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Home My WebLink About0089 DELTA STREET - Health $q NQ4 3�0) +nAi r agaJoo3 � ao5 •_..;��.�;, ,;� TOWN OF BARNSTABLE LOCATION � �C 4 < . SEWAGE# � s� VII;LAGE �AySSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. f ! .412CO ®� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) i�,L y f J 4-yr NO.OF BEDROOMS .� BUILDER OR OWNER �IcA ¢/�Jerri PERMITDATE: COMPLIANCE DATE: 'Y /1- ?6 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �v w � CAN 4� Tw r 4r LO CAT IO . » SEWAGE PERMIT NO. VILLAGE INSTA LLEItl NAME a ADDRESS ® U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /,-,;;zp C� �I �i. ,� _ �: No.---- =_`. Fxs....t ...... , XF THE COMMONWEALTH OF MASSACHUSETTS O� ROGER BOAR® OF HEALTH PAUL � oc� MICHNIEWICZ Town Barnstable IVo.30420 fA ............................ ............OF.. ..................------........-----.......................... .... ..._.... ,® '� CIVIL O Appliration for Mipaaa1 Work T ongtrurtion "unit, Application is hereby made for a Permit to Construct (x ) or Repair ( ) an Individual Sewage` isposal System at: Delta Street —Hyannis, MA Lot 3 --•--------•--------------....................................................................... ._....----------•-•-••--...------------------....-----.._..----------------------..............._. Loca n-Address 0 ' tio�.Czl,L_l��.e��_.. /.k.� t�l/.�e----�a.z---�.�1�.h!`��- �''I'i•��S Owner Address a . . .._.... '4._jI,..u.A1................................! EX NAM_ . .... e........HR Installer Address Q Type of Building Size Lot..15_z 826-----------Sq. feet Dwelling—No. of Bedrooms........... ------_______________________Expansion Attic ( ) Garbage Grinder (nd Other—Type of Building ---------------------------• No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures -------------------------------- - Q -------------•------•----------------------•-•--•-•------------------- W Design Flow.................55......................gallons per person per day. Total daily flow...........330..........................gallons. WSeptic Tank—Liquid capacity__1000gallons Length_8 6".._.. Width._4_'_l0"'__ Diameter__._---______-- Depth_5._'.4......... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------1------------ Diameter..... 4_---------- Depth below inlet__1.A Total leaching area---227........sq. ft. Z Other Distribution box ( x) Dosing tank ( ) Percolation Test Results Performed by---------J.,_--Monahaxi,_..J ................................ Date...7.1_5183_...................... a� Test Pit No. 1---------- ____minutes per inch Depth of Test Pit----9 1____________ Depth to ground water----6_'................ (i Test Pit No. 2........... ...minutes per inch Depth of Test Pit.1R.'....____.__. Depth to ground water..... '............... P4 -•----------••---------•-••---•----------------------------•----------------------------•---•----•-......................................................... O Description of Soil-T JPJl 0"-6" clean-•sand_•fill;--•6"-36"-__sand__and••course__gravel;�__36".-40"-:• ---------------------•--- x clay; 40"-72"• sand and coursegravelx_-72" 108'- .sand•and-_course-•g_ravel-,......T.P.�62_______ ______ _0 ' 24" sand and. loose gravel-_(uncompacted) ;__-24" -120" -sand--and- loose_.gtirayel-;__-• --------------- VNature of Repairs or Alterations—Answer when applicable-------------------------- ----------------•-___ _-_---. _. -___-. _-. -_---_-•-----__. -----------------------------------------------------------•-------------------•------------------------------------------------------------------------------------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board o alt . �3 Signed------- ---- ---- -• = --- -- ...... - - 9 -- ----------- - --------- �1•----- Date ApplicationApproved By........................ -•--- --....... •------------••------- ......................-................. Date ApplicationDisappr --------••-------- ----•-•--------------•----•---•--•-•---•-------------------------------•-••-------- Date j . No......... ..�-..%d FE:s........t I V"k 0 F. ,a THE COMMONWEALTH OF MASSACHUSETTS ®�� ROGER BOARD OF HEALTH-1 HAUL o `MICHNIEWICZ Q No.30420 toTJil...... -----.....OF......1 arnSt�;ble ao 'A CIVIL p .. -- --------------------------------------------------------- �0, ,�.��Iir�#inn fnr ��n��a1 nrk� Cnnn�#rttr#inn rruti# Application is hereby made for a Permit to Construct (g ) or Repair ( ) afi Individual Sewage Disposal System at: Delta Street: - Hyannis,....MA -•---•- ,4 .................................................. Locat'o -Add s Lot No. y r P.��r9o)V.�...-�:.1SZy...) ;rZsDki RS'...=fi e---. . r3.c3 4_b ...(lip.....5 A.. Owner Address � Installer Address d Type of Building Size ...........Sq. feet ........................._._Ex Garbage (no) Expansion Attic e Grinder Dwelling—No. of Bedrooms.............3 p ( ) g Other—Type of Building No. of persons_....__a___________________ Showers — Cafeteria Other fixtures ---------------- - WDesign Flow.................55......._._......•._.__gallons per person per day. Total daily flow...........a30............._.......•....gallons. R; Septic Tank—Liquid capacity_100.0gallons Length.W.{"...._- Width..4110:"'._ Diameter............... Depth.5'4's...... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No-------1............ Diameter....141--------- Depth below inletAL..62......... Total leaching area...Z27........sq. ft. z Other Distribution box ( x) -Dosing tank ( ) Percolation Test Results Performed by.........J_._-_Ho.nahaa,..,.Tr................................ Date___7151U...................... aTest Pit No. 1__________ ____minutes per inch Depth of Test Pit....i.'.._._..._..._ Depth to ground waten..E.9......_._....-_. (i Test Pit No. 2..........2----minutes per inch Depth of Test Pit.10.............. Depth to ground water....9'____..__..-____- ---•-•. ............••--•-•-• ....... ----••---••--•---•------------------------------•----.---- --- -- .--- ------- ® Description of Soil.. ar,�1=1�,--0'i ,'... s� _. titt .. 1 ��_..�?"-d6"---Sand and eau�se.. ,raV�1� 3�?"-4C�"-- clay;---4�°'-ZZ'"..:q c�d._�c�•.e.auxlao•Ar,aveL 72"-�..0 5wn4 �n�1 c�urs�•;�ravel, .T.P P2 U - a U"--24"-sand- and--ipase__gravel3 {u co eted);-p?tt"--3_ 0"-->and••aiad_yloose•gravel, t: U Nature of Repairs or Alterations—Answer when applicable ..................................................................... ....................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of':T T. y g g p y 5 of the State Sanitar Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. / A I, Signed. l�- `a.�$, a ......-•-••••W._ �.. Date Application Approved BY............................. ---------------------------------------- Date Application Disapproved for the following reasons-----------------------------•------------------------------------------------------------------------.......---- _...•-••-•-••••••••••-••.....•--•--•••--••---•-----•----••-•••-•-•-•-•-•---•--•-•----------•--•--•-••-----•••••---•----•••--•-••-••••••-••••------•••••••--•-•-•••••••-•••--••••----------•••.......... Date PermitNo...-._:.......... ...... ..... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........O F.. . ....ju.................................... C�rr#ifirFa#r of Toutplianrr THIS IS TO RTIFY Th t�the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.. = •--••••••. -•------------------------•------••--------•---•--•---.......---....................._....._...._.........---- "�'" .,r Installer has beeninstalled In accordance with the rovisi' ns of TIT.1 of The State Sanitary Code as scribed in the a lication for Disposal Works Construction Permit No._ �'._ _.�_.7_____________ _ dated---.--.-._-��?.�Llef' THE ISSUANCE O , THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE SYSTEM VWIL UN IO SATISFACTORY. L 6 DATE.__. ... ..... Inspector........... .... -•-•-•--•••-••• THE COMMONWEALTH OF MASSACHUSETTS yA �� c�BOARD � F HEALTH i .may .,."� sir.OF..--....;. �t C. .................................... �...,:r. N .: ::................. FEE._...........-•----..... 41 - Permission is .hereby granted----- .... ._...... -- ••......•••••... .. ............••-•-•--•.......to Const u t o Rep i� ( . ual -e 'age i Syst - at No..��-i-- �/ ---= ,�...�az•7.�,�--------------------------- Street tl as shown on the a licat' for Disposal Works Construction Permit o. �..._f `i:_ Da i �. Q -.,�.. y Board of He DATE� ��----(:�•----- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - - 4