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Home My WebLink About0335 CRAIGVILLE BEACH ROAD - Health 335 Craigville Beach Road A= 267—022 Hyannis -�` TOWN OF BARNSTABLE i r,ae a (c 7, LOCATION 3�� C,(CtW I III pC�� SEWAGE # F VILLAGE . F SSESSOR'S MAP & LO � INSTALLER'S NAME & PHONE NO .A 0-, SEPTIC TANK CAPACITY I C7 00 LEACHING FACILITY:(type) , 1 `� (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No L �b rp 1p' fP v Noq V D 1 1 Barnstable Conservation CommisfATPCOMMONWEALTH OF MASSACHUSETTS ° .. OAR® OF HEALTH �''• Dat OWN OF BARNSTABLE signed ApplirFa#ion for Uiiipas al Workii Towitr stt rrmit Application is hereby made for a Permit to Construct ( ) or Re an Individual Sewage Disposal System at: ( ........... .c -- .�.. .... ........ ! �Ft�!... �..............�--........... ................................................ Lo , n-Address *t Sn ��or I_ot,q J caner Addr S MS�r Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............. __---.._...__....__....Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a —Type g ---------------------------- P ( )--- 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water-----------------_----- fxq Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................ 9 ........----------------- O Description of Soil............... ';�_ 1_ c.� -----------•--------------------------------------------------------------- -----------------------------------------•-------------------------------------------------------- ...._..-------------- --------------------------------------------------------------------------------------- U ture of Repairs or rations— saver hen aplicabley- __. _._..___. Agreement: dp 0 Q1_(- C. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir n ental Code—The undersigned further agrees not to place the system in operation until a Certificate of Corn liaiee h een issued by the bo rd of health. Signed • e Application Approved By ... .... . .... t-- - -d-------- ----- ---- -- - -- --1..--------------................- �.� �.------ Application Disapproved for the following re ns- ------------------ ----------------------------------------------- ------:---...........-- "I................................. .................................................... --------......--- ---------------------.....------------------....----......----------------------------- (- ----------------Dare-------------- ,' � �J � Permit No. 1 Issued --------- --.---- i............. ...................... - f 3 No.__ 1------- FEs............._..... ......_ THE COMMONWEALTH OF MASSACHUSETTS I�OARD OF HEALTH OWN OF BARNSTABLE Appliratinn for Dispnna1 Works Tonstrnrtinn Vanfit Application is hereby made for a Permit to Construct ( ) or Rep, 'P't.,�)-'an Individual Sewage Disposal System at: I � NA �, - J� _ or Lot Nor 1 ............... ?..............Loc A dress._.... ._ ?..........._.._._.... ...._.._. ... W w Owner Y J\ \ l Address Installer Address U - Type of Building Size Lot___________________________Sq. feet �-, Dwelling—No. of Bedrooms.............. .......................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ______________ No. of persons............... Showers — a YP Yg -------------- P ( ) Cafeteria ( ) dOther fixtures ---------------------------------------•------------...-------------------------------------------- W Design Flow_____________________________________: ......gallons per person per day. Total daily flow----------- ...............................gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter__.__-______:___-Depth................ 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. 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........................ P .......•----------------- 4 ODescription of Soil------------ t° - -•:• ••••-••--•-•-••••-••--•--------------••-•--•••••-------••••--•--••••••----------•-•••••••_.__.___....---- v U ture of epairs or A rations—A swer hen ap licabl -_;___ .. _ ,____________________ _________•----- .......... ,� o� cc Agreement: /000 C---,( L The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envirof rental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com`tlian�,e has een issued by the board of health. _— Signed . = - C"'�"✓' J C� f :... Application Approved BY -� '�'I�/rl- � ., ......... 1:, i - ................................ /. 1/ ; � J e Application Disapproved for the following rea�.r.6ns- -------------------------------'----------.......................................................... . ------..--------------------- ------ ------------ -qr - -- .............--------------------...------ ----------- -------------- ------------ Permit No. ------------- Issued .........---�------. + ..Date Date 3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE `LErtIfi ate of Complianre HIS S TO CERTIFY, That he Individu 1 Sewage Dso al System constructed ( ) or Repaired ( -) \ - � , 1 . by----(��--`---- Lt -,c' ..l�ti-L- -------- '�?.w�-------------�'....................-..-..----.-....---.....---.................................... Installer ................'--.-........... at -------------------------- .a ............ ..�. �.t.. \.5.... ............ 2 c.c4.... V , E'r~ cY� N ...................... ...----.------.......... .-----_--_--- ---------...- has been installed in accordance with the provisions of TITLE 5 The State Environmental Eo6e as described in the application for Disposal Works Construction Permit No. ------. -!'71E.....--.- dated -/)�--l -fq_L- -.-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI FUNCTION SA l FACTORY. r DATE / Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE V No.....�........... ..� FEE.........Y-----........ t �i��r�a 1 nrk� �nn.s�rilan rrmi� Permission is hereby grant d 0. l `^..._... - ----------�---ZD ----__... to Construct o_r Re it ( an Indi i ual Sew Disposal Syst at No.--•-••••••__5 -5- -` ```�.S,..v.`.�-�5 mac Lt t1 - �• `:. -,..'h�� 0 t � c .:. J Street / ^ _- as shown on the application for Disposal Works Constructio Permit No.___�__._ ___._ Dated______. /-5 ( J --------------------•-••-•........ r ^____ Board of Health DATE `S FORM 36508 HOBBS a4 WARREN,INC.,PUBLISHERS •+