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HomeMy WebLinkAbout0825 CEDAR STREET - Health 825 Cedar Street West Barnstable _ A= 088— 003 TOWN OF BARNSTABLE LOCATION ,( � SEWAGE # L VILLAGE`h 1509,E + ASSESSOR'S MAP & LOTf',foo- 0015✓` INSTALLER'S NAME & PHONE NO. --F? `7 SEPTIC TANK CAPACITY 1,< 6 LEACHING FACILITY:(type), �' (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATERe BUILDER OR OWNER t t< io � � — DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No % I w cl,alt ® lei No.....l_7_- �y.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Diupuuttl Workii Tunutrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (V"a"n Individual Sewage Disposal System at: . t ......---' M. -s------ -------------------------------------------------- ------ Dea�' n Address or Lot ryo. 2�1^^ .. /J /Loow— r......................................... `s� .`' �,, ._./C'�Y Ci/-Q.....-----...:�!� �^ W _ �5. ...../••.�461• wner,^ � C-•---�? _ ) _ !/ l oess..c`-'".�! �vl.!_.L..:S.s. a `..gym.- ..____-- �•e_/..V.....' -- �. ..t._...... --------'--'--- •ttt Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' 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 ( ) Percolation Test Results Performed by----------................................................................ Date........................................ aTest Pit No. 1................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........................ 9 '----•... '-- -- --------------•----•---------------------------------------•--------------•------------------•-------•------------........--•-----...... 0 Description of Soil-------..� 9ller -----------------------------------•-------•----------- x x -------------------------------------------------------------------- ------------------------------------------ -- ----- --------------- U Nature of Repairs or Alterations—Answer when a plica�le.._!I?��. 1�-- �7f.....l �d �.._....i.. . ...... .......................;-�.Q.a7-:��-//9?'/l�QE'� C_ ----------------------------------------------------------------------------................... 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 Compliance has bee i=6bye board of health. Signed ✓ ✓�� ..�<...... Dare Application Approved By -------------- ----..----------------------------------------------------------- //_--...7..-..` ..... Dare y Application Disapproved for the following reasons: . ... ........... --............ ---............... . ............................. --------------------------------------------------------------------------------`--------------------------------- _.... Permit No. ...��.. -- 6�--../._--------- ---------- Issued .......................... -------------------------- Da....... Dare No.._. �. �.. . FEati�I�.. �.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 4f _ Apphratiun for Di-wipuwtti Works Tunitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (vj-'an Individual Sewage Disposal System at: '---------- ................ ..................................................-............................................... Locate6n-Address or Lot No. Owner /l !U-�•`�--Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.....................__--________-_-___._Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type of Building No. of persons____________________________ Showers — Cafeteria QI Other fixtures _______________________________ _ _ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacitv------------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........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..--------__-___---____. 94 ............................................................................................................................................................ Description of Soil f--�:_''_E=---------------------------------- ------------------------ V ............................................. -•-••----•---------------•----------•-•-------------------•-•---•--------------------•----••---••------•--------•-•---•-------•--•-----------•----•--•---- W U Nature of Repairs or Alterations—Answer when .....!-f 'C�`--• .................•-••. =�� i�j�t�- !i4r^� n<�------ ' ...... Y ..............-• 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 Compliance has bee issued by the board of health. J Signed .. �- - ....... ........ .. ...........G.... Dare Application Approved BY --------------- ----- i �/---- �/--------- Date Application Disapproved for the following reasonr: ............................. . .. ............. . ................... ...................... -- -- ......... --...................------------------------------------...................------------------------------------------------------...........-----------------------------...------------ ........................................ Permit No. 5 �-------6111,.. f. Issued ..:...................................................... Date...... Dare ————— _.—.-----_--.--.--..----_.—-----.------ -----------------———— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate of (11ontylia re THIS IS TO,-CERTIEY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ... l.f-- ...... ',,�?1�!"-------- t ---------- -------------------------------------------------------------------------------------------------- hst.aiet at ' . a ...: - Cal.. ....<.%----------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ------ '...��.�a..`,L...... dated ._....�f..-... ....Cf. ._f........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE I SYSTEM WILL FUNCTION SATISFACTORY. -DATE...... _........... r��... ......_.. Inspector .--- < j.:-: ------------------------ '.--�.: -------------------------------------------------------------------:-7 ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE.:.�g._.'`�.t....... �i��uutt1 urk�f C�un�tr�trtiun ,�rrmit Permission is hereby granted-I: : � = / �? Gaff _../......._.�1._':, �! .-----= � =j------------------------------------------ to Construct ( ) or Repair ( )' an Individual Sewage Disposal System atNo._`{ `.._ ...... ..Z.--••-- -----•. 'f= ---------------------- -----------------------------------•............... street as shown on the application for Disposal Works Construction Permit No.�T_1.�;.A6.y_ Dated-------//-2-1 c __..._.... ----------•-------------- t� •----- Cy DATE...----- L�� `...Z. 1 ---------•---•-----------------------••-•--- Board of Health FORM 3850a HOBBS&WARREN.INC..PUBLISHERS f r-- N. F��...I..1J..: THE COMMONWEALTH OF MASSACHUSETTS BOARD I-aE tT r5 ✓I.............OF..... Apphration -for lgi>ipo ial Workii Tomitrurtion Viroiit Application is hereby`made for a Permit to Construct ( ) or epairr an Individual Sewage Disposal system at:. 4 aft fay+-�Ct CDf}R 5 ' -w=- A�ZNSTfi$LE � Rcl- ' .3..._' F1G :$gsESse�g�S MI�P Location.Address or Lot No. .......AYE 1;9.---•..W......R. u_s - •s�tNv�!_.NF�K_��?�--E::s�±rrDwrcN-� MA P-1S17 u Owner Address Installer Address UType of Build t' Size Lot............................Sq. feet Dwelling—No. of Bedrooms........-TWA------------------------Expansion Attic (k j Garbage Grind�r)- aOther—Type of Building ---------------------------- No. of persons...._.----------__-_------ Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------------------------------ W Design Flow.................. ® gallons per person per day. Total daily flow-------- :��..._-.--.---------....gallons. WSeptic Tank 4L Liquid capacity-0-.gallons Length................ Width--.............. Diameter_............... Depth................ x Disposal Trench—No--------------------- Width-------------------- Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No.-I 7-1 Diameter.................... Depth below inlet... Total leachin area.............___-.sq. ft. Z Other Distribution box (, ) Dosing tank ( ) g h �eA; - `7 �/- 7e- aPercolation Test Results Performed by--------- ------------------------------------------------------------ Date---------------------------------------. Test Pit No. 1................minutes per inch Depth of "Pest Pit.--_---._-_-._..--- Depth to ground water_--------------------- rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit..............--.... Depth to ground water.........._...._.-.-_-- -------------- <� ---- O Description of Soil " l d' er ../-------------------- . -•-•�-•---- 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 XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by the board of healt % / ® ` 76 Signed ' .. .............................."....... -• -),,/4- -------------------------------- Date Application Approved By------- ------ . . . ---••-.... • Date Application Disapproved for the following reasons---------------------------------- --- ---•----------------------------------------------Da.t.e.............. -•---------------------------------------------------------------------------------------•-----------------------...------------------------------------------------ ----------------------------------- Date PermitNo......................................................... Issued...................... --------------------------------- Date -.-........................•...... ......_....••...-.-.e.w...,..........-.......... ............r o...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ..............OF....... .. . .. . ...................... Uprrtif iratr of f11111mpliatta I-Ais IS TO C TIFY, That the Individual Sewage Disposal System constructed �or Repaired ( ) f b.y -•--••••• .................................... . ... Installer I/-----------............................................................ has been installed in accordance with the provisions of Ar, i1 XI of The State Sanitlry Code as described in the application for Disposal Works Construction Permit No. -------:----- -• 'k........----- dated.. ....... THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. '> DATE---- ,.. ....0..---= . --- -- .......................... Inspector-- Fss...../...��............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAI,-TH. -.OF......//L/.C4/ .4: . .......Gv lam...:................... ApVtiration -for Ditymial Works Tatu trnrtion Permit Application is hereby made for a Permit to Construct ( x, ) or Repair an Individual Sewage Disposal System at: .S�i�+, crc f G�-r..�' Ct7rjR 1'j! W. �1ZNS1' .}'rl i ................••------------..........................�.. (! t>..: .L t_ t.. '` ....... ------..!?�. ............- '11j ir` Location-Address or Lot No. Lffi Ri J.... ......--W............... ..>..------........ . •---"-/.ivvy_ N1...........'-��=--�.:.-:>/}h'!_!�1lc.hl , t1111. ..._ S� �% Owner Address Installer Address dType of Buildip Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms...-__7!W.0........................Expansion Attic Garbage Grinder (,6. aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------ - W Design Flow--_----------- _... allons per person per day. Total daily flow--------- ____-_.-.--.....gallons. WSeptic Tank--k Liquid capacity " J vallons Length---------------- Width........ Diameter------.......... Depth.-_-_-.--..._.. xDisposal Trench—No-____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..rG.` ___ Diameter____________________ Depth below inlet-------------------- otal leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) - D f.7 - �rr C /Al - 7- -,' ` 7,:� aPercolation Test Results Performed by-------- ----------- ..................................................... Date--------------------------------------- a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-------..----_-.-_..__.. �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_---.-.--_--__-_-_----- Ix ------------------------- ---i-_-_____/___________-__-________---_. ----__._--. ---- .� ) .._.___1__._.�-__-----__-_._ O Description of Soil1 '�5 �rA/,� .f.. �h�_w2.A,. `._._._'..�2 -j�.- s_�. �,�- G - U -------------------------------------------- -•---------------------------------------------------------------------------------------------------------------------------------------------------- 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 XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by the board of health, Signed.._ .. -1 ,,'1�..��L_t..................... �.1.:..`� �P �� �� �� � f Date --- Application Approved By-----� ....... �............. e= Dat Application Disapproved for the following reasons---------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - . Z , �.......,,/..1.�':��t..............oF....._... ram.. �� ..�. ..... ... :...................... Tatifirate of 101Tomphaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (or Repaired ( ) by.../F^I77/ :':.__l�ll�Je!.. ..................................Ile-r".` - � atlt_'.. tf ....- ` C l ----- ---- -Insta--- ... / has been installed in accordance with the provisions of Ar icle1 XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit N - dated_.__/_ ------o. _.'..7.. ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATI ACTORY. A p .% �+ Ins ector l - DATE 1� -1 ----------------- ti THE COMMONWEALTH OF MASSACHUSETTS BOARD,O- HEALTH- Q ------ -- �� �/ f/ � No.......... FEE.-/�............. �i��o�ttl ork� �on�trnrtioat hermit Permissionis hereby granted--------------------------------------=------------------------------------------------------------------------------------------------------ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.............................................................................................................. ---------------_ --------------------------------------------------------•---- street as shown on the application for Disposal Works Construction Permit No..................... Dated...........-___-._-._.__-_-___---_-------- -----•----•-------------------------------------- ------- -- ------------------------------------------ Board of Health DATE-------------------------------------------------------------------••-•-•-•----- FORM 1255 HOBBS & WARREN,. INC.. PUBLISHERS dDt A c O + IT V h � a � - - SPTE _"PIsnerBurio►v aax �. - PER LA T 1 N T►:5 T. V . e ODL: / LEACKING Y%-r .... : TUTU RE " YST ✓ _ r 4.1 h r �S r • r� l O i5OO GALLON SEPrlc :TANK MAHaLES _ 9 d _ OUTLfNE : OF PRoposrD FtOUSb COF15Tr�, _;. 0 � avER ALt_ LENG7 N _ . FULL 'EASEMENT • 1 N. CL- WELL \dODD r - / ' �/.9 -FFF'T FRONTRG -LAND • 1 STl N G . wQo'D 5 LAWRENCf- W. IHILLS TAMV T MDENCE - G PL07_ PLAN �'A 8 BARNSTRbUt >gSSESSoRS t�tAP .. ►N_ FT. _ SCA L� A - _ i i