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Home My WebLink About0133 FAWCETT LANE - Health 133 Fawcett Lane Hyannis 1 VLll TOWN OF BARNSTABLET LOCATION � w�� o me-SEWAGE # VILLAGE ASSESSOR'S MAP Cz LOT,2-6$ r J. CRAIG 7Ks INSTALLER'S NAME & PHONE NO. 7S LINDEN ST. SEPTIC TANK CAPACITY ® y IiYANNIS, MA OZbO] ol LEACHING FACILITY:(type) NO. OF BEDROOMS PRIVATE WELL OR(PUBLIC WATEE OWNER Z DATE PERMIT ISSUED: t DATE'- COMPLIANCE ISSUED: Y VARIANCE GRANTED: Yes No _ _ v t a f 4 o U-4v IN LA b s ' r4l j.,. , FimB THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEAT I-f (p e----, 7 OF..... .........................• °s Appliratiun for Uiupuual Work.5 Tonutrnr#'ion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal 7 S stem at: ----._.... . ............................................... .................... __....._---•------------......_._.......-------•--._...___......---------------------------------• L.. ti Address �'`� � No. ......-�n Ow or "` .- s A . .� Installer AddrePQ ss d Type of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms----------- .................................Expansion Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons.....----.--................ Showers ( ) — Cafeteria ( ) aOther 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........................ � ---•• ---•-- - --------------------•-----------------------------------------•---------- --------------------------------------------------------- 0 Description of Soil..........•• ----- ............................................................................................................................. x •-•--•-•------------------ -•-----•---------•---•-•-•--•-•-•--••---•----•--------------•------..------ ------ -........................ --- - - U Nature pairs�orr Alterations Answer when applicable_ -_ -- _----_,�.-Q-_it....... .......... �, `- -------- --------zx�r `----- - --- - --- - ------ ----- - --- - --'-----=----- -- ---------•------��-- ---tom - - ------.....-•----• Agree ent: � — The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITi 1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben issued by the board of health. Signed.-•- ••5!�ADate Appl ication Approved By--•••. ... . .............. ----------------- ......•.•. %_-._ 5. Date Application Disapproved for the following reasons--------------------------------------------------------•--------------------------------------- ••---•......._ --------------------•----•-••-------------------•-•------------------------------•--........--------------•-•---••---•••••---•----••--------••--•••---------•--•---•-----••----•- ....................... Date PermitNo........ -•--•----•------------ Issued....................................................... Date Fxs THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................"...................OF........r'...............------.......---------------•----.....-------•----... Appliratiun for DWpaii ai Workii Tutuitrurtiun thrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - r— 1d ;j i Location-Address ^" -,or Lot No. ---•^-�-•--------�— --..... ....( qq•.—Ownt;r.................!..-----........_...... --•-•------•---!----..f._.._�...---•'Address..........-•-----------•---._...._.....-•--� c I r _ 1�1 a. _ .- .sC a+— a" .. - t Installer Address PQ UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '_l Other—T e of Building No. of persons............................ Showers — Cafeteria Q' 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........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -j----------------------------------------------•---=-----------------------------------------...................................................... 0 Description of Soil............:`:_____e....._`_....I .. ' x v U .....•-•-••••--•--•••-•---•---••.....-••------••------•----•--••--•--••--••-------•-------•......••-•--•-•-•------------•......------•-----...... w x •---•••-••••---------•-•-----------------•-••-•-•••----•••--------------------------•-•-•••----•-•-•----••--------......-----------••-••----••-••--••-----••-••---. ................I:............... V Nature of�Repairs or Alterations—Answer when applicable._ _._.......11.t?.LC .....____._ .......... r j .... 1 - ... •^� Agreement: cr a ` r� 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 of health. Signed••. j _r t- .�_.�''.�....... - --------------- Date Application Approved By..............� ►sn�- -•• --el-.'.^"^ -"� Date Application Disapproved for the following reasons:................................................................................................................ ...............................••----•-•---•--••-----•••-----......-•-•-•-----••-•-•...---•--•-----•-•-•-•-----••-------......•-----•-••---•--•---••---•------•--••----••----•......-----•----••------. Date PermitNo.------.. Ei•= ..................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................................OF.... " �.rr�ifirtt� of �u�t�rli��trr THIS IS TO CERTIFY, That,the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...............• -- I��.:'� ..-- :_..•.. --- _. J - Installer = - has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No........_E.6_....... - dated................................................ ` THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS ,.� BOARD OF HEALTH �A ........................................OF..........:.........t--------.......................... .................................... FEE........................ Permission is hereby granted....t---`�^- ...............................................! = .•- -_- �" ...................r � j n to Construct ( ) or_ t Repair_ (C.)man Individual Sewage Disposal System _ - Street as shown on the application for Disposal Works Construction'Permit No.__E-121 Dated.......................................... ...........................••.--•--� -----.--.--------•-•-----------•-------- ` I1oarrd of Health DATE............... ..................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS tirt _ �. --GQ-T-Vo N SE-W-(a C;E—P-ERMIT IJ-O. —in- -T-N -L QATE P-E R-tv�1-T 0 A w No __.... FEs.... .." ...... THE COMMONWEALTH OF MASSACHUSETTS ROAD® OF HEALTH ,............OF------.. ... ''!t.. " . .....4---------------------- Apphration -for DiBpviia1 Workii Tnni#rnrtion Ijrrnift Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System a L c on�A or Lot No. C�---'� v� • ...... ��Owne ..............Address Ins alley. Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms______ ___________ _ _Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building --------------------------- p Showers ( ) — Cafeteria ( ) Q' Other fixtures ...... ....................... W Design Flow---------------------------------------------gallons per person per day. Total daily flow------------------------------------.-------gallon, 9 Septic 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 ( ) aPercolation Test Results Performed by----------- ---------------------------------------•-•---••-------•------- Date------------------------------------. .. a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water....-.-.--..-. --.____. �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-.----.-_--.----__._... I --------------------- ----------------------•--••----•-•-•---•------•--•------------•--•--•----•---•-•----•--•-------•-------------------------•----------- 0 Description of Soil--------- ---------•-------•--•---------••---------------•--•--------------•-•------------------ ------------------•------ --------- --------------- x U ------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------- x ----------------------------------------------------------------------------------------------------------- --._.. -. V Natur of Repairs or .. l A eement: , The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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 oar ealth. Signe D ? ?E/✓'1/' /----- . D e ApplicationApproved By-------------------------------------------------------------------------------------------------- Date Application Disapproved for the following reasons:................................................................................................................ :. =-----------•--•---•-------------•-------------------------------------------- --------•--------- Date Permit No.......................................................... Issued.. .....-- OZ'< /7 .......... Date No._... /GK _ Flzs.... .'�" .►..._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....-.-...-_OF.-... - +!� .. ..................... Appliration -for Uigpuiittl Workii Cnowi rurtion Bruit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System • _.r4 ........ VVI............... •_ 6Z.r . ----------•- o A t .................................. ...............•...------------------....----------•-------•------•--••-•----•••-•---.....--•---. ,A�f Owne _Address Installer Address Type of Building 4, Size Lot............................Sq. feet Dwelling—No. of Bedrooms---------------------------------__________Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) QOther fixtures ------------------------------- - - WDesign Flow............................................gallons per person per,day. Total daily flowa-------:_.:_.--:_----_-•-___-_--.--.-.._gallons. WSeptic Tank—Liquid capacity----------y.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 aPercolation Test Results Performed by ----------------------------------------------------- Date---------------------------------------- Test Pit No. 1................minutes per inch Depih.•of Test`P•it------------------._;_ Depth to ground water-------------_---------- (i Test Pit No. 2................minutes per inch 'Depth of yTest, Pit-------------------- Depth to ground water -,.. § P4 .__----_--_•------------ ------ ---. - O Description of Soil..............................................- z T U .--------------,--___.----__--_-_-_---..--_----------._•.----.------_-_____-____--__-_____-___-__---______---•_______--------. __ -- ---------------------- ---- ------------------------------ -------•-----_-•_ _ -____-_ _��-__ .-_--_.---_.-. _-___.--- V Nat of Repairs or Alterations swer hen li ble ' t ` ,� f10-� t..___... . -- z '""""� --. ----- •--- •--- •---•------------------ -- - -------------. eement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has a issueo by the oa ealth - 4:!l�. . ... e Slgne3f ApplicationApproved-BY................................................................................................... Date Application Disapproved for the following reasons------------------------------------------------------------------............................................... ,-._. --------------------------------•-•-•---------------•-•-------------`----•--•--------•--------••----=-..:.-•--•-' ...............................� --•• ,}•-- Date PermitNo---------------------------------------------------=---- � Issued..-... ---��-`.---------------- Dal THE COMMONWEALTH OF RD OF HEALTH T MASSACHUSETTS,.-` B A L H ,O .............../ d..!k.k'..........OF......... ........................................ mwrr#if ira#r of T11umpliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or 'Repaired ( } by �1� GCSSiOGs ----------------- - ------------------•---•--------•-------..... •.... - Installer at. ........ '.-•------�-'' �------.....�1r _� 4.---...--�t�j---------•--•------------------------•---•------------- has been installed in accordance with the provisions of :Article XI of The State Sanitary Code as described in the application for Disposal'Works Construction Permit "No- .. ..... dated.....,.:-.off 3s.?.. ..................... . 73- -- THE ISSUANCE OF THIS CERTIFICATE SHALE. NOT BE CONSTRUE® AS A GUARANTE HAT THE SYSTEM WILL FUNCTION SATISFA TORY. .f DATE.:; .,) eV '2 - Inspector. _ f Y�. 'P THE COMMONWEALTH OF MASSACHUSETTSCr BOARD HEALTH ' : ............... G.L4 ..........OF..., ar " G•�.....-----------..... No.------ �,7• •---- _ FEE........................ R.spwial Workii Qlanfitrurt"P rrmit Permission-is hereby granted--------/� 4-------------------------==------------------------------• .............................................................. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo..-------- ............ ....•------ -----....._,h y. -------------------------------------------------- -• Street as shown on the application for Di;S,posal Works Consffyi,,on;Perrriitl Nox_;413..._..... Dated... ................ rd of Healt A DATE............... �---.� -------------=------------- . FORM 1255 HOBBS & WRREN,...-1NC.--. PUBLISHERS ••� `�'.L��,}Y� �" ,`,�t�.3' y'?P v'i• f"'a :{: •a'z`e?S.r 3� ��<C..