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HomeMy WebLinkAbout0029 BUTTERNUT CIRCLE - Health /p_D 9? c 4+UA f G = - 6 O N r ' A O LA n N = C � � rm A,3IP ILI � N • Q; r a V: v N v � N A �oS � �a v P y' LA r � .INC L r No.n.";UY Fick ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF -HEALTH .............. om....... ----....OF.........Barnstable..--------------------............................... Appliration for Di4pu,ial Works Tonstrartinn ramit Application is hereby made for a Permit to Construct (g ) or Repair ( ) an Individual Sewage Disposal System at: ................Lot 30 Butternut Circle ...................t ,--Mass------------------------•-------- . - .......---- -............ ........... ..............------................. Location-Address or Lot No. _...__Dennis Star Construction Co_,_________________________ _____24 Great Pond Dr._,___So;__Yarmouth,,_ Ma...•- •-•......................................... .- -- Owner Address W same same a . ....................... . .-----.... .... •-............. Installer Address Type of Building Size Lot------ 5J450........Sq. feet 3 U Dwelling—No. of Bedrooms.................................. .Expansion Attic ( ) Garbage Grinder ( ) U Other—Type T e of Building ............... No. of ersons........................_... Showers — Cafeteria C4 YP g ------------- P ( ) ( ) a Other fixtures ------------------•------------• . W Design Flow......................... 5................gallons per person per day. Total daily flow........330............................gallons. WSeptic Tank—Liquid capacity 1000 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.Rabert E. Raymond Date.Nov. 9, 1982 aTest Pit No: 1............ .minutes per inch Depth of Test Pit....12..__.___._. Depth to ground water none Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............................ O Description of Soil.....0-30" subsoil, .30"-144" sand & gravel - +F - - v .....-----•-•--------------------------•--•-•----•••-•----•-----•-••--•----•--•--•-•-..........•---•-•--•-••-----------......--•-•••••---------.-•-•••---.............................-•-----•••----••--. W ---•------------------------------------------------•--------------•-------------------•--------------------•------....--------------------------------------•---------•-------•--------...........--•-- UNature 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 y g g p y 5 of the State Sanitary Code—The undersigned furtl era agrees not to lace the system in operation until a Certificate of Compliance has been is ed by t board of health. Sied. ........ ............... ��.._..................... ........ .... .... ate Application Approved ...... .. ....... ..... Application Disa rov or a following reasons:...................-.......................................................................................... - ........................... ... ...... .............•---•-••-•-•-•••••-•----------•--••-••--•---•--...--•-•--•--•-•-•--------••------------•----......----•-................... --•--•........ Date PermitNo......................................................... Issued....................................................... ALL Date { Nol.� - 7Y? Fps............._............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............T m.................OF..........Barnstable...........-..... Appliratiun for Diupuual Vorkfi Tonstrurtion Prrutit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: .......Lot 30 Butternut Circle gotuit,_1�laSs._ .. - -... . --•----- Location-Address or Lot No. - .De3anis Star Constractiem Co, ........ - 24 Great Pond Dr.., SO. Yar[nouthr..Ma.... Owner Address Sam Installer Address Type of Building Size Lot...... 5.45P........Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 'k Other—T e of Building ........ No. of persons............................ Showers Pk YP g --------••----•---•- P ( ) — Cafeteria ( ) dOther fixtures -•------•---------------------------•-••-------------......•--•--------------•-----•-•---•---••••••••..•--•- ------........-•-•-............_....---- W Design Flow.........................55--1000 gallons per person per day. Total daily flow.........330 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 ( ) Dosin ank ( ) l�t E. Ra nd Nov. 9 29$2 W Percolation Test Results Performed by.............................. ......_._ .... Date_._......_..._._!..._._.._..__.___..... 2 12� none 1-4 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........................ O Description of Soil------0-•30.......... .................--••SubsofS; 30 •��.44 ••said•&�-gx'acvel------------------------------------------------------------------------- ..................................•---•-••--------------•--------------------•-•---------•-•---•---......------------.... V ••................••-•-...•--•-•..........••-•-••---------•••••---------•-----...-••••---•-----•-•••---------•-----•--•-----•-•••---•-•-----••-•-----••-••....--•---...............--••••......----•-- 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'I T 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 health. T � Signed.............•-----•--...----...._..................---•-•------•--.......------------ --•- ---- ...------••- Application Approved BY\ ate ..----••.•---•••....•................•............................... -------•-•---•----•---•---------------------------------------------------- Date _ Permit No......................................................... Issued-....................................................... — - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Term Barnstable ..........................................OF..................................................................................... Trrtifirat a of TOmpliourr _ THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by.... ._.r ------- Installer at has been installed in accordance with the provisions of TITLE 5 of he State Sanitary Code Yd 6 ribed in the application for Disposal Works Construction Permit No.__..`tl Z_'.>>__�............ da.ted_-./�`......:............................. THE ISSU E OF THIS CERTIFICATE SHALT. NOT BE Cr AS A GUARANTEE THAT THE SYSTEM WI NOTION SATISFACTORY. DATE.. fZ Inspector f k 1 THE COMMONWEALTH OF MAS CHUSETTS BOARD OF HEALTH Town Barnstable .........O F..................................................................................... FEE........................ iu oWorks �tidion rrnit Demis C� c Permission_1s hereby granted.....................••----•••--••--•---•-- ----•---•--•--•••••••--••---••....•••..._....-••--•••-•-••••----•--•......•••.................... to Constr �i ar ndiv� ;a Disposal System iaCI atNo................................................ Street as shown on the application for Disposal Works Construction Permit N .___....`_..:,.... Dated.._.:`. _ :..�:.... G" r . •..•.... ....................... .........................................-----------------------------------. Board of Health DATE................................................................................ /�w FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS / Bill r '' C �= x p I- 6� - �" -r=7 --- - - I�---.4,-.L C A.C%l S uow t 0 A" IL"J S eA k.� L. 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