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HomeMy WebLinkAbout0040 GUNSTOCK ROAD - Health zqD s k (-,T(xf . 1� 1112 No. G ( � 3 7� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplitatlon for Misposal *pStrm ConstrUttion permit Application for a Permit to Construct(/Repair(Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or)�ot No. Lko 6uY1M" Owner's Name,Address, d Tel.No. re Asses or's Map arcel CALO Ulr U2 u` 7Installer's Name,Address,and Tel.No. C�?ja (0?j Designer's Name,Address,and Tel.No. 1�_ V�_ Type,of Building: •`Dwelling No:of Bedrooms Lot Size, "Sq.8. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided dF gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) �D &i Gwm1 y- Aat lit Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S()�=7 31--7 35a Si n Date l Z Application Approved by Date D Application Disapproved by Date for the following reasons Permit No. Date Issued D A No. ( a / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION/TOWN OF BARNSTABLE, MASSACHUSETTS— .01ppfication for Disposal *pstem Construction Permit _ Application for a Permit to Construct(y) Repair Vupgrade( ) Abandon( ) ❑Complete System 'Individual,Components 3 pAssessor's ion Address or ot No. LA(y&nS4oc 4A rd H Owner's Name,.Address,and Tel.No. Map arcel ', U1 'fJP. t ler's Name,Address,and Tel.No. 7j t(o 3!5 Designer's Name,Address,and Tel.No. t ,6, Type of Building: �/ t Dwelling No.of Bedrooms N r► Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) A Other Fixtures ' >. Design Flow(min.required) I gpd Design flow provided �J ,�} gpd l TT 1 Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 4, Nature of Repairs or Alterations(Answer when applicable) P palt 1100 ' Date last inspected: j Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of ,+~ Compliance has been issued by this Board of Health. ,.Y SignG Date �V Application Approved by' .. 'Date Application Disapproved by Date i, for`the following reasons Permit No. -7 V Date Issued /D/(c1/,t r r s THE COMMONWEALTH OF MASSACHUSETTS �� G BARNSTABLE, MASSACHUSETTS r q p(& CrrtifiCat(of Compliante _THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(L') Upgraded( ) Abandoned( )by at (`UVI �! t J'Gt has been constructed in accordance W2 TV with the provisions of Title 5 and the for Disposal System Construction Permit No. 1— - 7 7 dated /o)f vb Installer 01 f 1 t { �GY��: (LC-4+CN, Designer #bedrooms Q�/ /�` Approved design flow Al)A- d t i gP The issuance of this permit shall not be construed as a guarantee that the system will,functio,ras-designed. Date Inspector' 1 � - e ---- - No. 0j 1 �� Fee THE COMMONWEALTH OF MASSACHUSETTS (t XX44 PjUBLIC HEALTH DIVISION.7 BARNSTABLE, MASSACHUSETTS Misposal, Stent Construction Permit Permission is hereby granted to Construct( ) Repair( i� Upgrade( ) Abandon( ) I x . System located at �(.) ;1,I ILA System 1 i 3 .4 .. t and as described in the above Application for Disposal.System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. r Provided:Construction•m`u�st/be completed within three years of the date of this.permit. f; Date /0 ��/y J Approved by " ` LOCATION SEWAGE PERMIT NO. Lot 86 GUNSTOCK RD. 80-483 _ VILLAGE At 1 2- J OSTERVILLE I N S T A LLER'S NAME i ADDRESS Kevin Hickey - Barnstable ®:UILDE R OR OWNER Lebel - Franco DATE PERMIT ISSUED 9-18-80 DATE COMPLIANCE ISSUED 11-5-80 � �f� • �e�a�� +_ �� � a �,q / y., ; - .� `' 3� ,�. J THE COMMONWEALTH.OF MASSACHUSETTS .�. BOAR®. E HEALTH /0.601C)-----..OF......1... /�-. - .................. Appliration for Disposal Works Toustrurtion 'tIrruat Application is hereby made for a Permit to Construct (,5 or Repair ( ) an`Individual Sewage Disposal System at* & �-_ r bocation-Addr s 3 or - ' ner AV -•-----------------•----------------.----.---Address•-----•--------------------- -------.... � In alley � �� d Type of Build i Size Lot../L6/Sal--/yy�.- _�._Sq. feet U Dwelling�No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (rO) Other—T e of Building No. of persons............. ........ Showers — Cafeteria Other fixtures --------------------- --------------------------- Design Flow .............``_._. allons per person per day. Total daily flow._....._.__-�. ✓m.�---...��.----� P P P Y Y �-�----------•--•-----gallons. WSeptic Tank 4 Liquid capacity. . _. allons Length................ Width................ Diameter--------------_. Depth................ x Disposal Trench—No..................... Width.................... Total Length............_ .Total leaching area.........:..........sq. ft. Seepage Pit No.......C.-......... Diameter....../0...... Depth below inlet........ ....... Total leaching area..&-.60.4;.. q. ft. Z Other Distribution box ( ) Dosing. nk ( ) n s_ c Li Percolation Test Results Performed by....... .... x f"._•__kS.UN�_d�_U ____ Date...- ?. Test Pit No. 1.4-..2 minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2..G.`.. cnmutes per inch Depth of Test Pit.................... Depth to ground water........................ a' --------•- `..........: r.............r•---------------- ------------------------------ O Description of.Soil-- .------. �......�-------.. s�_, f j --- f.Z.....M�.Q!v --•.5��U V _-------------------------- -------------------- -...... ---------•-------------------- ------ ------------------------------------------ ------------------------------------- --•--------- UW ....---•-••........•-•••••-•------••----•••-•-•---••--••••.-------••-•-----------•••••----------------••••---•••----•------••••---•••--•••••--••-•••----•••-•--••...._..--•-••......----------•------•- 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 iITYU 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee�rl ssued •y the -�, h. gned...... � �� ............. l (� Date Application Approved By........................ . .. ---- -•. . .a✓ld� C -- . Date Application Disapproved for the following reasons:..,..................................... Date Permit No............................. . .... Issued_._.�.k'_�5. Date No... .........../.:3 Fl$............................. j THE COMMONWEALTH OF MASSACHUSETTS x BOARD F HEALT ,N• �/ � g� .s-�/......OF........--- t ,5 `.:...:- .: a •..............._. App iratiou for DistraliFal 3vork -Tou trur iun Permit Application is hereby made for a Permit to Construct (X or Repair ( ) ar_ Individual Sewage Disposal System at .. .._. ---•--.........-•-.. �.��`' Y �Gl.....�:.. .' �ZU/ G� - - ......._ rw— Location-Addre s 4 or I.ot Ze Ad ss ........ ---------------------------------------- ---•------------------- In Address �«�,-rr��y ' U Type of Buildi Size Lot_.j--r-1 --1 Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (ao) � __-__-- Showers — Cafeteria a Other—Type of Building .................•..._._._.. No. of persons__..._.__.__� -- ( ( ) dOther rgs---------------- ----------------------------------------------------------------•------- W Design Flow..________________ ___________ ____ __ lions per person per day. Total daily flow...........................................gallons. WSeptic Tank—Liquid capacity._..` alallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length......__............ Total leaching area.....................sq. ft. 3 Seepage Pit No......._(............. Diameter._._ //��-_:.__._... Depth below,A let...../._-......... Total leaching area_.. ........-_. q. ft. Other Distribution box /TS6sin t nk U a Z ( -) s' g ( ) '-' Percolation Test Resul s Performed by-__._l : uN r. .Uri._._. Date_. ._��✓. �* minutes per inch Depth of Test Pit.................... Depth o ground water---------............... Test Pit No. 1.._...__::�.. (_, Test Pit No. 2..... 'mutes per inch Depth of Test Pit____________________ Depth to ground water........................ O Description of Soil--- ....�ES `'f----------.'..-�`� �� ?�-I f---- -------- x V ----------•--------•--------•--------------------•-------------------------- -•-•-•---------•------•-------•--------------•--------•------------------------------------------------- W ' UNature of Repairs or-Alterations—Answer when applicable........___.:` t.....................:...................................................:... -----•--••---------------------------------=---------------------------..........--------------------------------------------------------------...................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITTIE 5 of the State Sanitary Code The undersigned further agrees not to place the system:in operation until a Certificate of Compliance has bee, 'ssu�d y the lth. > ned_. fir'. C`"T Lam .. .. ---- L-� ApplicationApproved By----------•---tl•----.---`-.--_-------------------------------------------- ... ........................-•--.......... Date Application Disapproved for the following reasons---------------•------------••--•----•-------------------------------------...................................... =,4 -------------------------------•------------•---------............------------------------....-----------.._....._..--------------------------...-----------------------------------=--------------••---- Date PermitNa:....:.:_... .................................. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH . ..OF........... ( .:.::................................. (Urrtifiratr of Tumpliattrr THILS.IS TO CE 1FY*, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by '. ......---•---•-------- ------ ---------- r nstall 4------------------------------------- at_z.---'�-� . . r 'G. = ��- -lJ'l `' �------------------------•......------------ has been installed in accordance with the provisions of T 5pf. ht�State Sanitary Coc} �a&ew in the application for Disposal Works Construction Permit No... dated_--F____.:.7.................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - DATE...............L/,J Ins ector_._.._ •--- Pi�l-F ,. THE COMMONWEALTH OF MASSACHUSETTS (n BOARD F HEALTH 0 1�& loavx� :-- .3 .... fNo......................... FEE........................ Permission > hereby granted �' l.l � �-� i -- -------------••-•-•-------•---•--•----•--•---••-----•----- to Cons r Repair, nAndividkl_ ewage lispsal Sit Street + as shown on the application for Disposal Works Construction P N1.1-_�._� ated.......1._.1............................ D Board of Iiealt DATE................... � ��--�--............................•---••--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS. - - �'�f ,r -r�1�S.�,S� t5,h '�.4�, � _ r , t 7?i;;y 5 9..• �r'q �1 .�trr 4 �1 9i� 16.��i'! `afS„�-k �, - �•,�•�S':Nl�4f. ,ktilyTNlb �A'I, ' at,Al 1 f � 1GM r ,.i• q� � � � � o� ;i., t`G�vW v LYhI l�����i,mod` i t , !rt /Qgo. `p7 y�( �!,��• "1 `�,{�a'eWr 6s i '� 1 5 Ai.t ��,. ., 1i(�1��jy1- •. { fY,sw :' .k V �C�Jr v ;� Y LC/ ✓ V '_' /��e���• i ;isl{,,'� _.1•� V.dv v 7 0 si lei},� r {dry h'Rht�}r tr 5, r•- '-G�y'Y� `r<t.Ir ,I�'Sw:l� i t�r r, '94 .i7 r• + �r.3r •;; •' � 1 Iq A W�. 1 �T c i. 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BY. . 1 t{* j ASS. HYANPII'S, MASS T1_ OF YD& EG.,.SHEEL' FdlbGRVZ~!C�I ,. i ,� x ...;, - . •.� -.,. , - .,= .-Ar .; •�,- • = v :.s• - ti - ^' o. ti: S ?r.. k.,`tp J�".;`r .j ..ch,¢ .•.az•:o` �u-•r, •.:. s: C<...-. - y.y. •r. t "� '. 'y`i :4t', ?k '.~ +C: p k r r .: . Yy...��s-y`.>w�,.. ..:.., t`n:, 'A,�..,v ilwd � ... ;,�•�,.. .�r�,"'g:.:d�, �'.�-• y.;, ,�.s•fif^.�r?� .r- t,, .�� e ,-..�. ,a. ;: a - � "�•. ';'�.r, .su,L'- r,�-• �r-y'fi•.'�'�_ e1... r .,-� x.x:r .�, �;:�e ,.-fin•'�'-�.z' r, .. :� �- ;.. ' :r. . .±$ �: '�:c.�+ '"'..1+.4. s'^"� � �s►� �� .`! '.:e..�-71 ✓ _ `�'.' - .`G.. _ _ �.�7. - � Y. f� �a.i �2''�.rc� .r? 4 ..�.. :i•t 7Y- ."��°s.w°�v.,. �--.�. .,. .. ,� s .. .. .Y�9f .e �F'�•: Sa. ;;• n—pre "' ..' f. '�+a'" ... .� •.,4`.K '.F , 'M• �$ ',•+: c ✓.1.. _ � :. - R 'r.. -''.i.�. .h J v> p �.� �• ,�.p .) � Y+ .4 q ,+P.x. _ ;:t fi •1... 4. . Y e'J._ i - "'a`.. ._Se' ,yr br.. x - •�� COdV 'By`E7 wow, y� ��.�°' C�✓�L?� .�• Y �d -- ... �! E'er /�0l�. ������� a��. .z '' i `. ;�mLAYER A9����Cf/ OAI.. o o a p p o o e o 0 o D vPo4� a�o''�/gyp L, r•: Ai- saI D/ST o WA S//LSD 572E SOPrIC 7A 0 0 0 A o O O O 0 a p 6 Q q D 0 B u �. ®QX O 00 � D ® AO® {{ o � N h J, �2 0 O Doi,'d A 0 0 0 0 s`�F;..• ° a a 0 0 0 0 ®A 0 wo 00 1�•4.SNE0 STOiYE" �o 0 O C O 0 0 0 0 ® o e v o u o o ACEOt4S r SEDGE INVER7 CARVA77,0,V S Q ®op o 0 1,VVZR7' AT &VILDIMCP `j-7. 6 -r. PIAM. /�4&� �c r.4�K �-�' �r max: oi��. 0U9LZ7-SEP'r/C 3'ssa,V;< �,� Fr -�� BOX ��/ �p GROVAID e�YER 'TAaLE OUTLETDis7 1Aar.,olN AOX 7 Fr.® .�'ECT/®/V ®�' 1M4Er LEACH/MG ®iT 77.0 cr 7A46 ALA T ION s�A�E D/iENS9'/OM 'A / DE. ASH �'l4/7'EM/A � ®/�r�ilS/®�+0 { a IVuif5ER OF BEDROOMS � Q/�myslom O'o FT.,0001 %iV• r&ARaA45E®/.SFO.SAL. ua/r 50/L. L.®G S®®L _M57, TOTAL EJ7/Ilo47'eD FL.OPV 3 D s,41../a4v SO/L TEST h'/ "SOIL 7X•ST43f2 . ,VUM,9EiP OP [,EACMlaC. Air. �^Ft�K 90 AMV DATE oA- .S®/L 7'ES7 '�J�� S/DF Za-Ss4CM//Q16 PeoM PIT sot P7. IRESUJ.7S PV.1-r'ESSFD Ef' �_P, ®o�ona s�s�/ate���sir Aso. Ar. Lv�, ,y - i�c��ts��i®� �.�r�,tB 5 �/e�owrw; TOTAL 1 5ACHMOV A R&A �—� SQ. F3' s��i3 S a��. PENC04AWO"RAr.0 j&2 7/f—n� MIAI INCOY. A&SERVRZ.6aCa/MCP AREA S49. RT. z O 7/Z - `,n t � r� Q i u�; L p T � ' uws-r-a cic. Jets G ROHERT N - y ,.. P. ^ t' V 14 SUNIKIS: �+ _ x ' T .'ti�,i -g t+ '+•,,. �p,,� Hq(I •.. rr r N ++. ''^�. Yy ;."'":- .s'.,Yr3::.+ L�K_i ®/ 6r� 0 •.���. :;'� r. ^.q�v-_l.�Z�. Q; ! > is a... �'r'• >' ,"".f 1;:v.,r c sa`� a - - .t r. _ n_.y s _.. A:p'a 1. _- t .• ti;.'-at z - K. _ �-y 'JK: _Y " FK"+�.'¢N '4. .Q' +.'t. � ..�. ,�. :•. �:� .e r�� Y^f e°• ,�'V F C"ei' '+/I �'. y�yi'. ,L. a7e. �..�`ti - w!'-'ram •.a,:.'�qL, . '�.` ..az} .•; ,,. ?S \�, _e.= {.4..�r„�:a-«s �'.' �_ � _ ;•,,y +n..t. �G,.�g� �•; s %t�/GI! ;t y ,y. 'K``�. •a*,�.: ��R'¢ ;:��.�c� ri., e .:�)✓i o ,ci V. r. <--r <?-•i. :"'-::}> ,.7 _ 9c .t..:. �..i`� �.,� :$ s., _�c �3{�.v�� �� ���7�i—.s,o': -'°q_' 'C: ya �qs : • (Z, 4' rT•,b�;+'n' >t„ 'ya< r Isx ,:u'+t$��-+"c �-c'a .7. .,' �%. - ".�ls..:.. w'SrR� yi.,as,.ra� u•. .�.,.,,i .^.gxr";s_".,�' .�",_3i..^ t �..°r:: _ •`,-'•�. ....: a '';'i>. 5tsr^;' a :. �,•�•. y ". .�:: +`_ r qy-.-z.V�f ?" ?�3' ,. k'x 'shkrJ�•^!•3 wTd'r`.,,;,,'-.�