The URL can be used to link to this page

Home My WebLink About0050 PINEY POINT DRIVE - Health (2) �50 �i�ec�, P;�� R�., Cent— -7 ------ Fms....19.00 . THE COMMONWEALTH OF .MASSACHUSETTS BOAR® OE HEALTH .................. Town.........OF...Barnstable ................. = Applira#ion for Dispoii al Works Tnntrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at .............5.j.Piney__Point__Road Location-Address or Lot No. ors............................................. .......t_rYllle.-----•-•--:...........--•-------•--------................... owner Address a JQep ..P�... ?� 4m & 9 one= Centerville Installer Address PQ VType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a. Other—Type of Building ............................ No. of persons....---...--.........--.---- Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------------•--•--.... W Design Flow................................:...........gallons per person per day. Total daily flow............................................gallons. Q; Septic Tank—Liquid*capacity............gallons :` Length................ Width..----..---..... Diameter.........--..... Depth................ Disposal Trench—No..................... Width...4................ 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........................ fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit---.....-........... Depth to ground water........................ W •---•-----------------------•--------•........ •-•-----------...-.....----------------- -------------- --------------------------------------------------------- O Description of Soil..............-�s�nd..&...Grav_el..........----••-----------•---------------------------------------------------------- x V .......................................................•.............................................................................-------------------------------------------------------•............ W U Nature of Repairs or Alterations—Answer when applicable...Jr1000...gal o --Qyerfi.Q. ----.( -•------- ...------------------------------------•-------•----------•------------•----••--------••---.......-----.....---------------------------------------------------------------------------••-............. 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 agrees not to place the system in operation until a Certificate of Compliance-has is ed by he bo d110f Signe ----- ••-' • �iA'l ..... �`.......... . D e Application Approved By.. ----- •------- - --•-- ------------------------•-- --- ----E------Z .. y Date 'Application Disapproved for the following reasons:................................................................................................................ .....................................•--•-••-•--•--•----------....-----...----------.........-------•-------------------•------.....-----••----•••--------------------------------------------••-.-•--- Date 7 Permit No.......................................................... Issued ---_11_ 17-----------------�---.. --•--- Date 'k No....................... Finc THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town OF....Barnstable .......................... ............... ...................................................................................... Appfiration lor Bigpolial Works Towitrurtivit V,,rrMr Application is hereby made for a Pe'r-mit to,Construct or Repair an Individual Sewage Disposal System at: 50 P-imey -Point Road .... .................... .................... ....................................................W........................................... Location-Address or Lot 0 Y,i ton Feinson CentPrv11' ,-., -------------- ............I.................. ...............................;�;---------------------------------------------------------------- Address uose-oh P. Mac�g;ber & Son Inc . Centerville Installer Address Type of Building Size Lot............................Sq. feet U Dwellinj—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) '4 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) PL4 ;V;Other fixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 S4tic Tank—Liquid capacity............gall.ons Length.................. Width._.__.._.__._.._ Diameter____.__..__.____ Depth______________-_ Disposal Trench—No. .................... Width_________.________._ Total Length.._________.._______ Total leaching area....................sq. f t. Seepage Pit No_____________________ Diameter__.__._._________._. Depth below inlet..____._...._...:__. Total leaching area..................sq. ft. Z Other Distribuiion box.( ) ' Dosing tank ( ) Percolation Test Results Performed by......................................................................... Date....................................... Test Pit No. I________________minutes per inch Depth of Test Pit_.______._____._____ Depth to ground water_..___.__.____._____.__. (1 Test: Pit No. 2.................minutesper inch Depth of Test Pit.................... Depth to ground water_______.._.__________.__ 1:4 .....an- ,Vie"i--------------*------------------------*------------------- ------------------------*----------*----------- 0 Description of Soil...............S. .............................................................................................................................................. x ---------------------------*------------------------------------*------------------**.......*-------------------------------------------------------- -----------------**---------------------------- ....................................................................................................................................................................................................... -1000 rallon overflow U Nature of Repairs or Alterations—Answer when applicable---- -------------------------------------------------------..........(:PJA)......... .........................................*------------------------------*................".......**-------------------------------------------------------------- -----------------------".......Agreement: The undersigned agrees to instill the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLITIL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in 1;�� issued 1 / operation until a Certificate of Compliance has(bbeen,issued by�the bo5,rd ofjiett.�,th I:' W 7.e.-P. -�;Fsign ........... ...........................................................Application Approved By........................... .....................................AC...Date �4L7 ........... Date Application Disapproved for the following reasons:................................................ .............................................................. ............. .......................................................................................................................................................................................... Date Issued.....Permit No......................................................... --- . 4.................... Date' TF .E COMMONWEALTH OF MASSACHUSETTS f BOARD OF HEALTH . . TobF.....B . .6,table .................... ............................................... Tgrtffiratr of Tomplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired X) inseph P. ' Pconi'ber 1,101C Son Inc by................N,=............................................. Installer ,50 Piney, Pd,_-.�nt Road, Centerville, Feinson .................................................................................. ............................................................................. has been installed in:accordance with the provisions of T he State Sanitary des.5ibed in the application-for.Disposal Works Construction Permit No.__._ . dated-_'F-' 7 1524��i - --------------- ......I........ ------------------ .......... THE :ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS 4 GUARANTEE THAT THE SYSTEM W LL FUNCTION SATISFACTORY. _7 7 DATE................................................................................ Inspector-.--.V,_�............................. .................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......OF.....Barnt� _- I ...................... . ..... . .......................... ............................... ................ No..... ................ .......... Disposal Works Tonstrudion "pamit Permission is hereby granted19,qq P '4,ac omber & Son To c�. .--h........................................................................................................................... to Construct or Repair an Individual Sew,ay Disposal System 5 ) Piney P in Road, Centery . le Feinson atNo.............................................................................................................................................................................................. Street as shown on the application for Disposal Works Construction Per ---------- Date& ................................ .. .. ? ........................................ .............................................. Board of He.i DATE............................................ ...... ............... FORM 1255 ,-HOBBS & WARREN, INC.. PUBLISHERS 77) No................ /-- Fxs..............��........... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEAL .--��N. ...---.0 F................. .. ..... Appliration for 14apns al Works Tonstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst� at -- -- - ........ ....................-.......... ------------- _..__Location ddres5 .............................................Lot No. t. Address caner ................................ In aller Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms........... ............................Expansion Attic ( ) Garbage Grinder V/o) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ----------•-•-- -•--••......... . . W Design Flow...... ...........................gallons per person per day. Total daily flow_-__-__-yGr� ..................gallons. WSeptic Tank I-Liquid capacityAas_'Z;gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width..............__LL.__STpal Length.................... Total leaching area....................sq. ft. Seepage Pit No.....02..._._... Diameter.../P8* Depth below inlet...... ._........ Total leachingarea..................sq. ft. Z Other Distribution box ( Dosing tank ( ) J 1 a'3- 7- ~' Percolation Test Results Performed by..... .........•------- -- .... Date a Test Pit No. 1...6:s �=lo per inch Depth of Test Pi .._.- P ground ______________ Depth to water......................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water.....,.................. ------ ------------- �.... Description of Soil Q ` -•-- .... - ................. --------------- �'t'-----/h -- ' ....-• .-------------------------------------------------------------------•------------------ W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...... Agreement: The undersigned agrees to 'install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'.,U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been by the board of�health. CC�� L4. Date Application Approved B . .,,�d . -- ---. - --------. 1�, PP PP y---•--•-• �� Date Application Disapproved for the following reasons:-------•------•...............•------------------------•-----------------------------•----•-•-•-•---------...... -•.................................••-------•-------•-------•-----------------•----•-------•-••---------.._..................-----•------.-------•----------------------...--------- ..--•--- 7 Date PermitNo......................................................... Issued.__.. .......-------------------.._..._...----------- Date �;U7 �' ' No.. ...... ..../ z. ._ ......... THE COMMONWEALTH OF MASSACHUSETTS • ` BOARD. QF H EA T ....... ......... ......... ................................. Applirtttiun for Bispuiittl Turku Tonstrnrtinn ramit Application is,hereby.made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal Y ` N -••- --- ----------•• -----_... ...--•-----••••---••--•--•-••-•------•--•--•- pp1� Locat,o ddres or Lot No. .w.-iXIA....0... �q.. ......... ................. ................................................... .......................................... wner Address - W ........ In alley Address dType of Buildin Size Lot...........................Sq. feet Dwelling=No. of Bedrooms::__... :.: _______________________Expansion Attic ( ) Garbage Grinder (r✓�) ` Other—Type-Typ of Building e p., .. g _--------------- _.............. No: of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .............. d ---------••-••---_------, W Design Flow_..: + ............. gallons per person per day. Total daily flow........' ............gallons. WSeptic Tank �1--Liquid capacit3o.0 ga]Ions Length................ Width................ Diameter________________ Depth................ Disposal Trench No •-_--•..•_--_----_•_ Width T tal Length................. Total leaching area____________________sq. ft. Seepage Pit No. , 'p"' q'________________ Diameter_ ____ _ e t l below.inle _ Total 1 in a .......s ft. Z Other Distribution box ( ) Dosing tank ( ) �► .,» + : Percolation Test Results Performed by. ._...-__. - _. Date........................................ 14 Test Pit No. L. s per inch Depth of Test Pi .......... Depth to ground water........................ + Gz, Test Pit No. 2........:,._,_..minutes'per inch. Depth of Test Pit.................... Depth to ground water--- ----- .___.•_-___--- e 4 �tW .....O tion f Soil. A *�4 --------------------------------------------------------------------------------------- ---------------------------y------------ -------- ----- - --•- -------------------------•-------------------- •------------------ •------------------- UNature of Repairs or Alterations—Answer when applicable .......................:.................................................................... ................................................. ...............-..............................................-. ----- _-:.:_..........------------.............................................................. Agreement: The i}ndersigned agrees,Mto install the aforedescribed Individual.Sewage Disposal System in accordance with the provisions of TITTIE 5 ofjthe,State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate of Compl.ianc'e has been iss ed by the board of health. S g i ned Date,? ._. Application A roved B ... ____ PP PP. Y ,�". .. --:._. ....-- -•• . ,++----- ... Date Application Disapproved for the following reasons.------........................................................................................................... --------•-----•-----•----•-••---••----------•----------------i••••......•---••••--_... •••---............................................. -------- Date PermitNo........................................................ Issued................................... ..---------• .. Date`.. .................... THEICOMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , . .... .......OF...... .. .. ? .. .:............... ............... C�r�#ifirtt�e of �unt�littnr.� .... (r. TIJ 'I.,S TO CERTIFY, at the idual Sewage Disposal System constructed ,( ) or`Repaired by e�' ' '�'hs4- ..... --.... •-•-•---------•-- ' A. eet Installer- a 5' has been installed in accordance with the provisions of T 5 f The State Sanitary de s described in the applicatiori�for Disposal Works Construction Permit No.. __. ::___.__-"d� .___•._.__.. dated _ --- ...7�............... . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT 136 CONSTRUE® AS A GUARANTEE THAT THE SYSTEM,. WILL FUNCTION SATISFACTORY. DATE... ,�ri:Inspector . .... .._. ............................................ • si � � * a.,..:,'�».ass_a`.ss"'i�.+i,�a:�� a.�_.,w.'m:�"..�'z"::1,`fl • THE,COMMONWEALTH O!�,MASSACHUSETTS BOARD F HEALTH ir • E` :._... O F .... .... N0........� ..... FEE. /fj� iu uuttl ��lanu r nti# Permission hereby granted__.__. 0 ._. to Con ( or Repair`( ) di. dual Sei%& g Dis al S stem c ti �,,a• shown on the application for isposal Works Construction Per No. oard of Health �} i DATE ` -• . ••. - a FORM 1255 HOBBS & WARREN, INC PUBLISHERS ,� - J + Q3 I � to 1,7 I J N i OT- $ i i lJ1 , �661t�n , try N4c - I6i'7? t 4- r � `Q. Jol ff 41. �--- ' �-- ' 1 4t 7� 0 3: r C14 :kj /I / IL bpwo� Q yet �'�_-!.• } � ..�. y i.-T ' � _- �Q� { • �M1.I Yv� ��'y'�.�� • � 1 i.-�...� as 4141 '� �,--