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HomeMy WebLinkAbout0115 BUTTON WOOD LANE - Health �h. T WEST BARNSIFABLE, MA. LO CATION SEWAGE PERMIT NO. Cyy VILLAGE INSTALLER'S NAME i ADDRESS ' B U I L D E R OR OWN ER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED I ��t 1 �►` 3�' �� .��-` �..�... ��+- >w;�, �'. No FEs.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �a JA—J r3<�►Z F r l-------------------T�at,�— ppliratiun for Uiupuiittl 3Vurkg Tonotrurtiun trrmit Application ismade for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal System at: —•�+ i hebyl5 ,- L catio: Address o Lot No. ...... -- caner Ad a W�...._.�4A. .... .................................. ..................................S)ee �� ..` ........... Installer Address Type of Building Size. Lot..�' } ..Sq. feet �~ No. of persons Attic ( ) Garbage Grinder ( ) Dwelling No. of Bedrooms--- �--��___.__.__._Ex a a g Other—Type g ---•••-••-•.....-- •---•--- --•-- P p •---•--•---....... ( ) (. ) Other—T e of Building ..._..._.. Showers — Cafeteria p' Other fixtures ................ ........... d _ ..._...••••••....••-•....._..-••-••-••...-••-••...... ............ W Design Flow______..._._J`—.. ..................:...gallons per person per day. Total daily flow_..........�'.�Z.?.............. lons. R: Septic Tank—Liquid capacity.IPPTbgallons Length 5 t�... Width. ":_-`-t... Diameter................ Depth.- - Disposal Trench Total Length.'P Total leaching area3:14nAb..sq. ft. 3 Seepage Pit No--_----------------- Diameter.................... Depth below inlet....................Total leaching area..................sq. ft. Z Other Distribution box (xJ Dosing tank ( ) '~ Percolation Test Results Performed by...___...M.. ....t_.'''t.._4- G��`)'......_._,._ Date__.__' "86'-...... a Test Pit No. l....<4....minutes per inch Depth of Test Pit..... :•. Depth to ground water?' fj. Test Pit No. 2................minutes per inch De th of, Test Pit..... �`: -- Depth to ground water �H.Pa -t d d0 ` `?u4sr � j - M{ L-�rt'�.�4r-c •to�ft�, c>r -- . . .......... .... O Description of Soil.. `4,t�ttG.S....... a._�4�.`..:�'!�G�,.:..�at-t�__�±�`f'1 � .4.�a y/ ... l o��r—!�.�.....��.d.:-�±z-C�..- �Zx._a?.-_z`-i=---..�'�_. �.>��i�-• -•---. . �F.�PJ---•�t�eclt,.rt+.•+ + e-•w ."f't^4Sa .101 "'�Z-�.. G►�-+ ..4t�.`� ' �'�G =.IA �satj. U Nature of Repairs or Aerations—Answer when applicable---- --------------►rt�..`�_±�±_e_.._S_ss.r►�...W�`�!"tGS Agreement: The. undersigned agrees to install the'aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI':LL 5 of the State Sanitary de— The ersigned further agrees not to place the system in operation until a Certificate of Compliance has be. e oard of health. .�®- � Signc°. m ....`.....`.'. .. ................................ • Date Application Approved By............................ •. ...............•-•-_•--••- -- --,-•- Date Application Disapproved for the followin easons:............................................. ............ ..-•-•---•--.........•...............•----•-•---•---•----........:_...:-•--•----••-------•----•--•---•---..........-•----------.....-•---•------..................................................... •Date Permit No..... q Issued--------------------- Date No.. . 6-0 Fmc........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH % ..............OF............ i ..t ;n .............................................................. Appliratioti for Mipaual Works Tom1rurtion Vamit Application is-he eb made for a'.� Permit to Construct or Repair an Individual Sewage Disposal System at: ..... ............................ .................................................................................................. 'pati;f Address or Lot No_OZO, 7Z� ................................ '!4.9 Al -/��ner Add.ress -------------- .......... A/ ..................... ...................................�' ............. .......... Installer Address -7 Type of Building Size Lot..�� ..8q. feet Dwelling—No. of Bedrooms...... kpqnsion Attic Garbage Grinder A4 Other—Type of Building ............................ 1&---of persons.............................. Showers Cafeteria a4Other fixtures ........................................................................................................................................................ Design Flow............ ...................gallons per'person per day. Total daily— flow.......... .................gallons. Septic Tank—Liquid capacity.!!�:�'5-,.gallons : Length Width!!�:...:::..... Diameter............... Depth ::` Disposal Trench ......... Total Length. .4EE- Total leaching area3:!-n...-,,'zl-.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..."'._..... ............. Test Pit No. I...:��A....minutes per inch Depth of Test Pit.....!.L:9' ; Depth to ground waterDG-7 Test Pit No. 2................minutes per inch Depth of Test Pit....!. ... Depth to ground water:Y:-�....:....... 41=- ........................7 ...........................ffy .. 0 Description of Soil...::L r ....... ..... . . ... .. ............................ ............................ .................................. U ............ I...... ................ .......... .................;.............................. ..................;............ .......... U Nature of Repairs or Alterations—Answer when applicable...................!:--mvtc(...... .............................................................................................................................................................7.......................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAI'LL--' 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is5,qed,by,4,he,board of health. Sign ................... ................................................ ............................... Date ApplicationApproved By............................. . .... ... . ........................ ................. Date Application Disapproved for the following eas.o!!s*---------------------------------------------------------------------------------------------------------------- ......................................................................................7............................................................................................................... -"-) Date .............. 1SSU6&-.L................................................... Permit NO.......... Date ................ ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................0 F........ .......... .......................................I........................ Trrftfiratr of'-Tompliattrr THIS IS TO CERTIFY,, That the Individual Sewage Disposal System constructedX, or Repaired by------------------ - --- PA ...SP.c ........................................................................................................ at........... ................'6-U-7 Installer ....V.1M.O.Jb....... ................ .....G.Ai..W............................ 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 No......................................... dated......:........_......._.._..................... THE, ISSUANCE OF THIS CE RTI F1 CATE,S HALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................ ..1 O ... ............w................... Inspector.................................................................................... ...........................-------- ......V......... .......... V'I C 0 CC -) E*061r4 THE1,14COMMONWEALTH OF MASSACHUSETTS•:,- WRI-Vico 0r-2-T1f'FC-'1 -T)0ej BOARD OF HEALTH C'b#V0' Are OF................................................................................... Fi .............. 'Bisposit: Works Tonstrurtion Famit Permission is hereby"granted. . ------------------7................................................. ........... to Construct PC ) "fir Repair--( an Individual Sewage Disposal System at No........... ...................... ........�ZaT•-•T"T�leio.. J& .........Axj f........V6......?,*.P Street as shown on the application for'.'Disposal Works Construction Permit NOSS.7.4-0Dated_._.__........ ......................... ....................... ....... . ..... ---- .. ... ............. (I eCa DATE. .............. ..................................... 362.4541 926 main street yarmouth mass. 02675 down cope engineermg civil engineers&land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning February 7, 1986 sewage system designs Barnstable Board Of HeaZth Barnstable Town HaZZ inspections South Street permits Hyannis, Ma. 02601 RE: Lot L15 Buttonwood Lane Gentlemen: On January 9, 1986 Down Cape:-Engineering inspected the installation of the -sewage system on Lot L15 Buttonwood LaneAand it meets the requirements of our design dated 6119185. Very truZ,y, �yours., Arne H. 0ala t ,AH%dw t r