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HomeMy WebLinkAbout0989 SEA VIEW AVENUE - Health 989 Seaview Ave v Jsterville A 090-009-001 7 _ C /A THE COMMONWEALTH OF MASSACHUSETTS APPROVEDBOAR® OF HEALTH Barnstable Conservation Department /� d � a � �0 TOWN OF BARNSTABLE 'e 9 Appliraf i for Diripuual Our1w Towitrnrtlun ramit pplication ' errrebb i a�ie or a r'nli nstruct ( ) or Repair �X] 44n Individual Sewage Disposal System at: SI�� rru •986 Seavi ass . ..............................................:.......•---------------- ................... ----------------------------.......-•-•------ Good of Location Address or Lot No. ......----•---.........................•-----•------------------------......-------•-•-----•• -•••••••-----------•---•----•------•••...........--•-•-------••-•.............._...............--- owner Address W J.P.Macomber Jr. Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) —.Cafeteria ( ) a' 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. 3 Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. . Z Other Distribution box ( ) Dosing tank ( ) t Percolation Test Results Performed by........................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ i, Test Pit No. 2.:..............minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pd ...................-......................................................................................................................................... x De�crgon of Soil......................................................................................................................................................................... atC1l v ----------- W - -------- .•--•------------------------------------------------ ••----------- •------ •------------------- •• •---------- ••••••------------------------------ ------------------------------------------ -------•------------------ --.-• --•- -------•••.........-••-----••-- t8 000 gallovat e o Re�ir or �ionAns � en llca e. c n septic tanks,............... xe sakecinstone _ ..-..._.•� i a . 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 ;eegjls by the oar of health. � Signed .. . :...... ...............................................................................-- ....... ��21�93............... Dare ApplicationApproved By .................... ..............��-�.: - 1----------------------------. .................................. ................................-....... Dace Application Disapproved for the ollowing reasons: ....................................................... ..................................................... ... .............. ..... ................................ .. .......... ......... ......... ... ..................... . ... ...... Dare Permit No. ,�------`6Y......................... Issued ........................................................ ..... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CiTErtifirate of C ampliance TIC'S IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) � .EIVIacomber Jr. _..... ..................... .................. ........ ..... .......... by ...................................................... . h�:�u�� qP6 Seaview Ave Osterville,Mass . at ..................................................-----------------------------------------.---------------------......... .................... ..................................._...... ...._....... .......... the application for Disposal Works Construction Permit No. __ - ...-._l_Ff-cl..._..... dated _. _ has been installed in accordance with the provisions of T1TI,E 5 of The State Environmental Code as described in THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTE _.._....................... ................ . Inspector ......._�- -.----- ------......_ DATEM.WILL� NCT�ION SATISFACTORY. p ------,®e _ -------------------------- ------------------•---------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH cc� / TOWN OF BARNSTABLE No......1. :>.:..1.q FEE.. ... ........�.... J.P.'acomber Jr. Permissionis hereby granted------ -------- -- --------•-----------...-----------•-----•---------------•---•---•--------------•-------•--------•----------............. to Constr ct ( ) or P e air :CX) n Indivi l aa11 Sewage Disposal System r t% Seavie a Ave Uastervi�lle atNo------ -----------------------------••----------•--•--•-•------•--- --•--------•----•----...--.-------- --...-- --------------------•--•--------------...-------------...----•---............. Street as shown on the application for Disposal Works Construction Permit No.7,3-/1=y___ Dated........................................... Q; ----... -- -- Board of Health DATE............. FORM 3830E HOBBS A WARREN.INC..PUBLISHERS tr.,j•.. . `� �. -r v v u.J y U+ • u -!V +if"\f-u w� 4.4x ... . w� � v v w -. v..v.....,y _d• •- a / No...!-,03.=aH.. FRz ....3gt.! J.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � TOWN OF BARNSTABLE :n,Q Apphration for Diripmml Wor1w Tonfitrnrtion: rrmit Application is-hereby, made fora I ermit to-Construct ( ) or Repair �M�x n Individual Sewage Disposal ,t ystem at: 986 Seavi ..-•A e._.0zter -ice e...ass...... --------------------•--------------.............-•--- } Location-Address or Lot No. Good of Owner Address .P.Macomber Jr. Installer 1 Address UType of Building v Size Lot............................Sq. feet Dwelling— No. of Bedrooms................____________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.............................Showers ( ) — Cafeteria ( ) dOther 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. 3 Seepage Pit No...............__.__ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------------------------ --••-••-------------•---•-•------------------ Date........................................ aTest 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........................ a •----------------------------------•------•------------ ..................................................................................................... O De t*on of Soil........................................................................................................................................................................ V .---------------••-----.....----------.....•------•••-----•-----------------------------•-.....----••------•-•-------•------•--•-•--•----••-------•---•-------------------------•--...------•....._---•-- W ••-••• •----------------•----------------•--•------------------------------------------••---------•------ -----••.......... U ature o Repairs or Alter ions Answer en a lical�le___.- 000 :gallon septic tanks, rr . �-als riouLior� o�xes ,h inzi`lyat��s ackedf...in stone ••-•----•------------------------•-------------------------•---•--•-----------------•---••-•---....---------•-•--------------------------------•---------------------..........----•-•-•--••........---- Agreement: t 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%issu=bytheoar of health. - Signed .............................�.................... -- ....� ....................:. 21 93.........:....-. Dare Application Approved By -----------------r .. ----------- Dace Application Disapproved for the Iflollowing reasonr: ..... ...................... .........................._---........................................... i � Dare Permit No. ------- 7 , �".-j6�-L�...._...... .......... Issued ....................................._............................ Dace TOWN OF BARNSTABLE Ca j LOCATION SEWAGE # j VILLAG ASSESSOR'S MAP LOT INSTALLER'S NAME'& PHONE NO. (1, P�'/��� SEPTIC TANK CAPACITY , �,Ohl/ LEACHING FACILITY:(type) .1 hrtl z/)`I�ions (size) G NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� 22,1 1 Co 1Z2 ' i` ' AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATIO —SEWAGE #_51 j d VILLAGE �� !f Q �+ � �5� v ASSESSOR'S MAP & LOT INSTALLER'S NAME 8i PHONE NO. /' 1'/�'Go.•s 6,•r �-.Sc� lac SEPTIC TANK CAPACITY-L(�G�/G cL LEACHING FACILITY:{type} "1 r,r,'#t/,70ri (sue) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER - DATE r� � DATE PERMIT ISSUED: i DATE COMPLIANCE ISSUED: ' I VARIANCE GRANTED: Yes No 1 l 1-72 3 0 http:/,'issgl2/intranet/propdata/prebuilt.aspx?mappar=090009001&seq=1 . 1/9/2012 l TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION "# AA!, ' A` OWNER AND INSTALLER INFORMATION ADDRESS:9 c "# `a i.+ MAP NO. n9n PARCEL NOLO OWNER NAME: VILLAGE: INSTALLATION DATE: ADDRESS: CERT. NO. "" TANK INFORMATION LOCATION OF TANK: i �1+�*, CAPACITY TYPE S i'1 AGE FUEL/CHEMICAL -N (6A TESTING CERTIFICATION,-'C� ] PASS C]"FA-IL DATE to fie` J LEAK DETECTION' C ] CHECK IF N/A TYPE/BRAND ZONE OF CONTR I BUT I ON = C ] YES C ] NO DATE TO BE REMOVED K.i fee� V� ! J , -7i FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE CONSERVATIOIV� ' IF N/A DATE BOARD OF HEALTH TAG NO. [ ]C ]C ]C ]C ] DATE �� �P .' ' ,, ,, ,'PLEASE PLEASE PROVIDE .A .SKETCH SHOWING THE TANK LOCATION ON THE BACK. OF THIS CARD • ...r..v.:rr .. ,1...k;:�a ..D:,-.•'f.n t..:,.;i,- ,..xs.. .? .S.• ,..,.. . -.'...� 'f 4.�r .1 '.... _ ,'. .». ....,_.., . ,.. .... .. r..,. .., .:!'`: , _ 'tt .. k � ti��� � �� �,a� ��� r . � a TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER +AND INSTALLER INFORMATION ADDRESS: MAP NO. Q PARCEL NO. i OWNER' NAME: VILLAGE: Oki - ; INSTALLATION DATE: - � C�e ADDRESS: CERT N l. -t - � TAN.. INF RMATION LOCA�T-I-ION OF TANK: CAPACITY Q� - TYPE + AGE FUEL/CHEMTCAAL—'-�"a + . . TESTING CERTIFICATION : C ] PASS C I FAIL DATE LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C 3- YES CX] NO DATE TO BE REMOVED^1Ct-'- / ! I0 FIRE DEPT. PERMIT ISSUED C I YES C I NO DATE CONSERVATION C_ ] CHECK IF N/A DATE / �} BOARD .OF 'HEALTH TAG 'NO. C ]C ]C ]C 31, ] DATE '02 f�(1 VU r V 1 PLEASE PROVIDE A SKET�CM SHOWING , THE TANK LOCATION ON THE BACK OF THIS CARD .^a�'..k:F.0 t.r:s..,�!t4{tr r,s:w,-,-a'r',� � Jir. ,.y � .,. i�i:;n• . ;l _ �.,.,>.>.,.m. .... ..._''.. .,. ... ..�.. .- _ ., .. ... ..s.._ _ �ur. .. ..-., n .. r � l�"1�J �� � Jv ., � � C, i MAY 30 '91 b7:48 CENT.OST.F;RE D FT. P.2/2 FORM F.P. 292 (rev. 9/90) q Department of Public Safety s Division of Fire Prevention and Re lat on APPUCATON T j p i', FOR REMOVAL AND TRje� ORTATION TO APPROVED TANK YARD FDIU# r�i�`1 o . Permit Date rti-\ 9. �� �12ri5j�3j1�' City,Town w District -- ; C . 82 8 . d 0, .N . G . t. . DIG SAFE PUMBER Fees Paid: .1.LOD ­91 start date rvi A,, In accordance With the provisions of chapter 1480 Sec. 38A, H.G.L. , 527 CMR 9.00 application is hereby made by: `-., Street Address & City or Town: Signatur*"'of- applicd'n' �- Ape ildanf,g, name printed: ZLI,4,117 For permission to remove and transport one underground storage tank from. owner: C'c c� l Street Address: �f c�.�i Se,��i�' , fJ-u T Firm transporting waste: ---- State''Li a.'# ►,..-. .,f,.�.:,... Hazardous waste manifenfi. _ _ r E.P.A. # Approved tank yards -ce # n � V� Tank yard' Address t Type of inert gaas _ � _.. UL .tank : Tank capacity: Sc%o Substance last stored: Date of issue: M A,4'1g9 j Date of expiration, , 4 Signature/Title or. officer granting permit: �)4 .' KEEP ORIGINAL AS APPLICATION AND ISS DUPLICATE AS PERMIT