Loading...
HomeMy WebLinkAbout0854 MAIN STREET (COTUIT) - Health 035- v-7(o TOWN OF BARNSTABLE LOCATION rsq- yYY k S i SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 03F)=�7� INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY cl)� LEACHING FACILITY:(type) (size) It ��y NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNERS �- DATE PERMIT ISSUED: Ua��a DATE COMPLIANCE ISSUED: 2 �� - VARIANCE GRANTED: Yes No n M �� � � � � C � THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiou for Uiipooal Vork,5 Toogtrurtiou Vamit Application is hereby made for a Permit to Construct ( ) or Repair k- ) an Individual Sewage Disposal System at: � i Location-Address or Lot No. \� _ �:!�17.�. ti--------------------------------------------- ..........--...................................................................................... Owner Address w , �.ti?.� 5.�QJ ...._....•---•-----..._•--_-_.... i_ _z�.....s7..R__ �!_hs.Shp:eA.................................. Installer Address d Type of Building Size Lot............................Sq. feet U a Dwelling—No. of Bedrooms............... ---------- -----_.__.Expansion Attic Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ----------------------------------------------------------------------------------------------------------•----------.......-----------.......__------ w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity--jS 'gallons. Length Width.S_'!f.``.... Diameter................ Depth_...Y, 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of.Test Pit...:................ Depth to ground water........................ LL' ---------- --------------•------ --------------------•-••-•--------••---------•••---------------•----------------•----------•••--- 0 Description of Soil......O- A-------------- SQ.1 1 ......... ` .......... l?eJr,. c - x w ......................................... U Nature of Repairs or Alterations—Answer when applicable---____-_-_Z ------- ks�S?�!�}_...CQ�S Qua.L................ - -- ------- --- 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 Complia1n;e has b issued by the board of health. Signed ....--- (� ---- Dale Application Approved By .............. Date Application Disapproved for the following reasons: .. .. .............................................. .. ............................................ ........................ -------------------------- ---------- - - ----------- ------- ------------------------............................................. ---------------.............................................. --------------------- ---------- D[e a PermitNo. ------C a ........................... Issued .-- ---------------------........----- -------------- -------- Date #, ♦ 'M a t No--- -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrnr#inn rumit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: .... `f-_...._..m :`:^... S.. _-----........"�.�--------------- -----------------------------------•------- .........................____.._--_...... Location-Address or Lot No. Owner Address /V . D't_x?.ci-....7n ...__1M s:SP -'?--------------------------------- Installer Address g ............................Sq. feet � Type of Building Size Lot____________________ U Dwelling—No. of Bedrooms---------------3_._.__....__._._..._.....Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building No. of persons............................ Showers YP g --------•------•------------ P ( ) — Cafeteria ( ) Other fixtures ------------------------ 1 daily flow............................................gallons. WSeptic Tank—Liquid capacity._.�� gallons Length._(A?.`_ ::_ Width.. :K`'_.. Diameter................ 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground viater........................ 44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water_:-`_-_:_......,-.::___: - a' - _ �... ---------------- O Description of Soil...... ................. k. Sn...L._-=------a-------=----------- t7 c�s.,.%cw �f, ' x t ------ U. •--------•------------------------------------------------------------------------------------------------------------------------------ W UNature of Repairs or Alterations—Answer when applicable............ te --------- _n� ............... ..---c��o.2="-P :............�---..-..=.i C�------ -------.......----------------------------------------- -- -.---- - -------...----- -- - --------- -- 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 be= issued by the board of health. Signed ----- p Date Application Approved BY -------------- C r� 1� ------------------------------------------------------------------------ Date Application Disapproved for the following reasons- -----------------------------=-------------------------------------------- ...................------ -------------------- ............ ---------------------------------.....................................................------------------------------------------------------------------------------------------------ - ------------------------------------=--- Date Permit No. -------/..�...... .�. 7..---_---------------- Issued ...................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ter#ifi a e of Q-11-lanipIianre THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired (k- ) by - ......1(' � . ' ----------- - Installer has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .........� ...�. 5..S._.. dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.... Inspector . ;'-------------------------------•--------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH= c� Q No.... TOWN OF BARNSTABLE /..�..::..�:.�U FEE.��...^.... Disposal Works Tonslrudion frrmff Permission is hereby granted.......... ��!- -----------------------------------------------------------------------------------__ to Construct ( ) or Repair ( ) an Individual S�-A age Disposal System atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No. ..::�?_ Dated.......................................... .................................. ' '----------•--------------------------------------•-- DATE.................. ! .............................. Board of Health FORM 3s5oa HOBBS R WARREN.INC..PUBLISHERS °r I L L .A G i �ASSESSORS MAP NO: PARCEL NO.: 4-- I H 5 LLCR' NAME & ADDRESS 2 U I L D E R 0R OWNER DATE PERMIT ISSUE D D A T E C 0 M P L I A N C E ISSUED ; ' _ IS � n �Z FAtJ , i ASSESSORS MAP NO: PARCEL NO.: `7 - THE COMMONWEALTH OF MASSACHUSETTS BOAR® HEALTH .................OF........... .......:..... ..aS�S --9Y. ....................... Appliration for Uigpnsa1 10orkii Tanotrurtiurt 11amit Application is hereby made for a Permit to Co t~uct ( ) or Repair an Individual Sewage Disposal System 4L,....... � .�'�._..� s. � .... .......... _ Addre s orLot No.------------- - t O er Address ..... ...:...... ...YA!� _ mc, 5, Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) ►� '4 Other—Type of Building No. of persons............................ Showers — Cafeteria p' Other fixtures ............................... .. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ 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. I----------------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........................ Description of Soil.......... ..� .`-S------- U ----•------------------------------ ••. ............................... . .....-----------•.............................................----------------•-•---...---•-•---------••-- Wnn--_--- -- --------------------•--------- ---------- ---------- x Nature of Re rs o Alterations—Answer when a licable..-9�!'� ..__ �a. Q° \� 0 �a� U P PP .. - P. -- ------?z-,t ---- -- Agreement: too 0 �• The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iT FILL:- ; of the State Sani Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance h s n�ist ed by the boa d of h lth. Signe . --"�..----- --•-•------- `� Date/ Application Approved BY----------------•--••--••-• =«°�.. � / . Date Application Disapproved for the following reasons:................................................................................................................ .........-•---------------••-----------------------------------•-•---........----•---------•---........-----------------••------•--•----------------------------------------------------------------•--- Date PermitNo................................................ Issued_....................................................... Date N _12:.:5-1 Q, Fps............`............... THE COMMONWEALTH OF MASSACHUSETTS BOARD ,Of HEALTH _7T�-----............OF.. ------------------------------------------------------ Appliration for Disposal Works Toustxnr#inn Prrmit Application is hereby made for a Permit to Co�gs1ruct ( ) or Repair s ) an Individual Sewage Disposal L system t: 60 �'NS ... ... ......... .�. .1.�:�------I- ... .......:�? ,;...r1 1r�l ....�l .��__......-_..•. . --.... ......_. `' (........... t at:on-Addr ss �.p -•or Lot•N--_--�•_. ` ..• -------------•....... ..........R_- _1. YY 1 ! \ i Owner Address :_.. ! Y Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures -----------------------------------•... - W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons. f4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.......... H�.: . x W •---•----•-•-------------------------•--------------•-••--•--....--••--••-•-------•-••••--••••--••••---••• --------------------- ----- U Nature of Repairs r Alterations—An wer when applicable. 5:< ..._ 's _ ?'____-_----- �1_ D Agreement: 1 0 Q 0 `)A t(v c.c.s. . The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of i:'I t ;of the State Sang y Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance s,b en I•s ued by the Ord of l��alth. � ;A ` Signed.- -----•. --•---.....=......................•--- . f �/' Date, Application Approved B ......__�: - �✓ �� - -- - . . _ Date Application Disapproved for the following reasons:-•-•-------------------•----•-•-----•----•--------------•---------------------....--•---•--.....--•---•-----.... ----------•------------•--••----------------•-----------•----•-•-•---•----....--------..............----•.--•••-----------------------•-•---••-------••-•---------------...-----------•--•---••........................ Date Permit No..... .......................................... Issued-----•-•----.......................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'a - I Trrtifiratr of Tomplianrr T Q1 IS TO CERTIFY, That the dividual Sewage Disposal S-stem constructed ( ) or Repaired r../ v Installer ti has been installed in accordance with the provisions of IT c: j of The State Sanitary,Code s described in the application for Disposal Works Construction Permit No�` ram- .._ ....... l ` '" I ...._.. dated --i��¢--''=--`=�'-----------• THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................. ......................................... Inspector.............. .---------...----.i-_ -----................ .. THE COMMONWEALTH OF MASSACHUSETTS Ai BOAR F HEALTH 1 � .........................OF...... "... "'..C........................... FEE........................ uisp . at nrk Tnns#r iou Prkmit Permission is hereby granted_ :�°^ __---.-.-: .y dc__ti= - _`a....,. to Constwt N__L r Re ai• an Indivi ual Sewa Dis sal Syst at No 1.# -\w..1.ti�>,5 ltm. ......... �)-------------------------------------------------------------- Street as shown on the application for Disposal Works Construction Permit No.................. Dated.__� ���_�C'............. r — Board of Health DAZE.- '= 4 i� FORM 1255 HO�BBS & WARREN. INC.. PUBLISHERS `��-"-��T LOCATION SEVJAGE PERVIT . ISO. VILLAGE (/In L) INST- A LLER'S NA-ME A ADDRESS 6UILDE111 OR O,�wNEIZ DA T E PERMIT I.SSY E D _ D-ATE C 0 M P L I A N C E ISS-UE0 P �� i 1 � I l 4 0 �s J`� 82- 316 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town ...oF..Barnstable ............................................................. App iratiun for Uiipuual Works Tumunrtiun Vami# Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: N1A-------------•--•--------•--•---------- .................................................................................................. Location-Address or Lot No. ..Nei?.?:... ab k.....................:............................•--••-•----•-. ........................................ Owner Address W A & B Cesspool Service,............ .28.. ho�1 ..T_�xe�..ii� nn .s.►...P�1....-•------ a ....... 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...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........................................ 1.4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-----------------....... fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •--•-------------------------- ---------------------------.----------------------------•------------------------•...... .••-•-•••-•--------------- Descriptionof Soil.........................................Sand----...-•---.....---.....------------------------------------------------------------------------------•-----•------- x W ...............................................................=--------------------------------------...----------••-•-----------------------------•-------•------------------•----------------........ UNature of Repairs or Alterations—Answer when applicable:installation---of a.-11000 gallon1 precast-, stone packed leach pit (overflow --------------------------------------------------•-----•-•----...-•------------•--•-----------------._.._......--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI: . 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en sued-by the�boar f health. D Signed 6l� �-`: r " �------- 6-15-82--------------- Application Approved By--- .... t ....._..6-15- 9............ Date Application Disapproved for the following reasons:-----•-------•--•-------•-•---•-----•---------••---•----••--------------•------••--•--•----------------•--•---- ....................•-•...............................•-----.................---••---•--------------.........-----...........--•------•-•---•-•-------•-------•-------•------......-- .I....---------- Date Permit No...82-...._-•--- -_.._.. Issued-...................... 2---------------------••-_.... Date r Nd02--..` .:.... _F�s.:.:+ ....r5..40....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................TM..----....OFTA=a'1;,A'rl1 ............................................................. Appliration for Uhipvsttl Works Tomitratiun remit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at: -9-5444 -•��.i...�of 4 .; -------------------------------•------.- ........................................................................................................-----•-•---•-••---.................--•-•-------•--------------...................---.....--- Location-Address or Lot No. -- 811 4urbue fe.............................:.... MA�SI-.,�'t r �Q U�+r ----------------------------------------- Owner 7 Address A._&..3_.Caszpza1..Service............................................ 128.. isb-aps..Te=sae.,---H,Yannis,.-- %........................ Installer Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms............. .Expansion Attic Garbage Grinder p, Other—Type of Building ............................ No.-of persons...I...................... 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. Seep e Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area............-.....sq. ft. Z OtherDistribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date................................ _.------ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--___..._.___-.-..------ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...............................................................•.................................... O x Description of Soil.........................................Sand.................................. •••------•--------••-•--...----•-----------•--•--•-•---------....-•••-•-•-----•--- - U ...-------•-•••••••-•--••-•------------------•-•---••...---------------------------•----......--•--•------•-------•----•--•••....••-•---•---•-•-----••--......-•----............---•-----.-••---:_...... W ----------••------••••--...••----•-•-•---••••-••-•-----------•-•-•----•----......--•---•-•--................-••---••-----••------•••--••••--------••---=•-.----•••....-•--••.............••---•-•-•---- UNature of Repairs or Alterations—Answer when applicable-in8talla,ti on Of__$__1,000___gallon�__pzeea$t, .9n ._paDI aC1...10ACh.sit.t per£190.9.....---•--------------------------------------------------------------------------------_------------••---------•---. ~ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITs:,-. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en ssued-by the board;of health. Sign(dlc`Q'y?`: �`��,��x) '- 6-15-82 �+ ................. Application Approved By------. = ! 6-1 j- Le--••-•-------- Date Application Disapproved for the following reasons:................................................................................................................. --••--------------------------•--•--•-------•------------.....................----------.........-•-----'-----------------------------------•---•-----------------------••----•......--•-•---•-......... Date 5-92 PermitNo g.......................•--------------•---......... Issued---------•---1------------------...........-•------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................... own............OF......Barnstable.................................................... C�rrtifiratr of Toutplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) by.................A.&... ... 60-------------------------•------- Installer at- s'_=_54.Main..St_..+-.C to +.. 1A--••-.-....!!Urbu.0k.....--------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 f The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._�2-��1 ................... dated.-_. -----6-15._92_..._....._.......... � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 4 / i 1 , / DATE.... a ;... Inspector ......................./�---•-------•----------••---•--...-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '�' owx1......OF............. >...r .......................... $ 5 No....�2.3........... ,. FEE........ 00.. Disposal Works Tnns#ratiait Vamit Permission is hereby granted........A__&__B_Cessool-•Service___________________ to Construct ( ) or Repair (X) an Individual Sewage Disposal System atNo.--. ----......Turbuck----------------------------------•....................................................... Street as shown on the application for Disposal Works Construction Permit No.__82.-.......... Dated ----------------------- ------------------of Health DATE-----------------;------------------ -,� �1,.:...----....... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS