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Home My WebLink About0353 GREEN DUNES DRIVE - Health (2) f y �4.01� No........... ....... FEB....C�.:.OD THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...-...Town.... ....o F....Barns table----------------•..........-•-•. ... ... vu I 'A lirtttion for 11t noal Works (to o trutrtion rrutit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: .....9...Qrleerl---I?ime;a....Axisue....................................... --.....-------.._..._... ............. ___ __ - . Location-Address or Lot No. ••-•-••_____....-__._-.•- ___ W. J. Collins ...... est Hyannisport.. ........................................... (ra J. P. Macomber rng on, inc.• Centerville Address Installer Address PQ Q Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -•-------__--•-_.••_______________ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ 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 ( ) aPercolation Test Results Performed by......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of 'Test Pit.................... Depth to ground water........................ P4 ---•--------• -----•-----••••---•-•-...........••-•-•••---------------•---------•---••-•........•............................................................ 0 Description of Soil._....3and & gavel........................... U •....•--••-••••--••--••---•------------•--••--•...............••--•-•..:...........------------•--•--•-----------••-•-•-•--••-••••-----•-------•-••---•-------•--•------•----------•......---•--•----•-- W U Nature of Repairs or Alterations—Answer when applicable.__ _1-1000 gallon tank & 1-1000 .al it --------------------•--•----•-------------------------------------------------------•-••--••-•-•--------•-----•-------------------------------------------------------------------------------.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL IT,LEE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been slued by the bo of h.Si e �'La�1 Al ,�1 �177 -e ------.. ..--- Application Approved By ••-- ........................................ Date Application Disapproved for the following reasons:-------•-------------••-----•--•----•------------•--•---------•-------------•-----------._...-•-•-----•-------•- ..........................•-•--•-•-------•-------....-------•------------.....--•--•--------•-•-••--------••..._...._.......---•------•-------•-----•-----•-•-••---•--•••----•----•--••-----••......... Date PermitNo......................................................... Issued........................................................ Date N ..-. ...c..�.J...... F1cs...�5..00......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................Town...------..OF...Barns.table...... Appliration for Disposal Works Tonstrur#iun rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: --...Q....Gre-ein--DimeLs...n i me....................................... .................................................................................................. Location-Address or Lot No. ...W. J. Collins .....West Hvannis�.......................................................t• �..... --•............. ........ ........... a J. -P. .Macomberwnron, -Inc . Centerville Address • -•-•-•••--••••••-•-•••---••••••..................es.s. ••---•--•-•-•..............---•--•-••••. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Buildin yp g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures W Design Flow............................................gallons per person per day. Total daily flow..............................................gallons. WSeptic Tank—Liquid'capacity............gallons Length................ 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......................... rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•------------------------------------•-----------------........._....•••-•..........----••................................................................ Description of Soil....... !Annd 8c gravel -------•-•----•----------------•----------------------------------------•------.....--•--------......--••--•.....••......... V ...............•-••••--••-••••-•••-••-••-••....-•••-••-•••-•••-••••-•••--••--•••••-••••--•-•-•••--•••......••••-•••--•........•••••....••--••-•-••-•••-•••-•..........................---••---••-•---••-. W .................... -------------------------------------------""-----............................................................ U Nature of Repairs or Alterations—Answer when applicable--1-1000 gallon tank & 1--1000-- gal_....pit ----------------------•-----------...------•------------•--•---•-----------....-----._....._.........--------•--------------------------------••-------•---------------. ............................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b ¢ i sued by the bogerd of e h. g ------------------------ Application Approved By... _ ` -��'- Date Application Disapproved for the following reasons:-------•-----------------------------------------------------------------------------------••-................. .........•••--........••••--••-•••-•-•••-•••----...•••••-•....•••••-•••••-••--••--•-••-•-....••••.....---........-•-•••••-•••-•--••-•••-•-••-----••-•••................... -----••----••-•••-•-•-•- ' Date PermitNo. :............. Issued-....................................................... Date -*+� g THE.,COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................Town...........OF......Barnstable .--•-•......................•.................. Trrtif irFatje of ToutpliFanrr THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by....-Joseph...P _. Macombier & Son Inc. - - - - - --- ---------- -------- at. . G .. W. ir ------- Collins ... , H Installer has been installed in accordance with the provisions of TIC' S of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.� ..-.-...,�_�'I..-.__...... dated.__L3 "'- f<.'".7 :............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C RUED S A G RANTEE'THAT THE SYSTEM WILL FUNCTION SATISFACTORY. / DATE........... `...0` -...................................................S = ..... a,��L..,�Inspector -• •-••••... THE COMMONWEALTH OF MASSACHUSETTS s BOARD OF HEALTH z l 7; ToW Barns table ......... ........ OF.. �y No .:.... �......_ FEE...........•0...0 .... - �i��n��a1�: nrk� �un�#rimrn� rrmi� 'Joseph- P. Macomber & Son Inc. Permission is hereby gr•anted------------------•--- .... ---------•----------•--------.....•••.......--•...... to Construct ( ) or Repair X) an Individual Sewage Disposal System at No... ...Greerunerivoi•... :. Collins --•--••...... Street �/) as shown on the application for Disposal Works Construction Pp'r7mi o�V._.1:........ Dated Dated..... :." 7��.._.-._.... r DATE.....` ,:......,).-•••••......•-•............•... ... Board of He FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS -