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Home My WebLink About0095 OLD CRAIGVILLE ROAD - Health 95 Old Craigville Road Hyannis e o o A= 248— 115 r n k n D l o o I. OtCA,,V�N SEWAGE PERMIT NO. VILLAGE I N S T LLER'S NAME & ADDRESS .� IV L/-2 B U I L D E R 'OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � � :.� ti,- ,E ��J � N /• 1 �J wry No.- T::7-—.------. THE COMMONWEALTH OF MASSACHUSETTS BOARD F H LTH �f ,. .....OF, . ....... .... ......................................... Apphratiun -fur Bbqu at Works Totm rna- n Vrrmit Application is hereb 'made for a Permit to Construct or Repair an Individual Sewage Disposal PP Y ( ) P ( ) a P System at: .4--- 2Z/ .-..... ••-----. ------ --•-------•-••--------........................... o i -Ad s /p y-••-------•-------•---------- Lot No. ----- --------------- wn ---------t-=,------------------------------- Address Instal r Address dType of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder ( ) a4 Other—Type of Building ____________________________ No. of persons..-______--______'______---_ Showers ( ) — Cafeteria ( ) Q' Other fixtures ...... _ W Design Flow............................................ per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity------------gallons Length---------------- Width----- ---------- Diameter_-.---..-..----_ Deptli.-.------------- 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---------------------------------------- a Test Pit No. 1................minutes per inch Depth of 'Pest Pit_..--_-___-______;_- Depth to ground water....-_-._----.--.------ fs Test Pit No. 2................minutes per inch Depth of Test Pit.................... .pth to ground water-_._-._.___-___-_-__..-. P+' ---•-------- --------- ---- -------------------------------------------------- -- Description of Soil ----.. txj ------------------ ---------------------------------------------------------------------------------- W -------------- ------------- ------------------------------------------------------------------- a -- --- - •...... 4� U 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 been i sued by the board o�lth. ned.._ .......... -- --.------------• ------- Application Approved BY - --•-- •-/--_ _ - .. Dad Application Disapproved for the following reasons--------------------------------------- -- ----------------•------------_-------_..--•_--.•.................... --•-•---••----------------------------•-------------------------_---•-----------•---•--------•------------------••-•----------------------------------------•--•-------------•-------------------------- Date PermitNo......................................................... Issued........................................................ Date F uT1 No.......V.............. .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH h� - / _w n, OF... va ------ Apphration -for Diiipatial Works Totuarurfion Prrulit T-r-1-1 Application is hereby'made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ......... .. ................................ .............................................................................. -----------J# --- i -Ad or Lot No.. 0 ------ . . ............................... .................................................................................................. OtA n Address . ............. .......... ....... Y.................................. ................................................................................................ lAnstall'er, Address Type of Building/ Size Lot----------------------------Sq. feet i Dwelling (�No. of Bedrooms--------------------------------------------Expansion Attic Garbage Grinder Other—Type of Building _.-------------------------- No. of persons..-__.__...-_---_-._.------- Showers Cafeteria Otherfixtures ----------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow............................................gallons per person per day. Total daily flow---------------------------------------------gallons. 9 Septic T.mk—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----------------..scl. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by--------------------- ---------------------------------------------------- Date--------------------------------------- �_l Test Pit No. 1----------------minutesperinch Depth of Test Pit._._..--........._.. Depth to ground water..._....----.---._.._. w Test Pit No. 2----------------minutes per inch Depth of Test Pit�./__ epth to ground water-_.--.--.--.-----_--._. ....... --------- -- - ---- -------------__-_--------------------------------------------------------- 0 ---- .... ... .. ..... �4 Description of Soil--------------I_------------ --- -- ------- ........ U ..................................................................................................... ------------------------------------------------------------------------------------------- W .............................. ------------------------ ........................................ Nature of Repairs or Alterations—Answer when applicable.�W�� U Y ------------------------------------------------------------------ ..................................................................... -----------------_------ ............ ------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article X1 of the State Sanitary 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. Sned.... ...... . .... ---------- ----------- --- ------------------- ---- �Kr...... 10 Application Approved By... ...... ...... . . ....... ... ... .. . .. 4521V... ...... --------Da-1 ------------------------ --------------------------------------------------------------- Application Disapproved for the following reasons:.. --------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD 01- HEALTH 6 ........... OF..... .......... .. . ................. ....... ......... 7�� ' ' 'N' ....`.... Trriffiratr of Tomphaurr THIS-IS C R" hat h dividual Sewage Disposal System constructed or Repaired Inq I at. _44n.... .. .. ....... ... ............... ------------- - -- ----- - ---- --- ................ has n installed in acco dance wi the provisions of Art' • q4!3p State Sanitary Code as described in the application for Disposal Works Construction Permit Nc ........ j----sj__4p........... dated :2 f-__-7.7........ --------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. h"),M6-11 Inspector---- ........................... 7------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD G HEALTH OF-..... ............. ............................ lJ 4..; .. No......................... FEE........................ ti Bin:Volial Ytorkfflan t V- 11Y t Permission is hereby granted -611e(......... ----7'.. ................. or ir ---- individual Sewage Disposal System to Construct =_ .............................................. ..................................................................................... Street as shown on the application for Disposal Works Construction�Pei.............. No #ated----;----- ----------------__ -7 ----- . Boar� ,�Health DATE.......;;;�.......... .............................. FORM 1255 H0138S & WARREN. INC.. PUBLISHERS TOWN OF BARNSTABLE LOCATION „�Q SEWAGE # /1 VILLAGE ASSESSOR'S MAP & LOTc,'IW--//S— INSTALLER'S NAME & PHONE NO. 1 Gew. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) jsize) l x/D NO. OF BEDROOMS PRIVATE WELL O BLIC�WAE BUILDER OR OWNER � Aa 'Ot-e S DATE PERMIT ISSUED: y� 9� DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No'� p of � �' c� a �� . �� . �= � Fxs..C?V........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for Disposal Works Tonstnution Frrutit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: ................__-- __ ....- ... - -------•-•-... ...... .... or LotNo.- ...Q[3 -....._..............__. oc ion- dd ess _ Q `D wner� �S'_ �4" ess / �L ...........�.......•-------------------•-----•---._..........-------••--•......--------- ---•--•-•-••••-••--•••••••••.....�'..._.... � .;V..---------------�..... Installer Address UType of Building Size Lot. /A, ' Sq. feet Dwelling—No. of Bedrooms..................��......................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) PaOther fixtures -----------------............................................. W Design Flow...................�_:s- •--•••••__gallons per person per day. Total daily flow...........Q3 ..........--......gallons. WSeptic Tank—Liquid capacitye/004.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.•................s . ft. � P� P g q Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest 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........................ ----------- --- -------•-••-••-- .........!.......................................... Description of Soil------------ ................. x W ••••••••••--•----'----------••......•--•---•---••---•-•-••----------•---•-•-••--•••-••••-•-•-•--•••----••••-••••---••••--•--••......--••----------•••---• ••••-----••••-••••--••••......--•--•-•_.... UNature of Repairs or Alt rations—Answer whe applicable.------�/—f''�`�Q �------ ' f�C6eSTi. -----------,..... ---- .?- -------- �J.-.............................................................................. 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 - be n issued y t oard of health. Signed.--------- --' '----...-----'.. -- -- -- ----- Application Approved By ................ - a''�`� =� �QI 9 ------ Date Application Disapproved for the following reasons- --- --------------......................------------------.'------------------"------------------. --- ----------"'---'--- ................'----.......... ------. ------ate..........------- Permit No. ............ Ai— Issued Dare Fxs..C��..-_............. THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH t TOWN OF BARNSTABLE , pphration for Disposal Works Application is hereby made for a Permit to Construct ( ) or Repair 04 an Individual Sewage Disposal System at: Locaddress or Lot No. Q�Q 5� v S �7J�aG1 S------•-- -- ----•----------------------------- --�-�1-�.!�..,� ...�Q Owner Add ess i •. ...-----••.....__.... --- --------------------------------------------- - ' Pa lle Addr Insta r ess 7f— Q Type of Building Size Lot. Sq. feet V ----------- Dwelling No. of Bedrooms..................��4 g— _______________________Expansion Attic ( ) Garbage Grinder ( ,) a`4 Other—Type of Building --------------- No. of persons............................ Showers YP g --------•----------------•------•----------P ( ) — Cafeteria ( ) dOther fixtures .--------•-------- ---.------------•--------------•-----------------------••-------------••--------------------------- w Design Flow................... . ...........gallons per person per day. Total daily flow..........._�_a_�CS..................gallons. WSeptic Tank—Liquid capacity,,"6W4.gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No._-_-_------------- Width................... Total Length.................... Total leaching area-•___--_-------_-__sq. ft. Seepage Pit No----------- ----- Diameter.....ZG3__"_. Depth below inlet..... leaching area__________________sq. ft. z Other Distribution box ( ) Dosing tank ( ) � � r aPercolation Test Results Performed by.......................................................................... Date........................................ ,..a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water___-____________--___--. (X4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 --------- ................................................................................................ O Description of Soil------------� .��_-'r._......�l�� - } �._.._._.. ^� - t w -•-----------------------------------------------------------------------------------=--------------••------------------------------------•......--------------------------1---------------------------. U Nature of Repairs or Alterations—Answer whet - lable------_ ................./2 Z3CAS2!:ppi " ti --.----.. S --------------------------------------------------------------------------- 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 y the oard of health. Signed .......... --- . -------- . ApplicationApproved By ................. -------------------------------------------------------------------------. ?/...... date • Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------- -- -- -- - -------------------------------------------- --------------------------------------------- -------------------------------------------------------- ------------------------------------ ---------------------------------------- Dare PermitNo. �,/ -.. ----------------- Issued ------------------------------------------_-----------...----- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Celrt#ifirate of Cgomjilianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x ) by Q/ a GD-7T7 ` ,NS�I�1t��7G111---.........................------------------------------------------ Installer at ----------- .................................... - -95..-------- -------- '�� -1�;'lJ/�L F �j ....-... s��/N�-------- ---- -- has been installed ink accordance with the provisions of TITLE 5 of The State EnvironmentahC de as described in the application for Disposal Works Construction Permit No. .........�,1--...1- .. 7.. . dated/,./..... ............................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--- rt-� q-( ................. -----------------------------------.. Inspector . -:....... ------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �j TOWN OF BARNSTABLE No..... FEE.......................... Disposal Works Tontrudion Prrntit Permission is hereby granted__________________ .... d _.._. d�S ....:.................................................... to Construct ( ) or Repair (k) an Individual Sewage Disposal System Street cy as shown on the application for Disposal Works Construction Permit No., ,--.�a_,�_ Dated.......................................... ....................................�- �-----•--------•---.....--•----•---............•---- j/ _ G _ 9/ Board of Health DATE........ ..... ...........%---.._............._........-----.......... FORM 3850E HOBBS 6 WARREN.INC.,PUBLISHERS