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HomeMy WebLinkAbout0223 WEST BAY ROAD - Healthr aa3 uanP- i�„a a�., u�P L�„�� 10 ��� ` SEWAGE PERMIT NO. VILLAGE INST LLER'S NA)d E ADDRESS 4 OR OWNER P ..�. AW, ` DATE PERMIT ISO ED DATE COMPLIANCE ISSUED � ` t�..` Yy z Q KNO No:.l11-.c � ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......I...........OF........................................................................................-- Appliratiou for Uiupuuttl Work,5 Tunutrurtiun Vanfit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: 10 . .. `a l...l `d..1 ....2�YJM I Lei �8 ................•---•---•'-------•-•��V.............................................. Locatign.Addr ss o Lot No. yl�� � ![V. 1�►! ` ..................................... Owner Address W Installer Address QType of Building Size Lot.. ?(.f.(_.6.....Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria Qt: Other fixtures -------------------------------------------••-•--••---•-••-•---•--••••--------------••-•-•-----•-••-....._....---.................•--•................ W 'Design Flow............................................gallons per person per day. Total daily flow..._....................._..................gallons. WSeptic Tank—Liquid capacity.1 .(W.galIons 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. 1................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........................ •--•--------------------------••-------.............................._...._.............•-•------•-•......................................................... 0 Description of Soil...........................................................................................................................................-............................ x W -- -=-------------- ------- -----•---------------•-----._.....------.........--------................. -•---...( ....... 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 be n issued by the board of health. n ... . . ApplicationApproved BY ----- •- ••••••.. ........................................................... Date Application Disapproved f e owing reasons--------------------------------•------------•---------....--••-•--------•---•-••-----••••....................... .................................................. .._._..................-•••....._......•------'--.........---'-•--'---••-•--•--•-•-•-•-•. ......................................................... Date PermitNo......................................................... Issued......................................................... Date + 1 .� __ ----- ---- s -: Fps....:...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................OF....................-.....----.......................................................... Appliration for Mipas al Workii Tonitrurtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..--•-----•-•--....-•-•-----..... . _..................•-•-----..._._....----------•--•-•-----....... --•-----•--••-•••--••-•-•-•-•-----------------•---•-•••-------•--••-•------------•-•-••----------- Location Address or Lot No. ............. •- ------- .................. •-------•---•----•-•--•--- .......... •-•......... Owner Address ............ ............................................................. ..........6........................................................................................ Installer Address Q Type of Building Size Lot............................Sq. feet U 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. C� Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No______________ i_______ 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........................ ----------------------------------------------------------------------------------•-•-•••=--•-•-•-••--•-.._.._..-••--•--•-•----._......._..._..•-•••--_•••-- 0 Description of Soil........................................................................................................................................................................ ' V ••• ----•----•-••---••• --•-•--•-•-•--•-----•----•---•-•---••--------------------------------•-•.......- --------------__._....•-•--••----------.........--••-------.._....•--••- W --------------------- ----- ------------------------•--•.._._..---•---•---•---•---••••••-...••--••---•_- UNature of R irs 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 operation until a Certificate of Compliance has been issued by the board of Health. „ ---' / t ................................... •--••-- ApplicationApproved By.. .-.. ---- = ........................................................... .......... -• ----- ............... „ Date Application Disapproved f e owing rea.sons:............................................................................................................... - .................................................. ---•----------•----------•-•----.........._...__•-- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifiratr of Totnpliatta TbHS TO CERTIFY, That the Ind-vidual Sewage Disposal System constructed ( ) or Repaired by.........-_.... --- - ----•- .............................................------• ----- .........._-•-----...... _ •• ....................Installer at........ . .---•-•-----•-_ ••••----- ...••-..... . ------------------** been installed in accordant wit i the pro 'sions of TITS 5 of The State Sanitary Code J d ibed in the application for Disposal Works truction Permit No._-_ __Y_-:_ -:: _._.... dated..- _-_ _... .__7______________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A 6UAIR NTEE THAT THE SYSTEM WILL FUIJCTIOV SATISFACTORY. DATE.................... ���_____----•--•--------------••---- Inspector.------- ------- -- "�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ a ..................................OF.................... __...._......._..-...._...._......__._.._....._.._......... F E_:6.... ......... �i� o rk� �on�trttrtion rrutit '`�� �� ,e- Permission is hereby granted-- .... ............•------••----•-----••-------••-----------•---•-----------..._..----._............_.........._.... .. to Construct ( ) R n Indi d a ewage Disposal System atNo. Z.2_3....... ..........................•.......................................................................................... Street as shown on the application for sp al Works Construction Permit N ....... ____________ Dated.......................................... Board of Health DATE--- =--------------------------------•--------•---•••----•-•••---•------•-_... �`'"'�•;,,iyy" FORM;4255 A. M. SULKIN, INC., BOSTON „Y� p'J -- No....83 2_ - ­110.00..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................... own..--.....OF.........Barnstable..... Appliration for BhgpwiFaf Workii Towitrur#ion Errant Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: ($& O ySfe r, Gv ae y 208 --........,..Oyster Harborsx -.026j5.. -•........................•-------------•-----------------------•---•--..........------. .... Location.Address or Lot No. 02655 Joseph Swan 208 West Bay Road: Oyster Harbors�..MA . ..... --........._.... • .. --- -- --•. Owner Address W A & B Cesspool Service 128 Bishops Terrace, Hyannis, MA 02601 Installer Address Q Type of Building Size Lot.... ......... .........Sq. feet U Dwelling—No. of Bedrooms.............4............................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons.............5------------- Showers ( ) — Cafeteria ( ) Q' 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 Performed by........ ---••--•--••••---------•-•-----••-••-•--•--•.....-•-•-----•-••••. Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-.___-__________---__-_. Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----................... P4 -•••--------------•...••---•••----•••-•-------•---••-•--.....•=--••---------•---•------------------.......................................................... 0 Description of Soil........Sand....................................................................................................................................................... x W UNature of Repairs or Alteratio —Answer when applicable..installation of a -1,000 gallon, ID cast' stone packed leach pit �overflow) . ---------------------------------•--•-----•-----•-----------------------------------...............-----••-•-•----------------------------------•--..._...•------- ..................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITiZ 5 of the State Sanitary Code—The undersigned fur :er agrees not place the system in operation until a Certificate of Compliance h �,.u.ebye b 9�28�83----- - -------- . . -- --------------- 9/28/ j .... . ..........................................Application -------------•-••--•--------=.................................... ......................................•-•-------•-----------....-•--•------••---------•-.......--•----•----•---------------------------------------------------------.......... .......-- Date Permit No._.E3- .. Issued.............•./2$/8 ............................................ ........................ Date THE COMMONWEALTH OF MASSACHUSETTS CCC�i� BOARD OF HEALTH Town O F.................. Barnstable ............... ....................... ................................................................... Curdifiratr of f�ompliFaatrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x) c..B..�es�pnnl..SPx�ricp-,...128.._Bd.shops...T-erimca,...Hyanna_s,...MA.....112LOI.....................................•...... Installer at........ZQ8-..Wezt..3a,Y--Rd...,.--�ster.Ilarhnrat--A2655.----.Jnsaph_.8wan............................................................. has been installed in accordance with the provisions of TITLE r of�he State Sanitary Code as described in the application for Disposal Works Construction Permit No.._83-__0 ................... da.ted_.9/28/­8.3............................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....r'gl..y.......1 3............................................... Inspector- --. ........ .........-----------•-•-----•--....................--------- G No....83-............. F�$...$...lo THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. ....Timm.........OF..........Barnstable..................................................... ApVftrFa#ilan for Disposal Works Tonstrnrtinn Wrani# Application is hereby made for a Permit to Construct ( ) 'or Repair ( X) an Individual Sewage Disposal System at: 208 West Box..Rd.., ter_Harbors:.. .....02655------•------------------------------------------------------------------------------------------- .TOSe h Swan Location-Address or Lot No. ....-----P -------------- 208 West Bay Road,-�Jt: .e_. .. � b4s.►...IA..__02655 Owner Address W A & B Cesspool Service -------------------------------------------- 128 Bishops Terrace, Installer Address UType of Building Size Lot___________________________S q. feet Dwelling—No. of Bedrooms.............4............................Expansion Attic ( ) Garbage Grinder ( ) 'k Other—T e of Building No. of ersons______________ ____________ 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. Seepage Pit No--------------------- Diameter.................... Depth below.inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank (, ) aPercolation Test Results Performed by....................`:"_.................................................. Date..................,..................... a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..................... �14 Test Pit No. 2................minutes per inch Depth of Test Pit-------'-..._._..._.. Depth to ground water........................ a' ------------------------------------------...........-------•--------.................__._........::.............------.......-----------.......----•-•-•_--- O Description of Soil....... a V ti W V Nature of Repairg or Altepr ttiorys—Answers when applicable._ nstallatiori of a..... 000 �allon� pre-cast, stone aclk, leach it l overflow). -------------•----......-----------------•---...-•---------------------------------••-------•_.....•••••-•••••-••-•••---------•-----------•••••--•••----•----•••••••-••-•••-••••••-•--••--••----_•••-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary.Code— The undersigned further agrees not to.;place the system in operation until a Certificate of Compliance has�bbee i ued by the b and af'l�ea''K. �... (_�� 9/28 8 and.._ -•_---------••---x'.=;=�`� �s � 3 v ........... g�28/ e Application Approved By-•--•--•---•...-•---•-----•-•••---•-•••......... - --•••------••--- ..----••-•-••-•---.. .....-• •••• ----------=--------- Date Application Disapproved for the following reasons-----------------------------•-------------------------------------------------------------...-••...•--•----•--- ....................................................... ••-•------•...•••-----•---•--------------•-•-----•••----•-•-•-•-••••-----••---------•-•---•-••-•-•--•-••-•••-•••••-----•---••••-••-••--...._..-- Date Permit No.__3.=..-------•--------------•--•--.._..---•-•--_.. Issued..............9/D 8/•83----••---•--__----- te THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............Town Barnstable .....................................O F................................................ Trrtifiratr of TomptiFanre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x ) zxace4..H -s-,---M' ------02-601............................................ Installer at-••--•_208_West-Bad' Ltd..-,-••(lister-HaxboxA._.42655.._ ---Jm.aph._Sman--------------------------------------------------------------- has been installed in accordance with the provisions of TITLE go ''Oe State Sanitary Code as described in the application for Disposal Works Construction Permit No.83-________________________•....... dated--9/28/83.............................. 1� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE , SYSTEM WILL FUNCTION SATISFACTORY. // .............•--- ---_..._. Inspector...----•---------------......-----...---------------•---•--•-•----•-•-•...._._...... DATE.....•9 --•.........1.83 THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF- HEALTH Town . Barnstable d 6(� ...........................................0F..................................................................................... No.••.3 ................ FEE.$...10x00...... 1 Disposal Works Tnntr i.on rranit Permission is hereby granted.........A._&._B_-QeE�zpQQ1.$nTv csL-------------------------------------------------------------• to Construct40g)W&tRT6 %d) aV&gj AA,, e ft3 .§yjt eph Swanat No 1 - PP P 9/ 8/ 3 t ............................. ��....�'---------------•-----....._.•---•••---..._-••--- as shown on the application for Disposal Works Construction rt No._ ated.__.__._ 2 8 .................. 9 ,AP. Board of Health DATE......................... /-------_••-- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS I ( 0 LOCATION SEWAGE PERMIT NO. ® ?° Ill-,S7',&<4Z R� VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER DATE PERMIT ISSUED ,a-o DATE COMPLIANCE ISSUED (� 67-C> .� 1 7 LS _ 7