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HomeMy WebLinkAbout0019 PEONY LANE - Health 19 Peony,Lane �Marstons Mills A= 043 — 007 —'011 J i G l I 1 / TOWN OF BARNSTABLE LO ATION LOi /� �� - SEWAGE VILLAGB.WAK 4LEI ASSESSOR'S;.,"AAP & LOT°J7 3r� INSTALLER'S NAME & PHONE NO. K0 ..` 7-7- 5 /DSEPTIC TANK CAPACITY I�"LEACHING FACILITY:(type) /J (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER S-Tlq )e S DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t C fly l ,� r - — UUrf G/l No.._ .:. ?. i Fxs...... �. . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH T con....................OF......&,MSJubJr.................................. ..............._... C Appliration for DaspngFal Works Tomitrnrttun r.e mit Application is hereby made for a Permit to Construct (,K) or Repair ( ) an Individual Sewage Disposal System at: .............................................................. ZZ........................................................................... Location-Address or Lot No. .......................1dsA i...}C--S0104.1------•------------------•-------•- Owner Address a ...........................•� - r ' .... ... l/s Installer Address Type of Building Size Lot..... feet ,-, Dwelling-No. of Bedrooms.......,C�It' ....................Expansion Attic (/ j) Garbage Grinder (�) 04 Other`=Type of Building ------------------------- - No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ____________________________ W Design Flow...................................a`'.-5..gallons per person per day. Total daily flow........................33.Q.......gallons. W Septic Tank—Liquid capacity.Q4o.gallons Length.1&--G-.... Width._4--ld, Diameter..—' iameter............ ... Depth. "R..... x Disposal Trench—..No.' ...........•...... Width.................... Total Length___......_._. Total leaching area..__....•.........._sq. ft. Seepage Pit No:__u -------- Diameter.....LC>........ Depth below inlet..._&............ Total leaching area..o2. ,7_....sq. ft. Z Other Distribution box (X) Dosing tank ( ) aPercolation Test Results Performed by,_S._� Asa a i............................................ Date... ZC� Test Pit No. 1....RZ--------minutes per inch Depth of Test Pit------/S-...... Depth to groun water..__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water. W a ---•-•........... ..•••---.._..---•-•-•-------•••----•----••-•......------------•---------•--•------.....---•----------._....-•--- r T . 0 Description of Soil...._ - sEPH EN •-- ALL"— � W ................................... 1r�-i-- Ct QLSArYI c`�GGYtC�_.:.....-•-•-----...-•---••-•-------•---------------•----•-•---------------------•--- ---.-W16S©W x -•---------•-------•--•-----••--------••-•------------•-•........................•--••.....--••-----....----------•----•-••----.....__...----.....----••-•--••......-_..... ._3M6. V Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------- ................................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acco ance with c`..i.i 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 of health. Signed ...... .... .. .... �'".Z..'�g .........--'.--.. .. - -..-..- -' - ------------- ---_ Dace G� c Application Approved By ........ .... �{ ice— - - Application Disapproved for the following reasons: ...................................................................... ............ ... .. ............ -- - - ---- ---------- ---- -- --- ---------------------------------------------------- --- ---- -- - ------------------------------------------................................ ---------------------------------------- Dare PermitNo. .. -- �°� --------------------- Issued --------------------- . --- ........---....-- -------...... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _. .............. ......OF......x €:f.r1N .rs.ft<.c�.............._.__....__..., AVVIirttfiun for Biuputtl Works Tunsfrnrfiun ".truth Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ....��:�` v_}/..�sa,.tc .. ..*.........�f............_...... ..G_......./ ............. -•-••------------------------•--••--••-•-• - - -- ............... .. gLqeo�cation-Address or Lot No. .........................i:.ttc ..FS....av:`'S?;1 +�..................................... .. R -C:G._'!'!',.d'_._ e-Ltz_<............................................................ Owner Address a �'�' ? .�` ..... ��!: ' %s � .... � .1� ..................................................... S Installer Address dType of Buildings .� Size Lot.......�j.k.'LSq. feet Dwelling—No. Vf Bedrooms.......2_d7>_:_ s....................Expansion Attic (✓lj) Garbage Grinder (Ia) Other—T e of Building No. of persons....................r....... Showers ( ) — Cafeteria ( ) G4 YP g G I Other fixtures .............................................. W Design Flow...................................:�.nz:,gallons per person per day. Total daily flow.._.,._.....-........... .Z O..."..gallons. WSeptic Tank—Liquid capacity.10 gallons Length- •.11_�.... Width.:-1t.:.1.0.. Diameter... ... Depth.�?_k..... x Disposal Trench—No. .................... Width.................... Total Length................... Total leaching area....................sq. ft. Seepage Pit -------- Diameter.....4C?......... Depth below inlet.....G............ Total leaching area..s:2.5..7...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by.. .a._,_ ............................................ Date....�.�r f K.. as Test Pit No. 1------�,....._._minutes per inch Depth of Test Pit......1-?� ..... Depth to ground water----- - K. �r_.. Test Pit No. 2,................minutes per inch Depth of Test Pit.................... Depth to ground water a+ ---------------',.......-- --•---......._...i............................----•-...................7...._...........--------.--- .. "----"-"- 0 Description of Soil......�J_� F',. =p..... v L`::0,(.. STEPHEN y p -----------------•••---......,.--'-----•--.....-----.............................. ......•••-••---•----- .,'- {. - f LYN V '--._._..._.'.----....-"---'-'-"._�. p�..�.axi�x_l�p�s;a�"_lac.ct��?..:..............•---•-----......."'"•-•"'-"•------"-.._.---"-...---"---"--"-"^. ..._tii/fL�tV•.._ W .............'-- ........................................................................................................................................................ •'"- -1\Q � VNature of Repairs or Alterations—Answer when applicable.................................................................. ---------"--------"-""""--------•""-----•----"----"-"-"............."--••-"•-------...--•---......--.---"----"-"--------"----......-"""...-""-.............. -----•----------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ac rdance 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 of health. Signed ......... r� -ti�- � 3e ... ................2- �j-------.-- � Dale Application Approved By .............� •,R . ._,�.�.,.... ............ . ........ .------. ..11-- --1-�e� Application Disapproved for the following reasons• ----------------------------------------------------------------------------------------------------------------------------------- ------------------- ------------------------------------------- - ------------------------------=---------------------- --------------------------------------------------------------- ------ ---------------------------------------- Dare Permit No. -------8�.. .-.. .�aZ ................. Issued .................i................................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----------------------------------------------------------- CAE #tfirtt#1z of C1-om ClZi nce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( t--<Or Repaired ( ) ---- ------------------------------------------------------------------------------------------------------------------------------------ Inscaller 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. ........ .2.,$'......... dated ................................. ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....... ----------------- ---------------------------------------------------------- Inspector ................................................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALTH .,f�No.... ..:14 a) .j FEE......... ........... Uiupug1 VorkiilntAP = ........ ion ruif Permission i h rebygranted.-- .. to Construct ( or Repair ( ) pan Individual Sewage Dispo4al System Street as shown on the ap lication r"Disposal Works Construction r it o._�1�.�'-T-- �-� ated :.... D. ....� _ - •----------...........--•--------.....------------- -------- --•- .--•----...._..---•---•-- Boar o Health DATE........ -..............I............ FORM 1255 H BBS & WARREN. INC., PUBLISHERS I - t, LBX Zq• 28x1�. GM e5 EEPl:.40M I —_ i I ♦;�TLFtE rJ�� � W' a r � 2 r M C H _ x _ Y I�I' %a w.► 28X24 2bx24 ZSxZ-t z8►.Zq •L � - f 1=7 1 ePs 3 Y'� 1 - aX � ZSx11. Zgx24 28 x 24 * 1 •� �� Y 1 i 1 co • s � iu u�LL.. $�D --- 1 M N t • C 1 1 {f S!i✓�C FBI-Miry — 3 earnect>" D/��b�•4� Pir--u-.,�'�i) /too �4L.L jt- ,ems.. �,-� SIDE wd��L Azr,& /70 S'. 17f377 o/!!�,r,eEq. Z5 7Z)744 Des%G✓ - 5zy a.P. D. ;� STEPHEN .t%�� RICHARD w - A. ALLYN � asp WILSON BAXTER No.30216 ° No.24048 �+p �G►Sgg� s,9fC1 ST ER`�� NAL L'L/ L67-/3 7-2/-R,, _ /n/5rz9tLP.G,G. _IG✓G%t/Cg2. ve a/5E� ry rurr�✓ 2 D — sv�35oi� �s�" pisr, lea sty) /coo row /.VV "G,c>L, /�/✓. ;� 8y,8 s li/45J D /,c/y, 4W. 572W--- •." `may Z I y G'E.2T/F/EO f�GoT PG:4�t/_ . - -�' �'�'• ,I~- - . Loc,QTros� M��r�i,�s /�'/i��-5 • . .. pLdif/ .2.E'FE.2Eit/C� o cvAr�2• P,�®� s� / GE.er�iC'Y T//iQ7-T•z/E' IAle Far1�✓a tr /Syaw.v � / �7//�3 ��. �-��'; �E��QN �'pyPG,Y,s 1•�/,T�THE',�l��'�,!/tjE • AiS/I>,f�y"!�/1GY_ .e�'QV/�E/v1�NrS d.o Th/ .eEGiSr�PD,t�.vo .sU,eriEyoPs Tox%v aF/3'L�iP�/�$[•E �tyl� /S NOT G�S�.GYfGGc o- �yf-�.�. G ocdr,E.o Gtf/rs�i.V 7',�✓.E .C1 aooaL4/if/, l l-2_ °v� , J4.�.G�c.G.t��-' �1,4i��-S ,�•i, �/�'//y`�f a � 4k, U.SEp To�.S?. G/•siS/ Low-- /NF-S; THETOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M ^�L DATA .� F BAON TABLE, MASSAChubt �Y43_.fl 7.011 august. 17 0 19 90 PERMIT NO. N 3 920 . DATE #UU5190 Barnstable (CONTR'S LICENSEI t yneII y ' a1 ih ADDRESS (N0.) (STREET) � ], t NUMBER OF * 111C( (_�) STORY Single Farnjly Dwellin DWELLING UNITS PERMIT TO Bll]L1C� DWE' (PROPOSED USE) (TYPE OF IMPROVEMENT NO.. ZONING pl�' F Jot #12� 19 Peony 1,ane, Marstons Mills DISTRICT AT (LOCATION) (NO.) (STREET) AND (CROSS STREET) - BETWEEN (CROSS STREET) LOT LOT BLOCK SIZE SUBDIVISION FT. IN HEIGHT AND SHALL CONFORM BUILDING IS TO BE FT. WIDE BY FT. LONG BY IN CONSTRUCTION USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) TO TYPE Sewage #89-628 REMARKS: BOIlCl 70,000.00 FEEMIT $ 65.50 AREA OR 816 sq. ft. - ESTIMATED COST VOLUME (CUBIC/SQUARE FEET) , N OWNER Mazel Realty Trust BUILDING DEPT. ADDRESS _ Barnsta a BY + THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY' OR SIDEWALK OR ANY PART'THEREOF, EITHER TEMPORARILY OR PROVEDNG CODE, MUST BE AP- EBY THEEJURISD CTION?STOREET ORCALLEYEGRAD SOASSWELL ACI#ICS DEPTH-ANDLLY ON OF UNDER TPUBLLIHE /C SEIWER MAY BE.OBTAIN D FROM THE DEPARTMENT OF. PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS PERMITS PAREC REQUIREDARFOR INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND ALL CONSTRUCTION WORK: t. FOUNDATIONS OR.FOO71NG5. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. G STRUCTURAL QUIRED,S 2. PRIOR TO COVERINUCH BUILDING SHALL NOT BE OCCUPIED UNTIL D MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 JQOJQdf �� 1 z 2 /Ntr# �:u 6 72 - /,'l Z, 3 HEATING INSPECTION APPROVALS ENGINEERING DEPENT lio u em h e.Y g© B OF HEALTH OTHER SITE PLAN REVIEW APPROVAL f WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE AR AN NOTIFICATION, BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE.