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HomeMy WebLinkAbout0153 OLD JAIL LANE - Health i it l:5 3 Oldf Jail:Lane _ Barnstable -004 A = 278-002 ;. V LOCATION A 1��� g SEWAGE PERMIT NO. 6 °— 0, VILLAGE a �7 � INST_A LLER'S NAIVE 0 ADDRESS '0000 BUILDER OR OWNS DATE PERMIT ISSUED , DATE COMPLIANCE ISSUED �/ � d�,7 � �� �� a s�� e 6� a�g e i -ar -- ��� ' '� � — -• _a � ' . �, ���JJ _� �7�� ,t No(% � �:... B., FEB............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® .OF HEALTH Q. .......0 F.......13. . .N...S. f...�L.�............................... Appliratiou for Uhipwial Workii Tomitrurthitt Urrutit AppliD10 by made for a Permit to Construct (tL4 or Repair ( ) an Individual Sewage Disposal System at: _7F—OU2 4 ....�i4�! .1 A^j . f. . g� ---------------------------------------•---•-------•--• -•----•-----------. Location-Address r or Lot No. .r. -RAY. i 2 14 . as� f._ ....................... ........ -• Owner ------•------------------------- .. . Y� Address �.e ............................... ..••--•-----.........................•. �---...------......- ......--••-^---••--- 1.4 !!� nstaller Address Pq Type of uilding Size Lot____3'.................Sq. feet V Dwelling—No. of Bedrooms________________- ___-_______---_____.___Expansion Attic ( ) Garbage Grinder Other—T e of Building ---------------------------- No. of persons___________________________ Showers — Cafeteria P.' Other fixtures -------------------------------- - ---------••-------------------------------- ------- W Design Flow...............S_45......_......._......gallons per person per day. Total daily flow...........4.�O................... WSeptic Tank—Liquid capacityISPILgallons Length................ Width................. Diameter................ Depth.............:. x Disposal Trench—No- -----------------•- Width....................Total Length.................... Total leaching area....................sq. ft. i Seepage Pit No.Z.9'�--____.. Diameter/0............. Depth below inlet.... Total leaching area.!?®2....sq. ft. Z Other Distribution box ( Dosing tank ( ) '-' Percolation Test Results Performed by------- ...... ............ ,aa Test Pit No. 1__�_.L -_-_-minutes per inch Depth of Test Pit---13'--------- Depth to ground water---Ajon-.e'........ (T Test Pit No. 2__4Z------minutes per inch Depth of Test Pit--- Depth to ground water---&,QAet------- ------------------- -----------------------------------------------------------•------- ----------------------------------------------------•-------- ...... 0 Description of Soil.A..... %�. LP�p2 U ��CC------ �:. �✓ A�� �✓1L!�[?1...._ R � W ,/� �"',gl_ 2 � r�un�_t' / �rp U U Nature-e€- }jai — .ns a he a o a► --------- lJold Agreement: e�� 21 6d2G'/��p un. . �vf'✓ ,r C'dJ2s The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i T T Lu p 5 of the State Sanitary ade—The undersi.�}ed furtl er agrees not to place the system in operation until a Certificate of Compliance has bee i sue y�tsZ o �ai lth. _ S' ned ................................/ Da e j Application Approved BY , ..._._-�`...�: �--------- Date Application Disapproved for the following reaso s:----•••--------------------------•------------...-------=.................................................... .....................................................---------------------------............--------------•-•---•-•----------••----...-----•-----•-------------•---•----------•--••--•------•----•_..._ Date Permit No......................................................... Issued_... . ........................ ............. Date •CQ No.---.....- ........ FFm............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF,`HEALTH V N.'V_ ............OF....... 11 IV..5 7A 731 .. .......................................................... Appliration fur Uhqpasal Works Tomitrurtion "amit V Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System.at- ....... ...... ............................. .. ............... .......-;.V.... ......1�23Q.­OK_Z�........ '0 ..on Loca on-Address./ or Lot No. .............. .......... ........... ............................ o V A 2� ........................ Owner Address ............... ................................................................................................. Installer Address ,1Type of Building Size Lot...3Z,�e.........sq-� Dwelling—No. of Bedrooms.__._____. .............................Expansiod'Attic Garbage Grinder V-65T A4 Other—_,Type of Building ............................ No. of persons.......Y................... Sho�rers Cafeteria Other fixt ............................................................................................................................................ Ures -------- -5 2 Design ;.Flow____. ________________________________gallons per person perwday. Total daily flow............................................gallons. ptic,.'Tank—Liquid capacity!PP..gallons Length______ I....... Width________________ Diameter__._.___.__.____ Depth________.___._.. W SeDisposal Trench ­ No..................... Width y ................. Total Length Total leaching area....................sq. f t. Seepage Pit No./4.9t:L Diam&e/ ............... Depth below inlet_ Total leaching area.P�!?.....sq. f t. Other Distribution box Dosing tank Z -------*)�) Percolation Test Results Performed by......4P4J�A.7_>...../K 9! ............. Date..7�! �4 Test Pit No. I minutes per inch Depth of Test Pit.. Depth to ground water...NO Z2;------- . ---------- Test Pit No. 2...............minutes per inch Depth of Test Pit._._....____..______ Depth to ground water.-AVA4147...... 0 ------------------5........... ....................T....;0*............***-----------------"------------7---------------------------------------------- Description of Soil... .0 -V8 ' 6 04 M-/ 4,-'- !r,014, OeS /............................................... .....5,4N-lb I E;.... 4*./#f Z 00 W I I w- a- 5�"a'h', -------------V----I-------------/---/---- Neoi 0 U ........................... .........................................................................................._4......................................A-----Aneke .............. ... .../V9 - ------- ----- A ........4�, -------------- I I .u Nature sw r er L ... a ............. . .. ...... .... ------------ ri ------------- ---------------11 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T-7 T L- 57of the State Sanitary de e unde as* ed further agrees not to place the system in operation until a Certificate of Compliance has bee i sue b o rd', f Ilieth. .. .. ... ... .......... ..... ................ ...........I..................... jeaT.0 Application Approved By-,�.. .... ...... 4............................... ........................... .......... . 7 Date d�following reasons:................................................................................................................ Application Disapproved for, ............%..................................7......................................................................................................................................................... Date, PermitNo......................................................... Issued_........................................................ Date THE'`COMMONW EALTH OF MASSACHUSETTS BOARD OF HEALTH a VV a - 0;r............................... OF............../V& .5,�,.!12? ..4....................... T-pWrtifiratr of Toutphlaurr THIS IS TO CERVFY,,iThatthe Individual Sewage Disposaf�g$#ystem constructed or Repaired by........ lifyrw.AV 5r;1 f-r-If ....................................................... ................... ............ .................................... 71 ........V!, 1*44V taller .0 .Za er at................................................ ........ A....................... . .............................. ............... _`9------------- ....... ....................... has been installed in accordance with the provisions of " f The State Sanitary Code as d bed in the application for Disposal Works Construction Permit No... ................ dated...... --- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIOI� �ATISFACTORY. DATE.................7-\-F 14-1d ......�I�f----------------- ........................................-------------------- Inspector.:.. ........................................ THE COMMONWEALTH OF=MXSSACHUSETTS ___-I-, BOARD OF11HEALTH ,. le .........OF ........................................... 13.0 No......................... FEE....._..---.........:... Uisjlaqr� Permission is h b granted......- i ere y ..;j'A ............................................................... . -................. 01 to Constry! o�,Repair an In' idual,Sewage Dflosal System oe-, p - 4 r at No........................................................................................... ...A.!.Je.z Street as shown on the,4pplication'for Disposal Works Construction Pe �-J 'Rnit X Dated_.____._____.__ ... AOF� AV ................ ....... ..... ..................... oep------I.... �Board of I &th DATE-.-- ........;R ..................................... 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