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HomeMy WebLinkAbout0023 BROOKS ROAD - Health - - -- -- -- 23 Brooks Road Hyannis A= 328-127 I ,ry G a 3 TOWN OF BARNSTABLE LOCATION u2-cD a be S r SEWAGE VILLAGE N �/ !� ,sv�-s ASSESSOR'S MAP & LOT--Tee- INSTALLER'S NAME & PHONE NO.� b 7 SEPTIC TANK CAPACITY 16d—O LEACHING FACILITY:(type) /G O (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER > BUILDER OR OWNERti- v DATE PERMIT ISSUED: 4 DATE COMPLIANCE ISSUED: <— VARIANCE GRANTED: Yes No Lf ,F''� �'� `" � 1 ,; �� i.� , I;� , _. _ � `\ v ^ \ � � .� \ � M -> � � � � NO.._ i.'10.-AMOVEO Fs$...3 0..'.0.0.......... BarnMbIOCOrOOrWdOnOGPUD VMOMMONWEALTH OF MASSACHUSETTS tLtUj, _BOARD OF HEALTH / 3r�ned RO N OF BARNSTABLE Appliration for DioVoottl Worko Tonotrurtion Verntit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 25 Brooks Rd Hyannis ...... . . •---• ...........----. f° Location-Address or Lot No. �fy Mrs. McGinn s /.•< «ncr � W W.E. Robinson peptic Service P.O. Box 1089 C�berville Installer Address J' U . Type of Building Size Lot............................Sq- feet .� Dwelling—No. of Bedrooms.......2-----------------------------------Expansion Attic ( ) Garb4ge Grinder pa, 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 capacitv------------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 ( ) 0-4 W Percolation Test Results Performed by...................................................................,--••• Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.-.--.---------_-- Depth to ground water........................ fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.--................. Depth,,to ground water......-----............. R; --------------------------------------------------------------------------------•--......-•-------------`--------.........--•-•-......•-••---•----•---.----. ODescription of Soil......................................sa�san.d...................................................................................................................... V W UNature of Repairs or Alterations—Answer when applicable...ins-t-a11...a---1 ,0-0A...gal....tank.,...................... .......D.-Bo-x...and...pre-cast...s-tonepack.ed...1 le&chpit......................................... 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 ............................................................................................................ .................................:...... Application Approved By ........... ............................................. . ........................ ......��'. Dare Application Disapproved for the following reasons: ........................................................................................................................................ ; ................................................................................................................................................................................................................ ........................................ Du ........................... Issued ..................Permit No. ......9.L�.-..�.. .� .. .............................................. 1. . Dace c� 30. a C. Fss...............00............... THE COMMONWEALTH OF MASSACHUSETTS � s jj B O A R D OF HEALTH TOWN OF BARNSTABLE Appliratiult for Eliupw3al Works Tonutrnrtiun Permit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 25 Brooks Rd Hyannis ..-•..................•-•---..........._.._..-•------------•--------•-•--...---.._...._--•---•---• ----•-•-•-•--•------••-----•••-•-•-•--••-•••------•••....--•••-••-••••----............---....•---- Mrs. McGinn Location-Address or Lot No. W W.E. Robinson peptic Service P.O. Box 1089 Cdlitbsrville Installer �. Address UType of Building ,� s � Size Lot....................________Sq. feet aR,ti Dwelfiing�—�No Hof"Bedrooms .... ..................................Expansion Attic ( ) Garbage Grinder ( ) 04 � --Other-Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) G4 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. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.........!�.............. 4A Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ....................................................................•-•-•---•-•-•-•-••-•---------•--......................................................... D Description of Soil -,._... Sa ----••--•••-•-•------------•------•----------•--•----••-•..........:.... U ` W U Nature of Repairs or Alterations—Answer when applicable._-ins.t_all...a...I.¢_0.0.0...gal...tr: nk....................... n.-Bax aLnd.--precast...stun,epa-GkeB...leachpit........................ ........................................................... 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 ............................................................................................................ .................................- ApplicationApproved By ........... ... 4.................................................................................. �^Date Application Disapproved for the following reasons: ...................................................................: ................................................................ ................................................................................................................................................................................................................ ........................................ Dace PermitNo: ......9-�'/.--...DA..��DA.?............... Issued .................................................................... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (11,Qrtifi ate of 0:11amplianrE THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b w E Robinson..-Septic....Service............................................................ y .......-.......................... . .................................-............................................... Installer at .... .5....Brooks....Rd.....--....Hyann-is....................................................................................................... has been installed in accordance with the provisions of TITLE 5 The State Environmental Code as described in the application for Disposal Works Construction Permit No. .......--.� ---....2L.-I.....I...... dated ............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 111-74-1 DATE....... ..:77/ -.......... .................................... Inspecto- '.. ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH- No -/ TOWN OF BARNSTABLE FEE.30. ...00 • . .. ................. 19ispusttl Workii Tunutrurtiun "omit Permission is hereby granted.........W-.R..._Rsahinnson---Sept: c.---B-erv?-os-----------------------------------•--............._ to Construct ( A or Rwak ( X),an Individual $s rage Disposal System atNo............................. •--•----•----••-•...-- ------------------------------------------------------------------------------••---••--•-......... Strcet c as shown on the application for Disposal Works Construction Permit No...`�.���_ Dated.......?�--..�i!_..'�(��_...._.... q - ----- - - -- ---- L Board of Health DATE----------- --'-- 1` ---------------------------------------------- FORM 38608 HOBBS&WARREN.INC..PUBLISHERS ql A RIPORT BA LE MARY DUNN V. OOKS R0. 0 a�X 43 49 65 LOCUS S o9"°.30' „�7'.'>w S 09° 30r 3T"W . 60. so. A PHAL T 1000 cAG. LEACHING P17 W\ 5 CRUSHED STONE PER!KE7"ER r 3i\ 6 Gi�?"( R G9. / :ta 49K� I1 29 }� EX/S r/N G gt, BUILDING 1T Ltd r /8 ►� O ., it 95 MANHOL CORER ar � E'XlST1AlG SPOT ELEVATION ! T P. d 9 !2 CF17A'R a9 r 29.7 66 NOM ' THIS L4T LIES WLTHIN. A ZONt OF CONTRIBUTION. CB/FND (concrete bound found) tYP . '49 �0T -- 49, 49 �y -- ASPHALT 49, / S L D `-- o, 2 29. 92 60, 0 a , a Nos° io' 60'E 4 N©9 /0 00 f Cf /FND f 4g x 42 49 5Q Q2 �O X NOMS I OLD MARY' DUNN ROAD I LOT SSI E ZONING DISTRICT " (eustnlEss� t- EXISTIN ` USE - eENTL"R;FOR /0/VIP UAL IND i�.9M11- SERVICES OF`CAPE ,COD PROPOSED LIS � RC ONIN6 HOUSE (9 bdrms / no kitchen facilities 50a6 I: E�`IST/NC PARKIN,c� -= 14 SPACES EX5TI/�'S SEPTIC SYSTEM - 3-1000 GILL. LEACHING PITS t5 RQSERT PLAN OF LAND ! EXISTING CAPACITY- 1,.565 GP0(Qaltday) ,r PAY MONra ".av 7A. LOT -I9 8ROOKs RD. l� PROFOSE-P CA1�ACITY IttEOUIRCD 990 GPD � rYyy�� BARNSTABL E MA . �:,4r CULA TF0 ASSUMNC 4'WINIZ/ lCH FFPC RA rE Ol BIER A PLIC Nr � /�' ENGINEERINGM .- P€# 0 R&4 ? MUS l CAPE 49RIVE SUITE e . _� f-OXra� ADDRESS P0. � I0 MMA.Sf F'EE MA . 02649 r � a •. k 125r '_. ,KCAL f L)A7'E SHEET" Eli /r 10` JAN 3 1990 L?A'AWN, 6Y CHEIC 7 BY APPO BY R—AN NO, J S P 61-7" RFC