HomeMy WebLinkAbout0334 CRAIGVILLE BEACH ROAD - Health 3 34,Craigvi Ile.Beach Rd
267-083 West Hyannisport
TOWN OF BARNSTABLE
LOCATION �� G�a�� `-G�Y�G� SEWAGE # 943-"t<:5'3
VILLAGE 00 (Z( — ASSESSOR'S MAP 6t LOT h� r
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY S O-U
LEACHING FACILITY:(type) t
NO. OF BEDROOMS. PRIVATE WELL OR BLIC W ERA
BUILDER OR OWNER �V S�,�� ���5 b A�
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: -=' = '— �✓�
VARIANCE GRANTED: Yes No l/
Q10
1
ASSESSOPIr 60
No .....•S...o-...� PAPS oip-3 Fss.......i...40...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiou for Mit-pouul Workii Toutitrurtiuit Famit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
.......... e�11
�C. czar �h 1�� ...... . Qa...4 w' �f��tS.�a-•��--. 5 O�67Z
--------------
..... p '9Lpt N
?55
' nAddress o Co.°�� 6263D
:' :r-- --- ................
caner ......................................................
Installer Address
d Type of Building Size Lot---- e,o3?......Sq. feet
Dwelling— No. of Bedrooms---- �`-�-----------------------_.--Expansion Attic ( ) Garbage Grinder (l/O)
PLO Other—Type of Building -----.------•............... No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other fixes ------------------------------------------------------
W Design Flow__ ___...?-j...........................gallons per person per day. Total daily flow--------u�{,�-___-._.-__-___-___-_gallons.
fYi Septic Tank Liquid ca acity�C�� gallons Length___._..___ Widtr
W Diameter................ Depth................
W Disposal Trench—No.5 Width........T,..(-------- Total Length..-L�.L�___.... Total leaching area....................sq. ft.
x
Seepage Pit No--------_---_-_--_-- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
---------------------- ------•--.......-------------•------..........--------------------------•----------------------•-------------------------------•
ODescription of Soil------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------
x
W ------------------------------------------------------------------------------------------------------------------
-- - --- "'��
UNature of Repairs or Alter tZ ns—Answer when applicable._._.__.t,r[ - . ...... ............:I-----.JK-------------.
-------------------------- �6 ------ ..... D--- -f%��T va125,--------------...-----------
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 h s of healt
Signed .............. -- -------- ------------ --- ----
Dace
Application.Approved By ......._.. -...:.._.. ---- -- ------------------------------------ 1-------- -------------- --------........�-41...S
Dace
Application Disapproved for the following rearons- ----------- ------- ----------------------------------------------------------------------------------------------------- -------
............... -_ ....--------- ------------- ----------------------------------------------- -------------....._--- ........................................
ff
Permit No. ------9�-....6.5.3 _....... Issued .......-j.._-�y------ Cy ---- -
Date
-------------------------------------------- -------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
�T
�Qrtifi ate of U-IImplianve
b THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (� )
at ........3-3.4....CA --- - --- --- - ... . ....-- _... -
-
has been installed in acc rdance with the provisions of TI fLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. .�'f-��"�.. 3....-.-_--_-- dated
THE ISSUANCE OF THIS CE
RTIFICATE SHALL NOT B AS CONSTRUED S A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE._.. % ------- -...---- Inspec
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE 00
No.... �C~. ✓�f`3 FEE......
Btspniia1��orki T�,r_nntrud n rant t r
Permission is hereby granted......_-1 .a_'- T.T/. .._:f.-:F`-------- g--=="{ f.--= ------------•----------------
to Construct ( ) o Repair (k) an Inch' idual S,.�a isposal S stemU
at No. y.... �.U(l�� c lt!? J ----- �!f?<7�t(------------------
/� street // L
as shown on the application for Disposal Works Construction Permit No b-79Dated------..�_.��.1..�.7
.,.<
SJ �. / / oard of Health
DATE-------•-�-�- ---- -^------------------y- ----------•--•---------------•---- t/
FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS
4
Y ,
vc)
No................-....... ��� 1 FRP..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF• HEALTH
TOWN OF BARNSTABLE
ApplirFa#inn for Binpaii al Workg .Tomitrurtion Permit
Application is hereby made.for a;Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
lye=`` `" ..
Location-iNddress or Lot No
.. �1 C°� ------�........................................ ................---..(r------....'.........c..............................................++ner �• Address
W ...........
Installer Address
Q Type of Building Size Lot....__....�03_�......Sq. feet
Dwelling— No. of Bedrooms-_.._ �f____________________________Expansion Attic ( ) Garbage Grinder (/0)
pa, Other—Type of Building ____________________________ No. of persons...._----.--_-_._-__-.._--. Showers ( ) — Cafeteria ( )
Otherfix -es ----------------------------------------------------------------------- --------------- -----------------------------------------------------••-•----
W Design Flow..........5__)........ ..................gallons per person per day. Total daily flow--------- .. .............._------gallons.
r
Septic Tank Liquid c�aPacity � �_gallons Length,__.(C)_.____ Width ._ ---------- Diameter................ Depth................
Disposal Trench—NO.J_ ��n... Width........7.......... Total Length___7,62........ 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_.,_.. ._
r3;4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground`water-.-......-.............
a --------------------------------------------------------- -------------------------•-----.--------. .................
.-----------
•.......................
0 Description of Soil........................................................................................... . ...
U ............................... .............................................................. _...................."�={ ----- ----------------------.-----•----------- -••----
W -••--•--••---- ---------------------- -S'_)A �&....Tj".°tir' i �..�-
U Nature of Repairs or Alterat ns—Answer when applicable.___._,...._ __+ .__--_--.............�--------------._-... -.
------------------- -rl, ! °US 4 ' '
Agreement: `iW ,
The undersigned agrees to install the aforedescribed,Individual Sewage-Disposal System in accordance with
the provisions of TITLE 5 of the State Envy rn.nmen 1 Code ,1 he dridersigned further agrees not to place the
system in operation until a Certificate of Complianceo-ha beerfiss' -by-t e board�of health.
� r� v
Signedl--.---..._: .....----- ...........:......
f� r '---.................. .............. _ ----_.....------------ —......------Dace
. '^
Application Approved By -`- -------- ----- -------- '�`._.�..._ ........................ ----t' ......S —......................r �....._... Dare
Application Disapproved for the following reasonr: --------------------------------------------------.- ------------------------......--------------------------------.
..... �. '`r------_;k.. - ... ..... ..a.....................
re _...... .... -
D
Permit No. 95-----6 ......................... Issued --------�-- - --- ..........95
Date