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
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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