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HomeMy WebLinkAbout1354 RACE LANE - Health o LO- CATION L-alSEWAGE PERMIT NO- V.I L L A G'E ,.LIS T i IN'STA LLER'S NAME & ADDRESS e Ul L DE R OR OWNER DA-TE PERMIT ISSUED ' 3J DATE COMPLIANCE ISSUED 15' a r, fa 1 I 1 I r � f©6 o ��4r No ----_------- S 14.Z)D 5 Fps... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l U_)/L)U_)/L)............. r4 ,15? G Appliration for Disposal Works Tanstrur#ion ramit Application is hereby made for a Permit to Construct (K) or Repair ( ) an Individual Sewage Disposal System at ....... ��Mom... -------------------------------------- ------------------------------------.............................................................. w L catti n-Address�ir _ ,or fit No. _ (Owner, AAress •��1•t"' -...... -a .s...................................... ....... - p' V.(F/--1..7......--------------...------................. Installer Address Type of Building Size Lot.. ...7 _­­­­._-.Sq. feet U Dwelling—No. of Bedrooms......... ... -__-.Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers Cafeteria Q' Other fixtures ----------••...................... W Design .................gallons per person per day. Total dailyflow----------Z.--.....................gallons. Depi Flow g•'p--ity 15' ..gallons Length-�0.A'L. Width.�rQ...... Diameter________________ Depth..:,. ..... W Disposal Trench Tank—Liquid No......./........... Width.....1�......... Total Length.....4_.._....._ Total leaching area___ Q_/..._sq..it.�:P- x Seepage Pit No-_------------------ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (�) Dosing tank ( ) Percolation Test Results Performed by......�i4�_.................� .=f.��rN .:............ Date......�P.�.6:._.d�..�f........ Test Pit No. 1...:............minutes per inch Depth of Test Pit.... ,�T. ... Depth to ground water.... �...e- 44 Test Pit No. 2...<Z....minutes per inch Depth of Test ... Depth to ground water.....KX>1L___ ODescription of Soil.............. ...._ ........----•-----•-------•----------------------•---.-----•--------.---- ---••---•-•-............._.. x c, u .....................................................................................................................•--•-•----........._._..._.._............../-------------------------------------- U Nature of Rep Alterations—lAnsyver when applic ble..W_1�._ ..._.;_.�%C? .............................� '�� ------. 4A - •---•-- � ---------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi 1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ue, b the board of health. d--- Date - Application Approved BY .._.. ............ .6...`J!-Jll / ---F----........ Date Application Disapproved for the following reasons------------------------•---••--•----•-------------------------•---------•----...-------------•-•-•-----------••. .......................................••-•-•------••-•------••--•-••-•---•--•--•-•-•------•--'••-•----•--....---•-•---------•----------•-•-•-•--••----------------......------••---------------------- _IELDate PermitNo.---- -----.�a 2 s...---- Issued.-----•-•.............................................. Date THE COMMONWEALTH OF MASSACHUSETTS T BOARD O� F HEALTH -- Appliration for Diipnstti lVarkii Tonstrnr#inn rrmi#.. Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System at• \ ---.. ....._ ___.......... .... ---------------•--•...---_.... ... .... t --- ......._. L cation-Addresses,. or Lot No. � ". -' "� rlr? c'S M� ��/Rai -`" F'• .4/l,t. la .� Al ...............--•--__......... ..•••-•• .....;_......._..-- ................................................ - .......---....._.. Owner, ddress w G.l / �✓ �-a-r,,�r s .�f ... .j.. ................................................... Installer Address Type of Building Size Lot__ 3 .......-._...._._.Sq. feet U Dwelling—No. of Bedrooms........�................... .Expansion Attic ( ) Garbage Grinder ( ) Other—T e of-Building .............. No. of persons............................ Showers — Cafeteria 04 dDesign g P ..................................... W Desl Flow..Other fixtures .;- ;; - gal per person per day. Total dail flow.......... ...-O.........................gallons. 0.i Septic Tank—Liquid capacity ` ._gallons Length.l. .. ?._.__ Width._ .+ ..... Diameter................ Depth_. ?. ..,.. Disposal Trench—No........1........... Width----- _._;_ __ Total Length..... .......... Total leaching area._A76_-1,_.,..sq._ft.y•F�b Seepage Pit No...................... Diameter.................... Depth below,inlet.................... Total leaching area............. ....Sq. ft. Z Other Distribution box (K) -Dosing tank ( ) A '-' Percolation Test Results Performed by...... ._fir-. ". __!�� 4 A.......................... Date...... � 8� 1 as - Test Pit No. 1---'�..L�._....minuteslperinch Depth of Test Pif_.__ ._.�`..._. Depth to ground water... . /. Test Pit Iv'o.'2_._ 2t....minutes per inch Depth of Test Pit..._ �._.. Depth to ground water____K-�?_ ->-- 0+ ------ ----------- ------- O Description of Soil........... =-S -- ���-•----•-•- - ------•------------------------------------------------------•--...-----------•-•-••-----.......... ..---• -•-----•------••--------------------------------------"•--••------........"---------------------•---••-•-••-•_.._.. W ......................--.....................................-..................................................................................................Z...................................... UNature of Repairs or Alterations' --A Answer when applicable-,-0 kfn. CC?ass. ..,�sS' . G..... ?1✓... 1""' a(1?f C..... -- �fit....��•.---k ... �x1p(----------� ----"------------ °-------•-------•-------- Agreement: ----.� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with `~ 1 the provisions of TIT1E 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. ---•--.. ..... Sign de , - / !/1 D Date Application Approved BY _�.... ..........!----•-....-"•---------•-------_........ ---r------- ----- Date Application Disapproved for the following reasons------------------------------------------------------------•-------------------•--------------......I;.......... ---................................... i...---------...-----•---.....-"-............----------•._.....--------•--"-------"----------------------------------------------•--------"------------- .� Date Permit No.......... :...... .. Issued_ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f . , ✓...............OF.... 19.&46S 14 :.AO.......................... THIS IS TO CERT , That the Individual Sewage Disposal System constructed ( 4-)'or Repaired ( ) b /..' r�� l...<-------------•----•---------- .........----•-•--.......----...............------............-----------••----------•--- Installer at -- ----------------"-----------•-----•--""-----...----•-----------•--•--•---------•--•-••- V has been installed in accordance with the provisions of TIT._L - 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... ..?.....�'� ._. dated.....: �$.CR........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......... —J .._ � Inspector... l% .............................................................. r THE COMMONWEALTH OF MASSACHUSETTS G\ „ BOARD OF HEALTH ( D( aTOL)nd .......... ...... No � .....`� � FEE..:��..... ..... 13hipasal l arks �itn rl�r UQli Frint� Permission is hereby granted . t -----------------•---•----......------------------------..........---...--- to Construct ( 4) or Repair (. ) an Individual Sewage Disposal System at No...............?- 1�a CE .....f% �41���.\ . --------------------------------------------•-••-......... Street --� 1 as shown on the application for'Disposal Works Construction Permit N6 � ADated..�)--b�. ._�............. .................................... - - -:)... ...................---------------- Board of Ilealth q DATE------------ ----------- f w BOARD OF WATER COMMISSIONERS CENTERVILLE-OSTERVILLE FIRE DISTRICT OSTERVILLE, MASS. 02655 August 28, 1986 Mr. Thomas McKean 3 Board of Health * ' ' Town of Barnstable' 367 Main Street Hyannis, MA 02601 Dear Mr. McKean: f This letter is to inform you .that Maureen Flanagan, 1338 Race Lane, Marstons Mills has applied for town water on June 23, 1986 with ,the Centerville-Osterville=Marstons Mills Fire District. The installation of. town water will be completed by Wednesday, September 10,. .1986. If an you have questions, lease cal l me Y y q � P Very truly yours, Donald F. Rugg, Superintendent DFR:m i AL ' 1 r 7Z 3 _.! 7L � , ZI AJ U TE V� 2T SCALC- I " /O" MRl'-THOLE COlJE�25 D __ ,_,_._Q_.._Qb_. Pro,�oseai 9r�und prof';le Hn,+2/Z. 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