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HomeMy WebLinkAbout0051 OXFORD DRIVE - Health ASX!M k4F �F�1�1yy��, � UM d', ,COt'Ult°+ b y k eg �.} in f i LOCATION � ��1vP SEWAGE PERMIT NO. �i a � VILLAGE Aint 6YRH t INSTALLER'S NAME & ADDRESS 4.7 If ® U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED i� � i ��� c�?� i i / �''ar � / �`C � '� V.1 i � —�_ �� 11 / / L ��` �/ /� / � / i � / ���� ` � � c'� ® (Q ,� ' , � c,,•,� W � ` ' �_ _ � � , � , �` ,. .� a° o o � � � . , ,,�� Y rV • -.:�o......................... ,_ Fps............._............... THE COMMONWEALTH OF MASSAC14USE*S �~ BOAR® OF HEALTH C3: .............0 F...... .------.......----.............-•------•---• Applira#ion for Disposal Works Tonstrnrtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal W"Iy stem at: .. ....�Q�.�'.: ----.L�s� u.=.�! ......, - '-.7 C-Kfr - 'Ji..................... -- Location Ad• ess or Lot No. �y ` Q�6 tie) p ...,.t[L. .+..... •----^.... .? r ?'i!1..... Owner Address W -----_..... _ ,�n- .L ----.......•. •-••-••----�� .__.1_ ` .......�-1. AkS.a�_`s._.1'.et1 S Installer Address Type of Building Size Lot...J 09Y�...Sq. feet Dwelling—No. of Bedrooms........ ....:..........................Expansion Attic (i� Garbage Grinder ( � Other—TyP e of Building ---------------- Persons...............-----•------_ Showers Cafeteria ",Other fixtures.•--------------------- ------------•-------------_...___.... No. of — a ( ) ( ).. Q ••-•-•-•---•-•------------••--•-•-----•-•--••----•.:•--•-••••--•-----------...._-•----....--------• w Design Flow..•........1.1.0...........gallons per person per day. Total daily flow--------- ..0_.......................gallons. WSeptic Tank—Liquid capacity.00.0gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.._ QQ0_CAL Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (* Dosing tank ( ) aPercolation Test Results ac Performed by.................................................. Date................_.....,_7r Test Pit No. 11 ..._.minutes per inch Depth of Test Pit.......2''_...__.. Depth to ground water------- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' -----•. ..............•----- --------------------------------------- Description of Soil #t?-S�' x, J#7 �-- --�� c ................ ..P ......4Fez..M��..................................................... ------------...-. 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 TITL U 5 of the State Sanitary Code—The undersigne rther agrees not to place the system in operation until a Certificate of Com)iance has been issued by th b ealth. C . Sign ................... ....7fh............. ApplicationApproved y------------ ------• ----- --------------------•-•------•--------------------------------- ....- ---........................... Date Application Disapproved for the f o win easons:..................................•-•-•••------------•--•--•----•--------••-•----•......-•-•---•----.....•..... --------------------------------------------•------•----------.........---------.....---•-••--------.....•----•------••--•-••---•••---------••-•---------•-•-••-----•---•----••-••----••--•----•-•------ Date PermitNo.........................................................` Issue(L....................................................... Date No............... _ Fizs...`."... .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----•....... OF..... . `3 Appliration for Disposal Works Tongtrnrtion Veratit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: at: _ rye _ t (—,'. l f,Ir, F'� )'..t l)t �sw>,,.1 Z W".t— 1 +,y $ ( M( "`�i \ f'4140,1 ................_„.............................................................................. ......._........--•...............___..........._..........__..._...............................__ ocatioppn-Address > r p`' or Lot No. _ f.r .J f�I• o.'L'J A,"i i l ""}; •I n! �� i.J ! P.P4,�, � ..:a I t_I,; Z"!.t # L.� t�~ t.•� .........................v _.... .................................................. ...........__ ._.............__._......_.._........_.._.._.........._......._.........._...._ 11 Owner- ( Address. a W ... ... ..�L74n ...................................................t Cf r ..................................... 1C` l r•n' *� #"� 1.� Installer Address Type of Building Size Lot.._�:. ... �......Sq. feet Dwelling—No. of Bedrooms............'...............................Expansion Attic (k!c)• Garbage Grinder Other—Type of Building No. of persons............................ Showers YP g --------------------•------- P ( ) — Cafeteria ( ) A, Other fixtures -------------------------------- . WDesign Flow........... ____1__1�_._....___.gallons per person per day. Total daily flow-- � ............................gallons. WSeptic Tank—Liquid capacity.i_.`...... }gallons Length................ Width................ Diameter-_._-________- Depth................ x Disposal Trench--No.................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...I P`-'-C--A--- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ( ) 0-4 Percolation Test Results ,, Performed by....................................................`-..................... Date.................. Wa 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............._.......... � -............................. `#11 ` - --' 1, % 3An!O Description of Soil-------- ----------------------••••--•-••••-•-••.._...._.......----•--•-•-•---=-----•-----------.......... ---------------- -------------•-------••-.x t ►� c at3 "1" /ti,, U -•----------------•---......••-=--•-•-••-••••-•--•--__---•-••...._..-•-•----•--••--••--••-•---•--••-•-••-•-- ............................................................ W -------"--------------------------------------------------------------------------------------------•----------------------------------------------•-------------------------------------•......-•-••-. M. 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 TITLZE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ured,by the board of health. , ..........Signed .e, � " � P I�f ✓ .. �' •-' ^;' a,4• 7 sit�O' k�j s� •----------------- .. Application Approved By------- - ----- ---- --------- -------- ----•--- ------- ------------ Date Application Disapproved for the f win easons-----------------------------.................................................................................. _ ................................................................................................................••-•-•---•-•-•-•••••------•-•--•-•--•••--------•----------••--•-••------•-----•--...._._ Date PermitNo........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........r L..t; .' 1............0F......17 1 d.t� .��i : .. Trrnf irtt#r of ToutpliFanrr THIS IDS, TO„CERTIFY,.,That the :ndividual Sewage Disposal System constructed ( ) or Repaired j Installer £ . .r.. . .. l..... 1#. #...!.. a +` ... ..{.= has been installed in accordance with the provisions of TIT C o The State Sanitary 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.....................................ZA -g}--'-....... Inspector........-------- = THE COMMONWEALTH OF MASSACHUSETTS BOARD/0F HEALTH ........ ....OF.......�,�ffix_ .. ............................... No. ............. ,•"y' f.-... FEE ..................... /' Disposal ork� Tontr ion amit r ... t.� . t` Permission is hereby granted.......-------------"- -----------.-------•--.------•----�........ - �' - --•---........--------....._.....:...._._.. to Construct, O or Repair ( &) an Individual Sewage Disposal System Lj at No......... ......................................----••-•••••... -•-_.... -'--------- -- - --------- -------------------• Street as shown on the application for Disposal Works Construction Permit No..................... ................ .............................................----- - Boar , Health DATE.................................................................................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS S 1 N&w P*A M I LY S B���M S z-o,e �7•G . uo 6A03Ac it G,+z.r�� _- ''_ .s s�•a ft . V, G 'f"A►JIB = SSo�c I�o04, • �7S L-� i I i993 av :r 4. rwAL. ARzl 19 SF I .9 �r7 In -pon-rom � a SF yy,g icy, �-✓sue... '� `• - - N pEQGo�.ATtON RATES N oi,Z GE3 EXP EXP • ,L oT Gy � ;. 27Lodz, 01 UL i / /o/ TOP FWD* 40Z-f •� -LG✓Z �6. -- FG� I"d•99.G it PST sett INS• • r LOAH t (,s 6. Xt, ,�G.�6C(I�I�. Z 0u71 INS. SGPtG ,J'T Z �000 �Nre `�•Z TwNK �.EAG11 INV. PITS � , W/►!+W C D 6T�N6 • Z � CEQ.TIFtGC P►-oT PLAN ,M0#147 O SGA.LE ScA�E �..;God SATE !� �8,.,,3 . N 10 0184 P�PN REjr6Mra04 tMU �N p�'cr? v SHovYN eERT�FY ,LaT G9 NGRGa1J GOMPLYS yJITIA C-M f> >roGAT 0 WI,TNl 'f �.000 PI 7,7/ 6XKTraM NY6 INC• DATC � r REG I ST i}R.69'tJ►N p'S iCY G�� 4n51io ®la A►J o�TER.VILLFr ASS• . TKIS P�e►N I S N ,t NE 01-F5E�'5 ►.1nT risF 'v�sEOTC �e'TEW^INE LoT �. �NE-�j ► k�g �r�Gp - ' 4 1 EX/.fr 27 lV Z WILLIAM C. •ice N Y E v�i i . ` U No. 19334 t R .�. r = ISTF ( ? L,0C.4 T/O,(./ z T/,may'T,yAT, Tf/E Sf•►�oWitf,yE.2EGLl/CG�s�pL YS !�/Thy SC,4 L / ��1�0 O.q TE 7-,4/E S/OE.0/,t/E A,/O SETBA Cf--- •eEMEA 7Z of Tf/,,C-r Tvw,✓v�' a4iei+/,57'.-BCC- Atio /S .40CA A-Zz a=PG414 F .C3f� Z7/ 47A7'j:F ,8.4X7;=-26 Z111S P.C'4.t//S i(/OT BASE D,v AA1 l2EG/STE.24EO 4.4A-/O SU.eY6ybt /it/.S'7'Oai41AOVrSt�.21�EY OF.45'E'T.S.Sfi�G/✓.Y Sh�v[� it/oT 9� l/.SE� TO OE?�.��1/•�/E .LoT�/�t/E1S. AF�ia�./C,�{�V`T �,eQ�E�il� ,��4Z.�.�� F �{ � "'111PPP s iiil Ar Aee ri O WILLN4h 1 _ T/�Y 74WA7` 7,, � .G C.4Tio�e.s 4�a/�Re�fi��E CGrrsLPL?fS f�t`�� SCA e-, ! ..p` — f rE.SYGE.ti' F. -'STACK F'. . .Ed .e 4-=Fg S.2E C 7•M,6� 772aWA,0'4c- IjdrA 5 a-- .4-,V-47 fS �• .Gam G ie 'C'�4 TES, �fT.Y/� TEE FLOapPl.4•r�f! �frtiGS G.� No 11 -Z 400 I 11 FEB.....:$4....00... THE COMMONVkAL-TH OF MASSACHUSETTS ,�V ,SA BOARD OF HEALTH - .........................T.0.10......OF......BAR NSTABIF......----------..-...-._..-----------......-....._. Appliration for Bispaa al Worka Tomi rurtwo ramit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Pineview D _y_ 1__.Co �} ... ...... Construction Company 24 Great Pond Drive, S . Yarmouth, MA . ......................---........................W -- -•---...-•----.....-----•------......._-----------•-----.........................._- Owner Address Spero...Theoharidis -Same_ Installer Address Type of Building Size Lot__23-,.12.5t......Sq. feet V Dwelling—No. of Bedrooms________________3..........................Expansion Attic ( ) Garbage Grinder ( ) Pk Other—Type of BuildingReS!denti-al No. of persons........5.................. Showers ( ) — Cafeteria ( ) a' Other fixtures .........................________ _ --- W Design Flow..................55..:..................gallons per person per day. Total daily flow............3.3Q__._.___._-_______._.___gallons. WSeptic Tank—Liquid capacit3".0-0_0gallons Length._1-0_,.6__ Width......5--'_..... Diameter________________ Depth... :,3.._-. 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-__.N]0-MA1.t...GXg5Am8Ln.......................... Date....... 1318.3 V3Z'gi................ Test Pit No. I......2-------minutes per inch Depth of Test Pit...144......... Depth to ground water_None---_------_ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----•--------------------------------------------------------------•------------•---•............-•--•.._......---••••-----••-••-..........__.._...._..•----- Description of Soil__S-UbsO ,l; an d Wn..pA d.,_... x 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 iIII LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a C4erti�cate f Cmplianc has been issued by the �board fof health. Sign --• ---� '= l` � ..:.. ApplicationAPPr - ---=-----------------------------••-•---------..__.............._...--•- Date Application Disapllowing reasons---------------------------------------------•-----------------------------------------------------._.........._ -•-------•-----------------------••-._...-•---------------------••-------.....__......-•------------......._....__...--•..._._.__....------...---•-•------•- Date —� Permit No......................................................... Issued._.._.......-----------------••------•-----------_..... Date `=ti $40 .00 No......................... Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... .............T.QWN.....O F......-BA.RN..S-TAB.U...-----•-......•- Applirtt#inn for Disposal Works Tonstrnr#inn trntit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: -Pineview_ Drive.... Cotuit....�.................•-•-- --•••-......._.._.....••••......_........... 53 ... -.............................••-• --- Location-Addr s5 Lot No. ....................Dennis Star Construction Company 24 Great Pond Brive, S . Yarmouth, MA __. ...-- ......• ..........................................................----•••.........---...-•-------••---•••• Spero Theoharidis"ner dame Installer Address UType of Building Size Lot...2 _s25�'.....Sq. feet U Dwelling—No. of Bedrooms.................3.........................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building RP-..3..de.Rti.A_lNo. of persons.........6................. Showers ( ) — Cafeteria ( ) Q' Other fixtures ..---•--•--•--• ---•-----------------•••-••--•....... W Design Flow..................55._..............__..gallons per person per day. Total daily flow.............3 30.__._..........--._.... lons. WSeptic Tank—Liquid capacityl 1 0 0g 0.6_allons Length...1 . . Width......5.1..... Diameter................ Depth.......r.3.... x Disposal Trench—No..................... Vidth.................... 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.....piorma-n..GrosSma-n.......................... Date.......813/83 ,aa Test Pit No. I.......2.......minutes per inch Depth of Test Pit....144" Depth to ground water None �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --••.....•-••••••••-••••-•.........................•--•••--••-......•-•--._..__.........-•----....._........................................................ 0 Description of Soil...subsoil, medium sand. x .....................•----......--•-- ----....---------•--....------............................---•--••••....•--• 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 TITL E �•7'•-� the provisions of Ti 1 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. Signed...................................................................................... ................................ Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:---•--•-------••....................•--•--.......-------------•-•------------------•...---...--••-•..........._ ---------------------------------•----------------....-----------------------•--------.......------....--•-••-•-•----•----•--•---••-•••-•-•-•-•-...---••-------•----................................... Date PermitNo......................................................... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................TOWN..O F......BARNS TABLE ...............................................•-••.... �rrtifirtt�.e of (�nnt�rlittnrr T pero ' heonarictf h0tthelV reatse ic1D'I ili ;st u` itr g&6UtRr 1 iga red ( ) by......_...-••-----•--•--••-•••----•--------•••...•-••••-•---•..........-•-•-•••............ .• -•--••----•-•••-•..._........••-•------------•-•-••••••........._..................._._...••••. at. Lot 53 Pineview Drive,. ..Cotuitrnj4Absachusetts, ......... --•• ...........•--•••-•-•- .............. ..............••-------•--........--•••.....-------•••--•---•-•---•....-•--•--••---•-••---••-••-•-•--............-•-------- has been installed in accordance with the provisions of TITL 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. DATE.................•--•--.......................------•..-----•......•-••••...•••• Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN BARNSTABLE ..........................................OF..................................................................................... $40 .00 No......................... FEE........................ �- Disposal Works (9pustrur#inn Urrmit — Spero Theoharidis, 24 Gre t Pond Drive, S . Yarm. , MA, iyt:mission_is hereby granted.............................................................................................................................................. to Cons""et( � tr-RpjeW bn4diviQ%ltSfftge posal System atNo.... ==- - - ----------••--•--------------......_.................... -------••--••••-•---•-••••-•--••••••-•-•-•----•-•----•-•••--......-•-•-•••-•............ Street as shown on the application for Dispu ar_Wdo s Construction PP-rnat No..................... Dated......................................... 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