HomeMy WebLinkAbout0145 HARBOR VIEW STREET - Health (2) cej -
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No..?1.�:�:� .� Fx$... ....30... 2.
THE COMMONWEALTH OF MASSACHUSETTS
A P P R O V E D BOAR® OF HEALTH
Barnstable: Conservation Commission TOWN OF BARNSTABLE
Signed �• -� A,°1 Uispaoal Workii Tonstrnrtinn rani#
Application is hereby m de for a Permit.to Construct ( ,,) or Repair XX4 an Individual Sewage Disposal
System at: h' ST .
Harbor West Hyannis-oor-t, _Last House In . �/V1l� P� __
......................•----...... -•----......................
En to Location-Address or Lot No.
Owner Address
a J_,_P.Mac omb e r_.Jr.:...............
Installer
Address
Type of Building Size Lot............................Sq. feet
U Dwelling-1 No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons..................--........ Showers ( ) — Cafeteria ( )
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........................................
W
,.a Test Pit No. 1................minutes per inch Depth of Test Pit.-----...........--. Depth to ground water..----..................
P4 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water.......---..............
P+' ---------•-------------------- -------••••••------------•-••----•--•-•...---•-•••-•--....._.................................................................
Sand & Gravel.
Description of Soil............................................----------.._....._..-•-------•--------------------------•--------•----•-------•-•--------------------------•--------------
x
V .------------------------•------•-------.....-----------------------......----------•--------------------------------------------------------------------•----------------------....--•-----•-------•-_..
W
x -------•-----•--------------------------------•---------------------•--•--------•-----•----•••---•-------------•-----------------------•-•---------••------•--------•--•------•--------•--••-•--.......
U Nature of1Rej�Fstpr�dt� RnV-Answer when applicable...............................................................................................
----------------------------•-------•--••--•------------•--•------•------------•--------•---....--•---------...--------------------------------•---------------------------------------------...--•--•--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Co'mplia ce has be n i ued by the bo of ealth.
9/19/91
Signed ...._ -. ... . .... . .... -¢------------------- - ----------
Application Approved By ................... - .......-..............................- ...
Date
Application Disapproved for the following�eason.r: ........................................--- -------------------------------------------------------------------------------------
...
Permit No. - !"'. �L = ------------------ / Date
Issued .... . ��.....---- 1�
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
fir tla t�� for Disposal Works rks Tnnstrnrttnn Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair XX)5 an Individual Sewage Disposal
System at:
_Harbor West Hyannispor,_� Last House In .
.................• --•-- --•--..........................•••--••----•---........---•--......------........••----............
Ent.. Location-Address or Lot No.
.--__ ..........•---•............. ........•--.......-----••-••---••------•-.-•-•• .................................................................................................
Owner r Address
WJ P.Macomber ..............•---••--•----•-••••..------ --•--••--------...------------•-•---••----.............................----•--•-••--•---.....-•---
a .--_----..... ----••e Jr.r-
Pq Installer Address
UType of Building Size Lot.............................Sq. feet
Dwelling-X No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
p., Other—T e of Building g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
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.......................................
a
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.......------...........
(s. Test Pit No. 2................minutes per inch Depth of Test Pit----.........---.... Depth to ground water..--....................
01 ---------------------------------------------------------•••-------••---------•--•-----...-•-................................................................
0 Description of Soil..........................................Sand...&...GraY.el..........................................................................................
U ----------------------------•----------....-----------•-••-----•---•-----------...------......-•----•--------------------••----------------
--------•------ ------------------------------------- •-------------------------------•••-----------------------------------------------------......--...............................................
U Nature oflRe�parsdor. ltfrla�i�nsp i Answer when applicable._------------------------------------------------ ............................................
........................................................................................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of tl e State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Complia c6-has ben i ued by the boqA of ealth.
g - 9/19/91
----------
Application Approved B 12 �� Jam/
PP 1?P Y ............. --------------. .../.....------........---...
Da[e
Application Disapproved for the following reasons' ----------------- --------------- --....------------------.......---..... ........................................
.................................................. --------------------------------------------------------------..........
Date
Permit No. .... '.... � Jam• /J�' ^�1/Issued .... ........... ........w ---------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certifirate of (111ompliar>a
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XX )
by --------- J.P.Macomber Jr..
................................................................. ........................................ --....-----.......--....------.------------.......................................
Installer
at ---.......Harborvi:ew Road West Hyann : sport, Last house ' n.
...................... .... ............ ...... . .......................... ... ...
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described 'n/
the application fo Is I rks Construction Permit No. ... .- '...-. .... &��dated ....---..--'..- `.. .-. ..
THE ISSUAI E CERTIFICATE SHALL NOT BE CONST. Q GUARANTEE THAT THE
SYSTEM WILL FUNCTIO SATISFACTORY. �
DATE.................... = i�.:-/-�............---------------------....I Inspector ................ ,.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No... ! . T... FEEA... .�.0.....2
Disposal Works TwOnstrnrtion. rrntit
J P Macomber Jr.
Permissionis hereby granted------. --- ----------------------------------------------------------------........................................................
to Construct ) ,or Re or AXZ) an Individual.Sewage Disposal Sy gem
at tlar.. r . yew oa West Hyann .spor Last Ouse
Street (� y
as shown on the application for Disposal Works Construction P ri `ti No.--......... Dated-�-��. �/.---.
g� .....................................
Board of Health
--------------------------
DATE....... ---••---- -------......--------------------•--••-----------•----
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS