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Home My WebLink About0010 ISLAND AVENUE - Health ' 10 ISLAND AVENUE ;76r HYANNIS A= 265 - 004 %WN OFBARNSTABLE LOCATION SEWAGE VILLAGE /7 I all ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.J SEPTIC TANK CAPACITY— /�rS a L T LEACHING FACILITY:(type)�6-76 ��GS (size) (Y) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER. BUILDER OR OWNER__(4A,_,�)4 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED VARIANCE GRANTED: Yes `No I c, I1\\\\ � � t\ � \ v \ � iJ. r (N N �� ^� � -' � i � '�— � � �� !i ,/�� Il_ ctwY ¢3 Fim.... ...20.00 No..rat....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF _HEALTH Town Barmstable .. . ...............O F......-........................--........ Applirati.an for 3lispaiial 10orkri Tonstrnrfivit Famit Application is hereby made for a-Permit to Construct,.( } or.Repair �X ) an Individual Sewage Disposal System at: , House Squaw--Island Hyannisport . lst Ho on ..................• .............•-- ......... ... - .......... - ........................ Location-Address or Lot No. Humphreys Owner Address a .JP.Macomber Jr. = ,........... ............ -- • Installer Address PQ UType of Building Size Lot............................Sq. feet Dwelling X No. of Bedrooms....................4......................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) p' Other fixtures 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pd •---•-•----.---:---------------------•-----------•--•----...._..--•---............•---------•......---•••...--------••-•----•-----•-•----......_... 0 Description of Soil........................................................................................................................................................................ v --------------------------------•----•--------------Sand ....Gra--- -vel .......... ••-•--------.................................... - W U , Nature of Repairs or Alterations—Answer when applicable-------........................................................................................ --------------------------------------------------•-----.....-----...-- -----,..... .-1500 gallon_ tank _..tallies---•--..............---••------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TA I'L� 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue b the and of h th. Signed 5. x .:. 8�29�89_.... Date Application Approved BY ? ..e ....................... =.3 Date Application Disapproved for the following reasons:................................................................................................................ ----------------------------------•-------•-•---...-------•--•-•-----•. --•----------•-----••-----•---•••-----•-•--•--•-••-•••--------------•--------•---•---------•-----•------------....----•......... Date Permit No...... - Issued....................................................... Date o.. ...... .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... . ................. ...... OF................. A Appliration for Disposal Works Tonstrurtion rantit Application-is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: S q.un, Gv 'I s 1 1��nctl ll'y,,;.n nJi sport . 1 17,t Roil se e on left ................................................................................................. .................................................................................................. k r! Location-Address or Lot No. ....................................................................... .................................................................................................. j P.M- omr �j Owner Address . ..........,........................................................................ ........................................................................................ ........ Installer Address U Type of Buildifig Size Lot............................Sq. feet Dwelling No. of Bedrooms...................11......................Expansion Attic Garbage Grinder P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ..............................................!.............. ........................................................................................ Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width..............__ Diameter__............_. Depth_.._.__.._..._.. Disposal Trench—No. .................... Width.................... Total Length_...............:... Total leaching area........--..........sq. f t. Seepage Pit No..................... Diameter_._................. Depth below inlet......_............. Total leaching area..................sq. f t. Other Distribution box ( ) Dosing tank ( .) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit--------------4..... Depth to ground water------------------------ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit____............._._ Depth to ground water......._........._..___. ................................ -----------*--------*----------------------------------- ------------------ 0 Description of Soil.............................................-------------------------------------------------------------------------------------------- 9a ---------------------------- U ........................................................................................................................................................................................................ W x ---------------- -----------------------7.......................................................................................................................................................... U Nature of Repairs or Alterations—Answer when ..........I..............................................................................a.V.,-p-l.i.c..a.b.l.e'--.-.-.-.-.-.-.--.-.--.---.-.-.-.--.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-i..;- .-.-.-.-.-.-.---.-.-.-.-.-.-.-.-.--.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.- 50 '-1 - I.....1 . ..- . I .0,) L� n . . 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 bee#n issued by the board of Ith. /�' lit 1 .................... ................................ Date Application Approved By...............b.....�. .. ...................... ..... ........_1 Date Application Disapproved for the following reasons-................................................................................................................. ......................................................................................................................................................................... ------------------ Date C'e- PermitNo..... . ..................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................0 F.................................................................................... TpWrtifiratr of Toutpliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by J_P.MPr1,,)-- J)or Jr.. -------------------- ------------------------------------------------------------------------------------------------------------- Installer Sqluaw 191,r)nd Hyannis P Qr 3 $..t_ _.t at............................................................. Houze--an...'lef t................................................................... has been installed in accordance with the provisions of 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......E5�-....Y..3..5 ... dated-....------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......................ot..m.... I........................ Inspector................ ----------- .......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tor� Barnstable ......................I....................OF..................................................................................... No.... 5 FEE......$............. TOnstrurtion Uprrutit Permissionis hereby granted.......:........................................................................................................................................... to Construct ( Repair ividual Sewage Disposal System ) or Repa an I y atNo............. !t�............................................................................................................................... Street _1 as shown on the application for Disposal Works Construction Permit N Dated.......................................... ...................................... ................................................... DATE. _J Board of Health :n.&�............................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 10/13/21,3:15 PM ShowAsbuilt(1700x2800) -1,4*t Xeljo, OP BARNSTABLE )cTcy. i LOCATION_5a--,,,:wA— _SEWAGE#_ VILLAGE ASSESSOR'S ASSESSOR'S MAP&I.OT_ _ ll r INSTALLER'S NAME 6 PHONE NO.CJ_ ` SEPTIC TANK CAPACITY ,S�l p L _ LEACIUNGPACILITY:(tppc) C-6I%tb�(size)!y� NO,OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: ' C6Pi —_ DATE COtIPLIANCE ISSUED: 9• )-:-'%I VARIANCE GRANTED: Yes No t `0 i https://itsgIdb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=265004&sq=1 1/1