HomeMy WebLinkAbout0202 BUCKWOOD DRIVE - Health 202 Buckwood-Drive
Hyannis '
A= 271 - 107
0
I
I
a
TOWN OF BARNSTABLE
LOCATION a C ru-t2o el SEWAGE # fz 7
VILLAGE Z66e/9rl�S ASSESSOR'S MAP & LOT���—/417
INSTALLER'S NAME & PHONE NO.
,e
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) +S (size) 100C)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
OR OWNER R
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No ��
1
!0
NO.J.'I.--& ,/y 30.00
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Bi_npwial Work.5 Tomitrnrtiun Permit
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at: ,, I /
202 Buckwood Drive Hyannis �� ,
••-•••.. ...---•••.. ...................•--..... ........................... ................................................ ------
Location-Address or Lot No.
McMurtrie
-----rt -
Owner Address
W ,7
-:- "8t_''QICt r"'�lnstaller----------------•--------. Address
Type of Building Size Lot............................Sq. feet
U Dwelling-y- 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 ( )
0-4 Percolation Test Results Performed by.......... --------------------------------------------------------- Date........................................
0.
Test 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........................
a •-••-----•---•••-------------•----•-••••--•....-•-•---------••----•--•---•-•-•--••-•----------.-----.........................................................
0 Description of Soil..................................................Sand & Gravel
-----------------------------------••---•••--•-••------••---•--•••----••-••-••--•--•.......--•-.-----
x
w
U Nature of Repairs.or Alterations=Answer when applicable--.-_--.--_-�-J 000___gall-o-n._.leac-?iin_
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 b ssu...e..d...b...y..th..boadof health.
- .. ..-..........-...-.............. --1.11719.4-----------
Signe Dare
ApplicationApproved B ... ----- ------ - ----------------- ------------------------------------------ ........................................
Application Disapproved for the following rearons- ------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------- ......-----------------
Dare
Permit No. ...... .....
Issued �.!-. ...�. 9
�.d� {- �1....................._ _ Daze
No..�..--•-•-...`. f FRs...... ....3 0...0.0
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Apli tratiou for Dhaip ial Workii Tonotrnr#ion rami#
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at: 1... / '--_-
202 Buckwood Drive�,Hyannis c��/ d
Location-Add ress or Lot No.
McMurtrie
Owner Address
---•--------
� �ustaller Address
UType of Building Size Lot............................Sq. feet
�., Dwelling M No. of Bedrooms..----_••-__--__---3
-----------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
aOther 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 ( )
aPercolation Test Results Performed by................... ...................................................... Date...------------------------------------
Test 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........................
a •---••--••-------------------------••----•-•--•----•-----•--•-•---•-•-•-••---•-•---------._...............---•----------------•--------....------------------
0 Description of Soil.................................................Sand & Gravel
x
-------------------•--------....----------•---------------...---------------•--•••-------•••--••------•-••.-
w
x --•-••---•---- --------------------------------------------------------------- ....................... •-••---•------------------...•---------•-•••--••••-•-•-•---••••-•-••-••-••--•......----------••-•
U Nature of Repairs or Alterations—Answer when applicable----------..._1--1000_--as12on....leijch nq--_nit.,-•._--.
--------••----------•--•-----------------------------------------------------------------------------------------------------------------------------------------------------------•••-•--------•-------
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�i�ssued by the bo
oaard of health.
Signed-c1 =' °- :�� G ��.:............ 1.1./7/9
Dare
Application Approved BY= � - ....._.....��%���� I �_�.f. Ly
/`�- -`Z.
Application Disapproved for the following reafonf: ..................................... . -- . ............. . . . ..............................
G . ....... APermit No. .---/ ............................. Issued . ....� _�.-..9.y. e ..
------------ -- -
Dace �
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Ilertifirate of (11ompliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX)
by---J.-.P..-Macombber----Jr, scaher
at ----202....Buckwood Drive....Hyanni.s----._-------------------------------------------------------------------------------.....................--------------------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code a -described in
the application for Disposal Works Construction Permit No. .7.I4._...�79...._..._..._... dated -__.. _._../.`��g.�_.._.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAN EE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE------- . .....---------------------- Inspect r ..r �`—z -:c.----------------------- ----------------------------:---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
77 TOWN OF BARNSTABLE $ 3000
No. FEE.........................
Mopooal Workii Tono#rur#ion "rrmit
Permission is hereby granted.....J.P.Macomber Jr.
---------------------- ---
to Construct ( ) or Repair (X) an Individual Sewage Disposal System
atNo...... 02_Buckwood.._Drive--Hyann• s-•------------------- -----------•••••--••-----------•---••--•----•-------•---•--------••--------•..........--
Street q
as shown on the application for Disposal Works Construction Permit No�-y..-�--_:?/ Dated--_-jl--�_�..yl. ...................
J�..
�y Board of Health
DATE....... •------•-----------------
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
e.. - Q
•—s
r y
T
4
N
w 1 i
i
t71
U
9
i
i � +
-
�-
f