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Home My WebLink About0095 PINE LANE - Health Ply Lox 13 avylldll( ►� 27� /0z9 f Ficiz THE COMMONWEALTH OF MASSACHUSETTS g� BOARD OF HEALTH _.... .... . . ._ ........OF........................................................................................ ApVftrtttiun -fur Bi,ivuiial Worko Tomitrurtiun Vaniit Application is hereby made for a.Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ' - t. ----------------- •...............--•----- ..'- Location- ddress or Lot N ---•-•- i ra l� ....... ... -•-•------- "�' �..�.. ------...... C---t--� --- t' V9'S '1 Own j� Addtess ------------..`.............f Installer Address ff Type of Building �^ Size Lot...._./. . _..._-.Sq. feet Dwelling Ivo. of Bedrooms. •---------------------------------------Expansion Attic �t O Garbage Grinder ( ) Other—Type of Building .._ "^-`----- No. of persons............................ Showers ('4— Cafeteria ( ) P i L v� � Other fixtures - ---��---------- ------------------------------------------------------------------------------------------------------------------� Design Flow.......:—.--s _...._... 1 0> p on per day. Total daily flow..._............. ..............gallons. 9 Septic Tank��Liquid capac,,. . ons ` Length---------------- Width. Diameter----- -------- Depth.....-..-------. W Disposal Trench—No..................... Width.....0_---------- Total Length-... ........ g q. x .� Total area....................s ft. Seepage Pit No--------------------- Diameter..-..--.-.---------- Depth belo inlet -------- tal aching area---------- ------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Q;, �L4Z 6 - &— / Y 7�. aPercolation Test Results Performed by-------- ---------------------------------------------•--•------•-•-- ••-- Date----.---_-------------- ------------- ,� Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water_........_....-----_--- rXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ ----------�---------- ..........--•--•----..... `Description of Soil !�`— "�l � ---------------- ----------- ----- ---- --- ---- -- -��` --- -- x W U 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 Article XI 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. igned- -...... �- ---------- ---------------------------- Date Application Approved By-------- --- ls ---------------- .... .....� Date Application Disapproved for the following reasons:-----•------------------------ ------------------------------------.......-----------------•--------- •------------------------------------------------------=.....................................................----------.......---••-•---•---•-----•-•-----..............--•--••--------•-----...---.--•-- Date PermitNo......................................................... Issued.----•l/....-......... Date No. ``` .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _. ..... ... ...... .. OF......................""" --------- .----•- ._...................... Appliration -for Uispoottl Workii Tonfitrurtion Vaniit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: �.' (. ........_��-----=------------- ---------------------------- Z� ��...�. Location-Address or Lot N •-• -� --t-- ��✓? _.Tj ... I"M ''ginn....................................... `.. s------------------------- Address W ... y G N:----••------1•--••••••-.......--s--------•----------- . Installer Address J /. UType of Buildingl-- Z_ Size Lot_._.. -----------------Sq. feet Dwelling No. of Bedrooms_ _________________________________________Expansion Attic/00) Garbage Grinder ( ) per, Other—Type of Building __f 3 !"^" ....... No. of persons_______________________•---- Showers ('7� — Cafeteria ( ) aOv S q- �........Other fixtures d 5 --------------- ------------------------------------------------•---•-•---------------••----------------•----- W Design Flow_ ._.__ ..__.SO.........gallons per person per day. Total daily flow---------------�� ----------------...gallons. WSeptic Ta111,4—Liquid capacity.W�---gallons Length................ Width ........ Diameter---------------- Depth---------------- x Disposal Trench—No_____________________ Width....f�t..._._______ Total Length_____....__.. Total leaching area.._.._..____...____.sq. ft. Seepage Pit No----------------_--- Diameter.................... Depth below inlet_______ ___.__..._. Total eachitlg ttrecl.......___._......sq. ft. z Other Distribution box ( ) Dosing tank ( ) 06- �� - 3' / `ir to aPercolation Test Results Performed by------- -----------------------•---......---•-•......•-------•-....-•-•-- Date........................................ Test Pit No. 1----------------minutes per inch Depth of "lest Pit-------------------- Depth to ground water-..----_.---_---_-.-.._. f� Test Pit No. 2................minutes per inch Depth of Test Pit_................. Depth to ground water............----_----._. a . - � f�i = , f� �1... i Description of Soil-----------�.-.._ • ....... U x !''',ram 7 �j �� -------- - v ------------------------------------------------••••-.........-•••••--•--•------••------•----------•-•--•--••----••----•-------•--•----•-•-----•-•----•---••--•....••--•.........•-•--------------- -- W x ---------------------------------------------------------------------------------------------------------------------------------------------•------•-------•--•--•-•--••-------•---•--•----•-••-•...__. U 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 Article NI 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. _ / Igned ' !^G.n-�. '- � ' J , �/ �� , Z A lication A roved BPP PP y--- - ----- -G� ` f ------------- � Date Application Disapproved for the following reasons:............................. ---------------•----------------------------•--•----•---•----•-•-•••••-- ....-----•---•--•-----•--•••.....•-••••--•-••-----••-•-----------------••••••••---••-•--•-••-•••--••••-•.----------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH O F......L CL-'L �Z V....... ................... ..................................... Tatifiratr of ITkOmphatt e TI 1&4S 0 CERTIFY at the Individual Sewage Di�posal System constructed or ( ) Installer at....: ........ .�_.. -----------------------------•-------.--.-------------------- has been installed in accordance with the provisions of arti", e I of The State Sanitary Yet described in the application for Disposal Works Construction Permit No. -------�� ..._Z_____________ dated. -... !J___�._y_7�.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ;' --------1 `... .. % Inspector---- DATE ----.... 7 /� ) THE COMMONWEALTH OF MASSACHUSETTS BOARD QvF HEALTH �J ....OF.....�/ . ....... .. .. ..l.. ............... No......................... E..//.......... � � ,� C>Ton� ii �tioat �rrmit Permission ' efTy granted - •-•---........-•---------------•-•-------•--------•-•--•• to Const �tl ) or ."epair (1 I'tidiwidual Sew si poser Syste, Street �...�./` as shown on the application for Disposal Works Construction Pe it N .............. .... /----C--v--------- ------= -----: r ' Board of Health DATE---------�---.. ......................................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS /"�, j t r 4 ,k fir' J 2 3 4-. 30 r' 3 0' FRO"7- `' r - y SILL ELE.%----- FFf�T 40 V4 POAD PLO.7 " PL- AI. V tom' I-OCA r/OA/: SC.QLE �u^ Via_ _pAT& PLAN N6 600,C 267 PA66 7? g 66?4aY C,6Vr/FY A-/AT THE EX/5 r /N6 FOUNDA T/ON GOC`I T/ON lS GOZAE4 r � "'- �� rx,< •;,� `��, '� 7'f^rE $U/L.D/.vim �S��Y3.4iC�C,�f�Ui,�'�M,�l= � AC'iE L LIE Y ... �.., _ l%ih/rGLGiNE1T.`Y.gr+�4 07t/f 'JQT .c7. • No...... a...... ...................... THE COMMONWEALTH OF MASSACHUSETTS �OwJ BOARD OF HEALTH a w w -........... ...o F..........•f%� �c' ...-ST ,G 4.. ....--.---.----------•--- A1111fgrattnn for %iposal i0orkii Tnntrnrtiun rnmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. ............1..�. e ...:.., ..Z.7."d.:......................... •.- •.......•--......................................--- Owner Address a .....................:............. ...... ...........................'.....�• Insta er Address UType of Building Size Lot.............�...........Sq. feet Dwelling—No. of Bedrooms..........,..............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q+ Other fixtures --------------- - - .._:. .................... W Design Flow............ ...d.....I........... . gallons per person per day. Total daily flow..............-70_. ..............gallons. WSeptic Tank—Liquid capacity. gallons Length................ Width................ Diameter................ Depth................ x Disposal Tren��, � Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit 1�To.l�oU.Q.�.s'rDiameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................................................................... Date........................................ a 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----..--.........--..--. P4 ................................................ ------------------ ..............-------------.....---....---------......-------...---------- O Description of Soil---------..fin,A.�....-...4.#Ad...-��Ilk'ne...... 1?�U� ............................................................... U ------------------------------------------------------------------------------------------------------------------------------..............................-.......................................... W x -••--••-•-•-----------------•-•-•--•---•-•-•••.....-•-•-•••---•---•-•--•--•••---•---•---••-•---------•-•-----•-•-------------•-----------------•----•-----------•--•--•--••••---••-••-•-••-------------- U 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en issued by the board of health. T _ Signed--)( .. .CAS-?- ------ --- Date ApplicationApproved BY----- -------------------------------------------------------•---•--•-••-........-- ---------------------------------------- Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------------•--•--•--.....-- -----------------------------------------------------------------------------------------------------------••-•-•----•••------•--•-•--•---••-•---...................................................... Date Permit No.----- ......................................... Issued.....,=-----..� 7 Date Ito. f°.. ------- Fun THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------------'OF................. :°s' "...:.... ,,{�. `� .....'"':....................... Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: e.........,..A..E. -c.:s . ....... ....�.: ........................J........................ t.................................................................................................. Location Address or Lot No. ............. .. �........ rf ............................:.......... ............., ......................... ...........................................•_...a................ .. .. ......... Owner Address ........... :ta r ... .............. ........................................... ........ .. .. ......... 1'S a Address UType of Building Size Lot..../ _...1'_...........Sq. feet Dwelling—No. of Bedrooms............,..............................Expansion Attic ( ) Garbage Grinder ( ) p'�., ,., Other—Type of, Building ............................. No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .__..__..._ Design,Flew............1 _._*` ................gallons per person per day. Total daily flow................ ::.::..............gallons. CSeptic Tank-Liquid capacity-•r41kallons Length................ Width................ Diameter...-....____._.. Depth................ Disposal T=encl; TVo . .................. Width.................... Total Length.................... Total leaching area------._._-.:.......sq. ft. Seepage-Pit I !`<a .,._ '., Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test.Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-_.___.--_-___--_------- (Z Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----•-••----------------------------------------------------------------------------•------......---......................................................... 0 Description of Soil----..... f 'f..... ..... ��a� x-�>w ......... ......`_ - ------------------------- -------------••-----•-•--- U ----•----...•-••••----•............................................................................................ ----•-•-••-•--••-••--•-•......•••-•---•--•----•--•----•-•-------------••--•••--... 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 Article XI 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 f �A . ..... ." ; m. Date Application Approved By----- - = y Date Application Disapproved for the following reasons:--------•-----------------------------•-------------------- ------•-------------•------------------------....... ........................................•----•_._...----------....--•----•--•-•---------•..._.... Date Permit No.•----{ Issued `'' '= . _ :...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C� rtifiraU Lit ("lautpliattrr THIS IS TO CERTIFY, That the Individual ew m os 1 System constructed ( ) or Repaired b ( ) ' �',.—_ _ ---------------------•-•------...........................------. " Installer at............. _._--_ ___-___-__-___--___cel- _ -,!_ ___t---.-_____--._-___---_----..---------__-__-___-__.__.......__.._....._........ has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......5",P--0-- --------- dated.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .....1-_� ....:....... Inspector...0 ?n..... -- �. ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD DF""HEALTH r>v OF....... t. : f tom. F ,. r3 ................. ........ -----.-- -•--... (J NO .....A. ............ FEE... Permission is hereby. granted......... ./ . , -' ............. ........ ...... to Construct ( . ) or Repair ( ) an Individual Sewage Disposal ystem - atNo•---•-... .................................... . �� ...... . �..t.................................... Street as shown on the application for Disposal Works Construction Permit No............. ..... Dated......... ....... ... .......... Board of Hcaltli DATE. ��......................••---........... FORTA 1255 HOBBS & WARREN, INC.. PUBLISHERS F TEL. No.362-2626 - CROWELL�& TAYLOR `CORPORATION 4 Land Developwent C7 Engineering I yyyy��yyyy ;ttY 89 Willow Street Yarmouthport, 'Mass. November 7, 1972 4 t i Board of Health Town of Barnstable . } Hyannis, Massachusetts Re : Soil: Tests on Property of, Jimmy Smith located Between Old Jail Lane & Pine Street, Barnstable . Gentlemen: Enclosed please find a sketch indicating the Y { approximate. location of three (3) tests cond'izcted - i to date along with copies of the .test. hole -data. The indications from the tests conducted are-- not # completely conclusive with. regards to the entire 12 acres of land'. and do indicate the' possibility of problems in certain areas . However, . the medium , * . coarse sand found. has excellent percolation rite of 1 inch in 2 minutes , and indications of larger y �a6pths of sand.,a.re visible . i It is therefore my opinion that further tests , { . onany proposed .sites within the 12 acres should ti yield a location suitable for the in-stallation of - --- ` a sub-surface sewage disposal system, . The avail- ability of a' backhoe as of the test date' and the heavily wooded conditions preclude further random testing at this time. s Yours tr/ulyJ'' �' 6� !�� F. Wfred F. Taylor CC : Mr. James Smith Barnstable, Mass. � y' ,.. . - ti'�',., J � .,,,,s.-aa :ry. •:�:pF y,, , ..� "` - ��x��,�.r x� a°"'fv"1. _ �•„'w-�a#�- - - � ., + � �F; µ p �:�-. N r - _ O/ . ✓��,�'�►,�_ - �+sys�G�/s-- —OFF U_/p!✓a.%�o-,.t_--�+_ns_�,�_ _�+E��,��,'/Lo,,. I �Zi.��r��!� - to=�•'S' i, �:e,. —i- -- -------- ---j------ - ------ �yrs4o I j I- A----;-- (/---- -I" — --0-Pe-!La�oT/ =oIlC's -D-LCCL/4'4/"4Z— CrIl v ll�s,AlC—_�OQS �XOT.__ � �• i _. —lea,'_•�s�.Sssr__ e.G_._.TGs, ._— /c 2 tj 70" rrT a q 5 Z000 S 6'i' •40. ti ,. e- 4 ,,.r p� rL}N9./� co �fND> 1! - - _ _ . _ E• , Lam- f \ �o.va 9 - \ rl - r. tious� 2 G G 48 _ gyp' e 6-3Q P ZD .. r4 BQ pro in 40 or 49 �We 4 le 0 4n o 11/ �O M r TOWN OF BARNSTABLE UNDERGROUND FUEL D CHEMICAL STORAGE SYSTEMS -ASSESSORS MAP- NO: PARCEL NO. 06 ADDRESS' t /A.I( L/t,.,' VILLAGES` l 11IIS!��3L-L` /'�/T ` NAME; CONTACT.PERSON HART PHONE NUMBER,� 1�' LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: LEAK v OR CHEMICAL: j� J DETECTION r Of �-' -�� -� s SYSTEM. , / 'L. �S-A L1,6 w® 6. t>S-r 66 ef-m 0 v eJ� -1mFD C V4 DATE, OF PURCHASE OF. EACH: 1. . 2. 3. 4. 5. DATE OF FIRE DEPARTMENT PERMIT: _TESTING CERTIFICATION SUBMITTED: PASSED . DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.