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HomeMy WebLinkAbout0140 BUCKWOOD DRIVE - Health 140 Buckwood Drive Hyannis A= 272-078 TOWN OF BARNSTABLE LOCATION SEWAGE # , y VILLAGE !' vcn n , ASSESSOR'S MAP & LOT IN NAME 6z PHONE NO. DUI SEPTIC TANK CAPACITY LEACHING FACILITY:(type) J T (size) NO. OF BEDROOMS PRIVATENELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: J 9r IANCErISSUED: DATE C094 VARIANCE GRANTED: Yes No � � � �, � .� � � f,� C'1 � �. �"'� � � � - � � � �. �� /� /� + /` � f�. %- - ; � � � ,,. .. ,� .�. .- a a 0.00 No.. 4...-_... FEs......�.................._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE �a►'ns�b� 'RpyEO Applira#iou for Disposal Works Cann i rho„� '�►®nr Application is hereby made for a Permit to Construct ( ) or Repair C-Xx) an a e Disposal System at: / cF 9 140 Buckwood Drive Hyannis,Mass---_•-•-- ---••--•.............•---••-•-----•-----------••--•--•-----••--•....--- ........ a� ..--••-_. ..... ..._.. Location-Address or Lot No. Ross � J.P.Macomber Jr Owner Address ....._ ........................................... Installer Address Q feet Type of Building Size Lot___________________________S q. DwellingX No. of Bedrooms..........._3.............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -----------------------------------•----------------------•-------------....•-----•--•--•-•--••----------•----------.........--••-----..........•. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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........................................ Test Pit No. 1.................minutes per inch Depth of Test Pit.................... Depth to ground water......................... ;%4 Test Pit No. 2................minutes per inch Depth of.Test Pit---................. Depth to ground water........................ P' ---•----•----------------------------------------- ------•-•--•--•------------------•-- -._.-----•--------- OD ar�c>°'�c°i�-r°ave l------------•--------------••--•------------------------------------- ----------------------------------------x ••-•-------------- U •-------------••---••-•-----•-•-••-._...-•----.......--•---------•-•---------------•-•--•--------------•--------•-------•----. W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ......................................... .-1000---gallon leaning...pit................................... 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 Compliant has be - ss d b the boa of alth. Signed ...... ... `. ,.....---------- --------------- Dace ApplicationApproved BY ............ - ---------............... --- - ------------- --------------- ....................------------------- Date Application Disapproved for the following reasons: -- -------------------------------------------------- --------- -------------- ----------------- ------- -- -------------- ------. ----------- --............... .. ..----....----- ----....---------...----...---....---------....... . -................. .. PermitNo. -L ---------- ---------------- Issued -------- -- --------------------. -- ----.......Date Date r) No.- . ............ F�$..... ?....3 J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l TOWN OF BARNSTABLE Applirttfion for Dispant Works Tonstrnrfion rruti#' Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ....Bu-,'=aalood... s ......................................... ..--••-------.............---............ Location-Address or Lot No. ............._...................... ............................................... ........................................... ... ..... ....................................................... Owner Address aT Ta o b- a -...T ..................................••--•-........... ......•--•••-••---•••-----•--.................•-•-----...---......••-••----....................•-- Installer Address UType of Building � Size Lot___________________________S q. feet t-t Dwelling::No. of Bedrooms............2.............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------- -----------------------------------•...••-------------•••-------•-----•----------------------.......-•----...........--•••.------ 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 ( ) a Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................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........................ a --•••---•••--------•-------------•-•---••• .................................................................................................................. 0 Description of Soil........................................................................................................................................................................ x -•-.Sand---&_..Grave 1... W U Nature of Repairs or Alterations—Answer when applicable._.__........................................................................................... ......................................... �� On•--�� a.n Lt..................................................................................... 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 as been issd by the boar .. — of health. Sue '-- "'-.'- ....................... ---------------- Date ApplicationApproved By ...... -------------------------� •--"----"------- --...... ....................................... Dare Application Disapproved for the following asons- ------- ---- -------------"-----................'---"'---------- " ...' ........................ Date IPermit No. ---------- ------ --------/-.........-- --- ---'--..... Issued -'--'-"---...-......--...--- --------..........-----....--'-"-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (111er#tfiratr of -OLI'orayli are THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( XX ) by......J.>-P.mMa.o.Qmh-Qr....J.r.a......................_-.----_----------.--------. ...---......----_------....--.....-------------------------...- Installer at .-----1.4-7--.--Buc:.k woad---.Dr e-----HyaCIni s---------------_-----........... ......-- ..........----......---------'--'------.----'-----"--- has been installed in accordance with the provisions of TITLE 5 -f The toe nvironmental Coe s�d 'cr bed in the application for Disposal Works Construction Permit No. ....................... ..........)......... dated --.-- - --�� -.-r----.--..-- `� p I. .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BkONSTRUED A � t S A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------- -- -= 1.0�i " ' " Inspector ..... ------...... ---- .......--------"----.....---------'--....-----.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1� TOWN OF BARNSTABLE No..j.-v------.�,_..._ FEE........................ Digiosa1 Works %Tonstr ion autit Permission is hereby granted.....J._P.Macomber JrA••--••-----•••••-----•----•-•-•--••........................................................ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No......1.9..gQli5g!�%!... r ve._Hvannls: t " = r?....d...... Street"/� 11161,11 J .. as shown on the application or Disposal Works Construction er "/� ated.._...... ..�,•�/ 1�._-�..-•-- 1 r-� Board of _ ' Health DATE.............. ................•---•---------------- FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS