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HomeMy WebLinkAbout0110 SAWMILL ROAD - Health h'k rs7"�n 5 s I f Lvp LOCATION Ila SEWAGE PERMIT NO. sw"-1 �1 � L-aT 8 a VILLAGE INSTALLER'S NAME & ADDRESS JOHN A. AALTO BACKHOE SERVICE WestBarnstable, Mass. 02668 BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED Oc,/,& r - O � r 1 No........ .....� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................O F.......................................................................................... Appliration for DhiposFal luorks nns#rurtiun ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at en n-Addres or t No. ......................... Owner Address W 2l Ps l'T'O v�y 2ivcs a tiM is ►.a S Installer Address dType of Building Size Lot•,l.l.'..0 U Dwelling—No. of Bedrooms........ ............................Expansion Attic ( ) Garbage Grinder --- Other—Type of Building .............. No. of ersons..........................._ Showers — Cafeteria ag -------------• P ( ) ( ) d Other fixtures -----------•-•--•-••--••---•••--- -------------------------------------------------------------- -----•---- --------------------- W Design Flow.....,llt>..........................gallons pe -per�e pV'day. Total daily flow.............. ._,.........•._gallons. ` a " WSeptic Tank—Liquid capacity/.' .gallons Length%C ..�. Width :.e.�.. Diameter................ Depth__-__.--_--_-- x Disposal Trench—No.-------------------- Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No....._7 .......... DiameterZOt.57.'... Depth below inlet•jr-.C2..... Total leaching area.✓` _Ysq. ft. Z Other Distribution box Dosing tank ( ) '-' Percolation Test Results Performed by -!0©4• � � �._.... Date..�2.3 �.--......... a . � Test Pit No. 1................minutes 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........................ •---------------------------------------------•-------•-------•----------------•--------.-----•---...--------------•-•---••-----•--•-------------- O Description of Soil---------------- g...---.....�__l /�C ^��...... 'J--------...-•---....-----------------------•---•------------ x --------------------------------••........ -•----•-----..... --'--_....... ....-- - -------•------•---------•------ ��— ozz ;��,--: .... W ••--••----•---•--•-•-•......--•--•......�o1` --of--•- fir' , �k� �aTl�'Y of U Nature of Repairs or Alterations—Answer when applicable_,aiT.klW T_..-.._._laar --------------••-•-• 6 UG G�C-�/br/e�- 'V.3 - #T — G'L6vhrNw a .... �._�.....................'---••----.....--•--•---------------•--................... Q =-••-------•-•..........._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI,1J 5 of the State SaniReissued de— The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha by the bo heal Signed ..-..-......- ..... -- D�ate Application Approved By... Date Application Disapproved jor the following reasons-----=---------•-•------•----•---------------•----------•-----•--------------•--••---•--•----•-•---•--........._ ......................................................-............................................................................................................--••......--•••-•-•-•••--------•------ a„ • I Permit No..• f` ••------•---•............................... IssuecL--��..... .........0' Date .._. Date No...... ..... FEs...,,. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................OF....................................... Appliration for Dhopoaal Workii Tomitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: �4i �s .,?gip....... ......_.........--- ........... eSrox ...... ,..1'.... - ............................... •Lo i n dres or Lot No. Owner Address W ►.a Installer ' Address rr U Type of Building Size Lot_ �____________ __ Dwelling—No. of Bedrooms_______.---------------------------------Expansion Attic ( ) Garbage Grinder (`''f ply Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures _________________________________ Q _"mot ---•- ------ - � Design Flow_... ....._.____.____. ______gallons per-per-son per day. Total dy ily flow.............. __ -..................gallon 1:4 Septic Tank—Liquid capacity' !__gallons LengtV!'r_ Width ??. __ Diameter__-____ _ Depth_.............. W Disposal Trench—No_____________________ Width.................... Total Length.................._ Total leaching area___________..___ q. ft. x Seepage Pit No....._22"..___,•__. Diameter©'.� __.__ Depth below inlet-�_'`�.___. Total leaching area_4J__:-.��. l -_-sl ft. z Other Distribution box ( ` Dosing tank ( ) , aPercolation Test Results Performed by... j...................................;.. Date...,'_.--- -, -- ---..__...__. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_._____________________. GT., ,., Test Pit No. 2................minutes per inch Depth of Test Pit..............._.... Depth to ground water........................ ~Description of Soil--------------` ------------- � 0` a?�............................... �4`rrJ "t of Z�y... a.w ----------------------••- U Nature of Repairs or Alterations—Answer when applicable._,&,,o- G'.�_,t� _r _ __._. �!...__ . "'' ' Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1„,. 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. �'+ "� g Sagiedt - •• k *> ................. i y` t a." Date Application Approved By._-•--• a" .-••-• -•-----•-•-- +F :_ ;.._ Date Application,Disapproved for the following reasons__________ _____________________________________________________________________________________________________ -=---------------•--......--------.._..._......................-•---.....------•-----------•----••--••••-•_-•-••_..._----•----•---•-••••----•--------•-------•----•-•-----•....----••-•••-•......._ Date Permit No....... ............................................. Issued_....................................................... Date _,- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF fAEALTH ........... .ay......OF................ ................................................................. (9rdifirtt r of hunt �i nrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by..........................' 'tp� _.__w___ 'l. lv........ I ........ ................................................................................... at....... j{ ` ..... : ------` t'........................... -----------------•-----._.....•.---._._..__.__.._......-------------.-- = .. has been installed in accordance with the provisions of TITLE 5 of The State SanitaryCode as descr' ed in the application for Disposal Works Construction Permit No..... !Y________________________ dated -::_- '.:- .r:-_ .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE.THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE =`� a ` -=-------•-------_--- Inspector.. uk.,� < #' I THE COMMONWEALTH OF MASSACHUSETTS BOARD ._ OF ' HEALTH ........O ............ .... C _-.._._...-_..............._....... No...._ !YA °:......... FEE........................ Dispooat Vorkii Tnntrnrtion "anti# Permission is hereb granted........T'PA4.----•----' ='-4-- •_-_---------� -----------------------------------........._---................... to Construct ( ) or epair ( .) an d vldual Sewag isp0 ,� 1 S stem atNo.------ ................. Street as shown on the application for Disposal Works Construction Permit No._/_�_.J�. Dated...,...................................... - - _______________________________________________________________________________________________________„ Board of Health DATE. ----------••--•-...._... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS A TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION ! OWNER AND INSTALLER INFORMATION ADDRESS: //(-; �)/Aum � � I\'/, MAP NO. n. PARCEL NO. 7 OWNER NAME: lbd I/r'J", i t rl h"e./. E ILI -PI) �f_�4' A- VILLAGE: /,�1�/�_- 76 A/5 1 b INSTALLATION DATE: Jcjl IT BY: ADDRESS: � �1 �!'<' ✓C T �� . ' ,,` f /'rc%U.' lit_ CERT. NO. 07 ? 3 TANK INFORMATION LOCATION OF TANK: CAPAC I TY TYPE :% i , I_ AGE . `FUEL/CHEM I CAL TESTING CERTIFICA`T/ION C ] PASS C ] FAIL DATE LEAK DETECTION C CHECK IF N/A TYPE/BRAND ZONE .OF CONTRIBUTION I YES C ] NO . DATE TO BE REMOVED w 1/ FIRE DEPT...-'PERM PERMIT -ISSUED `- C�] YES C ] NO DATE'S - CONSERVATION rx CHECK' IF N/A DATE BOARD OF HEALTH : TAG NO C 7�C � ]C ]C ] DATE , ., PLEASE PROVIDE' A SKETCH SHOWING THE TANK LOCATION-ON. THE,.BACK OF THIS CARD . w Alt, .:-R'"1, ,w.�:':,:v.:r,.,�.,#irw 'dk.�"rt,�.:v� .rY St,. ,.,..a,.. �N.�£.d.J..': ... a';`)..�`.s:.ix,»!t,,.o . y EEI- il\Y � l I r 5� 4 a Zot 110: CENTERVILLE - OSTERVILLE FIRE DEPARTMENT PERMIT FOR STORAGE 0 .; FUEL.OIL In accordance with provisions of.Chapter 148, 0.L., and Regulations made under authority thereof. Name'..Wa�ne Paddock : . .. Name ...Wayne„McGann . ..:.......... (owner or occupant) (Installer) Sawmill Rd, M.M, Address ..Oak„St, �; W,...D.0 e . Address .......................... ......... ..... . Burner Storage + Make .Wade....................................... Type of Tank .....Ste eljRollld....:. Manufacturer Wayne Capacity ..100.0.. gals. (or) Size............ Model No. or Size ...MR......................... Location ..TJ11dex9T-0U31d......................... ;... ` Type........�rl�........ M ss. Approval No. .......1..4:7...i j Permit issued ... � ....................John„M. 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