HomeMy WebLinkAbout0080 INDIAN HILL ROAD - Health (2) 80 INDIAN MILL RD., BARNSTABLE
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TOWN OF BARNSTABLE 9-0-0
L(,—BAT ON SEWAGE # 2 e oc- o C
VILLAGE C udu�Ta,12 o _,® ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. a 2t;g a1 97.E-0 yf(y
SEPTIC TANK CAPACITY /s"oo r-s� CXisr-A,C&
LEACHING FACILITY: (type) 3 -Soa "L 0-j4,,jr--d-r7 (size)
NO. OF BEDROOMS 1 9A
I
BUILDER OR OWNER ALCOC aV
PERMITDA`fE: 2—2- zoo® COMPLIANCE DATE: f,
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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No. rC �o'� 0,3 1 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: A
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS
Application for Mi.5pool *paem Con!5truction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System 10-Kdividual Components
Location Address or Lot No. # 8o swA►gJ ,jjit N.0 Owner's Name,Address and Tel.No.
r/ / IM jAcotm G hl oUEs
Assessor's Map/Parcel IP o r"24k4 A)
C.
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
R i.4,J G, 7�_l a Lt,;,1 G
9 -n .w &toojl 4
WA;,
Type of Building:
Dwelling No.of Bedrooms Lot Size 6 Z_sq.ft. Garbage Grinder(Ujb)
Other Type of Building �41�e tee. No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow /10 gallons per day. Calculated daily flow " e!/g gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank )5- - 1-.Z)6 Type of S.A.S. Pt9:C AM-
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) ia°sr Aox S As
Co..�s�cr .7� ali S'oc� G fL pk�GiS> By ((s G,E{-/. y- St'_ ,,1,y
R—
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of Heald),
Signed Date ?_— Z~- Z vo 0
Application Approved by Date
Application Disapproved for the folio ' g reasons
Permit No. 2401:!2 Date Issued
INV
No. 26ao= l0 3 f f/ �� / s ..,,:a Fee 1_
THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
2pplication for ]i6po5al *p5tem Construction Vermit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System 1p-Kdividual Components
EAssessor's
dress or Lot No. I wQi q lAt j(',4a Owner's Name,Address and Tel.No.
IM�LCotwl G�o�ES
ap/Parcel
me,Address,and Tel.No. Designer's Name,Address and Tel.No.
IE5
Type of Building:
Dwelling No.of Bedrooms y Lot Size 2!j ®n Z.sq.ft. Garbage Grinder(tJo)
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow //0 gallons per day. Calculated daily flow y5i0 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank /s oo F Y r,-:r _' Type of S.A.S. P2 F_C
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) TA,sra t 1 ,� ...Lam,sT (oX
_5 c6 ) .5, L A&E-C s: d4,A a :af- t.14 4 i✓ 57Z Jr—
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of Healt
Signed h �—r ?�,�:� Date .— Z— Z000.
Application Approved by Date
Application Disapproved for th follo ' g reasons
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of CgMpriance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded
Abandoned( )by
at has app constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No ated
Installer A Designer n
The issuance of this rtr t hall of be construed as a guarantee that the ste ill unctio designed o
Date Inspector
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS
1igpo!5ar *pgtem Construction Vermit
Permission is herebyfgranted to Construct( )Repair(x)Upgrade( )Abandon( )
System located at 4101r.►
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of this permit.
Date: a. _ — j Approved by n�
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
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— TOWN OF BARNSTABLE
j SEWAGE # 2000- 06
I LOCATION
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C • ,s ,',n
ASSESSOR'S MAP &LOT
VII..LAGE
i
INSTALLER'S NAME&PHONE NO. rz► 1�'«I` '' �14�-0 y
• E - .
I SEPTIC TANK CAPACITY Se
i' LEACHING FACILITY: (type) soa cal (size)
tNO.OF BEDROOMS :�
BUILDER OR OWNER ALCoL oV
IZ-2- Z600 COMPLIANCE DATE:
PERMIT :
I
I Separation Distance Between the: Feet
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility
Private.Water Supply Well and Leaching Facility (If any wells exist Feet
on site or within 200 feet of leaching facility)
exist
Edge of Wetland and Leaching Facility(If any Feet
within 300 feet of leaching facility)
Furnished by
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( S 362-4541
939 main street rt 6a ".
yarmouth port
mass 02675 doWo Cape engineering
civil engineers& land surveyors
structural design
,t
Arne H.Ojala P.E.,R.L.S.
land court Richard R.Fairbank P.E.
surveys
December 16, 1988
site planning
sewage system Town of Barnstable • '
designs Board of Health
Main Street
Hyannis, MA 02601
i
inspections 1, 1
Gentlemenn:
permits This is.to inform you that I have inspectedthe installation of the
septic system installed by B. Kissling at 80 Indian Hill Road,
Cuminaquid for Mr. Malcom Groves
The system has been installed in accordance with the plan with
the following exception: the existing connection.from the house
was redone with sch:ed. 40 PVC on a radious as.shown on the pre-
vious-plan. The existing cess pools were pumped and filled with
clean sand rather than,being used as clean outs, because the existing
connections were found to be deteriorating orangeburg•gipe.
Very truly yours,
Richard R. Fairbank, P.E.
RRF/amp
cc: B. Kissling
•M. Groves
TOWN OF BARNSTABLE
LOCATION__fo i[t k'oAD SEWAGE #r99 -6,07
VILLAGE_ ASSESSOR'S MAP & LOT /,5'�/�B'
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY Cage- G41te Zsjd
LEACHING FACILITY:(typc) [u A;E ,4de_,!5' (size) #AY NSCASr
NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER P.L,
BUILDER OR OWNER-- cAl yvl G a vim_
DATE PERMIT ISSUED: 30
DATE COMPLIANCE ISSUED_
"VARIANCE GRANTED Yes_ No ✓ _
l Pao P
ctE or,
� ��, fo r7✓b�rprG
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XIV IO AA) Nill 61416 ,
NO.. ..z � F$a..... 4�.�®._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........`ow. ... ......0F..............��S7 �:C
Appl ration for Dispasal Works Tonstrurtion Permit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:
� tfjD�
------...... _ _.._ ...i «: v ... -.-•-••.•.._ ...••-•---•-.....•••• .........................................or .... .............
....... ........-r...&"-��_.o...--__�.�................ .....gP ��a: �1...-- .. ....
Owner' Address
�1�1tQtt�.._�_.�E isl. r�.... - .... -� _._.�'®r!�!J....�.t��D�Y....l�l ....__. �5. .. �,lr�(P�f�j
Installer Address �r
Type of Building /i Size Lot.Z!W .�._Sq. feet
.-� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
a Other—Type e of Building _.____ No. of ersons____________________________ Showers —
Q. YP g ---------••--•-•--.... p ( ) Cafeteria ( )
Otherfixtures . 6 2�_......................•.............---•-..__..._........._.__ ...
........... lon�f
Design Flow................. .lr .-.. gallons per.gerser�j7 daffy. Total dai�y,pow--------..._... /
._.gallons �"j 4a
Septic Tank—Liquid"
capacity gallons Length_ �,?._. Width:. __4-_.. Diameter________________ Depth._ ._
Disposal Trench—No..................... Width.................... Total Length........... Total leaching area....................sq. ft.
3 Seepage Pit No-------�.;._:.,..... Diameter...._I_ ..... Depth below inlet.......(P........ Total leaching area_'-33?-._&q. ft.
Z Other Distribution box ) Dosing to ( )
Percolation Test Res It Performed by..�(�-- r -__ 4................. Date.. .._./- / ... ....
.1 ".
Test Pit No. 1. _ . .___ - mutes per inch Depth of Test Pit.... Et__ Depth to ground water.-
__
Lj. Test Pit No. 2.::4.�_.minutes per inch Depth of Test Pit.....j�'l`�.... Depth to ground water. ......... ..... . .
a .............••-•----•-•--._.._......--•••=•---••............__...........................-•-•-•-••.........................................................
0 Description of Soil......................
U ...................................•------•---......-•--••--••--------•---••--•-•--•-----•--•----...........•••..............._
.: �-r- .._...
UW .................•••...•••....
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.iI`L LZ 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 liealth.
Signed.......I4).�..... - . •...................... .g . . .
..-
� Dat
Application Approved ___—.5 __Y`:�'r'
Date
Application Disapproved for the following reasons---------------•--•----••---..........-------•-------•-------...:.-•---------.......__...____-__.........____
...........................................•-•--•-••_._..._...._..----•-•-•--•-•-...� J
--�•-•--•--•---......_..........._.....----._............_...----•----...__.....__.....---...._..................�
Permit No......-••••�•�-•••-�___-----.E- i J--1 Issued................7V
362-4541
939 main street rt 6a
yarmouth port
mass 02675 down cape eaigineering
civil engineers& land surveyors
structural design
Arne H.Ojala P.E.,R.L.S.
land court Richard R.Fairbank P.E.
surveys
December 16, 1988
site planning
Sewage system Town of Barnstable
designs Board of Health
Main Street
Hyannis, MA 02601
inspections
Gentlemenn:
permits This is to inform you that I have inspectedthe installation of the
septic system installed by B. Kissling at 80 Indian Hill Road,
Cummaquid for Mr. Malcom Groves
The system has been installed in accordance with the plan with
the following exception: the existing connection from the house
was redone with sched. 40 PVC on a radious as shown on the pre-
vious plan. The existing cess pools were pumped and filled with
clean sand rather than being used as clean outs, because the existing
connections were found to be deteriorating orangeburg pipe.
Very truly yours,
Richard R. Fairbank, P.E.
RRF/amp
cc: B. Kissling
M. Groves
No .. `7 FlzB C
,oo
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH-
----.... c ::`�-�-..--:OF.............. rL% L.cST r L......_...........
Applir4tion for Ui"viial Works Tonstrur inn, Vrrn if
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at: r
........... ........------._.... .... _
Location Address 1 Or LID
Owner A r
�� 7aa1 /?a�Qnit/�ddrg
Installer Y Address e
Type of Building ` Size Lot. . feet
.. Dwelling—No. of Bedrooms................:(.......................Expansion Attic ( ) Garbage Grinder ( )
`4 Othei.—Type of Building ............. No. of ersons........._................_. Showers G.t YP Yg --------------- P ( ) — Cafeteria
a ..................................... = l
! I r, � --------- ...................
Design Flow....................�1 ......-_...._gallons er. sswt e. day. Total da•y flow..._________._ gallons
Other fixtures
W lS P 1 Y ,, 1_._._.�_._.. tl
WSeptic Tank—Llquid capacity.___. _gallons Length._.-_r,�__. Width..C._�.... Diameter:............... Depth..��-_ _._.
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No....... ------ .... Diameter.....Jl-cn..... Depth below inlet.............. Total leaching area.2Z?..�sq• ft.
z Other Distribution box r ) - Dosing tank ( ) �
Percolation Test Results. Performed by__ZJ9 tt9!��_--_... F,<
--------------- Date �4 �
Test Pit No. 1. ............ mutes per inch., Depth of Test Pit.....1.14� f_. Depth to ground water...:r.._..I
Gt. Test Pit No. 2.'�-tZ!!.minutes per inch Depth of Test Pit-....;kaZ Depth to ground water.
a --••-•......-----•.................................•--•-•---_._._..........._...------.:----............----•--=••-•--------•----•••••------......----_.....
0 Description of Soil....................................................................................................
...
----•--------------- -------------------------------•--------•-----------------••--......---------•--•-•-•-------------......----•-••---•......--••••••-•------------...........------------.._......
U Nature of Repairs or Alterations—Answer when applicable........................ ......................................................................
....-•--•-•-•-----••---------•-••------------------------...............................................................
Agreement: M 4-
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITI.' 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 ;w"� l
, • _ �"^ �,i- .c.t............................
� ,�-
........
- _'__'--•--..; �/ c� Dater __
Application Approved By-•• � ��fa` ..............................._ ............ --
7`7` Date
Application Disapproved for the following reasons:--------------•--.......---•----•--•---...-------------•----------------------------....•. ....--•---...
......................•-•-......--•--.......-----....---.......--------•--------....-•--••-----. ..................---._..........------•----•-•-...... --•-••......-------• •--............
Date
Permit _......No..... �./&, �-s� ,
------•--•-••------------------� Issued_-------------------
THE COMMONWEALTH OF MASSACHUSETTS
r BOARD OF HEALTH
........(... L.............OF................... ..................... .... .Z``:".
Trrtif irate of f ompliatta
THIS IS TO CERTIFY, T hat the Individual Sewage Disposal System constructed ( ) or Repaired '( )
by.................. ��_t s-!/ .._.._.. �? �!.. .._..---- --•. ....................•--••-•--•-........-•--- .........---•-- ......---.......-•----•--
_ Installer
at.......................
�` _ _ _----•- '''/'��"e__--_......._...........__..._............._._...._._.......__..._.........._.........................._._.
has been installed in accordance with the provisions of TITLE, 5 of The State Sanitary Code-as described in the
application for Disposal Wor11 k Construction Permit Nov ..._� ..-7...... dated�� -b. . ...................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
r -
DATE................................................................................. Inspector...................................................................................
I `
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.....................�...?1!.►.........OF....C= .-.......-...
No.--........_.........� FEE........................
Disposal Vorkii Tunstrurtion Prrntit
t
Permission is hereby granted.....4'� per.. ��'1�w.
3 --
to Construct (.� ) or Repair ( ) an Individual Sewage Disposal System
at No. ...__. .r ..... .:, ------••-•---------•-------------•••--•-•....•--•- •---..........._......-•---
F
Street
as shown on the application for Disposal Works Construction Permit 1Vo� )ated.-a/ h` _.....:..:.
q� 1 G�,iylfZ_...
• � Board of Health •"
DATE........ ......................................� `
r
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DN.TO ;
\ GRADE TEM . p a ..
RAMP DN.
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IL SCREEN PORGH ,
< 1.4 MAHOGANY '
W d PLYBEAD CLG. a
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st
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a REPAIRpiNING
AS REa n
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LIVING
ENTRY <
STUDY
-LINE OF BEAt T ABOVE
am.ABOVE - FLUS + .
ieEr+we eriat W/tE EQD. -
. Fk'.LME dd REQ'D.
PORCH
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D.I. PLYBEAD CLG._
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STUDIQ 8"m FG.DORIC COL.
Ci CATH.CLG.
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