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HomeMy WebLinkAbout0006 ABLE WAY - Health Q �s zP'v n s wcq/Al TOWN OF BARNSTABLE LOCATION !_'�l� (.CJGI[ / SEWAGE # J�o2 VILLAGE/ 0/`SAn.S RIA ASSESSOR'S MAP & LOT04/6-1/0- INSTALLER'S NAME & PHONE NOj(` /Qj SEPTIC TANK CAPACITY 1660 ac?/ LEACHING FACILITY:(type) 7'� C�j (size) NO. OF BEDROOMS`�j PRIVATE WELL �PUBLICWA�TE BUILDER R OWNER c� .C -���1CQ P DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No c HS� C�IDb _ T i 3Ni7�7 � o oe 4 0 0/ O 7MM / b�/ _A� THE COMMONWEALTH OF MASSACHUSETTS BOARD OJF HEALTH ........ .. �._..._.OF......... _ -. .... . ........ App irttlinn -$nr Diiipvimi Workii TouBtrnrtinn Prrutit Application is hereby made for er it to Construct or Repair ( )janid'vidual Sewage Disposal System at: %wn s /� ip *_o34....... d 7 Address F ------••--••-•----------•---•---•--------•----•.....................•-----•-•-------------------••- Installer Address Q Type of Building Size Lot___________________________Sq. feet U DwellingNo. of Bedrooms--------------- ----------------------Expansion Attic ( ) Garbage Grinder ( ) aOther —Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures .-- ------------------------------------------------------------ --------------- ---------------------------- ......................... Design Flow...........................k....().....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 ' let.. ._.__.. _._._. Total lea ping trea.__...______:___.sq. it. z Other Distribution box ( ) Dosing tank ( ) d ��d [ �- - f, �7-/ Percolation Test Results Performed by----------------- ....................................................... Date----•----------•-------------------- ,a Test Pit No. I................mtnutes per Inch Depth of Test Pit-------------------- Depth to ground water.......k__-A---..___. (q Test Pit No. Z................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ �+ ¢ O Description of Soil----------�-------� -'1--- `' _X---- -( -- -V- --- ------ --- __ W V 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 Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beer ee sued by the board of health. igned .4 .— --•-•--••----•----•-•• -----------•------------•------- D e Application Approved B � Date ' { Application Disapproved for 'lie following reasons:................................. ------------....-........................................................... ...................................................-----------------................. Date PermitNo....................................................-$" = ,: .- Issued......................-................................. Date t FIns..... ....................._ THE COMMONWEALTH OF' MASSACHUSETTS BOARD QF HEA TH -----OF.---.._. ..... ::.......----... ........... - • F AVV irtttinn -for M_qVnnttl Workn Towitrurtintt Prrulit Application is hereby made for a e it to Construct or Repair ( ) an I , idual Sewage Dis os' System at• C Ne ' . --------------- ---------- '- X ll = �� --------------•----- `, o rion-Address � � (/"iI � o t N.D. Avffn w r 4� Address �'. ... •_______________'..___..__._____5....____....______________________.______.__.____Y.... .... --------__---------------------------------------___............................................... Installer :r Address Q Type of Build' Size Lot............................Sq. feet ry DwellirigNo:'of Bedrooms-_-_____-____ _____________________Expansion Attic ( ) Garbage Grinder ( ) Other=Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures PP P y. Tot ----------------------_-- 4 ---�c--------- W Design Flow...........................6 -d gallons er erson er da al dai]y flow___----------- - .-_. Mons. P4 Septic,-T irtk—Liquid capacity-_:.•...._._gallons Length................ Width---------------- Diameter____ -- ____ Depth_________--._ Disposal Trench ' NoWidthTotal Length leal) - qSSeepage Pit No. ..._._.. Diameter..................... Dept below et Tota a �/9 �- .-,s . � ft. x z Other Distribution box ( - ) Dosing tank Percolation Test Results.. Performed by-------- -------=--------------------------------------------- -----------' Date.......... --------- b.. Test•'Pit No. 1-----------------minutes per inch Depth of Test Pit_-_________-______-- Depth to ground water---------------......... w Test Pit No. 2----------------minutes per inch Depth of Test Pit-----------________. De th o grou wateV a •'► -------- - O " Description of Soil___''` ....-----.----- x r ------------------------------------------------------------------------------------- V --------------------------------------------------------------------------------------------------------------=•----------------- W VNature of Repairs or Alterations—Answer when applicable-------------------------------------------------------------------........----_____-.._____---- Agreement: s The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in t operation until a Certificate of Compliance has beegn�issuedby the board of health. ,• Signed ------L ------------=------- -•------------ Date Application Approved By______ _-___. ._ -_ ----_ : . C , _ 74- E*.Application Disapproved for th owang re sons:--:_--______ _ . Date Permit{No...... Issued.." Date : THE COMMONWEALTH OF MASSACHUSETTS '.° V BOARD OF HEALTH OF' rti$irab. re TW 'O CEPTIF Th Mdividual Scwage*�Disposal System constructed ( ) or Repaired ( •) by..................................................... ............... •--_- •- ......................................................... ------------------------------- Installer r at = � �f __ z4 �. lfias 17 i all ac .the 945 pf �t i `od �de crib d i application for Dis 'osal Works Construction P it No----------------------------------------- � ��.d THE ISSUANCE 0.F THIS- CERTIFICATE SHAL'!';NO11V ( NSTRUED AS A GI /JK*P T�T THE SYSTEM WILL FUNCTION SATISFACTORY. . K• DATE -- ••-•- ,� - Inspector ., t• 41, THE COMMONWEALTH OF OISSACHUSETTS t , BOARD OF HEALTH _ .... .... .. .... - --.... ..... _ �F t� ,t No.. FEE------------- } innttl k� On u t rrutt � 14-=- ". Permission is hereby granted - . ---•------------------- --------- ------- �"!'� ;W% Construct ( #),or Repair ( Mtn Individual Sewage Disposal System atNo:-•--• --•---------------•----•-- ...................----- 741 as sho64n'o'ri/the ali ti��"7olf' pos�C Const4rc __ _i44,te'�.L- � f oard of Health .' "'D TE... ..... y FORM 1255 HOBBS" & WARREN. INC., PUBLISHERS '� ! ...Fr•" - AS SHOWN IN PLAN BOOK 273 PAGE 22 AS LOT I BARNSTABLE REGISTRY OF DEEDS i. A B L E WAY N 570 32' 56" E C8 Fp 17 7.30' �.'90 0• w N m A 122.50' =4� a�0' �N 44' EN=0 o UZF0.-s � B CyA WELL O Co � FD 207.47-# 4<." 57'Q 6as� S 59 56' 20" W �E�.�00 910 1 CERTIFY THAT THIS FLAN SHOVV THE ACTUAL. L.00A.T!ON OF THE STRUCTURE ON THE LAND ANI) PLAN OFr LAND THAT IT CONFORMS WITH THE BY-LAWS OF THE TOWN IN BARNSTABLE MASS, ®g OWNED BY coFRANH �OHERY W I N D C Y CORP. o N Ry '� .NO. 6573 "', v No. 6232 CAFRANK CONFRY HYANNIS, MASS:'., p��1E6��'� y �� RL;IS1"4RF,p cirCsi;ik� tY L NO ZUIJri:•'t® F�GF Sl"6 c_ b.. BARNSTA$LE COUNTY HEALTH DEPARTMENT BARNSTABLE, MASS. 02630 T6LHPNOHEs 362-2511 Ext. 331 Date: April 19, 1974 To: Wincy Corporation 235 Arrowhead Drive Hyannis, MA 02601 On the basis of a sanitary survey and a laboratory examination on the sample of water taken from a . . . . .well. . . ... . . . . . . .located on the premises of. . .Vincy,Corporation, , , , , , , , , , , , , , , , ,, , ,located at Lot_21J.Off School.Streets.Marstons,Mills, , , , ,on, , , Apxl,19, .197$. . . . .(Place). . . (Date) this supply is. approved for domestic purposes at the time the examination was made. If you wish further information regarding this supply, please contact us at the County Court House, Barnstable, Massachusetts (Tel- 362-2511 Ext. 331), and we will be glad to assist you in any way possible. Signed: . . . . . . . . . . . . . . . . . . . . . . . . . Public Health Sanitarian cc: Board of Health in Barnstable Mayflower Well Drillers, Inc. No.....Z.-�.._......`� Fitz.............................. THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH TOWN OF BARNSTABLE VP Mitt aI fur Di ipwial Wi ur1w Tnntrnrtinn Ifermit Application is hereby made for a Permit to Construct ( ) or Repair CG) an Individual Sewage Disposal System at: ..........�►... e- .......wy ?. ✓yt i� .......--•-------------------------------•----- ---•--•---•--•••------••••--•----•---•-•••-----•---•-----•--------............---..........--•- / :\ddrrss No. . �.•ner - VAddre�^ rYs ,.��s�Z�vc--ra,.) 76,5 G1� �FG�J 1�'�,� ,.a ..................................................... •... -•-•• -• Installer Address PQ d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..................."�.._..--.-------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons........................---. Showers ( ) — Cafeteria ( ) W Design Flow.Other fixtures._._......gallons per person per day. Total daily flow---------------c7 �...............gallons. W' Septic Tank—Liquid capacity...ZOAkallons Length---------------- Width..--.-.-.------. Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length....---.....�....:. Total leaching area.............:......sq. ft. Seepage Pit No.-,-------./------ Diameter......../P-----. Depth below inlet.....4........... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.........................................................................- Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.----------.-------- Depth to ground water......--.............--. rzq Test Pit No. 2................minutes per inch Depth of Test Pit--...---............ Depth to ground water..--.................... P4 --•••-••.............••-•-•-------..-..--------------------•-•-•••......•-------•--------•--------------•--•---- ---••••-• ............... 0 Description of Soil.................................................................... .......-----------------------------------••---•--------------------------------•-•............---• U .........•-••••••--••••...••••••••••••-•-••••--•••---••--------------•--•---•-•--••••••-••.........•--••-•••----••••-•••-------•••---•••-••--•••••-•-••••....•-••-•--.............----......-----------•. W U Nature f Repairs or Alterations—Answer when applicable....�.Db------.---.Io. ---0 ...0 ....P>. ....... �T.....cS/?fN .......... rSii f Z , 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' V d e board of health. S' e ... -- ---- .... �.� -'i. Application Approved B .................... . .. - Application Disapproved for the following reasonf: ........................................................................................................................................ ................................................................................................................................................................................................................ ........................................ Permit No. - ...........................................................�J"�� Issued ..........1. ......tee..... Dare No...... .. ._. � Z _ � FIcs.....`...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE /�App tratiott for Diripoonl Wi ork,i Tonotrurtion Errant Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: ..............;...�-�C:�----......�...�.`?..------........---................... ...... .... Location-Address or . .... 7 ` .....•--= `.. C /.---�� �G---- `�'---t .-'---6_--- �'-�l'•?�...------ Owner Address �l J G•tJ�-�C _G�c.�J p'^{�, ✓Yl/iL4f Installer r U Type of Building Size Lot............................Sq. feet I—. Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) j a' Other fixtures ........._-•--• -•-------•----- W Design Flow.....................r�� ...........gallons per person per day. Total daily flow..__-_-.._..._....7 ................gallons. 0: Septic Tank—Liquid capacity___-AA6aallons Length................ Width---------------- Diameter................ Depth.............. W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x 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........................................ a Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ LZ, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P4 •---•-------------------------••-•••--•-•••-••-•-----••-•-••---••-•------------.........-•----...............-----••--.......---•...............---.......... ODescription of Soil...................................................................................... ---•--------------••---•-----------------•--••----•--------........--.••--- 't x UW •---••-•--- ---------------•-•••---------------•••--------._...................---------•---••••-•------•-•••----------•-------...•••---------•----•-----••------------••---------.......---•--..---••- Nature of Repairs or Alterations—Answer when applicable_____�1.h�._____.__-_ZQc_r'�._.... ?_� .....��f_j........_. -��. +iTi C = S -rT� .�... ... ...5- N r. x � ' 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 Peen 'ssuldd by the board of health. Sined .......).../........G...... l.............- Application Approved B Application Disapproved for the following reasons: .......... .........._............. ........... ....................................................................--...... ... ......................... . - - - - ............................ . ..................................... . --- ........--..............-- -- ........ ........................................ Date Permit No. ..............��...2....... ..... Issued 1../ ... �,g./... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTAB LE 'VICrtifirate of Chum littrtcE THIS IS TO CERTIFY, That-the Individual Sewage Disposal System constructed ( ) or Repaired ( �) by ................ ............. -------............ ......... ................................................. � Insr.Jlcr .. .. ..... ........................... ... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. '777- 3 ..r .. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _ 1 Inspector '" .. C . DATE.......................... -_. ---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 d TOWN OF BARNSTABLE No.... ...........6 2— FEE..36.... Ropmal Vorkv (lomitrurtton rrtntt Permission is hereby granted-----------_-- ...�'���-�U LIU�/..---.....C...... .��1/.... to Construct ( ) or Repair (^>4_ a Individual Sewage Disposal System atNo..................................................... � L��� _....4 �------------------1/1/J i / 4: 5...--------•--•--........... Street as shown on the application for Disposal Works Constructcpn�eerm' hTo. 3_� .� Dated.._._...�_d ?8 s�. c --- ......................................../ 2( .... ............... Board of Health DATE._..._.. FORM 36508 HOBBS&WARREN.INC..PUBLISHERS