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HomeMy WebLinkAbout0179 PLUM STREET - Health (2) F174,Plu m Street W. Barnstable 038 t / r l+ 4 a - 3 C � ` LOCATION SEWAGE PERMIT NO. VILLAGE I� INSTA LLER'S NAME i ADDRESS T.l /G/—i 7` Jiro R U I L D E R OR OWNER e �'T",��yi/1/ �F Yam-► Ou DATE PERMIT ISSUED DATE COMPLIANCE ISSUED C a O T.Ast�K' 1�`©� 1 i � sq. � � No..... ...`lf............ Fxs........... U... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOE ...............OF....&A.ew- .a.e ................................ Appliratinn for Uiipnsal Works Tnnstrurtinn "permit Application is hereby made for a Permit to Construct (1/) or Repair ( ) an Individual Sewage Disposal System at: .. Location-Address or Lot No. ..S..T. P_.h'F 3.fA/. 1T�. Y�/?ter o�7��1 T Y �... -J .... �- caner Address a ?i1ding '�! ... .........__. Instal r Address Type of Size Lot 2 tfl..4�..3....Sq. feet U Dwelling—No. of Bedrooms.....Aw .............................Expansion Attic Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures .----------••---••-•----------•. - w Design Flow........../_./�.©........................gallons per person per day. Total daily flow........ 3 ------_.-------- _.._._gallons. WSeptic Tank—Liquid capacity..I.Po�gallons Length................ Width................ Diameter................ Depth..4..Loh? -,,o x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------1.......... Diameter......... __----- Depth below Total leaching area.....17!'gal.sq. ft. Z Other Distribution box (r/) Dosing tank ( ) aPercolation Test Results Performed r...................................... Date....��._-_�_-Z¢......... a Test Pit No. 1......9.......minutes per inch Depth of Test Pit...f�.. _"Depth to ground water-__y off.€:..__. f1 Test Pit No. 2......_.......minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •---•---•---------------•---•----••--••--------•----••----........•--------•-....•-•---•----•--•-•-.......-•-•--..........-•--•---•-•••........---------•--•. O Description of Soil....Z.e-.--'----- - Ld i1i x.7.. -�- - s`l.^%�_... '!irF1� �` <e. c.� ------•--•--•-•---•-------- 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 TITIE 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. `}_.:"2 -_-�' . Application Approved By......._ �re7- ' ....... -••---------••------ ---------t--- Date Application Disapproved for the following reasons:------•--------•----•--•---••--•----.....---•-----------------••--------•----------......_....--•---......------ ..----•-...-•••••--••--•--------------••-••••-•••-------•••-------•--••-------•---•---•-----•-------.....-•-----•--••-•--•-••-•---••------•••----••-•••-••----•-•-•------••-•-•--•---•--••--••-••-...--- Date PermitNo....... Y- ,S 7-•-----------•----------. Issued....................................................... Date FN4 .. ............... .... 419 THE COMMONWEALTH OF MASSACHUSETTS J 41 — EOARD OF HEALTH o s Ap liratiun for Diopouttl Works Tonstrurtiott erutit ApplicaUori.is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage`;`Disposal System at: -----...----��/.�-•---�-�.�' __�_',}.�c:E�......�.9-- Location-Address Lot - l %' -•S", ✓�?.©�/l._ _ ?... ?fi y.. .7, s' � a�.7.lydT. /�• ,Owner I t f vy ....--•..............................^---•-Address W _ .!-kl.......... ✓is-it r'�� - f------------------------------- --------------------------------------------- �--I ---•-=� •-,- • --•----- - ---- ` -�•-•-•- --.�..Sq. feet Installer' Address Type of Milding Size Lot_*3,� 6 aDwelling—No. of Bedrooms___.!1!Ye..................•_.......Expansion Attic (Z) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P� d Other fixtures ---------------------------- W Design Flow.............../tom...................gallons per person per day. Total daily flow____--- _ _tJ.....................gallons. W Septic Tank—Liquid capacity.l L 1Oegallons Length................ Width................ Diameter................ Depth.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......I----------- Diameter....... Depth below inlet.... Total leaching area....-5?5161..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by. r Syri.o ..._...__•............................ Date..4_ -�. ,`�......___-. Test Pit No. 1...9........minutes per inch Depth of Test Pit....��rf Depth to ground water___��ati _. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•------••-••••---------•-•....-•----•-•-------•••---------•----.....•---•................•-•.--•---......................................................... D Description of Soil----•7�.,ev-/_ .----- '.L�.HyI �,.�.�X.T_•-- �� 3 `mil '' �1!a' .� t`' C� 'Si¢ V .Z ,fl . l..Q.'...'--�-0 ..,P%9 ,t�.---•-- 1?......-5 -.Zl ------. !`��/ 'v��-1' 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 TITI.I 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..X�y Date Application Approved By....... :.�t----------------------•-•--------•--•--------•--...•---•------•----...._••----•• -....eo-r-o--7`-- rf----- Date Application Disapproved f or the following reasons-------------------------------------•-------------------------------------------------•......--••-------•-•- ---------------•--------•--------------•---•-•---•---• -•--------------••••----•--•--••••--------•--••----•---•-_..._ Date Permit No.. .......... '.3_ ---------•--. Issued....................................................... Date THE COMMONWEALTH OF. MASSACHUSETTS BOARD OF HEALTH >�df ...................OF.........4�..•:r Bo a:.5 t"�a�4 c`.......................................... (9rrtifirtar of Toutlrlitturr THIS IS TO CERTIFY, That he ndw al Sewage,Disposal System constructed ( ) or Repaired ( ) by-----------------------------------------------------•------- ,---`---- ------ ------------------------------------------------------------------•--.......... t ustaller ., r . has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit Vo:. -'!/: A __7................ dated_�._.__P--- ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................................••... PkeI Inspector............... -_ THE COMMONWEALTH OF MASSACHUSETTS BOARD--OF,, HEALTH ! O F..................................................................................... No......................... FEE- .. ...... o koat�irtiou rruti� Permission is hereby granted�•--•-.••••. tg " -P c' y ................................................ to Construct or,Re air an I roidual Sewa e ibis osal S stem at No.•-----•.Z! �.c Lr 7 ' ............................. .........--------.._..-------------------------------------------------------------------------------- P" w. Street 17!/-Jf .r 7 as,shown on the application for Disposal Works Construction Permit No_...2?._...__... Dated._' �� Q a/.-_- 0 � Board of Health DATE. ---•- •. ••-- ----• FORM 1255 A. M. SULKIN, INC.. BOSTON April 18, 1984 Mr. Stephen G. Seymour 352 Main Street Yarmouth Port, Ma. 02675 Re: 179 Plum Street, West Barnstable Dear Mr. Seymour: You are granted a variance from the Board of Health Regulation requiring a lot size of 40,000 square feet when the property is serviced by a private well and an onsite sewage disposal system. The following conditions apply: (1) The onsite sewage disposal system and the private well must meet all of the requirements of Title 5, of the State Environmental Code, and the Town of Barnstable Health Regulations. • (2) No variances will be granted. (3) Prior to issuance of a building permit, the well must be installed and the water tested bacteriologically and chemically. The water must meet all of the standards established by the Safe Drinking Act of 1974. It should be noted that your lot contains 39,463 feet, 527 feet short of our requirement. After reviewing your plan it would appear that this shortage would not have a significant adverse effect on surface or subsurface water resources and the environment. This variance expires May 1, 1985. Very truly yours, lj / l- 0 Rob Art L. Childs., Chairman Ann Jane ugh H. F. Inge, . BOARD OF HEALTH TOWN OF BARNSTABLE JMK/mm �'�fNo. 9 Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppItcattou _for Yell Couf�tructtou Permit Application is hereby made for a p rmit to Construct( ), Alter( ), or Repair( an individual well at: Location-Address Assessors Map and Parcel Owner Address In ller-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons t Type of Well j Capacity to �,�Z4� Purpose of Well ���` A Agreement: The undersigned agrees to install the re descr' a individual well in accordance with the provisions of the Town of Barnstable Board of Health Private el Prot egula ' n-The undersigned further agrees not to place the well in operation until a Certificate o j a. issued y the Board of Health. Signed Date Application Approved By ��Vjoo Date Application Disapproved for the following reasons: Date Permit No. o�` ®� ` Issued 2 " Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of /( Altered uce THIS IS TO CERTIFY,that the indiv al well Const cted ( ), or Repaired( ) by nstaller at has been installed in accordance with the provisions of the Town of Barnstable Board of H Private Well Protection Regulation as described in the application for Well Construction Permit No. 10�' Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector 9,0 No. t , Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppYicatiort _for Vern Con.5truction Permit Application is hereby made for a permit to Construct( ), Alter( ), or Repair( ) an individual well at: 1 `7i t 19 5' `Ti Location-Address c Assessors Map and Parcel on V-kyy� Owner ` Address tIn4aller-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well 4 j Capacity 1 o c F n j! Purpose of Well lr�) Agreement: The undersigned agrees to install the afore descri°bediindividual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protec rom Regulation-The undersigned further agrees not to place the well in operation until a Certificates o&efojm�piiance,has been issued by the Board of Health. Signed 7—"*rr Date Application Approved By /��- ( �'( 3 ',o Date Application Disapproved for the following reasons: t Date Permit No. W,�-09-0— o(4 ( _ Issued Date --------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance t . THIS IS TO CERTIFY,that the individual well'' Const�cted�);' Altered( ), or Repaired( ) by ( i (0.�.-� ' IA ).-� /) v, w / V - Y Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. 0 Dated THE ISSUANCE OF THIS CERTIFICATE SHAL*BFN"OT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY,� Date Inspector �------- --- ,rr-e.--- Yw--- -- ' - Y���r�' c w' r+`.'r�s r'.e A e sera as��-�.� srar.. --------------- ------------ BOARD . OF HEALTH TOWN OF BARNSTABLE Yell Construction Permit No. Zo Fee Y tn'Permission is hereb ante Instal ,�� ` ler to Construct��); Alter( ), or Repair( an individual well at: l No.. Street 070 as shown on the application for a Well Construction Permit No.W-) Dated �Date — �7 ' Approved By L ,.FOUtJ DATIDN TESY itr e l I �-"._ sMn NHOIR <O VJ A'TD CA`A D! I TEST➢It•2 IOF laJ --f CkDYIJA - :� J.OAM /cf. ,fJ ,x �. aAm t0f INV.IOT.IO r��� ae.J1 !'M�f •--+�'"""".^--,•-..,,,. SAND 1 N v.lo,Tf IDD SFAICTA NM'�a<•Ja it D- w/Cagr 2•IFAI Tan! �<aAY T4 9! aJ.TANS Gro .,. 11 LEvf[ I01/a dgSF w� IPfSPtT r t P[. !t-sl -- 97.f WI 1600GAa, rl rat ra Ovp cOMIAGfeD 11—Ile �fJ _ Oti LlPCP IIT. 4d9AY. MfD.fANI k COMiACT£D r m F MrD.SAa'D W/JJNJS y " W/P/N rS xD WATLR J3 .L Ec fY.7/,t G nCQVNTF?FD •r J'wnJ Pcp Jro c ..._.ter ..:�•✓.A'i �. « - .'� ... .. 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TEX r 7- LOT -4 48ANDONED CRANbERRY B06 RE51IRV, .4 H,� A! r W14 ;r in i I\j NIF 6A I L 1-5 /Y 7'tO UR sz,"t. cri Ail 3 A IV MAX. S.1 OPf F L 0 T 5 NIF &A I L 1 .5 Tf5l R17'--1 Tc too G 10 A PL 01\4 . < 7 J-f A PPL )CA 7 �90 'Dal M19P iq-r Z07- -9-9 qr LAN 7-9 PL UM , TR --E p -5 E Iverco 16 �r: VA TC. DiFA WV PLA N 1/ 01 5E WA'6�E DISP05A C 7,e EL, AC e 6 10/a E IDi T"7 A