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HomeMy WebLinkAbout0055 WATERFIELD ROAD - Health �S WaA-er-�Re\d Ror_ccQ � 18 03 9 - Dsd��ni1A�-Q- + r LOCATION _ SEWA E PERMIT NO. VILLAGE a 3l A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ��o —g-s r � �, , - t � ` �. �• �,, �� � �� � '�� a f y. No.. s.. (o g` 03 g Fas......15.00 ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ............... ...._------------......OF............................I............ ------------............................. Appliration for Uhipasa1 Works Tomitrnrtinn "rani# Application is hereby made fora Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: Water Field Rd. 0sterville 55 ..- ------..__.............. •-•........................•--•-------........_............... .......----•......••----•-----•---•------•-•------•---•------------ .......... _ Paul Lymne os Location-Address 55 Water Field Rd iAt No. OsterV �Ye' ......................-.......................................................................... --......-•--•------•-------•------•---------•----.............................................---- Owner a A �c_.R._C�ssgool._ e7rYi�e........................................ .....128 BishoPs_Te.=ac e�yanri�la Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......... ..........:....................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e 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 ( ) 0­4 Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..--.................--. fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ , . ODescription of Soil........................................................................................................................................................................ W U -•----•--------•-•-----....•-------•------••-•-•---••------••-•--•-•-••---•--•-•-•....•••......-•-----•-•••-•---•------••--•-•----•---•-•---•-----•------••--------------------••••-----------------••-- W -•---•---•-------------------------------•------------ -------------••----------•----------•------•-----•----•-------------------------•-•----•••------•--•--....•-------•-----.....------••-•----...... UNature of Repairs or Alterations—Answer when applicable...l00Q--Gal-•stone paked over flow Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T ITLE 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 b 57 Var�,dlllqffh. Signed.d - --------•-•-----•-- ............. Application Approved By...............: ......................................... ------...... -� ...... Date Application Disapproved for the f o wing reasons:------•--------•----------------------------•-----------------•-------------------------------•-.............._ ........--•---•-----•--------•--------------•---•-•----------............-------•---------•--•---....--...---........................-----...----••------......-•-------•------------•--•---•----•-_-•--- Date Permit No......................................................... : Issued_....................................................... Date I.r i Fizz MUM— f. THE COMMONWEALTH OF MASSACHUSETTS a BOARD OF HEALTH 1Town Barnstable ,� lirtt tnn f nx , i a ttl .arks Tonstr1urtion PPrutit Application is hereby made for a Permit'to Construct ( ) or Repair ()r) an, Individual Sewage Disposal System at: Water Field Rd.`Osterville 55 ....::......:..__....__------••---.....- ..... -...- .................... ........ •-----•----.................._......____......_._._.................---..........-•-- Paul Lymneos Location-Address 55 Water Field Rd:ot No. Osterville .................... __ --........-•...................................................... . .............................................. ....._.......................................... Owner Address CesSpo01--;service....................................... ...... ........................... Installer Address Type of Building Size Lot............................Sq. feet 14 Dwelling—No. of Bedrooms...........Z..............................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ---------------------••---•--•......•----•......_. ....... _ Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic 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........................................ Test Pit No. 1.........:......minutes per inch Depth of Test Pit..................... Depth to ground water......................... f=, Test-Pit No. 2_1...........:..minutes per inch Depth,of Test Pit.................... Depth to ground water........................ a -----•--------------------------•...............•----•____________---_..... ____......._--____................................................... 0 Description of Soil........................................................................................................................................................................ . U ...............•--•-•-----•---------•----•••-•---•--_.......-•-•••...-•--•---_______-•--.........--•...._____....._...--••----•---...--•--•••.-- --............._....._.....-----••-----___________.. W . U Nature of Repairs or Alterations—Answer when applicable....1affl_-Gal._atone...paked... w X..fIOw..................... •-•-------------------------•-....••---•-------•------•-----------------=---•--.._.......-•-.......:.....---•-••--------------------------••••••---------•---...........-............._..---•------_.... 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 operation until a Certificate of Compliance has been issued by the board of lth. ,��, SI d �- A - - .............. ► to g, ►'► - Application Approved By.............. Date Application Disapproved for the following reasons:........................ :...............................................................................__- ............................................................................. ....................................................... ........................................................... Date _ A PermitNo..................................................._.._ Issued. - ._.. - ._...-------- Date THE COMMONWEALTH OF MASSACHUSETTS c0 BOARD OF HEALTH ..........T QIM.....................OF..........Barnstable ...................................................... - Trrtif irate of Toutplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) by......._!.......B.Cesspool.. � e............................................................::.....••---...---•----•-••-----••--•-•-•--....-----................._._ ., . Installer t55W�ter FieldRd.at _ --......_••---...._. et �xv 11e. ............................................. has-"been install-d in accordance with the provisions of TITI r�o�T4,Vtate. Sanitary CQde as desscri_ n the L, - dd THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE application for Disposal Works Construction Permit No............................... . dated........_.._.__........ .•.........._...... D"AS A GUARANTEE THAT THE SYSTEM WILL F N TION SATISFACTORY. -_. Inspector--------------- DATE.............. ..� ...................................... --------------..-- ----- -• . ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTHCIO 95_74(a To Barnstable �. ��ts�r,auttl t .��un � # h�.erutit Permissionis hereby gra _...--•-----------•-•-•-•.....................,_...._•----•-•--•-••-••_____...•--•--••......_..................______................._•-__ to Construct or vid e a stem atNo............................... -••.:..--••--•.............................................................. j,•��6 ..---....... Street,. as shown on the application for Disposal Works Construction Permit No...................�te ................ a� g .................................................................................................... r B of Health DATE........ .......... FORM 1255 A. M. SULKIN• INC.. BOSTON r a L,..No................ FEs...V� .................._ THE COMMONWEALTH OF MASSACHUSETTS G �� BOARD H EA TH i � 1Y(.rLV1. .._....OF...... .. .. ---- --------------------------------------- ApplirFa#ion for Bhip ial Workfi C iamitrurtinn 11amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ion-Address 1 or Loto. Owner // Address a ......................... ........ Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......................................Expansion Attic (4,, Garbage Grinder 04 Other—Type of Building ------- No. of persons____•----------------- Showers Cafeteria ( ) dOther fixtures .----------•--------------------...................................................................................................................... Design Flow.....................................".._gallons per person per day. Total daily flow_.____....__.____..•..._._............._....gallons. WSeptic Tank Liquid capacity-.M..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 Performed by.......................................................................... Date...................................... Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water_-___---________-----._. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•--------------------------------------------------------•---•--•-------------••-•.....------•----........................................................ 0 Description of Soil........................................................................................................................................................................ x U •-•----•-•-•----•-------•-••-----------•--•-•-'-•--•-•••-------•'•--------••-•---••'-••-'•......----•--••-•-'--•'---' ...' ----- ---- W --••--------------------------------------'--._.....-----"------------------.....-----"'--------------------•- VNature of Repairs or Alter tions— saver wheq applica �:j-�_�_= _(]y�� //____.:__ _'_____ .�Lc..... ....................................... _ _•_•__•___•_ J..... ----KL•-----_ / .. ..4_ q.-----------_•-•----__--_---.............._..___-__- Agreement: The undersigned agrees to install the aforedescribed ,Individual Sewage Disposal System in accordance with the provisions of'T11-717, 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 health. igned •-''••---•••.... Date Application Approved By•-••••... �/ y( � -•----T i/------------ Date Application Disapproved for the following reasons-----------------------•---•' ---•-••7..,- . •---------•-----•-•---•'-----------------'---•-•••-••--•---- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF// EALTH I.....'1`'Lr!1 .:..OF................ . .. ...GL/. ................I...................... Trrtif irFatr of Toutpliane THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by----- ------ -+incordance ------ --------- --------- --................... _ In a at-•• � Gt-a..........�5 Z eft------ r- has been installed with the provisions of T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N 7 .._:__� 7.............. dated----.._71_G'j_'__7..�..-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE 14AT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALT C7) ............. .... .......OF......... ... ---..............N ... .... FEE...J................ Disposal Works TDnn#ra ion rrnti# Permission is hereby gr ted.............................................................--•------ ... • •-- to Constr ( ) ep ( 41'an Individual Sewage Disp ...gal y tem � , at Street as shown on the application or Disposal Works Construction Per i No.. .......... .. i ted--__T'1. 7 7---._-----••- ----------- F DATE......................---------•--------•--------...........--•-•--•-••••_.•-- Board ofof Ht FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - r7 K.. Fig........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F H EA TH ----.. . �. O F ---••------ ... ... � �� " "J AVVIirFation for Diipnsal Works Tonstrurtinn rrrutit Applicatidn is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at q .......... e .. .. .-------• ••-----•----•----------------- ...._. �VAs Address Installer Address Type of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms---------,________. --.- Expansion Attic Garbage Grinder a. aOther—Type of Building ----- No. of persons-----i"l------------------- Showers (I ) — Cafeteria ( ) d Other fixtures ---------------------------------------•-------•---•-- Design Flow............................................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. 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ C4 ---------------------------------------------------•---------------•-----•---------......-----------........................ •- .... ••-•------------ ••---- 0 Description of Soil........................................................................................................................................................................ x U •-•---•--------------------------------•--------••--------•-----•-•--••--------------•---•-...---------------•------------•-------------- -- ........................................................ UW --••---------------------------------------•---------------•----•------•----------------•------------ ------ Nature of Repairs or Alter tions— wer when applica e -�._ _" ; °Z, -- -------------------- ------•-••--•-------- Agreement: The undersigned agrees to install the aforedescribed,:Individual.Sewage Disposal System in accordance with provisions of'T L the p 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 health. gned ------------•------• ............ . Date Application•.Approved By--------= d_ .''+ �' ........... Date Application Disapproved for the following reasons----------------------------------- - ----••------------------••----------..---••--------••----- ..-------••.................................•-------------•----------•---••----- Date Permit No.................................:.: Issued.. -•--.._..•-•••- Date --••--•••----•----•-••• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF WEALTH .............../t.. ....OF...... ......'. .. ..zZ444.. ..................._................... U'prrti iratr of ToutpliFana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired , . In a e' has been installed 4incordance with the provisions of T j of The State Sanitary Coe as described in the 77 application for Disposal Works Construction Permit N --------AW_1.............. dated------- ' -- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. . DATE.:....:.......... Inspector ------------=--•=-................................. THE COMMONWEALTH OF MASSACHUSETTS n BQAR�D' HEALT w 'l� ......OF......... _.__ ................... ro ,, N ......... ... .... .. FEE----�_7...--••---•-•-- Etsposal Works TaInstrudion amit k Permission is hereby gr ted-=------------•--------------------------•-- --•---•••------•- %' to Constr ( . ) rRep r ( j41"an Individual Sewage Dis 0,al Ay em` at No.. . ' Street as shown on the application or Disposal Works Construction Per o._ � ,`__ ted_.__�".�..........�-----_----- .. Board of Health , DATE .....::..............•-•-•-----••-•- �^ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - ,