HomeMy WebLinkAbout0102 LOVELL'S LANE - Health 102 Lovells Lane
Marstons Mills
A=078 - 083
s
G
TOWN OF B/ARNSTABLE
LOCATION��o� ��Ga � /� C-�/s/ SEWAGE # 9S
VILLAG �
ASSESSOR'S MAP & LOT�7
INSTALLER'S NAME & PHONE NO)2 c it
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type),pore e f S"i (size)t(XV tr.1�`
�f
NO. OF BEDROOMS -� PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER (� �� L �'
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: 7 5;1`J��
VARIANCE GRANTED: Yes No �^-�
r
FEa.....30........................
THE COMMONWEALTH OF MASSACHU SETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliration for Di-tipngttl Narks Towitrttrtinn Urrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
........................].Q2...LO.YELLS._..L.A.NL---MARS.T QNS---MILLS........................................................................................
AVELINO LOPIEgt'on-Addr`55 SAME or Lot No.
......................_.......................................................................... •--•••-••---•--•----------•-••-••----•-•-•-----•-...............................................
Owner Address
ARCH ...= ........BYANN-1-S............ ..................................................................................................
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms............3------------------------- ----Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
d
C ther fixtures ------------------------------------------------------ I
W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank—Liquid capacity-1.000gallons Length---------------- Width---------------- Diameter-----.---------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No-------1............ Diameter......6------------ Depth below inlet--------6.......... Total leaching area..................sq. ft.
z Other Distribution box ( ) ' Dosing tank ( )
t_4 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....--..................
1:4 .................................................•--------•-•--•--•-•---•--•-•--------•-•-......----.........................................................
0 Description of Soil........................................................................................................................................................................
w
--•-•• ----------------------------------•-•-----..........--------•---•--......-----------------------------------------------------•-----------•--•--•---------------------------•••••...............
U Nature of Repairs or Alterations—Answer when applicable..--UPGRADE--_TO---
TITLE V
_________1000st_,_.__DBOX, 10001p with_-2 feet_- stone
-. . • . --------••-----------•---•-•••------------•------•----------••--........-•••--•.
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 been issued by the board o - ea h.
Sign lam' ...-:...... 3/.16/95
...... ... .........'............... Dace
Application.Approved B
Application Disapproved for the following reafonf: ------------------------
.............................------------...........................---....----------------------------------------------------..----......-------------------.............................--------- ........................................
Dve
Permit No. -- - --------y./ 7-'--/ J
......................... Issued ....
Date
.ice r�
30
NO.. ?..---.Vf..3 Finc..............................
THE COMMONWEALTH OF MASSACHUSETTS _
a. -
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Diti-pt13Fal Work,6 Tv'mitrur#ion Frrutit;1.1 '
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
.......................-LO2...LOMELLS•.L.AXE__M..U_S.T OIvS._M ILLS-----------------------------------•--•------------------------------------------------
AVELINO LOP'ZV`0"-Address SAME or Lot No.
.................................................................................................. ...........=.....................................................................................
Owner Address
a ARCH-•.CONSTA CQ HYANNIS _
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms------------3___ Expansion Attic ( ) Garbage Grinder ( )
a -•-------------------
Other=Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ------------------------- ------------------------------------•--•...----•-----•-------............................. ...................................
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity-1.0-00galIons Length................ Width---------------- Diameter---------------- Depth................
x Disposal Trench—No- -------------------- Width-------------------- Total Length.------------------- Total leaching area....................sq. ft.
Seepage Pit No-------1._..._..__.. Diameter------5------------ Depth below inlet-------- .......... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date.........................................
Test Pit No. L.r:.j...._.....minutes per inch Depth of Test Pit._._--_--__-_-.--- Depth to ground water------------------------
i 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
a --------------------------- ---•--------•---------••-----•-••-•--•••-••-••-•-•-•---•---.......---•--.........................................................
0 Description of Soil...................................................----•-••--•----•--------.........---.---••--•-•---••-------•.......................................................
U . ...••-••••••••••-•••-•-•-•-•----•---•-•---•••--••••.._...•••...-•-•------•-••-•••......-•••-•-------• ---•-•-•-••--•----•-•••--••-----•-•--••...-•••----------•-•-----•--•--•----•----------------------
UW --- --------------------------------------------------•--•-------------------------------------------------------------------------•-------------------•-••--------------------------------------.------
Nature of Repairs or Alterations—Answer when applicable_-UPGRADE TO TITLE V
__...1000.s_t.,__.DBOX,_.._10001p_ with.... ._.feet stone
Agreement: �-- y
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 been issued by the board o 13ealth.
�� /� ----------3-/16/9 5
Signed ......��---------- 1 !.... ..--..........�-------------
Dace
Application Approved By ..........) ----:�D ... - Jr—
Dare
Application Disapproved for the following reasons- --------------------------------------------------------------------------..........._.........------------------------------
--------------------------------------------------------------------------------------- -------- -------------------------------------------------------------------------------------------------- ----------------------------------------
q / Dare
Permit No ......1-:��.- -d... ......................._ Issued ..-.J.. .... I------------------------
Dne
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
( genii a e of C110mytiance
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( X ) or Repaired ( )
ARCH CbNST. CR
by -------------_---------- _----------------------------------------_---------_------------------------------------------------------------------------------------------------------------
Insciner
102 LOVELLS LANE MARSTONS MILLS
at -------- - -------------------------------------------------------------------------------------------------- -----...-------------------------------------------------------..----------_--.-----------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the a lication for Disposal Works Construction 'ermit No. ..-q.. ` - —
PP P ' f 5 ......_'{t3 dated - ..1 ':-_....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE....... z, -----------....._.-.....-- Inspector - ---------------------------------------------------------
-- /
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
. ..'. ....
�t��usttlRu���,�u �ra�a~tinn �rruti�
Permissionis hereby granted--------------------------------------------------•-•--••-•-••----------•--•-••-••---•••••---...-----•••-••-•••--••-••••-•••-•.....----......
to Construct ( ) or Repair (X ) an Individual Sewage Disposal System
102 LOVELLS LANE MARSTONS-.-MILL.�S_.-------------------•-----_-..-.•---..•--.-----AVELINO LOPES
at No. --.....-•-•----••--------•. . . • ...............•-......_......
Street ()t Q
as shown on the application for Disposal Works Construction Permit No._/5.._
- Dated.._. _.._�.7'.1... ...........
................... •-- ---- ------B o
- ------------ ---------------------------•-----------------
DATE. 7 .............................. Bard of Healt h
FORM 36508 HOBBS!!c WARREN,INC..PUBLISHERS