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HomeMy WebLinkAbout0387 TURTLEBACK ROAD - Health 3 17 TURTLEBACK R' 7q d A=063-045 yyj Q tS-rjoS Irr LL S _ 06 3 -°yam TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS J NAME /Yr=L G N ly. FR W ADDRESS 377 T OP-T466ACk VILLAGE MAPSTLPJ.a Mid � ►'hA LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL (Give same information for any adc:itional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. f�S 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: ., A J/74;- TESTING CERTIFICATION SUBMI"'TED: PASSED DID NOT PASS v c, J� .-- •,F.P. 292 _ t � y i x zhE ( 0MMMtf calth of MassurhusEtt t Department of Public Safety—Division of lire Prevention � .v APPLICATION FOR PERMIT FOR REMOVA6 A D TRANSPORTAT ON TO APPROVED TANK YARD dn CIP ! (J 1Alf i F .:'P�� o C.82 S.40 M:G L e T H OF FIRE DEPART NT p,`s1. �" �'./ _ ,A, 0IG SAFE NUMBE„R U. A ` EV ►�. IIIYYY �L��L� x ° t tiiL� • u a {at eStoft Dotes ' , In accordance with the provisions of Chapter 148, G.L: as provided` in`� a � , �eltll. Section 38A Application i s hereby made by C/e��l J, Name o erson, i rm�or orpora ion) fi Y w { ' .e: M UU ff�C s�S T For permission to remove and transport underground steel, storage tanks) from , " E a 0.1 ,. / }► A f a/�k/) iJ.:� btreet address (city. or itown 3 FDID# Q /d ZD to approved Tank Yard# 0/6 `State clearly type of '-inert gas used in /V/(�GoSCgr/` i steel storage tank Typeype o iner gas use s, Name of Person, Firm, Corporation disposing tank C/eg�b. Date issued - re-jtctgd 19 B Y: 1 t { Date of expiration 19 ai /due Signature of,� C j M ; S kN.+tia.-.. 493Yi r+ifS�•�r�,yn.�."'6 ^rtigY.^'. __. .._._ � £ TOWN OF BARNSTABLE LOCATION A /�C ,y 'e(�f SEWAGE # VILLAGE / % a_5;;-b,. ASSESSOR'S MAP & LOT -3 © 5/S INSTALLER'S NAME & PHONE NO. AQ t SEPTIC TANK CAPACITY /0&e.> LEACHING FACILITY:(type) r ,� C�s?/�, & (size) d O z-,p a,Q 0 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER Bj OR OWNER /tlG DATE PERMIT ISSUED: DATE COzIPL NCE ISSUED: 3 — VARIANCE G NTED: Yes No �' f" oD P,v/� .-— ASSESSORS MAP PARCEL N0: ty V -� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .. ........... ........------.OF...........................------------ Apli iraa#iou for Diapaii al lVerkii Tomitrurtilau rrmff Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual` Sewage Disposal System at: ....:31__. "Cv • �. � c ...................... --•-•--•••------------•••...............•-•-- --•-- -----------.........--- Location-Address oT t No. .......V�`.F,Z----••--•---------•--•--------------•--------•- ----r�11 !^ 1D.tti .. ��1� n -` ........... Owner Address a .... e �kC il.A1, .....--- .S..`.......................................... _�_��a__ ti ...------------------------------------. Installer Address d Type of Building Size Lot_X�bt....t---------Sq. feet Dwelling—No. of Bedrooms ........... . ...............Expansion Attic ( ) Garbage Grinder ( ) �a Other—Type e of Building No. of persons............................ Showers YP g -•--••-•�•---------------•- P ( ) — Cafeteria ( ) dOther fixtures ---------------`°`-------------------------------------•----------------•-------------- -- W Design Flow.................................. .......gallons per person per day. Total daily flow............................................gallons. RX Septic Tank—Liquid capacitAJD..gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----Q............. Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ i Test Pit No. I................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........................ Q+' -------•--------------------•-------•---------------------........----------........••••-•••------..._.._.....................-----------...............•--- 0 Description of Soil----------------------------------------------------------------------------------------------------------------------------------------------------------------------- x x ------------------------------------------------------------------------------------------------------ ------------ - -------------- U Natur of epairs or Alterations—Answer when applicable..___ �_�_ �`-____-_�J _ Atl----------Q.f-."`..a............. •----... _a.-- -- ... - `-S.................................... -----------------------------_--•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT ..i� 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 issued by the board of health Signed L .............•..... = D' Date Application Approved BY....... 3_s�. —,� --7 Date Application Disapproved for the following reasons:.............................................................................................................. --------------------•---••....-•-•-.-----•••-•--•-----•-----......------------.......---•-----•---------•---•---••--•---•----•-•--------------------------•--•--•--------------•--••---•------•...._.._ 7 — (.. Date Permit No...... .--.- ...................... Issued..........------- ----....................................................... Date Fmc THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH --- -- .. ..............OF.......................................---------------------..............---------•------ Appliration for Disposal Works Cfsnstrnrtiun rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: _...::::!�A t.......AAA.-----?�,A....................... .................................................................................................. Location-Address Qr t No. ................................................ ...... -- Owrer Address kA•-_--•--( (IA.-��--------------------------------------------- ---------�� .���..� ----------- ,., Installer Address d Type of Building rr LL Size Lot.f.Ch-x......�-----.--Sq. feet U Dwelling—No. of Bedrooms..............z............................Expansion Attic ( ) Garbage Grinder ( ) Pq Other—T e of Building No. of persons............................ Showers — Cafeteria QI Other fixtures ---------------------------••-...- ------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid*ca.pacitA10.0...gallons Length................ Width................ Diameter---------------- Depth.............. Disposal Trench—NTo. .................... Width.................... Total Length.................... Total leaching area................+,�q. ft. Seepage Pit No... ------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) s Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................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--.._._____._•_-_-___. a+' -•--•----------------•••-•------••...._.....--•-••-•--••---•-------•-•-••----••---------•--•--------........................................................ 0 Description of Soil........................................................................................................................................................................ x U -•-•---------•-....---••--•-•••••-•---•--•--•--••-•-•---••-•--•..............••••••---••---••-----•-••-----•-•---•---•-•-•-••-•---•••----••-------•-••--•--.....-•-•-••••..........----•--•------------- W -- --------s-------------------------------------------------------—------------------- U Natur_ of Repairs or Alterations—Answer when applicable_._ �!.�.,� .____._ 1)_ _______ ______________ �--5-- Aql--------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT,L. 4 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. Signed...................................................................................... ................................ Date Application Approved By--••--40-n -----------------------------•------- ----•--- Date Application Disapproved for the following reasons---------------------------------------------------------•----------------------•---------------•------•---•---- -•--------•----------------------•------------------------------••--------------------......---------•---••-----•---•-•....-----•---------••-----•-•--•••-•••••-•-•---•---•--•-----•-----•--•----•-•--- Date Permit No----?-•7-----I O-6.------------------------ Issued....................................................... Date i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��rnn...........O F......P4;..... I&C...................................... C�rrtifiratr of (En ptianu THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired } by............r'�''t-�C_._...wear�} Y ... Installer ca has been installed in accordance with the provisions of TIT E j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...S"_Z_---- .......... dated_------- ..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................ ---•�L— o�.....---------••-----..__.... Inspector....---•--------�----� • ._.........._.............-•--------•----.•••-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p r 0 7�I.1�? ..... ...1.................OF....... .o-.a FEE. ...................................... _ O._ Disposal Works Tonotri ilan rrmit Permission is hereby granted...........(_Y.At`'l_.---•. . ,. to Construct ( ) or Repair ) an Individual Sewage Disposal System at NO i a Street QQ as shown on the application for Disposal Works Construction Permit N �.-_2�41-•- Dated.......................................... l�-- DATE---_------ •�1-t�--�--••--------•--•-----------•---- ..... Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS No....... ..... , . Fizs..�....................... THE COMMONWEALTH OF MASSACHUSETTS f, BOARD HEALTH .........O F........ Appliration -fur Uigvuiitt1 Works Towi#rurtiatt Wrtuft Application is hereby made for a Permit to Construct `� or Repair ( ) an Individual Sewage Disposal System at: 7r11tT v&,--7R_A K-------�o162)-------•--- 1V- c�,�S . i ......3C�_;..................................................... Location•Address or Lot No. Owner Address a 19l�tY1.S Installer Address Type of Buildii Size Lot_.�7.IPLR a-___-Sq. feet U �+ Dwelling No. of Bedrooms--------- -_ --___---_-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons__-___.--________---__---. Showers ( ) — Cafeteria ( ) Otherfixtures -----------------------------------------------------------------•-••---------------------•-•----•-------------------------- W Desi n Flow_______ ____ __ _ ___1.. gallons per person per day. Total daily flow......._.____-3---_ _..._..... tllons. g -- - - - �------------- g� P P P Y• Y WSeptic Tank 7L Liquid capacity gallons Length---------------- Width-._ __...... _.. Diameter--------._---__ Deptll__---.._.----- x Disposal Trench—No- -------------------- Width------------- L ��d. Total leaching area..__....____.._....sq. ft. Seepage Pit No.------/----------- Diameter__! ._. lo l4fi—n ret Total leaching area--._._..--.::___--sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ® �' R c, aPercolation Test Results Performed by-------------------------------------------------------------------------- Date..............------------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water....-._._----- .... 4q Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water_._- --._-.--.----- P4 ---------------------- -- ------------ - -- - --------- 0 Description of Soil------------------------------------- ---•. .--'- ------------------------------- -- ----�-- - --- --- - ---------- x W -------------------- --- --- ----- ----------- - ---- - ---- ---- -------•---•----•-----•--------------•-------------------------------------------. --._ .......... -------------------_----- UNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ------------------------------------- . ------------------------- ------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI 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. igned- ' D to Application Approved BY........... . . .----• = ? /� ... Date Application Disapproved for the following reasons:............................ ----•-------------•--•-•-----•---------•------- -------------- ................................•----...--•-••---•---•--•-•-•-•-•--------•--------•--------•--------••----•-----•••-----•..............••-------•-----------•--•-----------------••... Date PermitNo......................................................... Issued...................... ................................. Date THE COMMONWEALTH OF MASSACHUSETTS jotBOARD HEALTH - -------OF........ Npli iration -for Uii oiiai Norkfi Tonstrortion Prrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal Systemat:,-" --------------------------------------- Location-Address or Lot No. p- % � . ....�.V.� _ Owner Address L-A.6?/<e).L--------•--•--•--•=•---•-•---------- 1 -----: ........ -tle--`.... �r_? rt✓ �' ` Installer Address U Type of Building '; Size Lot.. ._!%(�1 -----Sq. feet �-, Dwelling—/No. of Bedrooms-------- ______________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.........------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ._.---___- - W Design Flow......................__ ¢_ _ _ gallons per person per day. Total daily flow___._________3...__f.�" L�---.-__-..gallons. acity gallons Length................ Width.__ _..._... _.. Diameter_--._. _..__--- Depth....------.----- W Septic Tank —Liquid capx Disposal Trench—No. .................... Width__ ta�l L Total leaching area-------------------- ft. Seepage Pit No..._.../--•-_----_- Diameter./ l�.P_.. e'TS pIh Flo in et__________________ Total leaching are- --------- it. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed,bY-------------------------------------------------------------------------- Date........................................ Test Pit No. 1................minutes per inch Depth of Test .. Depth to ground water..-.--- .-Pit-----------------_ . . ------ . � �- -- (14 Test Pit No. Z----------------minutes per inch Depth of Test Pit..................... Depth to ground water_ mts Y-.__._--.- .__. 9 ------------------ --- --------•-•- D Description of Soil ------------------------ • -- V��_"..... . '---•- __' x U ------------•----•-•-••----------------------------------------•------------------•----------=--------- •-----------•-----••-----__-.---•-• ---------------------------------•----•-'=-------•-------- W U Nature of Repairs or Alterations—Answer when applicable................................._-_---...._;:__:--:_-_--------..-..-.-_.-}.__-.-.-..----__... ---------------•••-------__-----...-•-----------------------------------------------------•-------=- ..__..... :_ ---- - ------ ---------- -------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage,Disposal System in accordance with the provisions of Article XI 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. igned �- ' l i / D t o Application Approved BY ._._.:. o It Date t Application Disapproved for the following reasons----------------------------- --------------------------------------------------------I....................... ---------------------------------------------------------------------•-•----•-• . ---------------------------------------------------------------------------- Date PermitNo........................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARQYQF HEALTH ... ..OF_.... ..................................... .................... �rrtifirate of Tontpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed .AJ or Repaired ( ) by---.� aZVt ---------- '. . .�2r ......................... r Installer - (44.us........................---------------- has been installed in accordance`with ti'e provisions of Article,�X.�r of he State Sanitary C;ee , de ribed in the application for Disposal Works Construction Permit No -_-_--• --__,' /_.__�__Y dated....; THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU TEE THAT THE `= SYSTEM WILL FUNCTION SATISFACTORY. DATE ...................;... ' Inspector------------:,___------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS .— / /• BOARD OF HEALTH >. / ..... ....400i0ot.........OF....... ... � No... {....... FEE DisVoiial lVarkii Tamitror#ivit Uvrroti Permission is hereby granted___ :/! FJ4:(r_-.__•_• "j1 / .� ._ ---------------••--- --•-•-•-----------•--•; to Construct 9 ) or Repair ( )+ an Individual Sewage Disposal System at No.1_0.7• t---r`J 1 ---�I e' .a_ M f3 _ _r' - .E�. = .1 19 _ . r; ------AI L<. ......... ---•-------- ,t Street ` as shown on the application fo,iw Disposal Works Construction P , No.___ F__ a ted__//l. DATE... .•_ _. oard of Health FORM 1255 HOBBS & W-ARREN. INC.. PUBLISHERS __ t fY F t G� Z. a4 'z Co o� r 153 Pr= PtT /J L Sati1 F2d-U1 n ri B/9cK- M 192S IONS MILLS J ® 1 SC)}L6 r c �I r r