The URL can be used to link to this page

Home My WebLink About0038 FAWCETT LANE - Health 38 Fawcett Lane Hyannis l No. Fee T E COMMONWEALTH OF MASSACHUSETTS Entered incompu PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4pfitation for Misposai *pstrm Construction i3ermit Application for a Permit to Construct( ) Repair X Upgrade( ) Abandon( ) ❑Complete System kindividual Components Location Address or Lot No..38 €AW O— 77" L AIJ E_ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel pt� �l �Y�01S39 T Installer's Name,Address,and Tel.No 58-,-(07—919 7 Designer's Name,Address,and Tel.No. 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(min.required) gpd Design flow provided gpd 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) cj A*A [,rNr t=uj@Aj b_BOY i7' 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 Certificate of Compliance has been issued b this Board of H i ed ® Date — c 'r Application Approved by Date Application Disapproved by - Date for the following reasons Permit No. Date Issued 7"- tygE„i,,. �:�'t,..R.l'^'�,t.rx +"...• �:M.+t`a°'�"v'4.f+.} �•i ,yy, � ._. �+or,�, � t 1� r�.;— `.. � �s•'• ��, 1 ti No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .»• PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ,t ftplitation for Disposal *pstrm CDitstruttion Permit Application for a Permit to Construct( ) Repair X) Upgrade( ) Abandon( ) ❑Complete System U Individual Components Location Address or Lot No.3$ FA{at1 #4tL Owner's Name,Address,and Tel.No. Assessor's Map/Parcel p r ioI[ on-A A R9 ^X4,61 14 VAVA-85- Installer's Name,Address,and Tel.No.+!50%- 7—fig'$l 7 Designer's Name,Address,and Tel.No. Type of Building: .< . Dwelling No.of Bedrooms h r� Lot Size sq.ft. Garbage Grinder( ) Other Type of Building I No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Y J gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title �.s Size of Septic Tank Type of S.A.S. Description of Soil Y,. Nature of Repairs or Alterations(Answer when applicable) I`1`L�> b-i3a)4 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in KS� accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of ' Compliance has been issued bX this Board of Si Health. "' /) o Dat ed �/ t Application Approved by (/' A _ Datee / v -- i� Application Disapproved by - / Date l for the following reasons Permit No. / Date Issued 7-_-7__-�-_�,�'" .-=---THE COMMONWEALTH OF MASSACHUSETTS ---- ------'---'------------------------ -- -- -�; BARNSTABLE,MASSACHUSETTS ka Certificate of CD11ItlYlalltP /// THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by ` QEt y s b� Ew: L7 Q(<M '~at ,;3 t � ( , y has been cons cte ac with the provisions of Title 5 and the for Disposal System Construction Permit N . p d Installer C(7EW I D E rQj.s'' Designer Kj/A #bedrooms �J hq- Approved d } de�gn.flow r� � l,/'� gp The issuance of this permilshall not be construed as a guarantee that the system will fund o,i(aas desig►ed/ a' Date )2 I 7 Inspector ]/ yy - - _- :- - - - - -- - - - - - - ---- - ---------- No. ).. . , Fee / THE COMMONWEALTH OF.MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(X Upgrade( ) Abandon( ) System located at 32-x Ct AI.J 1"`7"'" LAsAg' H YoWx l andas described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Y' Provided:Construction must/be c p ete 'thin three years of the date of this permit. Date Approved by 1 L o7— 44 LOCATION l SEWAGE PERMIT NQ. ,gwey �� Ct �r �° { f.a tit SO �" t — VILLAGE INSTA LLER'S NAME A ADDRESS �oN � c e UILDE R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �/a N J" I� a r A b THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....................OF......................................................................................... Appliration for Disposal Works Tonstrn.rtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................__......_ ~-• A - 5 t .........._....... - .....tom.............-•--------- ss or Lot N — •- .. ' Owner Address a .................... 11:�.....5..IO Installer` ........................................ ----•------------------•------------••----•--Adddresres•-- .s........................................... � _ UType of Building 'hoc� � "`� Size Lot------ .�tic�V.....Sq. feet ,., Dwelling—No. of Bedrooms........... ..............................Expansion Attic (Au) Garbage Grinder (lto) A4 Other—Type of Building No. of persons............................ Showers (t�lu) — Cafeteria (�u) a' Other fixtures .---- --- - 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........................................ aTest Pit No. 1................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 Alterations—Answer when applicable............................................................................................... •----------------------------------------------•---------------------------------------•----•---•----------•-------------------•-------------••-------------------------------••-••--•-••••........._.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L IHE 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 boar f health. Signed-----. �.�.............•.._ - e - S- ApplicationApprov .•... ... ....................-................................................................. ..v:.�---•- -------------------- Date Application Disapproved or a following reasons-------------------------------------•------------------------•---------------------------------------........._ .......................•-----•---•-••----•---•-•---•-•-•-•--•---•---•----------•-•--.........----•------•.-_.........--------------•--••-•-•-----•-----••--••-----••••-•-•----------- -----......... Date PermitNo......................................................... Issued............_....--•-------- ----•-•----•--------------- Date saa-at--- c rMI -34 No......................... FEZ.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---------------------"....................OF........................................ Appliration for Disposal Works Tontrurtion thrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................_--......_...................................................................... ••-•...---._....----•.._._............._..__..........._....--•-................................. Location-Address or Lot No. Owner Address W M Installer Address Q7i Type of Building Size Lot............................Sq: feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — 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. 1................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........................ ---•...................•-----------------------•-•-•-----------......------............_-•-••---•••-................... •..... ----------------------------- ••-- 0 Description of Soil........................................................................................................................................................................ W V •--•--•--•----------------------------••-•----------...--------------------------•---------......------•---------------•--•------------•---------------•------------------------------------------'---- W UNature 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 TITALE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certific/ofCom1' ce has been issued by the board of health. Date Application Approved B Date Application Disapproved for the following reasons----------------------------------------•------------------------•----------.................................. ........--•--•-------•-------•----•-'----.....---••--•----•--•----------------•-----.....---------•-------•-----------------------•-------••---•------------•-----------••--------------••••-----'...--- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............OF..................................................................................... TrrtifirFatr of ToutpliFanrr T "0 CERTI Y, at e Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer "------•------------- at. ------ -----•---•--•--------------------------- ;/a4has been installed in accordance with the provisions of TICJ6f"The State Sanitaryescribed in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSU NCE PF THIS CERTIFICATE SHALT. NOT BE CONSTRVU AS A GUARANTEE THAT THE SYSTEM 2 F� TION SATISFACTORY. DATE--. ...................................................... Inspecto ---- ......•---------------••--•---------.........-•'---........---•-•-'------•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD , OF HEALTH 7,7 OF..... No......................... FEE........................ �tu�uu � � � on.�#rnr�ilan rrutit Permissiobb •--•------------------ •--•-------........................................................ to Construct epair �/a age Disposal System . at No. ------- --- ----------•------------•--•---------------------------....._....... Stre as shown on/thheepli tion for Disposal Works Construction er ................. Dated_._.._._____......._...........__......__. .............. ..' -------------•--------------=--------------------•------•-------•---'--••----..� Board of Health DATE............ 4K..----------...........-----.......--•--•••-- FORM 1255 A. M. SULKIN, INC., BOSTON jr in Z z D r Z ^ n — Q O �P IN � �G O�r tr p, Nil' t r c� �' � Z� mp �' � ➢ Ot^ -Iy° -np mcqir c a p � z Q f r r � Z m3p Xr 'V m z _ � 6`��`.-O e��5�i.,/ � art 10 ��p � � n I— Gl'C e � 4` rGa Z Lt\ Q _ rz „ " n " a xpv' CO T- ; -a '> w £ '0 m o o I ,�I a CGlwlp.,i '�'IN�^ r x �+ m mrG �� C �- rl -Z = -inr 0 v, =+ m = � iq o = 0 07mm00:� ;o ISO3 " Zm � � dZ � � I W �+ 9s 'd z o. DFT GN V. Z T1 r o° - m Q T- w_ o n o Tv Do n m p CS, ' 0 d � Nm Iq o rp Now