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Home My WebLink About0163 BARNSTABLE ROAD - Health (2) /S3� �nc-�.��e 1'� �i�°�� IOCAT10N L SEWA � E PERMIT NO. V1 L L AGE Jg e INS A LLER'S NAME i AD"SS w, IBUILDER OR OWNER DATE PERMIT ISSUED DAT E. COMPLIANCE ISSUED �J a 9/"Cv�v �a �cp 7` 80 -6 93lp N ...... ._..---.. Fici&3.e............. THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH .............Town................OF...-.B9�rns-table. ApplirFation for BiupuuFal Works Tomitrnrtiun rnmit Application is.hereby made for.a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: Lot"'10 &- 1T -Bacon Road ................__....__........-•---.................. .......................... .................-................................................................................ Location-.,Address or Lot No. ..Ns3:1�.d..JohnO.QX'I.................. ...... ..: ..--•--Iw-c`bnn.ia...._.....................-•----•----..........----....-......--- Owner � ,,y�,rQL(/�S Address W --J0s_enh-••P,...Macomber-_&..... on-Iric-••• ------ -•-•-••-••••• Centerville Installer Address Type of Building Size Lot 1.7_,_.__380..___..Sq. feet �.. Dwelling—No. of Bedrooms........3.................................Expansion Attic ( ) Garbage Grinder Qvb) Other—T e of Building No. of ersons____________________________ Showers a YP g --------•--------------•---• P ( ) — Cafeteria ( ) d Other fixtures = ----•------ --------------..__----------••--------------------•- W Design Flow..... 5._09...d________________gallons per person per day. Total daily flow__��r)___lx_.P_I?__._____.____.___gallons. WSeptic Tank—Liquid ca.pacity).Q.Q().gallons Length________________ Width................ Diameter________________ Depth................ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No...10-00------- Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X ) Dosing tank ( ) Percolation Test Results Performed by.. ---••--------•-----•-------•-•-•-------------- Date. Test Pit No. 1_.R_._.or...�t�€%s per inch Depth of Test Pit-----12.!________ Depth to ground water_l2_r___.n_o...Via ter fT4 Test Pit No. 2._ ___Or._�f Ms per inch Depth of Test Pit_____12_�_____._ Depth to ground water_l2 n0 water a O Description of Soil....L_Q .-0AUgil••-2•'-_-_lavers•_-of• sandy &--grajTe1 x W UNature of Repairs or Alterations—Answer when applicable............................................................................................... -•------------------------------------------•------.._...--•------------•--.....:------.....--•-•-----------....----------------•--•-•••-•--•-•-••••••-•-----••----•••-••--••••-•----••--••--•-.....•••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITA U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has teen issued by the b and of health. gned... ...................•. Date Application Approved BY ... s:.. .<1j�- ---•----- Date Application Disapproved for the following reasons:-------•-----------------------------------------------•------•-------------------------------------....._------ -•--•._..._•••••---••••-•-....•--•-•-••---••••••-•-•••---••----...•-•--••••••-••---••-•••••--•---••----...-•-•--••----•••---------•-•------••-------•-------•-•••-••••---••--------•-----•••----•-------- Date PermitNo......................................................... Issued....................................................... _ Date Il �U y6 83 No. ..._....... Fss.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town................OF.....Barns t.a,b le. --------------------------------------------------- Aliptiration for Uiiposal Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: Lot 10 & 11 Bacon Road ................__......_...................................................................... -•---............------...........------•----------•-----•--•-----------...._...._______........_. :3:.ncv Johnson Location-Address Hvnnis or Lot No. ,-,,,,...._ Owner Address WJ� Q._._ R�. t � Center�,r�.11e ............................................. Installer _ Address Type of Building Size Lot_l7-z......`.0........Sq. feet UDwelling—No. of Bedrooms........3.................................Expansion Attic ( ) Garbage Grinder 14PL, Other—Type of Building 'No. of persons............................ Showers — Cafeteria Q' Other fixtures ............................ . --••------------ Design Flow.....25__.Gp...d ...............per person per day. Total daily flow. - .•.G.P:.D_.....-........._gallons. W W Septic Tank—Liquid caPacity.10ee`g allons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No.................... W,idth.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...lr .:.... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X ) Dosing tank ( ) ►- Percolation Test Results Performed by.......................................................................... Date........................................ 0.4 s per inch Depth of Test Pit___-_12�..._... Depth to ground water.12?....no w2 ter 11-4 Test Pit No. l._�...or... �ti�� p p p or es. 12 ' l ' no wapter (s, Test,Pit No. 2................n mugs per inch Depth of Test pit..... Depth to ground water........................ Pd ................=....................................................................................-...._..._.. O Description of Soil..._Lo�_m__& subsoil 2 ' la ......................................................................................................... ---- ......---------.....•....---------•------------•-•---------.----•- W •-•-•---••-----------..............-.................................................................................................................................................................... UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary 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. 1 , „ ,._,, �\ �' `� Il{fir t y�, j Ignedp� ..... • -------------••....... .........----------•-•-•_._ ..... ...................-.... ApplicationApproved By-------------------•--...._...._..;_.!.................._ . ... ........................................ Date Application Disapproved for the following reasons------------------------------•-------------------•----..._........------------...........••------••-.........-- -•......................................................._.............................................................................................................................-............... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town.............oF...... Barnstable .. . .... ............................................ Cnrr#ifiratr of Toutpliatta THIS)I�SsA O�CF�R JF�Y��m att the �n�l vld}ual_ e�wage Dis ` sa `Sys constructed ) or Repaired ( ) ...............•----:...... .... ••--- .t.Q�.�_._ -c bY ------•---•-- Installer at...Lot...10 & 11 Bacon Road. Hyannis - Johnson== -------------•---------•--•-------•• - has been installed in accordance with the provisions of 8 r G The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATIS ACTORY. DATE. ..............................................11..3s.111............. Inspector--•----------.�CZJ-I .............----•------......---.....-•----..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 8�. Tmm Bry rns t ._b le Gu ...........................................OF.........'........_................._................................................ 3 No......................... FEE ....... Disposal Workii Tour it rrmit Permission is hereby granted......................I.................................................................... to Construct (X) or Repair ( ) an.Individual Sewage Disposal System at No........... t...10-A... 1.Bacon---Road, Hymnis Johnson reet as shown on the application for Disposal Works Const ction mit . ................................ ................................................... _ / Board Heaith DATE--,l�---�-(�- .... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS r�t'tL� Flow sm Ito -4 6.p.t7. St=:.tr--t-'1G -f A►JK = 3S0,t (SG % - 4515 k.Po.. 153.3q USE- 1000 6��.. a • � �POSAL. PiT tJst~ Ivoo G�tr, t r-.CJ.�•U/AL.L �tLE-•A = l�j� S.t=. ��O ':nc> G.P.0 . 24 f 1 0 O P N . TO TAL •»ES16KI = 42S G.P7J. Q7.o ! IOTA t' ' >.dt L_-( FLvw y tVEl2GOLQTIOw CZATE 1w SmjL f 02 L--%. 4o . �,.. 'N A. Mil LOAM r' N BG1�T • ;, } T>✓sT Z N IooO tNv. 1 +4 .P• 4 ' ( LAN 1 FIT ' pF wir�1 t p A. WASHED t' ; (�-(L A� STO.JS ' CERTIFIED pl-o"r- LOC:ATIC)" (-�YQh1 tS fl•� IZ Sc.A..C- ��. do A. 11 �1 o S ' N o U1aTe� �20 USED - 1 cvtzTtl=�( 6 -Wr T1.4L-- JVLDIiUo Staa�v�J PtAt�! Rr_�'�rz__►�cE: ._ NEJ,L=LStJ G� rLPL�lS �+l'1 Tf1 �jIDE.I.i►JC_ [,Ts lO S 11 i AWC> 5E1-I,%ACIC I`'t C,?:JIRE�tit�=.i.1j'c. OF TNC -Toww Or- 13Ae0iTA�SLL $A,GolJ FAZX.. I �n ?L. 'SIC. 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