HomeMy WebLinkAbout0178 LONGVIEW DRIVE - Health -- 178 Longview Drive _
Hyannis ,
�� A= 251-078 ,
TOWN OF BARNSTABLE
LOCATION 7 G.G� SEWAGE # 4
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S
VILLAGE Am N SSESSOR'S MAP & LOT ��" } ,
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY !U
LEACHING FACILITY:(type);2— (size) yId e`
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
x
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:J-,3-1-/ e4
VARIANCE GRANTED: Yes No v'
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ASSESSORS MAP NO: J
PARCEL NO' 'n -
--�" 30 00
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Diti-Voottl Work-4 Tomitrurtiou 1hrmi#
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
178 Longview Dr Centerville
................••---...-•------....--•-----•---------•-•--•-------------------------------------- -------•--•--•-----•-•---••-••------------------••-------------------------------•----............
David Niven Loca lion-.,\ddress or Lot No.
................................................................................................. -•-•---•----•-------••---------••--•-----------•---------:..------••------...---------.....-...---
Ad ress
w W.E. Robinson SOewnptic Service P.O. box 1089 CeAndt rville
,.� .................................................--•--------------------------------------------- -----------------------•••------•-••••--••••---------------------•----------------..........------
Installer Address
UType of Building 3 Size Lot............................Sq. feet
Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—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__--________---
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........................................
,a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water----_-.--.--_-___-_-----
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water..._.--.:-_-_-_-._-.---.
a -----------------------------------------------------------•---------------------------------..----------
.--------.--------------- --------------------
0 Description of Soil sand
w
UNature of Repairs or Alterations—Answer when applicable.-.-_...-install -- 1 , 000 gal....................................................
stonepacked overflow
r ..............•••---•-••--•-------------•----•-----•----•----------------------•---•------------------------------•--•-------•----------••-------------•------......._....-•-------•••--............•-
Agreement:
The undersigned agrees to install the,aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the-State Environmental Code—The undersigned further agrees not to place the
system'in operation until a Certificate of Compliance has be is ed by the board of health.
v
Signed /' ,
Dare
Application Approved BY ............. � w
- e --
Application Disapproved for the following reasons: ..... ........ ........_.............................................................. . .-- . .
-----'---°----------------------------------------------------------------------..._..---------------------------------------------------------------------------------------------------------- . ...._...._.............-
Da
PermitNo. ------ --.�t,J^--------------------------------- Issued .............._.......... ------- ..........
r
Dace
Nub "f .
F�s��......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
i
Appliration for Ui vaiml Works Tva ttitrnr#ivit pumit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
178 Longview Dr Centerville
........................................
-------------------------------------------------------- --•-----------------------------------------------•--------------------------•----------------•---
David Niven Vocation-Address or Lot No.
.................._....................•. •...•--•------------••........................... --•-------"•----------•--•--•-----•••-----•-------------------••---•----------------...........---
Own r • Address
W W.E. Robinson Sep � c Service P.O. box 1089 Centerville
Installer Address
UType of Building 3 Size Lot............................Sq. feet
►� Dwelling— No. of Bedrooms....................................... ----Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons------------------------- Showers ( ) — Cafeteria ( )
d 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 ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
(X4 Test Pit No. 2................minutes per inch Depth of Test Fit-------------------- Depth to ground water........................
04 ;. -------------------------------------------•-----...-----................-•-••••--•--------......•••..........................................................
DDescription of Soil sand------------------------------------------------------------------------------------•-------------------------------........_....---
x
-- ----- ---
x install a i , 000 gai
U Nature of Repairs or Alterations—Answer when applicable.______--------------------------...............................................................
stonepacked overflow
-------------------------------------------•----...-----------------------------------------------------------------------------------------------------------------------------------..............•---
Agreement: t
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the .„
system in operation until a Certificate of Compliannce.hs be. is board of health.
. ........ ..-
.....�.Signed .... / . ...... ........................-- %.... hate -
Application Approved By ............. .� ..............
- --------------- --------- ----------------------- .�..-. ---�----- 5=
Dace
Application Disapproved for the following reasons- ------------------------- .---------------------------------------------------......----------------------------
------._--------------------- ....--------------------------- ---------------------------- ........................................---------------------------------
Date
Permit No. ----?�".��i--------------------------------- Issued • ...._.................... ... . --
Dare
—. ._—— —_ — —_—__. __ ———— ——__--- — ———_ ___—---—__._-- —_—_----_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
QLPrtifirate of Q-11omplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) '
W E. Robinson Septic Service
by -- --------------------- - -- -----------------------------------------------------------------------------------------------.......-----------------------------------------
Inual ler
at 178 Longview Dr Centerville......... ......... .......... ,
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. -------- .. ..-..�ii/1........ dated --------------------------------- ---------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THEt
SYSTEM WILL FUNCTION SATISFACTORY.r- ' J
DATE........ . ......��'"- --.- .``�........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE 10.00
FEE-......................
f
Disposal Workii Tiunitrution ramif
W E. Robinson Septic Service
Permission is herebyranted....._---"__--_-_.-.. .
g
to Construct or Repair ( x) an Individual Sewage Disposal System
at No.... 17� Longview 'D--r- Centerville ------------------------------------------------------------------------•--........
Street
as shown on the application for Disposal Works Construction Permit No._7 �i16,\__�Dated---------� .�/: ?q........
--•-••-• -•-•-�B!oard of
-f"H-ealth"--"--------••-•---•-••--•------•---•--•-------•----•----------- - • -"--- - -"-"---
DATE-----••--•"---"--•-/-_..:-- -Ll QQ-!:.........•-•••--•"--•--------
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS