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