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HomeMy WebLinkAbout0007 BRIARWOOD AVENUE - Health 7 Briarwood Avenue Hyannis A= 289 -091 i r I, �+ TOWN OF BARNSTABLE // ,�a✓1 Gu pace LOCATION SEWAGE # A VILLAGE ASSESSOR'S MAP & LOT g R --;- INSTALLER'S NAME Si PHONE NO. SEPTIC TANK CAPACITY /OOU r LEACHING FACILITY:(type) (size) -71 NO. OF BEDROOMS PRIVATE WELL OgP_(IBLIC W�� BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: , VARIANCE GRANTED: Yes No� r' C%b I ti c� p x O r •J w� �U G�4 � No.. t Fps.... .............. THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH Barn .able Conservation Department TOWN OF BARNSTABLE Appliratiou for Dirpati al Work,Workg Tonfitrurtila • rv"mit oats Application is hereby Made for a Permit to Construct ( ) or Repair (, an Individual Sewage Disposal System at 'i3r'�rcwood.pv�. /'v-�- rtJ C' `�- y --�-�-n--.... ...Q�-AJ is........................... ---•- Lo soon \ddress �-- or Lot No. . -•- � D .41E Ncs .............. Owner44 y r�ddress ------ Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------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 da�'I flow...__.._.....I?3d.................gallons. WSeptic Tank—Liquid capacityAOPgallons Length--__—K Width-_.:J-f, Diameter................ Depth................ x Disposal Trench—No. ...........ee!�_._• Width..... --------- Total Length.., 7VTotal leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) .4 Percolation Test Results Performed by......... --------------••--•-••---•--•-...._-----•-----••-•-------•------ Date........................................ aTest Pit No. I................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........................ p+' --•-•- •-•.......................••--••---••••-••••••-•-••---••--•--• ••••-•••••------•--•--••--••......................................................... O Description of Soil---------------0--'< ?-••--..!!;f -'-�--'-'-'n--... - = ........................_' `, x •.............. ............................................ --•---•-----------•-----•••••-••-•-------•--•••-•----------------...--•--------••--.-•••••••• •••-••••••••---••.-...-----_..._. U Nature of Repairs or Alterations—Answer when applicable-.,/_ ! '�- .._----�iVL •-vrC --___ Td�► .....................:....... 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 ha 'bee iss e y t board of health. Signed uo/. � :.... ...::: ..... . i ........-....... ...... ..........9 .:...... ce Application Approved By .......... ..... ... ...... ...... .. ...................... .. .. . .- Application Disapproved for the following reasons: ................................... . . .................................. .......................................... ......... ................................. ..... .............. .......... .. ............ ..............................- - . ................... ............. Permit No. � .. ................- Issued ........ ..... .. ��.... .... e......... ate ---------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE (9ertifirate of Comlaliartre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by G�2T�Ln �� C �fs��� U ..-'.rr�1................. ................... .. .. ....--.. ......._.___................................. ...._.................- .._............... Installer at ......................................................... 5'V....._....,,. --� 1 -�1v--- -*"��L:...... .... /h is has been installed in accordance with the provisions of TITLE 55 f Th State Enyi. onmental Code as described in the application for Disposal Works Construction Permit No. ...�!/... _.�"" � dated .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE/C NSTRUIED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.----------------- ....`..h..>...�...�� ---_............. Inspector ......... ............ ...:.................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No....:.- = FEE........................ i ,a tt1 nrk.5 C onotrutuan Illern it Permission is hereby granted.....................W,�L C.G.�.._...........'.....- .......- CT!G�) to Construct ( ) or Repair (--,<) an Individual Sewage Disposal System � \ at No......................................... r-���i�1nJGu_ - Ito, `s =•••••- '�I�`�!/< Stree as shown on the application for Disposal Works Construction Permitr �_� __ D�/t d-----------_................... +/�.p....... Board of ealt_h DATE--------------------��....-•r-•---�-----•Y. ---•---------------••--• FORM 36508 HOBBS at WARREN.INC..PUBLISHERS No........- o- F�$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiott f or Ali►ivasal lVurkii Tottstrfirttun rrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at ................... ............. __.._._ ..... _.__._.._ , -T .......................................... Location-Address — or Lot No. ...... ......... •... Owner r ddress Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms------------------_----------------_---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..______.___. -3d_...._._.........gallons. WSeptic Tank—Liquid capacity,! Pgallons Length-_._F�57. Width---- Diameter................ Depth................ x Disposal Trench—No. ...........Z..... Width-----_7......... Total Lengtli...�.ZT 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........................ LT Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ....•--••.........................••----•-••----•--••-••-•-•---•--••-••••••••••••-••--•----•.......-----------.......................--•--.....-----•--...... 0 Description of Soil-------------- ------- C_�1 , ..- S_C !3,..5..o< c .._._:. = -? /rr -• /� x _ W .....-•-•--•..............•••-----•-----•---••-•••--••-•••-•-------•-•-•---•-----•---•----•-•---••--•----•---•------•--•-----•---•---•......•...----•-•-•-•-••----•. ........•--•-- .--•-----------------•-••------- _..... UNature of Repairs or Alterations—Answer when applicable. >.L..... %/--.vdti,--- .......... . ..... 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-bee y th iss ed� e board of health. Signed ............:.... .,.�' �.1-.._....... A ,. �.�............... ......... � .. - Y V ace Application Approved BY ... ..... ....... . ...... .....:........................... ...... .....- Application Disapproved for the following reasons: ........................... . .......................... ... . ..........._....................................... - ................................. ....................................sd".'.R..............--.....-...-.................................................................................1 �/} r.� '-'') Date Permit No. ........ .. -5.................... Issued .........�...�a., ..........\ .............. Assessing As-Built Cards Page 1 of 2 �-- C TOWN OF BARNSTABLE 0 W"w LOCATION_3 �►,J SEWAGE dam_'�39 VILLAGE J �iy�S ASSESSOR'S MAP& LOT -a9J INSTALLER'S NAME& PHONE NO.,Qr, "a i1_ C�r�I,t►" XJFBS�, SEPTIC TANK CAPACITY /OOU fd/ LEACHING FACILITY:(type)/-vf_,17_t F,� (size) -7/y cAl•-7S NO.OF BEDROOMS PRIVATE WELL O BLIC_WAT BUILDER OR OWNER C� Z_41J.SX�*4 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: y 1 - 73 VARIANCE GRANTED: Yes No --1 FR.WT OF Ho.-+:;s �CQ J d.1 T S A 3� K O p.nax f http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=289091&seq=1 6/13/2016