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HomeMy WebLinkAbout0077 ARROWHEAD DRIVE - Health 77 ,A- w fi' ad `Drive 271-058 '` !t� � �. � ,. � .Hyannis o ° o a � e ° o a e 7 LOEC AT ION SEWAGE PERMIT NO. 77 Akc -a VILLAGE _ 1��r.9H�vs ill' sr INSTA LLER'S� NAME & ADDRESS B U I'L D ER OR OWNER DATE PERMIT ISSUED 0�02 DATE COMPLIANCE ISSUED 42/z/ i � PQ II No.----•-3-2--/-••. Fa�.... .`�.�. �........ THE COMMONWEALTH OF MASSACHUSETTS •BOARD OF HEALTH � � �� 05� .................Town........ ..OF......Barns-table.................................................... ApplirFatiun -fur UiipmFal Works Toustrurtiun Vrrnift Application is hereby'made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: 77 Arrowhead Drive •---•-----------------------•-----•------...----•--•-------•------•-------•------- .............. ---•------------------------••-------••------------•-----------------••----------.......•..----- John Paquelf6n-Address or Lot No. ............................-..................................................................... -•----Hyannia,---Mash.=------•----------------•------•--•=--•---------•--- Owner Address a -----Joseph---P�---Macomber-&--Son, Inc.. -----•Centery ll-�--•-------------------------------------------------------- Installer Address UType of Building Size Lot............................Sq. feet .-� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ........:............ w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area--------------------sq. f€. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area------------------sq. fl. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date------------------------------.......... a Test Pit No. 1...:............minutes per inch Depth of "lest Pit......-..---..------ Depth to ground-water........................ fXq Test Pit No. 2................minutes per inch Depth of Test Pit................---. Depth to ground water........................ tx ----------------------------------------•--••---------•----------•-•-.............•----•---....------------------------•......----.............------....... 0 Description of Soil----------Sand---&---Grav8 ------------------------------------------------------------------------------------------------------------------------- x U -------------------------------------------•----........-----------------••-•-----------•--•--•--------------------•-•-•--•--••-----------••-----.........-----...--------------------------•-----•----- w U Nature of Repairs or Alterations—Answer when applicable--------1.-1000.-gallon---Pit----(over-flow-)-.-..---- --•-----------------•--••-------•---......................•••---......-----....---------•--•-------•---------........-----------••-------------------................................................... 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 is ued by the boa of h It . 1 01 Signe .�-f/ -`..................... ...... � �f / Date Application Approved BY '-_ ?� ------------------------ Fes= ...... -_ f/ Date Application Disapproved for the following reasons:................................................................................................................ ..............................••---......---.............---•---•------.......-•----.----• -----------•--•---............------------------------. Date Permit No......................................................... Issued---:-..,�" T� Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA 321 y: No......................... Fsa........ j i THE COMMONWEALTH OF MASSACHUSETTS �OARD OF ' HEALTH xx .. %o F ..:':spa t e x , I r #tntc f f t tt1 or $C ituitrttr�i�tt prmt m, rN -iyy R ., 1 �a`5.#�.� ae �'.�• .ah^� >• � .. .�;+"r'�, ;,.. ;�- Application is hereby made for a Permit to'Construct ( )' or. Repair O an,Individual.Sewage Disposal System at• ` /y{ LTocattpon Address _ yry{ or Lot No. ............. ....... .... rT.1nTf.' 1' • �-A 1A P.S S p• ,. ___________________ ________ ________ __.__.._.___._____.__......_ _____.___ _._.................................. .............................. Owner Address •s W] eTn,-- Y)h i� 1 nf"�?lSlfay " �11 1i1('. Center-Af llo ____y_. ........- .._... ...... ................ ......... . .; ..... Installer .Address r U Type of Building Size Lot.... q. feet S �-, Dwelling—No. of Bedrooms.... _.. ._. _.._:_-_-_:Expansion Attic ( )' Garbage Grinder ( ) ate, Other—Type of Building'----... .. . .......... No. of,persons .......................... Showers ( ) — Cafeteria ( �")' P`' Other fixtures d - -- ----; - -- ---- - ---- - ---- W Design blow__._ _--__:_ _--_-: .gallons per'peison`per day Total 'daily flow_______ ______ --------- ------- gallons- . WSeptic Tank—Liquid caulcrtv 'g tllons Length---------------- Width. Diameter':- ---------- Depth -.-. x Disposal Trench No ______ Widtli _-- Total Length Total leaching area---------------- ...sq. ft. Seepage Pit No_ ______________ __ Diameter _______ __-_._-_ Depth below`inlet____ __________ Total leaching are.t------------------sq. ft: z Other Distribution box ( ) ; Dosing tank,O ' aPercolation Test Results Performed by -_ ..-_ - -_-__: - ..... Date-_ -: . Test Pit No 1 irlinutes per inch -Depth of Test Pit Depth to ground water. . a f� Test Pit No. 2..... minutes per inch. 'Depth of Test Pit __- _-___- Depth to gr©und:water .____ -. : K p ......." . ---' O Description of SOil_----------S v '� ,# I x z W � 9 S------------------------------------------------------------------------------------------------------------------------------------------------------------------------ - �...� U Nature Of Repairs or Alterations Answer when applicable ___.�' fl '� .................... - -•- ----- ------ - -- ---- •------ •----------------- Agreement: V The undersigned agrees to install the-aforedescribed Individual Sewage"Disposal System'in accordance wrtli the provisions of Article 'I of the State Sauitary`Code- Tlie undersigned further agrees not to place tie 'system operation until a Certificate of ,omp lancer has been i uedAby,the board�of health: Si gne f - 'r f ± Date Application Approved iBy * � ''' -G ------------­-------------- Date,�. �(/ t Application Disapproved for the'f ollouiing'reasons: ...::.._--. ..-:,*, ....--•------•••-••------•-•--------- •-•------ ------- Date Permit No.-- .- __.-. Issued....................................T r'_ Date t THE3COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. 0 y y * .. ........ :!•.`-!T: �.... ...:...�F.:... .JC'�3 ns UCa-la 4-e-' ........ ". ....... ......... (Irriffiratio of Com THIS IS TO CERTIFY, That`the-Individual Sewage Disposal,System. constructed ( ) or Repaired by...- cWin"ti p Mr,or)rnbPr r'r C�rI Tnf Installer 77 -ry' )=-t £� 3t y :F^ �t '13^�t' l S -C1i?f� P is at... = . --- - has been installed in accordance with the provisions of Ar e XI o�fpThe State Sanitary C leasescr,}b m the ` application for Disposal Works Construction.Permit No.-��--. !1% _l dated " JJ - i THE IISSUANCE AF HISXERTIF;CATE SHALL NOT BE CON RIDE® AS A GIJARAId'1 EE THAT THE � �_ . b , ts � SYSTEM ti�oIILL tFAUPICTIOf<I SATISFACTORY DATE._ ••-• ... •----- Inspector M �.. . . :X h s •. �� THE COMMONWEALTH OF MASSACHUSETTS BOARD OFp HEALTH s r FEE z ` � la tt� �� Owntitritrti>�tt Permission is hereby granted---.:` ----- ?---------I "Aar nmi, ~ _ R:.._�^.n__:.._ ,_�� . , ..... ....... r to Construct ( )-or Repair ( ) an Individual Sewage Disposal System y at No F:f_ Y 1^C7Ute� +r7ti a x't°'f' � 'an'n' S c^ � - - - Street as shown on the application for Disposal Works Construction Per o % ted _ I- ,.Board Ithl 1 t .. DATE_ FORM' 12_55HOBBS &zyWARREN-ZINC PUBLISHERS mum a ' ` r.a• - - -Y`�`s It @�