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Home My WebLink About0019 ELDRIDGE AVENUE - Health 19 Eldridge Avenue Hyannis ,4 A = 292 195 i J TOWN OF BARNSTABLE 1�OC ?N C! � SEWAGE # .J VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �'' '�—� (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: Z COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Tablet the ottom of Leaching Facility Feet Private Water Supply Well and Leaching F cility (If any wells exist on site or within 200 feet of leaching acility) Feet Edge of Wetland and Leaching Facili (If any wetlands exist within 300 feet of leaching facili ) Feet Furnished by i ----r ' \ 1 �� --ta �� cs ` � � � yy� �.' � .__. ' '� x c-,. ,, i � � -ASSESSOR'S MAP NO. PARCEL LOCATION SisWAGE FERMIT NO. V LLAd IHSTALLER'S NAME IL A00R.ESS B UILDE R OR OWNER . J�J DATE P1IR -SIT ISSUED DATE C0MPI. IANCI ISSUED � � �� is is � �r / n �� ,�\ r � �� :�� ` .�,� �, _F Jv4, s No. ff 0 0 S Fee PIC THE COMMONWEALTH OF MASSACHUSETTS Entered in co: puter: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for ;Diopooaf Orztem Conotruction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 19 Eldridge Ave. , Hyannis Ruth McArthur Assessor's Map/Parcel Installer's Name,Address,and Tel.No. /� Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P O Box 1089 Centerville Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Flow gallons per day. Calculated daily flow gallons. Des g P Y Y Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil; Nature of Repairs or Alterations(Answer when applicable) 1 ;n e rep 1 a c em e n t Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issu by this ar Health. Signed s Date Application Approved by Date 2 ' U Application Disapproved for the following reasons Permit No. 2_0 02 'O.rt- Date Issued G �—. N. ! 2Uo 'U S�' FeenTn `�G t THE COMMONWEALTH OF MASSACHUSETTSEntered in compyter: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS lx ZippYication for P.5pozar 6potem Construction Permit j Application for a Permit to Construct( . )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. \19 Eldridge Ave. , Hyannis Ruth McArthur Assessor's Map/Parcel ` Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm� E. Robinson Septic Service t ' .P O Box 1089, Centerville ' --...' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil, 4 w Err Nature of Repairs or Alterations(Answer when applicable) line real ani-ment Date last inspected: Agreement: The undersigned agrees Ito ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been isstu by thi' and Health. Signed Y- / Date GZ 6 Application Approved by ,� �/'! Date ? :'Z' Application Disapproved for the following reasons Permit No. '2 0 0-2 `(I.T; '` Date Issued G Z „f - -- _ t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS McArthur Certificate of Compliance , THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( X )Upgraded( ) Abandoned( )by Wm E. Robinson Sent i r- S9rN4i co at 19 Eldridge Ave. , Hyannis. y has been constructs i ,accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2�� 't dated 2— Installer Wm. E. Robinson Sr. Designer ( The issuance o this permit shall not be construed as a guarantee that the syste will function as esigned. Date IIl Inspector_ ,22J qJ, No. L C)J -O 2 Fee NQ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS McArthur Mtz poal *p5tem Conotruction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 19 Eldri dae Ave r Nvann i c and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of t ' ermi . r � Date: Approved by r S 1 , q TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOTgZ !1S j r INSTALLER'S NAME PHONE NO. �i�- °& SEPTIC TANK CAPACITY LEACHING FACELfTY: (type) d`�--� (size) NO. OF BEDROOMS BUELDER OR OWNER PERMIT DATE: 2r -6 c2 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the, ottom of Leaching Facility Feet Private Water Supply Well and Leaching F ci,t (If any wells exist on site or within 200 feet of leaching acility) Feet Edge of Wetland and Leaching Facili (If any wetlands exist Within 300 feet of leaching facili ) Feet Furnished by v, i Odom+ ;. �Y ASSESSORS MAP N0: a V2 PARCEL NO: No.. ................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH " ----_- -----/ ......OF-.. Gr -ti f `-? ---------------------------------------------- , ppliratioo for Diipoiial 10orkii Towitrortiott 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair (4-10an Individual Sewage Disposal System at: ............... 'j.r.{ . _..F.� .................•.................... ..........----..............................................................................•..... cjlion/- d ress or Lot No. J) of- � wne3-�— aA" t (% AddressR . �'✓i.._ C✓�'l..!_l.................•.•.................. ......e..4?//!i I..?.......1.i _NT_..6.:-'-................ Installer Address Pq Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms.................... --___Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria P-4 Other fixtures -------------------------------- -= - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter-_-.-__---__..._ Depth................ xDisposal Trench—NTo. .................... 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_____--______-________-. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --•-------- -------- -----------••---•------•--•-•---------------•..............---••-•-------••--•---•--•---•-•---------•-----------------•-•-----••--- O Description of Soil---------------------5� -`� x ----------------------------------------------- W -------- ---------- -----------------------------------------------------------------------•---••---•---............................... .......................Z.... Nature of Repairs or Alterations—Answer when applicable..--_!�! ��t_�_._.cJ4�l_ ��w. P p A.l 1*'! '�.__. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iT"T.. '-of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issu by the board of health. Signed --- .. -•--.---- ''` � _' ._ . ..._ � Date Application Approved BY ............ Date Application Disapproved for the following r ons--------------------------•-••---------------------------------•--------------------------------------•••-••••-- p� Date PermitNo......F.. - ---- 7................ Issued---------------------------------------------•---•---- Date r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7411 ............................................................. Appliration for Disposal Works Toustrurtion t1rrmit � Application is hereby made for a Permit to Construct ( ) or Repair (k-'S an Individual Sewage Disposal System at: C /�1 l4-1w,r v4 o ton-t1d ress 6-1 or Lot No. ;�,. / jdres�( Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms..._ _._..Ex Expansion Attic �-r p ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g --------------•------------- P ( ) — Cafeteria ( ) dOther fixtures .---•--••-----•--•------•---.....-•----•--------------...---•--------••---•---------------•--••-•--------------------•-----•----------....._......••-• . W DesignFlow............................................ P.....................gallons per n per day. Total dailyflow................................._..........gallons. SepticTank—Liquid capacity............gallons Length.... .......... Width__....... _1__ Diameter_.______-____- Depth................ W Disposal Trench :To. .................... 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. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water--_----___-__-____-____. GT. Test Pit No. 2................minutes per inch Depth of Test Pit..............._.... Depth to ground water........................ DDescription of Soil.......................r`'•--� •--•--•-•-••----........------------------------------•----•--------------•------------------------•-••-----------_----- x W x -----------------------------------•--•--------------------- •----•---------------•--------••--•----•----------••-••. --------------••---•--- U Nature of Repairs or Alterations—Answer when applicable-.icable_. <C _f �_t___¢ �'•- �4_w_.G s e 7 w..n �Q(�. '�-P--s�`... 11 - . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions.of'T'L E ; of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b iss d by tthhee board ofbeealth. Signed._. f�...... �'`'_"................................ ��-=13-87..... N �' � Date lication ved Application Dsarorovedyor the following Masons: •-------------------- --- __--7_t_e__-~-_ . ---- ... - Date PPPP f f 9 ---------------------------------•------------------------•-_----------- - ----- ....-•-••-•-••---•-•---------••••----••--------------------•------•-------•---•---•-----....-----------•.--------------------------•-----••••-----•---------••--•--•------------•-•----------•-•-------- Date : �. Permit No ---- --•-...__ .................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .�.., /_ ... y .s7...`./•,, Trrtifirab of Toutpliaurr THIS IS ZO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------_--- ............------------------. -----------.........--------------------.....--------...------------. ------ Installer - --------------------•---•--------------------------------------_-_--------- has been installed in accordance with the provisions of T IT LE of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---�'�.__Y.�__�............... dated----.--------------......_...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YFIE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................... ----------------------• Inspector....................... ---- .......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y J jt .........OF............ E:.: .................................. FEE.. Dts os 1 Works Tu',,t�s rxtr uan Fermi f Permission is hereby granted........ ................... (� to Construct ( ) or Repair ( ) an ndividual Sewage Disposal System atNo............................................................................................................................................................................................... Street qq � as shown on the application for Disposal Works Construction Permit No?_2__k`�.�._ Dated.......................................... f2 --------------------------- �p Board of Health DATE----------- - .....��•--............................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS