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HomeMy WebLinkAbout0040 COMMUNICATION WAY - Health (2) �J'D Commun t cli-c_�ns_lWOJ� 113339, No................_......./ - F::s.......S f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ... ........ .......OF.......................................................................................... Appliratiou for Diipnial Workii Tomitrurfiott rautit Application is hereby m=rmit tract ( X) or Repair ( ) an Individual Sewage Disposal System at:Independence Drivens Way Independence Park ---------------_........._..--•---------.....--- ....----...... ---------•--..........-------•-...---•------------•------•---._...._.......--------------------•-- LocationLot No., Cape Cod Times Main Street, 'iyannis, MA ---------------••-r--.--------_......................._._.... •----••-----..............................--Address---.........--...._. ...............-- a ------------------- 4 ..... .....----.............-----...------ .......................................................... Installer Address 570 600+ Type of Building Size Lot..._......'.__..... ....._Sq. feet U Dwelling—No, of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building _-Indus trial No. of persons......50................. Showers (X) — Cafeteria ( ) aOther fixtures -------------------------------•----------------------------------------------------.....--------•----------•------------.........------------------. � d W Design Flow........15...............................gallons per person per day. Total daily flow.......................... 50-_________.gallons. R: Septic Tank—Liquid capacity.2000..gallons Length..12.'_-.Q" Width...ra'=Q".. Diameter__ `n=m-_- Depth_.h',6" .. _.... Width..._20.......... Total Length G5......... Total leachin area... ft. x Disposal ����—:�?o.------_---- g ag q• Seepage Pit No_____________________ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X ) Dosing tank ) Percolation Test Results Performed by---=Down ape Engineering Co. Date...Aug. 27, 1987 aTest Pit No. #,__3_'.?_!D_minutes per inch Depth of Test Pit .144"...... Depth to ground water Not--Found Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ -----------------------------------•---------------•--------•---....----•-----•...------•----------------------------------------------------------------- O Description of Soil.... T2p soil and. subsoil to 36" . Dense fine sand from 36" to 144" 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 TiT E of t he State Sanitary Code—The undersigne -urti:er agrees not to place the system in operation until a Certificate of Compliance has en i su d y thte�oard o lth. U ------------- -- - ------------- --------------....---------•-••---- -•--------- ................ DatApplication Approved By--- -..... --------------- ---- ---•--••--•----•--------------------- ....../f 3- .... --_- Date Application Disapproved for the following reasons:_...--•-----------------------------•------------------•--------------------------------------------...... .._ ----------------------•--....----•----------•------------•--•---••-------------------........-----------.._.....-----•--------------------------------------------------------------------------•-.-_.._. Y� � �� Date PermitNo.- .- _/._...... . ---j......-••---..... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS ' e OARD OF HEALTH _1We .OF....... .� f.!�..v!.... .. .............. �rrtifirate of Toutpliatta THIS IS TO CERTIFY TULthe Individual Sewage Disposal System constructed ( ) or Repaired ( ) by----------------------`_:� L1F...-..:t :''1 ---•-------•--•------------ .....--------•---•-•-•-....-•--•------•-----------------........----•-----------•--- -- Installer at-------------------- li/,1 E� / J��.-..------ L 1 .f � ?�j1 1.. 1� 1�e has been installed in accordance with the provisions of TiTA'NE 7 of he State Sanitary Code describe n the application for Disposal Works Construction Permit No. ._/.^.._757...... dated------/.... . .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... f { THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ...... ..........OF..................................._...-------------------------.....----------------_---• Appliration for Disposal Works Tonstrudion Prrmit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: Independence •Drive & Communication Way - Independence Park --- ......- .... -Address or Lot No. Cape Cod Times Main Street, Hyannis, MA -....._._.. ......................................................... ..........--............................--............ .......................................... Owner' Address ac: .......!....................................... Installer Address 570,600+ d Type of Building Size Lot...................._—.....Sq. feet V Dwelling—No. of Bedrooms________________________________ _____Expansion Attic ( ) Garbage Grinder ( ) Industrial No. of ersons.________50______________ Showers X — Cafeteria p., Other—Type of Building p ( ) ( ) QI Other fixtures __________________________________ W Design Flow............15............................gallons per person per day. Total daily flow................................750......gallons. R; Septic Tank—Liquid capacity__2000_gailons Length_12'_-0''_ Width_6_'_-0'..__ Diameter- ..... Depth...6'-6" Disposal INo. ....... Width....N..........__ Total Length.....65.......... Total leaching area__1300---------sq. ft. Seepage itel�To._ .y_____________ Diameter.................... Depth below im Z Total leaching area___.______________sq. ft. Z Other Distribution box (X ) Dosing tank ( ) '-' Percolation Test Results Performed by.....Down Cape-Engineering_-Co. Date._Aug. 27, 1987 a ,_l Test Pit No.X3 2 Q--minutes per inch Depth of Test Pit...144.......... Depth to ground water..Not Found 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_______________________ R'+ •••• •- ....... -........... .. ...... .•tr.. ----_._.... -- •••. .............. rt ---• -• n O Description of Soil.__•Top soil and sub soil to 36 Dense fine sand from 36 to ll+ x v 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 i ITLEE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ued by the boar of health. _ 1 Signed.-- --__.......... - -------- ....................... -•---------- .................. Application Approved BY,� '�' i r,'� '=.- --........................................ +� --- - --• /� Date ' Application Disapproved for the following re o s:................................................................................................................ -----------------------------•--......__......--••-•-----------------------••-------------.._..._....------••-•--------••------•-•--------•--•---•--••---------•---•---••••-••-•••----•---•--•••--•-••-- Date PermitNoe.....T-5.. .--••.................. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �, ..........ro .`.11/..,d......OF..... .r /. \. �_. .. ,,,).�- C................. Tutif irate of Tom plittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( } bY------------------- / P r -/ / /---.._......p�_..----------------------f-�-------/--.-/-�---�J-�--...---------------j--'-'---/--�-}-�---)-- ...........-----..�.--------------- i at-------------•--_—/ I,06. �� Yc il� �c /�-� staller� 1 1�_l lfl� � l.�U...V_,. ----"-�------ � has been insmiled in accordance with the provisions of ii '". jot The State Sanitary Code As de - h m the application for Disposal Works Construction Permit No.- �__7�-/_____._. dated_...//�„ ___ ________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. -� i DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACbY§ffRfNG ENGINEER MUST SUPERVISE BOARD OF HEALTOSTALLATION AND CERTIFY IN WRITING THE SYSTEM WAS INSTALLED LN STRICT {// /j Town Barnstable Are N2 ,/ J � 1 ...........................................OF...............-_._....._..._.._._.........-_T.-�C--e^v�R37�°i5=1CF-TO..PLAN. �.► O 1/ FEE.__S.... ........... Disposal Works Tonstr ion rrmtit . QP GQjJ T�MpS Permission is hereby granted. •�---('�P--------=-----=------•_•••- 1_ :_�...... to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at ....Tndependenne__Ilri-ve._and._Cammunir.�atians-_.Way_...................................................... ___ _ _______________•- Street �� _�/` as shown on the application for Disposal Works Construction Permit N�l__J_____l:.J/_ Dated_._.1_�__ .I�___��.:.__. ..................................... �'A It__ ___ Board of Health DATE-------------� ----��' ---- "' FORM 1255 HOB S & WARREN. INC., PUBLISHERS r L 4 rRNSTABLE TOWN OF , 0NLOCATIONZNde-j'ae-NJePjc(� DY'iV2SEW1� E # 87-7 1 VILLAGE ���n� r S ASSESSOR'S MA & LOT _ INSTALLER'S NAME & PHONE NO. P fV V IN SEPTIC TANK CAPACITY 'oZ,0U0 LEACHING F ACILITY:(type) La A i' ►e-/=#S (size)+ NO. OF BEDROOMS A • PRIVATE WELL OR PUBLIC RATER BUILDER OR OWNER C c U?J � DATE.PERMIT,ISSUED: � � �- 11 8 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes f o �g , `�* ca . &t� d B R / -7 i o r No.----- - -.//�3 —7 TD ad . Fps.......`.:..................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Appliratiou for Disposal Works Toustrurtiuu autit Application is hereby made for a Permit to Construct (,Y) or Repair ( ) an Individual Sewage Disposal System at: %...... . 1— -......:�....... X�!U..5......---..... -------•----------------•--•----.-.-.--..------- Location-Address or Lot No. ff L/ 5 ._..1._!U .US i��/�5 !�- >... ............. A ....... l'l................. .......... - a Owner Address -------------------------------_ E sA.----------•-•---------•-•--.....-•.............. Installer Address dType of Building Size Lot._._ ®:.2Q._..Sq. feet U Dwelling—No. of Bedrooms................................ _Expansion Attic ( ) Garbage Grinder (,Cb) �+ a p, Other—Type of Building . No. of persons............................ Showers ( ) — Cafeteria. ( ) Q' Other fixtures ................................. . / W Design Flow............................................gallons per person per day. Total daily flow..........._ 7L/0.0-................gallons. WSeptic Tank—Liquid capacity. .gallons Length___./ .I._...... Width..... .__.... Diameter------__ ------ x Disposal Trench—No. .................... Width.................... Total Length.....................Total leaching area_.......•..../._77 sq. ft. =� 3 Seepage Pit No....__ .._..._.. iameter...../ _._..... Depth below inlet......`..'.7."Total leaching area_�V.; .._.sq. ft. Other Distribution box ((/�D Dosing tank q/z��!�` /h��-•---------------- Date---,�•----e�Percolation Test Results Performed by.__J_.`�___..!'_________________________________ aTest Pit No. 1---4Z.....minutes per inch Depth of Test Pit........I.V.. Depth to ground water.... E-..... Test Pit No.f,._sI.-.Z._minutes per inch Depth of Test Pit......./Z,'___. Depth to ground water.. •-----•---------------------•--•----------.-------•-------•---•------•------_--•----_---_--.------•..... a Description of Soil f / d-(Z --G�' ......�-----•-•�---- t�--� .~0 / 1 c., -------------------------------- ----- .....1 W .......................... .....................................................--------•-------------------------------------------------------------------------- --- C•FF AL-L.YN------ � U Nature of Repairs or Alterations—Answer when applicable--------------------------------------------------------------- v ..... ILSOnt...... No.3021. Agreement: The undersigned agrees to install th a edescribed I dividua ewage Disposal System in a the provisions of TITLE 5 of the State Sa itar Code—Th der ig ed further agrees not to oper on unti Certificate of Compliance ha be n issued by the o rd of health. dz%aty Date PP 1 ation Approved By------.... - =----------•-.............. ........................................... ...---------/__Z_ � 3 -_�rJ— Date Application Disapproved for the f ollowin asons:------••-------------•-•-•••-••-•--••--•----•-••---•--•-•---•-•-•--------------------•--•--••-----•--•-••••--- : ..-•-------•----------------••----•-----------------------------•--------•------------------------------..._.._..---------------- ----------------------------------------------------------------------- Date Permit No.--- s Issued Date .7� /1�3 - 6 No...... Fmic THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........0 - ...6.4n/................................ Appfiratiou for Dispatial Workii Tomitrurtion rrrmit,t Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ........................ .....................................................I................ ..............4....... ................................................ Location-Address or Lot No. ...... .............. r.................5.........4.................. n�.12 , 7 Owner Address .................. ................................................. .................................................................................................. Installer Address Type of Building Si'ze Lot.._. ....Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder (/-t) �4 PL4 Other—Type of Building -------- No. of persons............................ Showers Cafeteria P4Other fixtures ........i.............................................................................................................................................. Design Flow...........................................gallons per person per day. Total daily flow............_76<)................gallons. W rp I 9 Septic Tank—Liquid capacity/.:5' -gallons Length___-//........ Width.....4-...... Diameter----__" ...... Depth..........j... Disposal Trench—No....................... Width.................... Total Length.................... Total leaching area_-__-_______. sq. ft. Seepage Pit No-------9------ Diameter _/P---- Depth below inlet..... Total leaching area_:P.1.......sq. tt. zOther Distribution box -----Dosing tank ( ) I-q 12 Percolation Test Results Performed .................. Date.......... ,.-I '9 -------------------/�k Test Pit No. I...42.....minutespernch Depth of Test Pit---__-_-- Depth to ground water----P'�_-C...... f... zuDe_,:>vur4A4D Test Pit No.41...42 :______minutes per inch Depth of Test Pit-------/,?L.. Depth to ewand water.._..................... ......... .... ......................................................I..................................................0 7........................-0 0 Description of Soil........ 42--/,7" /:-/6 5- --- ti ........I.............................................................................................................................. ......................................................./Z..... I.... U tfff E N ------------------------------------------------------------------------------------------------------------------------------------I......................................------ ------AUYN en Nature of Repairs or Alterations—Answer when applicable U ---------------------------------------------------------------------- -----WL-SGN ................................................................................................................................................................................ No-30216,40 Agreement: 06 -IST The undersigned agrees to install the afor described Indio dual Sewage Disposal System in accor the provisions of T IL T I:Z4, 5 of the State anitary Code e u de igned further agrees not to place th Certificate of Compliance o r o ea ope;adon unti as b issued D 'th b d f health. cp Z 72, e prps iged.. ........... .......... z... ......... (....... ...... D e p pp I tj n Approved By......I..... -------------------------------*----------------------------------------------*----- ..................................... Date • DDI tj or the o owing reasons:............................................................................................................... iApplication Disapproved f..... ........................................................................................................................................................................................................ Date Permit No. f... � 3.. .................... Issued ...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH " ,, r V .............A�`.r..................OF.......... 'J'roh,&.............................................. %lowrtifiratr of Toutpliana THIS I S_TO,CERTIFY That the Individual Sewage Disposal System constructed or Repaired by--------------- A......................................................................................................................................... Installer /c/0 at...................4,o7 4X 111Z4................. ............................ ---------.............................. ---------------­-----T.?..................................................... ----------- has been installed in accordance with the prov1sio.ns_of.'T-IT I!E­-, 5 of The State Sanitary Code as described in the application for Disposal Works'Construction Permit No'------0Z_4-,.:....1�23---- dated... U_" L THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................?:J.1 let::;................................ Inspector--------..I. kvx, ------------------------------ --------------------- THE,COMMONWEALTH-OF MASSA:CHU5ETTS- BOARb gALTH .............OF.................................................................. ............. FIE No.....7v.r...... ......�CL:%z Permissionis hereby granted--------------------- ---------•-•-•---•-------•-•--------------------------•-------------....-----------....-----........---............ to Construct or Repair ).an Individual Sewage Disposal 'System -e m ., at No.................. ....... 6" ....... A,�k Z /�-u( /.4­1, V..f..A..,.t...Q....................................... Street .......... as shown on the application for.Disposal Works Construction Permit No...:C-.�Yt)ated....... ............. ........................................................................................................ Board of Health DATE............... ................................................................ 11 FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS