Loading...
HomeMy WebLinkAbout0063 RENOIR DRIVE - Health �� 2�a i� ��v� 1 q6 f Rar IIS-- No.2l _ l Fas........v............... THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOAR® OF HEALTH Barnstable Conservation Department TOWN OF BARNSTABLE sib lir t , , for Di_ipw3al Wi orlai Towitrur#inrt ramit Application is hereby made for a Permit to Construct ( ) or Repair (�an Individual Sewage Disposal System at: Locstion-: dd as �or Lot Ak ............. o�.ner ddress w �f Q Nc4 ---------------•-•--•-•---•-----•---------------- .3.��.--•-•M.n...... Installer Address Q Type of Building Size Lot............................Sq. feet V Dwelling No. of Bedrooms--------------a-------------------------Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 04 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 Perforrazd by--••--•-------•-----•----•------•----••----------------------------------- Date........................................ 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........................ 9 .............:............................................................................................................................................... 0 Description of Soil......................................................................................................................................................................... x W --•---•---• -•... ...:.......••-------•---•-----.._........-----•----•---••-•..•---•----••-•••-----------•---...............-•-•- •---••---••-. ......... •• ............... U Nature of Repairs or Alterations—Answe when applicable..._. _ .JYi4 ------ .P.•%064.....dd..a...... ...4A 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 issued b the board of health. Signed ------_------------ C l - ........................ .......�i...........9 3.... Date�� Application Approved By ....... fi. , ......................_............ ...-� ...-. Application Disapproved for the following reasons: ............................................ ................. ....................................................... ................................................................................-. � �-y��� Permit No. ---------------------------------- Issued .....,...... ­-. Dace q 0 .w THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ppltrattuit for Bt ipwial Wi or1w Towitrnrtton ramit Application is hereby made for a Permit to Construct ( ) or Repair (4,,- an!Individual` Sewage Disposal System at: ;.. �2 i� � . � f . .. - 1..... -----•. •--••i....--•-•---.--..__ .+....-•---_.. ....-••-•-----••--•••----••----•----•---•--- .................. ................... ` fhb Location_: ddress o[ Lot.fN,O (/� .�.�...__... -•-•-•-------------------•--•-- ---- 1 fa-- %/^�� `�]� /.. �.D.._.... O+ncr a 1J P_ ./ Y I G. f'� "r ddress �- 7h71.(..f............ Installer Address UType of Building Size Lot............................Sq. feet 0-4 Dwelling—No. of Bedrooms.............. ..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------ ----- Design Flow............................................gallons per person per day. Total daily flow............................................gallons. fY Septic Tank—Liquid capacity............gallons Length________________ Width................ Diameter................ Depth................ W Disposal Trench--No. .................... Width.................... .total Length.................... Total leaching area....................sq. ft. x 3 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ L� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •--------•------------------•----•.....-•---•---•-•-•---•-•--••---------------•-•---•--•-----................................................................ 0 Description of Soil........................................................................................................................................................................ W ••.-•----------------------------------•-----------------------------------------------..........•----•••---------------.....-----••••-----•••-•---•--•-•--•-•---------•. U Nature of Repairs or Alterations—Answer when applicable._-__-._.✓.?.5.�,4 - .l ..l�? .2.....1�r ..�....:� �`t.aE II ..- fj._.__ _X.._ Sr�� /T ........... .......�r ......�1......... _Ce�� fC... � .�(F'.®/......._.............__........._ 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 issued by�fhe board of health. Signed -------------------------,. uu......... ..Gf.t .•,. ,........................ ------- ... ..... .. ... Dare Application Approved BY ._...... ..- ................ -- --- ` -- .. L-''7 ---------------------------- ..--.. 6 Application Disapproved for the following reasons: ..... .... ........................<-�-.....................................................-- .................... ................ ........................... ........ . ........................... . ............................... ........................................ Qt Permit No. ............. "`�....................... Issued ............(✓.....`'.......................�- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fer#ifirate of Comlaliartrie THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( by .... ..... .- N .-)..................._........................ ...._.... ................. -_._.................................... .. .... . ....................... Inswuer at ....62 3........... ,........ ................. . .. ........._..... _....... .. ....... .......... ................................................... ................... has been installed in accordance with the provisions of TITLE of he St to Environmental Code as described in the application for Disposal Works Construction Permit Nu. ... .. %._... ._ R.... dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... .......�...1.---y--L. ........... . Inspector ------ <..: ............................................................... —-----,---s__--__,_____---— ______—,--__.—_--_ I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No�. _./...... FEE......3 .. ..... �t��r�a�tt1 >�x�� �>aat�t� uan �.erutit Permission is hereby granted.. - ---------!?!ZeU -----------------------------------------------------------------------------••--.............. to Construct ( ) or Repair ( tv)i",an Individual Sewage Disposal System -�A•-`?- at No.----- ........ �-he r-'rz----......�.F.------•-- ---••-•. •--••---....•--•---•---------------•-----•-----•---------------•--------....................................... St� f� S I' as shown on the application for Disposal Works Construction Permit �_ >� Dated_.. 'd1 '00 'l ..................ram. ' - .................... ......................... Board of Hcaltlz DATE 100, _ r r FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS TOWN OF BARNSTABLB "791v1j LOCATION 63 cA)I'c74 SEWAGE VILLAGE ASSESSOR'S MAP & LOT I .y, INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY Zav Aq LEACHING FACILITYs(type)d2 /•�a, /i&"°s (size) X NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR'OWNERS �l DATE PERMIT ISSUED: .DATE COMPLIANCE ISSUED:' VARIANCE GRANTED: Yes No �� z: A S a� e b LOCATION SEWAGE PERMIT NO. VI RA E I N S T AjLER'S NAME & ADDRESS , y n I U I L D E R OR OWNER r; DATE PERMIT ISSUED.. --�°-� DATE COMPLIANCE ISSUED_�/�� - � � � �I �� :. �� �W � � .. , . �. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE TH ..........OF................ ..........I.......................................... . . ........ Appliration for Uhipaaal Workii Tomitrurtion ranfit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: L6 e ....................................................... ....................... .................................................................................................. Location-A'�;`res's A or Lot No. ................................... .............. ..0.4.....5;.Y.A............ Owne r Tw e.r Address ............ 7_ I.. . / ................... ......... ....... .... .......................................... ................................................. Installer Address Type of Building Size Lot./6...0_74n...S,. feet U Dwelling—No. of Bedrooms....................7.....................Expansion Attic (/f� Garbage Grinder a Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fixtures ............................................................................................................... --!� .....**...*..................... Design Flow....................S.-Ir W ............__gallons per person per day. Total daily flow............-�.. ...................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width._........_..... Diameter---------------- Depth.._......._..... Disposal Trench—No..................... Width....._......._...... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...................... Diameter.........._..__..... Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) - - Percolation Test Results Performed by...................lt�.61............1'�-�tZt7 ...... Date..........1.4 &- ..... 1.4 Test Pit No. I.....L��I_,#ninutes per inch Depth of Test Pit............. epth to ground,water...... 0-4 44 'rest Pit No. 2..... C-o-m../- inutes per inch Depth of Test Pit.................. Depth to ground water_______________________ P4f..................................................t�.......... ......................................................................... 0 .... —7-- C�....0"' ,",. Descriptionof Soil..........................................6-_—------------------------------------------ ... ..... . ..................................... U ............................................................................. ....... ........ ..................................... ............................................................................................................................................... ......................................................... 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 4ITILE 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 kalth. ��ign/ed................ ............... ......... ....... . ... ........ ... ApplicationApproved By........ ... ........ ..................................................................... ... .. ........................ Date Application Disapproved for Ithleollowing reasons:............................................................................................................... .......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date ------ —------------------------------- —------—------------- THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HE TH ...........1.°.`�`................OF.........( � .....:............... Appliratiun for Uhipoiittl Works Tonutrnrtion rnmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: �-6 � !C.:----- ,/} , ' i /i'v .n . ........................................................ f - Location-Address A or Lot No. -•-------- /a..Q ......rLa----•-•----. ...C.. .` .... Owner Ad ress a ...................................... -.!r! z.r _,....... /E.t....s•. ......................................... .................................-.............. Installer Address Type of Building Size Lot./J6...19.7 ...Sq. feet Dwelling—No. of Bedrooms..................:]....__.....___.._...Expansion Attic ( Garbage Grinder .._- aOther Other—Type of Building ............................ No. of persons........_._......._.....__.. Showers ( ) — Cafeteria fixtures .. w Design Flow....................S..r..............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 ( ) / a Percolation Test Results Performed by...................(>..r._.:_......_j&.....lEi.!,�...... Date.......... (. L. �..... Test Pit No. 1.__..�.,�Toinutes per inch Depth of Test Pit............. Depth to ground water...._[,, �.- f� Test Pit No. 2..__.�4,.ocminutes per inch Depth of Test Pit......... Depth to ground water........................ Z..................................................t••------_.. ------......•............................................................. A� �escrpton o Soil------------------------------------------ Q—,I6 . ---•--•-•-----•-•--•--------- ,f-----------• = ................................... 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 Sanitary Code— The undersigned further agrees not to place the system in P p y the board of iealth. operation until a Certificate of Compliance as been issued]b�_��<� ��� ' .............Q ..._ Application Approved By--..Ithleollowing ... •--•-------------•----..........--•...... Ss' ....................... Date Application Disapproved for reasons---------------------•--••--••---•---•--...--•---------••------•------------...------••--- •----••....... ..---•--•-----------•---------------•------...--•-•------•------••----•-------•------•--•--.........-----•--------.......--------•••---•--------...-•••------•-••-----•--•-•--•• ...................... Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Ali ....... ............OF................1. !' z��..... . ................................... Tntif irat a of Tompliana THIS IS TO CERTIFY, That the Indivi�uaewage Disposal Slstem constructed ( or Repaired ( ) by------------------------------ r: ! �.+.�........-,1A -... -----------------------••-----------------------.............------............---......------. •�-�• Installer �� /� ,r-- at C {' 7 '� 6� -�-=="�---t11�l�t.!.............. �. ...................... has been installed in accordance with the provisions of TIME 5 of Th State Sanitary Co s s ibed in the application for Disposal Works Construction Permit No.-_rT..�_. _,?'_P7....._... dated_..].. .. ....�.................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................... ?!1�1�................................... Inspector...... :.A.4........------......--••--------...........-•---.....---.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No /. . :� ':...OF..................�� . .... .... .................................................... FEE.../.............. 77J Ditiposal Vorkv Tonotrur#ion.. �rmi# Permission is hereby granted...................... '�...............7�!-?'��------. to Construct ( �� or Repa/�ir ( ) an Individual Sewage Disposal System �..----- at_No...................................C� 4-7------------_ ' u �� --- --•--••.............. e Street T as shown on the a licat n for Disposal Works Construction Permit No........... . ...`Dated ................... ............................. ` Board of Health DATE •---•-----------------------------------•... � ��FORM 1255 A. M. SULKIN, INC., BOSTON ice;' ouo 1s w � V \\ 1 44' pose\ l.C1 r l g < `� M, u , 4 Oro �t 3 - cp OFMS o' ALB t�f[:�• s i ✓O q y • . o V .kbRSE cn No.10951 4 Q LEGEND ."Oro CERTIFIED PLOW PLAN EXISTING SPOT ELEVATION OxO !��:N Of iNE .` ----- EXISTING CONTOUR __-- 0 -- _ _. /�? �c� LuT(..}/2 ) le Lnf.,�; FINISHED SPOT ELEVATION Q /�� ROBERT �G,p .STL` Ff6V1SME® CONTOUR 0 -1 BRUCE — =_ --- ---- -_----- EIDRE (AI IID APPROVED BOaRD OF HEALTH IS'fA N o ASS y V " _ �1 �' DATE ► DATE AGENTSCALES / - rr L,DREDGE ENGINEERING CO. CLIENT IN I CERTIFY THAT THE PROPOSED ' S EGISTEfiI REGISTERED JOB NO. Z;lz d BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWNS DR:By ' . 4NOINE-ER SURVEY OF BARNSTABL.E , MAS I N STREET CH. BY .712 M A.Id HYA YNE— N1 $, MASS: . �MEE'T.��. 4F: �" REG. LAND SURVEYOR NOT,F ,'� /F E/TNER Ts/,E- S�PT/C TAN/C OR 20 /aT. M/N. /E,.gCNliv'G .P/T ARE MORE TNA:'l lZ",SFLOrt/ /O FT M/N. �R�'►OE 2Q.'�/AM ET.ER. CQ/YCRE7.C- COVE.? E BQOuGHT TO SMALLB G�AOE �%4,v EXT.P!q q"PYC P/PL CONCRGTE th'EAYy Ci9 ST /RON .GOI/ER SHALL. OE'USE� L {/ `1 .a coYER.S fg PFRT� !F/N D Jw.4 R/✓EY ^ ME CC OC Eft E f 2,9G - G AD ✓ Y j_ CLEAN .SA/ eel G.+�' • UQr/(O LEVEL � :_ �� 2�LAYE f J b o o MIN.PIT+GI GAL. '..;, t • • • / • > Vie• WA5HF0 570/YE deer/C "TA/VEC : D>sT o , , . • . + . o , e.. P:.a..,' I �.,� ! �. i •i 1� ��� ;• • 4 r Its OLPTN . • • • • yl/�Q St/ED YN �.: tA' f t� t F,�t �--^..,. a,�,`: o.p�rg..f _ - � xx.. �`^x,. ''•..' tag,;. � �� O � � '• -O f�.--:• 1.�'� o . �F Y- '�a :x a-_,�-E •y^ �", T �s�6O s X �-,..�_s �a.1�.1 L c - .:3. .. -:'�- 'o pREC.43T SEEPAGE i P/T OR emu/ �I'rTCPciry 3 z7,5 w : •+:"' �. �_,.�.Yc s- a sr Y. t. S^-: :�, � kv�. f7...v/r+✓-a ,a .:�. '� ''?.., ,.` .>- '/oti1Y�'R.T.;,e�T eB a,, 35�.D, T;. � •� :K v ���� ` ���� ��' -,1 K'''�^ '� r° d" •6 .� a �. �/� tCa , �� ,it�ti C. SEE TABL/L.4 T/0�,. 7A' /C. 3;F.:5 FT - r. K r, .j FT 1�//411J• �� 1/4rLt�T . TIIC N ;•s;• 9 �� T ;�: �_� •��� _ �, .� A`� -T/� a •J�.3 FT.y. �`' - +., Fr,; .r 7.:. .... .. _, .r• .. .; r. h "a a w�r :a OV�7B �TE .T/�iTt, - _`Fr d tx /NLfT DigTR/8!/TdOJ1/ SOX 3 4,v fi� OvTLt?Dt 3TR/PtlT/ON 1��:3 3, FT q 33.� "' �.✓�1�t��4GL� `Lit•5�4��L Si�•ST�/�'!• ��'fi.T£' ay'�" r �v^.+�e£r � � �,.n ,`r `z F /MtEr, .a0lrikG PiT Fr.: 7'4d JLATi©N nD�ES/GIY CfLlTEt[IA /VS/ IV T MtledIBER OF�F�OCMS 3 19/ME/VVON •RGE v�s�o .�L vw/r ^'o^`6 SO/L 'LOG - . TOTAL tFST/M*4TEO FL.O#V 3 3 GAL.�42AY SO/L TEST.: / SO/.L 77EST a x TES7` 3 55 MUN1Bge .. ... LEac �ae /Dy7 gLEY. EtFY. S/OF LEACi1//VG PER P/T; / $it RT. • _ Z t ' 'r RESULTS h%/TNESSED ®OTTOM LEs�9CN/NG.oL�R P/T .7� S4. .�7PERCOLs�T/OJv- RATL•1 / LASS frJ/A0ApCX n TOTAL LEACH1ACr AREA �' 6 SQ. FT. 7-v l'Sv r�- AERCOtr4T'!o/V RATE 2 T ^/Ml v 1lVC;y RESER{�E ZEA�'N/N6 AREA '14 b SQ. FT. _ Z, I ; •` I 4 f d T z9 R •o , F M Z H 0 Mss a L � ROBERT J, BRUCE Y d 0 SE v, }g EL u, ,p No.10951�0 1 _ EL DREDGE ENGI,NF.ERIJti/G GO,/NC. FG/STEP �Q' ISTEP Z3 5 . 71Z M,,A/N ST. /YYANN/S MASS. o�FSS/ONA�� tiD 511R IVD GRO[!NO YY.47-&M A—oVCOIJiYTF,'Iej5 P CLJfEIVT' ^N '�r�� �iQ7E S 27 3, N/Q ELEi/ - ,TER AT..