The URL can be used to link to this page

Home My WebLink About0035 FISHER ROAD - Health 35 Fisher Rd 309-Q45 Hyannis ' i f - �l r :�','ij"•,x`i+"y:E.�„. ..�^ .;'fit< k""yy� e'�' -FASx ,Y='x"','.4�I1:°' .YR-vtt`c'�!Tf:ra'•J';",si^nitn. v v TOWN OF BARNSTABLE - UNDERGRUUND FUEL AND CHEMICAL STO/RAGE REGISTRATION i 44A•F`� NO. PARCEL NO. fir' - TAG NO./ ADDRESS OF 'TANK: J+ ( CJ � VILLAGE: J `fvumb�r Ytr��t MAILING4ADDRESS ( IF :{DIFFERENT FROM ABOVE ) :. OWNER NAME: ^� 1..-f C � �. PHONE: t rd i INSTALLATION DATE: I BY: INSTALLER-ADDRESS: [+` i -•A -CERT.NO. *TANK LOCATJON: AoBQ „BE dw ;t _ (owsc I aC TANACTr-CCAT I ON WITH RCtaP�CT TO au I LD I CAPACITY TYPE OF`>TAN'" ��"� "AGE Y S FUEL/CHEMICAL I TESTING CERTIFICATION [, ] PASS [ A] FAIL DATE ) J LEAK DETECTION [ It CHECK' IF `N/A TYPES/BRAND.. ZONE OF CONTRIBUTION D ] YES [ NO DATjE# TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ ] YES [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ t ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD �/- SS Z LOCATION C, SEWAGE PERMIT NO• VILLAGE INSTALLER'S NAME i ADDRESS 6UILDEIII OR OWNER DATE PERMIT ISSUED �►l �_ ,f DATE COMPLIANCE ISSUED �� r .� �� `�`� t� c .�; � , �� ' , � \� �� =. J No. l: .................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..........................................O F.......................................--------------------------.._.........------------. Appliration for UiipusFai Workii Tonstrnrtion Prrutit Application is hereby made for a Permit to Construct (j/"or Repair ( ) an Individual Sewage Disposal System at: ..... .. -- _................. 1 .. - ,,�....---•-- --....----••. ......... ......... Location-Address or Lot No. Owner ddress Installer Address UType of Building Size Lot---l,01 eM__..0.......Sq. feet Dwelling—No. of Bedrooms......................... ._.__.__..Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building a, yp g ._�'�_. :.......... No. of persons.......Z................ Showers (/ ) — Cafeteria ( ) Q' Other fixtures --------„. ----- -------------- -------- ------...........--------•--•-•-- W Design Flow............6L....... .X'V......gallons per person per day. Total daily flow.........o a..C-9/2..........gallons. WSeptic Tank—Liquid'capacity f4oQ...gallons Length Width__/-U"'Diameter________________ Depth.,:5-9 x Disposal Trench—No. .................... Width.................... Total Length.........,.......... Total leaching area....................sq. ft. G . `� Seepage Pit No.....�_____________ Diameter._.__ _'__.__..._. Depth below inlet.. ...�..._... Total leaching area_oA4,�___._.sq. ft. Z Other Distribution box (1 ) Dosing tank ( ) '~ Percolation Test Results. Performed by-----A`!��5..:`.....�g-!.e5A01?Q....................... Date......p �............_.. a minutes per inch Depth of Test Pit_._.Test Pit No. 1_..4.e,F _ p p ......._ Depth to ground water•-__--'---i�jevleew 44 Test Pit No. 2._� .. _minutes per inch Depth of Test Pit.....L ....... Depth to ground water-------_-.`...... ___. a ---•--•------•--------------•••-•••-••••--••••••--••--•••--•••-•-•--•--•---•.........----------•---•......................................................... O Description of Soil f = a ------.5.- /j ��r=�� rU<r� W 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 i1TIE 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 .eal Sigd - � = --•---......-•---• - 4 Date ApplicationApprovgBy . --- .....-----------------------------•----•----------------------•--••--•--- --�,1 a. .............. Date ApplicationDisappr e following reasons:-------•------------------------------------------------------------•-----------•-•-............--.....••--.--..-••-•--••........................ ----------------•----•------------•----...------......--•---------------------------------......------............--- ......•..._ ......•---••--- Da PermitNo.......................................................- Issued........................................................ Date No .�-> Fizz........................... THE COMMONWEALTH OF MASSACHUSETTS a BOARD OF HEALTH ...................................--....OF.......................................................................................... Appliraatiun for DiupuiiFaf Works Toutitratrtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ............. _._ l, ...... --•--1,� n��s:,�� ............................................ ......•••--•-------------------•-------•••---••---- Location-Address o Lot No. ��2 .._. Q /�......---•--•-•--.._....•......-•---•-----._... 1! �/�!I... 1 .......... .?. !f.. f. ..... Owner Address PJ ��novt� ............... ......... Installer Address Q Type of Building Size Lot____________________ _____Sq. feet U ,_-4 Dwelling—No. of Bedrooms....... ...............................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type of Building No. of ersons.......p•l g ---------------- ------- P -............... Showers (/) Cafeteria ( ) Q ��'L -•---- Other fixtures . li1r%1> �"`l �1'z %�u°�i.....�%Y : .............. W Design Flow..... __ _d____________gallons per person per day. Total daily flow........a?e2__ '. .....____..__gallo s. WSeptic Tank—Liquid capacity/�G)__gallons Length___6.____ Width._._'T.:-/ '_. Diameter__- ._• Depth_.&:� .. x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. r Seepage Pit No.......!_............ Diameter._... ___ Depth below inlet--- ........ Total leaching arearx�.4�._....sq. tt. Z Other Distribution box ( i ) Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date...................... Test Pit No. 1 k�ssZ_._minutes per inch Depth of Test Pit____:1.4__._..__. Depth to ground water___ q!Kq&VV f� Test Pit No. 2 h_____._minutes per inch Depth of Test Pit........ -........ Depth to ground water..___L44?� J. ?2ecolt�l P4 •-••--------------------------------------------•---------- ----•-------..._..-----...................................................................... O Description of Soil 0.� .� '<U`9�_SuaS�i� 11.�_�?1....!tfiy� tS �2_ ------------------------- U . '/....... ---._ •..-•-•--------------•---..---•----------------------...._..-•----.-..--•- W -----•-•--•-----------------------------------••------------•--•-----------------•••---•••--•---------------•--•----------••------•--•---•--•-------------............................................ 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 TiTf E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been sued b t e bb000ar�of iea h. Sign ....................... r_ .171 �/ ApplicationApproved BY--- ----- _ ...a ------------------------------------------------------------------- ..��'.----r-f--�---------------- Date Application Disappr 4e or t e following reasons:---•----------•---------------------------------•-••--....-•----------------------------•-•----•--------------- ----------------------•-•-------•---'.--•----?4 .................................... PermitNo--------------------------------------------------------- Issued--•---------------- ................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH O F...... ........................................ _�ryt,........................- ��i� .... Trrttfiratr of Tomphaanrr THIS IS TO CE IFY, That the Individual Sewage Disposal System constructed ( �or Repaired ( ) - V4_:. ... ....................................................................•---------...-----------........._....._..---•---•--••--•- �6Jj2staller at---. --- -------•------ --- ---------------- has been installed in accordance with thUp` visions of TITLE: 5 f The State. Sanitary Codeed in the application for Disposal ��Vorks ConstruPermit No.____ � _. . ___Z._______. dated_.../' :___________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO SATISFACTORY. /� > DATE............................Z1__.31J � ......................... Inspector_ �:� 4,l_-=--•--------------------------............--•---- 4 �t THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HE L � .,.--� J OF.. F... ND. I . : FEE...:F!_....�...... Disposal Murk -Tonu#r ion rrntit Permission is hereby granted.... _U-. ____._. to Construct ( }�5r R pair : ) In vidual Sewage Dis sal System atNo... / `''� -- - ••• -.......................................... Street 1�................. as shown on the application for Disposal Works Construction Permit No.Al- �D..�� ated_.. ...� �.............•------......_•------------ ------------------.......-------------------••--....._ DATE ... Board of Health -(-----....-•---•--••-o--------------------•------------•__-•--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS t•, rJ l o; U O 0 S,49 /e 0 PAWY pi r pc (2SM►+-AA M/��ff3tA'Et�r ICX3dd /, d•oAr 10 7L �4 I 00 �IJS�"L. 1N OF JOHN G/STE i ND SuR� - LEGEND ��"��"°f MA�'��, CERTIPIED PLOT PLAN EXISTING SPOT ELEVATION , Ox0 = A T. tv -s 4-7 4,Y �/s ue �ur� EXISTING CONTOUR --- 0 �" oRse �; fl Y. ` FINISHED SPOTELEVATION- 0 — pNo.10951 o 4,k- IN FINISHED CONTOURGIs�tiP�� r APPROVED BOARD . OF HEALTH FSsiotaA� SAAM tALjJ � �+ SCALE, / 11 3 0 f DATE, 9116191 DATE AGEN T LOREDGE ENGINEERING CO! No CLIENT H°gym�s I CERTIFY WN TH PROPOSED - ,LI / S BUILDING SHOWN ON THIS PAN EGISTERE REGL ED SOB NO...-.� CONFORMS TO THE ,ZONING LAWS AND CIVIL ENGINEER SURVEY R . DR.BYI OF BARNST LE , MASS. 712 MAIN ST. CH. BY HYANNIS, MASS. SHEET L�OF 2 0 TA TA t EG. LAND SURVEYOR 20 FT. M/N. /VOTE /F F/TMER THE SEPT/C TANk OR L /1CN/NG P/T ARE MORETH.q/V /2"oE40.4V GRA P F A a4"O/.4 M ET.ER C'oNCRET.� COVER SiIALL BE BAaUGNT TO GRADE.(AN ,EXTRA GD/VCRC7•E. 4'PVC P/Pf /yEAVy CAST/RO/Y Co/i�R SHALL DE USED C'DYE/�S M/N. P/TCN GR/VEJOVA Y 2 MiN. CO/VC e'7 Cd✓ER CLEAN .SANS • • . BAC.�CF'/LL UQt//D LEVELMa- s IDJV P/Pf .f� • .' • • • S �— GAL. a • • • • •• • A • WAS//PD 57nNE .. .r. %*•PIFR'/�: 'SE�P/C TA)VK' D/ST. : , • • • :t • • • > s a. /4 " .. �o�f tON hL) '♦ • t • �EPfEC'Tl✓E • i i — I �2 • i • r. DEPTJ+I • •• • •• WASHED STONE : s� • s a • • • • •* • ••• PRECAST.SEt.F/4GE s •. • • • •, i • • • • • • R/7 OR ZVU/V_. Z z = 47 o g 78-'K 5L__7 to eFT,.J'7MM. ��t y�7A0MATlol `..INLETERTAC'..Ti4NI 9 �S FT C .�ftc»'y s - GJ� DI ,7LET SZPTIC 7 NX 3 FT /N,tE7D/$TRIO!/T/OK BOX. .2 FT GR4vN0 NG4TER Ti4iLE. .:0&/T1.ETDI$TR/BUT/ON"PDX 97i9 fT SECT/O/V O/� /11IL.i 7 A.Z -GNIAW o�T 7, 5 : .Sl��WAG� o,4S'~Al. SYSTEM Tj1SV1.A71I0/V O 1�#C�f�///VG t V %s"' lMEN.f/ON A3 I•'T D/ESIMV, 'CR/T/�RI/1 OtP/EA/sloN 8— -�' N/lAf Ole QEDROGms :3 o SOlL LOG C,�ReWGEL►�.SPOSAL t/I//r SOIL 7E37 TOTAJ::!•1T//►047E0 FLOW Z b., SO/L. TEST .TlrSTllf2 / A/UMBER C# Y,d�ACIVlNTs P/7S / trtEY. /d°O IfLJ�1( ,AATE! OF'BOIL TEST S/Z E A.-.ACH/N6 PER P/T 79 3Ya Pr p - Z ` RES[/LTS h/ITNESSED 8Y J R -/ �•� �I� ®OTTOM AA4C (1NG PER P/ pT' LoA ^1 /� ALRCBLAT/ON /1ATAr)*/ LASS Al, '*..TOTAL 2G A.474F M/N�INCHLEACH/NG, 4REA sQT. REs6RYE Lg4CN//V6 AREA 26 6 $Q. FT - Z p �y OF Mgss ��,tN q�� `s 1-0T s ` ? 8 ?is H 2 1Zo r,e, FAlq� Z )JOHN ✓ /y/ YA N r`o MORSE N: S U GLc 4 ha 2ss�a p T o ELOREDGE.ENG//VERB/NG CO /A/C. GISTgF�y�Q� 4v-Az.lot VAC. 7/Z )WA/N Sr.. Nsusu O GROVNO yYi4TPR: ANCOIINTEREO HYttN/V/3, M�sS. G] GRO UNO Y✓QTE.P AT EL.EV. ✓OB NO. Fs/ / ^ s* SHEET Z--OF