HomeMy WebLinkAbout0445 RACE LANE - Health qq �
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TOWN OF BARNSTABLE
LOCATION SEWAGE # 9i✓�T 7
VILLAGE Il�'�'� D/1,5 i���S ASSESSOR'S MAP & LOT/Zv/-07/
INSTALLER'S NAME & PHONE NO.Ag®r l'O&h"i
SEPTIC TANK CAPACITY /GOO
LEACHING FACILITY:(type) /' ��) (size) 0
NO. OF BEDROOMS PRIVATE WELL OR BLIC �ATER
BUILDER OR WNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Biti-Vuuttl Murk,i Tomitrnrtiun Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair (P< an Individual Sewage Disposal
System at:
........`� ------cam'- ------ ^1 '"�s
-----------------------------------------------------------------
C3 Il-:,ddfe5
......................_.................. ------............------...... -------- -----...........t.........-••---.................----------•---
W �y7O�w Owner Address
,.a ................•-••---............--'-�...------. . ...S.' 7 � 1 9 / ss�t,
Installer Address
UType of Building Size Lot............................Sq. feet
., Dwelling—No. of Bedrooms______________��------------------------Expansion Attic ( ) Garbage Grinder (--)A)a
aOther—Type of Building ____________________________ No. of persons._._.._-_---____--._____--__ Showers ( ) — Cafeteria ( )
Otherfixtures -------------------------------•---•--------------------------------------------------- ---------------------------------------•-•------•------------
W Design Flow.............. .__....-.-_--_.gallons per person per day. Total daily flow.............._��__-76__.._......._.___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.......l _.__-_- Depth below inlet....... Total leaching area..................sq. ft.
Z Other Distribution box (e/j Dosing tank ( )
a
Percolation Test Results Performed by-------------------------------------------------------------------------- Date..---------------------------...........
,.a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water......................
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Gd ....----•-------------------------------•-----------------------•--•-----•------•----•-•----•-•..........-•--•----•--•--•------•-......-•--............••----
0 Description of Soil--------------------------- -----------------------------------------------•----------------------------------------------------------------------------•------•-.•-•-•-
x
v ----------•---•-•-•---------------•-------•----••--•-----------------------------•--•--------•....----------------•-------.._...--•-------•------------------------•--------------•--•-•-•---•-•--••...
w
x ----•------••------------------------------------------------- ---------------------------------------------------------------------------------------------- --------
V Nature of Repairs r Alterations—Answer when applicable------/AA.A .....I .....---`/-UQA..... ........
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 be n tisued th board of health.
Signed .......... ------ ------- . .............
-
---------------- .....
................
Dare
Application,Approved B
PP PP y ............ .� .......... ... ............ . ..:a a.:- .5.....
Dace
Application Disapproved for the following reason.t: -----------------------------------------------------------------......------------------------------------------------------
- --------------------------------------- ----------------------------------------
Date
Permit No. ----------�� Issued ........... =�:l --.. - .......... -y
Dace
j 7ti r.. t~,j L
Z-6 o/ I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Diinpasal Wor1w Tomitrur#tun Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair (K an Individual Sewage Disposal
System at:
GP' ......... '---•--•----••--•-•.......• •-- ......-'..+-/C,.........�s---- ...... .....................................
�. ca'on•�\ddress or t No.
.............................-•--•--•---•---•-•. ......-- •---••---•• -•-••-•---•••---•------••;.......................................................................
Owner � ^
a .J � �aYV 5 p Wi�11 � tb Address �/J r 41 / t
Installer Address
Type of Building Size Lot............................Sq. feet
U
I-. Dwelling— No. of Bedrooms............ .��_._--_----___-____--_.-_Expansion Attic ( ) Garbage Grinder ()p
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures .--•-•-------------------------------------------------•--...-------------------------- ---------•-----•••••••-•-----•--••--••--•---•••••...•..•••••.
WDesign Flow............... - ---------------- per person per day. Total daily flow.--_-_._-___.�--7G.................gallons.
W Septic Tank—Liquid capacity QgalIons Length---------------- Width---------------- Diameter---------------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..........f....... Diameter-------dG--_.... Depth below inlet.......6.--...... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by-------------------------------------------------------------------------- Date.......................................
Test Pit No. I................mmutes per inch Depth of Test Pit--__---_--_-_--___ Depth to ground water.-___.-.--.-____---__--.
( Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_-----___-___.--_-___.
04 ._...-----••-•--•..............•--•----•---•--•----•---------•---••---•••....._•....__...._..__..............................................................
0 Description of Soil........................................................................................................................................................................
w
x ---
Nature of Repairs or Alterations—Answer when a hcable..._. .fl______ .-_.....__/U Uo-••••• � 1 1
U P _ PP .�. .............,
X
.............................. 'r. ..... --------•-- .•--•---� � � t S ,
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 ben issued by th board of health.
Signed
Date 9
Application,Approved By ---------- x �- ,-.-.-. ----------- .... ..-./....5.....
Application Disapproved for the following reafons: ..........................................................
.......... -- ....................... ... ' .._..................... ................ .. ............__...........-'- . ........................_............
Permit No. --------��:`a ..��... ................... Issued ---------- ---.A.-.���—
Dace
THE COMMONWEALTH OF MASSACHUSE175
BOARD OF HEALTH
TOWN OF BARNSTABLE
Cfe>rttftett#e of �omltttrcce
THIS IS TO CERTIFY.—That the Individual Sewage Disposal System constructed ( ) or Repaired (/4.)
�S��✓L' "G. .. 7...... � 1�--.vc�iG "1
by .. - _.....
Installer
-� �'M---
at .--------------....._----------------------------------------------------------------------------- - >�---------- `M C C 5
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. -----7:$--------5_Lr.?....... dated -----Y3..- .~95:
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTTI�-ON SATISFACTORY.
DATE ' 1it.L ..''" - . .._. ........... -----------------------__-----
071 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No..... ... ...� .. 7 FEE... 76.
%tonal Workii Juno r�tr#iun �ermi�
Permission is hereby granted---------------- /C-i:G (:U- -'------•--_.._.C; tI_/J_AS i•_(Ltl Gi_l&W4J
to Construct ( ) or Repair ( --)-an Individual Sewage Disposal System
atNo... ---------j -��- ��-I--------------� !/ 1-1_C-C.1----------------------------
Street QC�
as shown on the application for Disposal Works Construction Permit Na/_ __S.t�._7 Dated....:3. .............
_ -•-.....•-•..._..•-•--••.•-•...•••�-,a •-------------•••••-•---••-•••......•••-•.......••-
DATE_ Sce nt /•_ __-••-•-•------.____-••__-.-_.. Board of Health
FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS
LOCATION .� SEWAGE PERMIT NO.
Rasp Lane O�G 80-165
V I L L A G E MAPNQ
AMUORS .'
Marstons Mills, MA
PARCEL NO.:
INSTA LLER'S NAME & ADDRESS
i
A & B Cesspool Service
128 BishoLg Tertace Hyannis, MA 02601
8 U I L 0 E R OR OWNER
Wayne Zervis
Race Lane , MArstons Mills, MA
DA T E PERMIT ISSUED
1280
DAT E COMPLIANCE ISSUED
&VA4xtxx July 14, 1980
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F:ms........................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
-W/-.�/....._0F...... 3/QI`.,.A) A. i 4
App iration for Ub5pvii al ,ark, nnitrnrtinn Vamit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
Syst at
.. . -• .......... r.. W - -------------- -
------..---Location-Address or Lot No.
-..6L)4? ��l� ZE1-��/-/--S------------------------- /Y.Y�nll�t!.F...................
Owner Address
W - ----------��Rai?e----------------------------------. ..------•-•---------------.........------...-•-------•--.................--------------••-•-•--••
a Installer Address
QType of Building Size Lot-�_l�------------:RSq. feet
Dwelling—No. of Bedrooms___...-_..............................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type of Building No. of persons............................ Showers — Cafeteria
Ga Other fixtures ..................................
W Design Flow......... ------------- --------gallons per�ers�rr•pef day. Total daily flow............ ��_ .............gallons.
WSeptic Tank—Liquid capacit/ gallons Length...... Width...Y........ Diameter................ Depth.... .........
x Disposal Trench—No.--.---_----------- Width................................. Total Length.............:..... Total leaching area....................sq. ft.
Seepage Pit No------ _........... Diameter.___.A/'0A_ __. Depth below inlet... ®........ Total leaching area.�.Zjs.®sq. ft. orL
Z
Other Distribution box (✓r Dosing tank ( ) S� 7 ST•
GsJ�G G E�7�
'~ Percolation Test Results Performed by. °.��......................................y..._.__........ Date_._. x� �....
,-�
Test Pit itito. i.�._Z•..minutes per inch Depth of ,Test Pit---,�4�_�...�. Depth to ground water___��.�.
(s, Test Pit No. 2._`c'._Z-minutes per inch Depth of Test Pit_ZC'._�_...... Depth to ground water........................
-- .
Description of Soil zy.�_ rY�4l �� ..... .. .... - �9-Rio....---
-- -- ------
"� �7G.� cc' 9` �................ .. ` Q-a------------------
U ,%�--- ----
W __..../g _... V ----/------------------------------------------•---------------------------•--•-----------•---------•-----.....----•------
VNature of Repairs or Alterations—Answer when applicable...............................................................................................
.......................... ----------------•----•----------•--------------------------............---------------------------------------•--------------------------•------------------------•••-------•
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provision of i�-
p J`or the State Sanitary Code—The under ign d further agrees not to place the system in
operation until a Certificate of Compliance has bee is ued by the b o h h.
Signed._. _
b L Date
Application Approved By �11---_- _- ---_ - ------------------ •--.....---•-------•- i - 1_1A-90--•--
Date
Application Disapproved for the following reasons--------------------------------------------------------•------•-------------•---------------••--•.....----------
•-------------•-------•-----------............... -----•-----------------•-•----------......------------•-•---•••-•---•-•----•-----------•-••--•-•---
,/� ..... .Date......
Permit No.-•-••---........-•-------------•••--•------.......------ Issued-.__:.1...� \_
Date'
r
� r
�Y
No..Q. Fss..... .... a v
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.. ,...............
lirtt#iaan for Uhi wi al ork� �nn��xnr�alan r�ani�
;-
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
Systemdat.
.ate � 47y,
"V �i! rJ� ] i r.....--- ......................................................... j
Location-Address or t o.
.��G a 1�??.�lr............ ?'1d4v-&-t f:...................
� / Address
....................................................040........................................... ..............................................................
Installer t Address
d Type of Building ,�, Size Lotfi "'.. _ '. Sq. feet
ansion Attic
Ua w-. Garbage Grinder ( )Dwen —No. of Bedrooms.._.....:=':...:W"...................... p QI Other—Type of Building ............................ No. of persons.........---.........--.--.g,Showers ( ) — Cafeteria ( )
a Other fixtures __________________________
_; -------------•-_---------------------•----------_----
r. , G. : .zcx ?
des gn Flow.....__-Z:_�--�------------------------gallons per persvrr"peerr day. Total daily flow__.__..___._.___ _�__._______-__-gallons.
:.
W Septic Tank—Liquid capacity✓n? gallons Length--_.6....... Width..:!'.........- 01
Diameter________________ Depth �
P ------.
x Disposal Trench—No_ ____________________ Width....................._''Total Length.................... Total leaching area........_...........sq. ft.
.
Seepage Pit No------/------------ Diameter..-./,P-- .=;3... Depth below inlet: �__ ........ Total leaching area__ sq. ft. wrz.
H Other Distribution box (1-) Dosing tank
} . . .�"•.r .�'.._
Percolation Test Results Performed by.��-.:.-f._..,;.___ ............................................. Date--.. ........ .:.. '__ .-..
Test Pit No. 1- "._: .•minutes per inch Depth of Test Pit... _`.__ De h to ground wter.%i.$_, A/_.�
Test Pit No. 2...'"_ minutes per inch Depth of Test Pit.Zc�..'�,e..... Depth to ground water....t.. ...........
w----- ------.---- '- - --•-- --- -----------------------------------------------------
-:r
O Description of Soi..........52 ,/�, �,�J, `. ,� Sar r i' �;.- ..vsin G = ,, f
-
►�i C r ^4...../lixr s.s c.l� __�"�ti%_r ..............
C at �'
V .... ..... ........................
.
U Nature of Repairs or Alterations—Answer when applicable----- °�,...._----------------------•--.--•-..._.....___.-__...._______________-_____•____-_.
w
---•----•----•--------•-.....-----•----•-•---------••------•----•--------------a----------•--•--------••------------- .._._..-_._.•-_--•.........._._..........••..•.. _.
Agreement:
The undersigned agrees to install the aforedescribed Individual''Sewage Disposal System in accordance with
the provisions of'21TLE 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 b r 'health. ,
Signed- .. -'� ................................
t Date
-
Application Approved B --- ........ --••••• . -- ................... -• ..................... -- tgy f' •------
Da e
Application Disapproved for the following reasons-------------------------------------•--- .............................................
..---•--•-••----•---••--•--•-••------•--•---••••----••----------•••---••••--•---•-••-•--•.......----•---•---•---•--•-----•-••-----•----------•---•-•-----•-•--••--•-----...-•••••••--•--••-•---•..._..._
Date
PermitNo--------------------------------------------------------- Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
. O F.... . .. ... ...................
cv r,,t................. �'
%r ifirtt n 'WIMP taanr�
"THI S T.Q CERTIFY, That the Individual Sewage Disposal System constructed at� or Repaired ( )
. > �by-------------------------------------------- -•--------------------------
Install r
at.-•----•---•----•-------••••--•-�- ••-•....................•--�--------•--� -------- ---:...�
..........I....................................................................
has-been installed in accordance with the provisions of TIT13 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit N -"-=AKS----------------- dated_---------------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SH4LL NOT BE CONST/05D AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFA TORY. /,V� ,/ ,�
DATE..........--•-----•-�- ll�- ------•---•--••--- Inspector:. -------------�------r -------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
c A .'j 5;r_ 0e,4...............................••. FE
Eljjipai a1 World T-Lnnitnr#inn amit
Permission is hereby granted. - ....... 4~�#4r..............................
to Construct ) or Repair k ) an Individual Sewags Disposal System
atNo.._ / --------------------------------------------------------------------------•-••-
Street
as shown on the application for Disposal Works Construction. Permit No--------------------- Dated..........................................
.... R ✓-------------------"----------------------------------
Board of Health
DATE........ .... ..............................................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
V
APPLICATION FOR PERCOLATION TEST AND OBSERVATI N PITS
11GZ
LOCATION
6- A• a CAMa72e4 Z NO.
VILLAGE_ DATE // - 27-11
APPLICANT DO/J P/ew-s FEE JOO
�tADDRESS ' TELEPHONE NO. (Non-refttndabl
ENGINEER f W _TELEPHONE NO. 9131
DATE SCHEDULED // 3
6
(Applicant's signature)
. . . . . . . . . . . . . . . . ., . . .�A2cv� . �. . . . . . .. . . . . . . . . . . . . . au �. . . . . . . . o . o . . . . a . e . . . .
11SSESSOR'S b1AP � LOT NU:
SOIL LOG ��
SUB-DIVISION NAME DATE A/a✓• 30 TIME 1/•'/;
EXPANSION AREA: YES V"NO e,►&--e 4 4&r 1,VC ENGINEER:•? • ;
TOWN WATER ✓PRIVATE WELL C_-6 H,4A?-,2,V BOARD OF HEAL
��� �-1►� EXCAVATOR
SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and
percolation tests, locate wetlands in proximity to test holes)
4/41 `Q' H �c NOTES:
-� iZkcr, L A•
3- 20 boo � 3 99•�� 3�c
for 2o, Zoo �- a
p N
4o,9oo r *+ALC�IT5 �
g
(Pc�2 a 6s c. w•CQor-
N � 1 .
fl �� O •r•+a P�zo ti� n�
A ' e L noT Ns-rr .EZ a.s o P
o tt�rs,p J/ ,\� � _ •, �� �C.yarCr-,1LS^cS�_.�
/T>a..,
. PERCOLATION RATE: IL M 1 N / i
TEST HOLE NO: ELEVATION: TEST HOLE NO: E ELEVATION:
1 s / p1 �Q 1• — 'Z , O
2 P
245 Lit L-Lo t.4 5 3
9 4 +-A— -Z 4-
2 -+ P A4
6 6
7 7
L
8
9 S/ — l � � LA`yt�- 9
10 10
• 11 •sue p 11
0
G L
12 12 ,-e A
13 t.ro `ti►r-� c 1.` a 13
14 14
15 15
16 16 _
SUITABLE FOR SUB-SURFACE SEWAGE: . LEACHING FIELD � LEACHING PITS
LEACHING TREN:CHEST
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: OA-
NOTE: ENGINEERING PLANS MUST SHOW NUMBER• ASSIGNED .ON PERC TEST APPLICATION
• ORIGINAL: COMPLETED IN ENTIRETY BY P E AND RETURNED TO BOARD OF HEALTH
COPY: RETAINED BY APPLICANT
i
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. , try- .w qt!'3*... .,s' •r?-" .s'a.
M s f oP o f fo Uf7 d. '
74
7 be�-
e
70
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7� 5 C f-1 E O. 40 P V C. 02 - - -- ---F L O !A./ - - - -----�� i
� EQUFIL To SEPT/G j4" Ger foot ) 2'17-_ nary- /L washed Storra71
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GO/UFO/eM TO THE BU/LC>/NG SET-
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