Loading...
HomeMy WebLinkAbout0021 BAY STREET - Health 21 Bay Street Centerville A= 117-143 n . x u " ° ° • , p ° 0 41 ' a ° I " o R p ° e � V a ° , n ° s . 4 � o I ° TOWN OF BARNSTABLE LOCATION Sr—SEWAGE # � I14� � , 1 VILLAGE 6—, `� ASSESSOR'S MAP & LOT !43 \INSTALLER'S NAME & PHONE NO, SEPTIC TANK CAPACITY LEACHING FACILITY:(tppe) IL/67-ZT-40 (size) I � NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER lie) DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No - , .� , a -�E �-, o, . 3d y�19� �� ti ,� ��P � � �+,, �. � - ,� -.� � . .mz THE COMMONWEALTH OF MASSACHUSETTS , . BOAR® OF HEALTH Appliratinn for DWpooal Works Tongfrur#'inn ramit Application is hereby made for a Permit to Construct ( r Repair ( ) an Individual Sewage.Disposal System at: --..:... ....................... .................... ------------------ .........---.--.........---• ocat' Address or I.ot No ... ---------------•--. NILI Owner Address W r •. Installer Address d Type of Building /_0` Size Lot____� ......Sq. feet U Dwelling—No. of Bedrooms........:..� 6 ..................•...___._..Expansion Attic N Garbage Grinder (AA aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures -----•-•---•-••--•----•-•------•-- W Design Flow.......... ......_..•.........._.gallons per person jr 4 y. Total daily.flow........�.�?n......................gallons. WSeptic Tank—Liquid capac�itpv4 ...gallons Length___....._..__.. Width..Y ..___ Diameter................ Depth.�.__117.._.. x Disposal Trench—No. _.__...Y Y�.__. Width___................ Total Length.................... Total leaching area..................... sq. ft. Seepage Pit No..................... Diameter•__-- ......... Depth below inlet.•...'....._._. Total leaching area..-----:•-_-......sq. ft. Z Other Distribution box (L,,,I' Dosing tank ) �/ �, Percolation Test Results Performed by.__._.. ___.l.Y�G ..................... Date..._��'___"6.. .......... as Test Pit No. I......:4:.....minutes per inch Depth of Test Pit----ice........ Depth to ground water.._ CYI Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...........-••••. --- r O Description of Soil.......n j ` -7��'� �^ ����j ......... '� -- . 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 TL Ili LE 1 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be en issued by t boa o al Signed..... .,.... ...................... Application Approved By.... •-- ---- ---•-• ........... . .......... . •---• •........ ... •--•-- 4 Application Disapproved for the following real ...._•-------•••------•-•-••--•-•---------------•-----------..._..............•---•...----•--•----------•................-----•-------••-------•-•----------------•------•--------------••------......_._ Date PermitNo.. ....... -------------------- Issued........................................................ Daft -H-3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I. ....`!..'................OF........ 4..............................7 .?.--C---........... Allp iratiun for Biupouttl Works Tontrurtion Frruti# Application is hereby made for a Permit to Construct ( �r Repair ( ) an Individual Sewage Disposal System at: ....... ......................•-••---........---•--•-••-- --•- .................................. - ocati • -Address or Lot No ti/.. (���.� ..- -.�•.�tfl�il �: }: (............ ..... . ............... .......... til Owner Address .................. . ............................................................ Installer Address _f_ -•�.-•• Type of Building Size Lot_. ..... .....Sq. feet U Dwelling—No. of Bedrooms...........2......:....................Expansion Attic (Alcj Garbage Grinder Other—T e of Building No. of persons............................ Showers a YP g ------------------•-------•• P ( ) — Cafeteria ( ) d Other fixtures ----------•--..-----..-.--------------•-------.._..----------••----•-•-- -- ...... .------- .....------ ........ .. .. . Ions. Design Flow............ .. .......................gallons per person er day. Total daily,flow............�.C7._...... ._.........gal Septic Tank—Liquid capacit I10X: ..gallons Length....k.... Width..Y.2D_... Diameter................ Depth.....]...... x Disposal Trench—No........�._:.... Width.................. Total Length.................... Total leaching area...................sq. ft. Seepage Pit No.......I............. Diameter.....Z........ Depth below inlet..... Total leaching area.. ......sq. ft. Z Other Distribution box (L,,�" Dosing tank ( ) 04 Percolation Test Results Performed b .......�d Z!`t !... .(T� j 0.4 Y =- - ----------••-•---......----•---............---•---- Date---••-------••--------�.....--•---.... Test Pit No. I......Z.....minutes per inch Depth of Test Pit....I......... Depth to ground water....���r��-- f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .................•--. ..................--•---.....-••••••...-• •.....-••....•--•-••.................................................................. 0 Description of Soil.......fl=.2:.{......L:: �lr..... ... nG�/L............... .a.z. ........................ ./----.....:J.....���!6./1.......:= ....l� ...............•.....-•----..................... ems•- -- UW ----•--•--------------------•----••-----•._.,!1�<_:'-.._�-/1, 1 .�4.p_...............----------•-----•---•---..........--- = - 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 Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha n issued by hMaro 1 nd Signed....40'" ... Application Approved By.... r :`_.�� ...... .......:_..!7� .... ... Da Application Disapproved for the following reaso :........................................................................................ . . -------------------------•----•-•---------•----••-------•-----.......--•---•-----.....---•--.........-•---•..................._..•-•....-•••••-•-••--••••------•-•-••-.....•--•-•...__......._........_ Q-o Date Permit No...C. ..�3�.. �., .... --...._ Issued-...................................................... ;D Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH .............OWAI.....OF...... .. .: ..4./�.1..i �, `. ........................ At wr#if iratr of Tomphanrr TH S� 0 CERTIFY,,T�hat t ividual Sewage Disposal System constructed or Repaired b -�.��' .L., ` �+ ..... .1..L. n. . ............................................. ..•-.....--•-•---•--.. (^-) .. .. ►'`�------------------------------------------------------------- - -. ---•--•-•-•- has been installed in accordance with the provisions of TIT 5 of The-State Sanitary Co./desi e 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.........................U....al. = ..................... ........ Inspector.....................,.: ...---•--•....................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD HEAL � r %vV H, :ter^ ro .��(1/l/ ` - t ...� ;..>. ...... .... oF........ . ....... .........�........ ............. . .. . �� No... _i. Fn... ................ uiupouttl or Tun ttrtiott Prruti# Permissionis hereby granted......_......'.. .:._.. ...................•---••--......-••---.....................••••.................---- to Constrt�jct ( or air (,-.,)...an dividu Sew ee Di.s ,,� ;ystem ............ Street as shown on the application for Disposal Works Construction e t No d"t_ :_% �.- + a.0....... .... ........' .... Fd of ealth ........... y t'� .. DATE... .......................................... FORM 1255 A. M. SULKIN, INC., BOSTON LOCATION SEWAGE PERMIT NO. VI._LIAGE I N S T A LLER'S NAME i . ADDRESS 46Z U I L D E R OR OWNER , DATE PERMIT ISSUED // d_g-� DATE COMPLIANCE ISSUED �` �� � C� 2 � � �� � ..j, �� �' ,�. 1 �, Y a ij �+ 1 -.,,,_ s `.. J 80- 6 4S F>�s.... No.._......•-------....--• .....,0©....... THE COMMONWEALTH OF MASSACHUSETTS I43 BOARD OF HEALTH iy� T own Barns table *+�1 ..... ...........0 F...............I..........---•-----....------........................................... 1 Applira#ion for Bhgv iial Workii Tomitrurtion thrutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal PP Y System at: .............. ........... Location.Address or Lot No. ............................................ 6...C.Qae ........ Owner Address A--& B Cesspool._Service...-----•--•------------••••••-•-.----•. .....ULU... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms....... .................. -Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ......................... No. of persons.........4---------------- Showers ( ) — Cafeteria ( ) a 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------------------------------------------------------------------•-----•-----------..........................------•-----....-----------...._. ODescription of Soil..................Sand............................................................................................................................................ x U ............................................................--........................................................................................................................................... W ---------------------------------------------------------------------------------------•-------------------------------------------------------•---•-------•----•----•---••-••••--•----•-••••--........ UNature of Repairs or Alter tions—A swer when applicable.........................................................installation_.of. one_.pre--eas......_st one_. packed leach pitoverflow - .....•------------------------------------•-----------•----------•---------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TT`: y g g p y of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has een issued_by th board health. \ ' Signe . . �/J 11 1 80 ..••----•---------------------------------------•-•. --•• 9//_... Application Approved B --••••-••...•-•--••......••--•••-•••-•--•----------••••--.........•..... / -------------••••-•D7te9l-----..... PP PP By...... ��---= 11 1 80 Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------•••-•-•--•- .............................................................••••--••........--•._..........••-•••----------------•-•-•------•-------••----•---•••-•---•-•-•-•••-••-•-••••----••---••...........------. / . Date Permit No...........80......................................... Issued..........11(--�9/80 Date No...80-.---- ....... FEE ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own...................OF................Barnstable .......................................... . ppliratilan for Dispaiial Works Toutitrurtion JIrrutit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: -.- 21 Bay St., Osterville, MA 026 , �..._. ...- --- ---•-- •-•-•...•..........•-•--------------------••---•---•••--•-•........._......---------...... Location-Address or Lot No. ......................Mrs. J7Q7 Birmingham 6 Conestoga_Vill e„ Wayne Penn 1gOfi7•_ ... .... ..... ..._._..• .-- ;w er Address W A & B Cesspool Service 128 Bishops Terrace, Hyannis, YIA 02601 ,-7 ---••--------------••------•.........-••- --------•-•----........_.......•-•--••----•-•-•-----• --•----••--•--••-•• . Installer Address dType of Building Size Lot............................Sq. feet as Dwelling—No. of Bedrooms...........................................ExpansionAttic ( ) Garbage Grinder ( ) 44 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QI 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........................................ W Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Descriptionof S oil................. .........-.................-..................................................................................................................... x W -------------------------------------------- x 1 riital at on off` one pre-cast, stone v Nature of d 'eseh°ip�tterations—Ariswer when applicable------------------------•---------------------------------..-- ---------t ----- 1 overflow 1. --------------------------------•--•------------•------------------------------........-•-•--•----------•----------------...---------------------------------------------------------------------•-••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT .: y g g p y of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has een assued by the boar Health. ) Signe, . /! _� -= 11/19/80 Application Approved By................................................... ----••......----1.t19/80 Date PP PP f the following reasons----------------------------------------------------------- --------------------••------..__...-•----•---•-•----- 1 Application Disapproved or I ...� ---•--------------------•----.......------••-------••---•--••--•--------•-•---......-------•---•-••---••••-•----•----------••-•-••-•......•---- 0 f 11/19/80 Date PermitNo...............:: ........•-•--•• .......:............. Issued.................. ................................ Dattee THE COMMONWEALTH OF MASSACHUSETTS ('.l BOARD OF HEALTH Town Barnstable 1. ..........................................OF.................................................................................... Trrtifiratr of Tomptianrr THIS S T CERTIFY, That the In'' 'd 11 .SSewage-Disposal System constructed ( ) or Repaired AI & Cesspool Service, bishops Terace,__Hyannis_,...MA_......2601............................... by ----••--•---- -•------------- .. . . . 21 Bay St., Osterville, MA 0265.5 Installer�Irs. J.Q. Birmingham at....-••-•----••••----•--••-•-•-•••-•••••-••--••--•-•••-•--••...............•...---•---•-•-••• ------ has been installed in accordance with the provisions of TIT T 5 of,The State Sanitary Code as d-scrihed in the application for Disposal Works Construction Permit No ........................... da.ted--------------:11 19180 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SAT FACTORY. DATE.....--••............................•... ............. Inspector_...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 80- ...................... '.own........OF No......................... FEE........--•5.00 Dispnoa1 Workg TnnitrndUan rrntit A & B Cesspool Service Permission is hereby granted-------- ----------...............................................................•--••••••-••-••..........••--•-•.....................--- to Construct2( y epair0( � 11T,divi�Tl �e,K;agg Disposal Sy�s.e J•Q+ $ gingham atNo............•-••••••••---••-•----•---•--••-•-•---------•---•-•------••----•---•-•---•-•-••--•••----•-•----- .....................................-............................................ Street • as shown on the application for Disposal Works Construction Permit No.�0-..........__.. Dated.............11,19/80 Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 .' ",'s'� - .: C,y.1� � ,� .tea/ . o _ . '_ _ _ :_ .__ 9� •tP ` a�x - - _ x r 40 -4 - r . e V ✓jc 1s/ i7�✓ ---- t'�r\� / //i �-�� /r'r \�� .rY/ ice'✓ /Q�_� ✓.v(/, ./' IAIV ,r '77 - tnl.47:a , ✓ 512 <? ,►. Loc; /.i/ %zl � �/o.�/ ST ,�V/LAC =AR JA N 23417 01