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HomeMy WebLinkAbout0115 ALLYN LANE - Health 115 'Allyn Lane �. Barnstable - .. A = 259- 015 - 002 k j< TOWN OF BARNSTABLE LOCIATIO- N-lp' -�441,� ' ST"4L' GIs VILLAGE l as OO j AS 8 S'CiR'S M.AP I.C�'�/��� INSTALLER'S NAME F.IONE NC?. SEPTIC TANK CAPACITY c c� LEA0HING FACILITYAtypel_-- {size} � 1,J NO. OF !IEDRO(_)MS_._ MkIVATE WELL OR PUBLIC WATEA': I}1n r�Ex OR OWNr•,F� '� ` e -- _ .... DATE PE:R.MIT.ISSlJED: _ 9�/ /_ q— _._ _^_ DkTE COMPLIANCE ISSUED: IRA VARIANCE GRANTED: r �. ,� i �. u '1i �) r r �r, 6 , �\,� �� TOWN OF BARN sTABLE ' . LOCATION �/I �� A. I' irILLr�ctL:-- Cq l�lsC s � ASSESSOR'S HAPti Ltd- _- o ,. I24ST:AL LERS NAME PHONE NO, SEPTIC: TANK CAPACITY4_�3j-� I,F 4G1IIN(3 C1AC II.I1'Y:(�Yl ) size) � ( OU_ l � --_ - -- 44 NO. OF ►EDROOMS PRIVATE WELL OR PUBLIC WATER----- BUILUE,R. CAR OWNEIi���_�L?�'� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ VAR.UL,NCE GRANTED: Yes _ ' No 14 i D © /6 r �� 6C r u THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _..-.....101rcy.'............OF................. .......... T��t.�....................._... -0 .0 Appliratiun fur Disposal Works Tonotrartiun ramit Application is hereby made for a Permit to Construct or Repair pp y (X) ep ( ) an Individual Sewage Disposal System at: ....L.,g r -?=-�--- ```5-- �-!`! . S ty--•�---------------------------------- - --------_--------••-----_--------•--••---- Location-Address Z� or Lot,,IJ, ,/ /�d-�-• �/ — ----------------- � .. --- ... ........._.. - Owner Address W .................. Installer Address Type of Building Size Lot....53.+700..S feet .-� Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) Gaa4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------••-----••---------------.....--.-•-•---•-•--------.........-•--------••----.........._...... WW Design Flow............... .,_r ...................gallons per person per da�. Total daily flow.........._...�d... ._.._.......gallons. WSeptic Tank-Liquid capacity.�c-��_.gallons Length... (A Width:...S.Z... Diameter:_-_._.. Depth_ -��emu' `.'. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No---------Z....... Diameter.._.....1V...... Depth below inlet....' .... Total leaching area...�O,Osq. ft. Z Other Distribution box (\/,) Dosing tank ( ) aPercolation Test Results Performed by..... ]a............ Date........,.-., ......... ,.1 Test Pit No. 1.....47—...minutes per inch Depth of Test Pit......... Depth to ground water......-.--.......... IX4 Test Pit No. 2.....LZ`..minutes per inch Depth of Test Pit......... .... Depth to ground water......................... O De iption of Soil&.Z�i;*..LIaAlM.-!_ .J.B.�. lr,a..gaz,Vaj,. ._ �- Zt_.. .fey .�..�`_�t:t.-C�z_.r..el'st-lS�;..7.:.1�4E,t�._ F�►-►ca ,,.a. -. �t%-l .s..--L-1 (. ��-�-�_. ---S-_Prl_q> Z�_.. ll`!�+ 't'--NOD' ..................................... VNature of Repairs or Alterations—Answer when applicable............................................................................................... -•-----------------------------•---•-----..........----•--•-•-•----•---•--.....--•---...........-----.........------. ---------------------------•---------------•-----•----------.................---- Agreement: The undersigned agrees to install the aforedescrib Individual Sewage Disposal System in accordance with the provisions of LITLZ 5 of the State Sanitary Co he under • ned fur .er ag ees not to place the system in operation until a Certificate of Compliance has bee u d y th ar of a Signed.....-- •- .-•• -•-- -••................ .......................... Date Application Approved By.......... •-•:------------------------- - Date Application Disapproved for the following reasons:............................................................................................................ ..........................................:......•-•-----•-•-----•-----.............•••-...................------••--•-----•-------•-------•-----------...-•••---•--•----••----•-•-----.....---......... Date Permit No.......Q a.:n... ....................... Issued....................................................... Date r THE COMMONWEALTH OF MASSACHUSETTS . t a BOARD OF HEALTH � . .........1�1.............OF............... ........................ ,Q Appliration for Uhipasal Works Tonotrurtion ramit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: ...........:!:...... !:. �-' ." F�;.........`.. E ...............•------------- ------•----.....-- --................. Location-Address ZZ� or LotIJp f/ ?d .. %_ !7 .:...... ..................................... ����'� itf�rr!'��f'� �'� J .... .................._........ Owner Address w Installer Address Type of Building Size Lot..... ?..Sq. feet .-� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers �W YP g -------------------••------- P ( ) — Cafeteria ( ) • .. dOther fixtures ......--••---------------------•---.....----....---------••••--•.......•-•---•••••••-•--••-•••--•-•-•-----....---• ........--•---..........__•-_.. Design Flow............... .....gallons per person per day. Total daily flow..............447 2... ..._........gallons. �j ti Septic Tank—Liquid capacity. ��' gallons Length.....(a(R-. Width.... �. ._ Diameter-------T=.... Depth.---.-..�.... W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No..__.....��....._. Diameter.._._..r?,..._..__ Depth below inlet-__�:.�-�...... Total leaching area... ©:Usq. ft. Z Other Distribution box (\,e-) Dosing tank ( ) 0-4 Percolation-Test Results Performed by-_.._�'':. 1�'' Z ..�_.. :. ..:......... Date.......,.-... �" �7 4 Test Pit No. 1...... e-...minutes per inch Depth of Test Pit.........1 Z�_.... Depth to ground water...... 44 Test Pit No. 2......y��..mmutes per inch Depth of Test Pit..........:..... Depth to ground water........."-'........... x 'fC`aT Prr l.10, 6 ,°.ar 3-`�, •-- --- ._... .......... .._.._�..........................•k t' 1....... 11 •._4.. .. --- D Description of Soil. o. +...-� 5. ! ..�i, '_lJl :..-fir.1 __r- ► Lp.+. 1� .:�TP� _ -41�r)— x C?�.2t_l�?1kM,k ;_.. `...`?1.L-1zr_..`��.!-�Z�;,-•7 t� ,--•�Itl..._..�cc+:�_+•�NtJG5. 7 ,. .c *._. �a.: ...................................r..1}�....................... 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 TITAT 5 of the State Sanitary Coe- The undersigned furlth�r agrees not to place the system in operation until a Certificate of Compliance has been-•ssuedyiby thfe o rd ofhealth,` Signed_ �� °c---% !rA, FC. ......_.._. ... Date .. ..... Application Approved By.......... Zf�" '..... M ........-•-•------------------ ............7 Date Application Disapproved for the following reasons:......................................................................................**-------------*--------- Date tS- y a.rJ ` Permit No........................................•--•------------ Issued_ "' ............................................. r-�-- Date -----------11-- --,-..--,.-.--..- .--------_�.�-«� ..� ..- . ,H�. ��.- «.�:.fi�a�.•�:a �.�z�,�.«�se�+ra���m Kam..,-a ,� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH raGat!t..........OF.......... ......................................................................... Trrtif iratr of Tomphattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (><) or Repaired ( ) by..... -•- ------- ......... ............ nstaller --- _......................................................................................................... has been installed in accordance with the provisions of TI i' R 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.............'z ...... dated...............-...__.._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION- SATISFACTORY. DATE...................... ..^� ��.` .�� ?..................... Inspector. .............. -------_.---------------------------------------------- ---...__ _1.___----------------------•---------_----_=---.,..- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH j� /u:t <.... ....OF..........................r" NO.....(d.!G....7. FEE........................ Bio#oottt Works Tonstruction Permit 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.M: ..P_ Dated.......................................... .................................... ..................•......_......•-_�..42...... •-•-•---•----•••.............-•----......... DATE_ . � Y V Board of Health •--•••......--•••--••-•••.•--- 1 r ----------- AO s 10 O 24 L 50 Zk V M LI V,A IC.-I PAL W&IT-W- ' � / �, PIKE 'PITG�• f�4"�FT Ut�I.,ESS OT�QW�SE- t.�rJT6D. -44 Qj N I P6 LAD I►d-rc, Si-4 E TW LG s 4 L>4 t,1•117 P N 07 F C'Ft S V-4 Sl r 14- f;)f Rt4-ITL>tlf 1� Kv I 60VE4Z D-VC-e tu KA --14 ell tc Coco J, 4 LL 'IF ZA co R, C-r&L L4*4 TAAW V- t--A 66,4—:7 FLA�d TDT&L ARNL H iti OjALA' �oc�n ape n9 OJALA 1-7 N Tn� I", . I KII, 7-S te oa4LA R.LG.