------------ 0 Description of Soil...........................••----......---------------------.....-•---•---•--------.....-----------------------------------------------•-----------------•-----•-----•. x U -----•---------------•-----••••----•----------------•-•---------------------------•----........--------------•••-•-----•----•--•--•-••-•-----------•-•-------•------------------•-----•---------------- W U Nature of Repairs or Alterations—Answer when applicable-- --------------------- r -- ` .... ................ .........................-..............................................................................................................-............................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agiees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. 1 {, T ! , l Signed = = _ - - i---- :._... Date Application Approved B C` Date Application Disapproved for the following reasons:................................................................................................................ ..........................••-•---....------. •-....._._...-----------------•..._........------------'--------•-----•--------•-----------•---•-•----.......•-----.....•----••-----.....---•--........ � -• 4/ -/ J Date PermitNo.............•-/..................... .5---------------- Issued----------••------------------------..._......-••-_--•-- Date f l�tF = THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........!.........:...................OF.... ,:.! .......................................................... %T�rrtifirate laf Tuntphattre THIS I�, TO ERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ,.... ......... ..•--------------------------------------------------------------------•----------------------------............-•----....--------- •. I ( Installer , at............. ...... it ` ---••--•----•---•---•---•---•-------.- `� has been installed in accordance wifti the provisions of _7 "� 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No--- .._. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATEDATE-•--••--•-••--•---•-•�.-=....�?--'.�_I--............................... Inspector.................. ."D. .................................................. j - THE COMMONWEALTH OF MASSACHUSETTS y BOARD OF HEALTH OF.. i No ...................... FEE---.:`..__............. Disposal lVorks 0031ntrudivn "permit Permission is hereby granted.........A..!_L.l......a.=K!.7...--------------------••----........................................................... to Construct ( ) or Repaid (- ) an Ij} ividual Sewage Disposal System atNo. _�.? 4_s .._..... °------. -------------------------------•---•-•--........ Street rh as shown on the application for Disposal Works Construction Permit Nc3....=. Dated.......................................... a --------------------------------------- DATE................................................................................ Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 8p- L ® eiTION SEWAGE PERMIT NO. WET AGE r)r)l 5 INS-TA LL UN'S NAME & ADDRESS 5 � c . BUILDER OR jtnl DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED C ., V} 1 ._ '� �� �- � Q'"r r� _ L / .,F k � � � v�� ���e � - � °'� _ / `� � \� E ---- �, 2 '� ;. C No...82.-.. 8�� Fps..._...$..5.00.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .........................T.o_w....OF.........Ba .s.t�b e... .......................................... Appliratton for Diopog al Works Tonitrurttun rrutit Application is hereby made for a Permit to'Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: -21 .Studle ••Rd •,--Hyaniis, MA 026o1........ r : ----•---------- ---------------------------------------•----------....-----------------------------............--- Location-Address or Lot No. M.E. Berglund .- 21 StudleY...Ra:-, Hy-a.-nnis,.-•MA••---0?�-4 ....-------•------_.. ..........-•- owner ° Address a A & B Cesspool Service 128_ Bisho-Ds--Terracea__Hyannis-,---MA 02601�..... . ........ . Installer Address dType of Building Size Lot.... .....................Sq. feet U g— _Expansion Attic ( ) Garbage Grinder ( ) Dwelling No. of Bedrooms___________________________________________ Other—Type of Building ____________________________ No. of persons...............1----------- 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........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ----------------------------------------------------------- --•-•---------------------- -.... --------- -------------------------------------------------------•- ODescription of Soil.......0AIA.......................................................•---------------------------------------------------------------------------------•-•-----•----- x W ---------------------------------------------------- --------------------------------------------------------------------------------------------------------------------•--••-•••••--•------------•- U Nature of Repairs or Alterations—Answer when applicable.__- ntallatz.Qn.__Qf__a__ ..00D._.gallan_,.__pPe-cast, strne... acked leach pit (overflow) . ..................•------•••-••-•-•---•----••----••-•---•-•-••••-----••------•••••--••-----•--•----•-............--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITILZ: 5 of the State Sanitary Code— The undersigned further agrees no to place the system in operation until a Certificate of Compliance has en issued by the b/oDd th - .. -• .-•-.Signe . j .... 9/ .a2........ t Date Application Approved By................ _e11_-..��--__-_.------.----_------------ ...............91 2/a2-------- Date Application Disapproved for the following reasons:.................................................................................................................. Date 82 Permit No.................... - ............................... Issued...----------------------------•91..V.2------ Date r 5. No. -= Fes$....... ..._.....®Q. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ToyTX1....OF.........x' 32?.ata}Ae.... ...... - ,��r�lirtt�i�a�.-,�nr• �i��,a��i �xk� C���,>��x�r�t�n; r�uti� Application is hereby made foi a Permit to,Construct ( ) or.Repair (X) an,Individual Sewage Disposal System at: \ 21 Studle Rd. l� anmi,s' r,A 0260 y . ................__..Y.. - -' -Y s.......--•••--••_.....I............... ..................................................... ........--•- Location Address or Lot No M.2. Eers�lund 21 Stuc�lPX. ?dr..ti__H`r�nn,_�- t a n9 ......................--- ._ .... Owner Address' W A & F Cesspool Brace 128 Discfops-'fez^xae ,.,-t; "- , _,t._MA_._.a2 '�-•-- a •---....•-------------•--- .._..t...........------.......--••- Installer Address <a, Q Type of Building Size -Lot............................Sq. feet F U Dwelling—No.`of Bedrooms____________ ____________________________:Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of.Building No. of ersons___________ _____________ Showers Cafeteria P� YP g --•-------------•-•••--•••• P ( ) — ( ) P-' Other fixtures -----•------•-----------------------------------------•••--••-•••••-••••--•••-•-•---••------•----••-••-•-•-•--•--------•--------•••---••-•----•------ ' e Q WDesign 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. 1.........:.. ..minutes per inch Depth of Test Pit.................... Depth to ground water........................ f= Test Pit No. 2__;:_,_;. :_::.minufes per inch Depth of Test Pit________________:___ Depth to ground water........................ •--------------------------•- -------------------------•---•-------------------••--------•--•---•----•-•----•---------...._..-•-----------------•-•-----=---- ODescription of Soil......Sa,nd...................................................................................................-..................................................... x W ------------------------- ----------- ---------------------------•---------------••---------•-----------------------------------------------...-------------v-------------!--....----•---•----t. UNature of Repairs or Alterations—Answer when applicable.__lt4taliat�LQP,---of-A—]¢00.0.- 1.1npi -•• _ , stone packed leach pit;_ (overfl cnr) • --------------------------------------•----------------------------•-•...•-•--•--__---- Agreement: ; The undersigned agrees to, install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT ;< ..5.of the State Sanitary Code— The undersigned further agrees no�ito place the system in operation until a Certificate of Compliance has n issued by,the board o -1`talth. Signe plc t_t �uL ' ' ..--- ........................... --.:..- ----- 2 --------- Date Application APProved BY z0............ r' Date Application Disapproved for the following reasons:---•-----------•-------•----•--------------------------•-----•--------------••-•-------------•••. -- •-------------•-----...------------...-=---.............................................................................................----------.................................................... Date PermitNo......................................................... Issued 9�.21.82_•-•-•- Date THE COMMONWEALTH-OF MASSACHUSETTS BOARD OF HEALTH .....................`i own..........O F......Barnsf.�le Trrtifiratr of Tontplionre THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ) A & B Cesspool Service, 128 Bishops '�exTace& by--------- --- --- Hyannis,--nTA....Q26• 1......................................... Installer 21 Studley Rd. , Hyannis►- `--A 02u01 - I. E. Perdund at---•-----•--••---.._..-•-----•-•-•. . . has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit NoA2_-_._Vf._ ___________________ da.ted_.............9/__2/82................. THE ISSUANCE.OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIONS TISFACTORY. DATE :..:.:......:. or/k' Inspector........ ................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :..k... < ................: T own .......0F............ ' t k::e...... ... N ......................... .00 FEE...... Disposal Vorkii Tonotrttrtion amit Permission is hereby granted----A & Cesspool__ServiCp----------------•-•-------------•-------.......------------........._....... to C t ct ` ) or Repair (X ) an Individual Sewage Disposal System tutLLev M. , Hyannis' YA- 02601...--Y= ri. Tler,�lu-11d at No..---...-••••--•---"---- •- Street 82— A/ 9/82 as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ......:.... _.. �--------------------_------------ -------- ^�L -------•-•••-----•----•••---------•---•--- Board of Health c . DATE-----------------------�----------•- FORM 1255 HOBBS &WARREN, INC., PUBLISHERS -