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HomeMy WebLinkAbout0016 HARRINGTON WAY - Health l� Narnny�^A-VC,, I1�nnn�s TOWN OF BARNSTABLE LOCATION 19 SEWAGE # q� VILLAGE (���.�,h,'s ASSESSOR'S MAP Et LOT28-f" INSTALLER'S NAME & PHONE NO. A. AQ SEPTIC TANK CAPACITY /p®y� LEACHING FACILITY:(type) �� � (size) /d 9 NO. OF BEDROOMS PRIVATE WELL O P L1C WATE BUILDER OR OWNER 51 It DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 73 VARIANCE GRANTED: Yes No 1 CL m ©, `o M i No...._l.s.l'_G'.. Fas....13C.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinu for Di-ripniittl lVartai Tomitrur#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: _ �n cat tot -Address , or Lot No, e ........................ p .. ..---$ 6 : ��, �, �ti�,s ----------------------- ------------- o vner ddres w otiH P 1.. 1t. ------!5"o....�u��w f l a ------------------ ---------------- ---1--- ---�l'-------------------------------------------- Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------- ....Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—Type of Building No. of ersons_______________________---_ Showers g ---------------------------- P ( ) — Cafeteria ( ) dOther 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.---------...-----------------------.... a Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Gr4 Test Pit No. 2................minutes per inch Depth of Test Pit._.___-.---_____.-_- Depth to ground water........................ a ----------------------------------------------------------------------------------------------------......................................................... 0 Description of Soil........................................................................................................................................................................ x V ......................•--•----•------------.....................-----•-•--•-..........._...------........-•-----------•----------•-----••----•----...................................................... --------------- .................................................•..................................----._...... _ UNature oft Repairs or Alterations—Answer when applicable.---. 3 . .�.__..._fd ...._S.r.._.�. .-.- -- .p�0l7d_.. --------•-------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------- 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 n is ed by the board of h alth. Signed .................... ............. . �......41�4 ---...........-....... I/.......... - Date Application Approved By --------C J V .-- ........................... ------- Application Disapproved for the following rearons: ..................._....................-----------------------------------------------------------------------------------------------------.._...--------------------------------------------- ---------------------------------------- Date Permit No. - 6 ................................. Issued ----------------� " "���- -...._----------------------- Dare No.-- ` r ..... Frzs....,. ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dijapoottl Work.6 Tonitrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / � / � -�'/ -/6, ---------------------------- ocatim7�dress or Lot/No. ti ..................... A /4 fv .�..�.. aN/S b • y J) /� O//��wner�(. AddresN /�/�W (JhN [....[./Cl.I/I. ........ ....../Sv--[�lflN�►�.....:5 .......' `= ................................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------------------------------------------- ------------------•-----------------------------------------. 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. 3 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-.-__.__-____-_____-__-- 44 Test Pit No. 2................minutes per inch Depth of Test Pit--- ................ Depth to ground water........................ P4 --------------------------------------------------------•---.......------•----- = - ........ :..... .....-...------ Descriptionof Soil-------------•-•------------•------•--------•-•-------...-•----------------•------------•---------------------------------------------------------------............._.. x w x --------...-•-- --------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable------.5 _��____.__lv�U..__S T fj c f'/r?Vv 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 ben issued by the board of health. Signed ------------------- -( --------- / � Dace Application Approved By . ------- .^..,.. '...". � ----------. _.e... ... Dace Application Disapproved for the following rea.ron.r- ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------ ---------------------------------------- Dare Dace Permit No. . ........................... Issued ................ - =5.....^�1` .` Dare ------------------------------ ------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�ertifirtt#e of C�umplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (y> by .................... :----------dam_,_ff�x----------------------------------- -railer. -------------...-------------------- --------------------------------..--------------------------------............ In at ..-- ./.,�;.........{'--.-nz. vim.........( IL1rn t=f,= cr r.��.UL�1----------- ------------------------------------------ has been installed in accordJ> e with the provisto s of TITLE`5/of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -----7�__--...CI................. dated ......._..._..._------------------..__.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...... - y .._..> - Inspecro.r.9._ e-4—,...._ ---%-- ----------------------------------------- ------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r r- /7 TOWN OF BARNSTABLE No........).... ...... FEE...—•- .........orkn Tonotrudion "unfit Permission is hereby granted...........` !!-r� ...... 'l ` !s.___._ ----------------------------------------------------------------------------- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo...........................................--•--------------------- ---------------•---•-•-----------------------------------------------•--------------------------------------------..--•-•- Street as shown on the application for Disposal Works Construction Permit No._—7n.jO__. Dated........�."..r�-......c ...... f _.� ..................•-------. Board of Health DATE.................•..... -- .....)._.. FORM 36508 HOBBS h WARREN.INC..PUBLISHERS t0 ,f,10N SEWAGE PERMIT NO. VIT'L. AG EMESSORS MAP NO: 'rr� PARCEL NO.: ; HSTALLER'S NAr ADDRESS R VILDER OR OWN ER RAT, EE p E R i.1T ISSUED DAT E COPIPLiANCE ISSUE- . � ; 7�1 �e p � i S 1 r rn f g.!LL�y THE COMMONWEALTH OF MASSACHUSETTS +RP BOARD OF HEALTH /.1.. �.-..-....OF........ 5�. r,1 �% 1 �.................................. \ Appliratiun for Disposal Marks Ton.strnrttun rrrmit Application is hereby made for a Permit to Construct ( ) or Repair (L-<an Individual Sewage Disposal System at: l ................-__�_-._. Q�Y Y�.�w. �a,!t-......Iw ��l----- ............. rya .. �?.Y ------- •-Location-Address •""' or t No. ..........�� Yt� e....._.. C.•S!l� _5..---....-•--------------- ....................... . .!... .................................................... W \ o Address r Installer Address Type of Building, Size Lot............................Sq. feet Dwelling—No. of Bedrooms...... _...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures . W Design Flow........: _6 ............________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.....E-,�. ...... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed b a by.......................................................................... Date........................... Test Pit No. 1________________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........................ .-••---•-•-•••-------•---------••••----•••-••-•••--••--....••••-••••-••...•••--- -------------- ---•---•-•-----------• _......--------- •--------- 0 Description of Soil........................................................................................................................................................................ W U ------------------ •---__------------------------------------------- •------ •--------- ------------------------------ •--••------------------------ •----------- ............-------- ••--•----_----- W UNature of Repairs or Alterations—Answer when applicable .ems: C ........ � '��S_ ?_C ----------------------•-------••---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I'L: 5 of the State Sanitary Code— The undersigned further agrees t to place the system in operation until a Certificate of Complian b the boar of Sig .d- S Date ApplicationApproved By••••-••--•--• ........... -----------------------------------••--•-••-••----• ........................................ Date Application Disapproved for the f ollowin easons:---••----•--••-••----•-•-•----••-•-•••--•-------•---•-------•-••••--•---••-•••--•-••---..__...•••...-•-......._ .._..••••-•--_..__...-•---•••-•--•----•........................................ PermitNo......................................................... Issued..................................................... Date -- .?,�"_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �'� f .-....-..OF .......... �G4:Y...4�.c�Z: l . rpliratiun fur Bilipustt1 arks Tonstrurttivit' r" ntit 'y' Application is hereby made for a Permit to Construct ( ) or Repair (Lan Individual_ Sewage Disposal System at: ................__ -----• ----- -------------��.n� oe��� � pp.1� _.... •--•- - Location-Address t or Loot No. - - ---- ........... -------- - ------------------------ ....................... ►� - ----- --------------------------------•-• - OwnEr +� a Address �1 rWa .......................0 A."6�_Y..... _ :m-_--- s -............ ............... Installer " Address Type of Building Size Lot____________________ _____Sq. feet ,-, Dwelling—No. of Bedrooms__________________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) P., Other fixtures ................................................. --•--=-----•--------=---=--------..----•---------...-----•--•-•- .............................. W Design Flow...........=5=...................... 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_____L �...... Total leaching area..................sq. ft.��•--- P Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by__________________________________________________ ------------••--•------- Date......................................... Test Pit No. 1................minutes per inch Depth of Test Pi`.................... Depth to ground water........................ rs, Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ 0 x ................................. ......................................................... Description of Soil.............................................---•------•----•---------•--------•--------------------------•------= x U ..................•--.....-•-•-----.........--•-•--------------.....------•-••--••---.....------••-------•-••-------•••-------------•-••----............................................................ w UNature of Repairs or Alterations—Answer when applicable.._____... - _ l ........._ 7'K-42........'�" -tom -------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLF, 5 of the State Sanitary Code.— The undersigned further agrees n t to place the system in operation until a Certificate of Compliancy as been-issued by the boarcl.of iiealth. Sign d �(t Application Approved By................... S:DaS — g S ----•--------- .............. Date -Application Disapproved for the following edsons:-----•--------•••-•---------•-••------•-••-••---•------•••••-----•-••-••.....................................::. _...--••-----•----•--•-•-•-----------------------------------------•--------------•--•-----••----------•--..__...__...----•---------•-------•-•----------------------- ................................... Date PermitNo......................................................_.. Issued..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - X (Irrtifirtttr of Tuntpltunrr 1, THI.5�I O CERTIFY, That the-Ind vi ual Sewage Disposal System constructed ( ) or Repaired by ,3 at............................... (0.. F—�GS,V�f . Installer .._.. has been installed in accordance with the provisions of TITLE' 5 of The State Sanitary Code a de•cr�e in the application for Disposal Works Construction Permit No........!26'_3!_3_.......... dated................................. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION.SATISFACTORY. r DATE......................=. 3 <• ------------------------------- Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......... 6.7s. '3 FEE...---_-................ Biuplap orkg Ton tnul- utt 11antit Permission is hereby granted _= ......n..o-`=�C"'------------------------------------------------ to Construct ( ) or Repair (L, an Individual Sewage Disposal System at No................. \n-......-TAs-rn r ��`t_�'4' -� St:rcct f as shown on the application for Disposal Works Construction Permit No_____________________ Dated......... -".S `g6' •-•-Bu1rd i�t .Health DATE............... -µ