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Home My WebLink About0590 CRAIGVILLE BEACH ROAD - Health (2) lie 3/ e,-,-d, Kd., C THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ------..Town.....................OF.............Barnstable ........................................................................... Alip iratinn for j3hivnii tl Worku Tamitrnrtinn fIrrutit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 590 Craigville Beach Road West Hyannisport ............................................. Address lrHarrisLocation �o. - SbTW(JD '�� ......................_.......................................................................... -••--------------••----------..._.........------••------- Owner Address J:P_:Macotnb2r__Jr.:......................... -----•-------------------- -----------------•---.....-----------•------•------------------------ Installer Address Type of Building Size Lot............................Sq. feet Dwelling 2L No. of Bedrooms.............3.............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g ---------------------------- P ( )--- Cafeteria (----). dOther fixtures .---.......•••-----------------•---------------------......•••---------------•-----........---.....----------...----• , W Design Flow............................................gallons per person per day. Total daily flow...........................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diar6eter:::-:..._.__;., _Depth_._........_.... x Disposal Trench—No..................... Width.................... Total Length......................Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet__.. _._.._otal 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........................ fs, Test Pit No. 2................minutes per Inch Depth of Test Pit.................... Depth to ground water..-_--_--__-____--___-_. W -----------•-------------------------------------•----------------------------------•---.._..------.......................................................... 0 Description of Soil....................................................................................................................................................................... x Sand V .-----------------------------------------•-----.._..--------------------------------•-•-•----------------....------------------.._.:-------------•----------------------------------------------•-----. W ---•---------------------------------------------•-------•-------------------------------•--....-------------------------------------------------------------............-•---------------...----------- U Nature of Repairs or Alterations—Answer when applicable..........1--1-000....tanl----1_-1000---pit_______________________ ---- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of l:'TT LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss e 1% e boar of lth. Sign �' .................................. .`............................. ... /..3l.. .�.... Date Application Approved B Date Application Disapproved for the following reasons:.............................................---------------•-----------------•---------------------•........._ ....................•-••-•---•-------•--•-•-•--••---•-------••-•-•-----•---------.......-----.............-----•---...---------------...----------------------------------------------------------------- Date PermitNo........... ---------------------- Issued-------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstabie Application is hereby made for a Permit to Construct ( ) or Repair 0{ ) an Individual Sewage Disposal System at: 590 Craigville Beach Road West Hyannisport �=�" �a=� � �� o^ �T�zr\� --___' ..........----- __-------'-__-'--____''- «~"� Address ------�T��'� � . ..........__._________________________________________ PQ Installer Address Type ofBuilding Size Lot............................Sq. feet Dwelling�:5-No. of BnIr000`o----_''3-----------_-'Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ 6bo~cro ( ) -- Cafeteria ( ) 1 A4 Other 6�to,�o ' � .� ----_---_-.---_---.---_--..-.--_------.--.------------.-------------- Doaign Flow............................................gallons per person per day. Total daily flow............................................ . / Septic Tank—Liquid -----galloua Length................. Width................ Diameter................ Depth................ Disposal Trcocb--No .................... Width.................... Total Length.................... Total leaching:cou---------.sq. 6. Seepage Pit No--------------------- Diaozctcr_------ Depth b6o= io1o�-.-------- Iotu leaching �gar� --'-----'ag. �. �� Other Di�u�bu600box ( ) Dosing tuok ( ) ~~ Percolation Test Results Performed by-------------------------------------- ................................... Date..................................... 1.4 Test Pit No. l................miuutesperiocb I)optb of Test Pit.................... Depth to ground water--.-..---_. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth ooground wazcr--_.--_--.- �j -_-----------'-_'-'_-'---___----_-----'-_'_-'_'-------'-'-----..---------'-- Deocr�n�000fSoJ------------------ . ��a_---'--_---------_-_-_---------_-----'-.-----------'--_- ---'--`----'--------------------------------------------''--------`------`--------`-- �� .._'_------_-.--_-___----.-__--_---___-----------_--_--'_-_-_'-- U Nature of Repairs or Alterations--Answer when ----------��.��-.��W-.�t�----__'.-_. ......................................................................'..................'......'.............................. | Agreement: ,,SYSTEM WILL CT N SATISFACTORY. The undersigned agrees to install the af6redescribed Gdividual-,§ewage Disposal System in accordance with the prdvisibiis A._`12�_5%of'-th"Ne State Sanitary Code— The undersigned further agrees not to place the system in Operation until a Certificate of Compliance has been issue 'rib -he boan ot health. Signe Date Dat THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barm;1-able THIS IS TO CERTIFY, That the Individual Sewage Disposal System construct�d or Repaired ZCX) Installer has-tPeen install�d in accordance with the provisions of TLITIE 5 of The State Sanitary Code as described in the TAE'lgiUANCECOFTi IS-CERTIF16TE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT T14E THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH to Construct pr Repair TX) an Individual Sewage Disposal System Street as shown on the application for Disposal Works Construction Permit ..... Dated.......................................... DATE................................................................................ ..................................�-r_Poar�_o_f-Health.......................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ��