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HomeMy WebLinkAbout0051 WIANNO AVENUE - Health 51Wanno Avenue A=139—010 -001 Wianno i 1 0 jW e a THE COMMONWEALTH OF MASSACHI:SETTS BOARD OF HEALTH . ..............OF � t(Z.ia�SL �Fj........................... Appliratinn for Diipniitt1 Works Tonulrnrtion Prrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System gat: ..... ...-._--- ..................................... ..........--. -......---------------------------•--......-------•--••--••---•--••------•----•............•-----• Loca'on-Address or Lot No. 4( ..... [a= dress ................... a .....---.-. Installer....--.....-. :... 1 :�/ A ..... ddress Type of Building Size Lot_.13..:�..�67.._.Sq. feet U Dwelling—No. of Bedrooms...3....................................Expansion Attic ( Garbage Grinder (tir) Other—Type T e of Building W YP g •-------•----=---=---------- No. of persons............................ Showers ( ) — Cafeteria ( ) G" Other fixtures - =------------------------•---- d : ............ Design.Flow.............��__5.......:.........._._.gallons per person per day. Total daily flow.....5 ......_...._............ Ions. W ' WSeptic Tank—Liquid capacity.) allons Length.. �... Width_A-_ P.. Diameter__.__®__-.:_- Dept `lq--__. x Disposal Trench—No..................... Width............ Total Length.................... Total leaching area-__-_-_----_-------sq. ft. Seepage Pit No..................... Diameter.....0...:...... Depth below inlet... _............ Total leaching area_ as.l......sq. ft. Z Other Distribution box ��j Dosin_ ank go '—' Percolation Test Results Performed by A%14.- *-.�q.C�..[J��........ Date_._0 o.t©`8.�____... a� Test Pit No. L_4�-.....minutes per inch Depth of Test Pit.-AQ............ Depth to ground water fZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ - ---- O Description of Soil-----.�." �1�.F ... t?�zc 1.4.E...` -- L .�.. ,t .-• j A.4 l.D 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 iITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee sued by thp board of health. �ned......... ........................................................................ .........................-•-••--------------- ----------------•---.._..._.... ate Application Approved By............... ------------=..6Vla'--.."_------------------------...----•-. --...... ......... Date Application Disapproved for the following reasons:------•-----------------------•------------------------------------------------...-•---•-•-•--------........._ ...................•..........---•-•----_....._.......•--------...---•-----••-•-------•-••--••------•--••......----------•----•••----•---------•------------------•--------•••-------•---••------•...... Date _ �3 Permit No............... ....................................... Issued-...................................................... Date FEs... ............. THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH Appliration for Disposal Works Tonstrnrtion ramit .Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: IS.(. (J t.t,t-L L , _. �11- Locat-on-Address or Lot No. kA _..... .... .................................................. ._.. ....•-----•--•--••-•........... ..........................................- _Qwner l4 _ \ Address Installer tt` •• __ � Address 1 UType of Building Size Lot__------ J ---Sq. feet �_l. Dwelling—No. of Bedrooms__.____________________________________Expansion Attic ( Garbage Grinder p-I Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixi�ures ................ ........................................................=............................................................................ W Design Flow______________`'__5__._.__.______.___.___gallons per person per day. Total daily flow_______�rAt__._.__..___.__.__...___gallons. De W Septic Tank—Llquld capacity-_4C�; allons Length__`. :��-'_._ Width_4'_.!�_ Diameter.___."""-"_------ pt11---- ; x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-_____ ______ __ Diameter.....1�......... Depth below inlet_.__........... Total leaching area_�t?_7.....sq. ft. Z Other Distribution box (Yc�"_5 Dos�'Ag., nk (X4)D '-' Percolation Test Results Performed by.... .............t'' . ....._�___._......_...-___._._. Date............................. _ Test Pit No. 1...A__--':____minutes per inch Depth of Test Pit...1®........... Depth to ground 1zI Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth fo ground water........................ RS ----------••-• - ------•-----••••-••---••••-- Description_of Soil....... ----. _... �" U r,� CJi_ ..... � 't-y.C�t �£ I`)��-------------------- U ----••. .......--•-•--••----•-•-------••--••-•---------•---••...--•--••----=--•-•--•-•-•••-----------------•-••--••--•- 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 TIT11 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has;bDeessued bthoard of health. gnedi .............••----........_.._-•--•--------------•--..-------------••-- ................................ A lication A roved B ........... Application Disapproved for the following reasons------------------•-------------------------------•------------•----------------------------•-•-•----•-••_------ •----•--...--•.............•••---•....__...----•-----•-•----••--•-----•--•-••••--------••....-----•-...•-•-----------••-•-•--••------••---••---...--•-•-------•-•---•----------•--•-----••-•--....----- 1 Date Permit No....... L -~7f��; --------------- Issued_................................................. ••---- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................oF.........(�f`.�15 .=�.j ... - ,.......... .. C�rr�i�irtt#r of �nnt�r�t�nrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer at.................... � f31tr1�'v rR -----••. t AWO-------------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No........ _C...3~y*.-gS_._____ dated-....----- -- rl�j -5 THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARA EE THAT THE SYSTEM WILL FC'fl DATE................•... . z Z !!� SFACTORY-----••-----•-•---. Inspector.....................................................................................- t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH N6575�S:Y7 ... ...............0F................y.�. L.�._...._._.._......_.. .......... lutsp sal Works Taonntr inn unfit Permission is hereby granted....... ---• = = �-' ............... ..�?1 .3���....��� to Construct ( ) or Repair ( ) an In ivi ual Sewage bisposal System at No................. - ....... r-yr rs»v....Cr{A--------W l� �� Street --------------•----------------•--------------•---------------•-----•••--•••••- as shown on the application for Disposal Works Construction Permit D ted_.___�................................ _z Ma _ He of - DATE..... ......................................... ................ oar FORM 1255 HOBBS & WARREN, INC., PUBLISHERS J/Z- LISS7 0 loco QA%-�r.�t`l7�KK 1�15 FOSArL?T"! UsC lObb EtAwo")W 2 S',tAE 5,vawao . : At@A ►8b bV CA.?weary M C2,LS a q'to GtP D c Arxccfn( '79 Q l o s 19 6?O 'TeTw�'pE51E��,t _��49 6�P� -D SICe�U�s¢.eou.�OK. fat 1"'Detop ty 2M.�e{,!►� ��P�jn .:'.,.,H�s9 ' _ Syr=.`! ✓Ji F � ' RICHARi7 o SULLIIFAN `'` A. Ne.29733 a BAXTER v , No.24048 orSON D T � .ae�cQ FGP$. .9E4�jr$ a 1� •1 nL Lo.MP z'a,t"('a C.c ty ( eJ `ta i f1 s d� AX'tLcL.� Nil EsLe �►d G. TN t��\V� � �::�„. �`{-'�" �� �n.x 8.o tat e �� \' �l�s/E�S�� PAL.) s /.i/✓. �!'�, i _ �.o � t ono C L��v„� Y 6Ant.L.ou' �. �G,fe, .5'.EPn•C J'G. '� , . 7f1N/G (�•2 IAIV SUM F �► Z`o P � /it/K /N►/ Rom!�•s E✓L� b�Z- aJyi- sThVi . JV `'� EL eA.7 / GE,er��Y T/•',4T T.y.E�r®tee ��•tS,�/aw.v yE.�Eov. eD/►!f>�Ys Wirx�>,yE Si��,t.,/i�E B�xr�,e �',c/y.E; /tic. - ,4�V�.fETI�/�G` ,2E4v/2ENI�iVrS d� Th14 ,2�Gisr�ecl.G�trvo sU.e�Eya,�s I Gocar.F.o W/T.s�/y �-.y.E' ,c1aooPt�4iifi - I ;rW 1-r lila7-I3.4SE0 4N,4,(/ -t/�lE�Yr-,,SvevEYA�VO Tf/E o�FS.�� 'LOT ZX 9' ol A. I , v 2 QfV Y «, r p Ii L�G,4T/OTC/ C C--2\,/// t 9,E,G= 2-gc Mgss OATE s 'PETER i o SULLINAM'. U N No. 29733 ;. _ Z66 7 - //3 I o A?' ��FssIorvAt ,Bi4 XT.E,2� l ..BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 WILLIAM C.NYE,R.L.S.-President ' RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering June 3 , 1986 Town of. Barnstable Board of Health P .O. Box 534 Hyannis , MA 02601 Re. M Conroy Lot 229 - Wianno Circle Osterville Dear Board: . Please find attached a - revised .plan 'for M. Conroy. I have been informed by Mr . . Donald Rugg at the' -Centerville- Osterville Water Co. that town water cannot be provided t'o the lot . Therefore, I have revised the septic plan showing a well and septic with 150• foot separation distance . I trust that this meets everyones needs . Very. 'truly yours, Peter Sullivan, P . E. Baxter & Nye, Inc. PS/fmj MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS. 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