HomeMy WebLinkAbout0146 LEWIS BAY ROAD - Health 146 Lewis Bay Road
Hyannis
A = 326 — 116
i
r
LOCATION : / SEWo,(:StE PERMIT MO.
u►�LpGE �����w-s �_�y ��� � - -
IWSTQLLER 5 W&ME ADDRESS
�annLs laija ss
5.UILDE-R 5 Q &m-F- 00,
[�DDRE SS
-
D4►TE PER IT ISSUED = ��—
D ATE COKAPLI &&ICE ISSUED :
d � �
1
1
-L�?�• S 0
i
No2..... F ............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_"/s w �- ... _. .............OF..... ..- .' S..l E'.b..l��.........
Appliration -fur Ui.ipuial Worko C iltuitrurtion Mani t
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
6 Gam, ®_.. /� _ _ �a.r s j
.......................................................... ---- --------
_Loe iyn_Address or Lot o.
�i I-5 l` -bd—/ � fey ✓L,1-� �-�a.d O ie �a� /�'
' 9wer Address
Ze
Installer Address IV
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms..----------�
............................Expansion Attic Garbage Grinder
per, Other—Type of Building c=s. i.1...y......______ No. of persons..__.L________________ Showers ( ) — Cafeteria )
P' Other fixtures ..........................
W Design Flow............. _______r-
P4ons per person per day. Total daily flow............................................gallons.
Septic Tank L Liquid capacity ____ ons 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 "Pest Pit-------------------- Depth to ground water.._.___-__-_---.--.-.._.
Test Pit No. 2----------------minutes per inch Depth of Test Pit--------------------- Depth to ground water---------------.---.___-
----•--•-----------•---------
O Description of Soil----_----c ��2. ... ......... ------------------------------
U ........................................
W ------ --------------------------------.----- -•-----------_-; ;-- -------•--------••-----------------•----- -• .......
VNature of Repairs or Alterations—Answer when ap li le......./. ... �.o_.o
- .�_�-•. _'` -------��' ... c � P�ac 'K` = -----------------------------------------------
Agreement: t
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 board of health.
figne fit . /
D6
ApplicationApproved By. ----- . ... ....I.. . ...... a........................... ---------------- -------------
Date
Application Disapproved for the following reasons:----------------------------------------------------------------------------------------------------------
..._.
Date
PermitNo......................................................... Issued........................................................
y�
Date
No.. .: FEs....................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�. " . ...._.. -- .oF .....�....... a.- ^..�...� .. ..b...l- .........................
Apphrtation -fur 11.4poiittl Workii Tottmrurtioat Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: ,--
i
-•• ••••••••--•---•---•••••••••--•••---..........••.`..�..•-••-•-••••-- --------------••- •.......••--
� Location-Address .€ or Lo....o.
< - I X/. et'-G S . /_u -c Ap/
•----------•---•----------•-----••-••-•-...•• ••-•••-••....•-----••. . •-•---••. - - .!.> _ - �• -----
Ow er Address
Installer Address
Q Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic (it tea? Garbage Grinder ,(iv
Other—Type of Buildin M '/�r
a g '----------------- No. of persons------- Showers ( ) — Cafeteria ( )
dOther fixtures ----- -------------------------------------------------.------------------------------- -••-•-•--•------•--•----_---- -----_---------------------
W Design Flow..........................................•-gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank-/-Liquid capacity llons 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......---_-..-------. -
(_, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_--.----.----.---_----
------- -------------•-----------------------•------•----•- •----...••.._...
O Description of Soil-----.---- i.�'�/G'L `�`L = c_ - Y Lr.�--. 1... 1 '---------------------------------
x �/ `"
U - --------------- --------•------------•--------
W -•-------------------- ----------------------------- ---------------------------------•---------------------- --------------------------------••--•-•----••--•--•----------------------
U Nature of Repairs or Alterations—Answer when appli le.-.._.. _(___.4�f�n._ 1�_-..%._�_ _°.. •
•--- ----_—n_.�-''-�-------•�•---------'- ---------C�------. -7 5 �--e.-�!: _4".7.............•... 1---•.---------
Agreement:
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 board of health.
! /'
L - --
Date
Application Approved By------------ l 4�, �( ---/ ---�f-.--•--. ---- ----•
Date
Application Disapproved for the following reasons:-----•--------------------------•-----------••-•--------•---------................._....... ----••-•--•---•----
-------•-•---------------------------------•-•--••--•----•------•-------------------•------•--------------------•-••----•-------------- ----------- ------------------------------•-
PermitNo......................................................... Issued....... v ^` ......
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........oF................ . .... ................ ....................
1 (Errtif iratr of IVELImpliatttrr
THIS IS 0 CERTIFYjt the
ndividual Sewage Disposal System constructed ( ) or Repaired
U Inst r
w Icy
aller� �
at ? ?-d ---=-----•---�=-=--------
has been installed in accordance with the provisions of ��e XI of The State San-i�tary Code as described in the
application for Disposal Works Construction Permit Ne _-�.1?__r�------------------- dated-._G-__-_---------_-`_
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS GUARANTEE THAT THE
SYSTEM Wly FUNCTION SATISFACTORY.
r,�le C
DATE---------- ===-------- .......1............................................. Inspector•- •••------------------- -------- --
THE COMMONWEALTH OF MASSACHUSETTS
7t BOARD OF HEALTH
//, J
�......OF_. .. ...............................................................
FEE.... --—�
�i��>a��l, urk,� C�a�a�,��tratr�ti�at r�r�tit
Permissio�is�hereby grantedi.. . ._�_�i"L .------------ ----------- -•-•---•---...--••-------
.....to Construct Ior�-Repair ( n Individual age Disposal System lat No i .� - �rG`''f `�
Street
as shown on the application for Disposal Works Construction Permit No.._.....:n_�!_ Dated__- ._ 0_-S� 7�
l 1111...
--------------------------
-----------
r / Board of Health
DATE.Z!_.'......................................................................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
A. EARLE H. WEBSTER,
40 LEWIS BAY ROAD.
HYANNIS. MASS. 02601
'TELEPHONE 775°•1;1'12
June 22-, 1976
Board of Health
Town` of,,Barnstable
Hyannis, Ma
Dear Sirs:
This letter is a request for a variance
with regard to replacing an existing
cesspool . I understand there is a
problem with the boundaries .
Sincerely yours, 000,
°Y
Mrs . Mima A. Webster
146 Lewis Bay Road
Hyannis , Ma.
,.gyp �• �,
y, 5
z.• :. .. �-- , �: _ ,.,r �;..' 4 ._: �_
., ,.' « t•e....»o..r.-,.y.i: "�?�3TR=ry: ,B, ,.. S ,s. �v 4 .r, .h,f
'x't
_ e.b, -,..�.x.. c,... �� .... ,y.,, v. ... ,-.. ._... a.r�, r r�... .. .. .a. t'.,.x ... ..:� �t,_ - ""'�,`d'_"a=+a•:" ..,=•�f' � ':g:c�'a �.:.:� P: ks�.�
,. � ,. :w.'- .",..._ ,-.,.s._ ., _ ..: .. ,..f n:,.. ... :- '�..::x�, _�°'�'..:. :.:.--6 .-:rY .,....,� .....a.:. .. .-ram.-� �'. - ;�� -,i ,:.;�'` •�
4 �r.. ..» .: .F.-. _. " we.,-�_,.y x, .:_. � .f_,,�"� , ~<n:.-- t. �'�x, .ter/-� ��� ��,:� s': "�• - �.
ti- �, T.' a.. _�_, t ,..; .„ ...-..:\.r..,. ,' ,.. ,Fr. x r ' :;z4, �.•' ._ ...,,,: ", � a." yR:�`;� ""� ��' {s ,'. .�rr .t..
41
.. . .,� ... ;,- ,. -.;. ;.^s;,: - ,_ �_« .x_x:Y., e r 1"-°' :•5..r�K d .?.�,: s-.g .,a'a 1 r .w 3. �wr�,r � �.. _
- Y
, a. .. .... ... ...�:,,., ..., -r ,. .. -. ,," .- -.: ,..,.,�, t-�- J.u s",. �a.. �- . � --ro,s u ,k a•'-f :s;r� „v�'� A
r
� �:_-•-�-�- �_ �- t
®i �t
,., 4 ;.. - - ._ ,..1'.`- _ '�' -.' ,�,•7 v`�, .ten - '� �" .:•.
X.
ry
ko
NI
71.
1
it
-
- v
t
Fee--- -----------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
I pplicat ion-*r V ell Construct ion Permit
` { Application is 4erebyy made for a permit to Construct (Alter ( ), or Repair ( )an individual Well at:
Location — Address Assessors Map and Parcel
----------
--- - - --------------------------------------
--------------------------
Owner Address
Installer — Driller / Ad ss
Type of Building y
Dwelling � ` ' �--------------------------------------
Other - Type of Building------------------------------ No. of
--- Persons--------------------- -----
Type of Well-- ---- .- --- - Capacity--`�---�a--���----------------- -
Purpose of Well
-`,-�-`�- - s -------
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation un ' Ce ' icate . pliance has been issued by the Board of Health.
Signed -- --- -� �� ---
if
date
Application Approved By— -------
date
Application Disapproved for the following reason .
date
Permit No.- � - ---- Issued----- - - - -- ---— —
--
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
C ertif sate ®f Compliance
THIS T� CERTIFY, That the Individu#1 Well Constructed (Altered ( ), or Repaired ( )
byG<��2�
- ---------------------------------- - ----
Installer
at- 7C .�/�,s —/ti/Alll�hv
has bee installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. ��A Dated-----THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-------- —- -- Inspector-- ---- -- -------- ---
NO. --- - Fee--- -----------------
Y:7
BOARD OF 'HEALTH
TOWN . OF BARNSTABLE
r Citation-for Veil
�lCongtruction ermit.
App ication is ereby made Eor a permit to Construct ( A), Alter ( ), or Repair'( )an individual Well at:
'Gocatwn 'a Address - Assessors Map and Parcel
Owner Address
- oo �� o -5�- -`�Xrrrr --------
--- `� -
— Taller — Driller / Ad4,4ss
Type of Building
;Dwellin ���L,-q��------ -------- ----------
�Other.- Type of Building----=------------------ No. of Persons--- --------------------_�_-____
C'�fS� CcJG '' Capacity-
Purpose
---------
Typeof Well--- -- `'�' ------ -=—=--- - -----------------=-=---
YP ----------
�v�sko,�,�s
of Well----- ---"----------------
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place•the well in operation until Cer ' icate . - `pliance has been issued by the Board of Health.
Signed -- --- -� --
date
APPlication Approved By -------
date
Application Disapproved for the following reason .—=------------------------------,-=—__`_:�-�—:
— ---
date ---
Permit No. Issued--- - -- -- --- --=—— -------
date
$�!aZ+'.Raf:iTa'T.aQo3iQieaCaQiR64eea`QSSm.T.o�3p+}aeaQEdYv:Je9a�tly�olb�lScRrleseiaa.EoQct9,'osiOK]1o442mib6ls'4e4aQ®Q6Q.�#cee'QveeSehe'fa'Dyes�laffi6Qa!6o eQetm"s��eQaRwSewMii!!u0ssatslbeSQals
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TT.CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired
b L 1F�/Z G� �f� - --- -- --- - - -- - ---- --------- -
---
Installer
has been installed in accordance with the provisions of the Town of Barnstable Bqar4 of HealthPrivate Well Protection.
Regulation as described in the application for Well Construction Permit No. 419 - Dated ---- -----
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE=-------- --- --- -_ Inspector-- - -----------------------=--------
r6'+der►4rsr►asesasa44eG2iei}awieae(i9eaasasasasi@iwrlRrTaSawiiT G?Ii9rerQr9YTrsaii}Ifi9,peieieasawrerlrsaselr!aarsa9ilSieiQr94�.s'!aQWwei$s�isisiwi?ie:�a4a96_YiSi+oea!MebriV!S?ali'
BOARD OF HEALTH
TOWN OF BARNSTABLE
Veit Congtructionjermit
No. - Fee-
Permission is hereby granted C 4&&_ ,2 14L'
to,Construct (�O, Alter.( ); or Repair ( ) an Individual Well at:
--------- ---- ---------
--------------------------
Street
as shown n the applica 'on a Well Construction Permit
No. Dated j n
l Vd
n
Ik-----— 3— / —
-IplqqBoa off Healthy,
DATE __