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HomeMy WebLinkAbout1351 HYANNIS-BARNSTABLE ROAD - Health �3 �144yo,n►s- �.A& �co i i i i i I I I i i i i act s...(..1 ......... • 4 APPROVED THE COMMONWEALTH'OF MASSACHUSETTS rn bte ssry Depa en BOARD OF HEALTH 64 TOWN OF BARNSTABLE to Appliratiun for Di-ripuuttl Worla3 Tunutrnrtiun jinmit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at: S L oc`�-:kddress or Lot No. ► _._....... ------------------------------------- --•-------�C .�-e - .._;-------.....--------- � Owner _ � dress M Installer F Address ' Type of Building Size Lot............................Sq. feet V Dwelling— No. of Bedrooms.........................................__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ------------------_-----_-- No. of persons---_-----___--_--___-_-.- Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................... .. I' Design Flow...........................................gallons per person per day. Total daily flow............................................gallons. W WSeptic Tank—Liquid capacity -gallons Length---------------- Width---------------- Diameter................ Depth................ xDisposal 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........................... ........... aTest Pit No. 1----------------minutes per inch Depth of Test Pit_----_-.____-_-_._ Depth to ground water..................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 1:4 •-------------•-----.....---------•-•---•••---•----•--------------------------...---•-------•------.......................................................... 0 Description of Soil........................................................................................................................................................................ U ------•------------------------------ .................................................................................................................................................................. --- ----------------- ---- ----------------------------------------------------------------------- 1p - = - ••--•-••-•-------------- Jd U Nature of Repairs or Alterations—Answer when applicable....-_/.R1- ...... .... _ .�. .U.i\_ .(,........G_�6.... 1"--.�S.F... (�-?c:F .. f.... .................................. 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 Compli "hhasSissue -d of healt /.s-/_ .. 1..... Signed -v .... -.. ... ------- ------- - Dace Application Approved B C� ... --- Dve y. PP PP Y .. .. Application Disapproved for the following reasons: ... .......... ....... ........... ................... ...... . .................------...... ....... ' ---------------- ----------------- Da[e Permit No. .... �1..'..3.G ......... Issued .. ........... ................. -- ............ Dace No.._,1 �.:..._..��, �,. .� .,.• / Fps.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -7 TOWN OF BARNSTABLE CJf � �lirtti ,t furi� uttl urlt� CnuBt��rnrtunPrutt# Application is hereby made for a Permit to Construct ( ) or Repair V) an Individual Sewage Disposal System at: ...---�3 4 L ._ r_ ,..CZd------------------------------------------------------------------------------------------------- 5 Locatig i•Address or Lot No. �c e ��� C .----•------•---------------------------- �cam. - ----- Owner dress 1 - ---- Installer Address Type of Building Size Lot............................Sq. feet �. Dwelling— No. of Bedrooms-----______---------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures ___........................................................................... W ` Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capa6tvA20.0.gallons Length..............0. 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----------------_--.................. Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water..................... Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ t� --------------------------------------------------------------------•-------------------......_..........-------------------------•----••-•----.........----- DDescription of Soil............................................................................................................................................................... x U x -----•------------------ ------------------------------------------------------------------------------------- —Answer when applicable------��.�!_d-------�__-_[r_�.. �d,Ct�.t� ------- Nature of Repairs or Alterations ?f.{__..._..1,.>-� -I-(" =?....�.:....5.JD �.....................................................................-.......................... 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 bee issueczbq-eh oa-rd of health. Signed ------� ------ /:.5. C?.. ..... / ....... .............._...--..--...-..........-..-_.--. Date Application Approved By .......... - /� - ------------------------------------------------------------------ .... 7 Date Application Disapproved for the following reasons: . .. . ......................... .. . ................. ... .. -- .. . ..._.............. ------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- ........................................ Date Permit No. .....F4C-----...3.G,6..-......._----------------- Issued ..- -- ---------- Date N THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�ertifira#e of Cnnmplianre t / THIS IS TO CERTI Y, That the Individual Sewage Disposal System constructed ( ) or Repaired (V ) by ..-.. _`Scc... - -c-c,, V --------------------------------------_..-.-..------------------...----- -------------------....--- ---- -_.---------------------------------- Installer at . �:3.LI _ 2J- ..... -..------- . - -----------------------..-..-.-..------ ---------------------------------.-_. 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. -.--/-{. 3--�G.._.._- dated -..----.--_..._-_........................_- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEEJHAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........ ^--r..__ .^' �C*------------------------- Ins ecto ' P c..� -' - ------------------------------------------------------------------ ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CC%/ TOWN OF BARNSTABLE NO....L.. � FEE.: rj.......... Roputial urn Tunotrudian rrmi� Permissionis hereby granted.-------. --------------------------------------------------------------------------------------------- to Construct ( ) or Repair ( tan Individual Sewage Disposal System " at No................... 'b ---------�-Z-L-E--j-------_ ----- ---- Street CCyy as shown on the application for Disposal Works Construction Permit No.. Dated----- ......... ...................................... = '-•:L�------------------------------- ------------- "Board of �lth DATE.................. ....'-- `- �;�----•--••----------•---- FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS C" TOWN OF BARNSTABLE LOCATION j n 4WAGE ,� VILLAGE �(2tf(�C-[-0��(Q f)c��l��ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.�S(c� SEPTIC TANK CAPACITY I6OO Qom`- W W< C C� (size) Xl a y� LEACHING FACILITY:(type) - ( C N,� ��� :..., ��,� NO. OF BEDROOMS PRIVATE WELL O'R UBLI WATER BUILDER OR OWNERS A �. DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE,GRANTED: Yes No r �Qac A Niw t3 40 �&e?-;C J4 >3 -b 0. Qox S l Q i-b oto Pik (0 - Q,k o LOCATION - i SEWAGE PERMIT NO. VILLAGE I N S T A LLER'S MANE & `ADDRESS 0 le-0 B UI,LDE R OR < WbE ot0 DATE PERMIT ISSUED r - 1 1 DAT E COMPLIANCE ISSUED �� (` 1 �\ _ �� _ �� , L� �'� ��� �. No........................ Fwi.......................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........ 1.._.. -- F.......... .. Apli iratinn for Uhip a al Works Tonitrur#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ............... 2. .......•- o t' :Ad ss or Lot No. ............. .._.._�_ ... �/. -`-•--•-.............••.............. ••----------......•......_.............. ... w .Address Installer Address Type of Building/ Size Lot___/...."....e......._..Sq. feet Dwelling—No. of Bedrooms........... ..........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ' _....._..... No. of ersons____________________________ Showers — Cafeteria C4 YP g ---------------- P ( ) ( ) Q' Other fixtures ________________ W Design Flow..................... ,$-_._.___._•__ allons per person per day. Total daily flow_____-_-. Z.l�...:.______...____..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 inle ...... Total leachin area..................sq. ft. Z Other Distribution box ( � Dosing tank ( G /— �Z- Lr— ° Percolation Test Resul s Performed by...... cu,—. ...... ..................................... Date.._ ,_4 Test Pit No. 1._ -__minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit.No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ _ 1 Description of oil.�I ` d �,.... a — ...�� - = :: ...._._... - .. 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 TITI.1,:, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia sued hea Sign - ---------------------------------•-•--•--•--------- ^� Date Application Approved By------ . .....................• . .... ........ --- Date Application Disapproved for the following reasons:-------•-•--• •-••----•--•----------------•--•-----•-•------•------- ......................................... ...........-•••----•........•---••-•••..................•---•---•----•••---------•---........---•--•--------•-•--•-----•------•-------•--•--•--•--•------•-------•------•------•----------•----•--.-•--- Date PermitNo......................................................... Issued....................................................... Date ARW No----------------_ --- Fss........................' THE COMMONWEALTH OF MASSACHUSETTS,,,,,;,. , BOARD O HEALTH k. . ... ---------------oF.-... - .. ApplirFation for Disposal Works Tonotrurtion Permit f. Application is hereby made for a Permit to Construct ( ) or Repair ( ) an.Individual Sewage Disposal System at x -• - r Lo ti fit+ oi............. ................................................................................. r Lot No. 1 .............. .... . ... .._ •_ .....--••• ---- _ __________ ___ __oL'"' -- .................................•..............................................._...... ,.ryt / Address W [ �°` iF 1�-- a ___.... , ............ Insta ler Address Type of Building/ Size Lot___-� _____.___.Sq. feet Dwelling Z No. of Bedrooms____.._.... =:__:__.__-________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) f-4 .Other fixtures -------------------------------- - • W Design Flow..................... _:$ . . allons per,person per day�idthl daily flow Diamete2r_ ____ Depth__-dons. W Septic Tank Liquid capacity�1alloris . Length xDisposal Trench No_____________________ Width_. ................ Total Len th_._________:_______ Total leaching area....................sq. ft. Seep w nage Pit No_______ ____________Diameter._._.._. _____:__ De th belole .__ _.. ._... Total leach' area..................s ft. Other Distribution box ( Dosing tank ( Vol� �/ � ' '` /"` /�` ��" q Percolation Test.Result Performed by...... .2_ ���.................................... Date... :`_�_ •.'_ �� .`.__.. ,`�j Test PirNo. l_ ___.___minutes per inch Depth of•Test Pit____________________ Depth to ground water........................ G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ D Description of oil_ / „ - ��`rf�t�,,yi , 1g rl� fy�'- Z r S€ m {`� ......................... U , (� ...5 j �e�a.! ot'•, t � +'. !`:_t �1'------------ 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 TITL1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance) e hued bf14 b�r'o hea�� s Signed.--- ...............�-'----- ------------------------------- d ��.»..,, Date , Application Approved BY f ..............? •::- � .� -- -------- - / " ' Date '- Application Disapproved for the following reasons_________________________________________________________________________________________________________________ ..............................................-.......................................................................................................................................................... Date PermitNo....................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ...... ....OF................ :n................._.............. Tertifiratr of Tomplianrr TH ,TO CERThrY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ... .............................................................__. ._...£........ .. Inst Il at..... -*�. .... ........--lr� r. .k... v-rl _..f, --- f----------rX'_��'�................................ has been installed in accordance with the provisions of T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. _____f _________________ dated_-.._/---, :.___-------­":______-___. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT.THE SYSTEM WILL FUNCTION SATISFACTORY. F DATE.............. ""�-w•-�--fir--- � �� �.. .-.._ . ............ Ins ector._.. `- THE COMMONWEALTH.OF MASSACHUSETTS BOARD �OF HEALTH f j /Z. 't''"'� ............................................... �- oF....... NO:........:� FEE........................ Diu ouul orks onutrnr#ion ermit Permisslo t hereby granted-,-- __... ., :... tc Construc ) or "pair ( ) a �iln •vldual Sevc a e Ispo al System *Street i as shown on the application for Disposal Works Construction P , thit No4�� f ` --•------------- DATE: 7 ` /U _��. oard of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS' - - - 17 15 • ,„,;.. � , .�. �u j y, "�..� ? '�• y7 � � r5.� e..i i] d` ,T,� „- 4t ._: rd "'a1 '� �t.� �1, :i� f '...r :. ary t 2rY I .-� w {'xj �, J+'Y,' ,}y'z�'�p's r { d,^' �,r.. t ;�,�, rr }y�.#` �r '' �' � J�-;.�:.-4�'^-'•Z+s '}•E t i r �' ,�•S+- "^-'�'AU -• .� - '"tG�' +�1�. �)$ '-yj r.. . z• 4 E c �Y•;r +.g ( t T $k �� � r, rP5 Ft N h � LS �'da a� Ft �� � �4 I �� f z ,; � r b•f � r a r.l l }{ ) '' Y/•'��:i } � {� t �` , r A x�S 7 r��� t �.v,•- yt r --5 y * � +,�k� s r� ti ; 11,r,- t` nk y !"" - j h r - , -0 p k:. '. .q rr s *-: {+.f s`� d t h xyi ,^, °�!1•r~ v , °rs i k. ,t+'�`F r 1=rF� �, r,1 S✓ �,i r .+ 1 r r+`` FJ � 1 °f A L�-q � +> �'r., t s Cii �t I `y. ''. { jr 3 - 'M � n�,E!y_ F. � � • r fi t�� ^,, .. _ -• of �...� - d°, � /(J�,_--'�'• " ''•�� '' `' °'. +" }' �•` ¢' ,^,+� � 2 �c'lrrn a 37 r� I �_..-•-�-- , � ��� ''t y. �y } ,kI t+. z Y SEPTIC � s J ©t'M'�•-� •. wt w sl Cf//,V& t, Box 4op t� •' s+.� (��� (N � g�, � e'� +�� r t�a t •:, f�. t' yet' �,� 9 x`F.c. ' x t i.�Ttr T r •, a mod. `�. < ,�. X a. ��w r 3 �..3 � M .,P� { 1 N^7'S— U. q-S Ir✓I t✓1Fi6 ----- r, �y. „� ..! i 4. ' .' -�r -• . P 3_ ..I r s .. - "' ti• rl ..s.� 2 d p;. � c. -L4 fir f+ _. J r x/i• ��/•' �L�••��.+. �.�• ) `�/1,(��/�)y j,�+ •r%/1�xi{7-�/1 r r,� 1 / �'..- .f,1rBf1'fll;I F l lV i I• :fir t I 4 a t' S��'. l A • LEGEND"'I � , EXI•STINQ SPOT E"LEVATION 0 0 �' g CERTIFIED i PLOT PLAN �. x EXISTINO CONTOUR'- 0 _—,_ �+' Z T7 ev FlUrSHE 0I'V i- GL t�A AU E:R FINISHED CONTOUR 0 y. z: Ira t3UNIKiF. pa E, f IN e, AP�R.OVED 'BOARD OF "HEALTH �' z 'F _ •,Yam__ _ x_ _ _. ..� \ n'�p1�,1�_`'-�'�� /,. � r.. ,a Arlrf. DATE A GENT, ' ;< SCALE l.. DATE : !/42�78 3► g� E�LDREDGE ENGINEERING CI.IENT� ''a T f I CERTIFY THAT THErt PROPOSED rF, E©ISTERE REGf3"TERED 7?/3-S BUILDING SHOWN" ON THIS" PL"`A�i°` al JOB NO. __. CIVIL LAND '" CONFORMS, TO THE ZONING LAWS` `t " ; DR. BY _ fly r E"NGINEER SURVEYOR OF ; BARNST LE , MASS. 33 NO .MAIN ST 712 MAIN ST.• CH. BY /C �g ` SO `YARMOUTH,'MASS: HYANNIS, MASS. '• - �� '- --�— SHEET OF DATE R G.,. LAND �`;. SURVEYOR" y =� =.� �o`Fr. !y//Ir . nro lE .•, f4F�E�TKo.� 7-s�� Fri 7-CV1 ,E sE cr.`ayv�t o!iR'ADDNGP/w AR �`✓ EL� COCon�c�aEro 9F►vc Pier 7 COYERSP/TCN h'EAYy CAST /1E'O/Y' COt/ I� �r�1. j 1L BE•US .,D _. .• _ a MIN; GGE CCU VEFt E *. �•: ., _ CL EA/V :SANG, BAC/CF/L L R` RON ST 2 LAYER b.� :M/ N.P/TC GAL -q� SEPT/C TANK D/ST, o "A • • • . .' • . • 1 •�'0 o WA SHED S7L'NE _ � •�• _ �. BOX a Q` o • � •� 8 • • `• • • 1 e°° �' - i . r p p 1 1 oEFFEcrr✓E 1 . ° 314• - I /2 o h :.: o ° ' 1 • • OEPTt/ • • 1-� ° �.o AASHED .STOi4/E, . q '_. o.•ado 1 ,• •• • • • • � •...1 :- 6. ? 'f' _- F.. .. �" a a• a 1 • • o i • • r v ,p P'REC45 T SEEPAGE //VV eAT ELE{/AT/DNS a : Pp 1 1 • • • � iy o P/7 DR EQU/V. /N►?ERT AT BU/LD/NG `?�,Q FT. 6 FT Q/,4_M. - /NLET. SEPTIC TANK !/S /� C SEE TABULATJON> _ FT, OUTLET SEPT/C T.a I• —a{ ( L: N K /NLET O/STR/BUT/ON QOX �Q__ F? .SECT/ON OF GROuNv' WATER T,4tBLE 4 OC/TLETD/STR/Btl7/UN BOX O �_FT. /NLETSEEPAGE /®�T„ � Fr. SE1�!AIS"= O/.5�®S.4 L .S3oST�/Y1 -:- TA,BULATIDM �C'H/NG P/T DES/GN G'R/TER/A-. StAL_E % " /'_ p" U!/%EN.S/ON . A��_FT. "'D/aJENS/ON Al' OF®EbROOi'9s" L H D/MENS/GN C�_FT. r:. GARBAGE D/SPO-SAL UN/T SOIL. LAG TOTAL E5T/MATEb FLGH/�?�.G-4L.1DAY SO/L TEST 1 SO/L =57 x SDJL 7"E.$T NUMBER OF SEEPAGE P/TS_.. _ - E'CEd! ��p OATS OF SO., S/OE Z:1aAC/•1lNG PER P/T lBB�,S� FT. ` � 4 ' 90TTGM LEr9CN/NG PEIz P/T 78_�. PT y `read`.,- tr�r Lod„> RESULTS I•�//TN'ESSED BY �lo(a r r� h PERCOLAT/ON RATE / l P TOTAL CEACN/NG AREA $ FT /� r h,y ,, xo At f 2� Q ® 1P b ` Y. PIERCGLA'r1oNRATE 2 Zz C/ i RESERVE LEfICNING AREA G_SQ, F T. f MLN.f/NCH M r 3 h, ei-/. L-v7 ? 4-LD ST.z`S4—F&b, . No ! P p. EL OREL�GE ENCG/AV"M/A/Ci C0'/NC. • • � �' � ,� !�@'u. b�•G., A `. . 712 MA/N ST. \` c NO �ROU NO _. HY4MN/ , AEP EVCY,4T So. Y,4RMOLTtl� Q G/e0 U/VO. W.67,—,? A�- ELEL/,. _ JO8 /No. ,J:/°aJ:•" iSiEr�rZ 4R ''..y F' L '•� .J,. .mow 7 ..;.. _ ,.: .,. '..�' +°,..+:�*sir-•,---•'* ';t"� •b.�raad.+>aretwdsc-u' a . . -"...u...s-+rw,mai',.:pacw•sra:.,�.r -% `>i-w may-",_ -,.-..w �.: ,:y..,aw.a . .*•f',. - .x. `(„ .a. ..i .i e