Loading...
HomeMy WebLinkAbout0146 CHINE WAY - Health I�Ce C4-tRnQ Ucu i77 i '�v L0 CAT 10Nl,:2T �9` d� G EWAGE PEIt MIT� NO. VILLAGE t//,�srrirS IN"TA LLER'S NAME i ADDRESS B UI� DER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED _�7_�� Ir 30 — s a � o � m 40 N • �I 00 THE COMMONWEALTH OF MASSACHUSETTS 11 BOARD OF HEALTH Q..W.N..................OF.........8./.,P-MAIAJ .LL..._...--•--.........._.................... Appliratiun for Disposal Works Tonstrnr#iun Prrmit Application is hereby made for a Permit to Construct (`I) or Repair ( ) an Individual Sewage Disposal System at: _ CW C i Co )-*t . Location-Addre or Lot No. �=l.. .Vie,/, ,"� - ��1.��!!�-sue �r��.��Gc��"................ • .................... ........ caner Address„ / 1✓L'........�. c r�l�s[� Installer Address Type of Building //�� Size Lot... ......Sq. feet U Dwelling No. of Bedrooms......`.`................................Expansion Attic ( ) Garbage Grinder (Yr)S `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ...................•--••------• . . Design Flow..J---..`•'�..................................gallons per person per day. Total daily flow.......4r 4.0........._ gallons. l lons. WSeptic Tank—Liquid'capacity`S� -gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....2............ Diameter.....8.......... Depth below inlet.............. Total leaching area.........._ Z Other Distribution box ( ) Dosing tank �sq. ft. aPercolation Test Results Performed by....................... e.............•----------...------------•----•------ Date........................................ ,.a Test Pit No. 1�.Z......minutes per inch Depth of Test Pit.....1_y4_........ Depth to ground water...ek��G_'.__. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............... -----__-. O Description of Soil-- I�&mAy. v ............................... ------------------- x 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 iITLL 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 oard of health. Signed ,/ ` ----_----•------------------ Z /zho....-- Application Approved B ___.. Date te : Date Application Disapproved for the following reasons:................................................................................. ......•.. -----------._ .....................................•--......_....------------------------------....-----.....-----•---------•••---------•------........_..•---•••••-•--------•-•--•---•-•----------••--------•••--•--- ate Permit No......................................................... Issued--.......a ate ............. NO,62.".�.. ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -To.w.4..................OF........BAPL 5. k-131t........................................... Appliration for Disposal Works Tontrnrtion Prrmit Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System at: ................_.................... ...... . ................_... M+j..!L�.j.._......... .......... - ----.._.......... ......--... ... ...- Location-Address or Lot No. .................•....__........................................................................ ..................................................... Owner Address W Installer Address d Type of Building Size Lot.. 4 A.:>:V......Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder W)s Other—T e 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. 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........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P+ •---••••-•••-••••-----...---•-••-•••-••••-•••••••...•••••...--•--••...................••••-•-•--..••......................................................... 0 Description of Soil..'..................................................................................................................................................................... x 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 T I TLE 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. - Signed.................................e-_----._----•-----------•-••-------- --- ---•--------------------.- .... Date Application Approved By.... 0 ............... Date Application Disapproved for the.following reasons:............. .....................•--------------------------•........................•.-. ------------ ---....-•-•-•----•--•.........................•-•.....-•--•-..•....•••......---••----........------•-•-•--•-----•----•-••-•.---•-•--•-••••••••-•••---------•••-••••--•---------•••......--••-•----•-••- Date PermitNo.......................................................-- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , . ...........o F...... '�At.1u. "............................. Tnr#ifirtt#.t of TomptiFanrr THIS IS TO CERTIFY, That the Individual Sewage 'Disposal System constructed ( ) or Repaired ( ) by..........7R4.4e.f...........4.4f, ' '_1 ------------------------•--------------------------------------••---------•-----------..........--•-------.........------•-----------. Installer at......k l .......t�..............Qj?S2.0A------ / c .. J-70. ----- --�-._....W--a-cf-_-------------_------------ has been installed in accordance with the provisions of TITLZ 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit Nosh --a_ A........... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. `3`� •'•` J AZ'64 ---------•-----....... Inspector--. it!1 l THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i/'�...k.u.a!1,f..................OF......... t.t. � � ...-•-................. FEE.... .A........ Disposal Marks Tons#rudion rrntit PermissioPIS) ' hereby granted--•-. .e! P 4----------• 4"� ---•--•----....•..•-----.`------------------ to Construct or Repair ( ) an Individual Sewage Disposal System Street as shown on the application for Disposal Works Constructi rmit No..................... Dated---4..................................... ---------------------------------- }/ Board of r lth DATE..........��---••/........................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS `� "' �D S t ►.i_ C7ATA c--� ram, 48Eo r - c7A �..� �t.crw 4 t tca g- T 501.. 5E�'TtG TA�.teC •4�C>X2.D0 ` ,'c `Bf�CA GAt, Ex R rlT Lot f* ur, = 1500CnA, TANk. - e(r ' 1> O Ca A. tt� .o " i S PoSAt.. P t•t V I E Z i t t� L {� ` f _ `t54 OoTToAA AA e-rAs l(4Z?l') r- If ..S, X 1 I „ G , 'IS l It a . / 1 4►'t tti TOTAv V%s%Gv44 8,54, Ca�►L.� t � CO Paot�T toN P.ii'TL t I N 2 mw oe t.R65-�` ,;- +.-�.i.;.-;, -- - 20 I N; 1 119 TE �34, e,7,5 S F 0.5 Uri c1 WAY FG r ro Top F+r_� -5 i .o, 4'��E �oA►-t ��� ,���iPE 1"Sao tw •s tv�t• 4G,D ���O�i Iuv 6tA.L. Soo$OIL- VKT. ` St:Y(tG Z I►M Bost. twv TWJ64 (taoo 45•b twv. �•� .., bet.. 45•� � s�+apY ;V LFAGca GRAVE) 01T tuaE,t.l�u ' Gtby� 39.Oo 4:;IfZo Fri L.F - 1 -OC-A.T1064 MARSTON S M t L..+_-6 -�Z O +.10 S�At.�= ZG�hL6 lin►:GOFr ��Nw.3,19 •, I/ r-5 -79 N O WATEV, Pt_A.I-L IzMpE G-JC-E-- t C¢RTtFY T"AT TNl- PROPOMP FW14PATC451104 W "F-9LS.X> J - GoM PL-`('S W t TH -C"& ;ttw-t_t"e= LOT 19 Awt> S1T8,4CK jZF,Qu1QJE;.Mt"-rj5 OF TWE. 0'/5TF- Q. HILLS W E.,-r I-ova" of UARK pl►T� it 3 ��, , ✓ �,c" �..� e>AY.-rea e, u�� ►�-�c. 7_a&t5Ts mex> t.AtJn ,vevt={oe� T"NS Ptsu 14 UOT IEWED OtJ AU t►.4TCOME"t*r OePTEaXVi, 11 MA 5�S• 5uevekf 4 T"rw 0FF56ET5 1"0VL1> UOT SE U-mo AM-1G AuT To -PeTF-CM'ttE %..OT uwag. � -ERE[ _ CONSTRUGTIC�Pa 9/9/21,9:04 AM ShowAsbuilt(1700X2800) LO CAT ION/er-"9"� EWAGE�] PERMIT NO. VILLAGE IN_,TALLER'S/ NAME i ADDRESS RUDDER OR OWNER �y ^ ✓�/H�s/l� ��c G �i ram" (b._� -�uit_G�'= ✓c�//N-GUiGG i/��5- O wiYE=2 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � m a htt s://its ldb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?m =121145&s =1 1/1 P q P q I s '��S� r '� _ ' F _� .i i ,i1.;. �.:Y{.f+i—,s ..• ,. ,�r . .. Y, .s:,r'. "`^...-r ._.1. - T WN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: 146 China Wav MAP NO. 121 PARCEL NO. 145 OWNER NAME: Rodnav F. Salzberczar _ VI L GE: Marstang M111A INSTALLATION .DATE: 6/11/81 BY: Cannons, in 350 Main S ., West Yarmouth ADDRESS: 350 Main S�reet, West Yarmouth C 'RT. NO. f e 7 ) TANK INFORMATION r LOCATION OF TANK: hear of House - Beside patio & 4 back of Garage CAPACITY 550 gal TY.EE -9mAGE � years FUEL/CHEMICAL Fuel ail TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION ] CHECK IF N/A TYPE/BRAND z I^, ( ter IN YE C ] NO ATE .TO BE REMOVED ZONE OF CONTRIBUTION C ] , FIRE "DEFT. "PERMIT ISSUED. CJ YES C J NO DATE51111$1 CONSERVATION E ] CHECK. IF N/A DATE BOARD OF HEALTH TAG NO3- 3ic ]C ]C ]C: J DATE.. , PLEASE PROVIDE" A SKETCH" SHOWING THE TANK LOCATION ON THE µBACK OF .THIS CARD I CENTERVILLE - OSTERVILLE FIRE DEPARTMENT r PERMIT FOR STORAGE OF FUEL OIL In accordance with provisions of Chapter 148, G.L., and Regulations made under authority thereof. Name .... �hal. �onstri.icti.,on... Name ..Cannons) Inc..., ......... .................. (owner or occupant) (Installer) Address 1.4.6...Chi..ne...W.ay,.,M........ Address O, llain...St.......Vdest...Yar. '", Burner Storage Make Carrier Steel ....................... ................................................ Type of Tank ................. Manufacturer ........................... Capacity .5�� ..... gals. (or) Size............ ON.. undeground ModelNo. or Size .................................. Location .................................................. Type....GUN . Mass. Approval No. 147 .................. Permit issued Chief John M. Farrington .......................................... . .............................................................. (Head of Fire Department ............................................................... By i.. ............................................... (THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES) Osterville P lad h i n e Q 4 V No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPlication for -Misposal 6pstem Construrtion i3er iit Application for a Permit to Construct( ) Repair/Upgrade( ) Abandon( ) ❑Complete System ndividual Components ' Location Address or Lot No. ��/� �p C�_ A Owner's Name,Address,and Tel.No. OD Assessor's Map/Parcel Installer's Name,Address,and Tel.,No. 5Z)% Designer's Name,Ad ess,and Tel.No. �'!v` cv moors =ric po• x / MIA0cX On a Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 15 07 S Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in i accordance with the provisions of Title 5 of the Environmenta a and no place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed - Dated Application Approved by Date s Application Disapproved by V61 Date for the following reasons a Permit No. 90 Date Issued tu -------—_------ �------- -- ---- ---_-____—_====-1a - -- ----- -- - - - - - No. fO h Fee THE COMMONWEALTH OF MASSACHUSETTS Entered m computer: tt'� Yes 1 PUBLIC HEALTH_ "-.DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS . 2pplitatlon for`bi8posal *pstem Construction P-tr tit ! Application for a Permit to Construct( ) Repair.(1) Upgrade( ) Abandon( ) ❑Complete System 21,ediidual Components /7)' Owner's Name,Address,and Tel.No.Location Address or Lot No. IV6 6 V. Assessor's Map/ParcelAl /�'/�� iojt t:> .,,, si`Q tin . 4,1 A ' Installer's Name,Address,and Tel.No. '��`tf v� Designer's Name,Address,and Tel.No. Type of Building: i Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) { Other Fixtures , / .. Design Flow(min.required) IV­IT gpd Design flow provided gpd N Plan Date Number of sheets Revision Date r: j Title f Size of Septic Tank �'- `! f y Type of S.A.S. C—Ni J 14 e Description of Soil t Ili Nature of Repairs or Alterations lterationsE(Answer when applicable) t t/1-,.5rzj�.S A,?-,1.� /4zo ('�d.���� /,r��- ,A t1k'''?: !}X (i7x t' i-t tZ c� !x 9 2�! f nr 4r� s 9► r .�sJ - may/ / r� J j / ✓lam t M.1'"n !.-" .,.F....s"I ,✓• Date last inspected: Agreement: ' The undersigned agrees to ensure the construction and maintenance of the afore:described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environm6 ntal.Codd'not.to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. �. _. Si ned -fir Date + /�`L� /ApplicationApprovedby - .••. r t // /.y F ' " Date Application Disapproved by �/ __,�� '" �� ' t , t Date for the following reasons - Permit No. �` r ~ Date Issued U ----.-_:-- _--.---- -_ -------• --- - -- -- - - - • . i% THE COMMONWEALTH OF MASSACHUSETTS } BARNSTABLE,MASSACHUSETTS 1, Certificate of Compliance THIS.IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired O Upgraded( ) Abandoned( )by a f"'f4641f 1. cjb rk 404011 .ti-7_ an C. at �f R �,; /Yl k. fd," r�/ilt�r has been cons ructedd in accoo�ndce - P ikj /1 with the provisions of//Title 5 and the for Disposal System Construction Permit No. �` dated l0 Installer �: �a�t . O ram!Y-.tt rhy n( Designer N l r r !` 1?--)n X. br) L-t- /! Y #bedrooms tV Approved design flow /1/ gpd The issuance of this permit shall not be construed as a guarantee that the system w11-func o as designed. r Date /l) � ` Inspect6r Z-i 1 -_ -- --(�- - - - ----- - -- - - --- -- - - No. IJIT f " j Fee [ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS ` Bisposal 6pstrut Construction 3pPrmit I ` Permission is reby granted to Construct( ) Repair �y /Upgrade(/r) Abandon( ) f System locateVat IW,� l ri1,( /rt Q L/ 1 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be comp eted within three years of the date of,this permit.. Date Approved by r` ., L0CAT10NAT'�`/` �� � S EWAGE PERMIT NO. VILLAGE I"TA LLER'S NAME ADDRESS e I DER -OR OWNER DATE PERMIT ISSUED 3i3�8/ DATE COMPLIANCE ISSUED - �l - i� . _ __ . _say r o e .• _.. �, • ..�_• _ I Vie, r S {