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HomeMy WebLinkAbout0339 CEDAR STREET - Health 339 Cedar Street West Barnstable / A= 131-006 r t!w-k. cdrY G ASSESSOR'S MAP NO. PARCEL 0 _1 �.117 L0CAT10N SEWAGE PERMIT NO. VILLAGE i I N S T A LLER'S NAME A A16RESS J. E. KENNEDY TRUCKING WEST BARNSTABLk MASS. 02668 e U 1 L D E R 0 O W N E R 46 -3005 DATE PERMIT ISSUED D E MP IANC ISSUED AT CO l E st ,.q D-/3d 4 No.... `. .... Fps......... ..... .........._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --•............... ........---.....O F.........:......-......... ........... Appliratiun for R-4p ti al 10orkgii Tuntrurtiun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: /\ .......:WL.- ........................................................�. - ..... .. ........... .. - ---- Locati�ddr or Lot No. '•-- .. . ................................ .....------........................... . ......•... W �Z , ram//tea ��I-, ss ,-� -------••-------•- ..... . ..`.....................•..... �� �o!f rG,�.� w���/'�..e.. 7, - Installer Address / Type of Building Size Lot............................Sq. feet Dwelling No. of Bedrooms._....................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T ype of Buildiu g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .------•---•-------------------------------•-•--....--•--•••••-•-•---•-••-----•-•-•-•••---•••-•-•-•-•-••••.........................................-- w Design Flow..........�M... ................gallons per person per day. Total daily flow............................................gallons. W Septic 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........................................ a Test Pit No. I---- ---------minutes per inch Depth of Test Pit.................... Depth to ground water.......--............--. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1:4 ----------------------------------------------------------- -... •---------- ...... •---- ---------- ....-------------- .......... ..--------• -................. .-- 0 Description of Soil...............................................................................................................................................................I......... x U ----•-•-••••-•••...••-•••---•----•--••.....---•....................•----------•-•---------.....-•--•-----••---------•-•----.-------------------•--------------..---......... xw ______ ------------- U Nature of Re airs or Alterations—Answer when applicable._ ... ................ irk-y .. ..-...f Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'ssued by the oa•d of health. Signed .......... " ...... ........................... Date Application Approved By---•--------•-•• -- . ----•-.. ..........-•--•--------... Date Application Disapproved for the following reasons:. -•-•---•-•-••-•-------------•-----•---•-•••••-------------...-----------•-•-.....----•-•----•-•••-•--....... ........-•-----------•------------------••---------...------.......--------•--•-•---------•-•-------...------........---•-----------------------•----------------------------•-----------•--•--...------ cc�� Date Permit No.. Ll. .:.. .4-�------------------------ Date Permit Date 1� No....��-_;y__f..... FEB........ ................„ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................O F...........-........--.....--.-....... Appliratiun for Disposal Works Tonstrudion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: f ....... ...... ... .............................................. . ........................................... Locat� •- ddr or Lot No. ._..... .... - -•ir.................... �..r. er 04e Installer --•-•---- --------- ---•-•---• �r � Address Type of Building Size Lot____________________ _____Sq. feet Dwelling-No. of Bedrooms__ _______________________________________Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building — Other—Type g ____________________________ No. of persons._.__________.______-.______ Showers ( ) Cafeteria ( ) Other fixtures -------------------------------•-------•-------------- W Design Flow..........% _._".................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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........................ rs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 P4 .•--•------------------•••-•---------•-•-..._-•-•-------....----•-•------........_•-••-•-----•-•----......................................................... Description of Soil....................................................................................................................................................................... U •--••-------------------- --------•--------•---...-•-•-•--------------.....--•--------....----------•---•--------------•---------------------------•-------------------•--•--------••-------------- ----•-------------------------------•-------------------------------------------------------------------•-- ---------------------- -- --- -------- ------ -- --•------------- V Nature of airs or Alterations— sw r when applicable_ __- Agreement: The undersigned agrees to install the aforedescribed 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 P p y he oa doff health, operation until a Certificate of Compliance has been ssued b t Signed---- - �— . Date Application Approved By................ 4 � +� .........�'-2,6.�. Date Application Disapproved for the following reasons---------------••---------------•----•----------------------................................................... ..------•....-•------•-----------------------•-••-------••--•-------••••---------....------•-•------....------••-...._--------•-----•-.___... ------------------------------------------------ QQ Date PermitNo........ ..................•••-•• Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTSy'. e wdBOARD OF E J T /� , ,r� �/f. / tAL OF...... . ...- /.... 8 (Ipdifirtttr of Toutplianrr THIS I TO CER Y That th In • idual Sewage Disposal System constructed ( ) or Repaired ( ) by ..... ... ....... =-------- .................................... nstaller � at ... - --- ----- - - ----••-•••-- -•-• -•-- /---- « �--------------------------------------------•-•- has been installed in ordance with the provisions of T TIZ 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...........................................................••-••-------•---•--_. Inspector............................................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD F HE TH .. . : . _ 1" .1 :............. . - No... FEE.- - •--...... toua orkukon++�wqv - rrutit _tV. Permission is hereb grante �____ ---•-------------------•-------•-•--- to Constru ( rt_.p -rA�) an In ' l Sewage/ ost at No............ � Street as shown on the application for Disposal Works Construction Permit No. -- _ Dated.......................................... ------------••-•--••-...-•------.... ............................................... Boar of Health DATE FORM 1255 'HOBBS & WARREN, INC., PUBLISHERS ti --•--''---- r-la y • c � . to -ter- ;��fi fi�� � j "1 -NEW r cow.FOuNDATION �y •� � t3 � .• a O i I � Li 4' DE WALL MM BEUJYV d ` A � r•;, �, I -NEW 16'x8•CONC:FOOT" 4.. BED#2 BED#3 !; BATH i KITCHEN ; 6/�ANCHOR BOLTS Cf n O +- W/rxrxv4•R.ATE WASHERS y .ATTACH NEW FOUNDATION p LIVING #..I i I 'y fi 1 #r To emT,wi*4 RE-BAR irOC I fi- -NEW r DUST COVER 4— _ •� y�t -CUT ACCESS IN EXIST.FOUNDATION �' A FL— _I ! DECK a4To NEW cRAw6 SPACE - ,i i 3 fi I PORCH d' in ur•i- g FOUNDATION BED EXISTING FLOOR PLAN Y ___..._.. ... M a i 1 ; E 5 s r r j S'T L ZZ L� lY I II a ix tu ` - 7EJTw2432 ! Tw2446 TWB446 TW9446 2'!0 � V) WWQ TWT446 TW2446 DC1 TWZ446Ws'ri BATH KITCHEN ei date. 10-7-11 11_ _ _ 4VING - P�NTRY SONOTUBE LAYOUT _ Bo6a z66B _ __ 1�a 3068�_146J aabo r xITW _ d 2416* r( v r 306 3066 TW24K Tw2446 ,.(. 7 Ff?RGH J- vT 10"SONOTUBES wx a L (tt1 t � BEWW TRADE 8 oECq BED#1 6069 ❑ ❑ ❑ ❑ ;% O D40 •24'BIiFOOT FOOTL4B5 f PORCI4SON07UBES i z TS r 9 .F -ur.io ANCHOR BOL 5:r 6'r B'r rz 6ux hTW2446 Tw2446 Ja�•' 1tt A5 f r NEW FLOOR PLAN r r ,. �: PAGE 2 of 3