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Home My WebLink About0019 HARVARD STREET - Health Harvard Street ., 19 Hary � Hyannis E tl A= 307 146 y 1 a J5,90 TOWN OF BARNSTABLE LOCATION SEWAGE VILLAGE ASSESSOR'S MAP & LOT CRAIG MEDEIROS-Sa" INSTALLER'S NAME & PHONE NO. r _„-„ :. SEPTIC TANK CAPACITY �{ s- \VAVI LEACHING FACILITY:(type)j.e, (size) V X NO. OF BEDROOMS PRIVATE WELL ORPUBLIC WATER OWNERS DATE PERMIT ISSUED: ��2�� DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes,-****' No .L y. a y - w Zy i v No Fx$�:........... - THE COMMONWEALTH OF MASSACHUSETTS l NO BOARD OF FJEALTH n f...........OF...... ............................................................................... Appliration for %paoul Marks Ton=ividual Application is hereby made for a Permit to Construct ( ) or Repair Sewage Disposal System at., Loca ion- ess or............ Lo �'� C?�: �Gst- . ......... /._il f- -- -- ......................... s {f•J1\Owne ......!ram !... . .tir. ...... ....... . Installer Address Type f Building Size Lot....... .................Sq::;feet U Dwelling—No. of Bedrooms.............................. .. _Expansion. Attic ( ) Garbage,Grinder( ) aOther—T e of Building ............................ No. of ersons.....................__.__.. Showers — ( )Other—Type g p � ( ) Cafeteria 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.........._............. (Z4 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' .... ----- --------- ......................................................................................................................... O Description of Soil................. --•---------•--------•---•-•-------------------------•------•--------........--••-•--•---------------.........-•----•- x V -----------------------------•••----•---•--•- w -------------- •------------•---•-•---•......---------•-----......------.........._......-•••••••- UNa re of Repairs or Alterations—Ans 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 b en iss by the board of h lth. ivy • • •------- ------ - -- (pate Application Approved BY --•-•-•-•-•-•-•-••••• ---•--...... . //' _/C( ` Date Application Disapproved for the following reasons:--.....-•----•••-••----•--------••-•-•----•-----•-•----•--•----••••-•-•----•--•--•••-------•---•----•••--•----- ................................. --------------•------•----------•-----------•-----------------.-----------._•-......------•--------------------------------------------------------------...•..... Date Permit ...... Issued_............ l' ` .1........--- Date No.................._...... Fxs............... ' ....... THE COMMONWEALTH OF MASSACHUSETTS - BOARD ® HEALTH .............OF..:..or.................................................................................. AVVIirafiun for Biiipsal Works Cn infitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (�) an Individual Sewage Disposal ,� !� � System at... ...... . • �. F .... ., Location=Address ;i- � //:,+ ov Lot'No e- J ........... .._`..4._Yt:::t✓` "t;.'rj'_....�„�j..........,,t✓`•*,.�,_. ..._._ _.... .'c�_---� n../......_ . 7 owners / Address ................ S ............. .._f:' } � t--- `-.---- �� µ..e•--- v f ,.+y.-a1."�,..__ L!f.�+� ✓r �'�"�� Z^t Installer t^ Address Type of Building Size Lot-_--___�...................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers W YP g ------•--•------------------ P ( )--- 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 ( ) aPercolation Test Results Performed by.................................•..............•......................... Date........................................ Test Pit No. 1---_------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4 Test Pit No. 2................minutes per inch Depth of Test Pit_................. Depth to ground water........................ a ..........Description of Soil.. .........: ... ............-•-------•---•----------------------•-•-•----•••.--•-_-.............................................. tU •••••-•••-----•-••••--...••--•---••••••------•---....•••-••-•-...._._...••---------------------•-•••-•••--•-•---•---•---•---•-•---••............•••••......................... W ------------------------------------------------------------------------------------------------------------- U Na"'u of Repairs or Alterations—An�sl when applicable.__. -- ZZ�,y-___ J� p Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T ITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been isd by the board of health. ............... y.____.__ ........ ✓_.__._ �= � D Application Approved By.._..... -•••-•••.. IeA�..... ...................... ........... ..... ...... ... Date Application Disapproved for the following'reasons:......................................................---------------•---------•---•-••......•••......_......- M z .....—•-•• � } Date Permit No.......... q Date ^•• THE COMMONWEALTH OF MASSACHUSETTS BOAREI OF HEALTH r %Qtrrtifirtt#r of Tom;Tfianrr T14IS IS ,:CERTIFY That th Individual Se ge Disposal System constructed ( ) or .Repaired. et 41 � �by....._.4 f F "`�'t.. r................Installer �. at. ...............................................�`� .`...........................Ir ----•-.. ----....----•-----------------•-•-••-•......-----._.....• ------ has been installed in accordance with the p(ovisi6os of T P 5i0 The State Sanitary Cody s escrlb d 1 the application for Disposal Works Construction Permit No...._ _ dated ..1_.?_.t . THE ISSUANCE OF THIS CERTIFICATE,'SHALL NOT BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................ :.'". `'l' .................... Inspector-----... ---_-----•-------.-.---_-•--- THE COMMONWEALTH OF M.ASSACHUSETTS BOA5P7 OF HEALTH No . OF.�..... ...•••••••---•....................•••-••••...... ......... .... .....__. ;f FEE!! .................. a �t'u�u ��, urku ' n #ra�riion rruti� Permission is hereby granted_ _________________ ____:__ to Constrt i' - ) or,Repair n IrYdvid $ewa-ge Disposal System f,✓ at No..___ = Street as shown on the application for Disposal Work 'Constructi` exmlt No - ated ._. ------- I AA .....— -- t+t _... Boa DATE rd F(ealt ..._ h - FORM 1255 A. M SULKIN INC.. BOSTON - a