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Home My WebLink About0051 MEGAN ROAD - Health 51 MEGAN ROAD Hyannis A = 292 256 9 61-0 No. ............... f F� . ....... THE COMMONWEALTH OF MASSACHUSETTS j BOARD�.FHEA T O F... Appliration -fur f3iiiVomf Works Towitrurtiuu Prratit Application is ereby made for a Permit to Construct ( --4 or Repair ( ) an Individual Sewage Disposal System at �___ .or_Lot_No-•--•---- / Location-Add s � . Jr✓-. ' ......... ----•-... ------- -------------------••-••---• •---•---------....................... �� Address Installer Address f Type of Building Size Lot_/- .,. ?,�----Sq. feet U Dwelling—No. of Bedrooms.-___--__�--_-----------------------Expansion Attic ( ) Garbage Grinder ( ) p•, Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures --------- -------•----•------- -- W Design Flow.......... ...................gallons per person per day. Total daily flow.............................................gallons. USeptic Tank—Liquid capacity___--._-____gall ns Le g t................ Width......-___-.--- Diameter---------------- D nli . .........._-- T Disposal Trench—No�Z�_ . h.�_:---------- Total Length.................... Total leaching area-.._ sq. ft. x !� Seepage Pit No..................... Di eter_....._.........._._ Depth below inlet.................... Total leaching area.-.------- .......sq. it. 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...-_-_-._-__.--._-..._- �14 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water--.--.---__----.___.-. - P4 --------------------------------------------------------------------- -----------------------------......................................................... 0 Description of Soil_____ __ U --------------------------------- .................................... ..---_...................................................................................... ------------------------------------------------------------------------------------------------------------------ ---------------------------------------------------------- ------------------------ V 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 Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bN�i.ssuedboard of he tSigned .. . � te Application Approved By.__...- �� .. - .___ -- ate Application Disapproved for the following reasons:........................ ------------------ ..........................................•--------------------............_..---•--•--•••---...----•-------........------------..__.._.....-----...---.... -=-------------------------•-•------------- Date PermitNo......................................................... Issued -----> Da e No..- FE r,2 ,1 ....................... THE COMMONWEALTH OF MASSACHUSETTS / BOARD F H EA T Applira#inn -fur 13Wpaiiai Work,6 Tiatuitrnrtinn Vernti# Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: •-•- •— - - Locarion_Add s � , orLotNo. ....••..... .................... .............. ~ .......................... •_ ---........--•-•---•---•---••--•--....•-•-•---- W Address w ..- � Installer Address / (; Q Type of Building Size Lot .. .,..._.. ._._._....Sq. feet V Dwelling—No. of Bedrooms---------. -----------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons.........------------------- Showers ( ) — Cafeteria ( ) Q' Other fi. tures ---------------------------------- w Design Flow----------- ... ..............gallons per person per day. Total daily flow--------------------------------------------gallons. 9 Septic Tarik—Liquid capacity------------gaAt ons , Ljnpgth----------_--- Width-------......... Diameter_-_-_--..--___ D rth -------------- xDisposal Trench—No _ h_�_---- --- Total Length.................... Total leaching area... o -sq. ft. Seepage Pit No-------- Di eter__.___________...._. 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_..--_-..-_---._-.-..._. G14 Test Pit No. 2----------------minutes per inch Depth of Test Pit-------............. Depth to ground water-.__...-_________-_..__. ►x ---------------------- ----------------------•-•-----•-------------•------------------------------•......................................................... 0 Description of Soil........... :... K2........... ----------------------------------------------------------------------------------------- x �� U .:............•..-- `......---------------------------- ------------------------------------._-------------------------------------------------------- w V 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee is ued b e board of h tkr. Signed,. - =---------------------------- --- •-- - --- ........ bace. Application Approved By -- ----- ------- -- - Date Application Disapproved for the following reasons:................................... ............................................................. ---------------------•------•---•---•-------•---------------_---•---•---------•-----------•--------------------------------------------------------------------.-------------------------------•-------- Date PermitNo........................................................ Issued...................... ................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT . .................:................O F.... `y� .... 0................................................... T.Wrtifira#r jaf f�nrnt �i�tnrr THISPITO CERT FY, T t the I 'rvidual Sewage Disposal System constructed ( or Repaired ( ) by............ ---- ---- --- -------------------------------•--------------------------------------- ------------------••••-- --- � ns/ at -- `�-/ Per e .....--- --- --------- --- - --------1 - e - has been installed in accordance with the provisions of Article o,,�r Th�,g State Sanitary Code as described e '�the application for Disposal Works Construction Permit No----------- a:�"°:ifJ-.......... dated...._____ .. __._ .ZD...•.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARAN EE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. Inspector----- ------•---------------------------------------•------------------••••-•-._•--- THE COMMONWEALTH OF, MASSACHUSETTS BOARD F HEAL ................................OF.. ==�'� Z .................---------------................ eYj No..... �'`- .FEE........................ �FI �nrk,� �- U.r2l2ilzlrn.' rPermission is reby granted----------- --��_ ''� _- ----- _ - ------------...._.................................................. Construct ( or 4pair ) an Individual Sewage Di 1 Syste ----- Street rs as shown on the application for Disposal Works Construction P'-r5 No.__..x".?___ :-�___ ed"" +°a.. _ Board of Health DATE. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ,TOWN OF BARNSTABLE LOCATION S/ 179e0rZ9A.2 RV. SEWAGE # . VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME S& PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY /dam h LEACHING FACILITY:(typge� ((5m} (size) 62"e/i_ NO. OF BEDROOMS PRIVATE WELL,OR LIC TER BUILDER OR OWNER d-2-) f� DATE PERMIT ISSUED: �� DATE COMPLIANCE ISSUED:®�/ °' 17 VARIANCE GRANTED: Yes No� th � �' f; y �� - � U� 1 :� ra _ . )iL a79 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appltration for Dispaiial Works Tonitrurtion rantit Application is hereby made for a Permit to Construct_ ( ) or Repair (1-1 an Individual Sewage Disposal System at: ....... '..1.__..�?�1 ............ ` ----------------------------- .... ...........-----•--...----------- ,�ocation-Address or Lot No. tr L caner ddress - ..---•--- - - Installer Ad ess Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms...._......................._..........Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) W 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 ( ) 1-� Percolation Test Results Performed by.................... ---••---•--••••-•-------•---------•-------•--••------ Date........................................ a Test Pit-No. 1................minutes per inch ' Depth of Test Pit.................... Depth to ground water---.._:____-_-_---__---- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---.._____--____••-•-___ x ------ O Description of Soil......................... x U = UW ----------------------------------------------•----------- Nature of Re ai s or Alterations—Answer when applicable j 060 _: __-- ------. fir.- r---------- - -- --------- l ....................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Env' mental Code—The undersigned further agrees not to place the system in operation until a Certificate of Co plian e has been issued by the board of health. Signed ----...----. ...................................---------- ----- ........--�'- 9--... Application Approved BY Z),e Irate-- °... --- Dae c�� Application Disapproved for the following reasons- ----- ---------------------------------------------------- .......................------- ------------------------------------ ---- ----------- ---------------------------------------------------------------- ----------------- -------------------------- ----------- ------------------------------------------------------- ..................................... ate PermitNo. .----- C�!-...---.... / --------------------- Issued ------------------------------.----.------------------ ------ Date - ` THE COMMONWEALTH OF MASSACHUSETTS, BOARD OF HEALTH TOWN OF BARNSTABLE Appliratilan for UispAiittl Works Tomitrnrtiou 1rrntit Application is hereby made for a Permit to Construct ( ) or Repair (&wt an Individual Sewage Disposal System at: ........ :. .N.:.....-�-�' •........................ ........•---......... K�-n'N�.................................................... ocation Address or Lot No. .�►�-!- ........ •- ,w"a A r..Civ E ... ..........................................................................................•------- Owner Address a ---•---- ..*.. 3��........7P...�CC_') - .9 R l----�''-=- Rr�°�? ? Installer Add�ess d Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms._.....�................................Ex anion Attic� g— p ( ) Garbage Grinder ( ) aOther—Type 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.--.--.............. Depth to ground water.............----------- fs. Test Pit,,No. 2................minutes per inch Depth of Test Pit...---.............. Depth to ground water...................--... \ ----------------------------------------------•----------•-•-•---------...........----....----------......................................................... Descriptionof Soil--.............................................................................=........................................................................................ x U ....................•-------•••-----------•--------------------------------.....-----------.....---------......--------------------...---•-------•--...------------------------------......--•----------- w x = -- ---- U Nature of Re�Airs or Alterations—Answer when applicable► �a�....L�ate.-o_�_.�� __' C�.Q�"- Lf Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envi onnm`ental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued y the board of health. ��\Signed -------=.---- �`-----:-.-.. , ........................................ - ! ......1 - g a V Date Application Approved BY J �----\--------------- �� -- e�- Application Disapproved for the following reasons- --------------------- ---------- --------------------------------------------------- --------------- ------------ - - -------------------------------- - ----------....................... :..---...--------------- ----------------------------- ............. .----...----......................................... ..............ace------------------- D Permit No. ------ l ..-.. c�..C�- ---------- ----- Issued r Date J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF' HEALTH TOWN OF BARNSTABLE (fErtifirate of Tontylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by..........A-.`�.. t ..... ..tiC- ----------------------------- ----------------------- -------------------------------------------------------------------------- -----------------------_---------------- Installer at ------...T -----..`Yr 4s C' 9 ...-.. ....f------------------ �.0114� �$.I ... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in --............... the application for Disposal Works Construction Permit No. ..... /.-.a�..y.. ........... dated ............................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIghLSATISFACTORY. DATE................_e-e.. --- 7 ........................................ Inspector ------'......�' i...2......... �'.v....-........ � _ l THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Qi q TOWN OF BARNSTABLE No... ...... ..�f-.! FEE.... :.._ .. Disposal Works Tuntrnrtion rrrmit Permission is hereby granted....... .. _. ......r— .��.............................................................•--....••--..........•... to Construct ( ) or Repair (✓) an Individual Sewage Disposal System at No.....:$'�........`..A.A.C�.!9.� �``�� ..Y�-N-i� ...... Street o as shown on the application for Disposal Works Construction Permit Y Dated.......................................... Q7 � ................ Board of HealthDATE. f I �� FORM 38EO8 HOBBS 6 WARREN,INC..PUBLISHERS