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HomeMy WebLinkAbout0008 TIMBER LANE - Health i17GI r� T'o aaTs�'Y�t�<_L_l S - - - \ 1,50 - 0,70 LO CPT ION SEWAGE PERMIT NO. VILLAGE Miias4ons M iCs INSTALLER'S NAM i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED -T-RN k. /00 0 q a O o -T� p 91 Q Ch, ld S Ppr4 (��,nsef� tioof F No.81- 5. ... Fps, . .... $.. 5 00....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............. .....'L.own..-----..O F.............$arwtable--------------•--........._........_......-•-•---- ApplirFation for Disposal Works Ta nstrur#inu Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: Timberlane, Marstons Mills, MA. 0264.8 •-.... _....... ............••-•----------•-•--•-•---•------------------•--........... ------••---•••--•---•-•...........------------•-••--.........-•---•-•---••-------..............••. Location-Ad es or Lot ......................Children$s Path Nursey cool Timberlane, Marstons i11j MA 0264.8 -...... .... ............................................ ..........--...................................................................................... W A & B Cess. ool Service 128 Bishops Terrace;drHyannis ,, MA 02601 Installer Address Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures d -•--••.---•••••-- W Design. Flow............................................gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank—Liquid capacity............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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,.� Test Pit No. L...............mmutes per inch Depth of Test Pit.................... Depth to ground water........................ ft, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ........................................................ ...._:...... .............. .--- ------ ------------------ •------- •........ .--------.-•---- 0 Description of Soil..................Sand............................................................................................................................................ x V ....-•---•--•-•-•-•-•-....----•-......---•-•---•-•-••-•-•--••--•................•----••••••...••---•......•----•---••••-•--•--•---•------•-•-•.........-•-•--••-•-•-•-•--•---••-•-••----..._......--•--- W -----------------------------------------------------------------------------------------------------------------------------------------------------------•--------••---------------------...........-- U Nature of Repairs or Alterations—Answer when applicable....____:_Installation•__of a 1:000allont pre-cast, s.t.one.--packed..le-ach_.p.1t... ovemflowl •---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI, . 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance haslben i sued by the ealth.Si ned. `� - �._ _ �-�. 12 22 81 . ---------------T�� Z. ..-----.._. ..--�----------- Application Approved By...... ,-•,,,,/� 12� �81 Date Application Disapproved for the following reasons:................................................................. .............................................. ..................................•---------------•----------•-------•----------•----•--------......-----•----•----•-----••-----•-•-------•-----••-•-••••------•---•---•-------•-...-•--•------•-------- Date Permit No..81-............................................... 12 2 81 Issued... ./81 .................................... No 81-- 75y Fes$....�..5..00....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............T olm..........OF............BB.rnstable................................................... Apli iratiun for Disposal Workii Tous rurtion 11amit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: TimberlaneMaratonsMills, MA 0264$_ a.. , ...... --•--------•-•-----------------•...........---••--•--•--•-•--------........---•-••-------•------•- Location.Address or Childre.zuis,Path Nursey School________. _ - Timberlane, Marston hil MA 02648 --•------- ....................... ..•-......................-•-......---....•---•...................--... caner Add s a A......�__CessXool_Service 12$ Bishops Terrace, `l yannis, MA 02601 Installer Address UType of Building Size Lot---------_----------------Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T ype of Buildin g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity............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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit...---.............. Depth to ground water.---..........--.....--. Gr. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pd .---•-••-----•---------------•----------•-------....------...------....-•-•••--•-•---...----.....••-..................................... ------------ 0 Description of Soil.................Sand..................................................................................................... x U .....................................-•--••••--•-•...--••-•-••-•--••----•-•--••-••-•---•-•....-•-•---•-•-•-•---•-••••••--•-•-•--•--••-•---•----••-•---•••-•--•-••-•-•-.....•--••...-••--•......---•----- w - - - -- -- - - - - ----- - --- - -------------- ---- -------------- -- ------ ------- - --- - -- ------ - - - - U Nature of Repairs or Alterations—Answer when applicable.......... xlt9 �. tion_-of--a 1,000 �;allon� the-cast, --atone••packed..leach..pi. k.overflo.w)- •--------•-----•----••------ ---------------•---------•-----------------------•--••--•-•---------------•---•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TITLE p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i suO. ealth. Si ned. L .... �� • ------12�22�81_..--•- Application Approved By..-.. .... ...14. � 12��1/81 Date Application Disapproved for the following reasons:.............................................................................................................. ........--•-----------------------------•----•-----------•----------•---•-------......-----•----------....-...........•-••-•--•--••--- ---•••-•-------•••-•••---•---••--••--------•----•-.............. Date .Permit No._81...................................... 12 2 81 ........ Issued_----------1-� - -------••--••---•-----....•-•--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. .QWA..............OF..........Barnstable................................................ Tn#ifiratr of Tompliattrr THIS IS TO CERTIFY That the,Individual Sewage Disposal System constr to ( ) or Repaired (X) \ by...A.& B Cesspool Service 128 B .... .............- ya tatter at_ ..._.Timberlane, Marstons Mills, MA 02 Chi ldren's Path Nursey School a . •-•-•-••--•-. ------••-•-••••••...•••-•------• ••-•- --•• •-•-•-•••••. ---•-•-•••••••-•--•--••-•-••--••-••----------•-••-------------------••••-•....... has been installed in accordance with the provisions of TI'i j of The State Sanitary ��c1e; � scribed in the \ application for Disposal Works Construction Permit No.---..". ------Z-5�.......... dated.....-_../�-�G T ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. 12/22/81 --- Inspector.................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 81-'75 Town OF...........Barnstable 5.00 FEE........................ Disposal Works Tonstradion ranfit Permission is hereby granted..................A & B Cesspool Service ----- to Construct ( ) or Repair (X an Individual Sewa e � osal S stem at No.........��mberlane, Mars�ons Mills, MA 264 - CkIldren's Path Nursey School ---------------------------•--•---------------•--------------•-•-•----••---•-•- Street as shown on the application for Disposal Works Construction it No81................ Da ed......................... 12/22/vl B�ii,�e DATE..... -- ---••-----••--- FORM 1255 HOHBS & WARREN, INC., PUBLISHERS