HomeMy WebLinkAbout0336 ARROWHEAD DRIVE - Health r .
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TOWN OF BARNSTABLE
LOCATION JJ� ,Q�r�y�/��,;,1 J�/Y V� SEWAGE # O—
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VILLAGE. N ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. , , / 1174�pj,-� / rSrr�� /ADC
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) / ,'T (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED: I
DATE COMPLIANCE ISSUED: /
VAI?JANCE GRANTED: Yes No
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Fizz...$...30..:.0C..
THE COMMONWEALTH OF MASSACHUSETT%
BOAR® Off' HEALTH ar°S�ab1�4 p A
TOWN OF BARNSTABLE\ °
ya 4''D
Appliration for Disposal Works Toustrur '� runt
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual, Sew -DDisposal
System t
33� Arrowhead Drive Hyannis °are -
................__...--------.....................--•----•--....-••-••••-•--..........------.... -----•--••-----............-•---........-•--•-----••-•------••••......•.....---•-••---•.....--•---
Location-Address or Lot No.
• -L'Omba•-...........................................................................
Owner Address
W J.P.Macomber Jr.
•..... .. ...........................Installer ........................ ..........Address.--•--.....:
^......
Type of Building Expansion Attic Garb Sq. feet
Dwelling gNo. of Bedrooms----------------3. p ( ) Size Lot............................
� age 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.
Other Distribution box ( ) Dosing tank ( )
a Percolation Test Results Performed by.......................................................................... Date.............-------•...................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
Gr, Test Pit No. 2................minutes per inch Depth of.Test Pit...:................ Depth to ground water........................
x . Description of Soil-------------------•----------------...... ari ..$c Grave I-------------------•-----------------------.......
-•----•---•-----•--•-•---•-----
V .----------------•---------•---------------•--------•-------------------•-------...---•-----....---------•---------------•-------•-------•--------------------•------------...---------•----•------
W
V Nature of Repairs or Alterations—Answer when applicable.
------------------------------------•--------- --------....---------------•-------•----....----....----••---------1---IO_ ------aTTon-----1 •---- -------------......--•••••----
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 Compliecehh&sbi n issued by th boa of health.
Si g n ge ... ................................ .
DareApplication Approved BY - ^,^^,,�.................................
Dare
Application Disapproved for the following reasons: ............................................................................................. ...:......
......................................................................................................I....---------------- ...................................-............-----------................... ...:----------....---------.........:...
. Date
Permit No. ........I.-....ty'.3.-'�-.............................. Issued ........ ... ........
Dare
t
t I
q i
No...9./.:.. ;3 .. FInc 30.00 ,
THE COMMONWEALTH OF MASSACHUSETTS '
,A BOARD OF HEALTH
TOWN OF BARNSTABLE
f �I
Appliratiun for BhiposFal Workii C omarl rtx n xntit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage-Disposal
/ System at
336 Arrowhead Drive Hyannis 1 9
...-----•-••...._.................... .._ ...-----.........•--••-..........--... ........-•--------------...........--_••--- --•- -•-•-•••........................
Location-Address or Lot No. r
LQn?t?. :_............................................... ------------------------- .........--....................................................•---•----••------......••--......
W J.P.Maeornber Jr�,ner Address
Installer Address
d feet Type of Building - Size Lot____.� S____________________ q.
Dwelling X_.No. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( )
Other Type of Building ............................ No. of persons............................ Showers ( +) — Cafeteria ( )
Otherfixtures ---------------------------------------------------------••---•--•--•------••------•-... ............................................................
Design Flow....................................:.......gallons per person per day. Total daily flow.....................±......................gallons.
WSeptic Tank—Liquid capacity__._.__.....gallons Length................ Width.-........ Diameter--------I........ 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 ( ) I
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch- Depth of Test Pit.......... ........ Depth to ground water.........................
f� Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground'' water........................
------------------------------------------------•---------------....--------........--------•.--...............................................................
0 Description of Soil..............................................
I
x � • Sand &...Gravel--------------------------------•---:
------------ ..........•------•----------.-----
U -------------------------•----------------•-------------------------------------------------•--------------------------------------------------------------
W
U Nature of Repairs or Alterations—Answer when applicable___________
------------------------------------•--•-- ---gallon....1
Agreement:
The undersigned`agrees to install the afored6cribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place he
system in operation until.a Certificate of Complia ce ha��n issued by th boa of health.
Dare
Application Approved By ...................... . .......-- ........... Q..-'-.3=..9/.........
Dare
Application Disapproved for the following reasons- .............................................................................................`........
............................................................................................................................................................................. ................................ ................... ..
pp Dare '
PermitNo. ......l.l.-....y3 dam.-.............................. Issued ...................................................................
Date
I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH r"~�
TOWN OF BARNSTABLE
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X )
by ......J-..P.Macomb.er....J.x'................................................................................................................................:....:.. ::. r�
6 Arrowhead Drive Hyannis Installer
at .......33 y
..................................................................... -----------------------------..............----.....................................
has been installed in accordance with the provisions of TITLE 5 of The The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ........Vl.�' ..1�. ... dated ......!..I......................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE,
SYSTEM WILL FUNCTION SATISFACTORY. �1 y (A
DATE................................... (/.-I I.�.!--------------------- ------ Inspector .............................................
I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE J
No. FEE... ..3�.:�.r�..
Disposal Works Tuatptrudiun rrmit
J P.Macomber r. ,
Permissionis hereby granted..............................................................................................................------....................•....
to Constr ct ( ) or'R air (X an In vidu 1 Se rage Disposal System I
T j' Arrow��ead ive ` iyalin-L ,
atNo.•=------•----------...........................................................................................................................................................................
Street qq �j
as shown on the application for Disposal Works Construction Permit No...,11-._y3 Dated..........................................
----------------------•.. .-----.Xe.1..---__-•......--... ....----•-.....---........._
/ ��jj, - Board of Health
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DATE.....---••-•-_f-0-.....3.-..1..�...........-•----------.
/�y FORM 36508 H088S&WARREN.INC.,PUBLISHERS