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HomeMy WebLinkAbout0099 BUNKER HILL ROAD - Health r 99 Bunker Hill Road t� OsterviIle , fo r Finc/ No................__ THE COMMONWEALTH OF MASSACHUSETTS APPRM9 BOAR® OF HEALTH TOWN OF BARNSTABLE 7 13 - 13 it ar ur 3 i�ipwml Wi ork,i Tomitrnrtilan r�erbti Application is hereby made for a Permit to Construct ( Vj"o'r Repair ( ) an Individual Sewage Disposal System at: .............cic(...l G�14.�►et�,t... vb-� �? . . RSA?�1�j1h -----------•-•••------.L r__U 131 Loc(ation \ddrrss --.�N pC- �"A M i! tC/4 \ f9% - C�. or7 Y 0 1�C/ 11�� t ....................... .... o- cr Address airy. _ ------------------------------------------ CQ Installer Address A A, Type of Building Size Lot........1,L y -#- ._......5q t U ., Dwelling—No. of Bedrooms------------I--------------------------_...Expansion Attic (tVo) Garbage Grinder (vj per, Other—Type of Building -------FN�1'A n.._. No. of persons------- ---------------- Showers (i ) — Cafeteria ( ) Other fixtures ------------------------------- -- W Design Flow........... ........gallons per person per day. Total daily flow......__ ..............................gallons. WSeptic Tank—Liquid capacity_ Y0Q__gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench— No. .................... Width-------------------- Total'Length.................._. Total leaching area...._...............sq. ft. Seepage Pit No.......i..fs.©.0.-. 1 Diameter.....b.i _.....__... Depth below Inlet.�&I....._. Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) aPercolation Test Results Performed by..................... ................................................... Date........................................ Test Pit No. l._._ ..r....._.lninutes per Inch Depth of Test Pit------l_L._....... Depth to ground water........................ fZq Test Pit No. 2................minutes per inch Depth of Test Pit-_-____-_-..____-.-- Depth to ground water........................ a --------------------------------------------------------------------------------•--------•---••••.........................................:_...-••--•-•...... 0 Description of Soil..........C:1c.A!y...... t.__.-5.4,VJb.......................... 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 Compli nce ha been iss by the board of health. Signed � .. _'. .....�0—�. �.3 Date Application Approved B .....:..........::. Application Disapproved for the following reasons: ......................................t ................................................................... .............. .............................................. ... .......................................... ... . ..... . .............................. -- ....... .........a..................... � ..... Date Permit No. / f..................... ...... Issued ..`.r..le............'"....� 3..... Dare ------------------------- I�`'�•-.-`ti."`�`a�"'�r" ro-..r�a.�.�.,... ...ti.`........•'.-"'."a.'�«-�.t��...:A:J.r.4....�=t},�w.-aim-°�avw,-:y'W,;:�j'rk-w.^erg,.�..:..s...:,,i,,;•��.:«s--•...:.t......:.�+K3-�..*�,•:'�,�,.s±t.:...�i.i�--s.�. .:.�e.�..»?.ti.-:-.._,.. 10 Fasl.../ No..... ...._ _....... 1 ���,t� t THE COMMONWEALTH OF MASSACHUSETT S 1 BOARD OF HEALTH i TOWN OF BARNSTABLE -2-1 3 5 3 ii liration for-li ipfl!i al Wor1w Towitrnr#inn ramit _Application is hereby made for a Permit to Construct ( t/)-or Repair ( ) an Individual Sewage Disposal System at: cl�i 3 o tt K ri,. t 6 •O Sao R ut c ......•----------•-------•-•••-----••-•...........................................................o ................ �.......�..... lD ..11 f Location \ddress 7` or Lot No. 1 t;AMtht rr t ...................... 1 `j_T unlKcrL i�► 11 'w . --- -----v5------. ....... •---- cr Address Installer Address R C!Zt UType of Building Size Lot........!...L.........Sq.feet Dwelling— No. of Bedrooms--._-__-_-_1............................__Expansion Attic (tyo) Garbage Grinder (✓) p1,1 Other—Type of Building -------NV 41 j�t._.. No. of persons-------a--................. Showers (1 ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ W Design Flow..........` ........gallons per person per day. Total daily flow........3 3.0.........................gallons. WSeptic Tank—Liquid capacity.WoA ..gallons- Length---------------- Width................ Diameter................ Depth................ x Disposal Trench--No. .................... Width.................... .Fotal Length.................... Total leaching area....................sq. ft. Seepage Pit No-------).[a_a s). Diameter.....V........... Depth below inlet.3.&!.......... Total leaching area..................sq. ft. Z Other Distribution box ( )� Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1._._! ...___minutesp er Inch Depth of Test Pit..................... Depthground to water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ -------------------- ------- --------- ..................... -........... --•---••... ..... 0 Description of Soil---.......C..�x.A.!'l...•---tl'VId `'^� 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 iss d by the board of health. Signed . ....!........... ... ... - K ., ........................................ ..... ..4... .�... ..�?: .. Dace Application Approved B . ................ - 1-7 Date Application Disapproved for the following reasons: ...._................. ................ ................................... ..................................... ......... ....... Dace Permit No. .:..... ................ Issued ... ... ...... `�'...'... �}' ..... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE GErtifirate of Graptianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by ........................... _.... .. ........... ...................-------------.------------ ...........-----------...........----------------------------------------------------------------------------........ at ... ....( .�.���... �R- �_�.`....-...� .. 9........... .S..Ic..tZ..✓►..i..........c_r..»...lf.... .. ..................... . .v ....._�......3........... . 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. -42.- --.. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................(' D--... ........ _3......... ._. ............ Inspector ..... ......... --- _------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p TOWN OF BARNSTABLEFEE. /45, Miv sal Riorb Tomitrudian rrnti Permissionishereby granted.............................................................................................................................................. to Construct ( 1_� or Repair ( ) an Individual Sewage Disposal System atNo... a rat .K' i a l .... - 7`R... l-�.... .,t (�i.................................................................. .. Street .� as shown on the applica ion r Disposal Works Construction ermit NO),`..��� ted__-'"..f-}a_''...�, -3-_------ oard f HealthDATE----------------10/•--- -----/ FORM 38508 HOBBS Q WARREN,INC..PUBLISHERS ® I TOWN OF BARNSTABLE ®p LOCATION - ,SEWAGE VILLAGE ASSESSOR'S MAP LOT III INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 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 .. = TOWN OF BARNSTABLE LOCATION �/ 9 Viz (�/SEWAGE'# VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 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 Lo+ t-l- e oLog-ew- va'-14*v q L7 os !�,�um:e as-5 Qp 014 � �. D� G° ✓ 31 ,�,► 9 1, r c i b Ae a,d1 Ct° � IN, � A CL 7•)o a Fc 16 "..7 + �' \^°' c 0 z > 4 9 40 T /. . x�119r fit/✓ a 4t �^�N ..... - � n•. > _ � LDAM ` r Jg. PVC. �N✓ �, aXlST1N�L► LoNTbUtZ•._ N.L �,c MKT: w, ____._ .ad 'q l-•J1 rr •z t d ov (S P,znFbsEfl Go nJno U tz- '' SEPF IC a. ' e'64 '�f - WF5FL..AII Cv T� V/E?4.As4r-> F'LA4 Lee-A- ioN At4 I SEPTIC GOMT-t 491Jr e:,ET MOZE 734A N �v` Go�t�.�G��' K I - FpGz coarnrnN� t "DEVE.LDP�IJ ALO JG P120 � � iZ' r�oa� �►Mpoe� T- Su�t� -rr5 v�ul-Ic,� n�� scab rJ� FIA7 AFA ri y ray kl,/ Lf— F-AAA I►�� A �., C> �..A I�(T.."� ►�p 1-5 pvXAL t -7A I L.,-( L4. V�/ AA""""�//i�� �'u-.:f I� /\T`It:. T' "J�✓'� r[ 'T,, b - `"='a''1 G�f,L/ 1.1 � g�7T 1.,.�� (`j�/Y'V�r� . Ue7 Opa F0 . 4lz'T'(¢U �I TDEv1ALL AIZE4 - 150 SF o-t-raM AzeAfir, SF 7b-T-A L- -C�G-6(&4 701-A L. "DAI L- FLOW 3 3 a C", p I"ii L- �:tJL►tip aCrt�5 r i `�,Q' _ -n oN V nTL- I'' I 2 M IIJ DTZ LES4OF . .; pIz oP a 5 ,D " PETER c V tzrtF / 1"t��Y' nlE vw ���.J 6 5laui�! IlC-G'L-- ' No. 29733 SULLIVAN GUM(' WlTq -rOE `,,IDEUQr 4, SETBIV-4 e OF THE - A/N OF -ZA12k1,TAT3L -- 401> J5 dor LOGATEU 10 OfsTFI('4° �Z►0'3