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HomeMy WebLinkAbout0119 BAYVIEW CIRCLE - Health F [tq —60qj leLz�o 14 z- CO3- aD2- -- l i LSMEAD KEEPING YOU ORGANIZED No. 10334 2-153L MADE IN USA GET ORGANIZED AT WEAD.GOM LOCATION y� SEWAGE PERMIT NO. VILLAGE Or nekIlle R = I +ZZ 013 O 02— INSTA LLER'S NAME i ADDRESS B UILDE R OR OYWfU DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ca -------------- 1' Q0 I c CA � � II /79 No.. -.�t ....... F�$...�....._r.............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town. ........... oF............Barnstable .....-.... ....................e..---------------.........-----.------------ Applira#iou for Uiapaaal Workti Tantitrurtion ramit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Lot...............................................•----------------------••--------. --•---------...............-•---------•-•---------•...--------------------•---•--...........------ lio Addresp t Suffolk Reatyrust . .......---•--•- owner Addres W Kevin Hickey Carriage Lane $arnstable Installer Address PQ 14 Type of Building Size Lot--.--__._••--_•-----_-----•_Sq. feet Dwelling—No. of Bedrooms___..._._2................................Expansion Attic ( ) Garbage Grinder Po) aOther—Type of Building _X.anCh.......:.... No. of persons........I ..............:.. Showers (2 ) — Cafeteria Vo) Q' Other fixtures •. ----- W Design Flow........1 0.............................gallons per person per day. Total daily flow............3. Q_-_................_..__gallons. WSeptic Tank—Liquid capacity- QD allons Length__8_ 6"_. Width......5....... Diameter---------------• Depth...5A`_ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.--____1_.......... Diameter.................... Depth below mle Total.leaching area__................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) vd_�a� ?-//- 7S- 0-4 Percolation Test Results Performed by----------------- ...... Date..... ,aa Test Pit No. 1_._._.2._.____minutes per inch Depth of Test Pit______144'_'__ Depth to ground water.....non...__... Lz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------- --------------... -----------------------------•------------•--------------- ----------------- --...... ------------------- 0 Description of Soil....._......•...........................O___-•_24- Loamy sand & subsoil x 24"-144" Medium sand 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 L ITl!iE 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 boar"dd off healt . . Sigd---- •....................... . ----- --••--•--._...-- �� Date Application Approved By_._..__ _ ___ _ ._ _ �if- _yi 7 ' Date Application Disapproved for the following reasons:-----••-------••----•••-••----••-------------•-----------------•••--•---•--•-------•--------•-•--------•.------ .............................•-•--•-••-----••-••---•--------•-----••-•-----•---••--•-••--...•-------••------------------•--•---------------------•------------------------------------------------------ Date PermitNo......................................................... Issued.......------?�--------------•-•-•-•---•--- Date No.- • '..---- Fes$.. _............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ..................................OF............... ........----•-.--.......--.............................................. Allpfiration for R-40osFal Works Tomitrar Lion Famit r Application is hereby made for a Permit to Construct (X ) or Repair ( ' ) an Individual Sewage Disposal System at: Lot# #11 Bayview Circle Osterville ......... _ ........................................................•--..........._....... -•-........----------------••-•---••-••-•------•----...•--•-•--•-......_...._---•-----.........:_. ocatio Addre Lot o Suffolk Realty Trust F.O. Box 30� G'enterville --------------••----------••--=-----........---........._...----•--•---....-•-..............._... .................................................................................................. W �. Kevin Hickey°wner Carriage Lane ddresbarnstable ....................................•----..._......-•--•-••-----------..._.........•---•-••--••. --••----------•••-••._...-•---•.....---•-._.................-••-•-•---....__...---._..._••-•---••- Installer Address Type of Building Size Lot____________________________Sq. feet Dwelling—No. of Bedrooms_________ ________________________________Expansion Attic ( ) Garbage Grinder PO) Other—Type of Building _raIlCh............ No. of persons........1................. Showers (2 ) — Cafeteria (no) Q' Other fixtures _.---•-•----•---•---•----------• - - - W Design Flow.......Uo_............................gallons per person per day. Total daily flow.___._.____330_._._-____.__._._..____gallons. WSeptic Tank—Liquid capacity.109Qgallons Length._$__.6___._ Width................ __._._.___ Diameter________________ Depth___ 4__..... x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ Diameter____________________ Depth below��mle _____ Total leaching area..................sq. ft. ;� Other Distribution box ( ) Dosing tank ( ) d�/' ' Q-1/• 78- `tea Percolation Test Results Performed by................. c!N�!(�_.__.... ______ Date____________7.-. ._._s :......... Test Pit No. I......2-------minutes per inch Depth of Test Pit......1 4`�___ Depth to ground water..___?.1Ori ':__:`_ . cz, Test Pit No. 2................minutes per inch Depth of Test Pit._.___.._........... Depth to ground water........................ ------------------------------------------ ---•--....__...___------=--------•----------•------------................................................. Description of Soil.........................-------•---•---0�1-24±,-•----Loam,-- sand- &-- subsoil----•-•--•-----------•---•---------•--•-------• 2411-1441, Medium sand v •--•--•---•--••---•••................•••• -----------•-------•--•----•---------------•-----•-•--•-----------------••-•-•-----------•. 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 TIT1.i�. 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. X/ Si d Date Application Approved By__ __�;__ ate Application Disapproved for the following reasons: ---=---------------------------------------------------------------------•----------•--•---------------- Date PermitNo.....................................................=-. Issued........................=-`,-=-`-=-----.....---•--••--- Date' M THE COMMONWEALTH OFIMASSACHUSETTS BOARD OF .HEALTH ...........Town..................OF............Barnstable ... .._...-••••••.............................. (9rdifiratr of (tomptiFana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X) or Repaired ( ) by.............. ..K.KeMi?.1---Mickey_.......................................................... ..... .... ......... ..... .... .................................................................................... at:-_---Lot__# 11 Bayview Circle, 0sterlvll;le - - • •---•-•--•--•-...----••-•--__...••=--•-.._..••-•-•••-•---•-•-._...----•---•--•-•••--- ha'g been installed in accordance with the provisions of T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. ______764&f­_______________ dated.... ............. THE ISSUANCE:,Of THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE r.,r , SYSTEM WILL FUNCTEON SATISFACTORY. DATE...........J` ....� -- •-------•... .... ............................. .... Ins ector... .:. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7� Town Barnstable No....._.... __...._ FEE.1g�............... Str . Zri#Per"mission is Hereby granted. i �_ ..... ...�......k... to Construct ( X) or Repair ) an Individual Sewage Disposal System W Lot #-11 Bpa iew Circle Ostervlls------------------•----•-------•----------•---_---- at No-- -------- ---- Efayview Circle----•--• -••--•. ........._. Street as shown on the application for Disposal Works Construction Per o-------- U___ ated... __f:"Z............. .'........ ............ _ Board of Health DATE........ 1~ •---- FORM 1255 HoeBS & WARREN, INC., PUBLISHERS - •x 1 / s t 9p 1 O I 99 3e Y /J j kj Ir }I I TES T 3 "o. V-' 3 :o y r _ _ � 0 - PER TOWN RECORDS j .,� D,,9 TE ?///71,rg I L IIrl7"-E P /5' A VA / L F� Z3 L_ E �EGOU! EMEAJ7T5 �' 2 n-' 7- S /DE 2e .2 14.i ' p ' ✓ w'ee?y n/ O T- 7-v E. D �', c' O S E D B E D R O O M S SE 12 /--?aE 55'S rE 'I'll FLOIti' G14?1_1 DRy 20 DESIGN L 0 /9D /A/G /5 ✓SEA �. 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