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HomeMy WebLinkAbout0015 EEL RIVER ROAD - Health 13 EEL RIVER Rb*OSTERVILLE s A J• `r TOWN OF BARNSTABLE i. LOCATION ?/C4Zf /2O SEWAGE # VILLAGE C ASSESSOR'S MAP- LOTII!Z�/� INSTALLER'S NAME & PHONE NO. 66777 �ST.� MY, SEPTIC TANK CAPACITY I LEACHING FACILITY:(type) �- 5 (size) �1>4:,*/ NO. OF BEDROOMS- PRIYATE WELL �UBL�ICWA�TER • � BUILDER OR OWN • DATE PERMIT ISSUED: �4 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � v :. Z �BrtZ. 'q a ZS'6SF -- ... . _.._._._- ;3tpGrvt,� t 5 . 3ot CS�' OF &L r ASSESSORS MAP NO: �� e 10) �/O / PARCEL NO: /dam No.. ...... Fes................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH v -TOWN OF BARNSTABLE Applira ton for 11isputia1 Works Tonstrurtiun Errant Application is hereby made for a Permit to Construct ( ) or Repair (X an Individual Sewage Disposal System at: 14�.-_........... -4 .___�___�__.....cc :----.. ------------------------------------------ on re �.. fc or Lot No .se ..• ......... ....... ._..... w_......... - w s�� f/� a 7 U,l Fly ��e�/tom . _.. ____---- -- -••--- n------ ;�-------- _.. - .._.... :: f � Installer Address yL Type of Building Size Lot3 ."Sq. feet U Dwelling—No. of Bedrooms.__..___.._. .____.__._Exp ns tic ( ) Garbage Grinder ( ) ---- Other—Type T e of Building _ N of ersons_._._____. a YP g ------•-•-----------•-•---- P •----•--------_-_- Showers ( ) — Cafeteria ( ) a' Other fixtures __________________________________ w Design Flow.................... ...................gallons per person per day. Total daily flow.............. ,..................gallons. WSeptic Tank—Liquid capacit3 Vr .gallons Length_,/4.-5__ 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........................ G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----•-------------------------•------•-----------------------._.._..-------------------------------•......................................................... 0 Description of Soil.......................... ----_____----___-__----______--=------------------------------------_____---_____------------••••---•------•---______--- x U •--------------------------------------------------------------------------- --------------------••- ••• -------- ------••-------•-•-----•--•----••--•-•--•----- .... U Nature of Repairs or Alterations—Answer w en ap licable. 0 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 Compliant Weenisjb boar of health. ---....- ..-- Signed....---- --... ....../-.-.�.......Application Approved By ........-- . ...--... ---------------------------------------- ------- ---��. 0...... Application Disapproved for the following reasons- ------------------------------------------------------------------- ---- ---------...--------------......--.... ------------------------------------------------ .............. - .. Dace Dar Permit No. ..... .j. ....�- Issued ......... ------.-- -- - 116 Z No........ ..,.. F>c$............._............... THE COMMONWEALTH OF MASSACHUSETTS IBOARD OF HEALTH to ` c7 P v 9 TOWN OF BARNSTABLE Appliration for DiApuiial Works Tnnitrnr#inn ramit Y ' Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: - ................................................................................ o tion-Address or Lot No. loS Gt��'� y ..................................... s /l G� c�................ ........................... .................................. .... ---- Installer Address d Type of Building USize Lot_3�.��.._a.....Sq. feet I—. Dwelling—No. of Bedrooms_______________._j _.________Elsi tic ( ) Garbage Grinder ( ) Other—T e of Buildingof e-rsons............................ Showers — Cafeteria Q' Other fixtures _...----=' d - ------.•••••••••--•-•--••-•-•-•-----•-----•-•-•-------•-••••-••••---••---....•-•--••--•-- ------- Design Flow............................................gallons per person per day. Total daily flow___.._....__:)..................gallons. WSeptic Tank—Liquid*capacity,./"...gallons___gallons Length_./4_5_ Width______ _______ Diameter---------------- Depth................ x Disposal Trench—No. ____.__.._O-__.___. Width_.....k_ ____._ 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 ( ) 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........................ P1 --------------------------------------------------------- •••--------------- -••---------------------- ------ ----------------------------------- ------•--------- O Description of Soil_________________________ u-�-�0 (� ----------------------------------------------- ___----------------- -______---------------------------------------------------------------------------------------------------------- --------------------------------------------------•--------------------•--._.......----.....•--------.._._.. --------•----------•..•----•••-----•••-•-••--••••--••----••••-••-••--•--•......-••_..... U Nature of Repairs or Alterations—Answer when applicable._Z�---E-AQ✓ ___ CG4�._..� !>✓._.. � __._.f;_________ j ...... ____._ S ....................................... _________________________________________ 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 as een is ue bye e boar of health. Signed ......--'`--- --� -­'=- - -- ---...-- -- � "L - ,.. ' ...--� to Application Approved By --- --' .---------- - -- - -�--. ..------ --... �..------------------.------ --------. ��...�c_�"' J Date y Application Disapproved for the following reasons- ------------------------------------------------------------ ------------------------------------ ------------------------- ------------------- ------------------------------- -------------------------------------- -- - ------------ -------------- ---- Date----- / Da[e ..........- Permit No. P� r .... Issued ...... (��- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE &r#iftratL, d C omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) by - 'c/ o� . .. ...........c-'cw s�------------------------------------------....-----------------------------------.............. Installer at ............................. ........... ..--------g�5G 2/UC... .. has been installed in accordance with the provisions of TITLE�f,. h Sta e nvironmental Code as described in the application for Disposal Works Construction Permit No. .....:f . ................t�a'-- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS'A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------------------------- -- '...: :'.`.../. r = Inspector - ' --------------------------- ------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE -- No. —..........; FEE..,..................... Rapnottl Wurkp Tonotrnrtion ramit Permission is hereby ranter ..................................77 ---------•---- ------------------•• ........ ........ .... to Construct ( ) or Repair ( ) an Individual Seti age Disposal S at No.......................................... :}....••.... ------../ -- , Q 7ZRClAw IfEl Street �� as shown on the application for Disposal Works Construction P mit No � `/_NDat d..___' /_.%4-110h Board of"Health_ DATE-----•-•••---••• •--- ----__ -------------------------- , l . f . FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION �gLfc, ;2,6 SEWAGE # VILLAGE S%<��.BlfP.� ASSESSOR'S MAP & LOT�e,(a INSTALLER'S NAME & PHONE NO. ,� 60'777 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS-PRIVATE WELL UBL1C WATER BUILDER OR OWNE DATE PERMIT ISSUED: ZZZ�//dl ' DATE COMPLIANCE ISSUED: c/ VARIANCE GRANTED: Yes No :�/ I �! �s ��� `��� � �_ s~ EPTiC SYSTEM PAOSTBE, i TALLE IN dOMP sessbr's office Osf Floor) �` I ` WH sesser's map and lot number i ?l t ENV,RONM nservation � ���� rnnte and of Health(3rd oor)' � n rua wage Permit number C1 gineenng Department(3rd floor): + Ito dar b )use number jfmitive Plan Approved by Planning Board 19 )PLICATIONS PROCESSED 8:30-9:30 A M and 1:00-2,00 P.M.only TOWN , OF BAR.NSTABLE BUILDING I C TV APPLICATION FOR PERMIT TO �7 t li l"�� 6.7/-2V TYPE OF CONSTRUCTION �/ O'®A �' 19 9� 'O THE INSPECTOR OF.BUILDINGS: : 'he undersigned hereby applies for a permit according to the following information: .ovation 'roposed Use '_oning District , Fire District Address flame of Owner NsI2 i L Ti U L c. � Uame of Builder 70� 6` Address ` Vame of Architect �1'% N P/� 4 y Address o2 a0 Number of Rooms 7Y 0-0 Foundation cl k �� Roofing Exterior g Floors / � � Interior Heating J�07 jql/t Plumbing T1/ Approximate Cost Fireplace f G Area y Fee Diagram of Lot and Building with Dimensions w , i