The URL can be used to link to this page

Home My WebLink About0008 BURNHAM STREET - Health $ Burnharr. Street Marstons Malls A= paz —023 r r =2\ LOT NO. ADDRESS:, � OWNERS NAME:�� 2� e� SEWAGE PERMIT NO. PR W-0 NEW: REPAIR: -� DATE ISSUED:_ DATE INSTALLED. ; ) G INSTALLERS NAME: - w� INSTALLATION OF: ' WATER TABLE: FINAL INSPECTION BY:� DRAWING OF INSTALLATION ON REVERSE SIDE: L m-� L6.. { i f 41 f L'O C T ION SEWAGE PERMIT NO. Ky-393 LLAGE �INSTA LLER'S NAME & ADa "ss � I 0 U 1 D E R OR OWNER o � DATE PERMIT ISSUED DATE COMPLIANCE ISSUED r _ 3(0 ono pit �4 v1j 4 Ap a O� �a O t tom. 780,0o a8 , 407 S F— a6't 67 4_ ------� ° (� z ro /3 z.o / 20 /21 20 r ev Tz: ,44/N AC/yG cci i y 3o/ISl/S ,S�"T13AcPrs II � E, a�; `�ain % !� CERTIFIED PLOT FLAN u•c� Z1L, Sect, 2•Cl �� s: ,. ��,; or ItB0r<�n/Nti/ s7; R0.801T L` ELDRE SCALE g 1)ATE CL�EMT i CERTIFY THAT Fvuwos�7io ( ®19TE_RE D� REGISTERED SHOWN ON THIS PLAN 13 LOCATIED. CIVIL I LAND JOB NO. 7 ON THE GROUND A3 INDICATED AWG + .waa_ dyA__A .4.91, CONFORMS TO THE ZONING,,LAW.q CC �t No. � !. .. ',T,VE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH O.W.n....................OF.......... D�- ' Appliratiun for Biipuual Warkii Tunitrnrttun rumit Application is hereby made for a Permit to Construct (Q or Repair ( ) an Individual Sewage Disposal System at: Lo tion•Address N O Address a �' er-: -......6...... :.j. ............. . ... v !P- ----------------------•..... Installer Address d Type of Building � Size Lot..4�.1_Z®0-----Sq. feet U Dwelling—No. of Bedrooms.._..! ►�. . ...................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ... No. of persons............................ Showers (� YP g ------------------------- P ( ) — Cafeteria ( ) Otherfixtures ................. =---••-------------••----•---...----------..........._...........-----.•----- W Design Flow...........J��.........................gallons per person per day. Total daily flow..........-.37?;10 gal -----•-••------ gallons. Septic Tank—Liquid capacity.t.O.C*..gallons Length.VA�...,... Width.4 Q.._ Diameter................ Depth.5LIa.!.. W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.-__-___I........... Diameter......i0.`._..... Depth below inlet..... Total leaching area.2.4>�R......sq. ft. Z Other Distribution box (%,-*r Dosing tank )Percolation Test Results Performed by.. c !i .... _.f�5;�P'0%............................ Date...4.6,1Q1164....... Test Pit No. 1................minutes per inch Depth of Test Pit.....12.......... Depth to ground water...fl)-D ?..._._.. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.....14........ Depth to ground water...QPKK—__-. R" .................................................. ....... • ...._. �.............. ............ Description of Soil - ... �9 ?._... ..S yb- ®t 1_•- " ls.? 1 ��-� - x U --•--••---•--•-•-----•----------•-••---•----•.............•--------•--•----•------• ---...-----.....--••--------........----------....-----•--•----•----•-••----•-••---....----•---••............. W UNature 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 TITIZj 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en issued by the board of health. ' �...... al : • ---------------------------------- Application A ve ---••--- -----• •................ .................•...-•---.................--_.._......_.._. �� ---- -- -- -------------- Date Applicatiol isapproved t following reasons:---•-•------------------------------------------------------------------------------------------------••---•--- -------•-•-----------------•--....--••- Date PermitNo......................................................... Issued...........-------•----------------•-•••--••-•-•-•-•-•. Date ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . .US. ....................OF.......... � �a. � .... Appliratiun for Mipuual Workii Tonutrnrtiun ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: 1 La$. -..5 J t'.r1.9�.fCh..1.�.� ....... � C?: _.6.�� ............ .......... Lo tion-Address or t No. 0.6-..... :......'�:'.'C"Ear'..............)A5...(Zc& = .....��.5�..... � � ��.......................... .... ...... Owner ress Add � C •---...... .._� to � = n... ��r >. • - . Installer Address U Type of.Building Size Lot-.Z!A Q .=..1 .....Sq. feet .. Dwelling—No. of Bedrooms-----.l.. t.&A`)....................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—Type of Building No. of persons............................ Showers YP g ---------------------------- P ( ) — Cafeteria ( ) Otherfixtures ------------•-• ----•-••-•••••-•-•----•--•-••-•----•--•--•------••••••-•--•--••-••••-•----•----•--•-•--••---•.......................•-........_.._.. W Design Flow...........5_.�...........................gallons per person per day. Total daily flow----------359......................gallons. WSeptic Tank—Liquid capacity.►900.galIons Length.S'..(r...... Width._4-'*.AQ... Diameter................ Depth.S`..'' x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.---....i......----. Diameter......10.......... Depth below inlet.... ? ......... Total leaching area.2..�a a......sq. ft. Z Other Distribution box (v,-r Dosing tank ( ) a Percolation Test Results Performed by..LU:_t.a Q../ .i. c._ %............................ Date... .�.2t4aC`i!�i................ Test Pit No. I................minutes per inch Depth of Test Pit.....1.7........... Depth to ground water....O.Q.ae........ 44 Test Pit No. 2................minutes per inch Depth of Test Pit-----l Z........ Depth to ground water..... ..... a --------------------------------•.......................................................... ......_-•--•.............. Description of Soil........O.: ........L. Iyn...• �+_�J.S a.�, ='" 'A -s . �1_ 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issued by the board of health. 1 t ----------------�:: �� ....................................... . Application A e ..... .. ..... ... .. ff at .. ............................................................. ............. Date Applicatiot sapproved `t f ollowing reasons----------------•---------------•-----•------•----------•----•-•-----------------•---......-------....-•--••---- ........•-------------.................................•...---.............•.......•.......•......D ate PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH [Q w.n......................OF....... i.:�!)r ems` c 1. '............................... Trrtif iratr of Tomplittnrr �H-gIS IS O �ERTIFY, Tha�the Individual Sewage Disposal System constructed (� or Repaired ( ) by a G = .. : !r..--- - . . ------------------------------- --------------- ---------------------- •----•---------.------------.-------- ••------•---•--- Installer . .„ n (� at.....�:�...--------- ------"a ` 0 has been installed in accordance with the provisions of T 'ELF 5 o The State Sanitary Code as described in the application for Disposal Works Construction Permit No..X..y--. �.............. dated---5-. .1.Q. Sq----.--.-.---------. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU AS A GUARANTEE THAT THE SYSTEM WILL FUN TION SATISFACTORY. DATE......., ,ld -----.. 11 Inspector.. ... ........................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T. y-t ..... .5�,.1. ....................OF........ f='s!� .!'�.. C J.1. N .f .. "'`.. ................. FEE ................--•-•- �iu�outtl Tur{ ku �onu�rilan rrmi� Permission is hereby granted-••-- ��@C'T: ,.......Qq.r`...... n4--.......................................................... to Construct () or Repair ( ) a Individual ewage Disposal System at No...."i.--. __--...4..... r -' '?:_... c '- ...... ---SVIdi.....--M Street / _ as shown on the application for Disposal Works Construction Permit .......:........... Dated...5_�.t�1.a.'�.............. ,e. .......... ----------•-------•---•-•-•--••-••---••---•------.....•-------------•-•-•--••---.•-•-- Board of Health DATE..........................................6 ................................. FORM 1255 A. M. SULKIN, INC., BOSTON n , 67 6Ll ft 2 0 �� .� "�, � , ` j ►cis� - r (^ �/p6�( l p i-j- -J/v 'qe i k,. See Tick, ` [lx 12' \ ALs RSE cn y .I 113, '`O / \ \ p No.10951�O APo FG 1 STEP v��` z" ONA\-�`' �. Q e L� L.y T �VAcP•7� ti�b� ti LEGEND EXISTING SPOT ELEVATION 0„0 titw u �2;.\ CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 ---- ��ae ROBERT .<c� l �r-A sT. � FINISHED- SPOT ELEVATION 7 FINISHED CONTOUR 0 �, ; BRUCE � M � i� S7-y/}/�� /'v7f �- tu ELDRED APPROVED BOARD OF HEALTH ` pia IN S A S kJ SIAS L ,# ASS. DATE AGENT ' SCALE� / ' � DATES S .'�.'' `Q L®RE08E ENGINEERING CQ ! °N CLIENT : I I CERTIFY THAT THE PRO'POSC�O' EOISTERE 'REGISTERED JOB NO. `�b.37 BUILDING SHOWN ON THIS PLAN CIVIL LAND DR. CONFORMS TO THE ZONING LAWS. ENGINEER URVEYOR OF, BARNSTABLE , MASS. 712 MAIN STREET CH BY: r� ' H YA N N I S, MASS. , SHEET-�L OF 4ATE REG.. LAND SURVEYOR 11 20 A M//V. NOTE /F E/TN&R THESEPT/C TA.Vlk OR LEAGf/IivG PIT AR!• MORE 7-14,q/V- /2"®EL0H/ /O Pt MIN: GRAOEa.A 24'O/AMJF7-ER CON CRETLS COi-*.L•'.P SNALL ®En BROu4rNT TO 6RAD.f.6-4N EXTRA CONCRL'T� 40 PVC P/PZ 1—FAVy CA ST /.PO/V CO{/_,WR .Sfl.4 L L DE USED L`G-. /07,0 M/N. P/TCN / GOYER.S PEP /F N DR/VEyVA y _ 2%MiN. CONCRLrTE 46 CO rER CL EAly .SANG I .. ®AC.e,0 ILL A 4~C.457 J 2'LAYER IRON P/PE lOO O GAL. 'o • MIN.P/MN' t • 4 %4 PC'R/T: SEPTIC TANK D/ST a y s t • , . . • • • • , , WASHED S7t7NE BOX v • • • • t .•• •• a.••y• t • • •EFfECTr✓C • • i y 314 • ' r • • OL`PTtI • • t • WASi/ED STONE o r • • • • s•• t �•o , ► sr • • • •. • • • • • • p �•y, PRECAST SEE..�DWGE r (Nf�ZRT &Lgi/�QT/GWS . P!T Pfrc� P Y �f90G.4L�DAy a y . t • • • • • • r e o O!T DR MV/V. i • a �L 9.3.0 McXeAT AT OL!/LOING /o Z, FT INLET SEPTIC T.4AIK.., -1 0.f;0 FT /Z FT. OIAIM. C(SEE 77-WULA7)O-V,) OUTLET SEPT/C TANX !o OR FT INLET D/STR/B!?/OIIf-BOX' /-�°a F7!' OROuNo TER T�IL.E �00,3 .SECT/0/v OF OUTLETD137)?fA nON 6QX FT.` /�icEr LFwc�i,vG PST �,� Fr SE�f/AGE OLS'PCoTA L SYST�/rf TAAWLAT/DN LEACH//1/f P!T DRS/SN CRITERIA r 01,V FNSION A s ITT: < 01NAW5/0N NUM®ER Of®EVRoOiyS` 3` D/ME!/VS/ON' G g. r-r. G�ROwGED/SPOSAL UNIT Nn.✓� . ,. ,; . SO/LyG.OG T TOTAL EST/NL17rED —L.OAV 330 47.4L./,P.4v DSO/L. TEST#/ . SO/4 TEST,02� `S i1/UMBER C#F 40AC1r/wZ PITS AwLEY, .DA.TE OF SOIL TEST' S/QE 4EACH/N6 PER.P/T _ RESULTS WITNESSED Or `OM 90T7 1.S4CN/NG P2R P17-113 Q. FT. _� LOB �- r F'ERCOlA-r10W Ra4TE Af L-E AIjAgllNCH TOTAL LEACH//YG AREA ESQ. FT. PERCO4AT/O/VRATE MIN.1hVCV QESERVELEAC'NING AREA I SQ. FT. - _ . a� # � Af c-0, Sv/� 7�sT P - 319 7 o F M4.ss' 40 j L� u T�NHA-,,,I �p ROBERT j i3RUCE . AL rn ELDREDG "' o M RSE co F ,p No.10951�0 El-ORED6Ls E/V&1AWwR/Arp CQa/NC. E P k. L 712 !N . F_ o F E MA 9 . . . : yANN/9 MASS_ . S fl D R� O d .S T.a F t tK c ou T o �' E S rc � NO Ol/ LY T R ENC /V ERE T 4�G N .i,4 s R a v s 8� r �_ s• :JAB`/VO: _8 a 3'? SHEET'. 0,or i f FRic THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratinn for Di ipwi it HInr1w Tomitriirtiinn Permit Application is hereby made for a Permit to Construct ( ) or Repair (t) an Individual Sewage Disposal S stem,at. q ---- Loc: 'o[ - \ or Lot No. � ... - 1 • ........... ----._... ............ .. l........................ _--------- 0a.M.O- .�! Installer Nddress UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms-------------------------_------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type 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 ( ) Percolation Test Results Performed by.......................................................................... Date------------------------------------.... aTest Pit No. 1................Ininutes per inch Depth of Test Pit_____.____•__-_.____ Depth to ground water........................ �T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P+ --------------------------------•--•--------------------------•----......-------•-------------__----......................................................... 0 Description of Soil...........................................................................•-----------------------------------•----•---•---------------•-----•-----•---.......•----•--- x c, w ----•-----••---------------------------------------------------------•--._._._.........-•-••-------•-----•-----. VNature of Repairs or Alterations—Answer when applicable_______________1 l:`— _.___.__....._ _. .__*f ..............._..��_._. ------•........--•------•.•---------------------------•----•.•-----•----••------------------------------••-••---------------....-------•------------•-------•-----------•----•-----•-•-••-••-•-••-_••-•- Agreement: The undersigned agrees to install;the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir ntal,Code—The undersigned further agrees not to place the system in operation until a Certificate of Co fiance as been sue the board of health. Sign '_ � ................. Dale Application Approved By .r.. . ....... ..... ... ..... P---------- Application Disapproved for the following reaso . ...................... ......... J Dale Permit . 7a[Issued ............No. / iS.�.+.kf,{.k'i..�.�:v-.....-�Z�;,,. -«..•...�.-..-�.�-...�"� KwR�-`�"�'t�.:-w:i..S.•�'rb�*/..-��-. -•,.�„.,,,,s._...:..i�,..�,........y.,..�..i..•...r�--••..�:•......, „+t.•,w.yuiv*".''-".'-..�.,,,...:w,-,�.�r.�.� FEs...�. /................. T r THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH TOWN OF BARNSTABLE Applirativit for Di►i'vniiul Workg Tvastrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (�n Individual Sewage Disposal System at L s!` .................. Lorc mt -:\d •s Owner dr Installer Address UType of Building Size Lot............................Sq. feet .. Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons-----..._..-_____-_-_------- Showers ( ) — Cafeteria ( ) dOther 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........................................ 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........................ ;4 ------------------------------------------•------•---.......-----------•------------......-•--•-•---......................................................... 0 Description of Soil........................................................................................................................................................................ x --------------------------'--------•----------------------------------------------------------•-......--•------ ••. ';� -------------- --- U Nature of Repairs or Alterations—Answer when applicable. An ..............�. .�..�... ........ _._1 .. ...... ...•--•-•-•---••••-•--•-----••.......•-•••----•-•---•--••-•--••-•-•-.....----•--••.............•-••--•••••---•-•----------------•---•-•--••••-•••-----•••....-----•-•-•--...........••....._---••-...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir ntal Code—The undersigned further agrees not to place the system in operation until a Certificate of Co liance has been usue the board of health. nr / Sign d .... ...... ... S `7 , o ... .................. ................. Dace Application Approved By ..�.. ..f�.'.j/.'.��.'.J�.''. .... .... ..G.------.... ............�1. 1y( ✓ 4 v Dace Application Disapproved for the following reaso ..................... ............................ ..... ....../.y................... ... ............. ........ ... .......... .........................'--....................�.........r...................e...../......J..............----- --------- ------......----------------....-----........ ....!(..�—. '...... -----:.........Dare.................. --F 77 Permit No. ............ ........1---`T.. Issued ............0 `. l d��..... ...r......................... ------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate of �'J((..��antylianre IS IS T ' CE IF That the Individual S wage Disposal System constructed ( ) or Repaired ( �) _........- ..... at ... .. ..........�6�4�NfY1....._.... --'------------------------------ _....l..L . has been installed in accordance with the provisions of TITLE 5 The State E vironmental Code as described in the application for Disposal Works Construction Permit No. ........... ....... . dated ............................................. . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE ONSTRUEIS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _..... . DATE ................_......_............... ..�......'. 1.........._ Inspector ..... .......... --<.v...__........._...._-....--------. --------------------------------�-----�------------ '---------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE........................ �t��t �x�� tll�trttrtUQit - rrmtt Permission is hereby granted..-• .......................... to Construct ) o air (Xen Indivirlu se-n,age Dis Sy at No..:�-� -1� --- -,C_, . ................ ----••--'...........--- ¢.. Street as shown on the applicatio for Disposal Works Constructio Permit No._��.-��-1_ _� ated_._. _.!..1._..h?.. ............ -.v Q Board of 1IIcalt6 DATE-----•--••------•-•-•....... --------------------------•---- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS