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0055 IYANNOUGH ROAD/RTE 28 - Health
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I *,,�-,,- , . 14-14 I"'"`�", ,�, "� I i kffAIIIIYN'1111i��Iw_,� ,'� _i, ,� k�"K I 74 P ` , � 1 Wei S X YV4,13e'e 1�AT A . ___ �N.� _,,�, �, ;,i' 11 . � V_ I �,::: - "no 5. I .._______. �--.".�.,--.��-��,-.-��-,��--,-, �1�1�1�1�1��, - 1, It 1 W_ I I N MON. w�j L0C,AJJQN SEallACE PERMIT NO. - � { ", ! A ASSESSORS MAP NO: ` PARCEL I � I N S zTp LL R'S A M E A A0DREST vv u S Ull E R OR OWNER DATE P E R M I T ISSUED 1 -DATE COMPLIANCE ISSUED A r i t—+."ter—! f I Nell f I C4>N ,, r' j L O:CA.T, ION SEWAGE PERMIT NO• VILLAGE f /2/9/m INSTALLER'S NAIVE & ADDRESS aooz BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �-l� e� � z � Q�. �� � �� .. ,. _. 00 0 �_ " -'o M � �' � ��. � � � .. c' V T ` � � \ x � � � � � ` �, ` ' � i �� � � ,, a "��_ � � � � . s�-� r "'s �� <, •L 1r! l No _ .. � F.E$...�.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ................ own--------------OF....Barnstab.� e Appliratiou for Dispvaal Works Tumtrurtiuu Prrutit Application is hereby made for a Permit to Construct ( ) or Repair)tXy) an Individual Sewage Disposal System at: 55 Iyanough Road Hyannis - ---• -•................•--------------....-----------••-----........••..........----•-•---------------- Location-Address or Lot No. ........... 01!i1 PI.Q ...Rea1t.y...2'.ria_St...................... ..........-•...................................................................................... Owner Address W J.P.Macomber •.............................................•--•-----...............-------•--........---.-•---- -------•----•--•-----••-•-•----•----..........._..------•---•-----•-•----------...._........--••-- Installer Address U Type of Building Size Lot............................Sq. feet 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. tx Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter----.----.------ Depth-....--......... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...........---------sq. ft. 3 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..-..-..---..-----.----- f3 Test Pit No. 2................minutes per inch Depth of Test Pit..----.............. Depth to ground water.--_---.--------.------ a --------------------------------------------•----•---•-----------.... 0 Description of Soil........................................................................Sand x U •••----•-------•-----------------•--•-•-•---•----•--------•------•-----------•----••----------------••------•-•---••--------•-•-----•-••-••-•-------•-•-•------------•-••-------•-----•-•--•--•--•----- W U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ •••----------•-------------•--•-•-------•-------•-----•-••--••-•-•----•--•-------•......-------------•----•-•-1-H 2-Q..-5-ep-t.c----ta Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Ti T`"l;. p 5 of the State Sanitary Code—The undersigned furti er agrees not to place the system in operation until a Certificate of Compliance has bee issuedy th- j bo rd of hea h. Signed.... (e.., .., .... ---...................... 3l 1318 9.. ,�q� Date Application Approved By._ __ _-_ e-_-4 --------------- Date Application Disapproved for the following reasons:-----•--------------------------------------------------------•-----------------------------•--•-----.........-- --•••-•.------...•................•------•-..........------••-----••----------•....•-•------•••-------•------•---------•••--•------•-----•--•-----------•••-----•---•----------••---- •------- Date Permit No.- &T� Issued Date ` Noe l F "y° •"�• � 20 00 ._% m$..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............Town...-----------.OF...Barns.ta 11;^.................................................. Allp iration for Uiopoottl Works Tonotrnrtion rrntit Application is hereby made for a Permit to Construct ( ) or Repair y(rX) an Individual Sewage Disposal System at: 55.......... I-✓a v o u c h.........................Road H y a n n i s ----•------------------------------------------- Location Address or Lot No. '✓•1.0 7.,1 y1 1,t — 1.hldh`<_t----------------------- ..........------------............................................................................... Owner Address W J. P.Macomber •................. -------- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — 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................ 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..................... rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water._______________--_____. a' -•---•---=--------------------••--•-•-•---•---••--•-------...._.....-----------------...............-•--•••-•---•---------••--•---.......................... - O Description of Soil....................................................•...................S_ n x W UNature of Repairs or Alterations—Answer when applicable.__________________________________________________________________________..................... 20 Septic tank • • ---------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI T IE ;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_.-T 41 , l../..f � ' t•� ------...... .......................... C I ; Application Approved By__ 1y - ________ f ate Date Application Disapproved for the following reasons:•-------------------------------------------•----------•-----------------------•---------------------........._ ------....-•--------•---••-•-----•----------•-----------------------------•-•--...•..--------.......-----'----------------------•------------•------------------•-------•-------------------•-•--•_---•-- (�� Date PermitNo..../V` ........ -= •/--------------------- Issued.................. ----------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable OF..................................................................................... TUrrtif iratr of Tontplittnrr TI_ISP:M Is TO C RTIF That the Individual Sewage Disposal System constructed ( ) or Repairedn(;X) Tacom er jr . by--------------••- -------------••--•---------••------.-----.--------•-•------.---.----------------•-----.-.-•-------•-••------ ------. 7 Road "yannis Installer h ,.v ..I:rst)gl7 at...................................................................................................................................................................................................... has been installed in accordance with the provisions of TIT'_ of lde Sate Sanitary Code as described in the application for Disposal Works Construction Permit No----- _..�"" .../...... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......................•--•--•-•-•-•-----.........._•-••...........---•••.------ Inspector....-............................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / 7 Town Sarastaib1,El -- "q ..............................OF.... .............................................................................. NO.... ..i .............. FEE....:.................. Disposal orks Tonotrnrtion rrntit J. Ma com.jer Jr. Permission is hereby granted........................................................................................................................................ _._.. XX X to Construct ( 1_)o f Repair J `an.Jn-dividuaI Sewage Disposal System gn at No........ •••••--••--•-•-•-•••••-•......---••---•..........••.. •-----••-••.............•----.........•-----. --------•----•----- �. Street 1 as shown on the application for Disposal Works Construction Pe t No.. -7__/ !Dat� ..... _. __. .. ..... J . Board of Health. DATE---------•- /-16C FORM 1255 HOB & WARRE INC.. PUBLISHERS ) L0CA* jION SEWAGE PERMIT N0. - LO • PARCEL INST 11 R'SA�ME a ADDRESS V. s UIL ER OR OWNER DATE ERMIT ISSUED DATE COMPLIANCE ISSUED L Ot A T ION S E W A G E PERMIT NO. VILLAGE �j INSTA LLER'S z NAME m ADDRESS / ` 1/3 � 066 AOL S�rll le f j j BUILDER OR OWNER DATE PERMIT ISSUED DATE COMMPLIANCE ISSUED