HomeMy WebLinkAbout0061 BISHOPS TERRACE - Health � I 13;���s 7����
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F TOWN OF BARNSTABLE y `'
LOCATION 6,1 isLi142S SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.7, P{ AX-OfYI&Ir-
SEPTIC TANK CAPACITY /O®
LEACHING FACILITYAtype) P2 (size) lt)®y
NO. OF BEDROOMS ) PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER C
DATE PERMIT ISSUED: g I y
DATE COMPLIANCE ISSUED: � 1 L/
VARIANCE GRANTED: Yes No ��
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O ct
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30
No... _ .. F>>$..$.... :00....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Di-vipwial Workii Tomitriirtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at:
61 Bishops Terrace Hyannis
----------------••---............•---..••••-•_•........••-•---•.......-•--........_-••••_... ••--•••••-•-•-••-••••••--•••••-•-••------...••--------•-----•-•--••••--•-----•-------•---------••-
CCrowley- Location Address or Lot No.
Owner Address
WJ....Macomber._Jr...-----•-----------------------------------------•••••• ••••...-•--------------•------••••........-•••••••-••-•--••-----••••-•••-•••••......••---••--••_..
Installer Address
UType of Building Size Lot............................Sq. feet
..� Dwelling X No. of Bedrooms.............3-----------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons.-----.--..-------..-------- Showers ( ) — Cafeteria ( )
a' Other fixtures -------------------------_._. - .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacitv............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 ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.......------..-.--- Depth to ground water.....................
444 Test Pit No. 2................minutes per inch Depth of Test Pit....---- ........... Depth to ground water........................
G4 ...................-------------•--... --------------------------
----------------------------
•••••.....
••••••-•..........
••--------------------------------
0 Description of Soil.................................................................................................................................................... -------=--••-•-
v ----•--------------•-----------------------•---•---••-----------------.....$.nd.&•--Gr.avol------------•----•--•--•-•-••-•---------•••---••••-.....................................
W
•-------------------------------------------------------------------------------•--...--------------------------------------------------------------------------------------------------.....--•--•••••-
UNature of Repairs or Alterations—Answer when applicable......Ad.d.... ddit.7.olaa 1.--- eachiz2gr---pit.............
-t-o...an...existi n-g•--tank... ----j-t----------------------------------------------------------------------------------------------------------------•---------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code —.The undersigned further agrees not to place the
system in operation until a Certificate of Complia ce has be i ued by the b and health.
Signed 7!� ... .�............... 8./.8/.9 ......
Application Approved By ---- --- ---- - - -- ------------------ �V�Due
J l/........
........................... .....
Application Disapproved for the following reasons: . . ........................................................................... -- ... .........
....... ..... ................................................................ .....................---------------- ---- ----.......-------...------------------------------------------ ---------------------------------------
Dare
PermitNo- ------------------------------------------------------------------ Issued .................................................................
Date
No. ..... -----... . Fss..$....30%00....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiuu for Uinpuual Works C omitriirtinn run it
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at:
61 Bishops Terrace Hyannis
..-•------------------•---.............--------......_......--------....------•-----•--.....------ ---•••---•---•--•--•••••••-••------------•--•-----••-....-----------------•-----••-••----•••-•....
Crowley Location-Address or Lot No.
......................_.......................................................................... -----•••--------------------------•----.......---••••--------••------....----••-••--.........•----
aJ.P.Macomber Jr. Owner Address
Installer Address
Type of Building Size Lot............................Sq. feet
t-, Dwelling 7 No. of Bedrooms------------- -__-_-----._______________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ---------------------------- No. of persons-----------------:---------- Showers ( ) — Cafeteria ( )
dOther fixtures ------------------------------•----------------.---•---------.---------------------- '_......_..
W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons.
t 04 Septic Tank—Liquid capacity_--_-------gallons Length---------------- Width---------------- Diameter---............. Depth................
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.......................................................................... Dat!e........................................
Test Pit No. I.............. minutes per'inch Depth of Test Pit.................... Depth to ground water........................
f4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
G4 ................................................................................................................
DDescription of Soil......................................... ----••---•--------•••-•••-----•-------•-•--------•----•---------•-•-•----•--•-•-•--•.----•---------••---•--•--------•--•---•--
x 15a -n _d & Gray21 .........................................
UW ------------------------------ --------------------------\--------------I-------------------------------------------------------------------------------------.......................................
Nature of Repairs or Alterations—Answer when applicable------- dd.._addit-Iona_1.... eaCh_ina._..Dit.............
---.t a.n k... --n 1±1 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 Compliance has beep is ued by the board of health.
Signed ------- --- --- -- -------1.;.. 1 ........... ...... !' ............. 8 J 94.......
�`Ipplication
Da Approved By(.; b C !//Ir.- r e
------------- -- -- .................. . - -.... - � �i � r` '
Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------._--------'-----------------
I
.... ...................................... . ...................... .... ..............-------------------------------------------------------------------------------------- --------------------------------------
i Date
PermitNo. ................................................ Issued ........................................... ..................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C�E1Ctifira E of Q-11omplia re
T IS IS TO CERTY7Y, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX)
J.Y.Macomber r.
by ---------------------------------------..._-------------_-- -- --
- ttstauet
61 Bishops Terrace Hyan-n- -S----------------------------- -----------------------------------...--------......-------........---------...........-----------------------------
at ........- ............
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ... /._. �zc_ ._........_.. dated _��,/le_) /9..`.1...._.....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION
aSATISFACTORY.
DATE... ..`_....1..�.. .. ..... ......... ...... Inspector ......... --------------------- ---------- -----....._-----------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_ � 7 TOWN OF BARNSTABLE FEE..$•..30:00
No.- ......-- . •. .
Roppttl Workii Tamitrudiuin rrutit
J .P.Macomber Jr.
Permissionis hereby granted...........................................................................................=..................................................
to Construct ( ) or Repair (XX) an Individual Sewage Disposal System
atNo-------6.1---Bishops Terrace qyaaai.s...............................................................................................................
Street r- 7 — Lf
as shown on the application for Disposal Works Construction Permit No.`7--- Dated______`4, ........�---------..--........
............................................ ............................................................
t' Board of Health
DATE----•-••--------:••---------------.............................................
FORM 36508 HOBBS h WARREN.INC..PUBLISHERS
r.
No..�-- Fs�.... r
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
C� f
nT �.OF........ ...W Appliration for Elispotitt1 Warko Tonstrurtion Vatuff
Ap licatio is hereby n3@0e foL
Pit to Con truct ( ) or Repair ( ) an Individual Sewage Disposal
Syst t
--- --- --------- •-•=---A �-----�---.-•----- ---- -- - - - �-------------
--------------------------
Location-Addr or Lot No.
--- `.......
- --- --. .. --------------- ------•------------------------------•-•-----•---------------•------•-•----------------------•----
own Address
a ---------------- -------------------------------------- ------------------------------------------
M Installer Address
Q Type of Buildit}so� Size Lot............................Sq. feet
U Dwelling L No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder ( )
a Other—Type of Building No. of persons._•---••____________________ Showers
a YP g ............................ I ( ) — Cafeteria ( )
Other fixtures . --- --•-•--- •------------- -- --- -----
Design Flow............................ .. allons per person per day. Total daily flow________.._._. ___.__gallons.
WSeptic Tank—Liquid capacity1 _._._ allons Length................ Width-.............. Diameter---------------- Depth__-._________...
x Disposal Trench—Nggo..................... Wi --_____ ,�_ Total Length___..__..._.______. Total leaching area--------------------sq. ft.
Seepage Pit No.------I----------- Diameters& ���epth below inlet-----------�----- Total leaching area... ft.
z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Result 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 in h Depth of Test Pit.................... Depth to ground water_________..__-_:_••-____
Descriptionof Soil -�e.e,e, --- • . . . ---°-•--------•-•-•--------------•-•-----------------------------------------------
x
w
UNature of Repairs or Alterations—Answer when applicable------------------------------------------_-------------------------------------------_________.
- ------------------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedesc ' Individual. Sewage Disposal System in accordance with
the provisions of Article XI of the State SanitaVnil'ss
The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has by the boa
Sign ---•--. .•-•- ----- ------•-•. ..
Date y
Application Approved BY •. --- ••--•- <--��
D e
Application Disapproved for the following reasons--------------••--•-••--•-••----- ----- -----•••------•-•-•--------•---•--•--------••-••-•-•••-----------_....
•---------•--•--------------------------•----•-••--•-------••---•------•-----------------=------------......-•--•••--------•----•-•-_... •--•-•-•---- -----•-•---•----------------•------------
Date
Permit No--------------=.......................................... Issued----®e�' ��'-• ----�------------------
Y _._._q_ _
Date '�
No..: rye' FED... ,...........::.......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
V_.............OF.......
ApplirFation for Biapaoat Works Tomitrurtiun Vrrmft
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Syst at: ;I
r
._.�y' o.'----—4E--- �`- ---t No.
Location-A dr.ess? or
,* -t wn ;
W f'jJ' a, ✓ O f f Address
r .
--------------- •--...-----------•---------------------•----••---------•----------•----•------------.....---------
Instal�er Address
UType of Building, 77 Size Lot_____________________ ___-Sq. feet
Dwelling 4 No. of Bedrooms............----_v_._...__.Expansion Attic ( ) Garbage Grinder ( )
111 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ............................
W Design Flow............................. ..' ..._gallons per person per day. Total daily flow............... ;,��_."�"" ______.gallons.
WSeptic Tank—Liquid capac y/4_ allons Length................ Width---------------- Diameter---------------- Depth__.____._.__---.
x Disposal Trench—No..................... Width.-_.___......... Total Length--------------_ Total leaching area.___-__--_...__-___-sq. ft.
Seepage Pit No....... ............ Diamete�,/4•_._._-" . epth below inlet_._._____ ._... Total leaching area__,�4�_�`„�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-.______-_-._-.-_____--
f4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..__.._-____________.-.-
---------- ------------ ----------------.- --------
' �� `
O Description of Soil , t - -------------------------------------------------------------------------------
x
-------------------------------------------------------
W
x -----------------•---•---------•-------------•-••-------------------•-••-------------•---------•------------------------------------------------------------------------------------------------------
U_ Nature of Repairs or Alterations—Answer when applicable._____________________________________________________-----------------_________________________
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------.
Agreement:
The undersigned agrees to install the aforedesc_rib_ed Individual'Sewage Disposal System in accordance with
the provisions of Article X1 of the State Sanitary Code M The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b/enissd by the boar of health.
._
Sign 4*' a `Application Approved BY• . ,
Doe`
Application Disapproved for the following reasons:............................... --- ---------------------------------------- -------------------
---------------------------------------------------------------------------••----------------------. ------- -- ----i---------------------- --------------------_--------------
--•---Date--
Permit No.-....................................................... Issued----�; 4t' ""
- _
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ter ...........O F.......... .�pY /,l .,!�.....v i............
�rrtiitiru of fwoulph anrr
THITO CERTLEY, Tha , -he Indivi al of
Disposal System constructed ( ) or Repaired ( )
Z�
bys--- ---``- - Z. _
-' =c ---------------------------------------------
Installer
at
PP P �- '/
dated._.____
p --- /11 Ilcation for Disposal Works Construction Permit No__________________________ �. `_.. _ __ f_
as been installed in accordance with the provisions of Article XI of The State Sanitary Code as,descri .ed in the
a
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A C:tla4 ARITEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY, r
DATE.......... Inspector
a..
M
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALT
�.,�
OF
i ;� ep
" - '� �'
No.---- .. d ,... FEE..
----------.-•----
Permission is hereby granted
r-u----�a ,Cnu�a ..�.
."
---•--•------•-•-•------•------------
to Constr (.4 or Repi it ( )< n Individual Sew isposal System
;.
Street
as shown on the application for Disposal Works Construction,_P rmit No _____- ated.... - h .......
' r +B �
DATE.............
---------
` oard df Health F• i
5.
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS