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HomeMy WebLinkAbout0030 GRANITE LANE - Health r /0-73 L�E M S RBI E A D KEEPING YOU ORGANIZED 12034 2-153LEE SUSTAINARE FORESTRY INTIATWE ��� c.rueod Sours ny WST�'QNSUaIER M►+yir�Y SPAHM MADE W USA GET ORCiJWM AT SMEADo M T� TOWN OF BARNSTABLE LOCATION'3 0 GR.,4,,V/ re I—hA.'-- SEWAGE # VILLAGE A 9 U/oG ASSESSOR'S MAP 6z LOT�l�' ��✓� INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY O 0 0 LEACHING FACILITY:(type) (size) /•O o e9 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 AP o � � I No.•-• y—:3.6 Fx$..$....30..00.... THE COMMONWEALTH OF MASSACHUSETTS OWN Or BOARD OF HEALTH � 073 TOWN OF BARNSTABLE Date Appliration for Divi-poottl Workii Tviv trurtion rrrmit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 30 granite Lane Cummacuid,Mass . •-------_. ---•------ •- ----- - .................................... ........ ------- -__---------------------_------------ Location-Address or Lot No. L. Cavallini Owner Address J-..-I?•.Mac-ombar...Jr....................................................... -•---.......---•-•------............--•---•..........._ Installer Address Type of Building Size Lot............................Sq. feet �-t Dwelling-X No. of Bedrooms--------------3----------------------------Expansion Attic ( ) Garbage Grinder ( ) Pk Other—Type of Building ............................ No. of persons--------z-------------- .. Showers ( ) — Cafeteria ( ) W Other fixtures ------------------------------------------- d -------------------------------------- ------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacitv-----------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 ( ) a Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.------.-----------. Depth to ground water........................ Pit Test Pit No. 2................minutes per inch Depth of Test Pit............--...... Depth 'to ground water........................ WSairLd----------------------------------------------------------------------------------•--•-----.._..,••--•--•-----------------------••-•--••---.....------ 0 Description of Soil......................................................................................................................................................................... x U ------------------------------------------•----•---••--------------------------------------------------------------------------------------•-----•----------------------•---------.....----------------- W U &Ire of t c3 a rs Qr ll rations—Answer. when applicable.....1-10 00 gallon-- leach.... it.......................... t. •----------------------------------------•---------------------•--•-----------------•-----•._.......----•----••---....---•---•-•------•---••••-••------•--------------•-----••-•----•--......_....--••-- 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 Complia ce has bee6/30/94 i, sue by the b ar of health. Signed .. �?�Gr�' -- - Date Application Approved By ...... ........... -- - -- - -------- ----- .7.�-.1..v.. .....� Date Application Disapproved for the fo owing reasons: ................................. ......... ..................................... . ..................... . ..... -- . . . . ........................................._.. ........ .-----------------------..----- Dare Permit No. ........ ------------- Issued ............................. .... -----' Date `" FEB.$....30..00.... THE COMMONWEALTH OF MASSACHUSETTS n BOARD OF HEALTH TOWN OF BARNSTABLE 3l 0? Appliration for Diovoottl Wark.6 Tontrnrtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 30 granite Lane Cummaquid,Mass. .............. •.••-- -•-.... . -- .-------•-•----....---------•... , , �,Q�rc..--- --- •----•------•--••-•--••--•---••---.....--- Location-Address or Lot No. L. Cava3.lini Owner Address Installer Address UType of Building Size Lot............................Sq. feet .-t Dwelling-X No. of Bedrooms.............3-_.-..--_---..-.---..-.._.-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons......... ----------------- Showers ( ) — Cafeteria ( ) dOther 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. 3 Seepage Pit No--------------------- Diameter...-..-------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distri:)ution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pi: No. 1................minutes per inch Depth of Test Pit...------.-.-------- Depth to ground water........................ L14 Test Pit No. 2................minutes per inch Depth of Test Pit.-.-.--_--.-.-----. Depth to ground water........................ 9 sand-----------------------------------------------------------------••--------------------------------------•---------•------.-.-.-------•-----•--------- ODescription of Soil................................................................................................................. ..................................................... x U ---------------•----•-------•--------------•--•-------------•--------------•-•--•-•------.....--•-----•---------------------------------•----------•-•--•--------------------------••••-----............ W U fN _ 1-1000 gallon leach pit . at r of a rs or Iingl ns Answe & n applicable.--------------- --------- -----•--------------------------•-----------•-----------......---- ----------------------------------------•-.........-------- Agreement: The uncersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with o t 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 Complia ce has been is by the bb6ard of health. Sign ed ......... - r`./-!/Jl7iG. %t�yli. .../'........ - 6/30/94 ----- ----------- ------------------ p Date p Application Approved By .... �-p - -- ---------- .... z..,� � ------------------- r�------./ -...1...0 . Date Application Disapproved for the foI owing reasons- ---------------------------------------------------------------------------------------------=--------- --------------------- ............... . .. -- ...--............�.......................................... . � Date PermitNo. ......... -" •>) -..,—j-------------------- Issued ----------------------------------......---------------------------. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ('Llertiftrak of Q-Tamplianre T S iiS TO ERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) JT1.Nlacom�er Jr. by ----------------------------- -------------------------------------------- --------------------- 30 Granite Lane Cummaquid Mass. Insr;dler ------.._------- 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. _� ...G ------, ? .. ..... dated .--- ---......................_.._--.._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------- ------ 7__/_/ -- Ins ecto . .. ------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 30,00 No....... ........•----. . FEE...............---...... �io�roottl ork� �un,�tr�rtinn �rrntit J.P.Macomber Jr. Permissionis hereby granted---------------------------•---------------------------------------------------------------------------------------------•----•-•---- to Construct (( or Repair �X an Indivitl al SSewage Disposal System st, GY )cite LanK �ummaqui ,Mass. atNo..---•-•------- ----------------------------------•------------•--- ------------------•-•----- ----------------------.------- Street ?L, as shown on the application for Disposal Works Construction Permit No. ...-/3�� Dated-.._._..7'l �..�).......... DATE. �� `Boaid)of Health - fir FORM 36508 HOBBS .WARREN.INC..PUBLISHERS L-0CA,TION SELVAGE PE0C3IT N0. VILLAGE _ INSTA LLER'S MADE b ADDRESS IS U 1 L D E R OR OWN ER DA T E PERMIT ISSUED OAT E C041APLIAWCE ISSUED ,! w �) a _ ,,4 No.. 013 THE COMMONWEALTH OF MASSACHUSETTS 4- 3Q T BOAR® OF HEALTH f � �....................OF.........i i ��... �T' .......................... 1VUration for Uispna1 10orkii Tnnitrnrttnn ranfit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ..........C'7_12A h9 a'TE ...�f�G ••••.....--- ....®1 ....----•-•- .......... -7 ... .... Locaf n•Address - r Lot No ddress Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '444 Other—Type of Building5 1!!..........A.�No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ........................... . w Design Flow....... ...... ------gallons per person pier dax. Total daily flg�w.......... ......................gallon`y WSeptic Tank—Liquid capacitvJP!pO gallons Length.5=4... Width.. ...'.f�__ Diameter---------------- Depth'.¢_- x Disposal Trench—No..................... Widt .................... Total Length......... .... area....................sq.......... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ( ) Date �.Percolation Test Results Performed b ��� � -•-- -----.. �::���J • -- � a Test Pit No. 1-_-..........minutes per inch Depth of Test Pit.....j�-�' ...... Depth to ground water.... _..._0........ 44 Test Pit No. 2................minutes per inch Depth of Test Pit________--.--__--. Depth to ground water........................ 9 . -•--•--•_•-...........-•---•-- ................_--•`P-----• ff ..... So `I �d b R �O Description of Soil.a — 3® Loaves --- w UNature of Repairs or Alterations—Answer when applicable...____......................................................................................... ----•-------------------------------•--------------•----....---•-•------------------•--•......-•---•-----------------•------•--•----------••------------------------•-------------------............---- Agree'ment: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System'in accordance with the provisions of'I'=- 5 of the State Sanitary ode—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b e�issued by r f iealth. Signed.......... ... `!`t —Date Application Approved By........... ---- ---- .A....... . ----•------ -5 Date Application Disapproved for the following reasons----------------------•----•----•----•-------------------------•-------------------------------------------...._ ....................•-----.........--•---.....--••-----•-----.....---•--•-----------....•---------•-.....-------------------------•--------------••-•----•-------------•-----•------•--•-•••-----••--•-- Date PermitNo......................................................... Issued....................................................... Date � d j No......4g3 31 Fm$.............¢�! 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH F A Appliration for DhipmFal Vorkg Tomitruriion ramit Application is hereby made for a Permit to Construct ( �, or Repair ( ) an Individual Sewage Disposal System at ............. ---- ------------------..._.. Locatt Address m of Lot No. .a ..... ........ .......... ...5...... ................................ ................ .._Yc:..._..P.. _Y......_. _.a__.......a..........--- -------.. ..... ......._. Owner Address W a •----- • ......................... Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms .. .. .....................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building € ?_l l 'l,,,,No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------------------•• y -_ _._.. = Q gallons per erson er day. Total daily flow O W Design Flow----- . = ------"° ?.....g P P ,,��PP y, l ..-••••• •-------------•-------•... Ions WSeptic Tank—Liquid capacity............gallons Length..PP..- ._ Width__ .__ Diameter________________ Depth-ll ...�'�.. x Disposal Trench—No. .................... Width................................ Total Length..................... Total leaching area....................sq. ft. Seepage Pit No----------3---------- Diameter-_- _ '_" % Depth below inlet.... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed by.. .__ .r-t_ �'^ :__ f1 ° " ' i_T�;'...: Date... y = f minutes per inch Depth of Test Pit ., p g Test-Pit No. l____ _________ .._' ��:.,._ De th to round water........................ (T., Test Pit No. 2..................minutes per inch Depth of Test Pit.................... Depth to (x, .___... . ''-..._ ..` ground water ........................ ty -------------------- I yi ` � ixar 5a `, Z.W >� Z ?eODescrtion of Soil 4 (4 mf " Mt r rr h . f... ! .41 1. . j n .. :. ................................. .....................- 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 TITHE 5 of the State Sanitary C e— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ued by t d 1 alth.' Signed------ --------•--•-•............-..................•-•----••----•---•-- •-- Date Application Approved By.............. -----.e- =d ......................... --•--- 50........... 'Application Disapproved for the following reasons---------------------------------••-----•------------•--•----------------------=-----•-•-•-••-•-----••.....-•---- .......................................--------••-•-••-----------•-------•----.............-•---------__._...-----•-•--•---•--••---••-•------------•--•---•-------••-----•----••--•---••-••------•-----. Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (Irfifiratr of TompliFaurr THIS IS TO C TIFY„That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ' . Instagq ................................... has been installed in accordance with the provisions of TITLE 51Qf The State Sanitary Code as described in the application for Disposal Works Construction Permit No..... ............. dated................................................ THE ISSUA CEO THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL UN ION SATISFACTORY. DATE.....,�1. .�J/��-----•----•-------•----------------•--...----- Inspector.... ---• . ---------------------------••----............--•---.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..................•••••..................•--•...- `._................... /!1 ... �No... FEE...... o�au� ion rrmi� Permission i reby granted.................. --------- •-•-----•• -••------••••-----•••••-•......--•-•••........................... to Construct r.,,Re air ( ) n Indivi�`ual Se agerp System atNo. -/.......... . .... ........ ------------------•---•••-----------------------------------............... Street as shown on the nlication for Disposal Works Construction Permit No/..................... Dated.......................................... P iN (I�.--J• r ... •---------•....--•--------.-- DATE ....._..... Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS •--_�;� 1.� �20-- 3��- b�E, � 2 cam, © ,'! �` • 4• Ir �r• t P .., ' .'._ . - , i .7. , .».y, ,,.+g�'r'hil.'F�1r►1�' <-E_.. ut r`,tj-••A. Fx � r"# ,�+{ -s'" ,�.. - .. rya. S. So ;J ,-40 WALTJR- IrR � V F. 416128 F'st�t� l tip• ; jj }}1� A c i G.. -RAWA 4A 10�•O ' Fihis� yr c 99• Fim5h Crack 99.3 4�. G Dist' Bc,,c 0 Q/ ��/ .r� -'o' ia`-� SL�oE'Efi✓rE—".�f ACaMV Z.¢ D/ayErE2 rCW-4uLErE LEhc rtC lZ NE't5 p �-' � `r SEPT\C TANK f�' �Q "� A 2 �/g �o '�%s� 4�•.�► . % S-�ci c o na a 4A F`r. 4 na4 n as AA&A „; 3/ f� 1 /2 wASNEfl STaNJE 9o.D L�Rr� L-00-r5e' DE51GN DATA= bo� SaesalL �3r,rc = t ` p PER COL.AT l OI�I RA Old J I Kr- 50 TE.ST PE RFO RMEv M Al2 1; 1 g e)3 b�{ 2 5! P -�--- %°oha -E3EDRooMS >c 1I© GPD = PD LEAc4luU EEQ E,lo GAP,eAGm: D \SFOSgL SE 1000 GAL.SEPnc-74tk' SZ•D Wal--I Scef=`e PU w.ih 71 4q y, Z.5 = 3Z . a_ 6Pn cL,44 �'o�LCA PAC-tT`( ov1 �490� 1 GPD Te 5Y�1 p 11'�3 r �OTE _ p1 S Pp SqL S-(STE IA IDES \E3114E D \'f.! Co��E {�ccocz� ��cE v`/ \T->-� PQou �s to>►� s a� T•1T L E Co of . } L_L_ P IZ 0 u N D PkO PQ1I:�,(D L� tNtNl� ACI+-tT`/ N D 3ACKP�t1-L- W I--F44 CL-rr7' l - LoT 71 r-?RAP �TtLaJ W,