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HomeMy WebLinkAbout0041 BRAGG'S LANE - Health � s A�\ a - S'7 LO-C=A T ION S E E PPRMlT NO. 7,72 04 VI t LAGS INV A LL'Enos NAxM`E ADDRESS S UILDER OR U 6WNER/I DATE PERMIT ISSUED DATE COMPLIANCE ISSUED (I �� � � 6 i-= ,� ��� �I u. � �� C? � "' °� *� �y a ` 1 __.. No.._:C? ...... Fx$......... ...../ THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HEALTH .. ?fJ_-l!!�_-}....OF........... �' J/.fir': - .................................. Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ....... � -- ` .... -11--��' --•-•--�-----•................................ oca*o -Address or Lot No. +^...---1�-=•---- -'�-•-- •--• - - -•=....... •--....------•-•-------- ---------------------•--------------•--•-•• Address ress a =----- ... •---------------•-------- ----•---------------------•---•-•----------•-------------•----._._..__._.._._..-------•----...---- -. nstaller ----_-•--- Address Q Type of Building,," Size Lot............................Sq. feet U Dwelling 2 No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ____________________________ Q ==---------••-•-• W Design Flow............................._..............gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No.____________________ Width.................... Total Length.................... Total leaching area....................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. 1................minutes per inch Depth of Test Pit____________________ Depth to ground water_______________________. IZ4 Test Pit No. 2................minutes per inch Depth of Test Pit...............__. Depth to ground water........................ P4 ____ _ ____._..._____.___ ........ O Description of Soil ��1�� �'{ ------ ---- x U ---••-------••--•-•-•-----•--• _ ----........ -----•••.............•-••••-•-------•--•---•-------•------•---•------•-------•---•• - -- W -------------------- ---- ----------------------- -- = �-- U Nature of epa s r Alte ations—Answe hen ap icable____ __�-.............. W........ &--------2c� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I- . p '" 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. Si ned...... Date Application Approved By ...... --- ._ � 7 Date Application Disapproved for the following reasons:........................................- ------................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued.--------Z---.f------ �-�--------------- No....(�U....... FEB......... ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD qF HEALTH ........... ...................-OF....... IL944V...... ................................................. Appliratioular Dhipasal Works Tongtrurtion an it Application is hereby made for a Permit to Construct or Repair an Individual Sewage'Disposal System OV: 4*'� . Address . .. ................. ..... ....... ............. ............................................................................ o a'0 Am-;/-"P . ......... C -------- . .. ... ..... ........................... ..........................................or....Lot No. .................................................... . .. . . .......................... ..................................................................................................4 ...................!i.. ..... .. .staller Address U ­11 Type of Building Size Lot............................Sq. feet T_ Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons......_..............._.___. Showers Cafeteria Otherfixtures ....................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity.............gallons Length................ Width..____..___..... Diameter__-____-_______- Depth....__.._....__. Disposal Trench—No_-----------........ Width.......i------------ Total Length___...._.._......... Total leaching area....................sq. f t. 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................minutes per inch Depth of Test Pit__..__.._...._______ Depth to ground water.___..............._.... (Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.........._.__A_'bepth to ground water........................ 9 ................--------- ...................I r.............................................................. 0 Description of Soil ....... ..... ------------ --- ......*...................................................... ...................... ....................................... ....... ..................................I......... ............. U ...... ......................... -------------------------- ------------------------------- ...........................................----------/—------ U Nature of e Al itions=Ans licable. - ._'__•__ I.. % -------A-------- ---------- ------ ---------- S r ... t ................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE, 5 of the.State Sanitary Code— The undersign�d further agrees not to place the system in operation until'a Certificate of Compliance has been issued by the board of health. Siged...... ------------- ..................................................... ................................. 7; D t 0.*'7 ,9 M44 &_01 ..... . .... ............f Application Approved By.................. ....... ... ............................. ----- . Date Application Disapproved for Me following reasons:........................................T .......................................................................... ........................................................................................................................................................................................................ Date PermitNo......................................................... Issued....................................................... Date THE,,.COMMONWEALTH OF MASSACHUSETTS BOARD; .F` HEALTH ............... ...OF...... .... ..... ....................................... THI V' ...TO C RT Ividual Sewage Disposal System constructed or Repaired by.....-_. Xei�. ............ .' . .. . . .. ............................... ................................ ..................... ------------------------------ I.rta _-y ................................. al .... ..... .................... .................f4__ .... ..........7_�*J............ has been installed accordance with the provisions of T of State Sanitary C de as described in the application for Disposal Works Construction Permit No. ... ...... . ............. . dated-...7!;_--- ........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. I DATE...............I ................................................................. Inspector.................................................1.................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OVFEALTH C_ 01� .........V-le .. .........OF........... .. ...................... ........ No................ . ... FEE.....�5................ Permission is ------ '�iereby granted_ . ... ...... ........... . .. .. .......................................................... -'Re. r),?A 'r to Constrgctj� Rep an, I idual S age isposal System LAI SP' 10 a ....... . ......... ...... ...... ......... ....... griect as shown on the application for Disposal Works Construction )ate .. ............... Permit .... ... ................... .............. .... ........... Board of calt DATE.----- ................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS M�- TOWN OF BARNSTABLE II�A�� v4 ' - t u /UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS 'G :ASSESSORS MAP NO. PARCEL NO.'® �9 � ADDRESS; !�5(s 6 �/f G VILLAGE' N&KrAVE 11AME:._. 1A.1�. - Cr CONTACT PERSON PHONE NUMBER 3 G LOCATION OF TANKS:. CAPACITY: .TYPE- OF' FUEL GE::� T E: LEAK OR CHEMICAL: DETECTION o F� !0 '� Kti I�sa_ S . JEM= WI LLIAM P. SWIFT ATTORNEY AND"COUNSELLOR'•AT LAW r C,® 49 ELM STREET T." G} HYANNI6, MASS. 02601 t DATE OF PURCHASE OF EACH: 1. 2. 3. 4. 5. DATE OF FIRE DEPARTMENT PERMIT: I'I TESTING CERTIFICATION SUBMITTED:, PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. �� �� + 0 :' f w�. 1 °" ^��. P � r � ,^ \ � £ � � o � � � , '. r;,, '� ,, F 1 1 2 •i WILLIAM P. SWIFT 46 Bow LAME BARNSTABLE. MA 02630 TEL 508-362-3644 October 20 . 1 988 Board of Health Town of Barnstable 367 Main Street Hyannis , Ma 02601 Re : Underground fuel tank .Tag #470 Gentlemen : Please be advised that the 1000 gallon fuel tans, on the premises at 46 Bow Lane Barnstable , Mass has been removed and was inspected by the Fire Chief of the Barnstable Fire District . I am _enc l.os i ng a cop,, of t-he Storage Tangy.: Removal Receipt issued by LGR Tank Services., Inc . Would you please update your records accordingaly. v 0 Very truly you i t plar(ra�44 S i f t 1 LCR Tank Services, Inc. P.O. Box 765 Marstons Mills, MA 02648 508-420-3365 Storage Tank Removal Receipt Date: 10-18-88 TYPE: Oil #2 Gas Other Owner: Mr. William Swift Address 46 Bow Lane Barnstable, MA Tank Size: 1 ,000 gallon U.S.T. Date Removed: 10-18-88 FDID a: 01919 LCR Tank # 201-88 Dig Safe # 88405195 LCR Project a T2139 Tank Transported To: LCR Tank Services, Inc. 381 Old Falmouth Rd. , Unit.#5 Marstons Mills, MA 02648 Inspector: Comments: Approved Scrap yard: James G. Grant Co., Inc. 28 Wolcott Street Readville, MA Yard # 03501 ank Services `.WILLIAM P. SWIFT 1 ATTORNEY AND COUNSELLOR AT LAw 49 ELM STREET HYANNIS. MASS. 02601 �rR • fy