HomeMy WebLinkAbout0449 OAKLAND ROAD - Health 449"Oakland Rd
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272-009 Hyannis
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TOWN OF BARNSTABLE
LOCATION 4.,4N,/ jo SEWAGE # �/
VILLAGE //J,q /L;t„J ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. ), tv/�L Nse
SEPTIC TANK CAPACITY /po o 6,/11.
LEACHING FACILITY:(type) 9 /J761/ (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER %} L r)r- Ao Vic 4
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No L—
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Oq TOWN OF BARNSTABLE
Appliration f r Diilipwml Our1w Tnnitrnr#ion ermi#
Application is hereby made for a Permit to Construct ( ) or Repair (]/an Individual Sewage Disposal
System at: c)A k(,Gv,J
Location-: ddress or Lot No.
1C2� ... le�x�,n� . ------------------------------ •----------------•-----.......-------........------.
z \ / Addres
a .....�:1.............. a��___ __��,. ..._�. ..v��___...._. � _..
-------- ------
Installer Address
UType of Building Size Lot............................Sq. feet
., Dwelling— No. of Bedrooms---rj------------------------------------Expansion Attic ( ) Garbage Grinder
aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( )
a'' Other fixtures -------------------------- -- - -
d ------------------------
W Design Flow............................................gallons per person per day. Total daily flow..--..........._....__..........._.__.......gallons.
W Septic Tank—Liquid capacity__(06C( al Ions Length---------------- Width---.-------.---- Diameter.--------------- Depth----------------
x Disposal Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area....................sq. ft.
3 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----_.-.._--_-_-_-_.-.-.
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
.....-----••----•----.....-•-------••------•--••---••--•-•-•......................•-----------------................
--------------------
----------------__----
0 Description of Soil........................................................................................................................................................................
x
W
UNatur of Repairs or Alterations—Answer when applicable.-. ---.-: ..<
,kd-d------ 4.71 -� sue- '. --- _.._U '_.S .r- ,�...--- ._.e5 are
Agreement: �J
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 Compli nce has lay Pbe :of�halth.
Signed ........ ............
---------------- -- --------------
,( Date
Application,Approved By ....... �--- --t!\----------- Z 1---------------------------------------------------------------------------- ------ 6. &------
Dat
Application Disapproved for the following reasons: ............__................._..................-......_._----------------------.
............. ............................................ .............. . .... ............................ . .......................... ---------------------------------------
q Date
PermitNo. ---L..S-/a ?. ................................... Issued -----------------------------------------------------------------
Date
TOWN OF BARNSTABLE
LOCATION �{ q C R I(CRnf Kb SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. ;f�.,h,j- ►v�LhE/,' %�/- L N� S!
SEPTIC TANK CAPACITY /pp o
LEACHING FACILITY:(type) 9 i h F (size)
NO. OF BEDROOMS -5 PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER /} L r k V c il
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED_
VARIANCE GRANTED: Yes No
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No....�----•.r:?...... F�$.................•---.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
01CTOWN OF BARNSTABLE
i
Appliration for Diij-pa!3Ml` Workri C omitrurtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( /an Individual Sewage Disposal
System at: A k Lc..,•,J y
- ......kAL44s�.....C-1 . ...----. .Q.A=------- -----------•----------•-------------------------------- ......
Location-: ddress or Lot No.
c�-� ------------------------------ ------ ..._.
sner \ Add,
�_ ess
w c. -�^_- - -. --d-q----P_.(XA R ..._ .4.....
Installer Address
UType,of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms---13------------------------------- ---Expansion Attic ( ) Garbage Grinder (J
04 04 Other—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 capacitv..(06([-allons 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 ( )
a Percolation Test Results Performed by.......................................................................... Date...................
•-------•-------.....
Test Pit No. I................minutes per inch Depth of Test Pit.------------..---._ Depth to ground water.........-----..--------
fi, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water....--........--...----.
a ........................----.................................................................................................................................
ODescription of Soil........................................................................................................................................................................
x
U •--•----------------------------------•-••--- -----------------------------------------.......----------------------------------------------------------------------------•----••----•--•--------•-----
--------------------------------------------------------------...................
U Natjurp of Repairs or Alterations—Answer when applicable.-.. ......IP 1.-.-` .--- ---------------------------------------------
5�_f . .....fief..+L......
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 Compli nce has bo@ -is�by the board of health.
Signed ..... �
Application.Approved By ...... _.._------_--- /Da'
.. .
Application Disapproved for the following reasonr- -----------------------------------....._----------------------- -------------------------------------------------------------
Dare
PermitNo. ----------------------------------- Issued ......................... ....................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C ertifira#e of C omplinure
TUIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by ------------------------- - ----------------------------------------------------------------------------------------------------
ca �/.. ....... -
at ..----- L L ..G. �1.I .e...(. n. 1�� c,,.n`
c/...(Z. .. ------------------------------------------------- ---------------...-------------
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. ....���r�./ram..` .._..__.._.__. dated .-2 76 s-5- -....__...........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. * , i
DATE........................................... ..... -- Inspector ....- ..._..... � ``�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No..?`' TOWN OF BARNSTABLE FEE..�0,6-0........
Permissionis hereby granted......5is� ----------------------------------------------------------------•......---••••--...--••--..... I
to Construct ( ) or Repair (/) an Individual Sewage Disposal System
at No........... �------ Lll�_1_f1snJ..�.j--------
r Street _ /
as shown on the application for Disposal Works Construction-- .—ermiit NoS .-/�_q__ Dated___'�lk -p�:.....................
G �` Board of Health
DATE-----•-�-------` ........................................................
FORM 36508 HOBBS R WARREN,INC..PUBLISHERS