HomeMy WebLinkAbout315 Main Street, Ost019 c0No.......... _.... Fimic-,....o..........
THE COMMONWEALTH OF MASSACHUSETTSr/53 4 BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliration for Dbip mj Morkr, Cfonotrnrtion runfit
Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal
System at:
M
Location-Address
1-------------------------------•-- /6__ry se-¢.5----fa---I !Ai.l!.fS,
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Gr /6 v_jC...
d teas
Q .<i%/s
Add ess
Type of Building
Installer
Size rLot- Sq. %,
C-
t Dwelling—No. of Bedrooms----------- .............................Expansion Attic 440 garbage Grinder
aOther—Type of Building ---------------------------- No. of persons--------------------------.. Showers ( ) — Cafeteria ( )
d Other fixtures ----
Design Flow------------ 0....................gallons per-gersen jw* da.4. Total dail flow---------9 O----------------------ganons.
WSeptic Tank—Liquid capacity allons Length..t',?"'--- Width-e.-Z.... Diameter..._—'----- Depth.7-_-._..._-
x Disposal Trench—No. -----2...._....... Width...ID.......... Total Length----k7-------- Total leaching area.153%...sq. ft.
Seepage Pit No------------- -------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box (*5 Dosing k (b
Percolation Test Results Performed by....-.. AsK j -e -4 1 E;.. : c.._. Date...
Test Pit No. I------ -------minutes per inch Depth of Test Pit._. -_....._. Depth to ground water.--.34t...............
4q Test Pit No. 2................minutes per inch Depth of Test Pit........-.__-_._-__. Depth to ground water........................
04
t r:
Descriptign of Soil---q 0, .A...'. ....UA_a!!'lt r,?. 6'? 0...l
x
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 Environmental Code—The undersigned further agrees not to place the
system in operation until a Certi ' e f Co Iance h een ' e y th r l of health.
igned
Application.Approved
Application,Disapproved for the following rearons- -------------_-----------------------------------------------------
q Dace
Permit No. .... .- f...i.................... Issued ..................
D
IVAN
04
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Fx$_ ..,.'............
t THE.COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
AvOrattnn fur Diti-pnia1 Wnrkii Tomitrnrttnn Urrmit
Application is hereby made for a Permit to Construct ( ) or Rcpair an Individual Sewage Disposal
System at:
Location-Address
b . ` t
Q
w) $(
y c
ow Address
Address p
Installer
Type of Building Size Lot___.___ •-:---------Sq.feeC' '
Dwelling—No. of Bedrooms........... -------------------------------Expansion Attic Garbage Grinder
aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
d Other fixtures -----------------------------------------------------
W
Design Flow.............gallons per.persem-pef.day. Total daily flow---------9.9_0.__....................gal Ions.
WSeptic Tank—Liquid capa6ty?6 al Ions Length---V °-G- Width.G"_G____ Diameter_ ---- Depth__--.......
x Disposal Trench—No. -----.2---------- Width....1,.Q____---_:. Total Length.__ ....... Total leaching area._3_',2?4r...sq. ft.
Seepage Pit No_____________________ Diameter.__..._-.-_.._-__.__ Depth below inlet__.____...._.._.._'. Total leaching area..................sq. ft.
Z Other Distribution box (Yd5 Dosing t,ak (0)
Percolation Test Results Performed by.______Js Date-_-7b7 1_ '_
9_ ...
Test Pit No. 1___.. •......minutes per inch Depth of Test Pit_.,>G_'
r._..
Depth to ground "Water----34.............
4 Test Pit No. 2................minutes per inch Depth of Test Pit_____.-_______---_ Depth to ground water........................
C4
O Description of Soil...._.C> A-0------A--. Sall .... 4&ko----
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 Environmental Code—The'undersigned further agrees not to place<•the
system in operation until a Certificate of Co pliance h been issu`e'dby the'`boj'rd of health.P
w igned' ------- -
Application.Approved By-- 1 IQ/' 7
Application Disapproved for the following reasons- ------- ---------------------------------------------------------
l ......._..............— Da.....................
1
Permit No. J.."- L.Cv..l..` ------------------- Issued ---------------'
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certifiratr of Complianu
THIS TO CERTIFY Th?a the Individual Sewape Disposal System constructed or Repaired
V eby -------------M.1-7_
Installer
at --------31S.......KtAN 4-
0.7-------------0.517S L—U-1.................. -----------------------------------------------------------Q1 _
has been installed in accordance with the provisions of TITI.E 5 of The State Environmental Code as d scribed in
the application for Disposal Works Construction Permit No. C'..5------------1.& 1.1..... dated .-V7,/__,y _1---S......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA TEE HAT THE
SYSTEM WILL FUNCTION SATISFACTORY
T-\
DATE................. 73 -------- Inspector
t....... -------------------------- ------------------------
5 tor ------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF 'HEALTH
TOWN OF BARNSTABLE
No..95.....ZC019 FEE... _
LW_)(
0
Displatial Workii Tomitrudion "vanfit
Permission is hereby granted----------9eq
to Construct or. Repair ( )() an Indivi d,p4.,Sewage Disposal System
k.7atNo. 3.15_3....KAcA_A,)...2!!t-J ........ 7 m..................................................................A.L
Street (
5
as shown on the application for Disposal Works Construction Permit No----------(6 4 Date "---
I.............................................
Board of Health
bATE.............. .................................................................
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS
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