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Home My WebLink About0100 MEGAN ROAD - Health A — 100 Megan Road aHyannis A= 292-245 4 �I Q a i Y t 4 yy � Y k TOWN OF BARNSTABLE LOCATION //� /��/'4 ��,� SEWAGE A�7,5*-- VILLAGE / ASSESSOR'S MAP & LOT; .INSTALLER'S NAME PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY I,aaQ Q/,1/_ LEACHING FACILITY:(type).2, 16-oc /'IS (size) X b NO. OF BEDROOMS .PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER &e1ZtjcJg11 S DATE PERMIT ISSUED: l DATE COMPLIANCE ISSUED: ! — � VARIANCE GRANTED: Yes No :,, C1" E `l'` �� , JQ G._ .� E. _� :. w �� :;- , . X MAP a901 � = par o?�� No...?.. ... Pff j Finc...2 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diripwial ' l orkii Tonfiitrurtivia JIPrutit Application is hereby made for a Permit to Construct ( ) or .Repair ( an Individual Sewage Disposal 'System at: c Location-Address -•-••-------------•--•---•--------or Lot No. ✓�'f� (.![.1'® ram /��-�-------------------------------- ------- ---••--------•------••--------...---.............:__ o... --------•------------------------•----•-----Address Installer Address Type of Building Size Lot............................Sq. feet �.. Dwelling— No. of Bedrooms...._....Q�.................------- ---Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ------------------•--- ..... No. of persons............................ Showers ( ) — Cafeteria ( ) fa, Other fixtures ------------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ 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........................ GZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ------ ---------------------------- •----- •-.... -.... .------- •--- •............... ........ ..•------ •--- ------------- •---------------- ............ ..... .......... 0 Description of Soil........................................................................................................................................................................ U Nature of jZepairs or Alterations—Answer when ap livable_ ,5.'R 1. _.__e.�._'.._.. . .PAD...._.. � . 006............ t � � .ex�,st� . . �� pil.-------------------------- 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 h s ee iss by the board of health. Signed .......... ..... �....... ...... ...... ................................ .......� ....... a.. .....� . ApplicationApproved BY ... ..... ....................................... ...... . .. .. ... ....... . .. . ------------------ ............ � re Application Disapproved for the following reaso s ...........................:............................ ......... .......................... ................................................... _..............._................. .. . - ................... Date Permit No. Issued ............9. - are / ................. p6L r No.. ............... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirativit for. Diripimal Works Tomitrurtion Prrutit Application is hereby made for a Permit to Construct or Repair an Individuals Sewage Disposal System at: Ir '\ ......... -7 ............................................. ................... ..................................................... LoLocation-:\dd,-ss or Lot No. L/ ......................e..... .....('Lcra...... ................................ .................................................................................................. owne Address 4.�?.c&a................................................. .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms..........�----------------------------Expansion Attic Garbage Grinder Other—Type of Building ---------------------------- No. of persons_--_____-_-_-__--__-..-__... Showers Cafeteria Otherfixtures .............:------------------- -------------------I............................................................................................... Design Flow........................ ....................gallons per person per day. Total daily flow............................................gallons. Septic Tank—LIquld capacity------------gallons Length................ Width._........_..._. Diameter.-.-----_._-_-_- Depth........_....... 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. I................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._...._....___._....__. ....................................................................................................................................................... 0 Description of Soil........................................................................................................................................................................ U .................................................................................................................. ...................................................................................... :WI%( 's.......................................................................................................................... .............i..........E.,..................4LW...... r: ................. U Nature of Repairs or Alterations—Answer when applicable._27�)A.+Afl....................... CY ............. .... ............7_1 +:1 1., e.r 4 U0 .......................... ........ 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 been issued by the board of health. I V Wj" A /o� -d Signed ----------A------- -- --------- --------------------------------------------------I......... ........................ ............... j Application Approved By --- --------------- . ........------------------------------------------ *k_ei ------------------ Application Disapproved for the following reasonsi ...........j................................... C/ ------- ---- ................................................... . / ---------------------------------------------------------............................................ ------ .................... * te 9#_ ........................ .................. Permit No. .......?....j...... - ---------------------------------- Issued ...........A I /Da,e ✓ ————---———————————----————---——---————————--- ——————————————————————THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE Olertifirate of (111omplialare THIS IS TO CERTIff That the Individual Sewage Disposal System constructed or Repaired Loj' by ...................................... ................................................... at ............. m.. . ...... ........... ......................................................................................................................... tkIILr ........ ........ ............................... ............................................. A ...... ..M ........In... .. has been installed in accordance with the provisions of TITLE of TheS t-- Environmental Code as described in the application for Disposal Works Construction Permit No. ....... a... ............ dated ............................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY, DATE ----- ..................... ................................... Inspect ✓----- ---------- -- -_..............._.`Jr- ------------------------------ --------------------I------------------------------- ---—-------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE N FEE.-- ............... Dispotial Workv Tomitnution "Urrutit Permissionis hereby granted----------- ---•--..... ........................................................................................... to Construct ( ) or Repair (--rxn Indi 4111al Sewage Disposal System at No. e�44.........../,/ ,-t A,/ ......... ...................... ...........411......................................*.......................... .........................................7 17 Street f' as shown on the application for Disposal Works Construction Permit __.�7._/'Aated---- ................... ........................... .......... al'th Board of K-- ------- DATE............./...Tt....y------- ------------------------------------------ JJJ FORM 38908 HOBBS&WARREN.INC.,PUBLISHERS S irx-e_ AsBuilt Page 1 of 1 TOWN OF 13ARNSTABLE LOCATION SEWAGE VILLAGE ASSESSOR'S MAP & LOT , 9 INSTALLER'S NAME & PHONE NO. A & B CANCO 775--6 4 SEPTIC TANK CAPACITY I,,gyo LEACHING FACILITY:(type).2, IeRc-rl iq/fS (size) iJ x b NO. OF BEDROOMS -. PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER cl&iZ ug �Z S DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED- VARIANCE GRANTED: Yes No I--,f7,, {f http://issgl2/intranet/propdata/prebuilt.aspx?mappar=292245&seq=1 5/10/2013 i TOWN OF BARNSTABLE a~ LOCATION l0v MEGAAIR P- SEWAGE # VILLAGE LASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY_ aDd LEACHING FACILITY:{type D (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER I DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No C: �. C �r A; a �r R V