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HomeMy WebLinkAbout0780 SANTUIT-NEWTOWN ROAD - Health 780 Santuit-Newtown Road Marstons Mills A 028 --106 J t TOWN OF BARNSTABLE LOCATION_ t � JYtn� SEWAGE VILLAGE ASSESSOR'S MAP & LOT&fcAY--/Qe INSTALLER'S NAME & PHONE NO. ,eCIV046-4 7 SEPTIC TANK CAPACITY I--"� LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR [IBLIC WAT BUILDER O OWI II'I DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 3 `B VARIANCE GRANTED: Yes CN6777 . Lw 8q 3 � 1 V z �, • 'per.=.Q1..7 �_149 Fmc................ ... THE COMMONWEALTH OF MASSACHUSETTS =ar J BOAR® OF HEALTH CA OWN OF BARNSTABLE Appliration for Biopooal Worko Tonstrnrtion 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair (-^< an Individual Sewage Disposal System at: ................................ •---•....------------.....--•------------•---•--•-•-•--•----•---- Loc t n-Addr s Ij q r Lot No. _ Q!lrl_G.!��w Own OV�� /6 y Addrell�S •• ... ................ .................. ............................................................. Installer Address Q�.�L UType of Building Size Lo��l..................Sq. feet Dwelling—No. of Bedrooms.................V.�.._..........._.........Expansion Attic ( ) Garbage Grinder ( ) Other a —Type of Building -------------•-•---------... No. of persons............................ Showers Cafeteria Other fixtures ------------•---••--------------------------------••----------•-•--•-----•---••-----... -------------------------------- (. ---->- W Design Flow................... .........____..gallons per person per day. Total daily flow............ ®..................gallons. WSeptic Tank—Liquid capacity�Q�_-gallons Length---f?57. Width................ Diameter---------------- Depth.,.............. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date....................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �Z4 Test Pit No. 2................minutes per inch Depth of.Test Pit...:................ Depth to ground water........................ 9 ------•------••-•-•--••--••----------------------------•-•--••••----------.............-•--------•-.......................................................... 0 Description of Soil...............................................................................•--------------------------------------•--------•----•----•------------------........--•- x U --------------------•-----------•---••--••---•------------•---•-------------•••--•--------------•----------•----•-•------------------••-•-----•----•------•------------------------......--------------- ----•--------------------------------------------------------------------------------------------------------------------------------- ------- Nature of Repairs or Alterations—Answer when applicable _ �!N � 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 Complia bee is ed the boa d of health. Signed .... ................. ...... ...... ........... ........... .. ...................... -- -� . -- — - ---- ce Application Approved By ......... - ... ...- ` - .°/. ----- Date Application Disapproved for the following reasons- ............................................... ................................................................................... ------------------------------- ---------------- ------------------------------------------------- ---- ------------------------------ -- ------- ------------ ---------------------- -------- --..................................... Dace PermitNo. ........�-� ----------_--------------- Issued ---------- -------------..._............------------.--------- Dace No._-.,-c...........Z2 A, 6_�ff- Fim-,-3d . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a--TOWN OF BARNSTABLE E Application for Disposal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (Xj an Individual Sewage Disposal System at: Locat' n-Add s or Lot No. ................ dtfA�J c�! ................................................J .0 d.�J gJ_./�"J_..--- `-"---• Owner /��0 /iQ�IJ�J Address -•-•ram---...... .... ..._...-----...---•---- -------._........-------------------------- --.....---....------•---------..........----------------��-- _._.__.....-----•--.. Installer Address Type of Building Size Lot .0�-____.-..---`-..Sq. feet Dwelling—No. of Bedrooms.......................__......_._.._.......Expansion Attic ( ) Garbage Grinder ( ,) P`4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures W Design Flow................... ......................gallons per person per day. Total daily flow............ .......-----......gallons. WSeptic Tank—Liquid'capacity/440--gallons Length-•• "_ _ Width---------------- Diameter................ Depth--------------_- x Disposal Trench—No..................... Width.................... Total Length-------------------- Total leaching area_...............--•sq. ft. Seepage Pit No--------'------------ Diameter-------------------- Depth below inlet.................... Total leaching area------------------sq. ft. _ z Other Distribution box ( ) Dosing tank ( ) 0.4 Percolation Test Results Performed by.......................................................................... Date---------------------------------------- 1.4 Test Pit No. 1................minutes per inch Depth of Test Pit-__-__------_.------ Depth to ground water........................ LL, Test Pit No. 2---•-•.-__----.•minutes per inch Depth of.Test Pit-------------------- Depth to ground water........................ 0 a ----------•----------•-----------•-•-••-••-----------•-••------•-•-------•----------••--------•-•---.................................................------- Description of Soil............................................................................... -------------------------- V ----------------•--------------------------------------------------------------------•----•----------------•---------------------------------------------------------------------------- W x ---------- .._.. U Nature of Repairs or Alterations—Answer when applicable------- 1 �D�___ �17-_W--_ S'itiN i ----------- -------..........------...........-/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 Compliancdhas bee is ed b I the board of health. Signed ---- 1-- --- n ------------- Application Approved BY -----_---_-------------_-------------------------------------------------- ----3', �1 Dare Application Disapproved for the following reasons: ------_-----------------------------------------------------_------------------------------------_------_---- ------------- - - - ---------------------------------------------------------------------------"- ---------------------------------------------------------------------------------------- ---------------------------------------- Dare Permit No. :9 ---------_-------- Issued ------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (9Prttftcttte of (gompliance THIS IS TO CERTIFY, T[ha_t-tjie Individual Sewage Disposal System const. ucted ( ) or Repaired (X ) by-------------------------- ----------------------- l��T"GlP�117 - 'Ok� _X�77e�lr Insraller .................................................. has been installed in accordance with the provisions of TITLE 5 ojThe State Environmental Code as described in the application for Disposal Works Construction Permit No_ -------- _ a-- - ......... dated ..____..._._--._..--------------------------_--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BEC C,Ok'ST�UED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY., DATE f � ' �) Inspector r - r `- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE S No.. �r ....17 7 �5 Q FEE........................ Disposal Works (9unu#rnr#iun Errant -2 Permission is hereby granted..................•__---- -- /.---------.--- 63i7------C_ds� --"----------------------------------•---••-•••-•----••---- to Construct ( ) or Repair (Y) an Individual Sewage Disposal System at No.....................................::2�R -----..../1 .�J ! ?. J `>'f� ' "'--p, / /L C�S' ------•-•------------••------------- Street p�^�� as shown on the application for Disposal Works Construction Permit N,Io._-T_.Z___.. Dated.......................................... ......................... �---`---- ------------------------------------------------------------ [� — Board of Health DATE........... - r- ..................................... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS AsBuilt Page 1 of 2 !- 5 TOWN OF BARNSTABLE LOCATION SEWAGE # —97 VILLAGE W,44'&Z.6 ASSESSOR'S MAP & LOTd---;LT- AZ INSTALLER'S NAME & PHONE NO. Z- C74714 , 7 SEPTIC TANK CAPACITY lCkjd-(' P LEACHING FACILITY:(type) NO. OF BEDROOMS PRIVATE WELL OR<P! BLIC WAT�EB_+ BUILDER Oxj DATE PERMIT ISSUED: 9 s'a DATE COMPLIANCE ISSUED; VARIANCE GRANTED: Yes No hZw http://issgl2/intranet/propdata/prebuilt.aspx?mappar=028106&seq=1 3/9/2016 q� Fss THE COMMONWEALTH OF MASSACHUSETTS 0_2_% f 0(p BOARD OF HEALTH ...... ....................OF....... ... ... `l .ttt .0 .......................................... Appliration for Dhipuii al Works Tontitrurtiun rantit Applicatio is hereby, made for a Permit to Construct ( �or Repair ( ) an Individual Sewage Disposal S stem .. (J ._......�.�t !W.._....�'....Ue °�1.... .. -.-•----- -------------------- ..........----.. Location.Addre s or Lot No. . ty`�= .1.�__.......... r-Jr.t LWI............... • Owner Address d Installer Address Type of Build Size Lot..... _ .............Sq. fe Dwelling No. of Bedrooms__ _.__��____------•----•-_---._..--_Expansion Attic ( ) arbage Grinder Other—Type of Building No. of persons............................ Showers — Cafeteria aOther fixtures -•--••-••---•---•---•---•-------------•---•......•••••••-••••--••-••••••-•••-••---•-•--------------•--•-•----•-...----••......------.........-------- W Design Flow..................`.! ..................gallons per person��er daey. Total daily flow............. ..............g;41onsi WSeptic Tank—Liquid capacity _.gallons Length__ 1417.._ Width..4.l�__- Diameter................ Depth..! ;!-�-- x Disposal Trench—Noa................... Width _-_------_-_-_-. Total Length.................... Total leaching area_...�.____.._...sq. ft. Seepage Pit No....______.j..__..... Diameter....... ...... Depth below inlet_.....?-......... Total leaching area... ? ..sq. ft. Z Other Distribution box ( :� Dosing tank ( ) n '-l' Percolation Test Results Performed by- 4 :_. .��.._..'.j.'J® -..1" ..._._. Date.... _ I .�. .......... F4 i a Test Pit No. 1...��..minutes per inch Depth of. est Pit.....M....... Depth to ground water________ ____________ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' •-••-----•-•••••------------•••---•--•._....---•-----••.............•---•-------------------•---•---......................................................... 0 Description of Soil...........................---............ik........ . ...... x �` _.AP �._._, 19 ------- -----------------_--- ....--- c� U Nature of Repairs or Altefations—Answer when pplicable.......................................................... .................................... ---••----•--------------•---••••------••-•-•••-•--•-•----•-------•------•------••--.......-------•--•-••--•---•••-••••--•••••---••••-•---•••---•----••--•••--••••••••-•••-••----------------•--•-.------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL E 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 ----•---------------------------------------------••---------•----- ............ .a................ Date Application Approved BY- / . ..__..._.._-_-- .L!/l�l- -- • ;A � �� Date Application Disapproved f or'the following reasons--------------------------------------------------------•------------------------•---------------------.......•-- .................•--••--••........................---••------.................-•--------•-------•----••--------•-----•--•--••••-••-••••---•-•-•------•--------•--•-•-•••---•......-••-•••-----...._.... Date PermitNo.......................................................- Issued........................................................ Date Nd...................I- Fim. . .......... THE COMMONWEALTH OJO IASSACHUSETTS BOARD OF. HEALTH . ...... ---- --- ------I........:r�!OF.... ��,W45FAA.ax L&o........................................... Application is hereby made for a Permit to Construct (�<or Repair an Individual Sewage Disposal System at: ........................... 144. kyv..o.... --- -------------------------------------------------------------------------------------------------- e— Location-Addr efs or Lot No. ............... ........... ....... .... ................................................................................................ Own Address ...............................A.(!I:I�........... ....... ...... ....................................................................... ......................... 14 Installer Address Type of Build' Size Lot____ ---------------Sq. f t '�''arba e Grinder U ul rNo. of Bedrooms.jtt-.... arbag Dwelling -— -------------------_-_-Expansion Attic Other—Type of Building ............................ No. of persons..........__.........__.____ Showers Cafeteria Otherfixtures ------------------- -----------------------------------------­------------------------------------------­--------------*------------ Design Flow............ 5.. ..................gallons per person Per day. Total daily flow-------------------�`�o.............gions. WSeptic Tank—Liquid capacityf.",_.X!..gallons Length.44.4 . Width.A':40.*.. Diameter________________ Depth. Disposal Trench—No ...............: Width Total Length............._...... Total leaching area....................sq. ft. Seepage Pit No,...........I--------- Diameter.__--_ Depth below inlet.....iA.......... Total leaching area... P...sq. f t. Z Other Distribution box Dosiqg tank Percolation Test Results Performed bv._�).,�ATITLOIK......................... ....... Date.... 1.1-7.......... i 71-1 Test Pit No. 1.. .<... ---minutesperinch Depth of Test Pit...... ........ Depth to ground water--__-------------------- fi Test Pit No. 2................minutes per inch Depth of Test Pit..............._.._. Depth to ground water.__........._......._... ............................................................................................................................................................. 0 Description of Soil..--------- ----------------*......*--------------------------------------*-------------------------------------------------*........... ------------------ �4 L,, ) /24............I.....�Q__> ................. .................t a: 7----------- 4�id A, Alt Answer when U Nature of Repairs or Alt ations 7pp I ble............................................................... ................................ ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescril5e'd Individual Sewage Disposal System in accordance, with the provisions of TITLE:, 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. Siggnp-d........;.4;................................................................. ............................... Date Application Approved By.... . . . .. . .... ... ...... ...... Z11- 7------------------------- R ...........t... Date Application Disapproved for the following reasons:................................................................................................................ .............................................................................................................................................. ......................................................... Date PermitNo--------------------------------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSAC14USETTS BOARD OF HEALTH ..................OF......:. .......... ................... Z (Infifirate of Tamphaurr `i THIS 1 0 That the Individual Sewage Disposal System constructed (//)_10r Repaired by... .... .............. ;;-L------��--A...................................................................... at...!n.... ..................................................................... TI 5 has been installed in acclidance with the provisions of ` r of The State Sanitary Code as described in the application for Disposal Works Construction Permit No... ... ......A_?_�......... dated_-- ............. THE ISSUANCE OF THIS CERTIFICATE SHAL OT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE__... ........................7---------------------- Inspector-- -----�_ ............................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................................(W ........ ........ Is0.............. ....... FEB.,�.............. 11 ...... apre Permission hereby granted;;...... ...... --------------------------------------------------------------------------------------------- Uzi, 9� V,I u to Const ct -1 IV) or Repair t( an"11ruilvi u w e Disposal System atNo.. �44*14"------- -------- .................. ..................... ........................................................... PC Street as shown on the application for Disposal Works Construction Perqit No.').._ --A Dated.... 7. 4-­��-Av/_,,.:------------------------ DATE......_..--....... ........................................ Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS / 1 w u,Zj � toao E„hL - 5P0f AL PIT C> Su;ptt/ALL AV-E•-A, 150 •fit= >4 2..C-::1 CE;� 5+5=. 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