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Home My WebLink About0152 FLEETWOOD PATH - Health C OCL�T10 SE"&C,E PERMIT O. 14 Al S 7.- f VILLAGE 7 7 .C�� - /�I�sT�� /j7,4l j'7a,4/JZl iIZ JI ' — — ItJS-T&LLER S UWE ADDRESS BUILDER 'S Q &MF- ADDRESS DATE PERMIT ISSUED -�1 DATE COMPLI LI MCE is-SUED; Lg � w cLL L E�l Ujo o 13 P/q% �44 . ?-N � FE THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _. ..._.....11 G14k---------OF...... j !sr.!ctfrh ........... Appliration -for Dispuiittl Workii Tottitrurtion Vrrutit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: J PA-�( ) --------------------Fk�C��`!c-ci-`�------ !-- J-AT_.9-� Location,Address or Lot No. -------••-•--------- ry».srQe►. �!1?cQri_ell_.... 1�1eST61uS /�1/<�� ------•------------------•---- -•--•--•----------------.......---------•- �; ,J �er Address Installer Address Type of Building Size Lot--- °e --------Sq. feet .-� Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures --------------- ------------------------------------- ---------------------------------------------------------------------------------------------- W Design Flow-----------------.9.................gallons per person per day. Total daily flow........._Z0.b_________-.--.--.-..gallons. WSeptic Tank—Liquid capacity/M—M-gallons Length................ Width................ Diameter-------.-------- Depth...----._-._...- x Disposal Trench—No- ____________________ Width-------------------- Total Length.................... Total leaching area..--.--._--_...__---sq. ft. Seepage Pit No........I----------- Diameter...(sX__K--- Depth below inlet.................... Total leaching area4fi�.-__--sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by_------------- ------------------•------•••-----•----------------•• Date--------------------------------------- ,� Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-..-_--..------.--.----- (� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ ----------------------- ------------------•-••------------•-•-•--•-------------••-•--••------....---------------.....••----....---......-------•---.._...---- Description of Soil------------- �lCy x _ r� �- -- !t. ------ . ----------------•-•------------ -- --- ----- x ------------------------------------------------------------------- o .----------- V Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------- 1____ _- ..'... _.&--------- ----------- . --••-•-------•--------------•------------------•-----------------------•------•------------------------------------ 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 Complian%ne e n issueA_ytk board of health. -- -------•-- ................................ Z 1i�7� ------------------------------- ate Application Approved BY = •---------------------•-••-•--•---------- ----- Date Application Disapproved for the f ollo g reasons: ------------------------------------------------------------------------------------------•---------------- -•-•••-•--------------•-------------------------------------------....------------------•-------------------------------------------------------------------------------------------------------------- Date PermitNo.--•-------�y7•----••-----•----•-................. Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _. .... . ._Tr .. .0F......./�l � s!. .J.h..... Applirtt#ion -fur Uhipo ial Vorkfi Towitrur#ion Vrrnti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: p -_--------_ •••-••---........•---•--•-••••---•......_...•--•-•.............................................................. Location•Address J or Lot No. ..... �v n.. r�� C j-rc�lc C1�_ �7A�'ST�ltiS...�°'t« �._........ -•--•............................ .............. --•••--�......- bwner Address Installer Address UType of Building Size Lot..Z trlr-Q-__--__-Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) PL, Other—Type of Building No. of persons............................ Showers — Cafeteria a Other fixtures ---------------- ----------------- W Design Flow..................Sr.V..................gallons per person per day. Total daily flow----------n.Q-.0----------------....gallons. WSeptic Tank—Liquid capacity/_.gallons Length---------------- Width------.......... Diameter_-----_-..--___ Depth---------------- xDisposal Trench—No..................... Width-------------------- Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------/----------- Diameter..L-X.K--•- Depth below inlet.................... Total leaching are.L-P. --------sq. fI. 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........................ (I, Test Pit No. 2•_______________minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -----------•------------------------------------------------------------------------------------------------------•------•---------•-•----------------.------ O Description of Soil-------------- � ----- — _-•••-....-•-----•--••---•-----••...--•-••----•-----------•-•................•-••------------------------------------- - - V Nature of Repairs or Alterations—Answer when applicable................................................... 1._-.. ._._ -------7._— ii -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 ha ben issued by the board of health. Signe2i. -•--•-••--•--•--....-•-••-••-•--• ---••- - j Date Application Approved BY-- ............ f.. ..- / ...2----- ? ' Date Application Disapproved for the f olloy ng reasons:---•-----------•-------•--------••------•-••---•-------•--------------------------------------------•----------- ••...............•- ---------------------------------------------------•----------- Date Gf PermitNo........................................................ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G cLk, Trr#ifira#r of Tlimpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by Q fo = ��f T- i 14 .....................................•------------------------------•--•--•----••-----------•••--.....-•-••---••••-- � Installer at..•-----.f'fir C/ f'.. err ./.- °t....`. s ' Tlz = T6f s -- -- -- ------------•---.---••.... ---•--.--.._ has been installed .in accordance with the provisions of Article XI of The State Sanitary Code as described in the application.for Disposal Works Construction Permit No-------z__j___7---------------------- dated.... _>___��__�;___-__y?.1-_----------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM 1N L FUNC ION SATISF CTORY. _ DATE------ ------------------ ----------�----- --.----.�------------- Inspector----• ----- THE COMMONWEALTH OF, MASSACH ETTS BOARD OF HEALTH J %��-:...............o f....ILO fir:...:J.77&h4..6 ......t............................ No.....Z�1.--7--------- FEE--Z�=....=�r2-.. �i�u��ttl �rk� �ly��#r�tr#i�it �rruti# Permission is hereby granted---------------6 r r-rl // ................................................................... to Construct f` ) or Repair ( ) an Individual Sewage Disposal System at No.......... '-- ----=-- 64 ? _- � ='' =` ' = - m 1/; f,s% �r f/ r_ , Street as shown on the application for Disposal Works Construction Permit No.-/f 1_..%.__..__. Dated__---./�_-___ ____2_::____ •----------------• ....................................... ------ ..................................... Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 'I c " I 9 i'ij 9`•°6 h 4070 or I N 3 9. 70 14 v � ,tor' 9 � 79. e, 8 - 26 407" q3 ,A or 9 8 CERTIFIED PLOT F' L A N L. O C A T I O N � .5_. 1. .1 REFERENCE 6; Xo7- 9'7 5 n N A ,q ,✓/-7 • �4o4 I I HEREBY CERTIFY THAT THE 8Ul LDING . R E G L ANI. SHOWN ON THIS PLAT; 15 L. 00 4TE1) UN ... 4,.n... THE GROUND A5 SHOWN HEREON ANp THAT I T —_ ,_ ,J_.__ C O N FORM T O T H E .r" �,n �•1 (?" '':•, f ZONING BY - LAWS OF THE TOWN 0r- W H E N C 0 N S T R U C T c O ;L; GEOP,GE ,\•,(. � o \ i BAR NSTABLE SURVEY CONSULTAM1! 1" 5, INC , OO�'° WEST YARMOUTH N1 ASS \3UR*4 ,C d T' 9 lr r Q h R d7 N I 0 "'U 4• 79. 2 B -zt6 KJ � Y - � 4 o 7- 9 8 CERTIFIED PLOT PLAN 5 C A L E: _.L__�_�y(7.�.^.__ REF- ERENCE X0.7 9' 7 ,9 -5 ! .�h''i11 �'• l' � A f! A//J GdUjr'%� �"'�/9�c.=#3�'7S/ . pot/� /197G I HEREBY CERTI FY THAT THE 8 U I L DING R E G t_ ANU SHOWN ON THIS PLAN 15 LOC .' TE O O• N T H E G ROUND AS SHOWN HEREON AND THAT If W ,5_ CONFORM TO THE ZONING BY - LAWS OF THE TOWN OF GEORGE W H E N C 0 N S T R U C " C n D -- LOW, JR. �!.. BARNST ,ABLE SURVEY CONSULTA �,75, IfJr • WEST YARmOUTH MASS SuR`Jt. I - °fvr now— nARNSTASLg, WAUG. 0268o 362-2511 Ext 331 Dates April 7, 1976 To: Oman Construction 5200 Building West Yarmouth, Mass. 026?3 On th of 't - ------ e basis a sans. aa� �► �d �. � eej*le of water taken from a ..1. YrfQL e... .. ........ . .. ...... . ........�.e��e+.►..+e+e• located on the,premises of 0RV.PPnrg t;VWPP .. .... . ..... .............. ... ..... ........ located at •...X'ei0 t'. !�. .�; t od� P .,.i jar9 opp.��g.... •on# (Place) (data) this supply is approved for domestic purposes at the time tho examination was made. If you wish further information regarding this supply, please contact us at the County Court House, Barnstable, Massachusetts (Tel: 362 25!1 Ext. 331) and ae will be glad to assist you in any way possible. EC G I V Signed... ............. .. . .. ... .... .... Publis Health Sanitarian an ari APR 8 1976 OMAN CONSTRUCTION