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Home My WebLink About0312 ARROWHEAD DRIVE - Health :t r _'12 Arrowhead Drive o i.Hyannis .• A=270 - 187 9 i 4 �a 1 o T Y � � . ❑ A O M � c c �I TOWN OF BARNSTABLE LOCATION J)Z/&U40�,e4c� On yr.. SEWAGE VILLAGEyGhn,f ASSESSOR'S MAP & LOT_2 74-- /'9 7 INSTALLER'S NAME & PHONE NO. ✓/��Cay�,J v�"�►• c SEPTIC TANK CAPACITY ),000 e.l .LEACHING FACILiTY:(type) �J�� . (size) oo G NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: 2- DATE COMPLIANCE ISSUED: -),Q VARIANCE GRANTED: Yes Now/ i�lI -7 V 1 f.J � o / IgGk " No. .. F�s......30_..00...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,COVED TOWN OF BARNSTABLE ftnNft eCon�nr� ApplirFation for Disposal Warks Tout 's / -/7 o Application is hereby made for a Permit to Construct ( ) or Repair y(XX)K an Individual Sewage Disposal System at: 312 Arrowhead Drive Hyannis ----....__--.---_.............•-----•-----------•-••-•---.........-•-.................. _...._....•••••-...-•-•._.........._..•--...•--•---•-•---•--••••-••---------------........._---•-- Location-Address or Lot No. Risdal W J.P.Macomber Jr. Owner Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling X-No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building No. of ersons____________________________ Showers Aa 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................ Diameter---------:...... Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. 3 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... r., Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................ a .-•-••--•-•--•----•-•--•----•---•----•-----••-----••-••-••-••-•-•--•-._....--•---•-•---•----••-••-••......................................................... 0 Description of Soil........................................................................................................................................................................ W Sand & Gravel v -•--•-•-•-•----•-••-•--••-•-•-•--•-----••••••-------•----------•-------------•----•••-._........---------••-•••-------------•--•-•••---••-•-----...•--•----------•----------...-••-•••------•••--....-••- W ----------•................... .•----••••-----••----•-••••-•--....-•-•-•---•- ...-•---••-•--•---••------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------....••••._...-------•1-1000---tank------1-1000---leach -z.t------------------------------••--------------------•-..._....--•--.....----._........_. 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 Compliance has been is ued by the boar of h lth. Signed ---- .. ......- .... .A............... ...1../ �9 .' -- DJate ApplicationApproved By .. ... .. ............ . ............... ...o.............. ........ ... ..... ........... ......... ................. e Application Disapproved for the following reaso s: ...........................'----.....-*-----..............----....--......-------'--------.......---...-----........---------'--...... .. ...... ...................................................."-------'---'----..................... ................ :. a Dare Permit No. .... . ............ ... ...................... Issued ..... ....... - / �� ....... ...... ...........'-- re r N0.9 X) /Fzi3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ApplirFation for Disposal �irks Tonstrn bin, Frelffif Application is hereby made for a Permit to Construct ( ) or Repair Y(XX)Xan Individual Sewage Disposal System at: 312 Arrowhead Drive Hyannis ................-......__...................................................................... --•---•-•---•-•---------..................--------.................------......................... Risdal Location-Address or Lot No. a J P Ma c omb e r Jr. Owner Address...............•---•-----••-•--•--•--...- ------••-•-- ...----._......._.._....................... Installer Address q� Type of Building Size Lot............................Sq. feet �-t Dwelling X_No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a'4 Other—Type of Building ...............'No. of ersons............................ Showers yP g -------•-------------•--•------•-•---••----P--�- ( ) — Cafeteria ( ) Otherfixtures -----------------• -••...-----•-•-•-•........•----------•----......----•-------------..........------..........•- 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. 3 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......................... 44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ P4 ..........................................•---...........----•-......---•--...............----............................................................... ODescription of Soil-----------------------------------------------------------------------------------------------------------------------•--------------------------........---------•--- W Sand & Gravel v .................•---•------•--------•--•-•------•---•---•-•-••••--•---•-•••--------••---•.....-•----••-----•--••-••••------•--------------•••------••-••••••---------.....---------.......-------------- W ---------------•••-•••-----• ••---------•-•••••--••-••-------------------•...••••-•------••-••••------•---------------•--------------•---•-••-•------•-•--...•-•••-••---...--------••-._.............. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ..............................1-1000 tank.-----1-1000 leach pit 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 Compliance has�been issued by the board of health. Signed ...._4 !a ... 1 ..9/9 Application Approved By .�.... .. 1 ...... ...o...............F--!�1. �..�........ .-..----....... � .. 0 .. Application Disapproved for the following reaso S: ....................................................................................�------------------........---------------....... ............ ...............................................q .... ..... .. .-- -- . .................... r Date Permit No. ..� ./..... Issued ............../ 1-.................................. .......,.. �. ...................... ie THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE GErtifirate of V onytianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (KXXX by J.P.Macomber- Jr. .............................................................................................................................................................................................. Installer at ..3.12....Arrowhe.ad---Drive....Hyannis---------------------------------------------------------------------------------------------------................................................ has been installed in accordance with the provisions of TITLE f he S Environmental Code as described in the application for Disposal Works Construction Permit No. �161S!iT52E .'.. . . ...- dated ................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. .�...`.....(v./�..1�..1....� ....................... Inspector ........ \. .......... THE COMMONWEALTH OF MASSACHUSETTS / BOARD 'OF HEALTH TOWN OF BARNSTABLE $ 30-00 No.............. FEE........................ Disposal Worho TDomitrnrttion "permit Permission is hereby granVed........---J--.P. - -Macomber-.._......_.....--J�--r---.---------------------------=----------•-=•--------........-----...........-----........... to Construct ( ) or Repair t X) an Individual Sewage Disposal System at No.....312..Arrowhead Drive Hyannis Street as shown on the application for Disposal Works Construction P r 't No.__...L�....._..... Dated.............:f/._..././ ti j --•... ..... ------------ � d ._.... 1_------ . ealth o oar CJ Bd f h DATE------------------•-• r -•-•..• . FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS