HomeMy WebLinkAbout0546 LINCOLN ROAD EXTENSION - Health 546 Lincoln-�Road',Extension
Hyannis r
A = 272 - 181
° TOWN OF, BARNSTABLE
0OCATION 3�{la �,, C�0 SEWAGE # ".5ot,Ji
VILLAGE c., S. ASSESSOR'S MAP & LOT
�_
INSTALLER'S NAME & PHONE NO.Cac ` l\
uw ATN�y L(LS.
SEPTIC TANK CAPACITY 1606 5 4 6 0 w t
LEACHING FACILITY:(type) . - l,e«�, eJ S (size) I o do
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC_WATER
BUILDER OR OWNER y rt,,
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No j
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH .
........2ei'�'.............OF........ .. ........... - .&.......
ApplirFation for Minp sal Workii Cnonsir") an
' n rrntit
Application is hereby made for a Permit to Const uct ( ) or Repair Individual Sewage Disposal
System ---- -------��- -•---*-�`------ -- ...
---- -- ------ -- ----------------- ---
Lo ati Add or Lot No.
a
.�- — -- - .� ` art,----- ---------------- ------`�----- ,:--_,� �C ....----^-----
Address
Installer Address r'
Type of Building Size Lot............................Sq. feet
.� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — 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 ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water_.____________-__-____.
G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
.
0 Description of Soil �. .............. Z,
V ----------------•----------------------------•----------------•---------------•--- S-•-••-------------------------------------------- -------- - -------- ----•- ---------------
-------------------------- --------------•-•----•-----••-•------••---•--...............................................................
V Nature of Repairs or Alterations
Ans er when app.icable_ __ �..�__: _... 4,..................... .�Z_.-_.--_-___.
--------------------------�.__Q.. ._....___....--_ _0 ...•` :::_
Agreement:
The undersigned agrees to install the a re scribed Individual Sewage Disposal.System in accordance with
the provisions of i iT
p of the State Sa ' ary C de— The undersigned furtl era e s not to place the system in
operation until a Certificate of Compliance s b iss by the boar of heaLhf. b°_7
Signed... --------- ----------- --------------------•----------•---•--- � Q_....
Date
Application Approved BY ------------------------------------
Date
Application Disapproved for the following seasons--------------------•----••---•----............................................................................
------------••-------•-----••-•-----••-•-••--------•••--•••••--•••-•----•-•---•--•--------•-••-.....•-•-•---•-••----•--•--••--•--••--•-•-••-•--••••------------•--••-----------=--•----•-----••••-•-•---
Date
PermitNo....... .................. Issued_.......................................................
Date
Aw. . ," 1 _
No...... -2•-S� F@ ..u......._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
��^--................OF....... .........................................
Appliration for Disposal Works Tomitrnr tt rruti#
Application is hereby made for a Permit to Cons uct ( ) or Repair ) an Individual Sewage Disposal
System,.--9 6A 1
La�at: Add or Lot No.
e s
O Address
.. v �C. c.
Installer Address
Q Type of Building Size Lot______________•-••---•--.--Sq. feet
U Dwelling—No. of Bedrooms........................................... Attic ( ) Garbage Grinder ( )
111 Other—Type of Building _______________•___.-_-___-- No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ------------------------------•• .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4 Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter_---_-__--___- Depth................
Disposal Trench—No. .................... Wid1th.................... 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........................................
aTest 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........................
ODescription of Soil ..(..�..�.... ...........•--•----•---•-•------•-•--•----------•.....................................................
V ---•--•------------------•-----•------•---------------------------------------------------------
W ------------------------------------------------------------------------------------------------------------ ------------------------ ••---............. ..............................
UNature of Repairs�or Iterations—Answer when app icable. _ `~'..` _ . ............�.�.�.a...............
c o'. 1
.... .................... ......... •-- ----......------------------------------------------•-------------------.•...........---
Agreement:
The undersigned agrees to install the of edescribed Individual Sewage Disposal System in accordance with ,
the provisions of'A--"T LE 5 of the State Sa,itar ode— The undersigned further ares not to place the system in
operation until a Certificate of Compliance as b'd issue4 by the boar\l of health.
Signed---•=...............-.........L...................................................... •--•--------------•-•------
Date
Application Approved By---•-•••.� "... ..-- ------------------------------------- --•--.•...------
Date
Application Disapproved for the following reasons-------------------------------------------------------•-------•----------------------------------------......._
---------•-----------------------•-•-•--.....---....----------------------------......------------.....--I••-•--•-•-•••••-•-••••••--••••-•-•-••--•-•-•-•--------•--------•-------•--•--••---•----•-------
Date
PermitNo......VIZ._.....�-�_?--------------------- Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........7r- .............OF........ ?- ?r ...................................
(9rdif iratr of Tuutpliutta
T 1S TO CE TI Y, That the In' vidual S wage is os VIN
System constructed ( ) or Repaired
^^ I t ller
has been installed in accordance with the provisions of IT
LT1E j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.__K 7..__.._� ."�,�_....... dated------------------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT i HE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.................... --..(_�,,._ -= -----------••------------ Inspector.........
b..Q-c�---- .....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..................................OF............. ............................................................ �. ()
FEE. ..................
Biquisal urk .......granted...... ^?................ .. "" `
�� ...---•-•
to Construct ( or Repair� ) an Individual S � ge Di osal•-�:ystem
��T 4.- K.... ``
at1\<)..'..............?�._ .. ...••....� ........__..L_o....................._..._...._........ _-................................_._........._......._...__.....................
street
as shown on the application for Disposal Works Construction Permit NXj E.._ Dated..........................................
....................... � 1
^� "' Board of Health
C
1
3
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
LOCATION S SrEWAGE PERIM!.T NO.
Lot 44A Lincoln,Rd-. /-Z-y7' 82-577
Hyannis./I-/
INS A LLER'S NAME i ADDRESS
� � • ®!,l4e- Cd 1P Z G
Great Western Rd�k North Ha7*ich
® U I L D E R OR OWNERY,
15 F
.ea,9-
DATE PERMIT ISS E D
DATE COMPLIANCE ISSUED
r- - �
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C�
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A �
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t! No ..` 77.. F�s.3.�.............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD E HEALTH
...... YAol
.....................OF..............!.t.......� .g_
ApplirFation for Disposal Works Tonstrnrtinn Vrrmit
Application is hereby made for a Permit to Construct ( *Kor Repair ( ) an Individual Sewage Disposal
System at:
• �!/Y¢oL�iv q�s,..
. - ....
-�- •-------------------- ••---•--• -
o tion-Ad ess i e,eFjLot No.
,AV
•--••-....... .... ........ �i .._... .- .... _...
Owner / Addre�s
Installer Address
dType of Building Size Lot-.—.7.4.4'94P.Sq. feet
U Dwelling—No. of Bedrooms.......................................Expansion Attic (ioO) Garbage Grinder WJ)
Other—Type of Building ------
�Y/—__---.- No. of persons...:.! 'g_._______ Showers (V ) — Cafeteria (014
dOther fixtures ---------- 14------------------------------•--------------------•---------------------------•----•-••---•--•--•--------•------•----------
Design Flow.....'3................... gallons per person per day. Total daily flow-_ . 3.ej_...____ ................gallons.
WSeptic Tank—Liquid capaci ./A�!gallons ength_,P_�_.... Width.'S!_./d_.. Diameter. .'? Depth....1'_F
Disposal Trench—No. !V..A...... Width..ti�/A....... Total Length.A.. ..... Total leaching area.. .....sq. ft.
x jj
Seepage Pit No...... ........... Diameter.../,-__-__-___- Depth below inlet....¢.-.......... Total leaching area....9-�1.sq. ft.
Z Other Distribution box ()e) Dosing t nk 01,114) >
Percolation Test Results Performed by---A A&_-�'------ ���' .. ..................... Date.../7wa
.! �_.....
a
�i
1 Test Pit No. 1..4__L_.__.minutes per inch Depth of Test Pit.../ Depth to groupr.___�d�� ! ..
(i Test Pit No. 2.11A-...minutes per inch Depth of Test Pit.4� ------ Depth to ground water...V/,O------_--_
•--•---------- ..................................... ...----•-----.....................
-••---•-••-•-•---......•......................••••..--•--
Descrlption of Soil ® �>Affziv"
U __...
-----------------------------------------��. 1� a' �i4 -------y ke4---_....................................................................................
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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to plzce the system '
operation until a Certificate of Compliance has been issued by the board of health.
--�
- Date.
Application Approved B — GC'n.._..Z,
..... '4`� `�� Date
Application Di prov th ollowing reasons:------•--------•---------------•------------------------------------------------•-----------------.........••---
................... ...•-• ....... . --------------••---•------------------...--•-••------.....-••----•-----•-----•-•-•----•-•--•-•---•-•----------------•--•--•---•-------•••......--:..------
Date
PermitNo.......................................................... Issued-.......................................................
Date
nn
No. ..'f. .. F�s. .s'_ ...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALT 4
Appliratinn for Uhip ti al Works Cnnntitrnr#inn Famit
Application is hereby made for a Permit to Construct ( r Repair ( ) an Individual Sewage Disposal
Syst at
.vcaC.v .lo.a,4 .max T, .' ,✓ ,y7 .... La T
•
......�.....__......................................... ._.._. a..•--•--•--••--•--•....• ••--•---- -..............
anon-Ad ess/ � . / Lot No.
01
%Q�ivrJ// ..�w. .....:.�6r .l!! ! i•!- -• �!/�1, ' Q.. ....----
.. ..... _.lF..,I _. ....... .. --
wner Address
......................
Installer Address
Type of Building Size Lot__ -.__._ •,�!,�PSq. feet
U Dwelling—No. of Bedrooms........ ...............................Expansion Attic ) arbage Grinder (.v,�
Other—Type of Building ..... 9......... No. of persons....�St!�i�__.____:__ Showers :(,li� — Cafeteria (,v�
Otherfixtures .._.. ' =---------------------------------•--••-•••--•-•----••-•--------------••-••---------••-•••.................-•----•-•--........
Design Flow.... ............................gallons per persoy���Per dray. Total daily flow____ . _ _____._.____..._.____._.__.gall.
`•� Septic Tank—Liquid capac• yla _gallons ength,Xf.�_ Width___`�__�b_- Diameter_ �J!_. Dept .�_-,__----_.
Disposal Trench—No.AI.......... Width.��------- Total Lengthy 1. Total leaching area__* _.�7.....sq. ft.
l
Seepage Pit No...../_---------- Diameter.. Q_...__...__ Depth below inlet._.: ........ Total leaching area..-�4�z�sq. ft.
Z Other Distribution box ) Dosing (�
`" Percolation Test Results Performed by...r __<J;�:___-_- eAl.&.A-4��.. ._ Date.��� ��_.__._...
14 Test Pit No. 1.�.._ _.____minutes per inch Depth of Test Pit----14Z__._____. Depth to ground wa�_----.-•..............
fZ4 Test Pit No. 2./✓1A....minutes per inch Depth of Test Pit../ ...... Depth to ground water........................
W --
O dA�1----- .`��' d `-----------•-_---•--------••..................................................--------------•----------•••-•............-•.••_..
Description of Soil t :-3 ; �....
v ------•••-• -� 1 lyrCQlr.ci.v _: `eye /Y• ei&-r... t� ------------------------------------
W -•--•••-•-••----------------•---------- ....
--- Ora .....
UNature of Repairs or Alterations—Answer when applicable------/4 . 4.........................................................................
------------------------------------- --------- - ----- -
...--••-•••--••••••.................•••-•--•---------••....-••--•--•-•-----•--•--•-•--------_------•-•-------•---....:.--------•••-••••••••••••....-------------•-•••---••-•----------.._....---•-••---
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT1L 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 health.
Signed ......................•...---....------------•------------------•••---••...-•••---- .............---.........__..._
Date
Application Approved B: -- r `''":= 4 - ............................................................
Date
...
Application I,)• aPPro d or t following reasons:----------------------------•--------------------------•------•----------------. ....._...--
.................4......• -------•-•••-----•-------------•--------•----------•---------•-----•---•......--------••••-•--•••-•----•--------------•-------------......------------... ...----......
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA TH
...........................of :.................................
(Irrtifiratr of Tnntpliaurr
H CERTIFY, That the Individual Sewage Disposal System.constructed ) or Repaired
by....... ti!1 .....__ .
::..
nstaller
at........... .........Yt V
- '
has been installed in accordance with the pro visi of TI"'LE 5 of The State Sanitary Co a described in the
application for Disposal Works Construction P it Nc`i ......�'_47.7................... dated/ - ,. -•2� ......... , .....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................. 1�-6 I `....---- Inspector----•-------------------- . ''..........:------••-------.-•-
THE COMMONWEALTH OF MASSACHUSETTS
BOAW OF EA TH
Itz
c !......:....................o
N 011........................ FE ..r...e►::.......
R.0 s I nrkii W nnir inn rrnit
, i -PermI s hereby grante :
Co n I Sewage,Dis System
t u `
-----------•--{. ---- -----------------------------------------------------_-•-- ------•----..........at N /
Street
as shown on the application for Disposal Works Construe erm' . ...................
.......1-_........ . .... ••-----•--•-----.-----
G Board of Health
DATE �� f •--•----
0 FORM 1255 HOBBS & WARREN. INC.. PUBLISH RS
IV07F EACAVIIVG/F E/TNER THE S�PT/C TA�v
- OR
20 FT. M/N. P/r ARE MORE TiJ.q;y /2"5,=40W
ta
�
!D fT..At/N. rRAOE, � 24 •O/AMETEK CoNCRETC— C-ONER
SJV.•4LL BE a.?0ed(S"T 7'0 4*.*T ![>.�.�. ;.✓ EXT.P.q
CC/VCPRL-T•E 9rPYC P/fir �EAI�y CAI ST /RO/Y Col/.E.� Sh'14GL DE USED
M/N. P/TCN IF/N ,D.�/VEJt/A y
�.• �9�PE.Q FT.
_ 2 J M/,V. CDNC.�E 7E
Co VEAl CL EA/V .51AN10
BA
-- Uqwo LEVEL
4. 4"C.13T J - r t f 2'LAYER
t= /RON P/PE v a o o QF
:b M/JV.PlT4d GAL p/ST, • m ® • • • • • . . b ®e WASHED 5701YE
Rex I-T. SEPT'iC TAA,*K
s e 1 . IEF/=ECT/VLF r ♦ ♦ 3l4 — �2+
• • offDEPTH • o • ; v o 11�A3XED STa.�(E
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• o• e • • o • • • e .' p • � PREG45 T SEEPAGE
!Nd/ERT L'L EVA77DN 5 7 0 �. > _�_ a .o` . e • . . . • . e �� oGL�v q,/Z OR EpL//V.
!�lms�•R.T �T �l1/LD/NG ��',.� FT 6 FT. D/f1I�9. ,
l/vLE� sEPT�e r.4NK 99,a FT. _ FT PIAM. C(S��T�ULsaT/O/V�
OddTLET SEPTIC 7-ANN 9 2,9 FT r _
t NLE7rpe5�/�/Bl�TroN BO)f FT GRouND TEd�"° 7s�BLE
sEe7-io�v
,ouTLET®e37/�s,�tlTi®/1I BOX 97� FT
IML.£T LEACN.1,M2 f?/T �?4 FT. S�d�V�4Cr� ®/.�'���� .SY.S7'�J� T/4&UL�QTIDAI
LEACH11V!� 0/7'
DE5/6N CRITERIA 0 M.—A,.S at4 FT.
_.._. . ,
NU1�fdER OF EE®ROOMS 3 D,.�9ENS/®M C `�' FT, /1'i r n/.
(7AR4SA4GE D/SP0-ML- C/N/T NlJN(f SOIL LOG
Ta7A4 —=371 .-CrED FLOW 3 3 U GAL./OAY SO/L TEST A/ SOIL TEST#*2 • TEST
i�/UMBE,P aF L�.4CN/IVG PI TS_ ��E"L�°Cb! 5 9.2— �...ELF a! p.A 7"E OF' .SOIL TEST
SIDF:LL`ACHIN6. PER PIT I — SQ, PT. U — 3 RESULTS WIY/1IESSED 46Y LOf%/,
BOTTOM L,�r4CH//VG PER P/T Zl SO. A __ Lo 1"461T Ct,,4A- "/O!N RA TLC Aff LASS M/A'//NCH
TO7.4L LEACHING AREA SQ• FT. . — F'E,kC6L.A•T'/ONRA7•,EA�2 Iy/AI.�/NCH
!. G C7
RESERVE LEACHING AREA SQ. FT. 3
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NO 6ROUNC) yYATEf� a</VCOUNTEREO CL/E/VT; ��rr y r
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Q GM U/VO PVATER AT ELEV _
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No.29974
t« ,� LcJ �[=�._i�ff>.� `t_ (�
N� SULEGEND
RD
CE IED PLOT PLAN
EXISTING SPOT ELEVAYIONs -�
EX13'P1Nt� CONTOUR --- ��� A yy L�,T `1-�f � ✓c4
FINISHED SPOT ELEVATlb -.:' Y �;, f/Yf`1 >n.' . `�
FINISHED CONTOUR
' �No l0951 Q Q;
APPROVED a S®ARD. OF HEALTH. `* �� , ��\��, � �.� l
IS( e
PIN"
DATE AGENT SCALES � =_ 0 DATE ; ���z z. � �-
GE ENGINEERING Ca
.w.. ,QED
A E PROPOSED
.T. 1 CERTIFY THAT TH
E€ISTERE REGISTE�I D lic
0 'ND. g - BUILDING SHOWN DIE! THIS PLAN
CIVIL LAND CONFORMS TO THE ZONING LAWS 3
ENGINEER UI�VE DI�. !I+ :.. OF I�A��ISTA e: , ASS.
k (�
712 MAIN STREET.. K BYa J-R G
HYANN I S, MASS. � Z
v 1 SHEET....,. OF DATE= R (3. LAND SURVEYOR -�