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HomeMy WebLinkAbout0021 DORCAS DRIVE - Health -- F�s.... d.." ' FY�annise Massachusetts 026�®1 -..........- THE C MMONWE-AL-T-H-OF MASSACHUSETTS BOAR® OF HEALTH .......... ....................p e 41.0..... Apphration for Ditip i ai Works Tow3trurtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair (*) an Individual Sewage Disposal System at: .......................... ------------------------------------------ ------------------------•----...........-- Location-Address Lot v . --...ft-.........---•-------•.......................•---•-- .... ��a ri��t rt a�--•---.......---............---•--. Owner Addr ss Pei.B.--..caucco....................................................... rye-mokA Installer Add s Type of Building Size of............................Sq. feet U Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P� 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. tt. 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_---_---___---_____--_-: f� Test Pit No. 2.................minutes per inch Depth. of Test Pit____________________ Depth to ground water........................ ----------------------------------••------------------------------------•-------•---.............---........................................................ 0 Description of Soil....................••-•---------------•--••-•------•-----------------------------------------------------------...................................................... W ------------------------- ---------------------------------•-------.....---------••----------••--------------------------------•----------------.--------------- UNature of Repairs or Alterations—Answer when applicable. t ._ tKian�_�eui��_ tnca .c.�t!^�- 5......... =Cmd.. .rg -res _.p�f------------------------------------------------------- .........------ nt: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL ITI LE 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. Signed. ffl 1 �I?'.................................... ---6-a8"B-•-------- /� Date Application Approved By--------- ......../, 3.Dace Application Disapproved for the following reasons---------------••----------------------...------------------------------------------------------•---------------- -------------------••--•-•--------•-----....--------------------------------•-------.........------.......------------.........-------------------•------------------•----------------------•--••---•--. Date Permit No....... 0 Issued....................................................... Date 1 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) Im A DATA F IJo..-�•Gf ....30..V Fps.............-............ THE COMMONWEALTH OF MASSACHUSETTS . BOARD Off HEALTH �. F. ; Appliration for Disposal Works Tonstrnrtinn Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair (*) an Individual Sewage Disposal System at: , 1' C i I I-- IZ 4 ............................................................................................... ..-•------••-------••------------------------•---------•--•-----------•-----------------•--•--••-- Location-Address or Lot No. ......-----•.......:............................•----...._..............----•-............... •-----............---•--.....=---......-•----.......----.......------•......._..........._...... Owner Address W ( C . 'i ................................................................................................. ...................................................................�__-.._-_.-__..........._..__ Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 4 Other—Type T e of Building ............... No. of ersons............................ Showers — Cafeteria C4 YP g --------•---- P ( ) ( ) a' 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,aa Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground.water--.-•-----.-------_.---- ' Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---____--______-----_-_- -----------------------------------•------------------------------...........•..........--------............................................................. 0 Description of Soil...............................----•------------------............-•--••-•-•-------------------•------------------------------------------------------.........••.••... x W .......................... .................................................... •-------••••-•--•--•---••-•-•••••-•---------••••-----•-•----•.......................................................... UNature of Repairs o !r Alterations—Answer when applicable.-!- _ _77- ................................................. f a r. i......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TiTi.la. 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. Signed......... . ' 1 F . i Date Application Approved By.......... _.�.R.r.�t� -------- = Da--�' r Date Application Disapproved for the following reasons:----•---•---------------------------•-------------------------•-----------------..._.........-•-...---••-------. --•-••---•....----•-----•----•--••---•.................•--••.................--•..........•--•-----•----•........-----------••-••-••-•---•---•---•••••---••••••---••-••••-•--••---•---•-••----••--------- ��/ ��-� j Date PermitNo.------• =".._.:...----?--------•-----••---.. Issued....................................................... Dste THE COMMONWEALTH OF MASSACHUSETTS t� BOARD OF HEALTH ..........................................OF_......' ..................:........................................................ TuprtifirFatr of TompliFanrr THIS I TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (' ) b ...............= =- t�•*1%'? J..................................------.............................---••---•-----•---•-------------..........-----•--------------- !^ Installer,_. /, at-----•-...;.-"--(..........�...)CJ d .�..................................t' I c °'Lw• s 4 r l t_''A,m .....................•. -- has been installed in accordance with the provisions of TI ' ' ,j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._. �.J- -1 ...y......... dated-.---------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ^�'� DATE.---•--•................ C ..':U.. .......... ---.._. Inspector... •- --•...1.�1 THE COMMONWEALTH OF MASSACHUSETTS J BOARD OF HEALTH ..`.................................OF....................U..............._.......................................... No......................... FEE......................... Disposal Narks TvIntrttrtion rranit Permission is hereby granted.........A•-&. ---•----------------- ••........ •........... •....... --..---........... ............ ._.... to Construct^( ) or R air �) an Individual Sewage Disposal Syst j ��. � / =- . ...�-=- 6'..... = ``-= ;n'= s,.......--•----•-•-----•--•---------------------------------------- Street -, as shown on the application for Disposal Works Construction Permit N67 1=.�__.� Dated.......................................... ................................ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS No. u�ll...... Fi $............................. c THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............OF..........&.,A--/.�.tQ S ....f��L�� Appliration for Diapaiial Workii Towitrurtion Urrmit Application is hereby made for a Permit to Construct ('" ) or Repair ( ) an Individual Sewage Disposal System at: ....W R.CA.S ...-... ............................ 7........-..4.6.------....--•--..............--- James ... Smith Barnstable Location-Address or Lot No. Owner Address W Vetorino Brothers ______________________________ Barnstable Installer Address Q Type of Building Size Lot. &213...Sq. feet U Dwelling—No. of Bedrooms............ --------------------------Expansion Attic (N& Garbage Grinder )Vo) Other—Type of Building ....AUA........... No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ...................................as W Design Flow...........//0......................gallons pergeFse�perflay. Total daily flow-----------ZY.-1_O.................gallons. WSeptic Tank—Liquid*capacityJO.06.gallons Length _'�6_.".. Width y..L4_.___. Diameter________________ Depth.. __-8.__. x Disposal Trench—No. .......... ..... Width.... _...._..._.... Total Length.................... Total leaching area-_____-_--____---.--sq. ft. Seepage Pit No......../-----__.. iameter...<5------_.___. Depth below inlet_..�a............. Total leaching area._o ®.�.sq. ft. Z Other Distribution box ( � Dosia tank ( ) '—' Percolation Test Results Performed by. .O.N,14.b..A:. 1_F.fQ .D,1�a_ A... Date__J.J.U.tJ,6...R_fj�9�� aTest Pit No. ....minutes per inch Depth of Test Pit---/. .......... Depth to ground water........................ Test Pit No. 2...4.a-..minutes per inch Depth of Test Pit... ....... Depth to ground water........................ a --------------------------------------------------------- ----------------------------------------------------------•---------- ---------.... O Description of Soil......0....... 6,0AM------R-,-)-•---------5-ld 1.S.0/4_--------------------------------------------------------- x -- . . .. . ----------y `f -----•0�/4J5.4-.•...M_4F-b/Cd-.M........ /4hl ............................................................ V ------CD_N._b1 T!0.N,S-.------1 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 TITLE 5 of the State Sanitary Coded The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed •-- -•-•- - -- ----------•---------------------•---------------------------- ------------Date--------•-•-------•- = L Application Approved BY 1 �s - Date Application Disapproved for the following reasons--------------------------------------------------------------------------------•------------------•-----•------- -------------------------••••--------------••-----------•-•-----•----•-•-••••---•••--.......----•---•---•---•-•-•-------•-•...------•-••-------•---•---------------------•----••----------•-----••------ Date PermitNo................... issued_........................................................ Date • .. 1!!....... Fss.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... ........OF......... .. Appliration for B44pniia1 Worka Tnmifrurtiun Prrutit Application is hereby made for a Permit to Construct e) or Repair ( ) an Individual Sewage Disposal System at ......... -�y .�..�� :..... .��►:�!t.I.........ems ayv-�:�d'�d}l�o �-4��- ........r�. ._.. Location-Address or Lot No. ............w.nee. ......-------------------•---•------.... .................. c"otr"16t..........................-......• - ..------------ Or Address; . W Y�torl�eo- B�rotl s*s ............................................. �> ► tsb�el d a Installer Adddrress Q Type of Building Size Lot- . %1 3....Sq. feet U Dwelling—No--.4,of Bedrooms.__.. ..........................Expansion Attic Garbage Grinder NO) .-� pa, Other - '.;ee of`Building ..-tjlA-_____:_,... ,No. of persons............................ Showers ( ) — Cafeteria ( ) p' Other fixtures �� . W Design Flow........../ gallons per«p�rdri per day. Total daily�flow__._... gallon WSeptic Tank—Liquid capacity/jq4 gallons Length -.�t.-____ Width' 60 Diameter...... ......... Depth• .... x Disposal Trench --___ .:.. ...._._.... Total Length....................... Total leaching area.....................sq. ft. , Seepage Pit No ._ .:_._.. iameter las '._. ... Depth below inlet .0 ......... Total leaching area_. a..Q_.sq. ft. Z Other Distribution box ( Dosing tank ( ). Percolation Test Results Performed b RO A-fib... 1_}_.rl / y.- Q .•«y � .:. Date..*�Uk�2_�__�_l�9.�"`�'.r�.�✓ ,-7 t ,.1 Test Pit No. L � .._..minutes per inch Depth of Test Pit.-). .......... Depth to ground water........................ Test Pit No. 2---4..U..minutes per inch Depth of Test Pit._.,*./._°_-_-_-- Depth to ground water_______________________ =-------------------------------•---------------------- -_-------•----..........--------------•---•---------------------------------------- ---- O Description of Soil----- -- . :`---� -----.4,0 ...... 1 .I ---•---=--: -10_ - t d ------------ W ---•-•--6--'-J•-�•MR7-•Y--?.....................- i FS3_J�Ort I_�l78 rl U ---- 4N------- yony--- .............Jn 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 TITLs: p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance haa;been issued by the board of health. ---- Signed-------•- --- - --------------------------------------------------------------- -------------------------------- / Date Application Approved By. ------ a I p ---------- Application Disapproved for the following reasons:................................ *�' 4 Date PermitNo....................-....... ............................ Issued------------•-- ----•-- ....................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF k HEALTH' OF.............. .................................... %lirrtif irat of T&IM 44urr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed'(x ) or Repaired ( ) by....--•-Vetarina► •mot yarg... :: ---------------------------------------------- ................................................_......................... Installer at----•-_-trot-1.-6-----Deuce!s--.Ds-tue-r--B&rAst-ohh®--------------- ----- 'f has been installed in accordance with the provisions of ml j of The State Sanitary Code as described-in the application for Disposal Works Construction Permit N '0 s._ dated-- 1 - - -------- THE ISSUANCE OF THIS CERTIFICATE SHALL N T BE I;PNSTRUED AS A GBJ46N7EE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector....._....... \= THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH !�OF....._. ................................. ....:. Tom........ _• Sa�sEa•I}1•Q � ------_.... FEE : t ......... Permission is hereby granted-----------VetVr.tn*-•8r-®theF& `:.................... : .... to Construct (g ) or Repair ( .)_an Individual.Sewage Disposal System �'•\ at No. Lot-.-146--Dorcas...Dr-tvol--8a=etabU--•--•----•-street--------------------------------------------------•-•�= =------ ..:........it as shown on the application for Disposal Works Construction Permit N ......_._..____________ _______ Dated ____.__ . _._ ..: PP P .................................... - j o� _ DATE---- ----------------------••---.._...--------------•-------•--•-:._.._.. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS �6 TOWN OF-BARNSTA BLE I E. LG;CATION.�J j)o,-CcN At. SEWAGE # 'VILLAGE E /3gekro ASSESSOR'S MAP'& LOT INSTALLER'S NAME Si.PHONE NO. A&C4,led SEPTIC TANK CAPACITY. 4=r2 G LEACHING F.ACILITYatgpe) (size) 1405 9 s G� NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER. OR O WNER��c,, ,40 -r,bs DATE PERMIT ISSUED.. DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No a� �� � tl.t J 1<.,,,� ��ti {��, � a 1 �/' �,�i i �, �Sv 0 L0, ,AT,40N EWA G E PERMIT NO. VIl'IAGE INS T A LLER'S MADE & ADDRESS oa-&*XV4 ` A aO UILD OR OW N(!!% DATE PERMIT ISSUED DATE COWPLIANCE ISSUED _ _ I I � /� , IR ',, � �6- _ - ® � .� _ --- � �'. �� : , : •�. � I 1. � 1. j .� " . .1. ._I '-y I'- '' * ° Y.�. - aY ) //r ppryry.._ .. J 1 r *' ...-����.I7P,..�..—.,Il.Yi:,­.-,_�-,.,-�:1�.�_),I-.,I.tV­ ".__7�,,.,.,_I.�,...,.*�.�1�-I'.+...':F.,�.­.-.,�,�",.,�I.-.. �+7,_.�-..."-.V�:.I: ­­1�'"1_I-11I4� I..I-1.I-2"-II�,:.I o.�C-..+T �AI ` •~ ! . r sx ,mow- lam' r. "^�0.ii4M4'.ti611 q .J 'T^.• -+`t +f, ti _ { mow..�1, '°`"` .'�4's"p�..yy „ z \. :t - -'- _ �-,^.I.... II /.3 ul. i J ,F +..." 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