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HomeMy WebLinkAbout0178 LONGVIEW DRIVE - Health -- 178 Longview Drive _ Hyannis , �� A= 251-078 , TOWN OF BARNSTABLE LOCATION 7 G.G� SEWAGE # 4 #y 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' � e 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