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HomeMy WebLinkAbout0039 OCEAN VIEW AVENUE - Health (2) 39 Ocean View Averu� cotuit - - ----- - ---- - — — - A= 034-076 I i OF BARNSTABLE LOCATION 3 SEWAGE # !-3 — 61; VIILAGE CO'7`U d� �ASSES MAP LOT Qc�y INSTALLER'S NAME & PHONE NO. �246r'-CO , I SEPTIC TANK CAPACITY 2©DC7 LEACHING FACILITY:(type)_ �� S (size) ' IF NO. OF BEDROOMS- PRIVATE-WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: 3 - I- 3 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes .No ./ r- � 3 qo 'tic -4 r Vim', V lG� 1 '# wy 4 � � . THE COMMONWEALTH OF MASSACHUSET S d,' G �I BOAR® OF HEALTH �J ' ®�v-r .-.-.-...-.oF....` -� 1. ` 'A- ................................. D AVVI ation for Uhgp sal Workii Tnn,itrurtinn rantit Application is hereby made for a Permit to Construct ( ) or Repair (^ ) an Individual Sewage Disposal System at: ao._.. .. _..NoF ....... �_1.0�.__....... - ............. �+`V - Lidd Ess or Lot No... - - - Owner Add;; Installer Address Type of Building rr Size Lot.__..Vj __ _, t Dwelling—No. of Bedrooms...............1�--__.------___---------Expansion Attic ( ) Garbage Grinder (I `4 Other—T e of Building No. of persons---------------------------- Showers — Cafeteria a � Other fixtures -------•----•-•--•-•--._.-..-•-----•--••----•----------•-•-•--•-----------•-••-------------•---•---•----•--------------------...--------------------- W Design Flow......_............ 5...................gallons per person per day. Total daily flow.........................Ol 0_____..gallons. R; Septic Tank—Liquid capacity o--gallons Length Width---------------- Diameter--------_---_.__ Depth................ xDisposal Trench—No.-_:-._.�........... Width........9-__._.___ Total Length---_--_-L';>..... Total leaching area-----A.%L__sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing to Percolation Test Results Performed by---------- _____________ Date....... ,4a Test Pit No. l -----minutes per inch Depth of Test Pit.......U......... Depth to ground water--- ._-._--.--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---------------.-__----- ----------------------------------••---------------------- ------•-------•---_............_..... _------------------ •--------- •--------- •--•----- O Description of Soil ----------------------------------------------------------------------•------- x -•-------...--•---•-••-----•••-------•-------- - - -Lv. ..------- A+�� - --------------------------------=------------•••..... 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 TITLE 5 of the State Environmental Code—T undersi d further agrees not to place the system in operation until a Certificate of Compliance a e d by the b d of ea Signed . ' ...:-....~. ........ -V- ---'�� .. ... .: -------- --- --------------------- ` ----------- AApplication Approved B � .-- _, -------------------------------------------------------------------------------- .....PP PP Y ----- ----- e Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------- --- --------------------------- .............................................. ......... . .. .............. ... ...... 64� --.-.-....--...-- [e Permit No. Issued --....._. (/�^J/�¢ /0- `A Date .... ..-.� No................-....... Fim............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH W..►.J...........OF... . :h1.. i C� ................................. Allp iratiun for Dispaii al Works Tunitrurtion rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ' r --- J Lo ation�•Address or Lot No. Owner Address W a .......... -------- Installer Address Type of Building // E Size Lot_.._,'1�1 ._&..:met U Dwelling—No. of Bedrooms................ 0.........\_ Expansion Attic ( ) Garbage Grinder (W-r Other—Type of Building No'of persons............................ Showers — Cafeteria dOther fixtures ------------------------------------------ } ------------------.......---------•-------------•------------------............... W Design Flow..................5..................gallons per person pegr�day. Total daily flow___......___..........._.ci9 0.......gallons. WSeptic Tank—Liquid capacity-_-�h-gallons Length...... Width................ Diameter---------------- Depth.... . ...... x Disposal Trench—No.___-----k........... Width........8._._.... Total Length......�5`�..... Total leaching area----AV e_sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing to ( ) ( 0-4 Percolation Test Results Performed by.......... � T.VL,. :.. _ "..1 ______________ Date...... Test Pit No. 1.... _____minutes per inch Depth of Test Pit-------U......... Depth to ground water____ _______________ G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0+ •-------•----------------------------------------------------'-----••-----........................_.......................................................... 0 Description of Soil----------------- -- -- •-•-• --•-•---------•-•-e....-•-•----------•---•-----------------------•--------------------------------------------------------•-•----- x -- -------------------------------------------m _1.� - --- >�.--------- ..---------------------•-------------.............................................................. U 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp ' e h b en issue the boar of4hlh. Signed 1.. .... va/. ................a ...-------..---� Dace /) Application Approved By --------------------------------------------------------------_ �,/ ,�------/ - - - - r �-4 "r Lwe - . Application Disapproved for the following reasons: -----7_3 .......................................... ....- - ------------ --...... --.....-;�-- ----- . ---------------------------------- Date .r...,.. ............................... f Permit No. --- ------ ...r Cry Issued _._ rJ`/ -/ 'S ... ------ ------------- ..................---- , ate THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----------- O W f�--------- OF ........!U"fJ 'f l (, '..................................... (frdif rate of C antylianee THIS IS TO C TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (jr- ) by ........................................ 2� --....... . -- . ................------....-------.......--- . ......--------...............---.........------------------------------------------.�---..�...... Insc�lle at ------------------------3 �------ '� r ........................................------- has been installed in accordance with the provisions of TITLE 5,o�/f T�e State �vironmental Code as described in the application for Disposal Works Construction Permit No. ....__t-_.......>......................,r dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE IC654 STRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE -- --------------------------------------------------------------------------------------- Inspector .....------. . ...--.---.......-------:......-------- -------......... ..-------- THE COMMONWEALTH OF MASSACHUSETTS /. BOARD OF HEALTH { ....`... C1.f,(J�.... ......OF.------ .1 `�? �•! ....................... i No.... .:. ..... FEE....._... f �It��ru�ul , urk� �un�iriun �erntt� Permission is hereby granted ------- ..........-------'-----•-----•-•------------------- ............................................................. to Construct ( ) or Repair (�i) an Individual Sewage Disposal System atNo.--•-----.c -----.0.. ...............•---•-..._ = .............................................................. Street C a /// �.� as shown on the application for Disposal Works Construction Permit No..l..3.te.--/-(,-�t/(/Dated.......................................... I'I ............................... 1.✓------------------------------------.------------------ Board of Health DATE............................................................... ................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS THE COMMONWEALTH OF MASSACHUSETTS APOMM BOARD OF HEALTH � � � ...........lat.V..................OF.....: - - 1-- � .. Applira#ion for Disposal Works Tonstrnriaunnprrmi� Application is hereby made for a Permit to Construct ( V. or Repair ( ) an Individual Sewage Disposal System at: ................_...N...... ?r .--....lt ...Av6....... ..------------------. .... 1 _'�:....... Loc -Address ,/J or Lot No. Owner Address W Installer Address Type of Building Size Lot_.. _ ._._4..S,� U Dwelling—No. of Bedrooms................�......................Expansion Attic ( ) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) G.I Other fixtures -------------------------------• - W Design Flow................9.......•o..-.�.........gallons per person per day. Total daily flow............................9 0........gallons. WSeptic Tank—Liquid capacity.06D.gallons Length---------_----- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........�-______ iameter----------J>L7---- Depth below inlet........?........ Total leaching area.....6.1.04 ..sq. ft. Z Other Distribution box ( Dosing tank ( ) ~' Percolation Test Results Performed by-. X ...Y..N_y ....A ........... Date........................................ Test Pit No. 1-___.2r------minutes per inch Depth of Test Pit........ .___ - Depth to ground water------ (i, Test Pit No. 2.....1`n.....minutes per inch Depth of Test Pit-------- ...... Depth to ground water......t ----------- .1 O Description of Soil.................. lim.1.Vrn.......�e7n�m .... N rJ -------------------------------------............................................................................................................................ 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 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 by the board of health. Signed ............................................................................. .... ..................... Da Application Approved By ....----.... % . Application Disapproved for the following reasons- ......................... ------------------------------------------------------------------------------------------------------------ . . .. ................... ... .............................................................................................................................................. ..................... Da[e Permit No. ................ Issued ...........�r'..�.�.��... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------------------1040...... OF ........... ,�. 5. .... '" ....----- %Ctr#ifirate of (11omplian.ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.. ------------------------------------------------------------------- --------------------------------- / ---...--- 1 [alter F . at �.. .. -... ...X.. ��_`r.....................- 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. .... 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 No '' .................. .......OF...........16.A-4/J�T% L ........................... FEE....' : Disposal Works T-Pnntra ion rrmit Permission is hereby granted.............................................................................................................................................. to Construct' Repair ( ) an I dividual Sewa e Disposal S tem at No.... 0- ..4e .....• ... dr r Street as shown on the application for Disposal Works Construction Permit NoY.;, -:1,,0WZDated.._..'IF����'��/�! ........................................................... ............................................. Board of Health C DATE................................................................................ FORM 1255 HOSES & WARREN. INC.. PUBLISHERS THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � om(. OF...............................................----.. Applirtt#iun for Disposal Workii Tonotrurttnn ramit Application is hereby made for a Permit to Construct (V�or Repair ( ) an Individual Sewage Disposal System at: Sj \f ... _ ���':b"°....._`!_.�l; t ` V -fi r' .? r 1-e'r' �. ..............---------------• .-- .. ------------------. - ,,/ Locatiop?-Address or Lot No. ............. '•--._s.,f``;/ '-f.f'= < wi ` � j------------------- --------------.---------•---........................_ Owner - Address W _ _ Add d Type of Building Installer SizerLot.._ = "A'._Sq-feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( `4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria P4 Other fixtures ..................................................... W Design Flow ........ Design 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........../d.... Depth below inlet........ Total leaching area----API.sq. ft. Z Other Distribution box ( Dosing tank ( �) Percolation Test Results Performed by...uZLX1_�7 .•-�'_....`!�. - � a •-• : ---- ---- Date Test Pit No. 1_____ -____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 x x ---------------------------------------------------------------------------------------------------------------------------------------------------------------------••-•--•••--•.0.........•- 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 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 by the board of health. Signed _-----_---------------- ------. --..........------------------------------ -- .................---.......--........ D- te- --------------- ,� Application Approved By --------.lx' ', :r!'�...../"..`! A''t:-'�-------------------------------------------------- A...� f'5---`-:"'F'- � / Date Application Disapproved for the following reasons: ........................... ----------------- ---------------------------------------------------------------- ------------ ---------------------------------------------------- - ----------------------------------------- --------------------------------------- �� r , s� Date Permit No. ....... .. �' !��' ---------------- Issued ............ ..` -."" ..: .... Date- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - " 1 v I ... OF .............. -Al) --------i-------------L-'--�-------------------------- Ce rtifira#e of Graylian e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ....---- .................... ......... .................................................................. R-----------..............-----------------------------..............................----------------------------- �- I taller 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. .....C'' `- - ...��. .... dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANI E THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....-- --------- -- ------------------------------ --------------------------_------ Inspector ---------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ! (, ............loajl') ......................._------............-- : No�....................L=. FEEZ.Z Z,.: Elispos l Workii C�unoir tiun rrntit Permissionis hereby granted......................................................•-------•-••-•-•••--------•-------•--•-••••••-•.......•--•-------••.........•••--•..... to Construct ( )nor Repair ( ) an Individual Sewage Disposal System Street as shown on the application for Disposal Works Construction Permit No.`". -_;la Dated------- ............................. •---•...----•-----------•----------------------------------•----------...-------------•---......•-----._ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS r— 7M E i BAB.NAM ISTABLIL S MMm 1Pv/y��,/�w (�-/U�/enM ,t(J 039. 367 MAIN STREET HYANNIS, MASSACHUSETTS 02601 COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION WETLANDS PROTECTION. ACT M.G.L. C.131 S40 310 CMR 10.00 AND TOWN OF BARNSTABLE ARTICLE XXVII John & Pamela Egan CERTIFICATION OF EMERGENCY LOCATION OF WORK: street: Map #34/#75, 39 Ocean View Ave. , city/town: Cotuit 1. The applicant hereby requests the Issuing Authority (Conservation Commission or the Department of Environmental Protection) to certify the following project as an emergency project: (describe work to be allowed, and attach supplemental information if more space is needed) Septic system upgrade to Title V i 2. The project is necessary for the protection of the health and safety of the citizens of the Commonwealth because: Failed cesspools • I 3. The agency (or subdivision thereof) of the Commonwealth that has ordered the project to be performed is: Barnstable Health Dept. 4. No work shall be allowed beyond that necessary to abate the emergency. The date work shall be completed by: April 1, 1993 Not to exceed 30 days without written appro 1 of the Commissioner of the Department of Environme al P ;9c.,ti;r.P) , t i natu a of applicant) (date) on the basis of the above .information., _and after .a site inspection, the project described above (and in any supplemental information provided) is determined to be a certified emergency pursuant to 310 CMR 10.06 . ISSUING AUTHORITY: Barnstable Conservation Commission , (conservation Commission or DEP) BY: Kendall T. Ayers, Conservation Agent Date Issued;March 9, 1993 ® (If box is checked, see attached conditions) (Effective 8/14/92) - 3 64 uvo WId OF B STABLE br. ` LOCA ONE iSEWA �2� fi �►1JP 0�G 0�'f VILLAGE � Z T ASSES- OR' MAP LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY / ` �• — LEACHING FACILITY:(type)^/ 7 (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER Y i .BUILDER OR OWNER - r DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No-x �' 9. 0 9 ` TOWN OF BARNSTABLE LOCATION' SEWAGE # !3 —��� VILLAGE �c '. /-/- �.p'�hcJ ASSESSOR'S MAP 6z 'LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 2000 LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No y .._....... . c. 3� B tz 3� WAAL \h C)ra I vs z �, ( ,-72 44G� 4- a> l 41? SG0o Sr x I _ 1 T oLE _ FG 33 I LokAj Zaoca �u l?M51: -��8 ��2i ASTntJE �Sson. log iu� .� InIY iuJ lo4>plAL UAt_ FOK Vz to FITS f lw-& et> C.o►jroov.,,, r 0 �' -�--�N % ►'lam" ' ��� . _ W F--TLA 4D CvNiT' 4- S Wr<fLA+.1b FLA& LoGATION G RL ^CSC F-ts Se -- -... � LAB. �b _ ��• � l� CoMMphl {� Lar I (.Or l3 To �� ►� 33 r-fi K 50=45 awhJEPfklrt? 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