The URL can be used to link to this page

Home My WebLink About0242 OLD TOWN ROAD - Health 242 Old Town Road ! Hyannis ' A= 268-187 c�2_6& 2 A P P R O V E D No.... Barnstable Conservation Commission Fss..3j:::> THE COP4MONWEALIH OF MASSACHU ETTS TOWN OF BARNSTABLE App iratiun for Bhip utt1 Mork.5 Tongtrnrttun ramit Application is hereby made for a Permit to Construct ( ) or Repair O an Individual Sewage Disposal System at: r -----�`�--?r --®�- �� o ---- -------------------------------------------------------------------------------------------------- S Locatio -Address •,, or riot No. `v, --------.. �� ....`.-�.J_ ..._._ �. )T `�-------•---•---..__... ,� ------•----C-i�AIGU'\\T .._-�? -•-'r-------`— --------------• owner Address -------------------------- ....... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------------------=-••-•---••------•-•---•-.....-•---•--------••------••------------...--------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity.--•.•-----.gallons Length................ Width................ Diameter----....-..--.-. Depth................Disposal Trench—No...................... Width.................... Total Length.................... Total leaching area....................sq. ft. x 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........................ f4 Test Pit No. 2................minutes per inch Depth of Test Pit---:................ Depth to ground water........................ 9 .-•••-••--•------------•--------------------------•---•------------------------......---------------......................................................... 0 Description of Soil...............................................................................---------------------------------------------•----------------------•-•----------------- x U ....-•--------------------------•---•-------•---•------------•---•-----------------•------------•---------•----••••-------------•••-•----------••----•---------•.•-....-..-----------..-..-------------- x ----•••--•.•----------------••----•---------•-------------•----------•-•-----------•----•--•----•-----•-----------•-------------------------- U Nature of Repairs or Alterations—Answer when applicable...�v�$--__.°E---....*=t�..-___ _ s -ih- , ----- 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 Con fiance has been issued by the board of health. Signed --- --- . ........................................ ........................................ Dace Application Approved By ...............o . .�J'.. .. ------------------...---...---------------..--....--....-- Dv ----------- Due Application Disapproved for the following reafons: ...... .............. .......................................................................... ............ . ............ - ------- ----------- - -- -- ---------- ------------ ------------ G� ? Dare PermitNo. .........../l' c�` ---------_---- Issued ---------------------------------------- ------------------------ ""••�•'*' Dace 2 /8 No— THE CO MONWEAL H O MASSACHUSET'TS TOWN OF BARNSTABLE pprliratwi c for Disposid Works Tottoummott fermit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: Location-Address Owner Address Installer Address Type of Building Size Lot-_ Sq. feet �-, Dwelling—No. of Bedrooms---------_--------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building -----------------___-- No. of persons------------______----- Showers ( ) — Cafeteria ( ) QOther fixtures ------------------------------------------ - --------------------------------- ------ W Design Flow-------------------_--___--gallons per person per day. Total daily flow--------- - ---_gallons. ePtic Tank—Liquid-capacity--------__- loosLength-------------Width--------------- Diameter------ Depth- ----- Disposal Trench—No.------__ Width_----------------Total Length------- - Total leaching area-----_—sq.ft i 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. 1----------------minutesperinch 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 --- -- 0 Description of Soil-----------_-__—_____ - UW -- - - -------------- - --- -------- Nature of Repairs or Alterations"—Answer when.applicable---Pv__w� ----`E -_r_c � Agreement: The undersigned agrees.to i tall the aforedescribed I')dividual Sewage Disposal System in accordance with the provisions of TITLE 5 of thelState Environmental-Code—The undersigned further agrees not to place the system in operation until a Certificate of Co fiance has been isgue(d by the board of health. tied Application Approved By - - - ,- - ------ ----------- -- " _ � � - - - - - Dme Application Disapproved I the Uounng r asons: ---------------------------------------------------------------------------------------- ------ - -� - DIM - - - Dim ----- ----------------------------- ------------ - ---- - - ---- -— - -- Permit No. - - _ _ Issued ----- --- - - - -- --- - - --- r UTHECOMMONWEALTH OF MASSACHUSETTS f BOARD OF HEALTH TOWN OF BARNSTABLE `. alertifirate of (90mytimWe THIS IS TO CERTIFY, That the dividual Sewage Disposal System constructed ( ) or Repaired ( by-- «LLB --- Q1�-- -- - - w --�-- - - —- ---------------- ------------ at -----.1�-1�2---------OL- 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_ -___ __1-ate ---------- dated --------------------------------- THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL 7NCTION_.SATISFACTORY. j DATE--------------------------------- ---- -------------------------------------------------- Inspector - -- - , - ---------------------------------------------------- - M THE COMMONWEALTH OF MASSACHUSETTS rBOAR" OF HEALTH �.�' r, P. TOWN-OF'BARNSTABLE Disposal Works C on0mri m Ilermff Permission is hereby granted-__ \_l�XrE�__-__-b J1 i------- — to Construct or R��'r an Individual Sew eDisposal System at Street q as shown on the application for Disposal Works Construction Permit No1_�"�a,F- Dated------------ ----------------- Eaard of Health FORM 96309 HOBBS Q NARREN.Mr—PUBLISHERS 3 `'-- pew 00 Gam " aR�• i) p zxb' ?_a r ISA 49 � � m j O � a O _ lg A IZ -a r4 dam'" TOWN OF BARNSTABLE LOCATION_yZ5/o'L ®Lb % 7-OW ) Yt�- SEWAGE # VILLAGE ASSESSOR'S MAP 46 LOT INSTALLER'S NAME & PHONE NO. PKKXE� SEPTIC TANK CAPACITY 00 Q LEACHING FACILITY:(type) kNG �kAV.A%4=5 (size) NO. OF BEDROOMS_PRIVATE WE O: PUBLIC WATER BUILDER O WNRR flDt.I DATE PERMIT ISSUED: ''��ay�c� DATE COMPLIANCE ISSUED: '��uu It VARIANCE GRANTED: Yes No +.0 4 � D \n ��