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HomeMy WebLinkAbout0449 OAKLAND ROAD - Health 449"Oakland Rd r 272-009 Hyannis a, I p I 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— t e .. � I 3 �� � . =a e. i. Fim �r.�......... 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 r 61 o bz + 0, 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