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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