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HomeMy WebLinkAbout0080 ACRE HILL ROAD - Health MENEM ■ ■ ■■sue■■■■■■��■■■� ■ ■■ i �i�il�ii°� .iii�iiiiiii■ i ■■ ■■�■■■■� ■■ ��� -�®� 'rif�rr���f► // err-� -�i�- ■■■ ■■ ■■■■ ■ ■ ■ ■ i 0■ ■ ■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■ ■ ■■■ ■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■ ■■ ■ ■ ■■ ■■■■ ■■■■■ ■■■■■■■■ ■■ ■■ ■ ■■■ ■■■■ ■ ■ ■ ■ ■ ■■■■ ■■ ■ ■ ■ ■■■■ ■■■■■■■■ ■■ ■■■ ■■ ■ ■■■ ■■■ ■■■ ■ ■■■■■■■■■■■■■■■■■ ■■■■ ■■■■■■ ■e ■ m ■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ M ImIl ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■ ■■■ ■■■■■■ ■■■■■■■■■■■■■■ ■■■■■■ ■■■■■ ■■■■■■■■■ ■■■■■■ ■■■■■■■■■■■■■■ ■■■■■■ ■ MEN ■■■ ■■ ■ ■■■ ■ ■ ■■■ ■■ ■ ■■■ ■ Im ■ ■■■ ■ ■ ■■■ ■■ ■ ■■ ■ ■■■■■■■■■■■■■■■ ■■■■ ■ ■■■■ ■■ 1 ■■■■■■■■■■■■■■■■ ■ ■■■■■■■■■■■■■■■1 ■■■■■■■■■■■■■■■■r ■■■■�ra � ■■■■■■■■■■■■ ■■■1 ■■■■■■ ■■■■■■■■■■ ■■■■■■■■ a' « ■ ■■ ■■ 1 ■■■■■■ ■■■■■■■■■■ OEM■■ ■■ ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■ ■ ■■■■■■■■■ LOCATION. SEWAGE PERMIT NO. �0 /4G LL VILLAGE INSTA LLER'S NAME i ADDRESS BUIlDER 0 OWNER T C 14 � r rr ram_s DATE PERMIT ISSUED -74 ` (3 - � DATE COMPLIANCE ISSUED d 3<6' �23 6' J k .c i No..- • - •�" �� :� Fxs...... .`3..�.... THE COMMONWEALTH OF�'MASSACHUSETTS BOAR® OF HEALTH l 1...............OF....... i/9.(d.N.- .T.1@--LS-L"-E. ................. Applira#ion for UWpaiia1 lUorkg Tomitrurtion ramit Application is hereby made for a Permit to Construct (L_�or Repair ( ) an Individual Sewage Disposal System at: ......1�D..---.......lm..&1al._�_T./Q.0 4Q.7......1�a............................................................. Location-Address or Lot No. . James K...Smith ................Barnstable_.......................................................... .. ............ Owner Address W Vetorino Brothers Brnstable. ......_..._. ,-1 ••----....--•.....................•-•--------••--•-----•--........-•--•-•••---..._......_••_•-•-• Installer Address d Type of Building Size Lot_�38'+Z_K_......Sq. feet Dwelling—No. of Bedrooms-----3..................................Expansion Attic ()up) Garbage Grinder (A)O) P-1 Other—Type of Building ----1udA............ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ------------------------------•. - --- --------------------------- ----------------------••------- d i2,co^�3---------•---- ---- ----- 7 ions. W Design Flow------./Z0--------------------------gallons per Per day. Total daily flow-----•-•---3-30..--•---------------� R; Septic Tank—Liquid'capacityZ .gallons Length 8."&'._ Width4_'/__O."_. Diameter________________ Depth---5'a" TrenchW Disposal tal —No.__:__-_ Diameter..8..`.._._._. Dept below on et._. .0 �._.___.Totall Seepage Pit No leaching area.a.0_Q...sq. ft. z Other Distribution.box ( &�' Dosing tank ( ) 1-4 Percolation Test Results Performed by.__7?Q-l-1U_g4D....A-i...jdff-QAD.. Date....O_GT_.._�2_>y_1�_�, aTest Pit No. 1---Z- -___minutes per inch Depth of Test Pit_.1A.......... Depth to ground water._.*V_®_,V. -___--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..........-................................................................................................. '....------------- -------------------------- O Description of Soil.........0_ .....A—AID_......51!_/3'snr'-&................................................................ U •-•--•----••-••----•._..._•---•----._rZ.�."_15 `=._../!J�''d� LIA1....... �tst t �Ot!2 E..._G.145W-7.......TZA4t/��.......... 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 THTI 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. Sig ---------------------------------------------------------------•-•-- ................................ Date Application Approved By..... .-. l !l- ....... = = T --•--- Date Application Disapproved for the following reasons-------------------------- ---------------------------------------------------------------------------•-•••--•- ........................................................ --------•-------------•-------•---••----------•-•----------•-------------•-•-------•-----•------•-••-•-----••---------------------••--•-•-•---- Date PermitNo......:.................................................. Issued........................................................ Date No..........` ' � ,► FEB............................_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r ti .Al of........ :_ .._.........................•- App iration for Uiipnsai Workii Tomitrnrtinn ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: r . :.1Z. _.... 1. ...... ............ A£ N&5%�!t34-e --•----------. Q Z.....1.6.....--------------------------------......----.....--------- 1 Location-Address or Lot No. ----JHl�,8..1Cs..St�3 tl3........................................................ ----------------EAmatable.......-----------•-••---•-----------•----------_----_-___ Owner Address a -•••• KA orba..Brothers................................................. ...............Bmwt_able........- -----............................................ Installer Address dType of Building Size Lot :.4'_.2_±4.......Sq. feet V Dwelling—No. of Bedrooms_____ ___________ _ .Expansion Attic (lyp) Garbage Grinder 0)0) Other—Type T e of Building 1 JIA_____________ No. of ersons_________._.____._______.... Showers Cafeteria a YP g -------- -- P ( ) ( ) � Other fixtures ----•----••-•••••••••••-•••-•••••••- ';t�h.......4 -- - W Design Flow......Z-16?...........................gallons per rson per day. Total daily flow.......... ....................gallons. WSeptic Tank—Liquid capacity`' Q_.gallons Length&=A.'`__._ WidthV.'I.1a.".. Diameter________________ Depth...5_. +v x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No:___./............ Diameter._8.............. Depth below inlet_.. ........ Total leaching area_a .V. ...sq. ft. Z Other Distribution box ( -)- Dosing tank ( ) '-' Percolation Test Results Performed b .-_ja!V �.P____4.ts _ f ._f : ___ Date.... r-1 .... Test Pit No. 1-_4.A----minutes per inch Depth of Test Pit_.lA__"........ Depth to ground water_.�*v_dAt_e_...__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -•--------•••----------------•---------•------•--•------...__.._...------------•••-•--••._...--_.._......................................................... O Description of Soil......... _' _ ...`....,!.f? ?: -----• ^a-.D-----�71<,-),i '= V --------------------- --------------------------------------------------•------------••------••-------•------------------------•---•----------•-------...-------------------•-•----------------------------------------_-••••- 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,;,,. : 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. Sign . -••--- - ................................................................... " Date Application Approved By...... 7" •••••• r 4------------ ----- t J mar Date Application Disapproved for the following reasons: --------- ...._......••••-••-•---•-•-....._....-•••-••••-••--••••••••--•••-••-•••••---•--•••-•------•--•••••-•...--.••-••-•-•-••-•-•-••-••••-•-••-•--•-•---•••••-••••••-••••--••••-••---••------•••••••-••••...._.. Date PermitNo......................................................... Issued-................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................TOM................OF..............Sarastable............................................. (Intifiratr of Taant;iiiatta THIS.IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( X) or Repaired ( ) by..................Vatorino••.Banthers..........................................................,.._..----•-•-----------------------------------------•---•--------.._.._.__...._ I staHer t Lot 16 Acre Hill Road Barnstab�,e at •-•-••••••••-••-••••••---•-------•-•-••-••-•••••_-•f••-••-•••---•-••••-••--••-••---------------------------------------------------------------------------** been installed in accordance with the provisions of T ` of The State Sanitary Code as descri ed in the application for Disposal Works Construction Permit: No-_: of The da.ted_...4.// ""7�.__�..___.__._ THE ISSUANCE OF THIS,.CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM VYILL FUNCTION SATISFACTORY. DATE...•. = �Q ....................................... Inspector•-_. _:... ------------------------------_...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD ,F HEALTH 7 ; ........................ OF.............. f._........._.. No._..........✓.. FEE...":?................. taa �t1 nrka W'nnoirndiaan pamit Vetorino Brothers Permission > hereby granted • - •••••........••--•••.-•-••-- to Construct ( or Repair ( ) an Individual Sewhje Disposal System atNo.......4. L6__Acr-e__Itill__Boa-ds_.:Bam tal l4---------------••--•-•----------------•-----•----------•------------........................................... Street © as shown on the application for Disposal Works Construction Pe No._ ______ _ Dated __._.Z_ I /� �' ----•--------------------- /a _ S BoaPd of Healt DATE1 --- -•- ----_.._..-•------------------------------------------ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS EEV. .k$5UM. 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I /N1/E,2T � ;t /N vE�r NO GA eBAGE G elnfl:E,C //,o c -- ?0' Min//A4UA4 .�L � •y< � � 6 x / > S I TE PL ,� N PRO PQ ED sc &E LOC�17-/O�/ �ARPISTAflt_6 64A55 AZEFE2EnfCE_ I3E /NG LC?T /.la A5 Sh' lc.li1/ TANAC D/ST,2/QUT/oN 80X _JN PLRAI !tOQ� all a/;fc,E AND LE.4C.tiING p/T + °�7y (1t rAlE OF QEiNF0.2CED CO.VCTzET� "�OA/G 2E TE ST,2GA.107;/ :3000 �/ M/n/. �� j JA ME . I �.s f X. ,. 20000 L H- /O A /N ray `i'/�G".c.f L. _ TAYl-0: (COEP— Lo D G "s.9 VV/'L L04A:i DP/VEW�IY h/OT TO BE LOCATES Y.4 0 AVI©1 U 77-1,CO L 7"� Nfi'�f.--1"" 67 O V E.2 5 YS TE M UivL E 5 5 N- ZO ZH.OF UE S1Gn/ L0�1 D/iVG /S USED. 2 HEREBY CERTIFY THAT THE FOUND rAW SHOWN �A` M�- CAN Tilts PLAN t5 LOCATE'D OKI TNT` &ROUN � � s GEORGE A5 S/ OaLAJN HEREON AAl Q 17, DOES COAWD �M � LOW, JR. TO T. RE BUILDING SETL3ACK )rraUIRSMEN r.5 � �� �a, H tiR OF "rllE ?'t3u)hi 0f BARN +QLF �.ti sr ®� -_- 4 Ey D,GTE �/ELILT;! AGE.v7 L 7- /. St1R� H <! PP,eOVAL