HomeMy WebLinkAbout0064 COLONIAL WAY - Health 64 COLONIAL WAY
BARNSTABLE
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No....� .... ..
g THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiou -fur Disposal Works Tons#rnrtinn Vermit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
LPN51 Ablr
-- �' ...f..•-'�...W....� ----•-.......---•-• � .�
................................io A Te
or Lot No.
....Lo... .. .. .... ............................. ...........•-----•••••----.._..............---.........•---••••--•-......-••-...................--
er ............ _OS_!ICW •.A:.i:.55 �!1��_
Installer .. ...
Address
Q T e of Building Size Lot...:.......................Sq. feet
U Dwelling No. of Bedrooms.............................. .__..Ex Expansion Attic a g— --------- p ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q Other fixtures
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 ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
fT4 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water.--------------
_........
P4 ......... ------------
�� ..em�ss ----••--•---
O Description of Soil____________________ r...SY _ --- -- _
txj ------•----------------------------•------------••------------------------------•--------------------------------------------------------•-----......................................................
W
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 TITLE 5 of the State Environmental Code=The undersigned further agrees not to place the
system in operation until a Certificate of Compl' e has been issued y the board of health.
Signed - ------- -- --- ---- ----
Date
Application Approved By ..--------- Ion..-10--�.9.,./.
Date
Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------------------------
-------------------------------- -- ----------- -- -p............--- ---- ----.......----...----- ------------. ---- ----...---........----.--- --- ----------------------- -------- -----------------------------------=--
Permit No. ...........pl ------.--- Issued Date
Date
qQ
No...........S a FICs. .....'......
THE COMMONWEALTH OF MASSACHUSETTS
Fh BOARD OF HEALTH
Wj TOWN OF BARNSTABLE
t -
App irntiun for Uigpuunl Works Tuntxnrtiun rnmit
Application is hereby made for a Permit to Construct ( ) or Repair.,( ) an Individual Sewage Disposal
System-at'` L� _'� ..-- .....--•----
, '
Looelio r-A 're� ................................
• --
.... Y_�bl.!�%��?!�{St............Y�....f......{..:............................ ................ ............•---....----or ........----•-....................•..........
Ad
J '
' v— ...... ............
Installer Address
— TV� eorl uilding Size Lot............................Sq. feet
aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons--..------..............--.. Showers ( ) — Cafeteria ( )
04 Other fixtures ..---•------------------•----------•-------------------••-----------------•-•--------------------•----•--•-•---•--•--......----•-•-•••-••-•-•---•-•--
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—L-iquid 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 ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit-----..-__.._------. Depth to ground water......------.........--.
4� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......----..............
Description of Soil P� ..�� �� =' �'." -
x !/ �:
V ---•-•------•-•--•••---•-•---------•-----•---••-•--...-•-•------•------•--•-----••--•---••------------................................................,................................................
W
= ---------------------------------------------
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 TITLE 5 of the State Environ ental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compli e has ben issytedUye board of health.
Signed . ...........................................1 ............---------- -- .....................-------------- �.
Date
Application Approved By ------------ ;....-..-. i ------ --ln--`-Sid
........... ...................."-------.....-......................................---'---'--'----.._.............. Date
Application Disapproved for the following reasons- ------............................................... ..-----------. .........--------- -- ........------ --------......
............................ . ............ -- --- ....----------------.....--....-... ... ................. ------ ---- ---- ---................------. ---- --. ..............-_.....................
^ y r� Date
Permit No. //7 - ----------- Issued -----
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
QuIer#tftra e of (Qlorayfianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
y ..............', ---- _....__ ......................................... ...........................------...................=------.....----...----------------...........`...—.....------
Installer
at --... ... - --....- ....................................... .........................�lJ ' ........i' , ............... t - -
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No- ------------------------------------------------ dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.!
DATE - .... ;1 AI. ..' �......... Inspector 1 ............
t r
....... --.......................................`...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No............ss(...
FEE..:�� .:�:.....
Disposal Works Tontrnrtiun randt
Permission is hereby granted........ -....... ?
--------------••----------------
---•...........
---------------.... .....
to Construct 4( ) or Repair, <) an Individual Sewage Disposal System
atNo..............................................
3` ---. ' --------------------------------------------•---------...--•••••........st t as shown on the application for Disposal Works Construction Permit NoJ..�n_.. Dated.............................•............
.. 1. ,
J - Q�DATE.............. � Board of Health
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
1.9CATION SEWAGE PERMIT NO•
Lot 7 Colonial Way 74-62
V I L L A G E ASSESSORS MAP NO:
Barnstable PARCEL NO: S v __
LNSTA L.LER'S NAME i AD.DRESS .
Henry Lampi
BUILDER OR OWNER
Richard L. Cahoon
DATE PERMIT ISSUED 2-15-74
DATE COMPLIANCE ISSUED 4/16/74
2r s�4 L
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IW A- o L v YZAL
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Fx
No..... ._Z.... �....l. ................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF
HEALTH
.. .. .. ... .............. ............ . ... ......... 171:-------
Appliration far i, powaX Iforks Tonotrudivia Fumit
Application is hereby made for a Permit to Construct (,- ) or Repair ( ) an Individual Sewage Disposal
System At: --...`'..�:`..:...... ....-•----
��}`
._..f .__ .. ....... _ ..F..
catio ddres � i/ o� t
- - --------------- - - .. .... ... . .
.
Owner .------•-------•-------------Address
... ----•------------------------
I taller Address -
Type of iBuiding 3 Size Lot_..-� .� .__Sq. feet
aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
p,, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other"�fixtures ..:.......................................................................................................
W Design Flow___..._..1�.. ............. gallons per person per day. Total daily flow_...__.... .._____.__gallons.
WSeptic Tank=Liquid capacity/�allons 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 (k ) Dosing tank rY 1-17A4 I
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
fi Test Pit No. 2................minutes per inch Depth of Test Pit............. Depth to ground water........................
1:4 -•------------- -- r
O Descri Description of Soil _____________ ' l/� �................................ ..
VNature 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 Article XI of the State Sanitar Code— The and -si ed further agrees not to place the system in
operation until a Certificate of Compliance has ee is ed by d h lth.
Signed. . ..• ...... ................ .............................
D to
Application Approved By__`.----• --•- ...•........ . _ ..... � L
Application Disapproved for the following reasons_....................................___..__..___.................................................ate..............
.......................•--......•--•--------•-•----••----------•-•---•--•-••....-----•------•----•----•-..•-•--••••---...............------------------- -----------------------------------------------
/ Date
Permit No......................................................... Issued...�r ( ...........
Date
�. �_.. ---- --------------------- —_--__--�
No...!.:Z:........... Fim$......./Z...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
. � 4_ 1.1.........
5��. ...........OF.........ix'e:24�. .
Application is hereb .made for a Permit to Construct 0 or Repair, an Individual Sewage Disposal
System - 7.
...... ... .............. ....."-,-'.� ------
catio Address
a ow t N ' j
Owner Address
W ... ............................ ..................�-........... --..64ar -•-----•-------
taller Address
U Type of Bul ding „ . Size Lof1..�4j_ �...Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic. :( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures = ......---- ----------------
-------- - ------------
W Design Flow_ __ ....._.. `f�___________ __ allons per person per day. Total daily flow.'...._:: hT�-gallons.
WSeptic Tank Liquid capacity allons Length................ Width_., Diameter................. Depth---__.__........
x Disposal Trench—No:.................... Width..___.___.._. .. _ Total Len �' Total leaching area ... Sq. ft.
Seepage Pit No - Diameter / �-- e t I '� A . T a 1 hin ar s. ft.
P . . -- q•
Z Other Distribution box (�j Dosing tank ( ) 04, ,
a Percolation Test Results Performed by.......................................................................... Date----.....----------...........------....
Test Pit No. I................minutes per inch Depth of Test Pit.....................rDepth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit-______-___......... Depth to ground water........................
Description of Soil ............ ......................................` � r - � l��` `
- ----- -------
x r ' / P _
_. -------------••. -----------
------------------------
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 Article XI of the State Sanitar� Code ' The un si Aed fu ther agrees not to place.the system in
operation until a Certificate of Compliance has bee is ed by d a h th.
_. ... geed .
/Da
to
Application Approved By---- - =�-
ce ' ---/
Application Disapproved for the following reasons------------------------------------------ ------------=--------------------------------------------------
.....................•--••-------•----------------------------............------......_..._..----------...•-••--•---•-----------------------------•-••------------••---------------•...-•-----•----.....
Date
PermitNo......................................................... Issued...------......••
---•---•--•----•---•---.....
Date'
THE COMMONWEALTH OF MASSACHUSETTS _Y
BOARD O HEALTH
.......� ........,OF........ .. .. .........::.: ..............................
THIS IS T CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
by-•--•.............. . . ................. ----------• --------- -----------------------------...............---------------.•--
o Installer
at----------. - "" . . ..................................................
has been installed in accordance with the provisions Article XI of The State Sanitary Code s descried in the
application for Disposal Works Construction Permit No.................... dated___., __�; ---- .� •.....
THE ISSUANCE OF THIS, CERTIFICATE SHALL NOT BE CONSTRUE® AS A GU RANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE. --=-------------------------- = Inspector... -" .............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD Of HEALTH ,.
/ i l... `OF...... .................................;'
;�. No.. l. FEE.. .............
01
Permission is h eby granted... ......------•.. :.. -----..._..-•--•---------------------•----....----•-•...••••.........----
to Construct ( ; or a a' ( ) an I vid 1 age s sal
atNo.. .. ... i .. . ....... .. ... . . ..... ....................................
Street
as shown on the application for Disposal Works C nstruction Pe No. --- --__ Dated.......... .......:. _ ......
d
Board of Health
DATE �11Z ...... "
FORM 1255 HOBBS & WARREN. INC., PbBLISHERS
t