Loading...
HomeMy WebLinkAbout0044 CHERRY STREET - Health rr r w '44,Cherry Street Hyannis A=309— 123 I TOWN OF E"_`.RA:v TABLE LOCF nON SEWAGE # 95 - S VILLAGE S ASSESSOR'S MAP & LOT 309-1a? INSTALLER'S NAME & PHONE NO&(l k16 yW (?(3r7S 7• 5�(0 �0 �c�fp SEPTIC TANK CAPACITY LEACHING FACILITY:(type)14 - (s' NO. OF BEDROOMS PRIVATE WELL PUBLIC WATER BUILDER O OWNED Q�.� tvv��1g � DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: `� VARIANCE GRANTED: Yes No _ ��, �� � m' � Q �� .____ �` � �. 4 � � '�: ._1 ve. ,� b ?�� JO — /J No...._..._.APPROVED Fi$.....,��. "'"""' Barnstable Conservation Department THE COMMONWEALTH OF MASSACHUSETTS A,-,77�-�' IIS7S�-q _BOARD OF HEALTH Signed bete TOWN OF BARNSTABLE Appliration for Di-ripnittl Workii Tomitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair P<) an Individual Sewage Disposal System at: ......?.'�..."----- '.--"-`s'` -"""----"-...---"-"------ !cti' ----""""----"""-"-"""-"--------------------------------------------- Location-:\d "ss Lo No. Owner ddress a wTj � Aw c�--,oj j �7C�� 46 I ✓v1 r t is ."",..�...."-----------------""--"-"""-""-"-"--"""------"--"...--------- ----"-""---...... Installer Address Type of Building Size Lot............................Sq. feet t, Dwelling—No. of Bedrooms............ -.-".-Y-------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.-.---.-.-.----------..----- Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------------------------------------------------------......---......-----------------------....----......._........ W Design Flow.............. ................gallons per person per day. Total daily flow---------------- . ....--.--.---..gallons. WSeptic Tank—Liquid capacitvl ...gallons cvLength---------------- Width....------------ Diameter................ Depth........... x Disposal Trench—No. .......C........ Width-----M-------- 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. l----------------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........................................................................................................................................................................ W --- ----------- -------------------------------------------------------------------------------------------------------------------------------------------------------�""s. U Nature of Repairs or Alterations=Answer when applicable---1._... ?1-LA—------A-Alb 0 ----------------••-- �w,'- ul�Pr� .�51r..q................. 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 s b n i u b t e board of health. Sid ...................... . .. ....... .................................................... e Application Approved BY "' `'� � ----------- ------...................—..... Dare Application Disapproved for the following reasons- ------------------------------- -- - - - --------------------- ... ........... . ...................... ....................................................='-- ------------------------------------------------ ----------............------------------------.... .... ---------------------------------------- Permit No. Issued ! Dare /03 No.._....... ........ Fxs..... 6............ THE COMMONWEALTH OF MASSACHUSETTS �-'�'J,-IBOARD OF HEALTH TOWN OF BARNSTABLE Applirtt#iun for Mij-pnuttl Works Tomi#rur#inn lirruti# Application is hereby made for a Permit to Construct ( ) or Repair 0<) an Individual Sewage Disposal System at: ......` �...__....C�`.!f- -`.......................................................' / ems' -•-•-------•------------•----------•--------------•---------......-- Lacation-i\ddress ----------•-------------••-•---..........5e r Lot No. .-.•-•••---.......-•--......... Owner ddress W iz wT7 C4A,"i s; i ,--/6,`1 -76`� y L�1-4:N�/3 XZA ,./Yi , �I t t._S -------••--------•-------------------------•----------------------------------------------------•- ---------------- --....--•--••-------- Installer Address UType of Building •� Size Lot............................Sq. feet F Dwelling— No. of Bedrooms._-_-___---_�0.11------- -------.----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures ----------------•--------------------_--------•---------------------------------------- --------------------•---------------------------------------- wDesign Flow--------------- ---------:-------gallons per person per day. Total daily flow................. ...............gallons. WSeptic Tank—Liquid capacitve _.gallons ength................ Width---------------- Diameter_..-.--._---_ Depth................ x Disposal Trench—No. -------/......... Width..... _ .____...... Total Length .... Total leaching area--------------------sq. ft. 3 Seepage Pit No------------------ Diameter.................... Depth below inlet-----Z_�_..... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit---_--_____._-_.-_-_ Depth to ground water.---_-.-.__-_-_-_----.-. rX. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ------------------------------------------------ ........................................................................................................... 0 Description of Soil........................................................................................................................................................................ x U w UNature of Repairs or Alterations—Answer when applicable--- U Ut._____ :. C�Tid c s£���- _ .. 96111 Ti4-tit ......ri � /_S-� - c!"-`-= - .....................................iiv�a�i"�.s;V�1 (�4Jf S.�z�N�...._...... - 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 6n is u, by'fhe board of health. Signed ... .............j - . - .... .......- .. . /... .. J Application Approved By ------- / Application Disapproved for the following reasons- -------------------------------( -------------------------------------------------------------------------------------------*--------------- ------------------------------------- --....................... 9...--........ -....------- .--------------------------- Permit No. -- ''..-- � 7 - .. Issued ..... '.!......._/.-� ✓�`7 Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ge>r#tf ra e of CTorayliance THIS IS TO CERTIFY, Tat the Individual Sewage Disposal System constructed ( ) or Repaired ( f P � GCuit 2 ar`1S'./-vG�tU-J by --------------------------- --------- ----------- ------- ......------------------------------------------------------------...------....---......---...........--------------------------------------- h,'allu at .- ......._.........._..... � ...... :'��-............�------------------------------------ has been installed in accordance with the provisions of TITLE 5 of The State Environmental Coe as described in the application for Disposal Works Construction Permit No. _.... .. .r�� �_.. dated ..4.--... &__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAANTEE THAT T ,, SYSTEM WILL FUNCTION SATISFACTORY. DATE......... ... `� . ------------------ --- -- Inspector -----------------------------------------r-7--14.7-----_----�-------------- ------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �j TOWN OF BARNSTABLE FEE. . .---- � �iu�rnsttl nrku C�nnu#��r#inn �rrnti# Permission is hereby granted rJ._..-�� v i%7 C'.G.� .....�uc-�!v - , to Construct ( ) or Repair (1G) an Individual Sewage Disposal System at No.................................................. �y �� ---- /� mil`` J 1/�ry�! �� •--------------- ........................................... f �.. ........... `r ✓ �i '""Y as shown on the application for Disposal Works Construction Perm`it ,f' �•CDated___.........•�''.�'�-- ---------•--. . = e- 4 ...... -------------------------------- Board of Health DATE---- / ..............<%..�J� ---••---_--------•--- FORM 36508 HOBBS Er WARREN.INC..PUBLISHERS LO'CAT ION SEWAGE PERMIT NO. �1, c A r v�� VILLAGE 6 I N S T A LLER S NAME A ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED Z �11 V 2 y G � M J ,3 0 No. -q•6•-�71­1 THE COMMONWEALTH OF MASSACHUSETTS r j BOARD OF HEALTH Appliratiun for Disposal Works Tonstrnrttun f Irrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System `at: ..........La, ........... ..4 e_Y._=M::••• -......Ig_=................ .............. 1� (� t L` [ion-Addrre^s or Lot No. .............. ............. :.0 le-^-.1...---.........��.�:?�� .... � �• ^^ ......._........... W O ner Address Installer Address Type of Building Size Lot............................Sq. feet �•, Dwelling—No. of Bedrooms....... --------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures ----------------------------------------- ------------ Design Flow.._....... ......................gallons er erson er da Total dail flow___...__:.- W P P P Y• Y �--�.••��................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ ; x Disposal Trench—No. .................... Width ___...____. Depth_...... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No...........1_........ Diameter.__... ..,. De 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........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------- --------------------------•---------------------- -................ .... ............ •----•---•------------ -....... _----....--•....... •----------- 0 Description of Soil--------------•----•-•••----......--•--•----------------.......----------------------------------------•----------•--------------------......-••-•-------•___--•--•----- V .......................................... W U Nature of Repairs or Alterations—Answer when applicable.__...__ 0Y.'a........... _ (�__...� ....k�......r` 1 -----------.s. .......�.. ..... ..�_ �� ....................................................... Agreement: Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'AI TI U,, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance sued by the bo d o Sigadsons: _ ._._ ............. ... ....... �...y I Date Application Approved By........................ ---••-- -•---•-- Date Application Disapproved for the following .---•-------•.....-------•---•••---•---------------------------------------••--•-------••...D Date .................•---------................--------•---. ---------••-------•---•-....----- Date PermitNo......................................................... Issued-....................................................... Date r rj . � x ... � 6_- ��1 , � �. Fas.. o ........ ............._ •.r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --------------------- Appliratilan for Dispaiial Marks Toniitrnrtinn Permit Application is hereby made for a Permit to Construct I .. PP Y ( ) or Repair ( ) an Individual Sewage Disposal System at: .. .. - t L;so ion-Address or t No...._.... ..................... au4 _ ....--•---------- ---------•-------........... �_ ? ._......_ ..... ` W �.rs •- Owner erC _Z Address - _........... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.__._. --------------------------------Expansion Attic ( ) Garbage Grinder ( ) WOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures r............................. W Design Flow......... _1 ....................gallons per person per day. Total daily flow------ _. - ........_._....gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth....._.......... Disposal Trench—No. .................... Width.................... Total Length............ Total leaching area....................sq. ft. Seepage Pit No...........I......... Diameter....... .... Depth below inlet..... _.s...._- Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank, ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. L...............minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ................................ ................................................ ...._.. O Description of Soil...................................................................................................................................................................... ••-------.._.._---•-•--•_._.. V •----------•---• •-------------------- -•--••------_-__-------•----------------------•-•---•---•-------------••--------------------------------•-•----•--------••---------•------ W •---...--•-•-•---------------------•-•--------.----- --•------.,_......---------------------•-•-----------•--------.....----...-------•-------•------•--•-•.........----••......-.....------•.......... U Nature of Repairs or Alterations—Answer when applicable..._.___4,� ..--.-___..41.. __ �__...t :a ......t _�-__�� ----...--•-----------------------•--•--•------ Agreement; v The undersigned agrees to install the aforedescribed 'Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—gThe undersigned further agrees not to place the system in operation until a Certificate of Compliance has—been,issued d by the board o health. g .. ' ...•- y._._ .. Date Application Approved By. l ....... ......._ ! ......... D`2._••-•_ � Application Disapproved for the following r asons:-•--------- --------•------------------•-•---------••-•---...•-------------•--••-----------•---•-----•••------•- ......---•-••-------•---------------------••-•--•--------------•----------•-----------•-----•-- -------------------•------••-•----------------•-------•-------------------------------•----•....__.... Date PermitNo......................................................... ` Issued....................................................... Date •.: �,�..���.,.�_..._�o�.��.—_`^~ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH( Trrtifirate ,af TI-Implittnrr THIS.IS,TO CERT`I^,FY;.T-flat ythe Individual Sewage Disposal System constructed ( ) or Repaired by - _ ------------ ------•-----•......._._.. ..--•...--•-•-•----•--------•---•--•-..........._---••---•------- ' Installer at....`................................... ` ---•-- s M•tr=_, 4 '� l._ A.ts i!Lti ... has been installed in accordance with the provisions of TITLE- j of The State Sanitary Code'as describe In the application for Disposal Works Construction Permit No......... .......... dated......... V.C....... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE li. SYSTEM WILL FUNCTION SATISFACTORY.� � DATE ......:-•........... .:: .....__..........__.....---•--........••--_. Inspector_. . io4 THE COMMONWEALTH OF MASSACHUSETTS ia3 BOARD OF HEALTH 1 ov . ---� '1 . .OF..... .. .. :.C �.:. ................... 01 No......................... FEE........................ Dippop-al Work nntr uan rrmit Permission is hireby granted R :_w ----•---•----_--- -_----a.............................................................................. to Construct ( ) or Repair (r.,) an•`Individual Sewage Disposal System at No.................. .:_..._. ,. *�. .,- ._s..... . -( --------------. _.rY�,, uti -------------- t Z 2 , YC ct as shown on the application or Dis 7osal Works Construction Permit No______________�� __ 1 te ,e.:. Board of llc.illh u.a .. .. .. .• DATE--------------- ------- r ----- ............................. 1 .